• 제목/요약/키워드: infusion reaction

검색결과 32건 처리시간 0.02초

Safety Assessment of Intravenous Administration of Trastuzumab in 100ml Saline for the Treatment of HER2-Positive Breast Cancer Patients

  • Abe, Hajime;Mori, Tsuyoshi;Kawai, Yuki;Tomida, Kaori;Yamazaki, Keiichi;Kubota, Yoshihiro;Umeda, Tomoko;Tani, Tohru
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권8호
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    • pp.4843-4846
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    • 2013
  • Background: The infusion rate is considered to affect incidence and severity of infusion reactions (IRs) caused by protein formulations. Trastuzumab (TRS) is approved for 90-minute infusion as the initial dose followed by 30-minute infusion with 250 ml saline. In the study, we evaluated the safety of TRS intravenously administered over 30 minutes with 100 ml saline to reduce burden of patients, safety of infusion with 250 ml saline already being established. Materials and Methods: Women with HER2 positive breast cancer, ${\geq}18$ years and ${\geq}55%$ left ventricular ejection fraction (LVEF), were registered in the study. Patients received 8mg/kg of TRS 250 ml over 90 minutes followed by 6mg/kg of TRS 100ml over 30 minutes in a three-week cycle. Results: A total of 31 patients were recruited, 24 for adjuvant therapy and seven with metastases. The median age was 59 years (range 39 to 82). The total number of TRS doses ranged from 5 to 17 with the median of 15. Mild IR occurred in two patients at the first dose. However, no IR was observed after reducing to 100 ml saline. No decrease of LVEF, increase of serum brain natriuretic peptide or any other adverse events were reported. Conclusions: Intravenous infusion of TRS with 100 ml saline over 30 minutes in breast cancer patients can be considered safe based on results from the study. It can be given on an outpatient basis as with the currently recommended dilution in 250 ml saline.

Crocin 첨가배지(添加培地)에서의 우유방염유래(牛乳房炎由來) Streptococcus의 색소형성(色素形成)에 관한 연구(硏究) (Studies on Pigmentation of Bovine Mastitic Streptococci Cultured on Crocin Added Media)

  • 석호봉;김동성;김상열;이택주
    • 대한수의학회지
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    • 제16권2호
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    • pp.191-195
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    • 1976
  • On the basis of pigment production on brain heart infusion agar medium containing crocin, differentiation of mastitic streptococcus was investigated. Intensive crocin reaction was showed in braille heart infusion agar when maximum volume of gardenia powder was 5.0 mg/ml and dark-violet pigmentation of Str. uberis and Group D (Str. facalis) Streptococcus were differentiated from negative strains of Str. dysgalactiae. Also, although most of Str. agalactiae was producted pigment, a few was not affected with the crocin reaction.

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Genexol-$PM^{(R)}$ 항암치료 중 발생한 지연성 중증 과민성반응 1예 (A Case of Delayed Severe Hypersensitivity Reaction during $Genexol-PM^{(R)}$ Infusion)

  • 김현경;김서우;강혜원;권경주;박혜성;류연주;이진화;천은미;조영주;장중현
    • Tuberculosis and Respiratory Diseases
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    • 제68권5호
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    • pp.294-297
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    • 2010
  • Although $Taxo^{(R)}$ is one of the most successful drugs in current cancer chemotherapy against solid tumors, a major problem is hypersensitivity reactions that arises as a consequence of activation of the complement (C) system, "C activation-related pseudo-allergy". Most severe hypersenstivity reactions occur within the first few minutes of $Taxo^{(R)}$ administration, usually after the first or second dose. Here we report a case of a severe hypersensitivity reaction in a 72-year-old man undergoing $Genexol-PM^{(R)}$ infusion. Hypotension and polymorphic pruritic skin rash appeared 2 hours after the start of $Genexol-PM^{(R)}$ infusion (with an appropriate premedication). Treating with methylprednisolone, epinephrine and inotropic agents, reduced the hypotension and the skin rash disappeared. We report this case with a review of the literature.

각종 적혈구에 대한 장염비브리오의 용혈성에 관한 연구 (Studies on Hemolysis of Vibrio Parahaemolyticus to Various Erythrocytes)

  • 주진우;김영희
    • 대한미생물학회지
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    • 제19권1호
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    • pp.49-54
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    • 1984
  • The authors isolated Vibrio parahaemolyticus from sea water, sea mud and various marine products in Busan shore area from 1981 to 1982, Among 100 isolated strains, 66 strains showed positive reaction in Kanagawa phenomenon. With the above 66 strains, the authors carred out test for detecting hemolysis activity of V.parahaemolyticus on human, rabbit, chicken, pig, goat, sheep and cow erythrocytes, in different media, such as modified Wagatsuma, nutrient, peptone and brain heart infusion agar plates media. The following results were obtained: 1. The media which can be used for Kanagawa phenomenon of V. parahoemolyticus were modified Wagatsuma, nutrient, peptone agar media, but not brain heart infusion agar medium. 2. The erythrocytes which showed positive Kanagawa phenomenon were those of human, rabbit, chicken and pig, but sheep, goat and cow erythrocytes showed no sensitivities.

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Dobutamine-Induced Perioperative Anaphylaxis in a Dog

  • Jeong, Youngeun;Jang, Yunseol;Moon, Changhwan;Jeong, Jaemin;Roh, Yoonho;Lee, Haebeom;Jeong, Seong-Mok
    • 한국임상수의학회지
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    • 제37권3호
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    • pp.145-148
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    • 2020
  • A 9-years old spayed female Maltese was referred for the treatment of mass on the right 1st mammary gland and acute weight bearing lameness of right hindlimb. It was diagnosed as malignant mammary tumor and cranial cruciate ligament rupture of right stifle joint. Right upper regional mastectomy followed by cranial closing wedge osteotomy (CCWO) of the right tibia were planned for the present problems. Preanesthetic work-up did not show any remarkable abnormalities. Forty-five minutes after induction of anesthesia dobutamine was administered at a rate of 5 ㎍/kg/min by constant rate infusion due to gradual decrease of blood pressure below MAP 60 mmHg during surgical procedure. Despite of the increase of dobutamine infusion rate up to 20 ㎍/kg/min, blood pressure didn't recover. At the end of regional mastectomy generalized skin redness and eyelid edema were identified. Anesthesia was stopped and CCWO procedure was cancelled. To recover from the anaphylactic reactions dexamethasone and diphenhydramine were administered. After about one hour, the patient completely recovered from hypotension and anaphylactic reactions. After 4 weeks, intradermal skin test (IDST) was performed for all the drugs used during anesthesia. Only dobutamine showed positive reaction in IDST. Therefore, dobutamine was considered as the causative agent of anaphylaxis in this patient during the anesthesia. In case of perioperative anaphylactic reaction, postoperative investigation should be performed to identify causative agent and to provide safe recommendations for future anesthetic procedure.

차 향기의 생성 메커니즘 (Formation Mechanism of Aroma Compound during Tea Manufacturing Process)

  • 조미자;조기정;최현숙;최두복;조기안;조훈
    • KSBB Journal
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    • 제31권2호
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    • pp.91-99
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    • 2016
  • Tea is an aqueous infusion of dried leaves of the plant Camellia sinensis L. and is the second most widely consumed beverage around the world after water. Aroma compounds of tea differ largely depending on the manufacturing process, even from the same categories of different origins. The flavor of tea can be divided into two categories: taste (non-volatile compounds) and aroma (volatile compounds). In the present study, we review the formation mechanism of main aromas generated from carotenoids, lipids, glycosides as precursors, and Maillard reaction during the tea manufacturing process, with biological and chemical mechanisms.

흰쥐의 소장점막에 Paclitaxel(Taxol)과 방사선조사의 효과 (Effect of the Paclitaxel and Radiation in the Mucosa of the Small Bowel of Rat)

  • 이경자
    • Radiation Oncology Journal
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    • 제14권4호
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    • pp.255-264
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    • 1996
  • 목적 : Paclitaxel(Taxol)은 미소관의 집합을 촉진시키고 분해를 방지하여 세포주기 중 유사분열을 정지시킴으로써 방사선조사와 병용할 경우 방사선감작제로서의 가능성이 있다. 정상세포 중 횐쥐의 소장에서 paclitaxel이 방사선의 독성을 증가시키는지 알기 위하여 실험을 시도하였다. 대상 및 방법 : Paclitaxel군은 paclitaxel 10mg/kg을 복강내 1회 주입하였다. 방사선조사군은 8 Gy를 전복부에 단일조사하였다. Paclitaxel과 방사선병용군은 paclitaxel(10mg/kg)을 복강내 주입 후 24시간에 방사선조사군과 동일한 방법으로 조사하였다. 실험완료 후 소장점막에서 유사분열수, apoptosis와 기타 점막의 변화를 시간별로(6시간 -5일) 관찰하였다. 결과 : Paclitaxel은 소장점막의 소낭선세포에서 유사분열을 정지시키며 약간의 apoptosis을 유발하였으며 유사분열정지는 6시간에서 최대치를 보였고 24시간에 정상으로 회복되었다. 방사선조사는 apoptosis를 유발하였으며 6시간에 최대치를 보이고 24시간에 정상으로 회복되었다. Paclitaxel과 방사선병용군에서 유사분열정지는 6시간에서 3일까지 나타났으며 apoptosis는 6시간과 24시간에 약간 보였으며 3일에 정상으로 회복되었다. 병용군에서 apoptosis의 빈도는 정상군보다 높았으나 방사선단독군에 비하여 현저하게 감소되어 방사선보호작용이 있었다.

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Rapid Enumeration of Listeria monocytogenes in Pork Meat Using Competitive PCR

  • Lim, Hyung-Kun;Hong, Chong-Hae;Choi, Weon-Sang
    • Food Science and Biotechnology
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    • 제14권3호
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    • pp.387-391
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    • 2005
  • Competitive polymerase chain reaction (cPCR) was used to develop a direct enumeration method of Listeria monocytogenes in pork meat. Pork meat was artificially inoculated with L. monocytogenes and DNA was extracted using guanidine thiocyanate-phenol-chloroform and subjected to PCR amplification. Sixteen primer sets for L. monocytogenes hlyA gene were tested for sensitive detection and the DG69/DG74 primer set was selected. The detection limit achieved with this primer set was as low as 860 colony-forming units (cfu) per 0.1 g of pork meat. When the samples were cultured at $30^{\circ}C$ for 16 hr in Brain Heart Infusion (BHI) medium, even a single bacterium could be detected with this primer set by PCR. For cPCR, the hlyA gene, which features a 148 bp-deletion, was cloned in the pGEM-4Z vector. A known amount of competitor DNA which has the same primer binding sites was co-amplified with L. monocytogenes total DNA from the artificially inoculated pork meat. The cell-number determined by cPCR was approximately equal to cfu from the Most Probable Number (MPN) method. The whole procedure took only 5 hr.

Direct Action of Genistein on the Hypothalamic Neuronal Circuits in Female Rats

  • Lee, Woo-Cheol;Lee, Sung-Ho
    • 한국발생생물학회지:발생과생식
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    • 제14권1호
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    • pp.35-41
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    • 2010
  • Mammalian reproduction is regulated by a feedback circuit of the key reproductive hormones such as GnRH, gonadotropin and sex steroids on the hypothalamic-pituitary-gonadal axis. In particular, the onset of female puberty is triggered by gain of a pulsatile pattern and increment of GnRH secretion from hypothalamus. Previous studies including our own clearly demonstrated that genistein (GS), a phytoestrogenic isoflavone, altered the timing of puberty onset in female rats. However, the brain-specific actions of GS in female rats has not been explored yet. The present study was performed to examine the changes in the activities of GnRH neurons and their neural circuits by GS in female rats. Concerning the drug delivery route, intracerebroventricular (ICV) injection technique was employed to eliminate the unwanted actions on the extrabrain tissues which can be occurred if the testing drug is systemically administered. Adult female rats (PND 100, 210-230 g BW) were anaesthetized, treated with single dose of GS ($3.4{\mu}g$/animal), and sacrificed at 3 hrs post-injection. To determine the transcriptional changes of reproductive hormone-related genes in hypothalamus, total RNAs were extracted and applied to the semi-quantitative reverse transcription polymerase chain reaction (RT-PCR). ICV infusion of GS significantly raised the transcriptional activities of enhanced at puberty1 (EAP-1, p<0.05), glutamic acid decarboxylase (GAD67, p<0.01) which are known to modulate GnRH secretion in the hypothalamus. However, GS infusion could not change the mRNA level of nitric oxide synthase 2 (NOS-2). GS administration significantly increased the mRNA levels of KiSS-1 (p<0.001), GPR54 (p<0.001), and GnRH (p<0.01) in the hypothalami, but decreased the mRNA levels of LH-$\beta$ (p<0.01) and FSH-$\beta$ (p<0.05) in the pituitaries. Taken together, the present study indicated that the acute exposure to GS could directly activate the hypothalamic GnRH modulating system, suggesting the GS's disrupting effects such as the early onset of puberty in immature female rats might be derived from premature activation of key reproduction related genes in hypothalamus-pituitary neuroendocrine circuit.

심한 구역반사를 가진 성인환자에서 프로포폴 목표농도 주입법으로 시행한 깊은 진정 (Propofol Target Controlled Infusion (TCI) Sedation for Dental Treatment in the Exaggerated Gag Reflex Patient)

  • 신순영;차민주;서광석;김현정;이정만;장주혜
    • 대한치과마취과학회지
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    • 제12권2호
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    • pp.105-109
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    • 2012
  • The gag reflex is a physiological reaction, but, an exaggerated gag reflex can be a severe limitation not only to treat dental caries but also to do oral exam. Procedures such as surface anesthesia of the palate and pharyngeral area, sedation, or general anesthesia can be options as behavioral management. But, there are no golden rule for the sever gag reflex patients. We present a case report of propofol intravenous sedation using TCI pump for simple dental treatment. A 44-year-old man, who had past history of general anesthesia for dental treatment because of severe gag reflex, was scheduled intravenous sedation for simple dental treatment. After 8 hour fasting he entered the clinic for persons with disabilities. We explained about intravenous deep sedation and got informed consent. First, we kept intravenous catheter (22G) in the arm and started monitoring ECG, non-invasive blood pressure, pulse oximetry and end-tidal $CO_2$ through nasal cannula. We started propofol infusion with TCI pump at the target concentration of 3 mcg/ml. The patient became sedated, but he showed involuntary movement during dental treatment, so we increased the target concentration to 4 mcg/ml. We finished the dental treatment without complications during 30 min. And after 40 min recovery room stay he was discharged without any complications.