• 제목/요약/키워드: inhalation drug

검색결과 37건 처리시간 0.031초

삼구첩(三九貼)에 관한 문헌적 고찰 - 중의학 잡지를 중심으로 - (A Literature Study of Samguchup - Based on the Traditional Chinese Medical Journal -)

  • 이선행;김초영;장규태
    • 대한한방소아과학회지
    • /
    • 제26권4호
    • /
    • pp.1-9
    • /
    • 2012
  • Objectives: The Samguchup is a plaster therapy in winter to prevent and treat diseases occurring frequently in the winter. Studies on samguchup published in China were analyzed for our study in order to utilize in Korea. Methods: 15 studies with keywords such as 'Sanjiutie' or 'Dongbingdongzhi' published in CAJ (China Academic Journal) until July 31, 2012 were compared, in terms of clinical effects, herbs, acupoints, attatching time, and accompanying treatment. Results: Treatment rate ranged from 65% to 92.65%, in recurrent respiratory infection, cough, allergic rhinitis, asthma, chronic bronchitis, chronic obstructive pulmonary disease, sleep apnea, and rheumatic arthritis. The herbs used more than 5 times were Semen Sinapis Albae, Herba Asari, Ginger juice, Radix Kansui, and Rhizoma Corydalis. The acupoints used more than 5 times were BL13, BL23, GV14, CV17, CV22, and EX-B1. The attaching time were usually 4 hours, but shorter for child. The Sambokchup, Korean medicine, moxibustion on ginger, drug(western medicine), injection, and inhalation were used as accompanying treatment. Conclusions Appropriate use of Samguchup is necessary to treat or prevent diseases in winter.

Midazolam을 이용한 정주진정요법 (INTRAVENOUS SEDATION WITH MIDAZOLAM)

  • 이준석;김종수;김승오
    • 대한장애인치과학회지
    • /
    • 제2권2호
    • /
    • pp.142-146
    • /
    • 2006
  • 환아의 연령, 과다체중, 환아의 약물 거부 등으로 인하여 chloral hydrate를 이용한 수면치료가 불가능한 경우, Midazolam을 이용한 정주진정요법이 전신마취를 대신하는 대안으로 사용될 수 있다. 본 환아의 경우, 0.3mg/kg의 midazolam을 근주하고, 70% 아산화질소 가스를 이용하여 초기 수면상태를 유도하고 정맥천자를 실시한 후, 0.2mg/kg midazolam을 정주하여 50분간 별다른 부작용 없이 성공적으로 치료할 수 있었다.

  • PDF

Systemic use of fluoroquinolone in children

  • Choi, Soo-Han;Kim, Eun Young;Kim, Yae-Jean
    • Clinical and Experimental Pediatrics
    • /
    • 제56권5호
    • /
    • pp.196-201
    • /
    • 2013
  • Fluoroquinolones are an important class of antibiotics that are widely used in adult patients because of their broad spectrum of activity, good tissue penetration, and oral bioavailability. However, fluoroquinolone use in children is limited because juvenile animals developed arthropathy in previous experiments on fluoroquinolone use. Indications for fluoroquinolone use in patients younger than 18 years, as stated by the U.S. Food and Drug Administration, include treatment of complicated urinary tract infections and postexposure treatment for inhalation anthrax. In Korea, the systemic use of fluoroquinolones has not been approved in children younger than 18 years. Although concerns remain regarding the adverse musculoskeletal effects of fluoroquinolones in children, their use in the pediatric population has increased in many circumstances. While pediatricians should be aware of the indications and adverse effects of fluoroquinolones, recent studies have shown that the risk for musculoskeletal complications in children did not significantly increase following fluoroquinolone treatment. In addition, fluoroquinolones may be particularly helpful in treating multidrug-resistant infections that have not responded to standard antibiotic therapy in immunocompromised patients. In the present article, we provide an updated review on the safety and current recommendations for using fluoroquinolones in children.

개구 장애가 심한 소아환자에서 전신마취 하 치과치료를 위한 기도관리 (Dental Treatment of Pediatric Patients with Mouth Opening Limitation under General Anesthesia)

  • 한효조;서광석;김현정;신터전;권영선
    • 대한치과마취과학회지
    • /
    • 제11권2호
    • /
    • pp.172-176
    • /
    • 2011
  • For dental treatment of children with severe dental phobia, sedation or general anesthesia is usually selected for enhancement of cooperation. But in the case of mouth opening limitation due to temporomandibular disorders, general anesthesia administration is a challenge for anesthesiologist. Because airway management failure was concerned, awake fibroscopic intubation is selected first. But, skillful fibroscopic intubation is not easy in case of uncooprative children patients. In this report, we present two cases of pediatric patients with mouth opening limitation. In the first case, the patient was 52 months old and the maximum opening distance was 1.2 cm, and in the second case the patient was 38 months old and the maximum opening distance was 1.5 cm. Both patients showed severe dental phobia. After sevoflurane inhalation without any intravenous drug, we successfully performed intubation using a fibroscope.

고추, 오이 및 사과 재배 중 살균제 Thiophanate-methyl 살포 시 농작업자의 노출 및 위해 평가 (Risk Assessment of Agricultural Worker's Exposure to Fungicide Thiophanate-methyl during Treatment in Green Pepper, Cucumber and Apple Fields)

  • 최훈;김정한
    • Journal of Applied Biological Chemistry
    • /
    • 제57권1호
    • /
    • pp.73-81
    • /
    • 2014
  • 본 연구에서는 고추, 오이 및 사과 포장에서 thiophanate-methyl 수화제 살포액 조제 시와 동력분무기를 통한 농약 살포 시 농작업자의 노출 및 위해 평가를 수행하였다. 패치, 장갑, 양말, 마스크를 통한 피부노출 측정법과 공기펌프와 고체흡착관을 이용한 호흡노출 측정법을 사용하였으며, 시험 전에 유효성을 모두 검증하였다. 살포액 조제 시, 피부 노출량은 $24.0{\pm}6.7mg$ (고추), $4.5{\pm}1.5mg$ (오이) 및 $18.5{\pm}0.6mg$ (사과)이었으며, 조제액 농약 유효함량 대비 평균 피부 노출수준은 0.007% (고추), 0.001% (오이) 및 0.005% (사과)수준이었다. 조제 시 주요 노출부위는 손으로 전체노출의 78-92%이었다. 농약살포 시, 작업자의 노출량은 $84.9{\pm}14.0mg$ (고추), $34.0{\pm}20.8mg$ (오이) 및 $30.7{\pm}9.1mg$ (사과)으로, 살포된 유효성분 함량 대비 평균 노출비율은 0.024% (고추), 0.016% (오이) 및 0.013% (사과)이었다. 사과포장에서 작업자의 주요 노출부위는 손이었지만 나머지 포장의 경우 주로 허벅지와 정강이에서 노출이 발생하였다. 호흡노출량은 살포액 조제 시 $1.5{\pm}2.2{\mu}g$ (고추), $52.7{\pm}48.9{\mu}g$ (오이) 및 $4.0{\pm}4.9{\mu}g$ (사과)이었던 반면, 농약살포 시 $0.2{\pm}0.1{\mu}g$ (고추), $23.2{\pm}12.4{\mu}g$ (오이) 및 $0.4{\pm}0.6{\mu}g$ (사과)이었다. 피부노출을 결정하는 주요 요인이 작물과의 접촉빈도, 잎 밀도, 살포 습관, 작업 형태, 작업 환경인 반면, 호흡노출의 경우 작업 환경, 특히 바람으로 판단되었다. 위해 평가 결과, 모든 경우에서 안전역이 1이상으로 위해 가능성은 낮았지만, 고추포장에서 농약을 살포할 경우 안전역이 1에 근접하였다.

흡수경로에 따른 약물동태학적 고찰 (The Study on Pharmacokinetics According to the Administration Route)

  • 박민철;김환영;조은희
    • 한방안이비인후피부과학회지
    • /
    • 제22권3호
    • /
    • pp.95-107
    • /
    • 2009
  • Objective : The purpose of this study is to search for more effective administraion route of herbal medicine. Methods : Pharmacokinetic issues with the methods in experimental papers, which deal with finding the effectiveness of two or more administration routes of herbal medicine, searched from KERIS, KSI, KISTI and KTKP, have been analyzed by, first, categorizing the papers and comparing the validity of administration routes. Results and Conclusions : 1. Upon comparing in total of 24 papers on the basis of each administration route, per oral(PO)-herbal acupuncture(HA) was most superior in terms of number in that there were 13 cases and PO-per rectal(PR) was next superior in that there were 5 cases. PO-per dermal(PD)-inhalation therapy(IT), PO-IT and PO-PR-HA had 3, 2 and 1 cases respectively. 2. Out of the total 24 papers which compares different administration routes, 16 of them were pharmacokinetically appropriate, whereas, the remaining 8 were pharmacokinetically inappropriate. 3. Comparisons were made between PO-HA, PO-PR, PO-IT, PO-PD-IT and PO-PR-HA routes. However, none of them was not particularly effective regardless of the administered medicine or target organ. 4. No route was particularly effective against a particular drug target as a result of comparing damaged liver, asthma, endometriosis and anti-inflammation. 5. In the case of Injinhotang in medicine comparison, HA tended to be more associated with hepatotoxicity over PO. However, Cordyceps Militaris Mycelia, Gagamsohaphyangwon and Hongdeungtang showed no prominent effective administration route.

  • PDF

해조류 유래 호흡기 질환 천식 치료제 연구 동향 (A Review of Marine Algae-derived Therapeutic Agents for Respiratory Disease Asthma)

  • 김태희;허성영;오건우;김민성;최일환;정원교
    • 한국해양바이오학회지
    • /
    • 제12권1호
    • /
    • pp.1-10
    • /
    • 2020
  • Asthma is a complex inflammatory disease of the lung characterized by variable airflow obstruction, airway hyperresponsiveness, airway inflammation, and reduction of respiratory function. Its prevalence and incidence are increasing because of the effect of various environmental and lifestyle risk factors. Steroid inhalation, long-acting agonists, and other synthetic drugs are used for the treatment of this disease. However, they have some side effects and show unsatisfied result and response after treatment. Therefore, many researchers have focused on the development of natural product-related treatment for asthma to suppress the side effects and unsatisfied results. Seaweeds contain various bioactive compounds with anti-inflammatory, antibacterial, and anti-oxidant activities. Thus, we investigated the asthma treatment-related literature using marine algae via the Google scholar search engine. Consequently, the literature is rarely investigated, but is increasing steadily. The literature was performed as a comparison study with an ovalbumin-induced group or drug-treated group, and investigated the antiasthma activity of algae ethanol extract. Although many researchers have studied marine algae-derived therapeutic agents for asthma, the amount of literature is rare compared with those of herbal medicine-derived therapeutic agents. Conclusively, we suggest that many researchers should investigate and develop algae-derived therapeutic agents for asthma treatment.

Participation of $K_{ATP}$ Channels in the Antinociceptive Effect of Pregabalin in Rat Formalin Test

  • Kweon, Tae-Dong;Kim, Ji-Young;Kwon, Il-Won;Choi, Jong-Bum;Lee, Youn-Woo
    • The Korean Journal of Pain
    • /
    • 제24권3호
    • /
    • pp.131-136
    • /
    • 2011
  • Background: Pregabalin is an anticonvulsant and analgesic agent that interacts selectively with the voltage-sensitive-$Ca^{2+}$-channel alpha-2-delta subunit. The aim of this study was to evaluate whether the analgesic action of intrathecal (IT) pregabalin is associated with KATP channels in the rat formalin test. Methods: IT PE-10 catheters were implanted in male Sprague-Dawley rats (250.300 g) under inhalation anesthesia using enflurane. Nociceptive behavior was defined as the number of hind paw flinches during 60 min after formalin injection. Ten min before formalin injection, IT drug treatments were divided into 3 groups: normal saline (NS) $20\;{\mu}l$ (CON group); pregabalin 0.3, 1, 3 and $10\;{\mu}g$ in NS $10\;{\mu}l$ (PGB group); glibenclamide $100\;{\mu}g$ in DMSO $5\;{\mu}l$ with pregabalin 0.3, 1, 3 and $10\;{\mu}g$ in NS $5\;{\mu}l$ (GBC group). All the drugs were flushed with NS $10\;{\mu}l$. Immunohistochemistry for the $K_{ATP}$ channel was done with a different set of rats divided into naive, NS and PGB groups. Results: IT pregabalin dose-dependently decreased the flinching number only in phase 2 of formalin test. The log dose response curve of the GBC group shifted to the right with respect to that of the PGB group. Immunohistochemistry for the $K_{ATP}$ channel expression on the spinal cord dorsal horn showed no difference among the groups 1 hr after the formalin test. Conclusions: The antinociceptive effect of pregabalin in the rat formalin test was associated with the activation of the $K_{ATP}$ channel. However, pregabalin did not induce $K_{ATP}$ channel expression in the spinal cord dorsal horn.

A retrospective study of deep sedation with concomitant administration of sedative agents in children undergoing surgical removal of a mesiodens

  • Lee, Soo Jeong;Baek, Kwangwoo
    • Journal of Dental Anesthesia and Pain Medicine
    • /
    • 제15권4호
    • /
    • pp.213-220
    • /
    • 2015
  • Background: Pediatric dentists face challenges when young patients require a mesiodens extraction. General anesthesia may be a burden to the child as well as the parent due to dental fears and costs. The aim of this study was to evaluate oral and intravenous sedation in the outpatient setting as a safe and effective means of managing patients who require a mesiodens extraction. Methods: Records were reviewed retrospectively to find patients who underwent a mesiodens removal procedure from January 2013 to September 2014 in the Department of Pediatric Dentistry at Ajou University Hospital (Suwon, Gyeonggi-do, Republic of Korea). A total of 81 patients (62 male and 19 female) between 4 and 11 years of age (mean [${\pm}SD$] $81.6{\pm}14.1$ months) were studied, with a mean weight of $22.9{\pm}3.3kg$ (16 kg to 30 kg). Vital signs, sedation drug dosage, and sedation time were studied. Results: Mean doses of $63.7{\pm}2.5mg/kg$ chloral hydrate and $1.36{\pm}0.22mg/kg$ hydroxyzine were used for oral sedation. Nitrous oxide/oxygen was administrated for $40.0{\pm}2.1$ min. The mean dose of midazolam administered intravenously was $0.14{\pm}0.06mg/kg$ ($2.38{\pm}0.97$ times). In all cases, the mesiodens was removed successfully. Conclusions: Intravenous sedation combined with oral sedation and nitrous oxide/oxygen inhalation can be an alternative to general anesthesia when administrated and monitored properly.

A pilot study of a new fingerprint powder application method for the reduction of health risk

  • Kim, Eun-Ji;Lee, Da-Eun;Park, Suk-Won;Seo, Kyung-Suk;Choi, Sung-Woon
    • 분석과학
    • /
    • 제32권5호
    • /
    • pp.196-209
    • /
    • 2019
  • As a traditional method to apply fingerprint powder, brush method ("dusting") can create a risk to the health of crime scene investigators due to the inhalation toxicity of harmful and fine powders. Therefore, as a new method of applying powders, we tried to evaluate the potential of a chamber method for the development of latent fingerprint using fans in a closed chamber with a fixed capacity that can prevent the powders from being blown outside and exposed to the users, by comparing with the development results of the conventional brush method. Fingerprints on glass and plastic (PET) were extracted with black powder and green fluorescent powder, and the sharpness and minutiae of the developed fingerprints were compared for each method. The results of the black powder showed similar results, but the effect of the chamber method was slightly decreased when the green fluorescent powder was used. In order to improve the development with the green fluorescent powder, the mixture (50 : 50) of the fluorescent powder with the silica gel was tested and the results were similar to those of the brush method. It is expected that the chamber method has a high potential as a new powder application method considering the health of the crime scene investigator after fine tuning of development conditions with additional studies.