• Journal of Hospice and Palliative Care
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• 제14권4호
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• pp.197-203
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• 2011

목적: 암환자에게 통증은 가장 흔하고 영향이 큰 증상이다. 그러나 말기암환자에서 통증 강도에 대한 연구는 부족하였다. 본 연구는 중등도 이상의 통증과 연관된 요인을 밝히고자 한다. 방법: 우리나라 완화의료 기관 6곳의 입원 병동을 대상으로 말기 암 환자 162명 자료를 사용하였다. 통증은 담당의가 10점 만점 숫자통증등급으로 측정하였다. 중등도 이상의 통증은 보건복지부 지침의 정의에 따랐다. 증상 평가에는 MD Anderson 증상 평가조사지 한국어본을 활용하였다. 생존기간 예측은 입원 당시 담당 전문의가 하였다. 결과: 예측 생존 기간이 6주 미만인 경우와 지난 24시간 졸린 정도가 6점 이상인 경우가 중등도 이상의 통증과 유의하게 연관되었다(각각 P=0.012, P=0.046). 마약성 진통제 투여량도 중등도 이상의 통증에 비례하였다(P=0.004). 결론: 중등도 이상의 통증과 유의하게 연관된 요인은 예측 생존 기간이 6주 미만인 것과 상당한 졸림이었다. 이러한 요인을 나타내는 말기 암 환자에서 주의 깊은 통증의 감시와 적극적인 대비가 필요하다.

• 한국토양비료학회지
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• 제40권1호
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• pp.43-50
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• 2007

가축 질병의 예방 및 치료뿐만 아니라 사료 이용효율 증대와 생장 촉진을 위하여 축산용 항생제가 쓰여져 왔으며, 이 항생제는 가축분뇨를 통해 배출되어 농경지에 유입될 가능성이 있다. 나아가 용탈과 표면 유거를 거쳐 수계에 도달할 수 있으나, 모든 항생제의 환경 유출 가능성을 검토하는 데에는 많은 시간과 노동력, 예산이 필요하다. 본 연구는 축산용 항생제의 사용량과 잠재적 환경 유출 가능성을 기준으로 우선 순위를 결정하고자 수행되었다. 2004년에 우리 나라에서 판매된 항생제는 83종으로 약 1,400 톤에 달하였으며, 이 가운데 25 톤 이상 사용된 항생제는 10종이었다. 3 톤 이상 쓰인 36 종의 항생제를 대상으로, 가축의 배출율과 토양 흡착 정도를 가지고 잠재적 환경 유출 가능성을 판단하여 17 종을 선발하였다. 축산용 항생제의 사용량과 잠재적 환경 유출 가능성을 종합하여 검토한 결과, amoxicillin과 carbadox, chlortetracycline, neomycin, oxytetracycline, sulfamethazine, sulfathiazole, tylosin 등 8종이 상대적으로 환경으로의 유출 가능성이 높아 금후 정밀한 평가가 요구되었다. 비록 항생제의 가축분뇨로의 배출율과 토양내 동태에 대한 정보가 제한적일지라도, 본 연구에서는 한국에서 쓰이고 있는 축산용 항생제의 사용량과 알려진 항생제의 배출율과 토양 흡착 정도를 바탕으로 환경으로의 유출 가능성이 큰 항생제를 결정하였다.

• 대한한방내과학회지
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• 제42권4호
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• pp.590-604
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• 2021

Objectives: The purpose of this study is to examine the safety of Korean medicine treatment in patients vaccinated with the AstraZeneca COVID-19 vaccine (ChAdOx1 nCoV-19/AZD1222). Methods: We investigated patients at Kyung Hee University Korean Medicine Hospital who were vaccinated with the AstraZeneca COVID-19 vaccine between June 1, 2021 and June 30, 2021. The safety of Korean medicine treatment was evaluated by examining adverse events that occurred within seven days of vaccination, including liver function and kidney function testing, assessment of the severity of adverse events, and examination of causality to vaccines and Korean medicine treatment. Results: Eleven patients vaccinated with the first dose of the AstraZeneca COVID-19 vaccine were included. A total of 19 adverse events were reported: 15 systemic adverse events, three local adverse events, and one alanine aminotransferase increase. The most commonly reported systemic adverse events were fatigue (4 cases, 36.4%), headache (4 cases, 36.4%), and myalgia (4 cases, 36.4%). All adverse events were rated below moderate (grade 2) in severity. Systemic and local adverse events were evaluated as definitely related to vaccination and unlikely to be related to Korean medicine treatment, while alanine aminotransferase increase was evaluated as unlikely to be related to either the vaccine or Korean medicine treatment. Aspartate transaminase, Blood urea nitrogen, and creatinine were measured within the reference range after vaccination. Conclusion: Our results suggest that the severity and frequency of adverse events in patients vaccinated with the AstraZeneca COVID-19 vaccine did not increase after Korean medicine treatment.

• 생태와환경
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• 제52권1호
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• pp.13-20
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• 2019

인간의 산업활동 증가로 인해 발생하는 크롬과 구리 중금속은 강우와 폐수를 통해 환경으로 유입되어 서식 생물에 유해한 영향을 준다. 본 연구에서는 하천 수생태계 오염 지표 생물인 Chironomus plumosus를 대상으로 크롬과 구리 노출에 따른 생존율, 성장률, 우화율, 성비 등의 생물학적 반응과 하순기절 기형의 형태적 영향을 관찰하였다. C. plumosus의 생존율은 크롬과 구리 노출 시간-농도의존적인 감소를 나타냈다. 성장률은 크롬 노출 후 4일째 감소하였고 구리 노출 시에는 상대적으로 고농도인 $1000mg\;L^{-1}$에서 모든 노출 시간에 감소함을 확인하였다. 또한 $1000mg\;L^{-1}$ 구리 노출에서 대조군에 비해 우화율이 급격히 감소함을 관찰하였다. 크롬 노출 시 성비는 상대적 저농도에서(10과 $50mg\;L^{-1}$) 대조군과 달리 암컷의 비율이 증가했지만 구리 노출 시에는 상대적으로 고농도인 $1000mg\;L^{-1}$에서 수컷의 비율이 눈에 띄게 증가하는 성비불균형을 확인하였다. 나아가 C. plumosus 하순기절 형태적 기형은 크롬과 구리 노출에 따라 노출군에서 발생함을 관찰하였다. 이러한 결과는 크롬과 구리의 수생태계 유입이 서식하는 저서무척추동물인 C. plumosus의 생물학적, 형태적 유해 스트레스를 제공하며 C. plumosus가 크롬과 구리 같은 중금속 독성평가에 민감하게 반응하는 지표종임을 제시한다.

• Tuberculosis and Respiratory Diseases
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• 제84권1호
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• pp.46-54
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• 2021

Background: The aim of this study was to investigate inhaler device handling in elderly patients. Inhaler devices with respect to misuse and error correction were also compared. Methods: Inhaler use technique was assessed using standardized checklists at the first visit and 3-month follow-up visit after retraining. The primary outcome was difference in the acceptable use ratio among inhaler devices. Secondary outcomes included differences in error correction, the most common step of misuse, and factors affecting the accuracy of inhaler use. Results: A total of 251 patients (mean age, 76.4 years) were included. The handling of 320 devices was assessed in the study. All patients had been trained before. However, only 24.7% of them used inhalers correctly. Proportions of acceptable use for Evohaler, Respimat, Turbuhaler, Ellipta, and Breezhaler/Handihaler were 38.7%, 50.0%, 61.4%, 60.8%, and 43.2%, respectively (p=0.026). At the second visit, the acceptable use ratio had increased. There were no significant differences among inhaler types (Evohaler, 63.9%; Respimat, 86.1%; Turbuhaler, 74.3%; Ellipta, 64.6%; and Breezhaler/Handihaler, 65.3% [p=0.129]). In multivariate analysis, body mass index, Turbuhaler, and Ellipta showed positive correlations with acceptable use of inhalers, whereas Chronic Obstructive Pulmonary Disease Assessment Test score showed a negative correlation. Conclusion: Although new inhalers have been developed, the accuracy of inhaler use remains low. Elderly patients showed more errors when using pressurized metered-dose inhalers than using dry powder inhalers and soft-mist inhalers. However, there were no significant differences in misuse among inhaler devices after individual training. Results of this study suggests that repeat training is more important than inhaler type.

• 셀메드
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• 제11권3호
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• pp.13.1-13.9
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• 2021

Background and Objective: Nux-vomica based traditional Unani formulation, Habb-e-Azaraqi (HAZ) is an important drug used by Unani physicians since several decades. It possesses Muqawwi-i-A'sab (nervine tonic), Muharrik-i-A'sab (nervine stimulant) properties and is an effective treatment option for diseases like Laqwa (facial palsy), Falij (paralysis), Niqris (gout) and Waja'al-Mafasil (arthritis) etc. The aim of the study is to access and provide information of HAZ for its TLC, HPTLC Fingerprinting defining its clear qualitative perspective and acute oral toxicity evaluation for its safety assessment which was not done earlier, thus contributing in the field of research. Materials and Methods: The chief ingredient, nux-vomica was detoxified as per method mentioned in Unani Pharmacopeia before its use in formulation. TLC and HPTLC was developed under four detection system i.e., UV 366nm, UV 254nm, exposure to iodine vapours and after derivatization with anisaldehyde sulphuric acid. Acute toxicity studies were performed as per OECD Guidelines 425 at a limit dose of 2000 mg/kg. Observations were done for signs of toxicity, body weight, and feed consumption at regular intervals followed by haematological and biochemistry evaluation. Results: The generated data proved the authenticity and established the TLC and HPTLC profile of the formulation. Acute toxicity revealed no significant differences in HAZ-treated animals with respect to body weight gain, feed consumption, haematology, clinical biochemistry evaluation. No significant gross pathological observation was noticed in necropsy. Conclusion: Data of the present study is substantial and scientific proof of HAZ in terms of standardization and toxicity study that can be utilize in future research activities.

• 한국버섯학회지
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• 제19권4호
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• pp.310-315
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• 2021

본 연구는 염화나트륨에 의한 비생물적 스트레스가 생육과정 중의 느타리에게 미치는 영향을 자실체의 생육특성, 그리고 구성아미노산함량과 향기패턴 분석을 통해 확인하였다. 농도별로 염화나트륨을 처리한 톱밥배지에서 수확한 느타리 자실체의 생육특성을 조사한 결과, 처리구별 수량은 무처리구 대비 염화나트륨 0.5%처리구에서의 값은 비슷했으며, 염화나트륨 처리 농도가 1.0%에서 2.0%으로 증가하면서 수량이 확연히 감소하였다. 자실체의 구성아미노산함량 분석결과, 무처리구 대비 모든 염화나트륨 처리구에서 glutamic acid과 proline을 제외한 aspartate, threonine, serine, glycine, alanine, methionine, valine, isoleucine, leucine, phenylalanine, tyrosine, lysine, histidine, arginine의 14종 구성아미노산의 함량이 낮음을 확인하였다. 자실체의 향기패턴 분석결과, 염화나트륨 처리구에서 버섯고유의 향을 나타내는 octane compound로 추정되는 물질의 intensity가 감소하였음을 chromatography상에서 확인하였다.

• 대한한의학방제학회지
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• 제30권4호
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• pp.241-248
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• 2022

Objective : The purpose of this trial is to observe the preliminary effects of Salvia plebeia (SP) extract on quality of life in patients with solid cancer. Methods : This is a prospective, open-label, single-arm, and single-dose clinical trial. Twenty participants who have been diagnosed with solid cancer between the ages of 20 and 65 will be included. All participants will be administered SP granules for 12 weeks. Data will be collected at 4, 8, and 12 weeks after enrollment. The primary outcome is quality of life, using the Korean version of the Functional Assessment Cancer Therapy-General questionnaire. Secondary outcomes include tumor markers in blood tests for each cancer type, soluble programmed death-ligand 1, the percentage of natural killer cells among lymphocytes, ratio of T-helper and T-suppressor cells, ratio of total T, T-helper, T-suppressor, and B cells in lymphocytes, level of C-reactive protein, and tumor size via radiology examination. Safety will be assessed by clinical laboratory tests and monitoring of adverse events. Discussion : This study aims to observe the effects of an oral administration of SP preparations in patients with solid cancer on changes in quality of life and an improvement in immune function. It is expected to provide objective evidence of the effect and safety of SP for patients with solid cancer. Trial registration: KCT0007315 (Clinical Research Information Service)

• 생명과학회지
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• 제33권3호
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• pp.268-276
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• 2023

본 연구는 carvedilol과 ivabradine의 이층정 제형 개발에 있어 carvedilol 속방층의 제형조건을 최적화하기 위해 수행되었다. Full-factorial design of experiments를 사용하여 carvedilol 속방층(wet granulation part)의 첨가제(microcrystalline cellulose, citric acid, crospovidone) 및 타정 시 공정변수(main compression)를 확인하였고 각 독립변수에 대한 7가지 종속변수(함량, 함량 균일성, 경도, 마손도, 붕해, 용출(pH 1.2 및 6.8)를 design expert software를 사용하여 평가하였다. Design of experiments (DoE) 실험에서 도출된 Analysis of Variance (ANOVA) 결과를 통해 main compression은 경도, 마손도, 붕해 시간에 유의한 영향을 주었고, microcrystalline cellulose는 마손도, 용출에 주요한 영향을 주었음을 확인하였다. 또한, citric acid는 마손도, crospovidone은 마손도, 용출에 주요한 영향을 주었음을 확인하였다. DoE실험 결과를 종합하여 최종적으로 도출된 설계공간에 따라 microcrystalline cellulose (약 18.0-32.0 mg), citric acid (약 0.5-12.0 mg), main compression (약 615-837 kgf)의 최적의 범위 내에서 초기 위험평가에서 평가된 모든 위험요인이 제거된 carvedilol 속방층의 최적 제조 범위를 확인하였다.

• Nuclear Engineering and Technology
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• 제55권4호
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• pp.1540-1554
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• 2023

To use nuclear energy sustainably, spent nuclear fuel, classified as high-level radioactive waste and inevitably discharged after electricity generation by nuclear power plants, must be managed safely and isolated from the human environment. In Korea, the land area is limited and the amount of high-level radioactive waste, including spent nuclear fuels to be disposed, is relatively large. Thus, it is particularly necessary to maximize disposal efficiency. In this study, a high-efficiency deep geological repository concept was developed to enhance disposal efficiency. To this end, design strategies and requirements for a high-efficiency deep geological repository system were established, and engineered barrier modules with a disposal canister for pressurized water reactor (PWR)-type and pressurized heavy water reactor type Canada deuterium uranium (CANDU) plants were developed. Thermal and structural stability assessments were conducted for the repository system; it was confirmed that the system was suitable for the established strategies and requirements. In addition, the results of the nuclear safety assessment showed that the radiological safety of the new system met the Korean safety standards for disposal of high-level radioactive waste in terms of radiological dose. To evaluate disposal efficiency in terms of the disposal area, the layout of the developed disposal areas was assessed in terms of thermal limits. The estimated disposal areas were 2.51 km² and 1.82 km² (existing repository system: 4.57 km²) and the excavated host rock volumes were 2.7 Mm³ and 2.0 Mm³ (existing repository system: 4.5 Mm³) for thermal limits of 100 ℃ and 130 ℃, respectively. These results indicated that the area and the excavated volume of the new repository system were reduced by 40-60% compared to the existing repository system. In addition, methods to further improve the efficiency were derived for the disposal area for deep geological disposal of spent nuclear fuel. The results of this study are expected to be useful in establishing a national high-level radioactive waste management policy, and for the design of a commercial deep geological repository system for spent nuclear fuels.