• 제목/요약/키워드: Drug Reduction

검색결과 573건 처리시간 0.028초

AIDS환자 치료를 위한 점진적 약물감소기법에 감염속도상수가 미치는 영향 (The influence of infection ratio on Gradual Reduction of Drug Dose for the treatment of AIDS patients)

  • 이강현;조남훈
    • 전기학회논문지
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    • 제56권1호
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    • pp.174-182
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    • 2007
  • In this paper, we study the influence of infection ratio on gradual reduction of drug dose for the five state HIV infection model that explicitly includes the population of the virus. We first compute all equilibrium points of the model and investigate the stabilities of them. As a result, a bifurcation diagram is obtained which shows a change in the equilibrium points, or in their stability properties, as the drug effect $\eta$ is varied from 0 to 1(alternatively, drug dose is changed from 1 to 0). Based on the bifurcation diagram, we show that the gradual reduction of drug dose can be applied for the treatment of AIDS patients. Moreover, we analyze the influence of the variation of infection ratio on the gradual reduction treatment. Computer simulation results are also presented to validate the proposed results.

전이함수모형을 이용한 약품비 지출의 예측 (Forecasting drug expenditure with transfer function model)

  • 박미혜;임민성;성병찬
    • 응용통계연구
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    • 제31권2호
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    • pp.303-313
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    • 2018
  • 본 논문에서는 약품비 지출에 대한 예측을 수행하기 위하여 시계열 모형을 도입한다. 2012년 약가 일괄인하를 반영하기 위하여 구간별 모형을 토대로, 자기회귀오차모형과 전이함수모형을 고려하였다. 자기회귀오차모형에서는 예측의 편리성을 위하여 결정적 추세만을 고려하였으며, 전이함수모형에서는 주요한 외생변수와의 교차상관성을 이용하여 약품비 지출의 인과 메커니즘을 설명하였다. 각 모형에서 약가 일괄인하 이후 수준 변화가 유의하게 나타났으며, 전이함수모형에서는 의약품 사용자 수 및 노인환자 비중 시계열 변수가 유의하게 나타났다. 자기회귀오차모형은 약가 일괄인하로 의한 약품비 수준이동에 좌우되어 비교적 낮은 예측값이 도출되었으며, 전이함수모형은 약품비 지출에 영향을 미치는 외부 설명변수의 증가 추세가 적절히 반영되어 더 높은 예측값을 보였다. 설명변수를 포함하지 않을 경우, 약품비 수준이동만을 고려한 ARIMA 모형은 약품비 지출 추세를 가장 높이 예측하였다.

Synthesis of Methyl-substituted Bicyclic Carbanucleoside Analogs as Potential Antiherpetic Agents

  • Kim, Kyung-Ran;Park, Ah-Young;Lee, Hyung-Rock;Kang, Jin-Ah;Kim, Won-Hee;Chun, Pu-Soon;Bae, Jang-Ho;Jeong, Lak-Shin;Moon, Hyung-Ryong
    • Bulletin of the Korean Chemical Society
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    • 제29권10호
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    • pp.1977-1982
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    • 2008
  • Novel bicyclo[3.1.0]hexanyl purine nucleoside analogues were synthesized as potential antiherpetic agents via a bicyclo[3.1.0]hexanol (${\pm}$)-8, which was prepared using a highly efficient carbenoid cycloaddition reaction. A highly diastereoselective reduction of ketone and a Mitsunobu reaction for the condensation of glycosyl donor (${\pm}$)-12 with 6-chloropurine were employed.

Studies on Drug-metabolizing Enzymes

  • Tatsumi, Kiyoshi
    • 한국응용약물학회:학술대회논문집
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    • 한국응용약물학회 1996년도 춘계학술대회
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    • pp.36-41
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    • 1996
  • Drugs mean not only medicines but also poisons, pesticides, food additives, cosmetics, cleaning agents, environmental pollutants and so on, which are normally considered foreign to the body, It is important to know what happens to these drugs when they get into the body. In the past the metabolic changes of drugs had been referred to as “detoxication mechanism”, but since there are many instances in which drugs are converted in the body to more active substances. Thus, metabolism of drugs is responsible for activation and inactivation of the drugs in the body. The major reactions in drug metabolism are oxidation, reduction, hydrolysis and conjugation. Of these four areas, most of the attention had been focused on the oxidation. Therefore, in contract of ample literatures on drug-oxidizing enzymes, there were relatively few reports on drug-reducing enzymes. In recent years, however, the reduction has received an increasing interest due to its pharmacological or toxicological significance. The present lecture is organized keeping with a focus on drug-reducing enzymes which have been explored by us and by other groups.

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의약품 처방·조제지원서비스(Drug Utilization Review)사업이 병용금기 처방률에 미치는 영향 (The Effect of Korean Prospective Drug Utilization Review Program on the Prescription Rate of Drug-Drug Interactions)

  • 김동숙;박주희;전하림;박찬미;강현아
    • 보건행정학회지
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    • 제24권2호
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    • pp.120-127
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    • 2014
  • Background: Since December 2010, online computerized prospective drug utilization review (pDUR) has been implemented in Korea. pDUR involves the review of each prescription before the medication is dispensed to the individual patient. The pDUR is performed electronically by Health Insurance Review & Assessment Service (HIRA), which is a Korean governmental agency, and then HIRA provides medical institutions and pharmacies with information that can be helpful to them in preventing potential drug problems such as drug/drug interactions or ingredient duplication. The aim of this study was to assess the impact of the Korean pDUR implementation on the proportion of drug-drug interactions (DDIs) using claims data from HIRA. Methods: A before-after comparison of the prevalence of DDIs between prescription was conducted, using HIRA administrative claims data of medical institution from January 2010 to December 2011. The analysis unit was the prescription issued and pairs before and after. The main outcome measures were the proportion of DDIs within- (control group) or between- physician encounters. To examine the difference, a paired t-test was applied. Results: We found that DDIs proportion between prescription decreased significantly (t=3.04, p=0.0026) after the implementation of pDUR, whereas there is no significant reduction within prescription (t=1.15, p=0.2518). With respect to the prevalence of DDIs between drug groups, the most dramatic reduction was occurred between 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors and anti-fungal agents. Conclusion: It seems effective that giving a direct feedback to prescribers by a prospective DUR. Further research is needed to assess the impact of DUR to final outcomes such as hospitalization.

Lanostane Triterpenoids from Ganoderma tropicum Collected in Vietnam and Their Nitroblue Tetrazolium Reductive Activity In Vitro

  • Nguyen, Thi Duyen;Nguyen, Minh Khoi;Phan, Nguyen Truong Thang;Duong, Minh Tan;Tran, Viet Hung;Do, Thi Ha
    • Natural Product Sciences
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    • 제26권4호
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    • pp.334-339
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    • 2020
  • A new compound, 3��-acetoxylanosta-7,9(11),24-triene-26-al (3), and seven known compounds (1 - 2 and 4 - 8) were isolated from Ganoderma tropicum (Jung.) Bres. collected in Tay Nguyen, Vietnam. The structures of these compounds were determined by one- and two-dimensional nuclear magnetic resonance spectroscopy, electrospray ionization mass spectrometry (ESI-MS), and high-resolution ESI-MS, and by comparison with literature data. All of the isolated compounds were tested for nitroblue tetrazolium (NBT) reduction activity in Saccharomyces cerevisiae-stimulated RAW 246.7 cells. Among them, compounds 2 - 4 and 6 - 8 enhanced the NBT reduction in a dose-dependent manner.

Listeria monocytogenes와 Salmonella spp.에 대한 Sodium Hypochlorite 및 Benzalkonium Chloride의 유효성 평가 (Evaluation on Efficacies of Sodium Hypochlorite and Benzalkonium Chloride against Listeria monocytogenes and Salmonella spp.)

  • 김형일;윤혜정;최현철;전대훈;엄미옥;성준현;박나영;원선아;김남희;성덕화;곽효선;권기성;이영자
    • 한국식품위생안전성학회지
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    • 제22권2호
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    • pp.132-136
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    • 2007
  • 살균소독력 평가균주로 사용되는 E. coli ATCC 10536과 Staphylococcus aureus ATCC 6538균에 대하여 5 logCFU/ml 감소의 살균소독력을 보이는 살균소독제가 국내에서 식중독을 일으키고 있는 식중독 원인균 중 Salmonella spp.와 Listeria monocytogenes에 대하여도 같은 살균소독력을 나타내는지 비교평가하였다. 청정조건 및 오염조건에서 현탁액시험법을 사용하여 차아염소산나트륨과 염화벤잘코늄의 살균소독력을 평가하였다. 시험균주로는 E. coli ATCC 10536, Staphylococcus aureus ATCC 6538, Salmonella typhimurium ATCC 13311, Salmonella Enteritidis ATCC 13076, Listeria monocytogenes ATCC 19111, Salmonella spp. 10균주 및 Listeria monocytogenes 11균주를 사용하였다. 오염조건에서는 염화벤잘코늄만이 살균소독제의 유효성분 사용범위 농도 내에서 5 log 감소 이상의 살균소독력을 보였으나, 청정조건에서는 실험대상 균주 전부 5 log감소 이상의 살균소독력을 보였다.

보조세포 비의존형 CTL 반응이 고려된 HIV 감염 모형에 대한 점진적 약물 감소 기법의 적용 (Gradual Reduction of Drug Dosage on an HIV Infection Model with Helper-independent CTL)

  • 장혁준;조남훈;심형보
    • 제어로봇시스템학회논문지
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    • 제10권12호
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    • pp.1148-1154
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    • 2004
  • The goal of this paper is to verity that the gradual reduction of drug dose (GRDD), which has already been shown by authors to be effective for a simplified HIV infection model, still works for a more realistic model. While the simplified HIV infection model does not take into account an helper-independent CTL, the five state nonlinear model proposed by Wodarz describes the dynamics of both helper-dependent and helper-independent CTL in HIV infection. In this paper, it is shown that, by applying GRDD to Wodarz's five state HIV infection model, the state of HIV infected patient converges to that of non-progressor whose immune response is excited so that his symptom would not be developed into AIDS. Roughly speaking, GRDD is 'slow reduction of dose after the maximum dose for a certain period.' It turns out that an equilibrium representing non-progressor is locally asymptotically stable for the most values of drug dosage, which is required to hold in order to apply GRDD. Simulation results establish that GRDD is still considerably effective both for an AIDS patient and a patient who has been on HAART for a long time.

가공식품 나트륨 저감화 가이드라인 (A Guideline for Sodium Reduction of Processed Foods)

  • 김의수;임구상;최경숙;정광호;이미영;류승호;윤은경
    • 식품과학과 산업
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    • 제49권2호
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    • pp.8-17
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    • 2016
  • Sodium is a component of salt and naturally taken in the process of taking in table salt. For food processing, salt is very important. In general, salt adds flavor and taste including a salty taste and rheologically, it plays an important role in forming tissues. Also, it helps in improving preservability of food by controling growth of microorganisms. But excessive intake of salt has been blamed for outbreak of high blood pressure, heart disease, stroke, osteoporosis, kidney stone, stomach cancer and others. For this reason, there are active efforts to reduce sodium of processed foods all around the world. In Korea, a guideline for sodium reduction in 27 items and 44 kinds of foods including confectionery was suggested as part of the 'processed food sodium reduction guideline development project', which has been conducted since 2012.

홍삼 가공중 azoxystrobin, fenhexamid 및 cyprodinil농약의 감소율 (Reduction Rate of Azoxystrobin, Fenhexamid and Cyprodinil during Ginseng Processing)

  • 임무혁;권광일;박건상;이경진;장문익;윤원갑;최우종;유광수;홍무기
    • 한국식품과학회지
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    • 제39권5호
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    • pp.575-579
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    • 2007
  • 본 연구는 홍삼 및 농축액의 합리적인 농약잔류허용기준 개정을 위한 과학적인 자료를 얻고자 수행하였다. 인삼 재배 시에 사용 등록된 농약 3종(azoxystrobia, fenhexamid, cyprodinil)을 인삼포에 직접 살포하여 수확한 수삼을 홍삼과 농축액으로 직접 제조하였다. 수확한 수삼에 azoxystrobin 0.12 ppm, fenhexamid 0.19 ppm, cyprodinil 1.78 ppm이 잔류하였으며 농약이 잔류된 수삼을 원료로 홍삼 및 농축액으로 가공하여 각 제품의 농약 잔류량을 조사한 결과 fenhexamid의 경우 홍삼에 0.54 ppm, 홍삼농축액에서 1.93 ppm이 잔류하였다. Azoxysoobin은 홍삼에서 0.24 ppm, 홍삼농축액에서 0.81 ppm이 잔류하여 가공단계를 거치면서 증가하였다. 그러나 cyprodinil의 경우 1.78 ppm이 잔류된 수삼이 홍삼으로 가공되면서 1.49 ppm으로 감소하였으나 홍삼농축액에서는 3.66 ppm으로 증가하였다. 농약이 잔류된 수삼을 이용하여 홍삼과 농축액 제조시 azoxystrobin, fenhexamid, cyprodinil의 감소계수(dry base)는 홍삼에서 0.66, 0.94, 0.28, 홍삼농축액에서 3.25, 4.94, 1.01이였다.