• 제목/요약/키워드: Acute side reaction

검색결과 24건 처리시간 0.031초

봉독약침 후 발생한 Anaphylaxis 에 관한 임상적 연구 (Clinical Study of Anaphylaxis on Bee-Venom Acupuncture)

  • 황유진;이병철
    • Journal of Acupuncture Research
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    • 제17권4호
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    • pp.149-159
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    • 2000
  • Bee-venom Acupucture has good effect on pain control but We may be anxious about the problem of side-effect. Bee-venom components are composed of phospholipase $A_2$, hyaluronidase, melitin, apamin, MCD peptide, citrate and so on. Especially Apamin, MCD peptide and histamine cause severe reacting that is named Anaphylaxis. Anaphylaxis is a clinical syndrome characterized by the acute system reaction of multiple organ systems to an IgE-mediated immunologic mediator release in previously sensitized individuals. Respiratory and dermatologic manifestations are the most commonly expressed clinical features of anaphylaxis, and a majority of anaphylactic reactions initially appear to be localized to these two systems. Anaphylatic reaction of bee-venom are expressed clinically ulticaria, itching sensation, erythema, dizziness, nausea, hypotension and so on. Especially ulticaria and erythema are end points of increased vascular permeability and vasodilatation at the other extreme of the clinical spectrum, Gastrointestinal mucosal edema and smooth muscle contraction can result in cramping abdominal pain, nausea, and vomiting. Therefore, we have observed anaphylatic reaction of bee-venom in 11 patients, who visited WonKwang University Kunpo Oriental Medical Center, treated bee venom. The results were summarized as follows : 1. The patient distribution ratio, in regard to sex, was shown to be 1 : 2.67 for male to females. In regard to age, it was shown that people in their 30's was the most predominant case, followed by people in their 20's, 30's, 50's and 60's, respectively. 2. When Anaphylaxis was occured, it was observed to abnormality of CBC, LFT, IgE, IgG. 3. In regard to patient condition, it was observed that fatigue was most frequent. 4. In regard to the number of times and quantity of bee venom inj., it was observed that anaphylaxis is most frequent at 7-10 times(1.6-2.0cc) 5. In regard to duration of reaction, it was observed that people in their l0min' was most frequent. In disappearing duration of anaphylaxic reaction, The results showed under 60min lcases(9%), 60-120min 7cases(64%) and 180-240min 3cases(27%). 6. In symptoms of anaphylaxis, The results showed hypotension 8cases(19%), itching sensation 7cases(16%), nausea 4cases(9%), erythema 4cases(9%) and dizziness 4cases(9%). In mentality, The results showed drowsy 8case(73%) and alert 3cases(27%). 7. Generally, patients were treated with Avil, Dexa IM and PDS, peniramine, cimetidine, Q-zyme per os after H/S, N/S inj. $O_2$ was supplied according to patient's symptom. In 1 severe case, Dopamine was iv injected.

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보존적 유방 절제술과 근치적 방사선치료가 초기 유방암의 치료 성적에 미치는 효과 (Conservative Surgery and Definitive Radiotherapy in Early Breast Cancer)

  • 신세원;홍정숙;김명세;이영도;김성규;이수정
    • Journal of Yeungnam Medical Science
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    • 제10권2호
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    • pp.380-387
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    • 1993
  • 초기 유방암의 일차적인 치료법으로 시행한 보존적 유방절제술과 근치적인 방사선 치료의 효과를 확인하기 위하여 1988년 3월 1일부터 1992년 8월 31일까지 영남대학교 의과대학 부속병원에서 침윤성 유방암으로 확진되어 치료를 시행한 환자중 진료기록이 충실하고 최근까지 추적이 가능하였던 28명을 대상으로 임상적특징, 치료방법, 치료방법에 따른 치료성적, 치료와 연관된 부작용, 치료 후 미용상 만족도를 분석하여 아래의 결과를 얻었다. 평균 연령은 43.5세(중앙값)이었으며, 폐경기 이전이 17명, 폐경기 이후가 11명이었고, 임상적 병기는 I기가 12명, II기가 16명이었다. 수술은 단순 절제가 17명, 광범위 절제가 4명, 유선 1/4절제가 7명이었으며 대상환자 모두에서 액와 임파선 절제를 시행한 결과 7명에서 임파선 전이를 보였다. 치료법은 15명에서 방사선 치료, 항암제 투여 및 내분비 요법을 시행하였으며, 치료 방법에 따른 치료 성적의 차이는 없었다. 일반적으로 수술후 2-3주에 시행된 방사선 치료는 원발 병소의 상태에 따라 다양하게 시행되었으며 원발 병소는 55-65Gy, 지역 임파선부위는 45-50Gy를 조사하였다. 방사선 치료와 연관된 부작용의 발생은 병합요법시 현저히 증가하여 18명중 5명이었으나 방사선 치료만 시행된 경우는 10명중 1명이었다. 치료 완료후 27개월간 추적 조사한 결과 유방이나 지역 임파선 부위의 재발 및 원격 전이는 없었으며 미용상 28명중 26명에서 우수한 성적을 보였다. 그러나 전체 대상 환자가 적고 추적 기간이 한정된 관계로 추후 더 많은 환자를 대상으로 장기간의 추적 조사가 필요하리라 사료된다.

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Biochemical Characterization of Exoribonuclease Encoded by SARS Coronavirus

  • Chen, Ping;Jiang, Miao;Hu, Tao;Liu, Qingzhen;Chen, Xiaojiang S.;Guo, Deyin
    • BMB Reports
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    • 제40권5호
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    • pp.649-655
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    • 2007
  • The nsp14 protein is an exoribonuclease that is encoded by severe acute respiratory syndrome coronavirus (SARS-CoV). We have cloned and expressed the nsp14 protein in Escherichia coli, and characterized the nature and the role(s) of the metal ions in the reaction chemistry. The purified recombinant nsp14 protein digested a 5'-labeled RNA molecule, but failed to digest the RNA substrate that is modified with fluorescein group at the 3'-hydroxyl group, suggesting a 3'-to-5' exoribonuclease activity. The exoribonuclease activity requires $Mg^{2+}$ as a cofactor. Isothermal titration calorimetry (ITC) analysis indicated a two-metal binding mode for divalent cations by nsp14. Endogenous tryptophan fluorescence and circular dichroism (CD) spectra measurements showed that there was a structural change of nsp14 when binding with metal ions. We propose that the conformational change induced by metal ions may be a prerequisite for catalytic activity by correctly positioning the side chains of the residues located in the active site of the enzyme.

A Case of Acute Pulmonary Thromboembolism after Taking Tadalafil

  • Lee, Jinwoo;Kwon, Ji Hyun;Lee, Chang-Hoon;Lee, Sang-Min;Yim, Jae-Joon;Yoo, Chuy-Gyu;Kim, Young Whan;Han, Sung Koo;Park, Young Sik
    • Tuberculosis and Respiratory Diseases
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    • 제73권4호
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    • pp.231-233
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    • 2012
  • Tadalafil is a phosphodiesterase-5 inhibitor (PDE5I), which is widely used to treat erectile dysfunction. Although PDE5Is have excellent safety profiles, and most of the side effects are mild, rare serious adverse events have been reported in association with PDE5Is. Thrombosis is one of those events, and a few previous reports have suggested the association of PDE5Is with thrombosis. We report the case of a 61-year-old male who developed pulmonary embolism combined with pulmonary infarction directly after taking tadalafil. Both the patient and the physician suspected tadalafil as the culprit drug, as the patient was in an otherwise healthy condition. However, after extensive evaluation, we noticed that factor VIII levels were elevated. Prior reports suggesting the association between thrombosis and PDEIs either lack complete information on coagulation factors, or show inconsistencies in their results. Physicians should operate caution prior to accepting the diagnosis of adverse drug reaction.

Effects of nandrolone decanoate on expression of steroidogenic enzymes in the rat testis

  • Min, TaeSun;Lee, Ki-Ho
    • Asian-Australasian Journal of Animal Sciences
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    • 제31권5호
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    • pp.658-671
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    • 2018
  • Objective: Nandrolone decanoate (ND) is an anabolic-androgenic steroid frequently used for clinical treatment. However, the inappropriate use of ND results in the reduction of serum testosterone level and sperm production. The suppressive effect of ND on testosterone production has not been investigated in detail. The present study was designed to examine the effect of ND on the expression of steroidogenic enzymes in the rat testis. Methods: Male Sprague Dawley rats at 50 days of age were subcutaneously administrated with either 2 or 10 mg of ND/kg body weight/week for 2 or 12 weeks. The changes of transcript and protein levels of steroidogenic enzymes in the testis were determined by real-time polymerase chain reaction and western blotting analyses, respectively. Moreover, immunohistochemical analysis was employed to determine the changes of immunostaining intensity of these enzymes. The steroidogenic enzymes investigated were steroidogenic acute regulatory protein, cytochrome P450 side chain cleavage enzyme, $17{\alpha}-hydroxylase$, $3{\beta}-hydroxysteroid$ dehydrogenase, and cytochrome P450 aromatase. Results: The treatment of ND resulted in depletion of Leydig cells and sloughing of germ cells in the testis. The ND treatment caused significant expressional decreases of steroidogenic enzymes at transcript and protein levels, and the destructive effects of ND on the testis were more apparent with a higher dose and a longer period of the treatment. Evident reduction of immunostaining intensity present in Leydig cells was clearly detected by the ND treatment. Conclusion: The exposure to ND in young male results not only in histological changes of the testis but also in aberrant gene expression of testicular steroidogenic enzymes, consequently leading into the reduction of testosterone production in the testis and thus likely disruption of spermatogenesis.

N3(AJCC-UICC) 전이성 경부 임파절의 방사선 및 온열 병행요법 (Combined Radiation Therapy and Hyperthermia in Management of N3(AJCC-UICC) Metastatic Neck Nodes)

  • 이창걸;김귀언;성진실;서창옥;노준규;김병수;박경란;이종영;홍원표;박정수;김수곤
    • 대한두경부종양학회지
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    • 제8권1호
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    • pp.37-43
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    • 1992
  • In order to improve the control of large unresectable(>6cm) and fixed N3(TNM-UICC) metastatic neck nodes, local hyperthermia(HT) has been combined with radiation therapty (RT) in Yonsei cancer center. From April 1985 to april 1988, a total of 18 patients of head and neck cancer with metastatic large unresectable and fixed cervical neck nodes who underwent combined RT and HT were analyzed. Of 18 patients, complete response rate was 39% (7 pt.) partial response 39% (7 pt.) and overall response rate was 78%. Acute side effects of these combined modalities were found in 8 patients and which were mainly cutaneous reaction such as erythema, dry and moist desquamation but recovered spontaneously in all patients after treatment. Factors of maximum tumor temperature above $43^{\circ}\C$ and MDF(multiple daily fractionation) showed more favorable response rate but not statistically sinificant. Two year actuarial survival rate of all patients was 35.4%.

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흡수성 봉합사를 이용한 아킬레스건 파열의 치료 (Treatment of Achilles Tendon Rupture with Absorbable Suture)

  • 강찬;황득수;황정모;송재황;신병건;박종화
    • 대한족부족관절학회지
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    • 제18권3호
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    • pp.115-118
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    • 2014
  • Purpose: The purpose of this study is to report on the result of repairing Achilles tendon using absorbable suture under nerve block. Materials and Methods: We retrospectively reviewed 20 patients with acute Achilles tendon rupture who were followed up for at least six months after the operation. We repaired Achilles tendon using two absorbable sutures using the Krackow technique for the proximal stump and the Kessler technique for the distal stump. A programmed postoperative management including non-weight bearing with a short leg cast for four weeks after the operation was applied for all patients. We evaluated clinical results using American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, visual analogue scale (VAS) for satisfaction, range of motion of ankle, functional recovery rate, and the starting time of single heel raise. Results: The mean VAS score for satisfaction and AOFAS score was 9.2 and 93.0, respectively. The affected ankle showed a mean dorsiflexion rate of 90% and plantar-flexion rate of 94% compared to the uninjured side. The single heel raise could start at a mean of 3.5 months after the operation. Conclusion: Treatment of Achilles tendon rupture with absorbable suture material using the hybrid suture technique of proximal Krackow and distal Kessler showed sufficient stability and minimal chronic inflammatory reaction.

표재성 방광암 환자에서 방광내 BCG 주업치료 후 발생한 폐합병증 2예 (Two Cases of Pulmonary Complications Following Intravesical Bacillus Calmette-Guerin Immunotherapy in Patients with Superficial Bladder Cancer)

  • 이계성;이기용;윤재철;나동집;정성수;설종구;김선영;김주옥
    • Tuberculosis and Respiratory Diseases
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    • 제46권6호
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    • pp.869-878
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    • 1999
  • 표재성 방광암의 치료는 경요도적 절제술 후 방광내 BCG 투여가 표준적인 치료로 알려져 있다. 방광내 BCG 투여 후 가장 흔한 부작용은 방광자극, 빈뇨감, 배뇨 곤란 등이며 항결핵제를 사용해야 할 정도의 전신적인 부작용은 5% 이하로 알려져 있다. 저자들은 표재성 방광암 환자에서 경요도적 절제술 후 방광내 BCG 주입치료 후 폐합병증이 발생한 2예를 경험하여 문헌고찰과 함께 보고하는 바이다.

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명현현상(瞑眩現狀)에 대한 사상의학적(四象醫學的) 고찰(考察) (A Sasang Constitutional Study on the Myunghyun Symptom)

  • 정용재;이준희;이수경;김달래;고병희
    • 사상체질의학회지
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    • 제21권1호
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    • pp.20-27
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    • 2009
  • 1. Objects Myunghyun Symptom(瞑眩現狀) is widely regarded as 'symptoms of discharge the accumulated poison in body', 'symptoms in the process of healing' apart from any other side effects of drugs. Recently, Natural Medicine of Europe and the U.S.A named it 'healing crisis'. However, this tends to be used indiscriminately. I took a look at the meaning of the Myunghyun Symptom correctly, and the meaning at a point of Sasang Constitutional view 2. Methods It was researched on the literal study about the meaning of the Myunghyun Symptom on the book "Seokyung"(書經), "Dongeuibogam(東醫寶鍵)", "Dongyi Suse Bowon(東醫壽世保元)", "Yakjing(藥徵)", and the meaninig at a point of Sasang Constitutional view through the "Dongyi Suse Bowon(東醫壽世保元)", "Dongyi Suse Bowon Sasang Chobonguen(東醫壽世保元 四象草本卷)". 3. Results and Conclusions 1. The original meaning of the Myunghyun symptom is 'dizziness by the use of massive effective drugs'. 2. Yoshimasu Todo interprεtated broadly the Myunghyun symptoms as the discharge of the accumulated poison in body, the symptoms in the process of healing. 3. Dongmu recognized the Myunghyun symptom as dizziness by massive effective drugs and shun the use of massive effective drugs. 4. Dongmu established the concept of 'Jang-gi(臟氣) and 'Yak-gi(藥氣)' and esteemed Jang-gi more than Yak-gi. So he contended that When there is no disease does not use drugs, even if the illness prioritized the use of mild drug, use the massive effective drugs a little while when there is an acute disease. 5. When the Sasnag Constututional Drugs help the Bomyungjiju(보명지주), Sometimes the Myunghyun Symptom is appeared. it is the process of Tongoi by Taeum Drugs, Chungjang by Soyang Drugs, Gojung by Tayang Drugs, Onri by Soeum Durgs. 6. Myunghyun symptoms which used indiscriminately in present is stopped and needs a clear observation and description about the drug reactions to the patient's condition.

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Assessment of testicular steroidogenic enzymes expression in experimental animal model following withdrawal of nandrolone decanoate

  • Min, TaeSun;Karthikeyan, Adhimoolam;Lee, Ki-Ho
    • Journal of Animal Science and Technology
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    • 제63권6호
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    • pp.1247-1264
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    • 2021
  • Anabolic steroids are frequently used to increase the growth rate of meat-producing animals. Exposure to an anabolic-androgenic steroid, nandrolone decanoate (ND), is associated with expressional reduction of testicular steroidogenic enzymes. However, the effect of withdrawal of ND exposure on the expression of these testicular molecules has not been thoroughly explored. The current research investigated expression changes of testicular steroidogenic enzymes in rats at several recovery periods (2, 6, and 12 weeks) after the stop of ND treatment with different doses (2 and 10 mg/kg body weight) for 12 weeks. Body and testis weights were recorded, and transcript levels of molecules were determined by quantitative real-time polymerase chain reaction (PCR). The immunohistochemistry was used to examine the changes of immuno-intensities of molecules. At 6 and 12 weeks of the recovery period, the 10 mg/kg ND-treated rats were lighter than other experimental groups. The interstitial compartment vanished by ND treatment filled up as the recovery period became longer. The expression of steroidogenic acute regulatory protein was returned to the control level at 12 weeks of the recovery period. Expression levels of cytochrome P450 side-chain cleavage and 17a-hydroxylase were increased in 2 mg/kg ND-treated group at 6 weeks of the recovery period, and transcript levels of these molecules in 2 and 10 mg/kg ND-treated groups at 12 weeks of the recovery period were significantly lower than the control. Expression levels of 3β-hydroxysteroid dehydrogenase (HSD) type I and 17β-HSD type 3 in 2 mg/kg ND-treated group were comparable with those of control at 12 weeks of the recovery period, but not in 10 mg/kg ND-treated group. Expression of cytochrome P450 aromatase (Cyp19) was reverted to the control level at 2 weeks of the recovery period. Except for Cyp19, there was a visible increase of immuno-staining intensity of other testicular steroidogenic enzymes in the Leydig cells as the recovery period progressed. This research has demonstrated that the cease of ND administration could restore the expression of testicular steroidogenic enzymes close to the normal level. Nevertheless, a relatively long recovery period, compared to the ND-exposure period would be required to retrieve normal expression levels of testicular steroidogenic enzymes.