• Title/Summary/Keyword: Dose Report

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A Successfully Treated Case of Recurrent Focal Segmental Glomerulosclerosis (FSGS) with Plasmapheresis and High dose Methylprednisolone Pulse Therapy

  • Her, Sun Mi;Lee, Keum Hwa;Shin, Jae Il
    • Childhood Kidney Diseases
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    • v.21 no.2
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    • pp.165-168
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    • 2017
  • Focal segmental glomerulosclerosis (FSGS) in children, which is a kind of nephrotic syndrome showing steroid resistance, usually progresses to a substantial number of end stage renal disease (ESRD). Although the pathogenesis of primary FSGS is unclear, several recent studies have reported that FSGS is associated with circulating immune factors such as soluble urokinase-type plasminogen activator receptor (suPAR) or anti-CD40 autoantibody. We report a successfully treated case of a 19-year-old female patient who experienced a recurrence of primary FSGS. After the diagnosis of FSGS, the patient progressed to ESRD and received a kidney transplantation (KT). Three days later, recurrence was suspected through proteinuria and hypoalbuminemia. She has been performed plasmapheresis and high dose methylprednisolone pulse therapy and shown remission status without increasing proteinuria for four years after KT. In conclusion, strong immunosuppressive therapy may be helpful for a good prognosis of recurrent FSGS, suppressing several immunologic circulating factors related disease pathogenesis.

Protective Effect of Natural Medicinal Plants against Oxidative Damage Induced by Reactive Oxygen Species (천연약용식물의 활성산조종에 의한 산화적 손상의 보호 효과)

  • 이시은;주은미;김정희
    • Environmental Analysis Health and Toxicology
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    • v.15 no.4
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    • pp.147-155
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    • 2000
  • In order to evaluate anti -oxidant activities and protective effect against oxidatve damage, DPPH radical scavenging activity and lipid peroxidation inhibitory activity were measured among methanol extracts prepared from natural medicinal plants. Fourteen natural medicinal plants which were reported to have anti -oxidative or anti-inflammatory effects were selected based on our previous report. In addition to the total methanol extracts, n-hexane, dichloromethane, ethylacetate, n-butanol and water fractions were prepared from each total extract. DPPH radical scavenging assay was performed against 14 total extracts and all samples showed dose-dependent activities in various extent. Among those, 6 samples, methanol extracts of Euryale ferox, paeonia suffruticosa, Areca catechu var. dulcissima, Cinnamomun cassia, Alpinia katsumadai and Betula platyphlla var. japonica showed IC$\sub$50/ value lower than 6.0 $\mu\textrm{g}$/ml. The highest DPPH radical scavenging activity was found in ethylacetate fraction of paeonia suffruticosa with IC$\sub$50/ value of 1.1 $\mu\textrm{g}$/ml. Analysis of lipid peroxidation inhibitory activity on hydrogen peroxide-induced oxidative damage in Chinese hamster lung fibroblast (V79-4) cells revealed that the highest inhibitory effect was observed in methanol extract of Betula platyhpylla var. japonica. Lipid peroxidation inhibitory activity was observed as a dose-dependent manner in all samples used in this study. Among fraction samples, ethylacetate fraction of Alpinia katsumadai had the strongest inhibitory activity with IC$\sub$50/ value of 0.9 $\mu\textrm{g}$/ml.

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Object-Oriented Stereotactic Radiosurgery Planning System (객체 지향 개념을 이용한 뇌정위 방사선 수술 계획 시스템)

  • Park, S.H.;Suh, T.S.;Suh, D.Y.;Kang, W.S.;Ha, S.H.;Kim, I.H.;Park, C.I.
    • Proceedings of the KOSOMBE Conference
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    • v.1994 no.12
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    • pp.85-87
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    • 1994
  • In this paper, we present an object-oriented stereotactic radiosurgery planning system, which accepts medical images such as CT and angiography, transforms the coordinates to a reference frame coordinate, calculates dose distributions, and finally displays isodose curves over the images. The user finds an adequate one for radiosurgeries after performing computer simulations on different treatment parameter sets. The object-oriented design concept was fully applied to the system composed of seven manager objects of different classes: a patient information manager, a user-interface manager, a coordinate transformation manager, a blackboard manager, a dose calculation manager, an isodose curve display manager, and a report manager. All the user interactions are carried out through the use of mouse buttons. The performance of the system was verified by four physicians and two medical physicists, and now is being used in two clinical sites.

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Severe Exogenous Lipoid Pneumonia Following Ingestion of Large Dose Squalene : Successful Treatment with Steroid (다량의 스쿠알렌 복용 후 발생한 중증 지방성 폐렴 -스테로이드 치료로 호전된 1예-)

  • Choi, Hyo Sun;Kwang, Hyon Joo;Chae, Seung Wan;Lim, Si Young;Lim, Seong Yong
    • Tuberculosis and Respiratory Diseases
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    • v.60 no.2
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    • pp.235-238
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    • 2006
  • Exogenous lipoid pneumonia (ELP) is an uncommon condition resulting from aspiration or inhalation of vegetable, animal or mineral oil. It results in foreign body type inflammatory reaction of the lung and can show various clinical presentations from asymptomatic incidental finding to severe pneumonia leading to acute respiratory failure. Although many cases have been reported, severe ELP requiring steroid or whole lung lavage for treatment is rare. We report a case of 51-year old man with esophageal cancer who developed severe ELP following ingestion of large dose shark oil (Squalene) and successfully treated with prednisolone.

Reversal of Immunogenicity in Pediatric Inflammatory Bowel Disease Patients Receiving Anti-Tumor Necrosis Factor Medications

  • Kang, Elise;Khalili, Ali;Splawski, Judy;Sferra, Thomas J.;Moses, Jonathan
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.21 no.4
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    • pp.329-335
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    • 2018
  • Loss of response to anti-tumor necrosis factor (anti-TNF) agents in the treatment of inflammatory bowel disease (IBD) is a major consideration to maintain sustained response. Reversal of immunogenicity can re-establish response and increase the durability of these agents. Strategies to reverse immunogenicity include dose-intensification and/or the addition of an immunomodulator. However, there is a relative paucity of data on the efficacy of such interventions in pediatric IBD patients. Available reports have not strictly utilized homogenous mobility shift assay, which reports on anti-drug antibodies even in the presence of detectable drug, whereas prior studies have been confounded by the use of drug sensitive assays. We report four pediatric inflammatory bowel disease patients with successful reversal of immunogenicity on an anti-TNF agent using dose intensification and/or addition of an immunomodulator.

High-dose caspofungin salvage in a very-low-birth-weight infant with refractory candidemia (극소 저체중 출생아의 난치성 칸디다혈증에서 고용량 Caspofungin 구제요법)

  • Seo, Eun Sun;Park, Geun Hwa;Kim, Sung Mi;Jung, Hye An;Kim, Byoung Kuk
    • Clinical and Experimental Pediatrics
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    • v.53 no.2
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    • pp.239-243
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    • 2010
  • Candidiasis is one of the most common causes of late-onset infection among very-low-birth-weight infants (VLBW) in most neonatal intensive care units and is associated with significant morbidity and mortality. Standard therapy consists of the administration of amphotericin B, amphotericin B complex, and fluconazole. In many cases, candidiasis is not easily eradicated, despite the administration of these drugs. We report our experience of the addition of high-dose caspofungin to the conventional antifungal drugs in a VLBW infant with refractory candidemia.

A Study of Radiographic Condition in the Mammography (유방 X선촬영 실태에 관한 조사연구)

  • Lee, In-Ja;Kim, Sung-Soo;Huh, Joon
    • Journal of radiological science and technology
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    • v.23 no.1
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    • pp.55-61
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    • 2000
  • This report was the results of an investigation based on the status of the mammography in the 45 medical facilities in the areas of Seoul and Kyong-Gi Do. In regard to mammography we were able to understand the rectification method of the generator, the functions, the radiographic techniques, the patient exposure dose, etc. Recently, the occurrence of breast cancer has rapidly increased and has lead to increased interest in the early discovery of breast cancer. However, mammography has not kept up with the publics interests and its demand. The main problem is thought to be a wide great difference in the quality of the facilities, especially in the techniques of radiograpic and the capabilities of the generator, which would have a major effect on the grade management of the image quality. In order to be ready and keep up with the high rate of increase of breast cancer, the standardization of mammography and the grade management is urgently required as a solution to the problems in the increase of image qualify and the decrease of dose. It is regarded that the basic guide of the techniques of photography in the mammography, which is being used in all developed countries due to the influence of the USA, should be presented, especially in Korea, and for this, more active and enthusiastic education and enlightenment should be needed.

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A Case of Seizures after Zolpidem Withdrawal (고용량 졸피뎀 복용 중단 이후 발생한 경련발작 1례)

  • Moon, Hyung Jun;Lee, Jung Won;Yoo, Byeong Dae
    • Journal of The Korean Society of Clinical Toxicology
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    • v.11 no.2
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    • pp.127-129
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    • 2013
  • The imidazopyridine, zolpidem, a non-benzodiazepine hypnotic drug, is widely-prescribed for insomnia. It is regarded as a good alternative to benzodiazepine because of the reduced possibility for abuse and development of dependence. However, more recently, due to the reduced possibility for abuse and development of dependence, it is regarded as a good alternative to benzodiazepine. adverse effects of zolpidem have been recognized. The objective of this report is to provide information on the potential for occurrence of benzodiazepine-like withdrawal seizure in patients who chronically take zolpidem continually. We present and discuss a case of seizure after sudden interruption of the protracted use of an abusively high dose of zolpidem. Zolpidem may not be the ideal drug for longterm pharmacotherapeutic management of insomnia. Clinicians should administer zolpidem at a low-dose for a short period of time for prevention of drug abuse and dependence and the potential for occurrence of benzodiazepine- like withdrawal seizure.

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Treatment of Henoch-Sch$\ddot{o}$nlein Purpura with Intravenous Immunoglobulin

  • Chung, Hyo-Seok;Kim, Won-Duck;Lee, Eun-Sil;Choi, Kwang-Hae;Park, Yong-Hoon;Kim, Yong-Jin
    • Journal of Yeungnam Medical Science
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    • v.18 no.2
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    • pp.246-252
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    • 2001
  • We report the result of a high-dose intravenous immunoglobulin therapy in a Henoch-Schnlein purpura patient with severe abdominal pain and nephrotic syndrome who did not respond to methylprednisolone pulse therapy. Kidney biopsy showed diffuse mesangial cell proliferative glomerulonephritis with fibrocellular crescent formation in approximately 50% of glomeruli. Mesangium of all glomeruli were strong positive for IgA and C3 antibodies. High-dose intravenous immunoglobulin treatment was introduced and dramatic improvement of gastrointestinal symptom and proteinuria as well as hematuria was noted. Immunoglobulin administration should be considered in Henoch-Schnlein purpura patients with steroid-resistant intractable gastrointestinal manifestation and renal involvement.

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Statistical Analysis Using Living Radiation Survey Data on Processed Products (가공제품에 대한 생활주변방사선 실태조사 자료를 활용한 통계분석)

  • Choi, Kyoungho;Cho, Jung Keun
    • Journal of radiological science and technology
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    • v.43 no.2
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    • pp.123-128
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    • 2020
  • Radiation Following the 2011 Fukushima nuclear accident in Japan, public interest and anxiety about radiation safety increased, and vague anxiety about commonly exposed living radiation was generated. The Atomic Energy Safety Commission has been conducting a survey of processed products that advertise "negative ions" and "far-infrared" emissions under the Living Radiation Safety Management Act. In this study, in-depth analysis was performed from a statistical point of view using the measurement data presented in the Nuclear Safety Committee's actual survey analysis report as secondary data. As a result, there was a statistically significant difference (p<0.005) between latex and civil affairs products. There were also statistically significant differences (p<0.05) in the results of testing whether there were significant differences in the annual exposure dose between groups after categorizing 71 civil products, including radon beds, into bed, bedding, and living and other categories. The correlation analysis results also confirm that, as is commonly known, the annual doses received from processed products are associated with radon derived from U-238 and Th-232.