• 제목/요약/키워드: Clinical investigation

검색결과 1,257건 처리시간 0.035초

비만처방에서 마황의 임상활용에 대한 고찰;용량, 효과, 부작용 등의 측면에서 (Clinical Application of Ma Huang in the Obesity Treatment)

  • 송윤경;임형호
    • 한방비만학회지
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    • 제7권1호
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    • pp.1-7
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    • 2007
  • Background : Use of Ma Huang is controversial. Multiple reports of adverse effects led the U.S. Federal Drug Administration (FDA) to announce about prohibiting dietary supplements containing ephedrine alkaloids/Ma Huang. Objective : The objective of the study was to review the evidence from literature and rigorous clinical trials on the dosage, effectiveness, and adverse effects. Methods : Literature searches were conducted in U.S. FDA database after 2003 and digital Uibujeonok(醫部全錄). Hand searches of medical journal and bibliographies of identified articles were conducted. Results : Ma Huang has been used in Korean Oriental Medicine to treatment asthma and other ailments. Recently, Ephedrine/Ma Huang are used for weight loss or to enhance athletic performance in Europe and America, Korea. Ephedrine/Ma Huang are associated with increased risk of psychiatric, autonomic, or gastrointestinal symptoms, and heart palpitations. In addition to that, a risk of serious adverse events, including heart attack, stroke, epilepsy and psychiatric problem are also have been reported. Therefore, max dose of total alkaloids of ephedrine is studied in need of a specialist's part. Conclusion : In most reports, Ma Huang effectively promoted short-term weight loss and enhancement of athletic performance, But, safety with long-term use requires further investigation.

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신생아에서의 항응고요법, 혈전용해요법 및 혈액제제 사용 (Anticoagulation Therapy, Thrombolytic Therapy, and Use of Blood Products in Neonates)

  • 최창원
    • Neonatal Medicine
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    • 제18권1호
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    • pp.34-41
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    • 2011
  • 신생아에서 발생하는 혈액응고장애, 혈전증 및 색전증은 신속한 치료가 필요하며 치료가 적절한 시기에 이루어지지 않는 경우 사망 및 심각한 장기(long-term) 후유증을 초래할 수 있다. 그러나 신생아에서의 혈액응고장애, 혈전증 및 색전증에 대한 현재의 치료지침은 대부분 무작위 대조군 연구에 의해 뒷받침되지 못하고 경험적으로 도출된 것이며 아직 객관적인 근거가 부족한 상태에 머무르고 있다. 따라서 실제 신생아에서 이러한 문제들에 부딪혔을 때 치료의 선택에 있어 어려움이 있는 것이 사실이다. 본 종설에서는 문헌의 고찰을 통해 혈액응고장애, 혈전증 및 색전증을 가지고 있는 신생아에서 현재 실제로 적용이 되고 있는 치료방법 및 현재 연구단계에 있는 치료방법을 소개하고자 한다.

Pathological Investigation of Vertebral Tumor Metastasis from Unknown Primaries - a Systematic Analysis

  • Zhang, Yan;Cai, Feng;Liu, Liang;Liu, Xiao-Dong
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권3호
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    • pp.1047-1049
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    • 2015
  • Background: This systematic analysis was conducted to investigate pathological diagnosis of vertebral tumor metastasis with unknown primaries. Methods: Clinical studies conducted to pathologically investigate vertebral tumor metastasis were identified using a predefined search strategy. Pooled diagnosis (PD) of each pathological confirmation was calculated. Results: For vertebral tumor metastasis, 5 clinical studies which included 762 patients were considered eligible for inclusion. Systematic analysis suggested that, for all patients with vertebral tumor metastasis, dominant PD was pathologically confirmed with lung cancer in 21.7% (165/762), with breast cancer in 26.6% (203/762) and with prostate cancer in 19.2% (146/762). Other diagnosis that could be confirmed included lymphoma, multiple myeloma, renal cancer, for example, in this cohort of patients. Conclusions: This systemic analysis suggested that breast, lung and prostate lesions could be the most common pathological types of cancer for vertebral tumor metastasis formunknown primaries, and other common diagnoses could include lymphoma, multiple myeloma, renal cancer.

개의 전침마취에 관한 연구 1.사지혈위의 효과에 대한 검토 (Studies on Canine Electroacupuncture Anesthesia 1. Investigation on The Effect of Acupoints of The Limbs)

  • 김덕환;조성환;조해운;신해청;이성호;이성옥;김인봉;권건오;남치주
    • 한국임상수의학회지
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    • 제15권2호
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    • pp.404-409
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    • 1998
  • To elucidate the effect of the acupoints of the limbo for canine electroacupunhur anesthesial total 140 heads of dogs were used. The animals were divided into 3 experimental groups(Gong-sun, San-yin-jiao and Qiang-feng and contro1 group(non-acupoint). The induction time, clinical findings and the results of operation using laparatomy were investigated under the electroacupunture anesthesia and compared with those of control. The induction time of electroacupunture anesthesia was very rapids about 1 minute in experimental groups, while it is unable to succeed in anesthesia of control group. As far clinical Bindings during electroacupunture anesthesia, the experimental animals had vivid consciousness and stability without tumult and barking. The success rate of operation was high with decreasing order of Gong-sun group(50/50, 100%) > San-yin·jiao group(26/30, 86.7%) 1 Qiag-feng group(18/ 30, 60%) in experimental groups. Considering above findings collectively, the combination of Gong-sun and San-yang-luo is thought to be best method among the acupoints of the limbs for canine electroacupunture anesthesia.

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개의 전침마취에 관한 연구 2. 배부혈위의 효과에 대한 검토 (Studies on canine Electroacupuncture Anesthesia 2. Investigation on the Effect of Dorsal Acupoints)

  • 김덕환;유명조;조성환;이성호;이성옥;김인봉;권건오
    • 한국임상수의학회지
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    • 제18권4호
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    • pp.311-314
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    • 2001
  • To elucidate the effect of dorsal acupoints for canine electroacupuncture anesthesia, mongrel dogs(6 heads: 2.6-10.5kg, 3 males and 3 females) were used. After needling perpendicularly to Tian-Ping(GV-5) and Bai-Hui(GV-20), the electrodes were connected with positive to Tian-Ping and negative to Bi-hui, respectively using with veterinary electroacupuncture apparatus(TEC AM-3000). The electric conditions were 2-4V and 30 Hz. The pain of body surface was checked by hemostatic forceps. The effect of electroacupuncture andesthesia was appreciated by application of laparotomy(2 heads), ear trimming and tail amputation(1 head), castration(2 heads) and enterotomy(1 head), respectively. Induction time, clinical findings and operation findings were investigated under the electroacupuncture anesthesia. The induction time of electroacupuncture anesthesia was very rapid, approximately 1 minute and the pain of body surface including the extremities was not detected. As for clinical findings during electroacupuncture anesthesia, consciousness was evident, pupil reflex was weak and blepharoreaction was existed. As for operation findings, pain was not detected during incision and suture, and bleeding was relatively small volume. The grade of electroacupuncture anesthesia was excellent in all cases applied with ear trimming and tail amputation, laparatomy, castration and enterotomy. Considering above all findings, it was thought that electroacupuncture stimulation at Tian-Ping and Bai-hui examined in the present study induced excellent electroacupuncture anesthesia for dogs.

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뮤코다당증의 장기 치료 효과와 한계점 극복을 위한 노력

  • 손영배
    • 대한유전성대사질환학회지
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    • 제14권1호
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    • pp.29-36
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    • 2014
  • Mucopolysaccharidoses (MPSs) are a group of rare inherited metabolic diseases caused by deficiency of lysosomal enzymes. MPSs are clinically heterogeneous and characterized by progressive deterioration in visceral, skeletal and neurological functions. The aim of this article is to review the treatment of MPSs, the unmet needs of current treatments and vision for the future including recent clinical trials. Until recently, supportive care was the only option available for the management of MPSs. Hematopoietic stem cell transplantation (HSCT), another potentially curative treatment, is not routinely advocated in clinical practice due to its high risk profile and lack of evidence for efficacy. From the early 2000s, enzyme replacement therapy (ERT) was approved and available for the treatment of MPS I, II and VI. ERT is effective for the treatment of many somatic symptoms, particularly walking ability and respiratory function, and remains the mainstay of MPS treatment. However, no benefit was found in the neurological symptoms because the enzymes do not readily cross the blood-brain barrier (BBB). In recent years, intrathecal (IT) ERT, substrate reduction therapy (SRT) and gene therapy have been rapidly gaining greater recognition as potential therapeutic avenues. Although still under investigation, IT ERT, SRT and gene therapy are promising MPS treatments that may prevent the neurodegeneration not improved by ERT.

소아신경정신 질환의 한.양방적 접근 방법론 연구 (A study of methods for Oriental.Western medical approach of Child Neuropsychiatric Disorders)

  • 김근우
    • 동의신경정신과학회지
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    • 제14권2호
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    • pp.15-25
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    • 2003
  • Objectives : This study aimed investigation of clinical development to child neuropsychiatry through the oriental western medical approach of child neuropsychiatric disorders Methods : As DSM-IV and ICD-10 set a standard for clinical expression. According to this standard and oriental medical diseases, child neuropsychiatric disorders are divided into six symptoms Results and Conclusion : 1. View point of oriental medicine, Psycho Somatic stroke(inclusive of the spasm) place under the category 'Epilepsy(癎)', 'Children's fit(驚風)' and 'Chi-Kyeung(?痙)'. 2. View point of oriental medicine, Mental Retardation place under the category 'Dementia(?)', 'Amnesia(健忘)' and 'Speech Disorder(語遲)' 3. View point of oriental medicine, Emotional Disorder place under the category 'Adjustment Disorder(客?)', 'Cry with anxiety at night(夜啼症)', 'Gi-Byung(?病)' and 'Child depressive Disorder(小兒癲症)' 4. View point of oriental medicine, Conduct development Disorder place under the category 'Physical frail of five part(五軟)' and 'Physical stiff of five part(五硬)'. 5. View point of oriental medicine, Childhood Psychosis place under the category 'Insanity(癲狂)'. 6. View point of oriental medicine, Somatoform Disorder place under the category 'Palpitation of the heart(驚悸)', 'Vomiting and Diarrhea(吐瀉)', 'Asthma(喘)', 'Headache(頭痛)' and 'Enuresis(遺尿)'

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암성 통증의 평가방법에 대한 고찰 (Investigation on Cancer Pain Assessment)

  • 조정효
    • 동의생리병리학회지
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    • 제21권2호
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    • pp.548-553
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    • 2007
  • In general, cancer pain is neither fully recognized nor adequately treated. The inadequate pain control is due to failure of accurate assessment of cancer pain. This study was aimed to understand various characters of cancer pain and investigate available assessment scales which have been designed for, or frequently used with people with cancer pain. A total of 23 articles were selected from two different databases. The selected articles were analyzed according to three aspects of initial assessment, patient self-report and assessment of the outcomes of pain management. The characters of cancer pain is complex and includes physical, psychosocial, and spiritual dimension. Also, subjective pain can be classified into at least four specific factors, such as pain intensity, pain affect, pain relief, and pain quality. Based on various classification, the pain assessment scales can be divided into unidimensional or multidimensional. Among the more commonly used clinical tools are numeric rating scales, verbal rating scales, visual analog scales, and picture scales. Above all, in order to assess cancer pain objectively, the clinician must select appropriate assessment instruments which reflect pain definition and clinical purpose.

사간탕(瀉肝湯)의 효능(效能)에 관(關)한 실험적(實驗的) 연구(硏究) (Experimental Studies on the Effiency of Sagantang)

  • 이원익;이원철;배향섭;구본홍
    • 대한한방내과학회지
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    • 제10권1호
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    • pp.39-52
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    • 1989
  • The present investigation was undertaken to confirm of clinical effects of Sagnating. So, experimental studies were done, especially, to ascertain whether Sagantang had pharmacological effect of analgesia, antipyresis, diuresis and decreasing blood pressure and so on. The results of the studies were obtained as follows: 1. The analgesic effects of Sagantang were obtained in mice. 2. Sagantang prolonged the duration of hypnosis which is induced thiopental-Na in mice, but it was not effective in rotor rod method. 3. Antipyretic effect of Sagantang was known on the typhoid vaccine induced fever in rats. 4. Sagantang inhibited automatic movement on the isolated ileum of mice, and antiacetylcholine effect and antibarium chloride effect of Sangantang were known on that. 5. Sangantang decreased blood pressure due to vasodilatation in anesthetized mice. 6. The effect of diuresis were noted in mice. According to the above results, clinical effects of Sagantang on oriental medical references were similar to the actual experimental results.

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Flavonoid Compounds from Viola hondoensis and Their Effect on Matrix Metalloproteinase-1 in Ultraviolet Irradiation of Cultured Human Skin Fibroblasts

  • Moon, Hyung-In;Lee, Joong-Ku;Zee, Ok-Pyo;Chung, Jin-Ho
    • Food Science and Biotechnology
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    • 제14권1호
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    • pp.143-146
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    • 2005
  • Although many studies have been performed to elucidate the molecular consequences of ultraviolet irradiation, little is known about the effect of natural products. Ultraviolet irradiation is widely considered to be an environmental stress. Here we investigated the effect of 2',4',7-trihydroxyisoflavone on the regulation of MMP-1 and type 1 procollagen in Ultraviolet irradiation of cultured human dermal fibroblasts. Phytochemical investigation of the whole plants of Viola hondoensis led to the isolation of five flavonoids. The structures of these compounds were identified 2',4',5,7-tetrahydroxyisoflavone (1), 2',4',7-trihydroxyisoflavone (2), 4',7-dihydroxyflavone (3), isoorientin (4), and isovitexin (5) using spectroscopic analysis. Among these, 2',4',7-trihydroxyisoflavone reduced the expression of MMP-1 at the protein levels in a dose-dependent manner by ultraviolet irradiation. Taken together, our results suggest that 2',4',7-trihydroxyisoflavone an important role in the reduction of MMP-1 induction by ultraviolet irradiation.