• 대한한의학회지
• /
• 제32권2호
• /
• pp.14-22
• /
• 2011

Objective: Nowadays the combined use of herbal extracts and western medicines has been prevalent, but concern about its risk is also increasing. Even though the importance of clinical trials is well recognized, there have been only a few studies on the combined use of herbal extracts and western medicines. This study was aimed to examine which herbal extracts and antiplatelets or anticoagulants are most commonly prescribed together to inpatient ischemicstroke patients and investigate the combined prescription rate. Methods: We investigated the most frequently prescribed herbal extracts from two different sources. First, we chose herbal medicine extracts from 2008 Traditional Korean Medicine Utilization Status. Then, among patients who were admitted to Kyung-Hee Oriental Medical Center diagnosed with ischemic stroke, we found patients who were administered with these herbal medicine extracts and among these patients, we investigated how many were concomitantly administered with antiplatelets or anticoagulants. Second, we chose other herbal medicine extracts that were most often prescribed within Kyung-Hee Oriental Medical Center and found patients who were administered with these herbal medicine extracts, then investigated how many of them were concomitantly administered with specific antiplatelets or anticoagulants. Results: The most commonly prescribed herbal medicine extracts among ischemic stroke patients were Ojeok-san, Bojungikgi-tang, Sochungryong-tang and Samsoeum. About 46 to 69 percent were concomitantly administered with either specific antiplatelets or anticoagulants. Conclusions: The most often prescribed herbal medicine extracts in inpatient ischemic stroke patients are Ojeok-san, Bojungikgi-tang, Sochungryong-tang, and Samsoeum. Among patients who were prescribed with Ojeok-san, Bojungikgi-tang, Sochungryong-tang, Samsoeum, patients who were concomitantly administered with either antiplatelets or anticoagulants were about 46% to 69%.

• 전자공학회논문지 IE
• /
• 제47권3호
• /
• pp.19-25
• /
• 2010

의약품 정보에 대한 접근이 쉽지 않은 시각장애인을 위해 의약품 정보 안내 단말기를 개발하였다. 본 연구에서는 시각장애인에게 의약품 관련 정보를 전달하기 위하여 RFID 기술을 사용하였다. 안내단말기로 의약품에 부착된 RFID 태그를 인식하면 태그의 고유 ID에 따라 단말기를 통해 음성으로 의약품 정보를 안내하도록 하였다. 의약품 정보는 식품의약품안전청에서 운영하는 이지드럭 사이트를 통해 의약품 정보를 취득하도록 하였다. 정보 안내 단말기는 휴대가 간편하도록 목걸이 형태로 제작 하였으며, 평상시에도 유용하게 사용할 수 있도록 mp3 재생기능을 탑재하였다. 본 연구에서는 단말기의 코어칩으로 ARM 계열의 Cortex M3 칩을 사용하였고, RFID 회로를 구현하기 위하여 저전력의 NXP의 MFRC523 칩셋을 사용하였다. MFRC523 칩은 모바일에 적용되는 저전력 기능이 탑재되어 있다. 음성회로를 구현하기 위해서는 VS1003B MP3 Decoder IC를 사용하였고 의약품 정보서버와의 무선 통신을 위해는 CC2500 칩셋을 사용하였다. RFID 프로토콜은 ISO 14443A 타입과 B타입을 모두 지원하도록 개발하여 다양한 프로토콜로 확장이 가능하도록 개발하였다. 본 시스템을 사용하면 시각장애인에게 의약품 정보를 편리하게 전달할 수 있어 시각장애인의 의약품 오남용을 줄일 수 있다.

• 농촌의학ㆍ지역보건
• /
• 제28권1호
• /
• pp.93-106
• /
• 2003

경상남도 거창군 관내 17개 보건진료소에서 지역사회진단을 통해 고혈압이 있는 것으로 파악된 618명을 대상으로 2002년 9월에 고혈압관리 행태에 대해 설문조사를 실시한 결과는 다음과 같다. 대상자 618명 중 고혈압 약을 처방대로 규칙적으로 복용하고 있는 고혈압 환자는 68.9%, 고혈압 약을 복용은 하나 불규칙적으로 복용하는 환자는 23.5%였고, 고혈압 약을 복용하지 않는 환자는 7.6%였다. 여자가 처방전대로 복용한다는 응답이 71.4%로 남자의 62.2%에 비해 높았고(p<0.05), 경제상태에서 잘산다라고 응답한 경우 처방전대로 복용하는 율이 높았다(p<0.01). 고혈압관련 특성과 고혈압에 대해 어떻게 설명하고 있는가에 따라서는 고혈압에 대한 지식수준이 높을수록 처방전대로 고혈압 약을 복용하고 있었고, 고혈압이 생긴 원인을 의학적으로 설명하는 경우와 본인의 고혈압을 심각하다고 느낄수록, 그리고 고혈압은 평생 치료해야 한다고 응답한 경우 고혈압 약을 처방전대로 복용하고 있었다(p<0.01). 지난 1년간 고혈압 치료를 위해 한약재, 조약 등 고혈압 약 이외의 다른 약을 사용해본 경험이 있는 고혈압환자는 12.5%였다. 고혈압치료의 부작용을 경험 한 경우(p<0.01), 고혈압약을 불규칙적으로 복용하는 경우(p<0.01), 본인의 고혈압이 심하다고 느낄 수록(p<0.05), 고혈압은 일정 기간 치료하면 완전히 나을 수 있다고 생각하거나 고혈압약으로 치료해도 소용이 없다고 생각하는 경우(p<0.05) 기타 약 복용률이 높았다. 고혈압 약 이외의 약을 사용한 이유로는 신약보다 부작용이 적을 것 같아서가 36.4%로 가장 높았고, 신약만으로는 효과가 없어서(19.5%), 체력을 보강하기 위하여(14.3%) 등이었다. 기타 약을 복용한 방법은 고혈압 약을 잠시 중단하고 복용한 경우가 53.2%로 가장 높았고, 고혈압 약과 시차를 두고 먹은 경우가 33.8%였다. 기타 약을 구입하게된 동기는 주위의 권유가 49.4%로 가장 높았고, 그 다음이 자식이 사주어서(26.0%) 였다. 기타 약의 효과에 대해서는 16.9%가 효과가 있었다고 하였다. 일반 의료기기 판매점에서 판매하는 게르마늄, 옥매트 등의 의료기기를 사용한 경험이 있는 대상자는 18.9%였는데, 연령에 따라 사용률에 차이가 있었고(p<0.05), 고혈압치료의 부작용 경험이 없는 경우(p<0.01), 고혈압약을 복용하지 않는 경우(p<0.01), 고혈압이 왜 생겼는지 모르겠다고 답한 경우(p<0.01), 본인의 고혈압이 심하지 않다고 생각할수록 낮았다(p<0.05). 게르마늄, 옥매트 등의 의료기기를 사용한 이유로는 단기간의 치료로 나을 수 있을 것 같아서가 50.4%로 가장 높았다. 구입하게 된 동기는 자식이 사 주어서가 53.8%로 가장 높았고, 그 다음이 주위 사람의 권유로 20.5%였다. 효과에 대해서는 12.0%가 효과가 있었다고 하였다. 고혈압 치료를 위해 민간요법을 사용한 경험이 있는 대상자는 16.2%였는데, 가족이 없는 경우에 민간요법 사용률이 높았고(p<0.05), 고혈압에 대한 지식이 보통이거나 고혈압 이환기간이 10년 이상인 경우(p<0.05), 고혈압치료의 부작용 경험이 있는 경우, 고혈압 약을 불규칙적으로 복용하는 경우, 본인의 고혈압이 심각하다고 느낄수록, 고혈압 치료에 대한 생각이 단기간의 치료로 완치될 수 있다고 생각하거나 고혈압약으로 치료해도 소용이 없다고 생각하는 경우 민간요법 사용률이 높았다(p<0.01). 민간요법을 사용한 동기는 주위 사람의 권유로가 70.0%로 가장 높았다. 사용한 이유는 단기간의 치료로 나을 수 있을 것 같아서(34.0%), 고혈압 약의 부작용을 우려해서(32.0%) 등이었고, 사용자의 22.0%가 효과가 있었다고 하였다. 사용한 민간요법으로는 사용자의 12.4%가 돌미나리즙을 사용한 적이 있다고 하여 가장 높았고, 여러 민간한약재(11.2%)와 감잎차(11.2%), 감식초(9.0%)와 솔잎가루(9.0%)의 순이었다. 이상의 결과, 고혈압 환자의 고혈압관리를 제대로 하도록 하기 위하여는 평소에 보건교육을 통해 고혈압에 대한 정확한 지식을 습득하도록 하고 고혈압을 정확하게 설명할 수 있도록 하여야 할 것으로 생각된다.

• 한국학교보건학회지
• /
• 제6권1호
• /
• pp.69-77
• /
• 1993

The purpose of this study is to obtain some basic data necessary for more effective health education by questionnaire survey on the knowledge, attitude and preventive health behavior. The questionnaire forms were delivered to 500 university students in seoul during periods from 24 to 28, september, from 7 to 19, October, 1991. The result of this study can be summarized as follows: 1) Washing hands after using toilet has relationship to sex (fece: $X^2=51.55$, urine: $X^2=36.25$, p<0.05). Index of female was higher than that of male. 2) Tooth brushing has relationship to sex ($X^2=13.28$, p<0.05). The tendency of practice of male and female was similar. 3) Changing of underwear 1~3 days were the highest and it has relationship to sex ($X^2=162.846$, p<0.05), birth place ($X^2=97.18$, p<0.05). Index of female was higher than that of male. 4) Bathing has relationship to sex ($X^2=80.92$, p<0.05). birth place ($X^2=54.18$, p<0.05, pocket money ($X^2=33.04$, p<0.05). 5) The attitude on occurrence of epidemic disease has relationship to sex ($X^2=70.33$, p<0.05). A female was more senstive than male. 6) In case of slight disease, a cold, illness from fatigue, the utilization of drug store was higher. The utilization of medical center according to disease has relationship to sex ($X^2=69.84$, p<0.05). 7) Medical behaviorism has relationship to school year ($X^2=35.18$, p<0.05), sex ($X^2=42.18$, p<0.05). 8) The utilization of school health center has relationship to sex ($X^2=10.73$, p<0.05), the school year ($X^2=72.09$, p<0.05), the pocket money ($X^2=38.80$, p<0.05). 9) The experience of health education has relationship to school year ($X^2=10.96$, p<0.05). No experence is 95.4%. 10) The subject for health-medical knowledge is necessary. The need for subject has relationship to sex ($X^2=10.86$, p<0.05).

• Food Science and Biotechnology
• /
• 제15권5호
• /
• pp.792-798
• /
• 2006

The probiotic characteristics of a total of 137 lactic acid bacterial strains isolated from soybean paste were investigated. Among those tested, the D37 strain was selected as a probiotic bacteria due to its acid and bile tolerance, and its strong anti-cancer and antibacterial activities. The D37 strain showed highly stable viability at acidic pH for 2 hr, and was very stable in 10% bovine bile. The viability of human colon cancer HT-29 cells was inhibited more than 60% at a $200\;{\mu}/mL$ concentration of D37 cell-free culture supernatant, and the degree of inhibition was concentration-dependent. The D37 strain showed a wide range of antibacterial activities against food-borne pathogenic bacteria such as Escherichia coli O157, Listeria spp., Vibrio spp., Salmonella spp., and Staphylococcus aureus. According to phenotypic characteristics and the utilization of various sugars, the D37 strain was identified as Lactobacillus cellobiosus.

• Asian-Australasian Journal of Animal Sciences
• /
• 제12권4호
• /
• pp.642-650
• /
• 1999

Options available for utilization of animal wastes include sources of plant nutrients, feed ingredients for farm animals, substrate for methane generation, and substrate for microbial and insect protein synthesis. The wastes have the most economic value for use as animal feed. Performance of animals fed diets containing animal wastes is similar to that of animals fed conventional diets. Processing of animal wastes to be used as animal feed is necessary for destruction of pathogens, improvement of handling and storage characteristics, and maintenance or enhancement of palatability. Feeding of animal waste has not adversely affected the quality and taste of animal products. In the USA copper toxicity has been reported in sheep fed high-copper poultry litter, but this is not a serious problem with cattle. Potential pathogenic microorganisms in animal wastes are destroyed by processing such as heat treatment, ensiling and deep stacking. Incidents of botulism, caused by Clostridium botulinum, have been reported in cattle in some countries, and this problem was caused by the presence of poultry carcasses in litter. This problem has not occurred in the USA. With appropriate withdrawal, heavy metal, pesticide or medicinal drug accumulation in edible tissues of animals fed animal wastes is not a problem. Feeding of animal wastes is regulated by individual states in the USA. The practice is regulated in Canada, also. With good management, animal wastes can be used safely as animal feed.

• Asian-Australasian Journal of Animal Sciences
• /
• 제5권4호
• /
• pp.593-600
• /
• 1992

Animal welfare is often neglected by livestock productionists when considering the utilization of animal wastes for livestock feeds. The present review has been carried out to examine the nutritive value of poultry wastes for ruminants, the health risks involved with feeding it, the treatment and feeding methods and the production responses of animals fed on it. It was found that mineral, crude protein, crude fibre and metabolisable energy concentrations are influenced by the system of poultry production, the storage of the waste and the treatment method. Heating at $60^{\circ}C$ kills all pathogens apart from Clostidium botulinum whereas proper ensiling kills all. Apart from the kidney fat and the liver, animal tissues have not shown residues of drugs or heavy metals from poultry wastes. Palatability is affected when the moisture is more than 200 g/kg. Production responses are satisfactory when poultry wastes replace portions of concentrates. It was concluded that poultry litter generally has higher metabolisable energy contents than poultry manure, but research is needed to classify poultry litters on their energy values. The adverse effects of toxic minerals and drug residues are negligible in balanced poultry waste feeding systems.

• Journal of Preventive Medicine and Public Health
• /
• 제15권1호
• /
• pp.205-211
• /
• 1982

This survey was conducted to find out demage done to the farmers by Agrochemicals in a rural area of Korea from January to October, 1980. Choon Sung Gun, Kang Won Province was the survey area and the 412 males were surveyed among all those that have sprayed agrochemicals during 10 Months in 1980. Obtained results and findings from this survey are summarized as follows; 1. The total spray days of 413 males were 3,114 days and avarage spray days per person were 7.54 days. Also avarage spray hours per person were 4.7 hours. 2. The incidence rate per 100 persons of self-recognized skin manifestation was 12.6 persons and incidence rate per spray day was 2.7 percent. The incidence rate per 100 persons of self-recognized intoxication was 23.0 persons and incidence rate per spray day was 3.6 percent. 3. In cases where mask was not used, when it was syrayed in hot weather, when stronger solution was used, the results were higher percentage in self-recognized intoxication (P<0.01). 4. The symptoms of self-recognized intoxication were headache (55.8%), dizziness (46.9%), nausea (17.7%), fatigue (17.0%), and vomiting (17.0%), 5. Number of intoxication per 100 used standardized unit by agrochemicals was parathion (93.8 spells), sumithion (91.8 spells) and folithion (66.7 spells). 6. Treatment was done by health facility utilization (27 cases), visits to drug store (13 cases) and visits to health center (7 cases).

• 한국식물병리학회지
• /
• 제10권3호
• /
• pp.151-156
• /
• 1994

Pseudomonas fluorescens produces the antibiotic, 2,4-diacetylphloroglucinol (Phl), which promotes plant growth by inhibiting bacteria and fungi. Cosmids (genomic library) were mobilized into Phl-nonproducing mutants through the triparental matings with pRK2013 as the helper plasmid at the frequency of 8.37$\times$10-4. Complemented mutants that showed antibiotic activity were selected among about 2,000 transconjugants. The complemented mutants were confirmed by acquired drug resistances (kanamycin and tetracycline). The antibiotic substances of wild type and complemented mutants showed the most excellent anti-bacterial activity. Inhibitory effects of complemented P. fluorescens against phytopathogenic fungi were equal to the parental strain. Complemented mutant and wild type of P. fluorescens were causal microbes of fungal morphological abnormalities. Complemented mutants in potato dextrose agar supplemented with bromothymol blue also showed restoration of glucose utilization as wild type. Plasmids of complemented mutants were isolated from transconjugant sand transformed into competent cells of E. coli DH5$\alpha$. The plamid DNA was reisolated from transformed E. coli DH5$\alpha$.

• Journal of Microbiology and Biotechnology
• /
• 제19권2호
• /
• pp.178-186
• /
• 2009

To examine their potential as probiotics, acid and bile tolerance, antibiotics resistance, adhesion capacity to Caco-2 and HT-29, and antibacterial activity, of LAB isolated from Korean fermented foods such. as dongchimi, kimchi, Meju, and doenjang were assayed against foodborne pathogenic bacteria. DC 55, DC 136, DC 222, KC 21, KC 24, KC 34, KC 43, KC 117, MJ 54, MJ 301, SP 33, and SP 170 strains were resistant to acid and bile conditions. In particular, DC 55, DC 136, KC 24, KC 43, and MJ 301 strains were highly resistant to higher than 20 ${\mu}g/ml$ concentrations of vancomycin, streptomycin sulfate, or amoxicillin, whereas, DC 222, KC 21, KC 34, KC 117, MJ 54, and SP 33 strains were susceptible to lower than 2 ${\mu}g/ml$ concentrations of those antibiotics. The adhesion to HT-29 and Caco-2 cells varied with the strains tested in a strain-dependent manner. The highest level of adhesion was observed with DC 55, KC 21, KC 24, and MJ 301 strains, having higher than 50% of adhesion to HT-29 or Caco-2 cells. In addition, Staphylococcus aureus was the most sensitive to KC 21, showing an inhibition of about 70%, and the antibacterial activity of KC 21 against S. aureus resulted most likely from both organic acids and bacteriocin. Based on its phenotypic characteristics and utilization of various sugars, the KC 21 strain was identified as Lactobacillus plantarum.