• 제목/요약/키워드: oral doses

검색결과 522건 처리시간 0.028초

가족 내 수두 환자와 접촉 후 경구 Acyclovir의 예방효과 (Post-Exposure Prophylaxis of Varicella in Family Contact by Oral Acyclovir)

  • 김상희;김종현;오진희;허재균;강진한;고대균
    • Pediatric Infection and Vaccine
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    • 제9권1호
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    • pp.61-66
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    • 2002
  • 목 적 : 수두는 Varicella zoster virus(VZV)의 일차 감염에 의한 전염병으로, 전염률이 80~90%에 이르는데 예방법은 접촉 후 72시간 이내에 zoster immune globulin(ZIG)이나 백신을 투여하는 것이나 전염시기가 발진이 발생하기 24~48시간 전부터이므로 효과적인 예방이 매우 어렵다. 본 연구는 가족 내 수두 환자와 접촉한 지 72시간 이상 경과된 경우의 예방법으로 보다 실질적이라 생각되는 ACV 투여가 수두 예방에 과연 효과적인지를 확인하기 위하여 본 연구를 시도하였다. 방 법 : 1996년 3월부터 1997년 7월까지 가톨릭대학교 성빈센트병원 소아과 외래에서 수두로 진단받았으나 수두의 병력이 없으면서 백신을 접종 받지 않았던 소아를 대상으로 가족 내의 환자 발생 9일째부터 치료군은 Acyclovir 40 mg/kg/일 4회 분복으로 5일간 투여하였고 대조군은 아무런 약제도 투여하지 않았다. 임상적인 진단은 전형적인 발진의 발생으로 하여 관찰되는 발진의 숫자를 발진이 없는 경우부터 6단계로 구분하였다. 혈청학적 진단기준은 VZV IgM이 양성이거나, VZV IgG가 양전된 경우로 하여 치료군에 한하여 약제 투여가 끝난 1주일과 4주일이 경과된 시점에 VZV에 대한 항체 검사를 시행하였다. 결 과 : 치료군 20명 중 검체 채취가 완전하고 과거의 불현성 감염으로 판단되는 3명을 제외한 총 12명만을 대조군 20명과 비교하였다. 감염원, 치료군 및 대조군의 평균 연령은 각각 51.4개월, 28.5개월 및 31개월로 감염원이 치료군 및 대조군의 연령에 비하여 의미있게 높았다(P<0.05). 혈청학적 진단으로 VZV 감염이 증명된 경우는 치료군 12명 중 9명(75%)으로 ACV 투여 후의 첫번째 및 두번째 검체에서 IgM이 양성인 경우는 각각 6명과 3명이었다. 이 중 두번째 검체에서 양전된 경우가 2명이었다. 따라서 VZV IgM으로 감염이 증명된 경우가 8명이었고 첫번째에선 IgM, IgG 모두 음성이었으나 두번째 검체에서 IgG가 양성으로 전환되어 증명된 경우가 1명이었다. 치료군 12명 중 발열은 모두 없었으며 3명(25%) 에서만 2단계의 경한 발진을 보였으나 대조군 20명 중 발열은 15명(75%), 3단계 이상의 발진이 17명(85%)으로 치료군과 통계적으로 의미있는 차이를 보였다. 또한 대조군 20명에서는 모두 수포가 관찰되었으나 치료군에서는 3명만 발진이 관찰되었고 그 중 수포가 발생한 경우는 1명뿐이었다. 결 론 : ACV 치료군에서는 피부 발진의 빈도 및 세기가 낮아 수두의 임상 증상이 나타나기 7일 전에 ACV를 가족 내 접촉자에게 투여했을 때 감염을 예방할 수 있는 것으로 확인되었다. 약제의 투여 시기는 바이러스혈증이 존재하는 발진의 발생 5일 전부터 1일 후까지로 바이러스의 증식을 억제할 수 있으므로 노출 9일째부터 ACV를 투여한 군에서 효과가 있을 것으로 추정된다. 약제 투여 후의 임상적 효과와 VZV에 대한 영구적 면역 획득 여부에 대해선 아직 잘 밝혀지지 않은 상태로 VZV 감염의 예방요법으로서 ACV의 일반적 적용을 위해서는 다방면의 연구가 지속되어져야 하겠다.

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Inhibition of Ethanol Absorption by Rhodiola sachalinensis in Rats

  • Kim, Moon-Hee;Park, Chan-Koo
    • Archives of Pharmacal Research
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    • 제20권5호
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    • pp.432-437
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    • 1997
  • We used a herbal medicine, roots of Rhodiola sachalinensis (RS) to assess whether RS extract can decrease blood ethanol concentrations in rats fed ethanol and if so, to elucidate the mechanism by which RS extract reduces blood ethanol levels. Rats were fed ethanol orally 1 hr after the oral administration of various doses of RS extract. In another experiment, rats were injected intraperitoneally with ethanol following the intake of RS extract via gastric catheter to eliminate possible inhibition of ethanol absorption in the gastrointestine by RS extract. The administration of RS extract remarkably lowered blood ethanol levels in a dose-dependent manner in rats given ethanol orally. However, the intake of RS extract did not reduce ethanol levels in rats injected with ethanol intraperitoneally. The activities of two main hepatic enzymes, alcohol dehydrogenase (ADH) and aldehyde dehydrogenase (ALDH), involved in ethanol metabolism, were not affected by the administration of RS extract in rats fed ethanol. In addition, the intake of RS extract reduced serum triglyceride levels elevated by ethanol to the normal level. We conclude that the administration of RS extract lowers blood ethanol concentrations by inhibition of ethanol absorption in the gastrointestinal tracts of ethanol-fed animals.

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마우스에서 황토국화 추출물의 급성독성 연구 (Acute Toxicity Study on Mud chrysanthemum Indicum in Mice)

  • 마진열;박화용;최한;지옥표;이재훈
    • 대한본초학회지
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    • 제23권2호
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    • pp.81-85
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    • 2008
  • Objectives : The aim of this study is to collect data for toxicity and safety of Mud chrysanthemum indicum. Methods : In this study, we investigated the acute toxicity for buthanol-extracted Mud schrysanthemum indicum, 25 male and 25 female mice were observed for 14days after one day oral administration of Mud chrysanthemum indicum at the respective doses of 0(control group), 1024, 1280, 1600 and 2000mg/kg. Results : We observed survival rates, general toxicity, change of body weight and autopsy. No abnormality was found for all cases. Conclusions : The data confirmed that Mud chrysanthemum indicum is free from, the toxicity and safety problems. Compared with the control group, we could not find any toxic alteration in all treated groups (1024, 1280, 1600 and 2000mg/kg), In conclusion, LD50 of Mud chrysanthemum indicum was over 2000 mg/kg and it is very safe to mice.

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나노 독성의 개념 및 나노입자에 대한 위해성 평가의 필요성 (The Concepts of Nanotoxicology and Risk Assessment of the Nanoparticles)

  • 맹승희;유일재
    • Toxicological Research
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    • 제21권2호
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    • pp.87-98
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    • 2005
  • Human exposure to nano-sized particles (NSP) has increased over the last century with anthropogenic sources, and the rapid development of nanotechnology becomes an another source of such exposure. Information regarding the safety of nanotechnology and its product, nanoparticles, is urgently needed when assuming exposure through inhalation, oral intake, and penetration across skin is ever increasing as growing nanotechnology rapidly. The recent advancement of biokinetic studies with NSP and newer epidemiologic and toxicologic studies with ultrafine particles can be the basis for the nanotoxicology. Some concepts of nanotoxicology can be known from the results of these results. Specific small size of NSP, when inhaled, facilitates deposition by difusional mechanism in all regions of the respiratory tract and uptake into cells, ranscytosis across epithelial and endothelial cells into the blood and lymph circulation to reach target sites. Translocation along axons and dendrites of neuron makes an access to CNS and ganglia. These biokinetics are dependent on NSP surface chemistry. Risk assessments of NSP include appropriate and relevant doses/concentration selections, the increase effects in the organism and the benefits of possible desirable effects. An interdisciplinary team approach is desirable for nanotoxicology research and an appropriate risk assessment.

간경변 환자에서 콜히친 사용에 의한 호중구성 백혈구감소증 1예 (A Case of Colchicine-Induced Neutropenia in Liver Cirrhosis Patient)

  • 이호찬;이헌주;김용길;박재현;김성준;박준석
    • Journal of Yeungnam Medical Science
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    • 제26권2호
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    • pp.125-129
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    • 2009
  • Colchicine is an alkaloid that has been used for treating acute gouty arthritis, psoriasis, scleroderma and Behcet's syndrome. Colchicine decreased liver fibrosis in rats with carbon tetrachloride induced cirrhosis and in patients with many liver diseases. Therapeutic oral doses of colchicine may cause nausea, vomiting, abdominal pain and diarrhea. The adverse effect of colchicine associated with the dose is bone marrow suppression, and especially neutopenia. Neutropenia has often been reported in patients have taken an overdose of colchicine. We describe a 64-year-old female liver cirrhosis patient with neutropenia that was induced by a therapeutic dose of colchicine.

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A Case of Azathioprine Induced Severe Myelosuppression and Alopecia Totalis in IgA Nephropathy

  • Kim, Jae Choon;Kim, Ye Kyung;Hyun, Hye Sun;Park, Eu Jin;Kang, Hee Gyung;Ha, Il Soo;Cheong, Hae Il
    • Childhood Kidney Diseases
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    • 제21권1호
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    • pp.35-39
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    • 2017
  • Azathioprine is commonly used as immunosuppressive therapy for various inflammatory diseases including chronic glomerulonephritis. Myelosuppression is a common side effect of azathioprine, resulting in the need for dose reduction. However, severe pancytopenia or alopecia is not often encountered. Here, we report a case of severe myelosuppression, and alopecia totalis that occurred after azathioprine treatment in a patient with IgA nephropathy. A 10-year-old boy with IgA nephropathy was treated with oral deflazacort and later with azathioprine. After 4 weeks, the patient complained of hair loss, and despite a dose reduction in azathioprine, he developed bone marrow suppression and alopecia totalis in two weeks. The blood indices and alopecia of the patient had returned to normal after azathioprine withdrawal and 3 consecutive doses of granulocyte colony-stimulating factor. We suggest that physicians remain vigilant to the side effects of azathioprine. Unusual hair loss after azathioprine treatment might suggest a defect in the metabolism of the drug, warranting the discontinuation of azathioprine to prevent more severe side effects.

ICR마우스를 이용하여 팔물탕(八物湯)의 급성독성에 관한 연구 (Acute Toxicity Study on Palmul-tang(Bawu-tang) in Mice)

  • 마진열;황대선;유영법;하혜경;신현규
    • 대한본초학회지
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    • 제22권2호
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    • pp.13-16
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    • 2007
  • Objectives : Palmul-tang(Bawu-tang) has been traditionally prescribed a medicine as a restorative. Methods : In this study, we investigated the acute toxicity about water-extracted PalMul-tang(Bawu-tang). Twenty-five mice completed 14 days of oral Palmul-tang(Bawu-tang) at the respective doses of 0(control group), 2560, 3200, 4000 and 5000mg/kg. Results : We observed survival rates, general toxicity, change of body weight, and autopsy. Conclusions : To be confirmed the data for the toxicity and safety problems of oriental medicine prescription. Compared with the control group, we could not find any toxic alteration in all treated groups (2560, 3200, 4000 and 5000mg/kg). In conclusion, LD50 of Palmul-tang(Bawu-tang) was over 5000mg/kg and it is very safe to ICR mice.

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Micronucleus Test of PolycanTM, β-Glucan Originated from Aureobasidium, in Bone Marrow Cells of Male ICR Mice

  • Lee, Hyeung-Sik;Cho, Hyung-Rae;Yang, Kun-Ju;Moon, Seung-Bae;Park, Bok-Ryeon;Shin, Hyun-Dong;Jang, Hee-Jeong;Kim, Lin-Su;Ku, Sae-Kwang
    • Toxicological Research
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    • 제24권1호
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    • pp.11-15
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    • 2008
  • In this research the genotoxic effect of $Polycan^{TM}$ ${\beta}$-glucans originated from Aureobasidium pullulans SM-2001, was evaluated using the mouse micronucleus test. $Polycan^{TM}$ was administered once a day for 2 days by oral gavage to male ICR mice at doses of 1000, 500 and 250 mg/kg. Cyclophosphamide was used as a known genotoxic agent in a positive control group. The appearance of a micronucleus is used as an index for genotoxic potential. The results obtained indicated that $Polycan^{TM}$ shows no genotoxicity effect up to 1000 mg/kg dosing levels. In addition, it is also considered that there were no problems from cytotoxicity of $Polycan^{TM}$ tested in this study because the polychromatic erythrocyte ratio was detected as > 0.47 in all tested groups.

치과용 이동형 방사선장치의 선량평가 (Evaluation of Radiation Doses of Dental Portable Equipment)

  • 박훈희;강병삼
    • 대한방사선기술학회지:방사선기술과학
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    • 제41권5호
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    • pp.445-450
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    • 2018
  • We aim to evaluate safety of radiation by measuring leakage dose and patient(phantom) incident dose of ZEN-PX II dental portable equipment developed by G company. Measurement for leakage dose of equipment is conducted on the top, at the bottom, on the left, on the right and at the back. Dose measurement incident on the subject with the area dosimeter when using the phantom and measurement the leakage dose of equipment when using the phantom are evaluated. Comparing the right with the highest leakage dose as a 0 cm, 25 cm, 50 cm, 75 cm and 100 cm dose measurement at the measurement height of 100 cm, 64.2 uR was reduced to 47.3 uR in the senser mode 0.32sec. Even in film mode it was measured at 414.4 uR and about 27% lower at 162.6 uR. As the result of this study, when the irradiation time is 2 sec the right side dose is 290.5 uR and sensor mode is 0.32 sec the right side dose is 64.2 uR.

Modifying Action of Chitosan Oligosaccharide on 2-Amino-3,8-dimethylimidazo[4,5-f]quinoxaline (MeIQx)-induced Mutagenesis

  • Shon, Yun-Hee;Ha, Young-Min;Jeong, Teuk-Rae;Kim, Cheorl-Ho;Nam, Kyung-Soo
    • BMB Reports
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    • 제34권1호
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    • pp.90-94
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    • 2001
  • The mutagenic activity of chitosan oligosaccharide and its antimutagenic effect against 2-amino-3,8-dimethylimidazo[4,5-f]quinoxaline (MeIQx) were investigated using the Salmonella/Ames test. No mutagenic activity was found in the Salmonella typhimurium strains TA 98 and TA 100, either with or without S9 activation. In contrast, chitosan oligosaccharide showed an inhibitory effect on the mutagenic activity of the cooked food mutagen, MeIQx, in the presence of S9. The influence of chitosan oligosaccharide on the genotoxicity of MeIQx was examined using a host-mediated assay in mice. The oligosaccharide was administered for 14 consecutive days (intragastric application at doses of 0.1 or 0.5 g/kg body wt) to mice. S. typhimurium TA 98 was given intravenously before an oral dose of MeIQx (4.5 mg/kg body wt.). The number of $his^+$ revertants were determined from the Ever of mice. The intragastric application of oligosaccharide led to a 47% reduction in the number of mutants induced by MeIQx (p<0.05). These results suggested that chitosan oligosaccharide had antimutagenic properties against MeIQx in vitro and in vivo.

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