• 제목/요약/키워드: Treatment guidelines

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조위승청탕의 마우스 경구 단회 투여독성 평가 (Single Oral Dose Toxicity Test of Choweseuncheng-tang, a Polyherbal Formula in ICR Mice)

  • 정태영
    • 동의생리병리학회지
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    • 제28권1호
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    • pp.53-58
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    • 2014
  • The object of this study was to evaluate the single dose toxicity of Choweseuncheng-tang (CWS), a polyherbal formula have been traditionally used as prevention or treatment agent for various diseases as Tae-eumin prescription on Korean medicinal theory, Sasang-euihak, in male and female mice. Aqueous extracts of CWS (yield = 11.00%) was administered to female and male mice as an oral dose of 2,000, 1,000 and 500 mg/kg (body weight) according to the recommendation of Korea Food and Drug Administration (KFDA) Guidelines. Animals were monitored for the mortality and changes in body weight, clinical signs and gross observation during 14 days after dosing, upon necropsy; organ weight and histopathology of 14 principle organs were also examined. As results, we could not find any CWS treatment related mortality and clinical signs, changes in the body and organ weights, gross findings and changes in histopathology of principle organs, except for some dose-independent accidental findings. The results obtained in this study suggest that the 50% lethal dose and approximate lethal dose of CWS aqueous extracts in both female and male mice were considered as over 2,000 mg/kg, the limited highest dosage recommended by KFDA Guidelines, and can be safety used in clinics.

상수원 관망 부식 제어를 위한 부식성 수질 관리: 북미지역 관리 사례 및 국외 현황 (The Regulations and Guidelines for Management of Corrosive Water and Pipe Corrosion in Drinking Water Distribution System in North America)

  • 김민희;현승훈;이원석
    • 한국물환경학회지
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    • 제33권3호
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    • pp.359-369
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    • 2017
  • Water distribution systems supply drinking water to consumers' taps. Internal corrosion of metallic pipe used in drinking water distribution systems has reduced water quality and led to increased levels of toxic heavy metals such as lead, copper and nickel. These problems have been experienced to varying degrees by water utilities in many countries. North America has successfully managed and controlled pipe corrosion and corrosive water in water distribution system based on various policies, regulations and rules. Practical and engineering guidelines for evaluation of pipe corrosion and determination of treatment options are also provided to assist drinking water supplies. In addition, the corrosion mechanism in water distribution systems, such as the complex effects of physical and chemical parameters on the corrosion pipes has been improved to accurately predict corrosion rates of metallic pipes in actual water distribution systems. This paper reviews various regulations, policy statement, and treatment produces on controlling corrosion in drinking water distribution systems in US and Canada and then offers suggestion for management of corrosive water and pipe corrosion in drinking water distribution system in Korea.

이진탕가미방(二陳湯加味方)의 마우스 경구 단회 투여독성 평가 (Single Oral Dose Toxicity Test of Iijintanggami-bang a Polyherbal Formula in ICR Mice)

  • 김대준
    • 동의생리병리학회지
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    • 제24권6호
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    • pp.1019-1026
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    • 2010
  • The object of this study was to evaluate the single dose toxicity of Iijintanggami-bang (IJTGMB), a polyherbal formula have been traditionally used as prevention or treatment agent for various digestive disorders including reflux esophagitis, in male and female mice. Aqueous extracts of IJTGMB (Yield = 8.45%) was administered to female and male ICR mice as an oral dose of 2,000, 1,000 and 500 mg/kg (body weight) according to the recommendation of Korea Food and Drug Administration (KFDA) Guidelines. Animals were monitored for the mortality and changes in body weight, clinical signs and gross observation during 14 days after dosing, upon necropsy; organ weight and histopathology of 12 principal organs were examined. As results, we could not find any mortality, clinical signs, and changesin the body and organ weight except for soft feces restricted to IJTGMB 2,000 mg/kg treated two male mice (2/5; 40%) at 1 day after administration. In addition, no IJTGMB-treatment related abnormal gross findings and changes in histopathology of principle organs were detected except for some sporadic accidental findings. The results obtained in this study suggest that the 50% lethal dose and approximate lethal dose of IJTGMB aqueous extracts in both female and male mice were considered as over 2,000 mg/kg, the limited highest dosage recommended by KFDA Guidelines.

EVALUATION OF BRACHYTHERAPY FACILITY SHIELDING STATUS IN KOREA OBTAINED FROM RADIATION SAFETY REPORTS

  • Keum, Mi Hyun;Park, Sung Ho;Ahn, Seung Do;Cho, Woon-Kap
    • Nuclear Engineering and Technology
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    • 제45권5호
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    • pp.695-700
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    • 2013
  • Thirty-eight radiation safety reports for brachytherapy equipment were evaluated to determine the current status of brachytherapy units in Korea and to assess how radiation oncology departments in Korea complete radiation safety reports. The following data was collected: radiation safety report publication year, brachytherapy unit manufacturer, type and activity of the source that was used, affiliation of the drafter, exposure rate constant, the treatment time used to calculate workload and the HVL values used to calculate shielding design goal values. A significant number of the reports (47.4%) included the personal information of the drafter. The treatment time estimates varied widely from 12 to 2,400 min/week. There was acceptable variation in the exposure rate constant values (ranging between 0.469 and 0.592 ($R{\cdot}m^2/Ci{\cdot}hr$), as well as in the HVLs of concrete, steel and lead for Iridium-192 sources that were used to calculate shielding design goal values. There is a need for standard guidelines for completing radiation safety reports that realistically reflect the current clinical situation of radiation oncology departments in Korea. The present study may be useful for formulating these guidelines.

보존적 항생제 요법으로 완치된 다발성 거대 신농양 1례 (A Case of Multiple Large Renal Abscesses Completely Resolved by Conservative Antibiotics Administration)

  • 박재륜;오진원;김병길;유황재
    • Childhood Kidney Diseases
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    • 제10권1호
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    • pp.77-82
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    • 2006
  • 신농양은 소아에서는 드문 질환이므로 성인의 치료 지침을 따른다. 성인에서 신농양의 치료 지침은 3 cm 이하의 경우는 항생제 투여만으로 치료하지만 3 cm 이상의 경우에는 경피적 배농술이나, 수술적 배농을 고려해야만 한다. 저자들은 2세된 여아에게 생긴 4 cm 이상의 다발성 신농양을 2주 동안의 항생제 정주 요법과 그 이후의 경구 항생제 투여만으로 완치된 1례를 경험하였기에 고찰과 함께 보고하는 바이다.

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Surgical management of severe cherubism persisting into early adulthood: a case report and literature review

  • Youngwoong Choi;Jeong Min Ji;Choong Hyeon Kim;Ki Pyo Sung
    • 대한두개안면성형외과학회지
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    • 제25권1호
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    • pp.38-43
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    • 2024
  • Cherubism is a rare fibro-osseous condition characterized by bilateral expansion of the mandible and maxilla. Due to its rarity, treatment guidelines for cherubism have not been clearly established. Observation without surgical intervention is typically recommended, as cherubism often regresses spontaneously after puberty. However, a surgical intervention may be necessary if aggressive lesions lead to severe complications. In this report, we present a case involving surgical management of cherubism that did not spontaneously regress until early adulthood. An 18-year-old man was diagnosed with cherubism, presenting characteristic upward-looking eyes and a swollen face. He strongly desired surgical management. Gross contouring of the mandible was performed using an osteotome. Subsequently, delicate contouring was performed by bone burring and curettage. The remaining multiple locular bony defects were filled with demineralized bone matrix. No major complications, including infection and hematoma, occurred during the 8-month follow-up period. The facial contour remained stable without the aggravation of cherubism. The patient was satisfied with the cosmetic results. Considering that cherubism is a rare disease globally, with few reported cases in Korea, and that treatment guidelines are not clearly established, we anticipate that the results of this case will contribute to the development of future protocols for treating cherubism.

CARE 지침에 따른 대한한의학회지의 증례보고에 대한 질 평가 (Evaluation of the Quality of Case Reports from the Journal of Korean Medicine Based on the CARE Guidelines)

  • 최성열
    • 대한한의학회지
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    • 제41권2호
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    • pp.122-136
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    • 2020
  • Objectives: A case report is a detailed report of the symptoms, signs, diagnosis, treatment, and follow-up of an individual patient. The purpose of this study is to evaluate the quality of case reports from the Journal of Korean Medicine by the CARE (CAse REport) Guideline. Methods: Case reports published in the Journal of Korean Medicine from January 2016 to March 2020 were searched from Oriental Medicine Advanced Searching Integrated System (OASIS). We assessed the quality of reporting based on CARE (CAse REport) guideline as 'Sufficient', 'Not-Sufficient' and 'Not-Report'. Results: A total of 22 case reports were finally included for the assessment. The reporting items were reported as of reporting quality. After checking the result, there was a deviation in the sub-item reporting rate by a maximum 89.29%, a minimum 66.67% and a median 82.14% in case reports. Also after checking the quality in case reports by 28 detailed items in CARE guidelines, there were not reported 77% or more in the 5 sub-items 'Intervention adherence and tolerability', 'Informed consent', 'Adverse and unanticipated events', 'Diagnostic challenges', 'Patient perspective'. Conclusion: There is a need to improve the quality of case reports in the journal of Korean Medicine based on various studies using CARE guideline.

악성 림프종 치료에 대한 한의 임상진료지침 (Clinical Practice Guidelines of Korean Medicine for Malignant Lymphoma)

  • 정현식;이상헌;유화승;김경석
    • 대한한방내과학회지
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    • 제37권3호
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    • pp.453-466
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    • 2016
  • Objective: The purpose of this study was to present the clinical practice guideline of Korean medicine for malignant lymphoma.Background: Malignant lymphoma is the tenth most common cancer in Korea. The two main types of lymphoma are Hodgkin’s disease and non-Hodgkin’s lymphoma. Non-Hodgkin’s lymphomas are more common, comprising nearly 95 percent of all lymphomas. In China, the traditional Chinese medicine clinical guidelines for malignant lymphoma were published in 2014. Therefore, there is growing need for a clinical practice guideline in Korea, which has not thus far existed. This clinical practice guideline was created by reviewing the Chinese clinical practice guideline and Korean clinical reports. This study will be helpful in understanding malignant lymphoma and in understanding its treatment in Korean medicine.Conclusion: Further clinical research on malignant lymphoma is needed to develop a more advanced clinical guideline.

분산식 빗물관리를 위한 공동주택 외부공간 설계지침 연구 (A comparative study of design guidelines for the decentralized rainwater management of apartment house)

  • 문수영;김현수;이건호;장대희
    • KIEAE Journal
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    • 제6권3호
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    • pp.3-10
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    • 2006
  • As environmental problems and water-shortage phenomenon become a global issue, many states look for the effective method to use water resources. So, decentralized rainwater management is recognized as a new water management system that rainwater can be infiltrated and used on-site. But it is little difficult to build a park, lake, and forest for evaporating rainwater in city because the land price of city is very high. In order to build an excellent infiltration system for a dwelling and a park in Korea, KICT has developed Linear infiltration system. This infiltration system is consist of first flush treatment, storage and infiltration, overflow control system. These elements are connected closely and working as a combined system. A storm sewer can be changed by the linear infiltration system. This study is to make design guideline using Linear infiltration system in apartment house. So ATV-DVWK-M13, FLL and present condition of Korean rainwater system were analyzed and the guidelines direction were set up. Through this study, a foundation is prepared to build the decentralized rainwater management of apartment house.

Benefits and risks of therapeutic alternatives for macrolide resistant Mycoplasma pneumoniae pneumonia in children

  • Yang, Hyeon-Jong
    • Clinical and Experimental Pediatrics
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    • 제62권6호
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    • pp.199-205
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    • 2019
  • Although Mycoplasma pneumoniae pneumonia (MPP) has been generally susceptible to macrolides, the emergence of macrolide-resistant MPP (MRMP) has made its treatment challenging. MRMP rapidly spread after the 2000s, especially in East Asia. MRMP is more common in children and adolescents than in adults, which is likely related to the frequent use of macrolides for treating M. pneumoniae infections in children. MRMP is unlikely to be related to clinical, laboratory, or radiological severity, although it likely prolongs the persistence of symptoms and the length of hospital stay. Thereby, it causes an increased burden of the disease and poor quality of life for the patient as well as a societal socioeconomic burden. To date, the only alternative treatments for MRMP are secondary antimicrobials such as tetracyclines (TCs) or fluoroquinolones (FQs) or systemic corticosteroids; however, the former are contraindicated in children because of concerns about potential adverse events (i.e., tooth discoloration or tendinopathy). A few guidelines recommended TCs or FQs as the second-line drug of choice for treating MRMP. However, there have been no evidence-based guidelines. Furthermore, safety issues have not yet been resolved. Therefore, this article aimed to review the benefits and risks of therapeutic alternatives for treating MRMP in children and review the recommendations of international or regional guidelines and specific considerations for their practical application.