• 제목/요약/키워드: maintenance dose

검색결과 175건 처리시간 0.033초

양극성장애 입원환자에서 항정신병약물치료와 관련된 임상요인 - 리스페리돈과 전형적 항정신병약물과의 비교를 중심으로 - (Clinical Factors Related with Antipsychotics Treatment in Bipolar Inpatients - Comparison of Risperidone and Classical Antipsychotics -)

  • 임세원;이민수;곽동일;정인과
    • 생물정신의학
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    • 제7권1호
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    • pp.99-106
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    • 2000
  • Background : In spite of relative high risk of extrapyramidal side effect and tardive dyskinesia, it is common clinical practice to use antipyschotics in treatment of bipolar I disorder. But in Korea, there has been few study about clinical factors related with antipsychotics treatment in bipolar disorder patients. So the author studied about the clinical factors related with antipsychotics treatment in bipolar inpatients focusing on the comparison of risperidone and classical antipsychotics. Method : By reviewing medical record retrospectively, datas about patient-related, illness-related, and treatment-related clinical factors on antipsychotics use were collected. Association between antipsychotics dose and duration and clinical factors were analysed by statistical method. Results : Aggressive behavior was only statistically significant factor associated with antipsychotics use. And in the case of aggression, maintenance dose of risperidone was not changed(p=0.84), but dose of classical antipsychotics was increased significantly(p=0.005). Total hospital days and antipsychotics treatment duration showed no difference between risperidone and classical antipsychotics treatment groups. Conclusion : Clinical factors associated with antipsychotics use was aggressive behavior. In the case of aggression, risperidone required lesser dose increment compared with classical antipsychotics.

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구내 촬영용 방사선 장치의 촬영조건에 따른 선량변화 분석 (Analysis of Condition Changing on Dose Variation using Intraoral Radiation Devices)

  • 김영재;이용탁;송현철
    • 한국방사선학회논문지
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    • 제6권2호
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    • pp.137-142
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    • 2012
  • 본 연구는 구강 내 방사선 촬영 시 동일조건 하에서 촬영장비의 기종을 다르게 한 경우와 동일 기종에서 노출조건을 일정하게 하였을 경우 획득되는 방사선의 선량변화를 알아보고자 하였다. 장비의 기종에 따른 변화를 알아보기 위해 3대의 각기 다른 촬영 장치를 이용하여 상악 전치부, 소구치부, 대구치부의 3가지의 촬영조건을 이용하여 선량을 측정하였고 장치의 재현성 검사를 위해서 각 장치에 동일한 조건으로 3회 조사하여 선량변화를 알아보았다. 선량의 측정은 반도체 측정기를 사용하였으며, 필름의 농도값을 획득하여 진단에 유효적인 범위에 만족하는지 분석해 보았다. 같은 촬영기를 사용하여 실험한 결과 각 부위별로 선량의 차이는 최대값과 최소값이 적게는 3배 많게는 10배의 선량 차이를 보였다. 흑화도의 범위 또한 적절한 범위인 0.25~2.0를 초과한 2.10~2.95의 허용범위를 보였다. 동일한 촬영기로 특정 부위를 같은 조건에서 촬영하더라도 측정된 선량값은 큰 차이를 보였으며 필름의 농도 분석의 결과 적합한 농도 분포를 보이지 않았던 것으로 나타났다. 이는 환자의 재촬영을 발생시킬 수 있으며 진단시 오류를 일으킬 수 있어 환자의 피폭에 직 간접적인 피해를 일으킬 수 있다. 따라서 치과 방사선 촬영장치 또한 정기점검이 필요할 것으로 생각되며 표준화된 촬영조건과 현상조건이 제공되어야 한다고 사료된다.

Efficacy of 10-Injection Induced Modified Rush Immunotherapy in Dogs with Atopic Dermatitis

  • Kim, Hyun-Tae;Lee, Wang-Hui;Park, Seong-Jun
    • 한국임상수의학회지
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    • 제37권3호
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    • pp.141-144
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    • 2020
  • Modified rush immunotherapy (IT), by combination of rush IT and conventional IT, provides a faster method to reach maintenance dose, leading to higher patient adherence when compared with conventional IT, decreasing systemic adverse reactions when compared with a standard rush IT. Ten atopic dogs of this study include fulfillment of Favrot's criteria. Offending allergens were identified by the use of IDST. During the induction period, the dogs were received a total of 10 injections. Five injections were administrated every 30 minutes in a day with gradually increasing amounts and concentrations of allergens, and the last 5 injections were administered every 3 days. The efficacy of 10-injection induced mRIT was assessed using the canine atopic dermatitis extent and severity index (CADESI). During maintenance period, reduction rate from baseline scores varied between 3.2% and 60.9% and the after 6 months of therapy for CADESI-03 score in 6 of the 10 dogs. Adverse reactions were not observed in these dogs during induction period by mRIT with 10 injections. Based on these results, our modified rush IT protocol is considered to be a useful protocol to treat canine atopic dermatitis.

의료기관의 방사선사 중 방사선 관계종사자와 방사선 작업종사자의 이원화 체계에 따른 인식도 조사 (A Survey on the Awareness of Radiation-related Workers and Radiation Workers in the Medical Institutions According to the Dual System)

  • 허미;안성민
    • 대한방사선기술학회지:방사선기술과학
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    • 제41권5호
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    • pp.479-485
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    • 2018
  • Radiologic technologists working at the second and third medical institutions are classified as radiation-related workers and radiation workers according to their working departments, and are subject to double regulation by the Ministry of Health and Welfare and the Nuclear Safety Commission. We will try to understand the system of dualization and to understand the investigation of recognition. The dualized system of radiation-related workers and radiation workers includes the difference in name and terminology, the effective dose limit, the maintenance education and training of radiologic technologists, the period of medical examination, the radiation zone, dose of the woman whose pregnancy is confirmed in radiologic technologists, the qualification criteria of the safety officer, and the period of the regular inspection of the radiological equipment. In the questionnaire survey on the dualization system, there were various items showing significant differences between the radiation-related workers and radiation workers Overall, the radiation workers were more aware of the radiation workers' education and related terms than the radiation-related workers.

Regulation of bone formation by high glucose in PDL cells

  • Jung, In-Ok;Zhang, Cheng-Gao;Kim, Sung-Jin
    • 한국응용약물학회:학술대회논문집
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    • 한국응용약물학회 2003년도 Annual Meeting of KSAP : International Symposium on Pharmaceutical and Biomedical Sciences on Obesity
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    • pp.80-80
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    • 2003
  • Insulin-dependent or Type 1 diabetes mellitus (IDDM) has been associated with an increased severity of periodontal disease. Since periodontal ligament (PDL) cells play a significant role in maintenance and regeneration of mineralized tissue, the success of procedures, such as guided tissue regeneration, is directly related to the ability of these cells to augment mineralized tissue. In this study, we investigated the time- and dose-dependent effect of high glucose on the proliferation and collagen synthesis of human periodontal ligament (PDL) cells. PDL cells were treated with high glucose (22mM, 33mM, 44mM) for 1 or 2 days. High glucose significantly inhibited proliferation of PDL cells as a time- and dose-dependent manner as evidenced by MTT assay. PDL cells were cultured in high glucose media (22mM, 33mM, 44mM) for 24 h. The ratio of collagen content to total protein was evaluated, and the gene expression of type I collagen was assessed by RT - PCR. The high concentration of glucose inhibited collagen synthesis, a marker of bone formation activity. This study indicated high glucose concentration could alter the metabolism of periodontal ligament cell, leading to alveolar bone destruction.

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Central noradrenergic mechanism in the regulation of blood pressure in SHR

  • 김연태
    • 한국응용약물학회:학술대회논문집
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    • 한국응용약물학회 1995년도 제3회 추계심포지움
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    • pp.115-124
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    • 1995
  • The purpose of the present study was to address whether the in vivo noradrenergic neural activities in the locus coeruleus are involved in the regulation of blood pressure. Two groups of the animals were prepared, 1) SHR and 2) age-matched normotensive control, WKY. At the age of 6 and 16 weeks, blood pressure and the releases of NE from the locus coeruleus in SHR and KWY were measured by in vivo microdialysis at three different conditions: 1) normal, 2) elevated state of blood pressure by systemic injected phenylephrine and 3) increased state of neural activity by perfused phenylephrine into the locus coeruleus. The basal release of NE of SHR were significantly higher than that of WKY, Phenylephrine treatment caused elevation of blood pressure in both SHR and WKY in dose-dependent manner. Following phenylephrine injection, the releases of NE from the locus coeruleus of SHR were significantly decreased, whereas the significant change of NE in WKY was observed in the highest dose of phenylephrine. Phenylephrine perfusion into the locus coeruleus through microdialysis probe caused pressor responses and the pressor response in SHR was greater compared with that in WKY. The results from the present study suggests that the noradrenergic nervous system in the locus coeruleus may contribute as one of the development and maintenance factors for hypertension in SHR.

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포공영(蒲公英)에 의한 뇌 소교세포에서 산화질소 (NO)의 생성 (Nitric Oxide Production in Brain Microglial Cells by Taraxacum officinale)

  • 임미양;문석재
    • 대한한방내과학회지
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    • 제20권1호
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    • pp.73-82
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    • 1999
  • Nitric oxide (NO) is now recognized as a mediator of several biological and immunological functions, but unlike classical neurotransmitters. NO simply diffuse of the postsynaptic cells and around affecting cells. Taraxacum officinale (Compositae) has been used for maintenance of vitality, and they still occupy an important place in the traditional Korean medicine. We have examined that the effect of Taraxacum officinale water extract on NO synthesis in microglial cells of murine's brain, using the Griess method. And this study was evident that Taraxacum officinale did not induce NO production without recombinant interferon gamma ($rIFN-{\gamma}$), whereas Taraxacum officinale (10-1000 g/ml) with $rIFN-{\gamma}$ effectively produced NO in microglial cells of brain. As result. NO production in microglial cells increased most significantly in dose of 100 g/ml of the Taraxacum officinale and the production of NO was dependent on the dose of Taraxacum officinale, NG-monomethyl-L-arginine, competitive inhibitor of NO synthase, reduced the NO production by Taraxacum officinale stimulation with $rIFN-{\gamma}$ in microglial cells of murine. The effect of Taraxacum officinale was mainly dependent on Taraxacum officinale-induced tumor necrosis factor- secretion. Conclusively, this study suggested that Taraxacum officinale stimulate NO production at microglial cells in brain, which may be an important factor for mediating immune and neuroendocrinologic regulation in nervous system.

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용수재이용을 위한 하수처리 유출수의 UV 소독 효율 연구 (Feasibility Study of UV-Disinfection for Water Reuse of Effluent from Wastewater Treatment Plant)

  • 윤춘경;정광욱;함종화;전지홍
    • 한국농공학회지
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    • 제45권2호
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    • pp.126-137
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    • 2003
  • The feasibility study of UV-disinfection system was performed for disinfection of effluent from wastewater treatment plant. Three low-pressure UV lamps of 17, 25, and 41 W were examined with various flow rates. Low-pressure UV lamps of 17W were examined with various turbidity, DOM (dissolved organic matter), and SS (suspended solid). The pilot plant was a flow-through type UV-disinfection system, and the range of exposure time varied from 5 to 40 seconds, turbidity from 0 to 40 NTU, DOM from 0 to 30 mg/L, and SS from 10 to 40 mg/L. The 41W lamp demonstrated complete disinfection showing no survival ratio in all the experimental conditions, and generally 17W and 25W lamps also showed high removal ratio over 97%. For the same UV dose (UV intensity times exposure time), high intensity-short exposure conditions showed better disinfection efficiency than low intensity-long exposure conditions. While the effects of turbidity and DOM were not apparent, the effects of SS was significant on the disinfection efficiency which indicates that SS control before UV-disinfection appears to be necessary to increase removal efficiency. Considering characteristics of effluent from existing wastewater treatment plants, cost-effectiveness, stable performance, and minimum maintenance, the flow-through type UV-disinfection system with high intensity and low-pressure lamps was thought to be a competitive disinfection system for wastewater reclamation.

뇌졸중 환자군의 Warfarin Nomogram 설정을 위한 실제 처방전 평가 (Evaluation of Prescription Data for Development of Warfarin Nomogram in Korean Patients with Cerebral Infarction)

  • 장주영;고경미;윤지연;한옥연;임성실
    • 약학회지
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    • 제53권2호
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    • pp.83-88
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    • 2009
  • Warfarin is the most widely used oral anticoagulant in the world but maintenance of proper therapeutic range and prevention of adverse drug events always need to be careful. Especially, in Korea, warfarin dosing for patients with cerebral infarction is currently based on the nomogram which is done by foreign clinical trials not for the Korean. Therefore we evaluate warfarin dose of patients in the neurology and eventually get the base data of warfarin nomogram for Korean with stroke. We performed this study retrospectively on reviewing the medical charts to evaluate the prescribed loading dose (LD) and maintenance dose (MD) of warfarin and each responding International Normalized Ratio (INR) with any bleeding adverse drug reaction including of patient's characteristics for total 75 patients with stroke in the department of neurology of Kangnam ST. Mary's Hospital from January 2005 to June 2008. All evaluated patients should not be treated with warfarin in the past at all and should be initiated warfarin therapy first.ly at this time. All evaluated patients were divided as two classes by wafarin LD which is; 1) HDG - a high loading dosing group prescribed over 5mg, and 2) LDG - a low loading dosing group prescribed 5mg or below. As a result, average LD was $9.34{\pm}0.22$ mg (p=0.000) in HDG and $4.25{\pm}0.39$ mg (p=0.000) in LDG. Average baseline INR was $0.91{\pm}0.05$ (p=0.161) in HDG and $1.26{\pm}0.14$ (p=0.002) in LDG. On the first and second week, daily MD was $4.21{\pm}0.14$ mg (p=0.000) and $2.96{\pm}0.19$ mg (p=0.696) in HDG and also in LDG, $2.95{\pm}0.29$ mg (p=0.000) and $3.14{\pm}0.36$ mg (p=0.696). Also average reacting daily INR was respectively $2.53{\pm}0.12$ (p=0.141) and $2.51{\pm}0.16$ (p=0.678) in HDG, and in LDG, $2.11{\pm}0.17$ (p=0.141) and $2.42{\pm}0.14$ (p=0.678). After the second week, INR was not measured in regularly. Also most of underlying diseases were hypertension (n=38), diabetes mellitus (n=14), dyslipidemia (n=8) in order. Four ADRs with simple hemorrhage were occurred and those were due to drug interaction by comedication. In the conclusion, proper starting LD for Korean with stroke is 10 mg if baseline INR is around 1.0 or 5 mg if over 1.3. Proper MD need to be more evaluated in the future for setting up warfarin nomogram to make prospective study.

IBA 사이클로트론 표적집합체에서의 잔류 방사화 분석 및 선량률 평가 (Evaluation of Residual Radioactivity and Dose Rate of a Target Assembly in an IBA Cyclotron)

  • 황선용;김영주;이승욱
    • 대한방사선기술학회지:방사선기술과학
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    • 제39권4호
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    • pp.643-649
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    • 2016
  • 사이클로트론을 이용하여 $^{18}F^-$동위원소를 생산하는 경우 가속된 양성자 빔은 사이클로트론의 금속부품들과 반응하여 방사화를 일으킨다. 그 중에서도 빔과 주요하게 반응하는 표적집합체를 구성하는 표적실, 표적창에 장반감기의 핵종이 많이 발생한다. 이러한 표적집합체의 방사화 핵종을 잘 이해하는 것은 사이클로트론 운영자와 유지 보수 작업자를 위해서 매우 중요하다. 본 연구에서는 IBA(Ion Beam Application)사 사이클로트론 Cyclone 18/9 기기의 표적집합체 유지보수 작업자의 방사선 안전지침을 마련하기 위해서 사이클로트론 가동 후 표적집합체에 발생되는 주요 핵종을 분석하고, 또한, 사이클로트론 가동정지 직후부터의 선량감소율을 실험적으로 측정하였다. $^{18}F^-$동위원소 생산 후 표적집합체의 잔류 방사화 핵종의 종류 및 방사능농도를 확인하기 위하여, 표적실내 잔류물질 및 표적창 하버포일 시료를 채취하여 고순도 게르마늄(HPGe) 감마핵종분석기로 측정하여 분석하였다. 또한, 사이클로트론 가동직후 사이클로트론에서 발생되는 선량률을 시간에 따라 측정하였다. 감마핵종분석과 선량률감소에 대한 데이터는 추후 사이클로트론 운영의 방사선안전을 위한 데이터로 활용될 수 있을 것으로 기대된다.