• Title/Summary/Keyword: malaria

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Build Capacity for International Health Agenda on the "Transforming Our World: The 2030 Agenda for Sustainable Development" (제2기 새천년 개발계획과 국제보건역량강화)

  • Park, Yoon Hyung
    • Health Policy and Management
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    • v.25 no.3
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    • pp.149-151
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    • 2015
  • United Nations (UN) adopted 17 global sustainable development agenda to the year 2030 in the 68th general assembly on september, 2015. The global agendas and goals are important for 3 reasons: (1) to adopt the international standard for determining the health status; (2) to identify areas in need of attention; and (3) to advance international cooperation regarding health issues. In the area of infectious diseases, our goals include the eradication of human immunodeficiency virus infection and acquired immune deficiency syndrome, tuberculosis, and malaria as well as a substantial reduction of hepatitis by the year 2030. In the area of non-communicable diseases, our goal is to reduce premature mortality (${\leq}70years$) at least 30% by the year 2030. Preventive activities such as smoking cessation, alcohol abstinence, nutritional measures, and physical activities, should also be promoted intensively nationwide. It is also necessary to establish stringent policies for control hypertension, diabetes, obesity, and hypercholesterolemia. Additionally, environmental health, injury by traffic accident, mental health, and drug and alcohol abuse are important health policies. Furthermore, in the area of international health and cooperation, maternal and child health remain important areas of support for underdeveloped countries. Education and training towards the empowerment of health professionals in underdeveloped countries is also an important issue. The global agenda prioritize resources(manpower and budget) allocation of international organizations such as UN, World Health Organization, United Nations Development Programme, and World Bank. The global agenda also sets the contribution levels of Official Developmental Assistance donor countries. Health professionals such as professors and researchers will have to turn their attention to areas of vital international importance, and play an important role in implementation strategies and futhermore guiding global agenda.

A Translation Study on the First Volume of "Uihakdokseogi (醫學讀書記)"(I) ("의학독서기(醫學讀書記).권상(卷上)"에 대(對)한 번역연구(飜譯硏究)(I))

  • Im, E-Bin;Bang, Jung-Kyun
    • Journal of Korean Medical classics
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    • v.21 no.1
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    • pp.183-203
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    • 2008
  • "Uihakdokseogi(醫學讀書記)" is a casual work which mentions Ujaekyeong(尤在涇)'s thoughts on various problems found through extensive studying or in practice. The book does not focus on a single topic, thus the spectrum of the work is broad and is filled with problems which would interest most medical professionals. The major contents of the first volume of "Uihakdokseogi(醫學讀書記)" include differences of view on health preservation, the Five Circuit Phases[五運] and Six Atmospheric Influences[六氣], diseases, and the "Naegyeong(內經)", mentions on errors in transcription , and the gap between certain contents in "Yeongchu(靈樞)" and "Somun(素問)". U[尤在涇] asserts that Eum and Yang(陰陽) in a human should be in harmony as is the Gi(氣) of the sky and earth[天地] is, and that one should live according to the Gi(氣) of the four seasons to live a healthy life. He does not vary largely from the context of other writers on the matter of the Five Circuit Phases [五運] and Six Atmospheric Influences[六氣], and focuses on the concepts of predominant Gi[主氣], guest Gi[客氣], corresponding years[天符] , correlating years[歲會], and Taeeul corresponding years[太乙天符]. He mentions causes, symptoms, and treatments of various diseases such as cough due to asthenia of the viscera, stagnation of Yang(陽), stagnation of Eum(陰), abscess of the stomach, hard abscess of the intestines, upper emaciation, edema of the limbs, inability to raise the limbs, broken thigh, turbid fluid, inversion of Gi(氣) flow, sudden onset of fainting with cold extremities, diarrhea due to disorder of Gi(氣), and malaria. U[尤在涇] also points out faults of "Classic of Acupuncture and Moxibustion[甲乙經]" in the understanding of "Naegyeong(內經)".

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Analysis of the Latest Trends of Radioisotope Using in RI-Biomics Fields (RI-Biomics분야 RI의 최신 동향 분석)

  • Jang, Sol-Ah;Yeom, Yu-Sun;Park, Tai-Jin;Hwang, Young Muk;Youn, Dol-Mi
    • Journal of Radiation Industry
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    • v.7 no.2_3
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    • pp.221-224
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    • 2013
  • RI-Biomics is a new compound word of radiation technology and Biomics related to the study of life. RI-Biomics is high radiation fusion technology by combining evaluation of pharmacokinetics in vivo (RI-ADME) of new drugs and medical materials using radioisotope and molecular imaging technology using nuclear medicine equipments. RI-Biomics fields are emerging with the increasing usage of radioisotopes (RI). In this paper, we investigated the latest trends of radioisotope using in RI-Biomics fields. The representative radioisotopes are $^{14}C$, $^3H$ and $^{32}P$ for the optimization and the selection of candidates in the development process of new drugs among the RI-Biomics fields. As shown in the status of accumulated income of radioisotopes, using amounts of radioisotopes are showing a tendency to increase every year. $^{14}C$ is 61.6% increase of accumulated income growth rate and $^3H$ increased by 58.8% and $^{32}P$ increased by 33.9% in 2012 compared to 2007. These isotopes are used in a variety of fields as using of $^{14}C$ for microdosing test, development of [$^3H$]cholesterol absorption inhibitors, study of [$^{131}I$]pyronaridine tetraphosphate for malaria therapy. These are going on in vivo test sucessfully. So, clinical research step is expected to begin soon. Therefore, usages of radioisotopes are necessary and need for the evaluation of pharmacokinetics, optimization and the selection of new drug candidates in the development process of new drugs among the RI-Biomics fields. So, using of radioisotopes is predict to increase continuously except for primarily used $^{14}C$, $^3H$.

Assessment of Malaria Incidence using Hydroclimatic factor (수문요소를 활용한 감염병 발생모의 연구)

  • Kwak, Jae Won;Park, Jung Sool;Lee, Young Gon;Kim, Tae Hyung;Choi, Kyu Hyun
    • Proceedings of the Korea Water Resources Association Conference
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    • 2016.05a
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    • pp.432-432
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    • 2016
  • 말라리아는 Plasmodium 속 원충으로 인하여 적혈구와 간 세포내에 발병하는 감염병으로, 매년 약 3-5억의 발병과 100만 명 이상의 사망자로 인하여 세계보건기구(WHO)가 선정한 6대 열대병 중에서도 가장 중요한 질환으로 고려되고 있다. 우리나라에서도 법정전염병 제3군으로 지정된 중요한 감염병이다. 국내에서는 지난 2000년 이후 감소 추세를 보이던 국내 말라리아 환자발생(현역 군인 포함)이 2005년 1,324명, 2006년 2,021명, 2007년 2,192명으로 2007년 국내 말라리아 환자는 전년대비 8.5%의 증가를 보이고 있다. 일반적으로, 매개체를 통한 감염병은 생태계 내에서의 상호 작용에 영향을 받기 때문 기후 인자와도 큰 영향을 받는 것으로 알려져 있다. 특히, 모기 매개 질병은 기후의 영향을 크게 받으며, 기온, 강수량, 습도 등의 수문기상 요소가 중요한 영향을 미치며, 그 중에서도 말라리아는 매개체에 의한 전염병 중 가장 중요하게 다루어지는 전염병인 동시에 기후변화에 가장 민감한 질병이다. 이 때문에 말리리아와 기후 인자 및 기후변화를 연관 지으려는 연구가 다수 수행되어 왔으며, 특히 최근에는 습지와 기후 인자와 말라리아의 상관관계를 분석하는 등의 다각적인 분석도 이루어지고 있다. 또한, 최근에 기후변화가 현실적인 문제로서 부각되면서 말라리아의 발생 문제에 대한 연구도 다각적으로 수행되고 있다. 본 연구에서는 기후 인자 및 기후변화와 상관성이 높은 감염병 중에서 국내 발병자 수가 많아서 분석이 용이한 말라리아를 주요한 감염병으로 선정하고, 말라리아의 발생과 기후 인자와의 상관관계를 살펴보고, 이를 바탕으로 기후 인자에 따른 말라리아의 발생을 모의할 수 있는 모형을 구축하고, 실제 적용성을 검증하였다. 이를 위하여 2001년부터 2011년까지의 월간 말라리아 감염병 발생 현황과 전국 기상대의 기후인자를 수집하였다. 말라리아와의 상관 분석을 위해서 포함된 기후인자는 평균기온($^{\circ}C$), 상대습도(%), 강수량(mm)을 이용하여 연관성을 분석하였으며, 이를 회귀 모형화 하였다. 연구결과, 구축된 회귀 모형이 말라리아 발생자료에 대한 설명력이 있는 것으로 나타났다.

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Cytochrome P450 2C8 and CYP3A4/5 are Involved in Chloroquine Metabolism in Human Liver Microsomes

  • Kim, Kyoung-Ah;Park, Ji-Young;Lee, Ji-Suk;Lim, Sabina
    • Archives of Pharmacal Research
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    • v.26 no.8
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    • pp.631-637
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    • 2003
  • Chloroquine has been used for many decades in the prophylaxis and treatment of malaria. It is metabolized in humans through the N-dealkylation pathway, to desethylchloroquine (DCQ) and bisdesethylchloroquine (BDCQ), by cytochrome P450 (CYP). However, until recently, no data are available on the metabolic pathway of chloroquine. Therefore, the metabolic pathway of chloroquine was evaluated using human liver microsomes and cDNA-expressed CYPs. Chloroquine is mainly metabolized to DCQ, and its Eadie-Hofstee plots were biphasic, indicating the involvement of multiple enzymes, with apparent $K_m and V_{max}$ values of 0.21 mM and 1.02 nmol/min/mg protein 3.43 mM and 10.47 nmol/min/mg protein for high and low affinity components, respectively. Of the cDNA-expressing CYPs examined, CYP1A2, 2C8, 2C19, 2D6 and 3A4/5 exhibited significant DCQ formation. A study using chemical inhibitors showed only quercetin (a CYP2C8 inhibitor) and ketoconazole (a CYP3A4/5 inhibitor) inhibited the DCQ formation. In addition, the DCQ formation significantly correlated with the CYP3A4/5-catalyzed midazolam 1-hydroxylation (r=0.868) and CYP2C8-catalyzed paclitaxel 6$\alpha$-hydroxylation (r = 0.900). In conclusion, the results of the present study demonstrated that CYP2C8 and CYP3A4/5 are the major enzymes responsible for the chloroquine N-deethylation to DCQ in human liver microsomes.

Detection of Gnathostoma spinigerum Advanced 3rd-Stage Larvae in the Chinese Edible Frog, Hoplobatrachus rugulosus, from Local Markets in Phnom Penh, Cambodia

  • Sohn, Woon-Mok;Jung, Bong-Kwang;Hong, Sooji;Ryoo, Seungwan;Lee, Keon Hoon;Khieu, Virak;Chai, Jong-Yil
    • Parasites, Hosts and Diseases
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    • v.59 no.5
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    • pp.519-522
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    • 2021
  • The Chinese edible frogs, Hoplobatrachus rugulosus (n=20), and the striped snakehead fish, Channa striata (n=34), were purchased from local markets in 3 administrative regions of Cambodia (Phnom Penh, Pursat, and Takeo Provinces) from May 2017 to April 2019, and their infection status with Gnathostoma sp. larvae was investigated. The frogs and fish were transported to the laboratory with ice and examined using the artificial digestion method. Advanced 3rd-stage larvae (AdL3) of Gnathostoma spinigerum, 24 in total number (1-6 larvae/frog), were detected from 6 (60.0%) out of 10 frogs purchased from Phnom Penh. No gnathostome larvae were detected in 10 frogs purchased from Takeo Province and 34 snakeheads from Phnom Penh, Pursat, and Takeo Provinces. AdL3 isolated from the frogs were 2.55-3.90 mm long and 0.31-0.36 mm wide. They had a characteristic head bulb (0.081×0.191 mm in average size) with 4 rows of hooklets, a muscular long esophagus (0.950-1.230 mm long), and 2 pairs of cervical sacs (0.530-0.890 mm long). The average number of hooklets in the 1st, 2nd, 3rd, and 4th rows was 41, 45, 48, and 51, respectively. These features were consistent with G. spinigerum AdL3. By the present study, it has been first confirmed that the Chinese edible frog, H. rugulosus, from Phnom Penh serves as a second intermediate host for G. spinigerum, although their intensity of infection was not so high compared to other previously reported localities.

3-week repeated dose oral toxicity study of Clausena excavata extract in ICR mice (ICR 마우스에서 핑크왐피 추출물의 3주간 반복 투여 독성 연구)

  • Park, Ju-Hyoung;Cho, Young-Rak;Kim, Young Min;Kang, Jae-Shin;Oh, Joa Sub;Ahn, Eun-Kyung
    • Journal of Applied Biological Chemistry
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    • v.62 no.2
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    • pp.123-127
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    • 2019
  • Medicinal herb in Asian countries has been traditionally used for a long time. However, the safety and adverse effect of medicinal herb have not been established yet. The aim of this study is to evaluate toxicity in the oral administration of Clausena excavata (C. excavata) in male ICR mice for 3 weeks and the noobserved adverse effect level (NOAEL). C. excavata has been used as a medicinal herb for the treatment of dermatopathy, malaria, abdominal pain, dysentery, and enteritis. C. excavata was orally administered daily for 21 days at a dose of 100, 250, 500, 1000, and 2000 mg/kg/day (MPK). There were no significant differences in mortalities, clinical signs, body weight changes, hematological, and serum biochemistry examination in all animals administrated with C. excavate. Consequently, these findings indicated that C. excavata did not affect the toxic effect in ICR mice and the NOAEL of C. excavata was considered as more than 2000 MPK.

EFFECTS OF POLYPHENOLS OF Cocos Nucifera HUSK FIBRE ON SELECTED KIDNEY FUNCTION INDICES IN MICE

  • Adebayo, Joseph Oluwatope;Owolabi, O.O.;Adewumi, O.S.;Balogun, E.A.;Malomo, S.O.
    • CELLMED
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    • v.9 no.1
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    • pp.2.1-2.6
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    • 2019
  • Decoction of Cocos nucifera husk fibre is used indigenously in Nigeria for malaria treatment. Polyphenols have been identified as the phytochemicals responsible for the antimalarial activity of Cocos nucifera husk fibre, though their toxicity has not been evaluated. The polyphenols of Cocos nucifera husk fibre were therefore evaluated for their effects on selected kidney function indices in mice. Fifty mice were randomly divided into five groups (A-E) of ten mice each. Mice in group A were orally administered 5% DMSO solution while those in groups B, C, D and E were orally administered 31.25, 62.5, 125 and 250 mg/Kg body weight of the polyphenols respectively for seven days. Serum urea, creatinine and uric acid concentrations were determined. Serum levels of sodium, potassium, chloride and calcium ions and kidney alkaline phosphatase (ALP), glutamate dehydrogenase (GDH) and gamma-glutamyltransferase (GGT) activities were also determined. The results showed that the polyphenols significantly reduced (p<0.05) urea concentration at 250 mg/Kg body weight and creatinine concentration at all doses compared to controls. The polyphenols caused no significant alteration (p>0.05) in serum uric acid concentration and kidney ALP, GGT and GDH activities compared to controls. There was significant increase (p<0.05) in serum sodium ion concentration at 31.25, 125 and 250 mg/Kg body weight of polyphenols whereas significant increase (p<0.05) in serum potassium and chloride ions was observed at 62.5 and 250 mg/Kg body weight compared to controls. Thus, polyphenols of Cocos nucifera husk fibre may adversely affect some osmoregulatory functions of the kidney, especially at higher concentrations.

The Influence of Change in Climatic Environment during the Song-Yuan Dynasty Had on the Development of Medical Science and Disease Emergence (송원(宋元)시대 기후환경변화가 질병과 의학발전에 미친 영향)

  • Kim, Ji-Soo;Jung, Ji-Hun;Park, Hae-Mo
    • The Journal of Korean Medical History
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    • v.31 no.2
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    • pp.53-62
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    • 2018
  • It is known that the development of medical science is influenced by various social environmental factors. Historically, Chinese Medicine developed the most during the Song Yuan dynasty, and the reason for this was known to be due to socio-political factors. According to recent studies, however, this period also had severe changes in climate and environment. Therefore, this study was conducted under the premise that this change in climate and environment influenced medical development. When looking at the coldness of the 11th~12th century and data indicating warming before and after this period, the Song Yuan dynasty went through drastic periods of climate change. Therefore, diseases related to heat such as bubonic plague, measles, and malaria were common. Furthermore, due to occasional wars during the Song Yuan dynasty, social unrest was aggravated and infectious diseases spread due to land development and environmental pollution. As the health of people were threatened due to these factors, the printing and distribution of medical text were encouraged, and during this process, the great 4 doctors of Jin-Yuan appeared. The reason why they studied cures for infectious diseases due to heat was related to climatic environment change. The development in medical science is closely related to socio-political factors, however the change in climatic environments are inevitably related to disease emergence as well. Therefore, it should always be taken into consideration as an important factor that promotes development in medical science.

Effects of commercial soils on germination, early growth, and chlorophyll content of Aspilia africana, a medicinal plant

  • Okello, Denis;Komakech, Richard;Kim, Yong-Goo;Rahmat, Endang;Chung, Yuseong;Omujal, Francis;Kang, Youngmin
    • Journal of Plant Biotechnology
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    • v.48 no.2
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    • pp.115-122
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    • 2021
  • Aspilia africana (Pers) C.D.Adams, a plant used for centuries in many African countries to treat diseases such as osteoporosis, malaria, tuberculosis, and diabetes, is of great pharmaceutical interest, yet there is limited scientific literature on its germination and growth. This research paper describes the effects of different commercial soils on the germination, growth, and chlorophyll content of A. africana. The germination parameters assessed included final germination percentage (FGP), mean germination time (MGT), and germination index (GI). Shoot length, leaf number, and fresh and dry weights were some of the parameters used to assess A. africana growth. The FGP was low and did not vary significantly; the MGT was 7 ~ 10 days; and the GI was significantly higher in PPS soil at 4.61 ± 0.332 days. Aspilia africana plants in HS:PPS soil showed the best overall growth, producing the highest mean leaf number (18.00 ± 1.129), longest mean shoot length (202.43 ± 13.451 mm), and highest mean fresh and dry weights (7.08 ± 1.061 g and 0.629 ± 0.112 g, respectively). The highest chlorophyll content in leaves of A. africana under HS:PPS conditions suggested a higher photosynthetic potential of plants in this soil. The best growth performance of A. africana in the HS:PPS soil could be attributed to a higher amount of certain mineral nutrients such as nitrogen, potassium, and phosphorus in the HS:PPS soil compared to the other soil categories. It is unclear why the FGP of A. africana was low and we recommend an exclusive study to investigate this further.