• Title/Summary/Keyword: 부작용(副作用)

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Efficacy and Tolerability of GnRH Analogues in the Treatment of Endometriosis (자궁내막증환자에 투여된 GnRH Analogues의 치료효과 및 부작용)

  • Cho, Soo-Hyun;Kim, Sun-Haeng;Lee, Yu-Il;Park, Ki-Hyun
    • Clinical and Experimental Reproductive Medicine
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    • v.24 no.2
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    • pp.179-185
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    • 1997
  • $23{\sim}40$세 (평균 연령 31.6세)의 자궁내막증 환자35명 (1기 7명, 2기 7명, 3기 14명, 4기 7명)을 대상으로 gonadotropin-releasing hormone agonist (Goserelin) 3.6 mg을 한달 간격으로 6개월 복부의 피하에 이식한 후 자궁내막증에 대한 치료 효과와 부작용을 알아보기 위하여 매달 호르몬 검사와 증상에 대한 설문조사를 시행하였다. 투여 1개월 후 혈청 estradiol농도는 30 pg/mL이었고 이후 치료중 $10{\sim}20$ pg/mL를 유지하였으며 투여를 중간한 1개월 후 50 pg/mL로 증가하였다. 혈청 LH농도는 치료 중 유의하게 감소하였으며 투여를 중단한 후 증가하였다. FSH는 투여 1개월 후 감소하였으나 2개월후부터 계속 치료전과 같은 농도를 유지하였다. 혈청 CA-125치는 19명중 10명에서 치료전에 35 mIU/mL이상으로 증가되었으며 치료 2개월 후부터 모두 정상으로 감소되었다. 월경곤란증은 치료 3개월째 완전히 소실되었고 성교통은 치료가 끝날 때까지 20%의 환자에서 지속되었다. 백혈구수, 혈색소, 전해질, 단백질, 빌리루빈 및 간효소는 치료 중 모두 정상이었다. 혈압과 체중도 치료전, 치료중에 변화가 없었다. 투여후 86%의 환자가 안면홍조를 63%에서 질건조증을 20%가 두통, 우울을 호소하였다. 이와 같은 부작용은 투여를 중단한 1개월 후 모두 소실되었으며 부작용 때문에 투여를 중단한 예는 없었다. 이상의 결과로 GnRH-a는 난소의 estradiol생산을 완벽하게 중단시키고 골반증상을 완하시켜 자궁 내막증 치료에 효과적이라고 사료되며 안면홍조와 같은 부작용의 빈도가 높기 때문에 향후 호르몬 보충요법을 병행하는 것이 바람직 하다고 사료된다.

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Prediction of Drug Side Effects Based on Drug-Related Information (약물 관련 정보를 이용한 약물 부작용 예측)

  • Seo, Sukyung;Lee, Taekeon;Yoon, Youngmi
    • The Journal of Korean Institute of Information Technology
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    • v.17 no.12
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    • pp.21-28
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    • 2019
  • Side effects of drugs mean harmful and unintended effects resulting from drugs used to prevent, diagnose, or treat diseases. These side effects can lead to patients' death and are the main causes of drug developmental failures. Thus, various methods have been tried to identify side effects. These can be divided into biological and systems biology approaches. In this study, we use systems biology approach and focus on using various phenotypic information in addition to the chemical structure and target proteins. First, we collect datasets that are used in this study, and calculate similarities individually. Second, we generate a set of features using the similarities for each drug-side effect pair. Finally, we confirm the results by AUC(Area Under the ROC Curve), and showed the significance of this study through a comparison experiment.

Current Guidelines for Non-Steroidal Anti-Inflammatory Drugs (비스테로이드 소염제의 최신 사용 지침)

  • Park, Min-Gyue;Yoo, Jae-Doo;Lee, Kyu-Ho
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.1
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    • pp.9-28
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    • 2020
  • Non-steroidal anti-inflammatory drugs (NSAIDs) are the most commonly used drugs worldwide for chronic pain, such as arthritis, and there are many different types depending on their composition and mechanism. After long-term use, various side effects can occur, such as gastrointestinal and cardiovascular complications. With a similar analgesic effect to that of traditional non-selective NSAIDs, cyclooxygenase-2-selective NSAIDs have been highly anticipated, because they could complement gastrointestinal tolerance. On the other hand, because of concerns about cardiovascular safety in 2004 and 2005, and the license withdrawals of rofecoxib and valdecoxib, the interest in the side effects of NSAIDs is increasing. Therefore, it is important to use the necessary drugs at a minimum, considering the side effects and interactions of each drug. This study examined the side effects and characteristics of each NSAID that may occur and reviewed the recent research and guidelines related to the use of non-selective NSAIDs and cyclooxygenase-2-selective NSAIDs.

Permanent Brachytherapy of Localized Prostate Cancer: Preliminary Results (국소 전립선암의 영구적 근접치료: 조기 결과)

  • Park, Hye-Li;Chang, Sei-Kyung;Kim, Ja-Young;Lee, Bo-Mi;Ko, Seong-Young;Kim, Sung-Joon;Shin, Hyun-Soo
    • Radiation Oncology Journal
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    • v.29 no.2
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    • pp.71-82
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    • 2011
  • Purpose: To evaluate the biochemical control rate and the rate of side effects after performing permanent brachytherapy of localized prostate cancer. Materials and Methods: 67 patients with localized prostate cancer were treated with brachytherapy between April 2007 and December 2008. Of these, 43 patients who were followed up and did not receive external radiotherapy were evaluated for the change in prostate specific antigen (PSA) level and the occurrence of side effects. In total, 18 patients were classified as low risk, 19 patients as intermediate risk, and 6 patients as high risk. The prescription dose was 145 Gy. Results: A PSA increase greater than 2 ng/mL occurred in 2 patients (4.7%). Radiation Therapy Oncology Group (RTOG) grade 1 and 2 acute urologic complications (UC) occurred in 40 and 3 patients, respectively. Further, 5 patients had RTOG grade 1 acute rectal complication (RC). The numbers of RTOG grade 1, 2, and 3 chronic UC were 1, 4, and 1, respectively. The numbers of RTOG grade 1, 2, and 4 chronic RC were 5, 10, and 3, respectively. The statistically significant risk factors (RF) of acute RC were the minimal dose in the most irradiated 0.1 cc volume ($D_{0.1cc}$, p=0.041) and absolute volume receiving 150% of the prescribed dose ($V_{150cc}$, p=0.038) in the entire rectum (ER). The percentage ($V_{100%}$, p=0.019) and absolute volume ($V_{100cc}$, p=0.047) in the involved rectum (IR) were also statistically significant. The RF of chronic RC were $V_{100%}$ (p=0.011) in the ER and the $D_{0.1cc}$ (p=0.049), $V_{100cc}$ (p=0.023) in the IR. The number of used seeds were related with acute UC (p=0.028). Conclusion: Permanent brachytherpy of localized prostate cancer showed a favorable short term biochemical control rate. As such, selective intermediate and high risk patients can be managed with permanent brachytherapy. The effort to reduce rectal complication is also necessary.

Anthelmintic Efficacy of Tetramisole Against Experimental Infection of Swine Lungworm, Metastrongylus Apri (Tetramisole에 의한 돈폐충(豚肺蟲)(Metastrongylus apri) 구충(驅蟲) 효과(效果)에 대(對)하여)

  • Lee, Byung Do;Kim, Chin Bok
    • Korean Journal of Veterinary Research
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    • v.8 no.1
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    • pp.11-17
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    • 1968
  • Oral and subcutaneous administration of Tetramisole (d1-2, 3, 5, 6-tetrahydro-6-phenyl-imidazo- 2, 1-b thiazole hydrochloride) was effective in controlling the adult and immature forms of Metastrongylus apri in pigs when administered at the dose of 10-12.5 mg per kg of body weight.

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The Anesthetic Effects of Xylazine/FentanyNAzaperone and Ketamine Combination in Dogs (개에서 Xylasine/Fentanyl/Azaperone 합제와 Ketamine의 병용마취)

  • 이인헝;연성찬;남치주;권오경
    • Journal of Veterinary Clinics
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    • v.15 no.2
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    • pp.386-393
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    • 1998
  • 임상적으로 널리 쓰이는 xylazine에 fentanyl과 azaperone이 첨가된 합제가 개발 되어 사슴에서 쓰이기 시작하였다. 개에서 이 마취제와 ketamine을 병용하였을 매의 마취효 과를 검토하였다. XFA와 ketamine의 병용마취하였을 매에는 혈청학적으로는 일시적인 과혈 당중을 보인 외의 유의적인 변화는 없었다. XFA 1.1 (Xylazine: 1.1 mg/kg, Fentanyl: 8 ${\mu}g/kg$, Azaperone: 64 ${\mu}g/kg$, )을 투여하였을 매는 ketamine의 농도가 중가함에 따라 진정시간과 회복시간이 길어지지 않았으며,반사반응이 중가하고 근강직이 나타나며 신음소리와 함께 머 리를 흔드는 ketamine의 부작용이 많이 나타났다. 그러나 XFA 2.2 01ylazine: 2.2 mg/kg, Fentanyl: 16 ${\mu}g/kg$, , Azaperone: 128${\mu}g/kg$, 를 투여하였을 때는 농도가 중가함에 따라 마취 시간이 길어지고 부작용도 적게 나타났다. 이상의 결과로 보아,XFA 2.2로 진정시킨 후,병용 투여하는 ketamine의 양으로 마취시간을 조절하는 것이 부작용을 줄이고 안전한 마취를 할 수 있는 유용한 방법이라고 사료된다.

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