• Title/Summary/Keyword: pharmacotherapy

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Analysis of Drug Compliance Status for the Hormone Replacement Therapy (HRT) Treatment Patients (호르몬대체요법 환자의 복약실태분석)

  • Hong, Sun Shik;Lee, Eui Kyoung
    • Korean Journal of Clinical Pharmacy
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    • v.10 no.1
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    • pp.7-12
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    • 2000
  • This study is intended to provide information to menopausal women so they can control their symptoms. The basic data was gathered by interviewed 200 postmenopausal women on a HRT program. The women were questioned about their perception of menopause and compliance to the therapy with the fellowing result $71.7\%$ of the women experianced hot flushes, and $64.1\%$ experienced short term memory loss and some psychological symptoms. The women reported that these symptoms reduced their quality of life. $53\%$ of the women responded that menopause is a natural state and $59.1\%$ agreed to HRT based on their doctor's recommendation. $76.2\%$ of the women reported that HRT was effective, with $74.7\%$ reporting reduced hot flush symptoms $67.3\%$ of the women reported compliance with the medication schedule. and $43.9\%$ reported periodic non-compliance. Although HRT has been shown to be an effective treatment, the study found that less than $10\%$ of postmenopausal women are currently being treated and these treated women are generally negligent in continuing with HRT, The study recommends that a program be developed that explains the benefits and risks of HRT to be distributed to patients being treated by doctors and pharmacists. In conclusions, It is very important for hormone replacement therapy on menopausal women to take more intensive medication consultation to increase medication compliance and effectiveness of pharmacotherapy.

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The literal study on obesity as the point of psychiatric aspect (정신의학적(精神醫學的) 관점(觀點)으로본 비만(肥滿)의 문헌적(文獻的) 고찰(考察))

  • Kim, Hyun-su;Lee, Sang-ryong
    • Journal of Haehwa Medicine
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    • v.9 no.2
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    • pp.277-292
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    • 2001
  • 1. The obesity is the aggregation of symptoms accompanied with the metabolic disorder and the increase of fatty layer accumulation by the enlargement or increase of fatty cells, which is the condition that has 20% overweight than the standard. 2. The final metabolic of fat depends on the defensive energy. The shape of fatty layer is changed by the point where is the defensive energy is replenish or not. So Goin, Bein and Yuckin is made a discriminated and there is different between Besudaeso and Herlgidaso. 3. In case of liver overacting spleen by seven emotions, we can use reinforcing the spleen and don't use depressing energy. 4. Damp, weakness of Qi(氣), weakness of spleen came from seven emotion, and social stress can occur obesity. Obesity is reason of C.V.A, dizziness, dementia, schizophrenia, etc. 5. The obesity which can occurs various adult diseases came from eating disorder and various stresses at the standpoint of western medical. This is cured by diet, kinesiatrics, operation, pharmacotherapy, etc.

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Borderline Personality Disorder with Infanticide and Denial of Pregnancy : A Case Report (영아살해와 임신거부증을 주소로 내원한 경계선 인격장애의 치료사례)

  • Jung, Semina;Paik, Ki Chung;Lee, Jun Hyung;Kim, Kyung Min;Doh, Jin Ah;Lim, Myung Ho
    • Anxiety and mood
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    • v.8 no.2
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    • pp.161-166
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    • 2012
  • Though infanticide, killing the baby after birth of the neonate and denial of pregnancy, are very rare psychiatric disorder, they have been receiving a lot of social concerns. We report and review infanticide and denial of pregnancy administration in a 19 year-old adolescent with bipolar disorder and borderline personality disorder. Patients with a young age, cognitive immaturity, an unwanted child, hid the pregnancy facts were consistent with the results of previous studies. In addition, the patient's impulsivity and emotional instability is affecting infanticide. After inpatient care with pharmacotherapy (escitalopram 20mg, alprazolam 1.5 mg, clonazepam 0.5 mg, valproate sodium 1,100-1,300 mg, and quetiapine 100-400 mg) and supportive psychotherapy, and there were significant improvement of clinical symptoms.

A Study on the Ion Transfer System(WIT-I) for Improve on Side effect of Pharmacotherapy (약물치료의 부작용개선을 위한 이온도입 시스템(WIT-I)에 관한 연구)

  • Eo, Y.K.;Yang, K.M.;Chae, J.U.;Lee, I.S.;Lee, J.H.;Jeong, D.M.
    • Proceedings of the KOSOMBE Conference
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    • v.1996 no.05
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    • pp.226-231
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    • 1996
  • Recently Iontophoresis is tried to physical therapy field.. It is method for direct penetrate to skin with ionization pharmacon because it is decreased side effect of pharmacon treatment such as gastrophathy and aphylaris of disease-causing germs. We designed WIT-I that is trial manufacture for clinical experiment This system is has been elrectrical paramete with 0-140V out range, 1-7mA current 1-15mim time set. Invite experiment, WIT-I kept designed performance which is a constant current in variable load resistance such as skin and electrode contact. It is estimated to have a practical use for physical therapy by iontophcresis.

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The Review for Studies of Aromatherapy, Relaxation Therapy and Exercise Therapy on Depression (우울증에 대한 비약물적 요법 중 아로마테라피, 이완요법, 운동치료에 대한 유효성에 대한 고찰 - 1998년부터 2010년까지 국내 학술지 논문을 중심으로 -)

  • Hwang, Ji-Yeon;Jung, In-Chul;Lee, Sang-Ryong
    • Journal of Oriental Neuropsychiatry
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    • v.22 no.4
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    • pp.1-10
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    • 2011
  • Objectives : This study is to evaluate the efficacy of aromatherapy, relaxation therapy and exercise therapy on depression. Methods : Survey of on nonpharmacotherapies on depression - related articles was done through online paper databases from 1998 to 2010 published in Korean journals. Results : 1. We found 30 articles from 1998 to 2010 published in Korean journals: Aromatherapy(16), Relaxation therapy(6) and Exercise therapy(8). 2. 14 of the 16 articles on aromatherapy reported that aromatherapy was effective in the decrease of depression. 3. 5 of the 6 articles on relaxation therapy reported that relaxation therapy was effective in the decrease of depression. 4. 6 of the 8 articles on exercise therapy reported that exercise therapy was effective in the decrease of depression. Conclusions : In this study, it seems that aromatherapy, relaxation therapy and exercise therapy were effective on reducing depression.

A Case of Clinical Application of Music Therapy in Patient with PTSD (외상후스트레스장애 환자에 대한 음악요법의 적용 일례)

  • Kwon, Soon-Jae;Yang, Jong-Chul;Park, Tae-Won;Chung, Young-Chul;Chung, Sang-Keun
    • Anxiety and mood
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    • v.8 no.1
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    • pp.50-54
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    • 2012
  • Music therapy had been widely used in the area of psychiatry. However recently, participation of psychiatrist has been decreased, due to recent trends of emphasizing biological psychiatry and rapid effectiveness of pharmacotherapy. A 46 years old male PTSD patient was admitted to psychiatric ward. He has suffered from PTSD symptoms, such as intrusive distressing recollection of his past traffic accident, social avoidance, insomnia and depression. Music therapy, which is conducted by a psychiatrist and a music therapist, was applied. This case suggests the positive role of music therapy in treatment of PTSD and emphasizes the importance of participation of psychiatrist, as an organizer during music therapy.

Trigeminal neuralgia management after microvascular decompression surgery: two case reports

  • Hwang, Victor;Gomez-Marroquin, Erick;Enciso, Reyes;Padilla, Mariela
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.20 no.6
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    • pp.403-408
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    • 2020
  • Trigeminal neuralgia (TN) involves chronic neuropathic pain, characterized by attacks of repeating short episodes of unilateral shock-like pain, which are abrupt in onset and termination. Anticonvulsants, such as carbamazepine, are the gold standard first-line drugs for pharmacological treatment. Microvascular decompression (MVD) surgery is often the course of action if pharmacological management with anticonvulsants is unsuccessful. MVD surgery is an effective therapy in approximately 83% of cases. However, persistent neuropathic pain after MVD surgery may require reintroduction of pharmacotherapy. This case report presents two patients with persistent pain after MVD requiring reintroduction of pharmacological therapy. Although MVD is successful for patients with failed pharmacological management, it is an invasive procedure and requires hospitalization of the patient. About one-third of patients suffer from recurrent TN after MVD. Often, alternative treatment protocols, including the reintroduction of medications, may be necessary to achieve improvement. This case report presents two cases of post-MVD recurrent pain. Further research is lacking on the success rates of subsequent medication therapy after MVD has proven less effective in managing TN.

Sports Pharmacy: New Specialty of Pharmacists and Pharmaceutical Care Services (스포츠 약학: 새로운 영역의 약사 역할과 전문 약료서비스 준비)

  • Kim, Sung Hwa;Cho, Sora;Choi, Jae Hee;Lee, Young-Hee;Rhie, Sandy Jeong
    • Korean Journal of Clinical Pharmacy
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    • v.31 no.1
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    • pp.12-20
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    • 2021
  • The World Anti-Doping Agency has made efforts to promote the safe use of medications and prevent doping in sports globally. International standards have been established and experts have advocate anti-doping education to athletes and healthcare professionals. Pharmacists are expected to participate in the pharmaceutical care activity of sports medicine in protecting the athletes while providing the spirits of clean sports. In this review, we described the pharmacists' roles and functions in six areas of sports pharmaceutical care: awareness, treatment, prevention, optimization, abuse, and monitoring. Sports pharmacists should be able to prevent inappropriate drug use and manage athletes' illness and injury using pharmacotherapy. Further pharmacists should actively involve to educate and counsel athletes, trainers, and healthcare teams. In conclusion, pharmacists are expected to play important roles in sports pharmacy, which is the emerging area of specialized pharmaceutical care services.

A Study on the Clinical Pharmacy Education based on the Employment Status of 2+4 Pharmacy School Graduates in South Korea (국내 2+4년제 약학대학 졸업생의 취업 현황에 따른 임상약학 관련 교과과정에 대한 고찰)

  • Park, Tae Eun;Kang, Minku
    • Korean Journal of Clinical Pharmacy
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    • v.31 no.4
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    • pp.293-300
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    • 2021
  • Background: This study aims to determine whether the new 6-year pharmacy curriculum is designed to help students in their career path based on the employment status of the current 2+4 pharmacy school graduates. Methods: An online survey was conducted to the pharmacists who graduated from Woosuk University College of Pharmacy between 2015 and 2021. The survey questions included the current employment status of the graduates and their feedback on the clinical pharmacy curriculum at Woosuk University. Results: There were a total of 104 graduates who responded to the survey out of 312 graduates of whom the school had current contact information. Most of the graduates are currently working in a community pharmacy (63.5%), followed by hospital pharmacy (27.9%) and pharmaceutical industry (4.8%). Although most graduates were satisfied with clinical pharmacy courses at our college, many thought there needs to be a reinforcement or improvement in the curriculum, including pharmacotherapy and pharmacy practice experiences as well as social pharmacy courses. Conclusion: Based on our study, clinical and social pharmacy are the courses that teach the knowledge and skills required in community and hospital pharmacy and yet, are most in need of improvement. As most graduates work in a community or hospital pharmacy, it is necessary to improve our pharmacy curriculum so that they can learn and demonstrate their clinical skills effectively.

Usage of Antidepressants and Weight (항우울제의 사용과 체중)

  • Lee, Ung;Cho, Sung Joon
    • Korean Journal of Biological Psychiatry
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    • v.27 no.2
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    • pp.58-63
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    • 2020
  • Depressive disorder is a very common disease, clinical manifestations vary, and the mechanism is not clear. Therefore, a pharmacotherapy is very important to achieve sufficient therapeutic effect, but the choice of drug is not easy due to the occurrence of side effects of treatment and confusion with clinical features. It is easy to overlook the side effects of weight gain with antidepressants compared with antipsychotics, but they are frequently observed in clinical settings. The first-generation antidepressants have higher weight gains than selective serotonin reuptake inhibitors. Serotonin norepinephrine reuptake inhibitors are observed to have less weight gain, and dopamine norepinephrine reuptake inhibitors have weight loss effect due to decreased appetite. Mirtazapine, an atypical antidepressant, has a strong histamine H1 blockade, and gains weight gain from short-term use. The effects of desvenlafaxine, vortioxetine, and agomelatin on weight, which have recently been increasing in use, have not been largely identified. For better compliance, studies on weight gain due to the use of antidepressants are needed.