• 제목/요약/키워드: drug use evaluation

검색결과 256건 처리시간 0.03초

Establishment of a library of fragments for the rapid and reliable determination of anabolic steroids by liquid chromatography-quadrupole time of flight-mass spectrometry

  • Do, Jung-Ah;Noh, Eunyoung;Yoon, Soon-Byung;Choi, Hojune;Baek, Sun-Young;Park, Sung-Kwan;Lee, Sang-Gyeong
    • 분석과학
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    • 제30권1호
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    • pp.10-19
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    • 2017
  • Anabolic steroids have similar structures to testosterone, both of which promote the growth of muscle mass and increase strength. However, the side effects of anabolic steroid use may lead to heart attacks or strokes. Additionally, the excessive use of steroids inhibits the production of the sex hormones in the body via a negative feedback loop, which results in testicular atrophy in males and amenorrhea in females. Currently, the method of choice used to test for the presence of anabolic steroids is GC-MS. However, GC-MS methods require chemical derivatization of the steroid sample to ensure compatibility with the analytical method; therefore, analysis of many different samples is difficult and time consuming. Unlike GC-MS, the liquid chromatography-quadrupole-time of flight mass spectrometry (LC-Q-TOF-MS) method is suitable for many samples. Twenty-two different anabolic steroids were analyzed by LC-Q-TOF-MS with various collision energies (CE). Accurate mass spectral data were obtained using a Q-TOF-MS equipped with an electro-spray ionization source and operated in the positive MS/MS mode for several classes of steroids that are often the targets of testing. Based on the collected data, fragmentation pathways were carefully elucidated. The high selectivity and sensitivity of the LC-Q-TOF-MS instrument combined with these fragmentation pathways offers a new approach for the rapid and accurate screening of anabolic steroids. The obtained data from the 22 different anabolic steroids will be shared with the scientific community in order to establish a library to aid in the screening of illegal anabolic steroids.

HPLC-UVD를 이용한 농산물 중 Imazapyr의 공정분석법 확립 (Development of an Official Analytical Method for Determination of Imazapyr in Agricultural Commodities using HPLC-UVD)

  • 장진;김희정;고아영;이은향;주윤지;김진홍;장문익;이규식
    • 농약과학회지
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    • 제19권1호
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    • pp.5-13
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    • 2015
  • 농산물 중 잔류농약의 안전관리를 위해 2014년 신규 기준설정 농약인 imazapyr의 분석법을 개발하였고 분석법의 정확성, 재현성, 정밀성, 선택성, 직선성에 대한 검증을 통하여 잔류농약 분석을 위한 공정분석법으로서의 유효성을 검증하였다. Imazapyr는 imidazolinone계 화합물로 아미노산의 생성을 억제하여 잡초의 생장을 방제하는 제초제이다. Imazapyr는 CODEX를 포함한 미국, 일본 등에서 잔류허용기준(MRL)이 설정되어 있으며, 우리나라에서도 대두에 대해 잔류허용기준을 설정할 예정이다. 비록 기준은 대두에 우선 설정되지만 농산물 전반에 대한 안전관리를 위해 곡류, 콩류, 채소류, 과일류, 서류에 대한 분석법를 개발하였고, 각 농산물군의 대표작물인 대두, 고추, 감귤, 현미, 감자 시료에 대해 분석법을 개발하였다. 시료 중 imazapyr를 methanol을 이용해 추출하고 dichloromethane으로 액-액 분배하여 극성 간섭물질을 제거하였으며, 현미 및 대두 등 유지시료의 경우 n-hexane/acetonitrile 분배법을 적용하여 유지성분을 추가로 제거하였다. 분석기기로는 Imazapyr의 낮은 증기압과 UV 파장의 빛에 대한 흡광성을 감안하여 HPLC-UVD를 사용하였다. 확립된 분석법에서 검량선의 상관계수($r^2$)는 0.99% 이상으로 우수한 직선성을 보였으며, 5개 대표 농산물에 imazapyr를 3개 농도에서 5회 반복하여 수행한 결과 회수율은 72.1-108.0%이었고 분석오차는 10% 미만으로 잔류농약 분석을 위한 CODEX 가이드라인(CAC/GL 40, 2003)에 적합하였다. 본 연구에서 확립된 분석법은 식품 중 imazapyr의 안전관리를 위한 공정분석법으로 사용될 것이다.

Effect of Xenogeneic Substances on the Glycan Profiles and Electrophysiological Properties of Human Induced Pluripotent Stem Cell-Derived Cardiomyocytes

  • Yong Guk, Kim;Jun Ho Yun;Ji Won Park;Dabin Seong;Su-hae Lee;Ki Dae Park;Hyang-Ae Lee;Misun Park
    • International Journal of Stem Cells
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    • 제16권3호
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    • pp.281-292
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    • 2023
  • Background and Objectives: Human induced pluripotent stem cell (hiPSC)-derived cardiomyocyte (CM) hold great promise as a cellular source of CM for cardiac function restoration in ischemic heart disease. However, the use of animal-derived xenogeneic substances during the biomanufacturing of hiPSC-CM can induce inadvertent immune responses or chronic inflammation, followed by tumorigenicity. In this study, we aimed to reveal the effects of xenogeneic substances on the functional properties and potential immunogenicity of hiPSC-CM during differentiation, demonstrating the quality and safety of hiPSC-based cell therapy. Methods and Results: We successfully generated hiPSC-CM in the presence and absence of xenogeneic substances (xeno-containing (XC) and xeno-free (XF) conditions, respectively), and compared their characteristics, including the contractile functions and glycan profiles. Compared to XC-hiPSC-CM, XF-hiPSC-CM showed early onset of myocyte contractile beating and maturation, with a high expression of cardiac lineage-specific genes (ACTC1, TNNT2, and RYR2) by using MEA and RT-qPCR. We quantified N-glycolylneuraminic acid (Neu5Gc), a xenogeneic sialic acid, in hiPSC-CM using an indirect enzyme-linked immunosorbent assay and liquid chromatography-multiple reaction monitoring-mass spectrometry. Neu5Gc was incorporated into the glycans of hiPSC-CM during xeno-containing differentiation, whereas it was barely detected in XF-hiPSC-CM. Conclusions: To the best of our knowledge, this is the first study to show that the electrophysiological function and glycan profiles of hiPSC-CM can be affected by the presence of xenogeneic substances during their differentiation and maturation. To ensure quality control and safety in hiPSC-based cell therapy, xenogeneic substances should be excluded from the biomanufacturing process.

고시의약품 시험에 사용되는 유해시약 대체 시험법 개발 (Development of Alternative Testing Methods without Hazardous Reagents used in Korean Pharmaceutical Codex)

  • 김희연;강현경;최선희;방수진;한경진;최승희;김진희;이화정;강찬순
    • 약학회지
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    • 제54권2호
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    • pp.142-149
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    • 2010
  • Development of alternative testing methods for the replacement of hazardous reagents with less hazardous ones is strongly enforced because exposure of human and environment to hazardous reagents are restricted and hazardous reagents are gradually prohibited from using in various testing methods. Thus, in this study, we developed 8 monographs from the Korean Pharmaceutical Codex by substituting the use of the hazardous reagents including ICH class 1 such as benzene, chloroform and dioxane to the use of less toxic ones like ICH class 2 or 3 reagents. We also improved their qualification and quantification performance. Among 8 monographs, the 6 newly developed TLC methods for the identification of nifedipine, oxolamine citrate, ketoprofen lysinate, chlorquinaldol, retinol acetate, and riboflavin showed a clear spot of corresponding material without any interference in spite of the replacement with ICH class 2 or 3 reagents. For the quantification of domperidone and trimebutine, HPLC methods were developed for the substitution of UV/VIS spectrometry and titrimetry, respectively. These HPLC methods were validated for the linearity, recovery, reproducibility, and inter-laboratory variations. In conclusion, the newly developed methods could be expected to become valuable tools for revising the Korean Pharmaceutical Codex.

입원환자에 대한 Ceftazidime의 약물사용 검토 (Drug Use Evaluation on Ceftazidime)

  • 김상현;최현숙;김향숙;신완균;손인자;조남춘;최강원
    • 한국의료질향상학회지
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    • 제1권1호
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    • pp.44-54
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    • 1994
  • 약물사용검토는 약물을 적합하고, 안전하며, 효과적으로 사용하기 위해 고안된 권위 있는 질 보장 제도로 정의된다. Ceftazidime에 대한 약물사용검토는 이를 시행함으로써 ceftazidime사용의 합리성을 찾고자 하였으며, ceftazidime의 약물사용검토는 미국병원 약사회에 의해 설정된 ceftazidime에 대한 약물사용검토 criteria를 근간으로 변화시켜 사용하였고, 1993년 1월1일부터 1993년 7월31일까지 서울대학교 병원에 입원하여 ceftazidime으로 약물치료를 받은 환자 60명의 의무기록을 후향적으로 검토하는 방법을 사용하였다. 연구결과, 사용의 정당성에 관한 항목에서는 73%, 사용시 지켜 주거나 시행되어야 할 사항에 관한 항목중 배양과 감수성 시험, 간 기능 검사, 첫 약물투여전 과민반응 약물검사등은 80%이상의 적합율을 받았다. 치료효과 판정 및 사용결과에 대한 검토항목에서는 약물사용 중지후 감염의 완전한 퇴치여부를 확인하는 항목에서는 46%의 적합율을 보이고 있다. 결과적으로 Pseudomonas aeruginosa에 ceftazidime사용은 유용하게 쓸 수 있는 다른 약물을 먼저 사용한 후 ceftazidime은 좀 더 신중하게 선택하고, 또한 심각한 부작용을 막기 위해 더욱 적극적인 검사 및 모니터링이 요구된다.

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LC-MS/MS를 이용한 농산물 중 Fluoroimide의 잔류농약 분석법 개선 (Improvement of an Analytical Method for Fluoroimide Residue in Agricultural Products Using LC-MS/MS)

  • 김남영;박은지;심재한;이정미;정용현;오재호
    • 한국식품위생안전성학회지
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    • 제36권3호
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    • pp.220-227
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    • 2021
  • Fluoroimide는 감과 감자의 둥근무늬낙엽병과 역병을 억제하는데 효과가있는 살진균제로서, 이전 사용되었던 fluoroimide의 시험법은 전처리시 발암물질인 benzene을 사용하는 문제가 있었으며, 복잡한 시험법으로 인해 시간이 오래걸리고 효율이 떨어지는 단점이 있었다. 또한, fluoroimide의 특성상 산성에서 안정한 편이므로 전처리 시 이를 고려해야 하는 문제가 있었으며, PLS시행에 따라 기존의 정량한계인 0.05 mg/kg보다 낮은 정량한계 요구로 인해 fluoroimide에 대한 새로운 전처리방법이 필요하였다. Fluoroimide가 산성에서 안정한 특성을 고려하여, 추출 시 4N의 염산을 사용하였고 용매는 acetic acid가 포함된 acetonitrile을 사용하였으며, MgSO4와 NaCl을 통해 추출하였다. 정제는 C18 (Octadecylsilane)과 GCB (graphitized carbon black)를 첨가하여 정제하였으며, 기기분석은 LC-MS/MS로 분석하였다. 대표농산물 5종(현미, 감자, 대두, 감귤, 고추)을 대상으로 정량한계(0.01 mg/kg), 정량한계 10배(0.1 mg/kg), 정량한계 50배(0.5 mg/kg)의 수준으로 회수율 실험을 5반복 실시하였으며, 그 결과는 농산물 5종에서 85.7-106.9%의 회수율을 확인하였으며, 분석오차는 15.6% 이하의 결과를 보여, 국제식품 규격위원회 가이드라인의 잔류농약 분석 기준 및 '식품등 시험법 마련 표준절차에 관한 가이드라인(2016)'에 부합하였다. 상기의 결과를 통해 개선한 fluoroimide의 시험법은 benzene을 대체해 실험자의 안전성을 확보하였고, QuEChERS법을 적용하여 효율을 높여, 안전관리에 대한 공정시험법으로서 활용가능할 것으로 사료된다.

의료용 마약류 진통제 처방자와 조제자의 마약류통합관리시스템 사용경험에 관한 질적 연구 (Qualitative Study on the Narcotics Information Management System (NIMS) Experience of Doctors and Pharmacists Using Narcotic Analgesics)

  • 김진이;신영전
    • 한국임상약학회지
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    • 제33권1호
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    • pp.22-34
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    • 2023
  • Background: With the increasing use of narcotic analgesics, the Ministry of Food and Drug Safety has been operating the National Narcotics Information Management System (NIMS) since 2018 in Korea. Some studies are related to the narcotic analgesics use, but the evaluation studies of system, including NIMS users are insufficient. Objective: This study evaluated the NIMS enforcement process through in-depth interviews on the experience of using NIMS of doctors and pharmacists who prescribe or dispense opioid analgesics. Methods: Participants in this study were selected through purposeful sampling as three doctors and two pharmacists in the metropolitan area. The interviews were conducted from August 27 to October 19, 2022. Each interview was analyzed using a phenomenological method. Results: Six components of this study included "Doctors and pharmacists come across drug abusers", "They respond individually to drug abusers", "They use NIMS tailored to the needs of system managers", "They are concerned about the role of NIMS in practice settings", "They face challenges against drug abusers" and "They find a way to utilize the system to deal with drug abusers." The interviews confirmed that doctors and pharmacists used NIMS little in their work, and they only reported data. Therefore, it might be difficult for doctors and pharmacists to take measures for the safe use of narcotic analgesics. Conclusion: It is likely that adding data-feedback and medication-check function can reduce the abuse of narcotic analgesics. In the future, further studies on the evaluation of the empirical results of NIMS and review of systems in other countries will be required.

외과계 입원환자에 대한 Vancomycin의 약물사용 평가 (Drug Use Evaluation of Vancomycin in Hospitalized Patients of Surgery Departments)

  • 이영미;최경업
    • 한국임상약학회지
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    • 제9권1호
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    • pp.35-43
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    • 1999
  • Over the last 50 years, a number of antibiotic agents have been developed and clinically used in the area of infectious diseases. Due to antimicrobial resistance problems and increasing health care costs, the rational use of antibiotics has been required. As a drug of choice to treat infections caused by MRSA, vancomycin has been extensively prescribed since the late 1970's. Recently, reports of vancomycin-resistant organisms such as VRE and VRSA have been increased to draw medical concerns. The objectives of this study were to evaluate the rational use of vancomycin and the appropriateness of the Restrictional Program of Antibiotic Utilization (RPAU) which has been operated at Samsung Medical Center. A retrospective chart review was performed in 132 hospitalized patients treated with vancomycin in the surgery departments from. January to June 1998. The guidelines of ASHP and HICPAC for vancomycin were modified and used as our criteria to determine the vancomycin DUE. In one hundred out of the patients, uses of vancomycin were approved by the Department of Infectious Diseases (DID) based on the RPAU. Vancomycin was appropriately used in $62.5\%$ of the 100 patients according to the criteria of justification of use, while $60.0\%,\;60.0\%,\;79.0\%,\;and\;51.0\%$ of the patients showed appropriate according to those of lab reports such as applicable culture obtained, pretreatment SCr, WBC and serum drug concentration monitoring, respectively. Although the rest 32 patients were not approved to receive vancomycin by the DID, twenty two percent continued receiving vancomycin treatment. This might result from the fact that the RPAU was started not before the use of antibiotics but in the middle of antimicrobial therapy. Continual education should be provide to the related health professionals and the RPAU should be simultaneously modified in order to increase the rate of appropriate uses of antibiotics.

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유도체화 반응에 의한 현미 중 thiosultap의 분석 (Analysis of Thiosultap in Hulled Rice by Derivatization)

  • 최정희;도정아;윤혜정;박용춘;김재훈;최동미
    • 농약과학회지
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    • 제14권1호
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    • pp.16-20
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    • 2010
  • Thiosultap은 중국에서 사용되고 있는 nereistoxin계 살충제로 국내에는 등록되지 않아 중국산 농산물 수입시 잔류 농약 안전관리를 위한 시험법 마련이 시급한 실정이다. 이에 본 연구에서는 현미 중 thiosultap을 염기조건에서 nereistoxin으로 유도체화하여 GC-FPD로 분석하는 시험법을 개발하였다. 산염기 분배를 이용한 정제 조건을 확립하였으며, 확립된 시험법에 의한 정량한계와 직선성을 측정한 결과 각각 0.05 mg $kg^{-1}$과 0.995$(r^2)$이었다. 무처리 현미에 thiosultap 0.5와 2.5 mg $kg^{-1}$을 처리하여 회수율을 측정한 결과는 $96.1{\pm}7.9\sim100.8{\pm}6.1%$로 양호한 결과를 나타내었다.