• Title/Summary/Keyword: adverse reaction

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Study on the Clinical Trial Practice of Drugs at the Designated Hospitals (국내 임상시험 실시기관의 의약품 임상시험 관리현황 분석)

  • Lee Eui-Kyoung;Jang Sun-Mee;Huh Soon-Im
    • Korean Journal of Clinical Pharmacy
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    • v.5 no.2
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    • pp.33-49
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    • 1995
  • The purpose of this study is to understand present situation of clinical trials, and evaluate the preparedness of the desiRnated institutions to abide by GCP(Good Clinical Practice) standards during clinical trials. Survey on the status of clinical trials was conducted for the desienated 83 clinical trial hospitals, and response rate was $95.2\%$. The results showed that 39 hospitals have conducted clinical trials to obtain drug manufacturing approval from 1990 to 1994. Most of them were trials on Phase III. Only $46.8\%$ of the institutions had sufficient human resources to perform the clinical trials. Institutions which established IRB(Institutional Review Board) accounted for 41 or $51.9\%$, but those who have a protocol evaluation guideline, or Adverse Drug Reaction(ADR) reporting system were only 12, and 21 Places, respectively. Regarding supervision of the investigational drugs, less than 30 institutions designated pharmacist as a supervisor. In conducting clinical trials, $97.4\%$ of trials had high rates of prior consent of testees, but only part of them-$61.7\%$-gave written consent. The level of conducting GCP is found to be unsatisfactory. Institutions must build the appropriate infrastructure and government must prepare in order to protect testees' rights as well as to ensure validity of the results.

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Analysis on the fuel concentration distribution in a fluidized bed for the scale-up of a FBC (유동층 연소로의 스케일-업을 위한 유동층 내 연료농도분포 해석)

  • Lee, Dong-U;Park, Seung-Ho
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.21 no.6
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    • pp.747-757
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    • 1997
  • A numerical investigation of the fuel concentration field in a fluidized bed has been carried out for the scale-up of a fluidized bed combustor (FBC). A two-dimensional transient model is developed using the two-phase fluidization, a simple chemical reaction, and lateral solid mixing theories. The uniformity of fuel concentration distributions is controlled by the location and the number of fuel feeders, fluidizing velocities and the bed-heights. While larger bubbles owing to greater fluidizing velocities enhance the fuel-dispersion in the bed, they have adverse effects on fuel combustion and thus result in the increase of fuel concentration, since a greater bubble means a larger bypass which reduces gas-exchange rates between bubble and emulsion phases. Average or maximum values of the bed fuel concentration are utilized as criteria for the scale-up from a pilot/lab-scale to a commercial-size bed.

A case of dapsone syndrome (Dapson 증후군 1례)

  • Won, Yoo Jong;Kim, Ok Lan;Yu, Seung Taek;Yoon, Young Wook;Choi, Du Young
    • Clinical and Experimental Pediatrics
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    • v.50 no.5
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    • pp.493-496
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    • 2007
  • Diamino-diphenyl-sulfone (Dapsone) is widely used in the treatment of leprosy and a variety of blistering skin diseases. It sometimes has adverse side effects with common usual doses, such as skin, nervous system, gastrointestinal tract, liver, kidney and hematologic toxicity. One of these side effects is a rare but serious hypersensitivity reaction called dapsone syndrome, which occurs several weeks after the initial administration of the drug and results in unpredictable, sometimes fatal outcomes. This report deals with a 13-year-old girl's case with typical features of dapsone syndrome that included fever, exfoliative dermatitis, jaundice, hemolytic anemia and pleural effusion after being treated with dapsone for four weeks.

Food Allergy Perception Providing Safe Meals : Food and Nutrition and Childhood Education Students (안전한 급식 제공을 위한 여대생들의 알레르기 유발식품 인식 조사 -식품영양과와 유아교육과 학생을 중심으로-)

  • Choi, Jung Hwa
    • The Korean Journal of Community Living Science
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    • v.26 no.1
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    • pp.63-74
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    • 2015
  • A food allergy is described an adverse immunological reaction to a food item. It is increasingly common problem among infants, children, teenagers, and adults worldwide. This study examines food allergy knowledge, attitudes, practices, and health consciousness among college students studying food and nutrition and childhood education. A total of 235 food and nutrition and childhood education college students participated in the survey. According to the results, 41.3% of the respondents were aware of legal obligations associated labeling food items for food allergy; 14.0% were diagnosed with food allergy by their doctor; and 10.2% knew about food allergy symptoms. Food and nutrition students were more knowledgeable than childhood education students. The mean for food allergy attitudes was 4.22, and the score for food and nutrition students was higher than that for childhood education students. The mean for food allergy behaviors was 2.16, and the score of food and nutrition students was higher than that of childhood education students. The importance of food allergens was significantly higher than performance. These results suggest that, to improve the management of food allergies in foodservice operations, education programs regarding food allergies should be provided food and nutrition and childhood education students.

Overview of Milk Allergens and Allergic Reaction Reduction Methods (우유 알레르기의 특성 및 저감화 방법에 대한 고찰)

  • Kim, Ki-Hwan;Seol, Kuk-Hwan;Oh, Mi-Hwa;Park, Beam Young;Kim, Hyoun Wook
    • Journal of Dairy Science and Biotechnology
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    • v.31 no.1
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    • pp.67-73
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    • 2013
  • Food allergy is defined as adverse reactions toward food mediated by aberrant immune mechanisms. Cow's milk allergy is one of the most common food allergies in childhood. This allergy is normally outgrown in the first year of life, however 15% of allergic children remain allergic. Cow's milk allergy seem to be associated with casein (${\alpha}_{s1}$-CN), ${\beta}$-lactoglobulin and whey protein. In addition to this, many other milk proteins are antigenic and capable of inducing immune responses. Various food processing affects the stability, structure and intermolecular interactions of cow milk proteins, as a result reduction the allergenic capacity. Heating, hydrolysis, chemical, proteolytic and other processes such as gamma-ray irradiation, high pressure, using probiotics treatments of milk to obtain hypoallergenic milk have been developed to reduce allergic reactions.

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A Case of Hepatotoxicity by Salvia Plebeia R. Br.

  • Son, Chang-gue
    • The Journal of Internal Korean Medicine
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    • v.40 no.6
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    • pp.1219-1224
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    • 2019
  • Objective: To investigate the possibility of hepatotoxicity by supplemental foods or folk herbs such as Salvia Plebeia R. Br. Methods: A hospitalized male patient with alcoholic liver disease and electrolyte imbalance had recovered, and then followed by rapid hepatic serum enzymes after taking S. Plebeia. This study monitored the clinical outcome and biochemical parameters. Result: A 58-year male had drunk frequently, which led to alcoholic steatohepatitis and hospitalization. Two weeks after his discharge from hospital, he felt nausea, dizziness, and mild difficulties in speech and walking, resulting in re-hospitalization at the Korean Medical Hospital. The symptoms disappeared on correction of the electrolyte imbalance suspected to have been caused by severe sweating while working in the outdoors, and the patient was discharged. During treatment and monitoring of his health as an outpatient, the serum hepatic enzyme rapidly elevated approximately 10-fold in hepatic enzymes; the enzyme levels fluctuated according to whether or not he was taking the boiled water of S. Plebeia. The RUCAM score was 12, which met the criteria for toxic hepatitis by S. Plebeia. His general condition and abnormal hepatic enzymes recovered with cessation of S. Plebeia and administration of Chungganplus syrup (CGX). Conclusion: This study reports the hepatotoxic risk of Salvia Plebeia, which is commonly used as a folk remedy in Korea.

Pilot Study on Anti-wrinkle Effect of Herbal Cosmetic Containing the Extracts of Douchi (fermented Glycine max Merr.) (두시 추출물을 함유한 한방화장품의 주름개선 효과에 대한 예비 임상연구)

  • Kim, Hee Yeon;Cha, Ho Yeol;Ha, Kitae;Choi, Jun Yong;Chen, Jin Hong;Kim, Kibong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.31 no.6
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    • pp.380-384
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    • 2017
  • From March 1, 2017 to May 31, 2017, subjects were allowed to apply a wrinkle-improving herbal cosmetic product containing the extract of Douchi for 8 weeks. The effectiveness of herbal cosmetics was evaluated through wrinkle improvement efficacy parameter analysis, subjective wrinkle improvement through questionnaires, and adverse reaction. The herbal cosmetic products containing the extract of Douchi showed a significant decrease in the wrinkle improvement efficacy parameter analysis result. The results of the subjective satisfaction analysis after use were also evaluated positively. We could confirm the possibility of wrinkle improvement effect of Douchi extract, and it will be possible to contribute to the expansion of korean medicine field through more studies in the future.

The Management of Heparin-induced Thrombocytopenia with Thrombosis That Developed after Aortic Dissection Surgery (대동맥 박리증 수술 후 발생한 혈전증을 동반한 헤파린 기인성 혈소판 감소증의 치료)

  • Kim, Jae-Bum;Park, Nam-Hee;Choi, Sae-Young
    • Journal of Chest Surgery
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    • v.43 no.5
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    • pp.538-541
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    • 2010
  • Heparin-induced thrombocytopenia (HIT) is a clinicopathologic condition and adverse drug reaction caused by immunoglobulin G (IgG) antibodies directed against the heparin-platelet factor 4 complex. HIT with thrombosis (HITT) could lead to limb amputation, stroke, myocardial infarction, and death. We report on the successful management of a HITT patient with argatroban therapy.

A Review of Cupping Application in the field of Physical Therapy (물리치료의 장에 부항 적용에 대한 고찰)

  • Shin, Hong-Cheul;Seo, Gyu-Won;Kim, Kang-Su;Kim, Woo-Jin
    • Journal of Korean Physical Therapy Science
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    • v.5 no.4
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    • pp.729-750
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    • 1998
  • The purpose of this Review is to help activities of daily living by normalizing bodily functions through the use of negative pressure. Cupping therapy has been holding the important role as a form of treatment in ancient medicine of Oriental and Occidental country, and still being used widely due to it's effectiveness. Principle of Cupping therapy is to neutralize somatic dysfunctions by elimination of nonphysiological somatic fluid of hematoma through application of negative pressure on region of dermatomal meridian. The effectiveness of Cupping therapy as follows; 1) Effects on acid base balance of bodily fluid. 2) Through the reabsorption of subcutaneous hematoma, it affects on formation of immune system and produce the blood serum cleaning reaction. 3) By application of negative pressure on subcutaneous, induce renal system to produce steroid hormone. 4) By stimulating hemopoietic system, it maxmize the blood production level. Recently, Alternative medicine has been a focus due to it's nature of effectiveness and safety without adverse complication. Therefore, every family possess and use the cupping modality for preventive measure and/or treatment purpose in order to eliminate accumulated byproducts of body and clean the blood system.

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Treatment of Damp-heat Type Liver Disease With Yugan-tang (임상관찰관우유간탕치료습열형간병(臨床觀察關于愈肝湯治療濕熱型肝病))

  • Xie, Chun-Jiao;Seo, Bu-Il;Song, Choon-Ho;Yang, Yoo-In;Shin, Soon-Shik
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.3
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    • pp.540-541
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    • 2008
  • The aim of the present study is to determine clinical efficacy and adverse reaction of yugan-tang. We compared symptoms and liver function test results of 160 patients with damp-heat type liver disease in before and after taking yugan-tang. The patients took 200ml yugan-tang two times daily for three months. Then we analyzed these datas statistically. The overall therapeutic effect was "markedly improved" in 70 of 160 patients (43.75%) and "improved" in 75 of 160 patients (46.88%). yugan-tang markedly improved damp-heat type liver disease, especially jaundice, abdominal distention, hypochondriac pain, nause, vomiting and anorexia. Alanine aminotransferase (ALT) level and total bilirubin (TBIL) level were within normal limits at baseline. But albumin-globulin ratio (A/G) level was not changed markedly. I think that yugan-tang is worth applying widely to clinic.