• Title/Summary/Keyword: individual dose

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Estimation of Glomerular Filtration Rate Using $^{99m}Tc-DTPA$ and Gamma Scintillation Camera ($^{99m}Tc-DTPA$ 및 Gamma Scintillation Camera를 이용한 사구체 여과율의 측정)

  • Choe, Jae-Gol;Baik, Sei-Hyun;Lee, Min-Jae;Suh, Won-Hyuck
    • The Korean Journal of Nuclear Medicine
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    • v.26 no.1
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    • pp.95-100
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    • 1992
  • The radioisotopic measurement of glomerular filtration rate (GFR) has required analysis of serial blood or urine samples over several hours, and does not allow measurement of separate renal function unless separate catherterization of individual ureters is done. Gates described isotopic method for the measurement of global and unilateral GFR based on the determination by scintillation camera of the fraction of the injected dose of $^{99m}Tc-diethylenetriaminepentaacetic$ acid (DTPA) present in the kidneys 2-3 minutes after its administration. We calculated GFR according to Gates' method in 58 adult patients with various levels of global renal function using $^{99m}Tc$ DTPA and validated this technique by correlation with 24 hour creatinine clearance. A good correlation was observed between 24 hour creatinine clearance and GFR calculated by Gates' formula, with an r value of 0.91 (p<0.01). We concluded that determination of GFR according to the Gates' formula allows good and reproducible prediction of GFR with great rapidity and simplicity rendering this technique suitable for clinical practice.

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Formal Charts for Qnantified $^{99m}Tc$-DMSA Renal Uptake Rates (정량화한 $^{99m}Tc$-DMSA 신섭취율의 공식표)

  • Moon, Tae-Yong;Kim, Yong-Ki;Hwang, Su-Hee;Yoon, Chong-Byung;Seung, Kyung-Tak
    • The Korean Journal of Nuclear Medicine
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    • v.27 no.2
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    • pp.248-255
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    • 1993
  • To Assessment of the quantified renal uptake rates in every $^{99m}Tc$-DMSA scan tests of patients is actually difficult because of time consumption and complicated calculations required to measure the correct dose of the infused radionulide and radiation decay, the adjustment for the depth of kidney and the subtraction of background count. We've formulated two regression models for the quantified renal uptake rates[I] from the simple renal uptake rates[H] with a square shaped ROI (Region-Of-Interest) in 25 cases (Group 1) and with a kidney shaped ROI in 37 cases (Group 2), respectively. The regression model for the Group 1 was $[I]_1$=0.885 $[H]_1$-4.575 (P<0.005), and for the Group 2 was $[I]_2$=0.591 $[H]_2$-2.105 (p<0.005). The formal charts were clinically convenient to evaluate the individual renal functions in patients with $^{99m}Tc$-DMSA renal scan.

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Expression of Endothelin-1 and Its Receptors in Cisplatin-Induced Acute Renal Failure in Mice

  • Lee, Seok-Woo;Ahn, Do-Whan
    • The Korean Journal of Physiology and Pharmacology
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    • v.12 no.4
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    • pp.149-153
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    • 2008
  • Endothelin-1 (ET-1) is unequivocally elevated in the kidney with ischemic acute renal failure (ARF), whereas ET receptors ($ET_AR$ and $ET_BR$) are variably expressed. Although renal functional and structural changes are similar between ischemic and nephrotoxic ARF, there are few reports on the alteration in the ET system in nephrotoxic ARF. This study was, therefore, undertaken to investigate changes in renal expression of ET-l and its receptors in nephrotoxic ARF induced by cisplatin. Mice were intraperitoneally injected with 16 mg of cisplatin/kg at a single dose, and the expression of mRNA and protein was then quantified by real-time RT-PCR and Western blot, respectively. Immunohistochemistry was conducted for localization. Three days after treatment, ET-1 transcript in cisplatin-treated mice was thirteen times higher than that in controls, whereas ET-1 peptide was increased by 1.5-fold. Cisplatin caused a 2-fold increase in the levels of ETAR mRNA and protein. Most of the increased immunoreactive ET-1 and ETAR were localized in damaged tubules. Neither the expression of ETBR mRNA nor the abundance and immunoreactive level of ETBR protein were changed. The findings suggest that the individual components of the renal ET system are differentially regulated in cisplatin-induced nephrotoxic ARF.

Comparison of the Protective Effect of Antioxidant Vitamins and Fruits or Vegetable Juices on DNA Damage in Human Lymphocyte Cells Using the Comet Assay (Comet Assay를 이용한 항산화 비타민과 과일.야채즙의 인체 임파구 세포 DNA 손상 감소 효과 비교)

  • 전은재;박유경;김정신;강명희
    • Journal of Nutrition and Health
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    • v.37 no.6
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    • pp.440-447
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    • 2004
  • In this study the in vitro protective effects of several antioxidant vitamins (vitamin C, $\alpha$-tocopherol, $\beta$-carotene), fruits and vegetables (strawberry, tangerine, orange and 100% orange juice, carrot juice), on the levels of isolated human lymphocyte DNA damage was measured using Comet assay. Comet assay has been used widely to assess the level of the DNA damage in the individual cells. Lymphocytes were pre-treated for 30 minutes with antioxidant vitamins (10, 50, 100, 500 $\mu$M) or fruits$.$vegetables (10, 100, 500, 1000 $\mu$g/ml), an4 then oxidatively challenged with 100 $\mu$M $H_2O$$_2$ for 5 min at 4$^{\circ}C$. The protective effect of antioxidant vitamins against DNA damage at a concentration of 50 $\mu$M were 50% in vitamin C, 32% in $\alpha$-tocopherol, whereas, fJ-carotene showed a 55% protection at a dose as low as 10 $\mu$M. The inhibitory effects of DNA damage by strawberry, tangerine, orange, orange juices, carrot juices were 50 - 60% with wide ranges of doses. The results of the present study indicate that most the antioxidant vitamins and fruits$.$vegetables juices produced a significant reduction in oxidative DNA damage.

A clinical study of the treatment prescribed Mahwangbalpyotang for the Taeumin's Baechupyobyung symptom accompanying chill and fever (발열(發熱)·악한(惡寒)을 동반한 태음인(太陰人) 배추표병증에 마황발표탕(麻黃發表湯)을 투여(投與)한 증례(證例))

  • Park, Eun-kyung;Park, Seong-sik
    • Journal of Sasang Constitutional Medicine
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    • v.12 no.1
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    • pp.260-264
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    • 2000
  • URI(Upper respiratory infection) is caused by virus, lose of balance from change of weather and ahylaxis, etc. So it dose not affect seriously, but in some cases it can cause complication disease depend on the healthfulness of an individual. The case is about a patient who is 21 years old lady, suffered by chill, fever, coughing after experiencing unhealthiness by an excess fatigue. The patient was treated by Mahwangbalpyotang and showed an improvement. This paper describe the process and contents about the way patient was cured.

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The effects of oral antioxidants on the semen of men with idiopathic oligoasthenoteratozoospermia

  • Alahmar, Ahmed T
    • Clinical and Experimental Reproductive Medicine
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    • v.45 no.2
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    • pp.57-66
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    • 2018
  • It has been estimated that approximately 15% of reproductive-age couples suffer from infertility. Male factors contribute to almost half of infertility cases, and in many patients the underlying cause of oligoasthenoteratozoospermia is unknown. Accumulating evidence suggests that oxidative stress plays a role as a contributing factor to male infertility, and reactive oxygen species have been shown to impair sperm function and motility and to damage sperm membrane and DNA. Therefore, this review explored the evidence provided by studies published from 2002 to 2017 on the impact of oral antioxidants (vitamin C, vitamin E, L-carnitine, coenzyme Q10, zinc, selenium, and pentoxifylline) on seminal fluid parameters in men with idiopathic oligoasthenoteratozoospermia. Most of the studies were randomized controlled studies that investigated the effect of single or combined antioxidants and reported improvements in at least one semen parameter. The most noteworthy effect that was found was that the use of multiple antioxidants increased sperm motility and concentration. Nonetheless, there is a lack of agreement on the dose, the duration of treatment, and whether individual or combined oral antioxidants should be used. Therefore, the current review provides evidence supporting the use of oral antioxidants in the treatment of infertile men with idiopathic oligoasthenoteratozoospermia.

Non-chemical Risk Assessment for Lifting and Low Back Pain Based on Bayesian Threshold Models

  • Pandalai, Sudha P.;Wheeler, Matthew W.;Lu, Ming-Lun
    • Safety and Health at Work
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    • v.8 no.2
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    • pp.206-211
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    • 2017
  • Background: Self-reported low back pain (LBP) has been evaluated in relation to material handling lifting tasks, but little research has focused on relating quantifiable stressors to LBP at the individual level. The National Institute for Occupational Safety and Health (NIOSH) Composite Lifting Index (CLI) has been used to quantify stressors for lifting tasks. A chemical exposure can be readily used as an exposure metric or stressor for chemical risk assessment (RA). Defining and quantifying lifting nonchemical stressors and related adverse responses is more difficult. Stressor-response models appropriate for CLI and LBP associations do not easily fit in common chemical RA modeling techniques (e.g., Benchmark Dose methods), so different approaches were tried. Methods: This work used prospective data from 138 manufacturing workers to consider the linkage of the occupational stressor of material lifting to LBP. The final model used a Bayesian random threshold approach to estimate the probability of an increase in LBP as a threshold step function. Results: Using maximal and mean CLI values, a significant increase in the probability of LBP for values above 1.5 was found. Conclusion: A risk of LBP associated with CLI values > 1.5 existed in this worker population. The relevance for other populations requires further study.

Chronopharmacokinetics of Vancomycin in Normal Volunteers (반코마이신의 시간 약물동태학)

  • Choi, Jun Shik;You, Jae Sin;Choi, Byung Cheol;Kim, Jin;Bum, Jin Pil;Choi, Kyung Eob
    • Korean Journal of Clinical Pharmacy
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    • v.6 no.2
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    • pp.1-6
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    • 1996
  • Carcadian rhythm dependence of vancomycin pharmacokinetics was evaluated in 5 normal volunteers receiving a single intravenous 1.0 g dose of vancomycin at 8 o'clock in the morning and another occasion at 8 o'clock in the evening in a crossover manner. The serum data were subjected to simultaneous computer nonlinear least squares regression analysis using a two-compartment pbarmacokinetic model. The mean half-life of vancomycin was $4.78\pm0.81$ hr in the morning and $4.25\pm0.51$ hr in the evening. The mean total body clearance of vancomycin was $1.29\pm0.58$ hr in the morning and $5.58\pm0.48$ hr in the evening. No circadian rhythm was found to be apparent in normal volunteers. The mean in intrasubject difference in the half-life between 8 A.M. and 8 P.M. was $15.4\%$ with fluctuations ranging from $10.4\sim33.8\%$, It is reasonable to consider individual circadian rhythm for effective dosage regimen of vancomycin in clinical chronotherapeutics.

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The Effect of Circadian Rhythm on the Gentamicin Pharmacokinetics in Rabbits (가토에서 생체리듬이 겐타마이신의 약물동태에 미치는 영향)

  • Ko, Jae Won;Baek, Chae Sun;Choi, Jun Shik
    • Korean Journal of Clinical Pharmacy
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    • v.10 no.3
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    • pp.125-129
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    • 2000
  • The effect of circadian rhythm on gentamicin pharmacokinetics was studied in rabbits who took a single intravenous 2 mg/kg dose of gentamicin at 09:00 in the morning (a.m.) and 22:00 in the evening (p.m.). A significant circadian rhythm of pharmacokinetic parameters as a function of time of day was noted in rabbits, showing lower total body clearance $CL_t$ and higher serum area under the curve (AUC) when given in the evening. The half-life $t_{1/2}$ was shorter in the morning $(3.88\pm0.62h)$ when compared to the evening $(4.76\pm0.75\;h)$. The AUC was greater in the evening $(25.92\pm3.49\;{\mu}g/ml{\cdot}hr)$ than that in the morning $(22.42\pm3.42\;{\mu}g/ml{\cdot}hr)$, most likely because the CLt was significantly higher when gentamicin was given in the morning $(0.18\pm0.28\;ml/hr)$ versus in the evening $(0.15\pm0.26\;ml/hr)$. The $t_{1/2}$ of gentamicin in the evening was increased significantly(p<0.05) compared to those of gentamicin in the morning. It is reasonable to consider individual circadian rhythm for effective dosage regimen of gentamicin in clinical chronotherapeutics.

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Environmental Radiation Protection in Medical Institutions

  • Han, Eun-Ok;Dong, Kyung-Rae
    • Journal of Radiation Protection and Research
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    • v.35 no.3
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    • pp.91-95
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    • 2010
  • The study aimed to measure the levels of radiation protection for radiologists in medical institutions in three environmental categories (physical, administrative and social) and to establish a data base which can be used to increase awareness of environmental radiation protection in medical institutions within Korea. The study surveyed 10% of radiologists working in radiology departments in medical institutions which are supervised by the National Dose Registry overseen by the Korean Food and Drug Administration(KFDA). This study found that the level of environmental radiation protection was higher in the capital area and in larger hospitals. On the other hand, the study shows environmental radiation protection was lower in the Youngnam area and in clinics. Results from the questionnaires indicate the level of environmental radiation protection was higher when radiologists were given an individual dosimeter but lowest when the radiation protection apron quality test was conducted. Environmental radiation protection is an important factor for radiologists to conduct activities in a safe and protected environment. However, this study shows there are differences in the level of environmental radiation protection in medical institutions and location within Korea. In particular, the level of environmental radiation protection was lower in clinics, appropriate intervention strategies befitting these conditions are needed based on medical institution classification and location in order to improve the level of environmental protection.