• 제목/요약/키워드: adverse effect

검색결과 2,300건 처리시간 0.029초

성인비만의 한약치료 임상연구에 대한 체계적 고찰 (Systematic Review on Herbal Treatment for Obesity in Adults)

  • 한경선;이명종;김호준
    • 한방재활의학과학회지
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    • 제26권4호
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    • pp.23-35
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    • 2016
  • Objectives This systematic review is to support the effectiveness of herbal medicine for the treatment of simple obesity in adults. Methods A total of 8 electronic databases were searched in English, Chinese and Korean. Standard methodologies for the systematic review were used to search, analyze and synthesize data based on NECA's guideline for undertaking systematic review and meta-analyses for intervention. Results After screening 1781 potential articles, we identified 13 randomized controlled trials (RCTs). We conducted a meta-analysis for the study using Bangpungtongsung-san and Taeeumjowi-tang to evaluate the effectiveness of herbal medicines on weight loss compared to placebo control. Both herbs showed positive effect in weight, body mass index and waist circumference. In an analysis comparing herbal effects considering constitutions showed that proper treatment can lower adverse events. Conclusions Our results provide evidence that herbal medicine can be an effective treatment for the obesity compare to placebo or to conventional medicine without serious adverse events. Further study is needed to evaluate effectiveness of herbal medicines considering personalized treatment and its safety.

랫드에서 Pueraric mirifica 추출물의 주산기 및 수유기시험 (Peri- and Post-natal Study of Pueraria mirifica Extract in Rats)

  • 양세란;조성대;조종호;김경배;이지해;안남식;정지원;박준석;이영순
    • 한국환경성돌연변이발암원학회지
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    • 제22권2호
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    • pp.125-132
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    • 2002
  • To evaluate the modifying effect of Kwao Kreu, Pueraria mirifica (PM) well-known as a rejuvenating folk medicine from Thailand, peri- and post-natal studies were carried out in rats. PM extract was administered to pregnant Sprague Dawley (SD) rats by oral gavage from gestation 6 (GD 6) to postnatal day 21 (PND 21). The amount of administered in this study was 0.042, 0.42 and 4.2 mg/kg/day, respectively. There were no treatment related changes of dams in deaths, clinical signs, and parturition. Treatment related changes in body weight, food consumption and lactation of dams were not observed. F1 fetuses in external abnormality, physical development, reflex/sensory functions and behavioral development were not found. No adults and F1 fetuses in organ weight was found with the exception of vagina and uterus of F1 fetuses. The results showed that PM extract, up to 4.2 mg, had no adverse effects on the peri- and post-natal development of rats. Therefore, PM extract has no adverse effects on peri- and post-natal development of rats.

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Subacute Toxicity Study of 40 kGy Irradiated Ready-to-Eat Bulgogi

  • Park, Jin-Gyu;Kim, Jae-Hun;Byun, Myung-Woo;Jeon, Young-Eun;Kang, Il-Jun;Hwang, Han-Joon;Lee, Ju-Woon
    • Preventive Nutrition and Food Science
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    • 제16권1호
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    • pp.83-88
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    • 2011
  • The wholesomeness of 40 kGy irradiated ready-to-eat (RTE) bulgogi was evaluated by subacute toxicity studies (body weight, food consumption, organ weight, hematology, serum biochemistry, and histopathological examination) with groups of 40 male and female ICR mice fed the agent at dietary levels of 5% for 90 days. There were no treatment-related adverse effects with regard to body weight, food consumption, organ weight, hematology, serum biochemistry, and histopathology. The no-observed-adverse-effect-level (NOAEL) was also determined to be greater than dietary level of at least 5% (3900 mg/kg body weight/day for males, 3500 mg/kg body weight/ day for females) for samples under the present experimental conditions. These results suggest that, under these experimental conditions, RTE bulgogi irradiated at 40 kGy did not show any toxic effects.

Derris scandens Benth Extract Potentiates Radioresistance of Hep-2 Laryngeal Cancer Cells

  • Hematulin, Arunee;Meethang, Sutiwan;Ingkaninan, Kornkanok;Sagan, Daniel
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권4호
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    • pp.1289-1295
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    • 2012
  • The use of herbal products as radiosensitizers is a promising approach to increase the efficacy of radiotherapy. However, adverse effects related to the use of herbal medicine on radiotherapy are not well characterized. The present study concerns the impact of Derris scandens Benth extract on the radiosensitivity of Hep-2 laryngeal cancer cells. Pretreatment with D. scandens extract prior to gamma irradiation significantly increased clonogenic survival and decreased the proportion of radiation-induced abnormal nuclei of Hep-2 cells. Furthermore, the extract was found to enhance radiation-induced G2/M phase arrest, induce Akt activation, and increase motility of Hep-2 cells. The study thus indicated that D. scandens extract potentiates radioresistance of Hep-2 cells, further demonstrating the importance of cellular background for the adverse effect of D. scandens extract on radiation response in a laryngeal cancer cell line.

기기 간 메시지 부분 암호화 연구 (A Study on Efficient Encryption for Message Communication between Devices)

  • 이양호;신승중
    • 한국인터넷방송통신학회논문지
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    • 제14권5호
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    • pp.19-26
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    • 2014
  • 최근의 스마트폰의 등장으로 기기간의 역기능들이 속속히 드러나고 있다. 대표적으로 컴퓨터에 의한 정보통신의 역기능을 그 예로 들 수 있다. 또한 갈수록 고도화 되어가는 사이버를 겨냥한 해킹 위협은 그 피해와 파괴력이 점점 확산되고 있어 국가적인 위기로까지 고려해 보아야 할 상황에 이르렀다. 이러한 상황에서 정보기술의 범죄는 사회적인 문제로 볼 수 있다. 인터넷의 발달로 스마트해진 기기뿐 아니라 선박, 비행기, 건물 그리고 자동차에도 디지털화된 기술이 많이 추가됨으로써 해커들의 공격이 가능해 지고 있다. 인간과 인간, 기기들간, 인간과 기기간 모두 사회적 위기로 볼 수 있다. 본 논문에서는 이와 같은 문제를 연구하고자 한다.

한약을 이용한 chemotherapy-induced peripheral neuropathy (CIPN) 치료 관련 무작위 배정 임상 시험에 대한 고찰 (A review of herbal medicines for chemotherapy induced peripheral neuropathy)

  • 박봉기
    • 대한암한의학회지
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    • 제21권2호
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    • pp.51-61
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    • 2016
  • Background : Chemotherapy-induced peripheral neuropathy (CIPN) is a common adverse effect in cancer patients who were exposed to chemotherapy. CIPN impacts on the quality of life and could delay chemotherapy. The aim of this review was to assess the therapeutic effectiveness of herbal medicine in CIPN patients. Methods : Randomized controlled trials (RCTs) were included in this review. We searched MEDLINE, Cochrane database, EMBASE, CNKI, Wanfang and four Korean databases without restrictions on time or language. The risk of bias was assessed using the Cochrane risk of bias tool. Results : Eleven RCTs involving 706 patients met the inclusion criteria. Eleven different herbal medicines were examined in the included trials. Almost RCTs showed insufficiency in the reporting randomization method and allocation concealment. One trial used allocation concealment and a double-blinding method. Five studies reported that participants dropped out of RCTs and conducted an 'as-treated analysis'. One trials reported adverse effects of herbal medicine. In ten of the eleven trials, the use of herbal medicine had shown significant differences in clinical symptoms or nerve conduction velocity. Conclusions : The use of herbal medicines for CIPN showed significant improvements in the management of CIPN. However, conclusions cannot be drawn because of the generally low quality of methodology and low quantity of data for each single herbal medicine. Further rigorous trials are needed.

Apoptosis of MCF7 Cells Treated with PKC Inhibitors and Daunorubicin

  • Park, Won-Chul;Son, Joo-Young;Chung, Sook-Hyun;An, Woon-Gun
    • Preventive Nutrition and Food Science
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    • 제7권2호
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    • pp.128-132
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    • 2002
  • The present study was performed to observe the role of protein kinase C (PKC) inhibitors (H-7, staurosporine) and daunorubicin in the cell death process of MCF7 cells; and examined whether or not the type of induced cell death was apoptosis. The usefulness of the combined therapy of PKC inhibitors and daunorubicin to improve the adverse effect of daunorubicin was also investigated. Cell death was induced by treatment with PKC inhibitors or daunorubicin. Characteristic morphologic features of cell shrinkage, chromatic condensation, and cytoplasmic vacuolization were observed. These treatments also stimulated the cleavage of poly-(ADP-ribose) polymerase (PARP), an early event in apoptosis. With slight differences in the percentage of apoptosis-induced cells, staurosporine, H-7 and daunorubicin effectively induced apoptosis in MCF7 cells. Furthermore, combined treatment of PKC inhibitors and daunorubicin significantly drove the cells into an apoptotic state. Hence, our results revealed the possible therapeutic value of combined therapy for the prevention of drug resistance and adverse side effects.

성인에서 편도적출술후 정맥내 동통자가조절법에 의한 동통조절 효과 (Effect of Intravenous Patient Controlled Analgesia for Postoperative Pain in Adult Tonsillectomy)

  • 정필섭
    • 대한기관식도과학회지
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    • 제4권2호
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    • pp.171-176
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    • 1998
  • Postoperative pain following tonsillectomy remains a significant obstacle to speedy recovery and smooth convalescence. Inadequate analgesia causes poor oral intake and influences the length of hospital stay and ability to return to normal activity. Patient Controlled Analgesia (PCA) is a method of analgesia adminstration that consists of a computer driven pump with a button that the patient may press to adminster a small dose of analgesic drug. The aim of this study was to examine whether Intravenous Patient Controlled Analgesia (IV-PCA) can reduce postoperative pain after tonsillectomy. The 100 patients undergoing tonsillectomy with general anesthesia were divided into two groups. The PCA group patients (n=80) received a mixture of nalbuphine and ketorolac by Walkmed PCA infusor during first 48 postoperative hours. In control group (n=20), the patients received oral acetoaminophen (Tyrenol) regularly and tiaprofenic acid (Surgam) intramuscularly on a p.r.n basis. Analgesic efficacy was evaluated with visual linear analogue scale (VAS) and the adverse effects were evaluated with 4 point scale. The patients of PCA group had less pain than those of control group. The adverse effects in the PCA group were nausea and vomiting. This study suggests that IV-PCA may be safe and effective method of pain control after adult tonsillectomy and is better accepted than oral or intramuscular pain medications.

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인공개재물 이식법을 통한 항공기용 티타늄 주물의 피로설계 (An Artificial Inclusion Seeding Methodology for Fatigue Design of Aerospace Ti Castings)

  • ;박용국;김진곤
    • 한국주조공학회지
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    • 제26권4호
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    • pp.184-190
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    • 2006
  • Presence of inclusions in Ti castings imparts detrimental effects on the mechanical performance of castings. However, actual inclusions do not occur very frequently and they are difficult to locate. As a result, acquirement of specimens for mechanical tests and thus in-depth research of the adverse influence of inclusions are challenging. To address this problem, artificial inclusion seeding methodology is developed to emulate actual inclusions in Ti investment castings. Firstly, to validate that this new methodology does not result in inherent mechanical property degradation, Ti specimens with machined, backfilled and HIPed holes are produced and compared to control (unaltered), cast Ti material. Fatigue test results indicate that this 'machine-and-HIP methodology without seeding' does not result in any fundamental mechanical property alteration, which would bias ensuing comparative results. Secondly, based on this result, validation of the artificially seeded inclusions being equivalent to 'as cast' inclusions is performed by comparing their fatigue behaviors. Test specimens created by the novel artificial inclusion seeding methodology are equivalent to Ti casting specimens containing actual cast-in inclusions, and an adverse effect of inclusions in investment castings is confirmed.

Rediscovery of Nefopam for the Treatment of Neuropathic Pain

  • Kim, Kyung Hoon;Abdi, Salahadin
    • The Korean Journal of Pain
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    • 제27권2호
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    • pp.103-111
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    • 2014
  • Nefopam (NFP) is a non-opioid, non-steroidal, centrally acting analgesic drug that is derivative of the nonsedative benzoxazocine, developed and known in 1960s as fenazocine. Although the mechanisms of analgesic action of NFP are not well understood, they are similar to those of triple neurotransmitter (serotonin, norepinephrine, and dopamine) reuptake inhibitors and anticonvulsants. It has been used mainly as an analgesic drug for nociceptive pain, as well as a treatment for the prevention of postoperative shivering and hiccups. Based on NFP's mechanisms of analgesic action, it is more suitable for the treatment of neuropathic pain. Intravenous administration of NFP should be given in single doses of 20 mg slowly over 15-20 min or with continuous infusion of 60-120 mg/d to minimize adverse effects, such as nausea, cold sweating, dizziness, tachycardia, or drowsiness. The usual dose of oral administration is three to six times per day totaling 90-180 mg. The ceiling effect of its analgesia is uncertain depending on the mechanism of pain relief. In conclusion, the recently discovered dual analgesic mechanisms of action, namely, a) descending pain modulation by triple neurotransmitter reuptake inhibition similar to antidepressants, and b) inhibition of long-term potentiation mediated by NMDA from the inhibition of calcium influx like gabapentinoid anticonvulsants or blockade of voltage-sensitive sodium channels like carbamazepine, enable NFP to be used as a therapeutic agent to treat neuropathic pain.