• 제목/요약/키워드: Clinical Pharmacology Education

검색결과 50건 처리시간 0.023초

An integrated review on new targets in the treatment of neuropathic pain

  • Khangura, Ravneet Kaur;Sharma, Jasmine;Bali, Anjana;Singh, Nirmal;Jaggi, Amteshwar Singh
    • The Korean Journal of Physiology and Pharmacology
    • /
    • 제23권1호
    • /
    • pp.1-20
    • /
    • 2019
  • Neuropathic pain is a complex chronic pain state caused by the dysfunction of somatosensory nervous system, and it affects the millions of people worldwide. At present, there are very few medical treatments available for neuropathic pain management and the intolerable side effects of medications may further worsen the symptoms. Despite the presence of profound knowledge that delineates the pathophysiology and mechanisms leading to neuropathic pain, the unmet clinical needs demand more research in this field that would ultimately assist to ameliorate the pain conditions. Efforts are being made globally to explore and understand the basic molecular mechanisms responsible for somatosensory dysfunction in preclinical pain models. The present review highlights some of the novel molecular targets like D-amino acid oxidase, endoplasmic reticulum stress receptors, sigma receptors, hyperpolarization-activated cyclic nucleotide-gated cation channels, histone deacetylase, $Wnt/{\beta}-catenin$ and Wnt/Ryk, ephrins and Eph receptor tyrosine kinase, Cdh-1 and mitochondrial ATPase that are implicated in the induction of neuropathic pain. Studies conducted on the different animal models and observed results have been summarized with an aim to facilitate the efforts made in the drug discovery. The diligent analysis and exploitation of these targets may help in the identification of some promising therapies that can better manage neuropathic pain and improve the health of patients.

코로나19를 통해서 바라본 체외순환사의 역할과 임상병리사: 일본과 미국의 양성체계를 비교 (The Role of Perfusionists during the COVID-19 Pandemic and Clinical Laboratory Technologists: Comparison of Training Systems in Japan and the United States )

  • 엄동옥;김대진;김대은;김명수;구본경
    • 대한임상검사과학회지
    • /
    • 제54권4호
    • /
    • pp.293-297
    • /
    • 2022
  • 2022년 국내 체외순환사(관류사)는 224명으로 간호사나 임상병리사를 모집해 병원 자체교육이나 위탁교육을 실시하고 있다. 일본의 체외순환사는 2021년에 2,100명이며, 주로 임상공학 기사들이 지원한다. 미국의 체외순환사는 2021년 4,212명으로 석사과정, 학사후 자격증 프로그램, 학사과정 등에서 교육을 받았으며 대부분 보건의료과학 또는 생명과학 전공 졸업생이다. 체외순환사는 인공심폐장치를 운용시키는 기술뿐만 아니라 심장해부학, 생리학, 약리학, 혈류역학, 검사분석, 정도보증 등에 대한 지식이 있어야 하기에 임상병리사와 한 직군이다. 메르 스와 코비드-19라는 두 가지 영향력 있는 위기를 통해 체외순환사의 중요성이 더욱 부각되고 있었다. 현재 심장수술의 체외순환은 물론 최근 급격히 확대되고 있는 체외막산소화장치 영역에서 체외순환사가 큰 역할을 하고 있다. 본 연구를 통해 심장수술 및 감염병 치료를 하는 병원은 자격을 갖춘 체외순환사를 일정한 수 만큼 확보하도록 제도화하고, 대한임상생리검사학회 산하에 체외순환기술회(관류기술회)를 설립하여 학술교류가 실시되기를 기대해 본다.

Effect of Allium sativum on cytochrome P450 and possible drug interactions

  • Janil, Ashutosh;Mehta, Anita A
    • Advances in Traditional Medicine
    • /
    • 제6권4호
    • /
    • pp.274-285
    • /
    • 2006
  • Allium sativum (Family Amaryllidaceae or Liliaceae) is used worldwide for various clinical uses like hypertension, cholesterol lowering effect, antiplatelets and fibrinolytic activity etc. Due to these common house hold uses of Allium sativum, as a herbal supplements, and failure of patients to inform their physician of the over-the-counter supplements they consume leads to drugnutrient interactions with components in herbal supplements. Today these types of interactions between a herbal supplement and clinically prescribed drugs are an increasing concern. In vitro studies indicated that garlic constituents modulated various CYP (cytochrome P450) enzymes. CYP 3A4 is abundantly present in human liver and small intestine and contributes to the metabolism of more than 50% of commonly used drugs including nifedipine, cyclosporine, erythromycin, midazolam, alprazolam, and triazolam. Extracts from fresh and aged garlic inhibited CYP 3A4 in human liver microsomes. The in vivo effects of garlic constituents are found to be species depended and the dosing regimen of garlic constituents appeared to influence the modulation of various CYP isoforms. Studies have indicated that the inhibition of various CYPs by organosulfur compounds from garlic was related to their structure also. Studies using in vitro, in vivo, animal and human models have indicated that various garlic constituents can be the substrates, inhibitors and or inducers of various CYP enzymes. The modulation of CYP enzyme activity and expression are dependent on the type and chemical structure of garlic constituents, dose regime, animal species and tissue, and source of garlic thus this review throws light on the possible herb drug interaction with the use of garlic.

Microbiological and Chemical Detection of Antibiotic Residues in Livestock and Seafood Products in the Korean Market

  • Park, Sung-Kug;Kim, Mee-Hye;Sho, You-Sub;Chung, So-Young;Hu, Soo-Jung;Lee, Jong-Ok;Hong, Moo-Ki;Kim, Myung-Chul;Kang, Ju-Seop;Jhee, Ok-Hwa
    • Food Science and Biotechnology
    • /
    • 제16권6호
    • /
    • pp.868-872
    • /
    • 2007
  • The microbiological and chemical identification of antibiotic residues was attempted for livestock and seafood products including pork (n=34), beef (n=34), chicken (n=32), flatfish (n=37), armorclad rockfish (n=36), and sea bream (n=27). The meat (n=100) and seafood (n=100) samples were collected from 9 markets in 5 major Korean cities. Antibiotic substances were identified from the classes of tetracyclines, macrolides, penicillins, aminoglycosides, polyethers, peptides, sulfonamides, quinolones, chlorampenicols, and novobiocins using a microbiological assay, the Charm II test and high performance liquid chromatography (HPLC) with ultra violet (UV) and fluorescence detectors. The results showed that 2 tetracyclines (oxytetracycline and tetracycline) and 3 quinolones (ciprofloxacin, norfloxacin, and enrofloxacin) were detected in 4 samples of flatfish among all 100 seafood samples tested. No antibiotic residues were detected in the 100 livestock product samples tested. The amounts (min-max, mg/kg) of the residual antibiotics were as follows; tetracycline 0.78-0.85, oxytetracycline 0.49-0.74, ciprofloxacin 0.09-0.83, norfloxacin 0.01-0.21, enrofloxacin 0.12-2.98. These data indicate that the total detection rate of antibiotics in livestock and seafood products was approximately 2%.

간호학 교육에서 기초의과학 교과목별 목표와 내용에 대한 연구 (Objectives and Contents of Basic Medical Sciences in Nursing Education)

  • 최명애;신기수
    • 대한간호학회지
    • /
    • 제29권6호
    • /
    • pp.1455-1468
    • /
    • 1999
  • The purpose of this study was to investigate the objectives and contents of basic medical sciences at department of nursing in college of nursing, and junior college of nursing, thus ultimately providing the basic data to standardize the curriculum of the basic medical sciences in nursing education. Seventy eight professors who were in charge of teaching basic medical sciences to at 22 colleges of nursing/ department of nursing, and 20 junior colleges of nursing responded to the questionnaires that consisted of the questions regarding objectives and contents, of basic medical sciences. Based on the description of objectives, the description related to nursing, nurse, nursing science was cathegorized as on objective applicable to nursing science, the description related to medicine or clinical medicine as medical model, the description without description related to medicine was cathegorized as knowledge acquisition. The number of schools corresponding to each category were summerized in descending order. The objectives of basic medical sciences were categorized by concepts and number of schools corresponding to the categorized concept. The findings of the study are as follows ; 1. The subjects of basic medical science identified were physiology, anatomy, biochemistry, pathology, microbiology, and pharmacology in most colleges of nursing and junior colleges. Two colleges of nursing/department of nursing (9.1%) and 19 junior colleges of nursing(95%) did not offer biochemistry, 1 college of nursing /department of nursing(5%) did not offer pathology & pharmacology. 2 junior colleges of nursing (10%) did not offer pharmacology, 1 junior college of nursing(5%) did not offer pathology. The other 1 junior college of nursing did not offer microbiology. 2. Objectives of physiology were to acquire knowledge and understanding on human function in both 6 (50%) colleges and 5 junior colleges. Objectives of anatomy were to acquire knowledge on human structure in both 4 (57%) colleges and 2 (50%) junior colleges; knowledge applicable to nursing sciences in both 3 (42.8%) colleges and 2 (50%) junior colleges. Objectives of biochemistry was to obtain knowledge and understanding on biochemistry, and understanding of basic concepts about biochemistry. Objectives of pathology were to obtain knowledge and understanding on pathology in both 4 (57.1%) colleges and 5(62.5%) junior colleges. Objectives of microbiology were to acquire knowledge and understanding on microbiology in both 5(83.8%) colleges and 6(85.7%) junior colleges. Objectives of pharmacology were to acquire knowledge on pharmacology in both 7(100%) colleges and 8(100%) junior colleges. 3. Contents of physiology in 19 (100%) schools were membrane transport, digestion, circulation, nervous system and respiration. In 16(84.2%) were kidney and muscle, that in 13(68.4%) were endocrine physiology. In 11(57.9%) were introduction and that in 9(47.4%) were structure and function of cells. Contents of anatomy in 11(100%) schools were skeletal system, muscle system, digestive system, circulatory system, concepts regarding human structure. In 10(90.9%) schools were endocrine system and nervous system, and in 5(45.5%) schools were blood, urinary system and cell. Contents of biochemistry in 6(100%) schools were history of biochemistry, body regulating factor, bioenergy, health and nutrition, nutrition of cell, energy production system. In 5(83.3%) schools were metabolism of protein and carbohydrate and enzyme, and in 3(50%) schools were metabolism of energy and fat. Contents of microbiology in 13(100%) schools were environment and influenc of bacteria, virus, G(-) rods, purulent cocci, G(+) rods. In 10 (76.9%) were immunity, diphtheria, enterobacteria, and in 9(69.2%) were spirochete, rickettsia and clamydia, and that in 6(46.2%) were sterilization and disinfection. Contents of pathology in 14(100%) schools were cell injury and adaptation, inflammation, respiratory diseases, circulatory diseases. In 10(71.4%) were neurological disorders, in 8(57.1%) were immunity and disease, and in 7 (50%) were tumor and progressive changes. Contents of pharmacology in 15(100%) were cardivascular drugs, introduction to pharmacology, hypnotics, analgesics, local anesthetics, an ticonvulsants. In 12(80%) were drugs activity on sympathetic and parasympathetic nervous system, and in 11(73%) were sulfa drugs, antibiotics, drug abuse and addiction.

  • PDF

Role of Micronutrients in Skin Health and Function

  • Park, Kyungho
    • Biomolecules & Therapeutics
    • /
    • 제23권3호
    • /
    • pp.207-217
    • /
    • 2015
  • Skin is the first line of defense for protecting our bodies against external perturbations, including ultraviolet (UV) irradiation, mechanical/chemical stress, and bacterial infection. Nutrition is one of many factors required for the maintenance of overall skin health. An impaired nutritional status alters the structural integrity and biological function of skin, resulting in an abnormal skin barrier. In particular, the importance of micronutrients (such as certain vitamins and minerals) for skin health has been highlighted in cell culture, animal, and clinical studies. These micronutrients are employed not only as active compounds in therapeutic agents for treating certain skin diseases, but also as ingredients in cosmetic products. Here, the author describes the barrier function of the skin and the general nutritional requirements for skin health. The goal of this review is to discuss the potential roles and current knowledge of selected micronutrients in skin health and function.

기초간호과학의 조망 (Perspectives on Bionursing Science)

  • 최명애
    • Perspectives in Nursing Science
    • /
    • 제9권2호
    • /
    • pp.61-70
    • /
    • 2012
  • This article describes the development, evaluation and dissemination of biological nursing (bionursing) science courses established in Korea. Prior to this innovation the subject such as anatomy, physiology, biochemistry, microbiology, pharmacology and pathology were taught by non-nursing faculties, such as basic medical science faculty members. And it often did not meet and satisfy the needs of most undergraduate nursing students. To meet these needs, we have developed four bionursing courses by overhauling individual courses and integrating these by creating new titles, objectives, and contents. In this process, the Korean Society of Biological Nursing has made enormous efforts to standardize the contents of the courses and to develop standard syllabus of four bionursing subjects. This article also suggests for further development of bionursing science such as enhanced linkage of the contents of bionursing science courses with clinical practice, reinforcement of teaching competency of professors, and activation of researches using various biological measurement to provide concrete evidences for nursing practice.

  • PDF

SCI 발표 논문 수를 통해본 의과대학 연구 생산성 (Research productivity of the medical school by SCI publications)

  • 양은배
    • 의학교육논단
    • /
    • 제9권2호
    • /
    • pp.13-20
    • /
    • 2007
  • Purpose : The aim of this study is to analyse the research productivity of SCI publications at medical schools in Korea. Methods: We collected the 5,386 SCI publications from 10 medical schools that were published in 2002 and 2003. Most of the materials treated herein are derived from the database of the Institute of Scientific Information from April 13, to May 25, 2005. Values are analyzed by medical school, major and IF index and presented as frequency and percentages. Results : There were 2,350 publications in 2002 and 3,036 publications in 2003. The average publication rate per faculty was .71 in 2002 and it was increased to .90 in 2003. Of the total 5,386 manuscripts, 1.248(23.2%) papers were from work conducted at basic science department and 3,224(76.8%) were from work performed at clinical science department. The major such as pathology, microbiology, pharmacology, internal medicine, diagnostic radiology and dermatology published a lot of SCI papers. A large percentage of papers (41.74%) were in journals with reported l<=IF<3. Conclusions : There was wide variability in the research productivity among the medical schools or majors. This variability reflects the importance of the institutional characteristics of each medical school in predicting the research productivity. Some of these institutional characteristics include the size of the faculty. available research funding, research vision of medical school, visible system of measurement and any associated reward system.

가족성 고콜레스테롤혈증의 스크린, 진단, 치료: 한국지질동맥경화학회 교육위원회 심포지엄 (Screening, Diagnosis, and Treatment of Familial Hypercholesterolemia: Symposium of the Education Committee, Korean Society of Lipid and Atherosclerosis)

  • 이찬주;이지현;최성훈;김신혜;강현재;이상학;박경수
    • 지질동맥경화학회지
    • /
    • 제7권2호
    • /
    • pp.122-154
    • /
    • 2018
  • Familial hypercholesterolemia (FH) is typically associated with single gene mutation that is inherited by autosomal dominant manner. Due to high cardiovascular risk, aggressive discovery, diagnosis, and treatment of FH are critical. Although FH is being increasingly spotlighted, we do not have sufficient data on Korean patients with FH. Here, we present the content of symposium of the Education Committee, Korean Society of Lipid and Atherosclerosis held in May 2018: 1) epidemiology, clinical diagnosis, Korean FH data, and regulation in Korea; 2) genes associated with FH, sequencing process in suspicious proband, cascade screening, and difficulty in genetic diagnosis in FH; 3) the importance of lipid-lowering therapy in FH, conventional and novel therapeutics for FH; 4) diagnosis of FH in children and adolescence, screening, and treatment of FH in children and adolescence; 5) history of FH studies in Korea, the structure and current status of FH registry of Korean Society of Lipid and Atherosclerosis; and 6) difficulty in diagnosis of heterozygous and homozygous FH, drug intolerance and achievement of treatment target. Discussion between speakers and panels were also added. We hope that this article is helpful for understanding FH and future studies performed in Korea.

투약에 대한 입원환자의 간호요구도와 만족도 (Nursing Needs and Satisfaction with Medications in Patients Admitted to Hospital)

  • 양윤정;임경희;박연정;손인혜;이은남;주현옥
    • 기본간호학회지
    • /
    • 제13권1호
    • /
    • pp.15-23
    • /
    • 2006
  • Purpose: This study was dont: to identify the differences nursing needs and satisfaction with medications in patients admitted to hospital. Method: The participants were 258 patients admitted for 3days or more to D hospital. The data were analyzed using frequencies, percentages, means, standard deviations, t-test and ANOVA. SPSS-WIN 11.0 was used to assist analysis. Results: The results are as follow: 1. Variables effecting nursing needs were education and economic level. All scores of nursing needs were higher in the group with less than middle school education compared to those with high school education or higher. 2. The scores for nursing needs were higher than the score for satisfaction in common item and injection domains. The scores for nursing satisfaction were higher than nursing needs in the oral medication domain. 3. The item with the highest difference between the scores for nursing needs and satisfaction was 'I want to know the side effect of the drugs'. Conclusion: Patients admitted to hospital want to know the therapeutic effect, side effect and reason for their drugs. However satisfaction with medication was not equal to needs. It is necessary to emphasize clinical pharmacology in nursing education programs.

  • PDF