• Title/Summary/Keyword: adverse effects

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Management of patients with allergy to local anesthetics: two case reports

  • Arya, Varun;Arora, Geetanjali;Kumar, Sanjeev;Kaur, Amrita;Mishra, Santosh
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.21 no.6
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    • pp.583-587
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    • 2021
  • Lidocaine is the most commonly used local anesthetic (LA) agent in various dental as well as oral and maxillofacial procedures. Although rare, adverse effects and allergic reactions to lidocaine have been reported. In patients with suspected allergy to LA or a history of such reaction, careful history-taking and allergy testing should be performed to choose an alternative LA agent to avoid any adverse effects. Here, we present two cases of delayed hypersensitivity reaction to lidocaine, wherein the patients presented with erythema, edema, and itching. Intradermal testing confirmed allergic reaction to lidocaine, and the patients underwent successful dental treatment using an alternative LA agent. This report highlights the importance of allergy testing prior to LA use considering the serious consequences of allergy to these agents and describes the management of such patients using an alternative LA agent.

Partial Unilateral Lentiginosis Successfully Treated with a High-fluence 1,064-nm Q-switched Neodymium:Yttrium-aluminum-garnet Laser

  • Hong, Jun Ki;Han, Hye Sung;Shin, Sun Hye;Yoo, Kwang Ho
    • Medical Lasers
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    • v.10 no.2
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    • pp.120-122
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    • 2021
  • Partial unilateral lentiginosis (PUL) is an unusual pigmentary disorder characterized by numerous lentigines on the skin, with onset usually during early childhood. It is characterized by unilateral segmental distribution with sharp margins in one or more dermatomes. Conventional laser treatments result in several adverse effects, such as mottled pigmentary changes (hyper or hypopigmentation), especially in people of Asian descent. A 57-year-old man with PUL on the neck was treated with a high-fluence 1,064-nm Q-switched (QS) neodymium-doped yttrium-aluminum-garnet (Nd:YAG) laser. After 20 treatment sessions, the lesions markedly improved without adverse effects or recurrence. We suggest that high-fluence 1,064-nm QS Nd:YAG laser treatment is an effective and safe modality for PUL.

Review on Intraperitoneal Acupuncture and Needling Depth (복강내침술과 관련 혈위의 자침 깊이에 대한 고찰)

  • Soyeon Kim
    • Korean Journal of Acupuncture
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    • v.40 no.3
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    • pp.55-61
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    • 2023
  • Objectives : To review the needling depth, therapeutic and adverse effects of intraperitoneal acupuncture and related acupoints. Methods : Studies and reports from the literature, Korean medical health insurance data and databases were searched and selected. Results : The depth of needle insertion for acupoints related to intraperitoneal acupuncture has been documented to range from 0.9 to 10.5 cm depending on the acupoints and literature. In studies of safe needling depth, the justice of safe needling depth varied from study to study, but was generally based on the peritoneum, and the depth varies by patient age, sex, body type, and weight. Clinical studies in China have shown good efficacy and no side effects of abdominal long needle acupuncture, but there have been case reports of adverse events following abdominal acupuncture. Conclusions : To ensure both therapeutic effectiveness and safety of intraperitoneal acupuncture, It is necessary to utilize the ultrasound in clinical practice and conduct related research.

Allergic reactions to local anesthetic mepivacaine in dental procedures: a case report

  • Yoonhyoung Nam;Seyeon Min;Wonse Park;Kee-Deog Kim
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.23 no.3
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    • pp.173-177
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    • 2023
  • Local anesthetics are an essential part of pain control during dental treatment. Despite its effectiveness and safety, patients should constantly be aware of potential adverse effects, including allergic reactions. Allergic reactions to amide-type local anesthetics (LAs), such as lidocaine and mepivacaine, are rare compared to those to ester-type LAs. Herein, we report the case of a patient with a history of allergy to lidocaine and mepivacaine, with symptoms of itching, diffuse erythema of the wrists and hands, dizziness, and pectoralgia. This case report emphasizes the importance of collecting medical and dental histories of patients is necessary, and how an allergy test in the allergy and clinical immunology department helps select safe LAs for patients.

A Case of Adverse effects during Interferon plus Ribavirin Treatments for Chronic Hepatitis C (Interferon과 Ribavirin 병용요법 시행중인 만성 C형간염 환자에서 발생한 부작용에 대한 침구치료 증례)

  • Kim, Sung-hwan;Hong, Sang-hoon;Park, Dong-il
    • Journal of Acupuncture Research
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    • v.20 no.1
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    • pp.244-253
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    • 2003
  • Objective : Interferon-alpha and Rivabirin are much used at the same time to treat Chronical C viral hepatitis. But interferon caused lots of unexpected side effects, Acupuncture Treatment for them will be an alternative plan. Methods : We first posed questions to a 4 year-old man who ha skin flare, fatigue, itching, insomnia, pronounced a diagnosis based on overall of symptoms and signs and then treated Acupuncture, Moxibustion and Electroacupuncture. We acupunctured a BL17, BL18, BL20 and removed it at once. We electroacupunctured at GV20, Yin tang(Ex-HN3) form 20 minutes, acupunctured at Bi yi(鼻翼, Extra-point), S36, P6. Pizhengge(脾定格) was acupunctured for 10 minutes. Results : The symptoms of fatigue, insomnia, itching are reduced after acupuncture treatments and they made a person keep interferon treatment on. Conclusions : We confirmed that acupuncture treatments make a patient of chronic C viral hepatitis reduce and improve side effects of interferon treatment. We should keep on studying the various and efficient method of acupuncture treatment to improve living quality and treatment efficiency of patients.

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A Study on the Removal of Low-Concentration Ozone by means of Activated Carbon (활성탄을 이용한 저농도 오존(OZONE)제거에 관한 연구)

  • 양원호;최경호;정문식
    • Journal of Environmental Health Sciences
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    • v.23 no.2
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    • pp.57-63
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    • 1997
  • This study was carried out to find the adverse health effects of ozone by papers, the potential indoor sources of ozone by papers, and then the removal mechanism of ozone by experiments. The exposure of individuals to excessive levels of ozone both in the industrial and ambient environment is a continuing public health concern. Ozone indoors may play a role in generating secondary pollutants that may have adverse health effects. The removal efficiency of ozone was studied by (1) the effect of concentration on breakthrough time, (2) the effect of flow rate on breakthrough time, (3) the effect of adsorbent's weight on breakthrough time, (4) the effect of temperature on breakthrough time, (5) the application of Langmuir's isotherm equation in using activated carbon. The followings are the conclusions that were derived from this study. 1. In the effect of concentration on breakthrough time, the adsorption capacity of activated carbon was inversely proportional to ozone concentratuion (0.1, 0.2, 0.3 ppm). 2. In the effect of flow rate on breakthrough time, the service life of activated carbon was inversely proportional to flow rate (2, 8, 14l/min). 3. The difference in removal efficiency of ozone between weights(100 mg and 150 mg) was seen. And when weight of activated carbon was 100 mg and 150 mg, pressure loss was 4-5mmHg and 6-7mmHg, respectively. It is required to study relations among flow rate and adsorbent's weight and ventilation quantity, too. 4. Generally, Langmuir's equation, one of the oldest and most used frequently isotherm equation, applies to chemisorption. In case of ozone, when the weight of activated carbon was 70 mg and temperature 40, slope(1/a) was $6.25\times 10^{-1}$ and intercept(1/ab) was $1.9\times 10^{-4}$ (average r=0.94).

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Analysis of Causal Factors of Internet Addiction to Resolve Adverse Effects of the Informatization (효과적인 정보화 역기능 해소를 위한 인터넷 중독 유발 요인 분석)

  • Han, Oakyoung;Kim, Jaehyoun
    • The Journal of Korean Association of Computer Education
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    • v.16 no.2
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    • pp.19-27
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    • 2013
  • Internet addiction, one of adverse effects of the informatization, has become a very serious social problem. The purpose of this study is to seek solutions for the adverse effects of the informatization by analyzing the causal factors of internet addiction to maximize prevention of the internet addiction for college students. The three causal factors of the internet addiction: personal factors, familial factors, and social environmental factors are defined as the second confirmatory factors, and the first confirmatory factors for the each second confirmatory factor are reviewed for influential factors of internet addiction. The study concluded that the personal factors are the most influential factors of internet addiction for college students; furthermore, self-control and self-efficacy are key variables of the personal factors. Therefore, it can be effective ways to prevent internet addiction if countermeasures on self-control and self-efficacy of the personal factors are presented.

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Case Report of a Breast Cancer Patient Treated with Adriamycin/5-Fluriuracil Regimen in Combination with Traditional Korean Medicine for Mitigating Side Effects (Adriamycin/5-Flurouracil 치료 중인 유방암 환자의 한.양방 병용치료를 통한 부작용 경감에 대한 증례보고)

  • Kwon, Yong-Kyun;Park, Jae-Woo;Lee, Jong-Ho;Yoo, Hwa-Seung;Cho, Chong-Kwan;Lee, Yeon-Weol
    • The Journal of Internal Korean Medicine
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    • v.32 no.4
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    • pp.610-615
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    • 2011
  • Objectives : To observe the mitigating effects of a Traditional Korean Medicine treatment program, called Wheel Balanced Cancer Therapy (WBCT), with Adriamycin and 5-FU chemotherapy on a breast cancer patient. Methods : A 26 year old female patient diagnosed with stage IIb breast cancer was admitted to the East-West Cancer Center (EWCC) in February of 2010. She received Adriamycin and 5-FU from February 22nd, to July 20th, 2010 followed by WBCT consisting of herbal medicine, acupuncture, moxibustion and physiotherapy for 5 months. Her symptoms were measured by Common Terminology Criteria for Adverse Events (CTCAE) and her quality of life was measured by Eastern Cooperative Oncology Group (ECOG). Results : WBCT significantly alleviated chemotherapy-induced nausea, oral dryness, and peripheral neuropathy. Quality of life also significantly improved. Conclusions : This case study potentiates WBCT's significant efficacy in aiding breast cancer patients suffering from Adriamycin plus 5-FU chemotherapy induced adverse effects.

A Review on Cases of Indium-related Occupational Diseases and Korean Indium-related Industries and Processes (인듐 관련 직업병 사례 및 국내 사업장 현황)

  • Yi, Gwang Yong;Park, Doo Yong
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.23 no.3
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    • pp.299-306
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    • 2013
  • Objectives: The purpose of this study is to provide current the recent information on indium-related adverse health effects and the Korean indium-related industries. Methods: Peer review papers were searched in environmental, occupational and medical journals with the keyword of 'Indium' and 'ITO' and reviewed. To determine the indium related industries and indium consumption amounts, references and database were investigated and analyzed. In addition, field walk-through surveys and interviews were conducted in order to collect field data and to ascertain the field situation for the processes and industries. Results: A total of 10 cases of indium lung diseases have been reported in series since the first case reported in 2001. Seven cases were found in Japan, two cases in the United States, and one in China. No indium lung case has been reported yet in Korea, but it is believed that there are high potential risks among workers in indium-related industries. There are four categories in indiumrelated- industry; indium production and smelting, manufacturing of indium products such as ITO target, the production of thin films of flat panel display, and indium recovery industry. We found that all these types of industries are operating in Korea. Therefore, it is necessary for industrial hygienists to understand the processes and industries related to indium as well as the adverse health effects of indium. Conclusions: It was found that all four categories of indium-related industry from the indium production to recovery industry are active in Korea. However, the adverse health effects of indium are not well recognized. Therefore, it is believed that there is a high risks in indium-related industry, and it is necessary to make emergency interventions.