• Title/Summary/Keyword: adverse effect

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Speech Outcome after Closure of Oronasal Fistula Following Cleft Palate Repair: A report of a case (구개봉합술 후 발생한 구비강누공의 폐쇄 후 말소리 결과 : 증례보고)

  • Seo, Min-Gyo;Kim, Da-Wa;Kim, Eun-Ju;Yoon, Bo-Keun;Kim, Seong-Il;Leem, Dae-Ho;Ko, Seung-O;Moon, Seung-Young;Kim, Hyun-Ki;Shin, Hyo-Keun
    • Korean Journal of Cleft Lip And Palate
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    • v.12 no.1
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    • pp.1-6
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    • 2009
  • Oronasal fistula are a well-known complication of surgical treatment of cleft palate, occurring most frequently in the alveolus and hard palate. Previous reports have demonstrated that oronasal fistulas, particularly if greater than l cm in diameter, had an adverse effect on speech. The aim of this study was to demonstrate the relationship between the size of the fistula and the influence on velopharyngeal function. The site and size of the fistula were indicated on graph paper with calipers and measured in $mm^2$. Speech assessment was carried out using a Nasometer, VPI articulation differential test, spectrography. Patient whose fistulas affected their speech had significantly larger fistulas than those whose fistulas did not. The study shows that the larger the fistula, the greater the risk of hypernasality and nasal emission, but even small fistulas can cause speech problems. If obstruction of the nasal passage is eliminated in a patient with a previously asymptomatic fistula, it may result in a fistula becoming symptomatic, resulting in hypernasality and nasal emission. In conclusion, even small fistulas can influence speech production and should be considered before any treatment is planned. The study lends support to early closure of oronasal fistulas, particularly before pharyngeal flap surgery is contemplated.

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Subacute Oral Toxicity Evaluation of Freeze-Dried Powder of Locusta migratoria

  • Kwak, Kyu-Won;Kim, Sun Young;An, Kyu Sup;Kim, Yong-Soon;Park, Kwanho;Kim, Eunsun;Hwang, Jae Sam;Kim, Mi-Ae;Ryu, Hyeon Yeol;Yoon, Hyung Joo
    • Food Science of Animal Resources
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    • v.40 no.5
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    • pp.795-812
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    • 2020
  • Novel food sources have enormous potential as nutritional supplements. For instance, edible insects are considered as an alternative food source due to their higher protein content; moreover, they are economically efficient reproducers and have high in nutritional value. In this study, we investigated the toxicity of the freeze-dried powder of Locusta migratoria (fdLM), known to contain rich proteins as well as fatty acids. The objective of the present study was to evaluate the subacute toxicity of fdLM in male and female Sprague-Dawley (SD) rats. The SD rats were divided into four groups based on the dosage of fdLM administered: dosage of 0 (vehicle control), 750, 1,500, and 3,000 mg/kg/day were administered for 28 days. Toxicological assessments including observations on food consumption, body and organ weights, clinical signs, mortality, ophthalmologic tests, urinalyses, hematologic tests, clinical chemistry tests, gross findings, and histopathology tests were performed. Clinical signs, urinalyses, hematology, serum biochemistry tests, and organ weight examinations revealed no fdLM-related toxicity. The no-observed-adverse-effect level for fdLM was higher than 3,000 mg/kg/day in rats of both sexes; therefore, fdLM, in conclusion, can be considered safe as an edible alternative human and animal food source material.

Analysis of Water Cycle Effect according to Application of LID Techniques (LID 기법 적용에 따른 물순환 효과분석)

  • Lee, Jungmin;Lee, Yun;Choi, Jongsoo
    • Journal of Wetlands Research
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    • v.16 no.3
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    • pp.411-421
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    • 2014
  • At present, the development in rainwater management approach is still insufficient due to the numerous adverse effects of urbanization. Storm water management is being developed to restore the natural state of water cycle undergoing several processes which were hindered such as infiltration and evapotranspiration. Low Impact Development (LID) was established in order to reduce the negative effects of urbanization to our environment. These developments can be used to respond to the effects of climate change such as heat island phenomenon. The effects of the development of new town in the district plan with application of LID facilities were studied and reported. Typically, LID facilities were applied in small scale development and were rarely used in large-scale development. Most of studies, however, did not assessment the effects of large-scale development projects with LID application to the natural water cycle. This study was conducted to simulate the urban hydrologic cycle simulation on Asan-Tangjeong in Korea. This study may be used in urban hydrologic cycle simulation and establishment of an urban water management plan in the future. Lastly, this study generated a model using the recently updated SWMM5 which determined the hydrologic cycle simulation after installation of LID facilities.

Clinical Study on Food Safety evaluation of Panax ginseng (고려인삼의 식품 안전성에 관한 임상 연구)

  • Kim, Dong Hwi;Xu, Yong Hua;Kim, Young Chang;Bang, Kyong Hwan;Kim, Jang Uk;Cha, Seon Woo;He, Zhong Mei;Yang, He;Jang, In Bok;Zhang, Lian Xue
    • Korean Journal of Medicinal Crop Science
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    • v.23 no.3
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    • pp.185-189
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    • 2015
  • In this study, the clinical safety and toxicology of oral ingestion of supplement capsules containing ginseng radix was investigated in healthy young volunteers. This study was a pilot randomized, double blinded, placebo controlled trial. The healthy volunteers were divided into 6 groups of 20 each (10 males and 10 females). They took the ginseng powder for 35 days (3g/day) for safety evaluation. There were measured general healthy levels such as hematological, biochemical and electrocardiographic parameters. After the first week, besides Korean white ginseng the other treatments led to an significant increase of white blood cells. Korean red ginseng increased UREA (blood urea nitrogen) in healthy volunteers, but it didn't exceed the range of normal values, and in the subsequent process of treatment there is no effect of elevating UREA. After the three weeks, Korean white ginseng showed relatively low the content of blood glucose and low-density lipoprotein cholesterol. After the five weeks, compared with the other treatments, Korean red ginseng increased white blood cells, platelet distribution width and average volume of platelet. Korean white ginseng decreased low-density lipoprotein cholesterol. American ginseng decreased blood creatinine in healthy volunteers. In conclusion, through test the blood routine, urine routine, liver function, renal function, blood glucose, blood lipid and electrocardiogram, the healthy volunteers continuous taking ginseng for 35 days (3 g/day) is safe and reliable, and have no obvious adverse reactions and side effects.

A Study on the Optimum Design of Horizontal Collectors in Floodplain Filtration (홍수터여과에서 집수관의 최적설계 연구)

  • Pi, Seong-Min;Kim, Seung-Hyun
    • Journal of Korean Society of Environmental Engineers
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    • v.34 no.6
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    • pp.430-437
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    • 2012
  • In order to obtain information on the design parameters of the horizontal laterals in floodplain filtration, laboratory-scale sand-box experiments were performed where the head distributions on the laterals and the groundwater profiles were measured according to the change in parameters including lateral diameter, hydraulic conductivity of the sand, water level at the well and raw-water supply rate. Measured data were analyzed using a numerical code in order to identify the discharge intensity distribution along the laterals. It was observed from the result that the lowering of the water level at the well had minimal adverse effect on the performance of the floodplain filtration. Results also elucidated that the low conveyance of the laterals to transmit the filtrate was compensated and supplemented by a natural augmentation in horizontal conveyance through the aquifer when the raw-water supply rate exceeded the adequate recovery rate. With this mechanism, the water quality is expected to improve further since the travel distance through the aquifer is amplified. Based on these findings it can be suggested that the diameter of the lateral used in the floodplain filtration may be smaller than those in riverbank/bed filtration. It was also found that the ratio between the head loss occurring in a lateral and the total head loss in the floodplain filtration was proportional to the exit velocities of the laterals, which may be used to design and/or evaluate the lateral in floodplain filtration.

The Effect of Trust and Justice on Relation Satisfaction and Long-term Commitment in Franchise Business (가맹본부에 대한 신뢰와 공정성이 관계만족과 장기적 결속에 미치는 영향)

  • Lyu, Myoung-Keun;Yang, Hoe-Chang
    • Journal of Distribution Science
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    • v.11 no.1
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    • pp.25-34
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    • 2013
  • Purpose - This study examines the adverse press coverage that has increased in proportion to the remarkable growth of various kinds of franchise businesses in the food service industry. Today, the trust of franchisees in relation to their franchisor, and the maintenance of good relations between the two, has become a significant social issue. This study investigates relationship satisfaction and the long-term commitment between the franchisor and franchisee. Research design, data, methodology - We used a path analysis to investigate the relationship between justice and trust, trust and relationship satisfaction, justice and relationship satisfaction, trust and long-term commitment, and relationship satisfaction and long-term commitment. Structural Equation Modeling and a Sobel test were used to investigate the mediating effects of trust and relationship satisfaction. Data were collected from 237 Food Franchisees in Seoul and Gyeonggi Province in order to test the theoretical model and its hypotheses. Two research methodologies are generally used in the distribution management field. For this study, an empirical method was used. Results - A causal analysis was carried out to test if the research model has a sufficient fit index (for instance, χ2 = 46.694, df = 10, p = .000, GFI = 0.946, AGFI = 0.850, RMR = 0.034, NFI = 0.966, CFI = 0.973), and the results showed that the model was sufficient, thus demonstrating the suitability of the research model. Each hypothesis had a positive influence, both on long-term commitment and relationship satisfaction. Justice with the franchisor had a positive influence on trust. Relation satisfaction cognized by franchisees was found to positively influence long-term commitment. The franchisee perception of justice in relation to the franchisor had no significant influence on long-term commitment. The study investigated the hypothesis that trust could mediate justice and long-term commitment, and that relationship satisfaction could also mediate long-term commitment Both trust and relationship satisfaction were found to be important for long-term commitment. Specifically, trust sub-factors and justice sub-factors influenced long-term commitment. Identification-based and knowledge-based trust were more important than calculus-based trust. Distributive justice was deemed more important than procedural justice; distributive justice should thus be strengthened. Conclusions - Both franchisor and franchisee were independent businesses. Evidently however, the franchisor could not ensure profit without long-term commitment from the franchisee. As for the success of the franchise business, the franchisor should carry out appropriate strategies leading to a satisfactory relationship. For example, transparency makes it possible to maintain and enhance trust and to improve relationship satisfaction. Just relations between franchisor and franchisee should make it possible to maintain and enhance the franchisee's trust. The franchisor should provide a variety of information with respect to the franchisee's business success. Finally, in order to improve the franchisee's long-term commitment, the franchisor should ensure a just approach with trust and relationship satisfaction among their strategies.

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Effects of Perilla Oil on the Levels of Plasma Lipids and Other Biochemical Paramaters in Rats (들깨기름을 투여한 흰쥐의 혈액 지질량과 그외 혈액성분 변화 고찰)

  • 서화중
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.30 no.4
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    • pp.703-709
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    • 2001
  • To compare the hypolipidemic effects of perilla oil with different kinds of dietary fat and oil forty eight 20 days old male Wistar rats were fed one of the following diets for 4 weeks: basal diet for control containing 9.4 w/w% corn oil(CO), 9.4 w/w% beef tallow (BO), 9.4 w/w% perilla oil(PO) and 4.7 w/w% beef tallow plus 4.7% perilla oil(BP). The amount of diet consumed and body weight gain rate were not significantly different among the four dietary groups. The levels of plasma triglyceride and total cholesterol in PO group were significantly lower than those of BO and BP groups. PO group also had significantly lower LDL-cholesterol in BP group were than other groups. The levels of plasma triglyceride tatal-cholesterol and LDL-cholesterol in BP group were significantly lower than those in BO group by 9.2%, 10.3% and 18.6% respectively. Plasma glutamic oxaloacetic transferase and alkaline phosphatase activities and uric acid levels in PO group were significantly higher than other groups and were somewhat beyond the normal levels. These findings showed that perilla oil with hypolicpidemic effects could have some adverse effects on hepatic and other organic functions in rats.

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Repeated-Dose Toxicity Study of Pediococcus pentosaceus MD1, an Anti-Helicobacter pyroli Activity Lactic Acid Bacteria Isolated from Kimchi, in Rats (김치로부터 분리한 Helicobacter pyroli 억제능 유산균 Pediococcus pentosaceus MD1의 흰쥐에 대한 반복투여독성 연구)

  • Lee, Jae-Joon;Lee, Yu-Mi;Chang, Hae-Choon;Lee, Myung-Yul
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.36 no.8
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    • pp.975-982
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    • 2007
  • The purpose of this study was to investigate repeated-dose toxicity in male and female rats orally administered with Pediococcus pentosaceus MD1, an anti-Helicobacter pyroli producing lactic acid bacteria isolated from kimchi. Sprague-Dawley rats were divided into 4 groups, 10 animals in each group. The test article was administered once daily by gavage to rats at dose levels of 0, 500, 1,000 and 2,000 mg/kg for 4 weeks. No test article-related deaths and clinical findings in both sexes of rats during the study period were resulted. In addition, no differences were found between control and treated groups in body weight changes, food intake consumption and water consumptions. Hematological parameters, serum biochemical analysis and any other findings did not also show any significant or dose-dependent alterations. There were no alterations in absolute and relative organ weights by the administration of Pediococcus pentosaceus MD1. These results suggest that no-observed-adverse-effect level (NOAEL) of Pediococcus pentosaceus MD1 is considered to be more than 2 g/kg in male and female rats.

Toxicity of Aristolochiae radix in F344 rats (청목향 Aristolochiae radix에 있어 F344 랫드의 독성)

  • Kim, Choong-Yong;Kim, Yong-Bum;Yang, Byung-Chul;Lee, Jong-Hwa;Chung, Moon-Koo;Yang, Ki-Hwa;Jang, Dong-Deuk;Han, Sang-Seop;Kang, Boo-Hyon
    • Korean Journal of Veterinary Research
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    • v.45 no.1
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    • pp.29-37
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    • 2005
  • 13-week orally repeated dose toxicity was investigated to ascertain the toxic effects of Aristolochiae radix in F344 rats at dose levels of 0, 1 (0.003 AA, aristolochic acid, mg/kg), 5 (0.014 AA mg/kg), 25 (0.068 AA mg/kg), 125 (0.34 AA mg/kg), and 500mg/kg (AA 1.36 mg/kg). No mortalities were found in any of the dose groups including vehicle control groups of both sexes during the study period. Hematologic and serum biochemical examinations revealed no changes related to the test item in any of the dose groups of both sexes. However, gross findings at necropsy implicated thickening of the stomach wall. In histopathological examinations, prominent findings related to the test item treatment were observed in the stomach and urinary bladder. There were squamous cell papilloma, squamous cell hyperplasia, ulceration and erosion observed in the non-glandular stomach. Squamouse cell hyperplasia was observed at dose levels of more than 125 mg/kg in both sexes and squamous cell papilloma was observed at dose level of 500 mg/kg in both sexes. The incidence and severity of these proliferating lesions including squamous cell hyperplasia and squamous cell papilloma increased with dose dependency. Transitional cell hyperplasia was also observed in the urinary bladder at dose levels of more than 25 mg/kg in both sexes and the incidence and severity of the lesion increased with dose dependency. In conclusion, the toxic changes related to the test item treatment were observed in the stomach and urinary bladder, and the no-observed-adverse-effect level (NOAEL) was estimated to be 5 mg/kg/day for both males and females in F344 rats.

Systematic Review : Comparative Safety and Efficacy of Mono- and Combination Therapy of Anti-hypertensive Agents Acting on the Renin-Angiotensin System (레닌-안지오텐신계에 작용하는 항고혈압 약제의 단독요법과 병용요법의 안전성 및 유효성에 대한 체계적 문헌고찰)

  • Choi, Kyung-Eob;Kim, Hyun-Kyung
    • Korean Journal of Clinical Pharmacy
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    • v.21 no.4
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    • pp.364-375
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    • 2011
  • Given that single blockade with angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin receptor blockers (ARBs) can achieve only partial and undurable suppression of the Renin Angiotensin System (RAS), it has been hypothesized that dual blockage would be more beneficial in the management of blood pressure (BP) reduction and prevention of progressive chronic kidney disease (CKD) than either agent alone. Thus, it has been suggested that the combination of an ACEI and an ARB might provide renal benefits to hypertensive patients over and above BP reduction. However, this might also expose patients to additive or synergistic side effects. We attempted to conduct a systematic review to evaluate the benefits and harms of combination therapy in hypertensive patients with or without kidney diseases. MEDLINE and KoreaMed were searched for relevant randomized clinical trials in adult hypertensive patients with or without diabetes (restricted to 1997, limited to trials published in English). Results were summarized using the random-effects model, and between-studies heterogeneity was estimated with $I^2$. A final analysis of ten trials (23,928 patients) revealed that the combination of an ACEI and an ARB reduced blood pressure (SBP/DBP) by 3.95/2.02 mmHg (95% confidence interval [CI], -4.38 to -3.53/-2.33 to -1.71) compared with ACEI monotherapy, and 2.83/2.64 mmHg (95% CI, -3.25 to -2.41/-4.95 to -0.33) compared with ARB monotherapy. Eight trials (391 patients) demonstrated a significant reduction in 24h-proteinuria (weighted mean difference, 0.16 g/day, 95% CI, -0.26-0.05), but they did not translate into an improvement in GFR. Tests for heterogeneity showed no difference in effect among the studies. The combination therapy reduced proteinuria by 30% (95% CI, 23% to 37%) and 39% (95% CI, 31% to 48%) compared with ACEI monotherapy and ARB monotherapy, respectively. However, in patients who had proteinuria more than 0.5 g/day, the combination therapy failed to show significant reduction in urinary protein excretion. The current cumulative evidence suggests that diabetic patients with proteinuria on dual RAS blockade have an increase risk of adverse events such as hyperkalemia, hypotension, and so on, compared with ACEI or ARB alone. It is, therefore, proposed that the combination therapy should not be routinely used for the treatment of hypertension with or without compelling indications.