• 제목/요약/키워드: side-effects

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Panax ginseng and its ginsenosides: potential candidates for the prevention and treatment of chemotherapy-induced side effects

  • Wan, Yan;Wang, Jing;Xu, Jin-feng;Tang, Fei;Chen, Lu;Tan, Yu-zhu;Rao, Chao-long;Ao, Hui;Peng, Cheng
    • Journal of Ginseng Research
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    • 제45권6호
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    • pp.617-630
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    • 2021
  • Chemotherapy-induced side effects affect the quality of life and efficacy of treatment of cancer patients. Current approaches for treating the side effects of chemotherapy are poorly effective and may cause numerous harmful side effects. Therefore, developing new and effective drugs derived from natural nontoxic compounds for the treatment of chemotherapy-induced side effects is necessary. Experiments in vivo and in vitro indicate that Panax ginseng (PG) and its ginsenosides are undoubtedly non-toxic and effective options for the treatment of chemotherapy-induced side effects, such as nephrotoxicity, hepatotoxicity, cardiotoxicity, immunotoxicity, and hematopoietic inhibition. The mechanism focus on anti-oxidation, anti-inflammation, and anti-apoptosis, as well as the modulation of signaling pathways, such as nuclear factor erythroid-2 related factor 2 (Nrf2)/heme oxygenase-1 (HO-1), P62/keap1/Nrf2, c-jun Nterminal kinase (JNK)/P53/caspase 3, mitogen-activated protein kinase (MEK)/extracellular signal-regulated kinases (ERK), AMP-activated protein kinase (AMPK)/mammalian target of rapamycin (mTOR), mitogen-activated protein kinase kinase 4 (MKK4)/JNK, and phosphatidylinositol 3-kinase (PI3K)/AKT. Since a systemic review of the effect and mechanism of PG and its ginsenosides on chemotherapy-induced side effects has not yet been published, we provide a comprehensive summarization with this aim and shed light on the future research of PG.

의약품 부작용 정보 전달의 중요성: 설문조사 기반 고찰 (Enhancing Communication on Medication Side Effects: Insights from a Survey Study)

  • 최지혜;한혜성;심미경;손현순
    • 한국임상약학회지
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    • 제34권2호
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    • pp.126-133
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    • 2024
  • Background: Medication's benefits and harms require careful management. Laws mandate pharmacists to provide essential medication details since inadequate counseling may pose risks. This study explores public expectations for pharmacist-provided side effect information to enhance safety. Methods: A self-developed questionnaire was created for participant to self-report, refined through pilot surveys with experts and laypersons. Nineteen items were categorized into four sections, using closed-ended questions. Adults over 20, having obtained prescription medications within the past year, were surveyed via convenience sampling. Data analysis employed descriptive statistics and T-tests using IBM SPSS Statistics 21 and Microsoft Excel. Results: The study involved 189 participants, with a slightly higher proportion of females (59.3%) than males (40.7%), predominantly in their 20s (45.0%) and college graduates (57.1%). Health professionals represented 76.2% of respondents. Over half visited pharmacies at least 5 times yearly for prescriptions. Indirect experience with side effects was more common (30.2%) than direct experience (17.5%). Most (82.0%) showed interest in media-reported side effect events. Satisfaction with pharmacist-provided side effect explanations was low (59.7%), but importance was high (98.9%). Preferences favored combined verbal and written explanations (65.1%), with a majority desiring explanations for common but less serious side effects (82.5%). Healthcare professionals found explanations significantly more sufficient than non-professionals did. Older individuals, those living with elderly, and frequent pharmacy visitors attributed greater importance to pharmacist-provided explanations. Conclusion: Koreans view pharmacist-provided medication side effect explanations as vital but find current services lacking. Enhancements in content and delivery methods are needed in pharmacy counseling to meet public expectations.

정부의 위기 커뮤니케이션 연구: 의약품 부작용 관련 언론 보도에 나타난 주요 주제, 정보원, 위기 책임 귀인, 프레임 분석 및 네트워크 분석을 중심으로 (Government's Crisis Communication based on the Main Theme, Source, Crisis Responsibility, Frame Analysis and the Network Analysis on the Side Effects of Drug of the Press)

  • 홍주현;차희원
    • 한국콘텐츠학회논문지
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    • 제18권4호
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    • pp.575-585
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    • 2018
  • 의약품 부작용과 같이 국민의 건강과 밀접한 관련이 있고, 전문적인 이슈의 경우 언론 보도는 국민들의 위기 대응과 정부의 위기관리에 영향을 미칠 수 있다는 점에서 중요하다. 이 연구는 의약품 부작용과 관련된 언론 보도를 주요 주제, 정보원, 위기 책임 귀인, 프레임을 분석하고 언론의 주목을 받은 의약품 부작용보도에 대해 네트워크 분석을 실시해 정부의 위기관리 방안을 제시했다. 일간지, 경제지, 전문지의 보도에 차이가 있었는데, 일간지는 부작용 발생과 같은 위기 발생을 중심으로, 경제지는 제약업계 관련된 기사를, 전문지는 의약품 정책을 비판하는 기사 중심으로 보도했다. 의약품 부작용과 관련된 주요 정보원은 국회의원이었다. 위기의 책임을 언급한 기사는 적었지만, 위기 해결의 주체에 대해서는 의약품을 생산한 업체가 해결해야 한다는 기사가 많았지만 전문지의 경우에는 정부가 문제를 해결해야 한다고 했다. 네트워크 분석을 통해 기사에서 중요하게 언급된 단어를 찾고, 단어와 단어의 관계 분석으로 기사에서 전달하고자 하는 의미를 찾았다. 이 연구는 내용분석과 네트워크 분석을 통해 의약품 부작용 기사를 분석하고 정부의 위기 커뮤니케이션 관점에서 공중별 정부의 위기 대응 방안을 고려해봤다는 데 의의가 있다.

스마트폰 이용의 부작용 유형 분석 및 대응 방안 (Type Analysis and Countermeasures of Side Effects of using Smart Phone)

  • 김태희;강문설
    • 한국정보통신학회논문지
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    • 제17권12호
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    • pp.2984-2994
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    • 2013
  • 스마트폰의 등장은 컴퓨터를 손바닥 안으로 옮기는 혁명을 가져왔으며, 그 혁명은 생활의 편리함과 즐거움을 제공하는 스마트 사회를 선도하고 있지만, 스마트폰 증후군을 포함한 부작용 요소가 과거의 그 어떤 IT 기기들보다 더욱 폭넓고 다양한 형태로 나타나고 있다. 본 논문에서는 스마트폰 이용 목적별로 위험 요인을 중심으로 부작용 유형과 유형별 핵심 이슈를 도출하고 이를 토대로 사회적 영향을 진단하였다. 그리고 진단 결과를 토대로 바람직한 스마트폰 활용에 대한 사회적 이해와 공감대가 형성될 수 있도록 부작용을 최소화하기 위한 대응 방안을 제시하였다. 제시한 대응 방안은 스마트 사회의 창의 협력 소통 오락통의 플랫폼인 스마트폰을 바람직하게 활용하게 함으로써 가시적이고 잠재적인 부작용에 대해 체계적으로 대응할 수 있을 것이다.

감기약 콘택600 제조물책임사건에 관한 민사법적 고찰 - 대법원 2008.2.28. 선고 2007다52287 판결 - (A Study on the Product Liability Case of a Cold Medicine CONTAC 600 in Terms of Civil Law)

  • 전병남
    • 의료법학
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    • 제10권1호
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    • pp.213-260
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    • 2009
  • While the medical supplies have positive functions such as extending lifespan, recovering health, and preventing diseases, they also cause unexpected tragic consequences due to their side effects, and the magnitude of such damage inevitably increases due to the mechanism of mass production, mass distribution, and mass consumption of those medical supplies. Therefore, needless to say, the optimal way to prevent or reduce such damage is rather through medical supply manufacturers' producing non-defective products, or through the government's controlling production and sales of medical supplies with more aggressive exercise of regulatory authority on medical supply manufacturers, than through a remedy by a legal relief after using medical supplies. In this case, although the victim died due to the defect of the cold medicine, 'CONTAC 600', the drug company's responsibility to cover damages was not recognized because a defect could not be found in the then-manufacturing process. Thus, while pharmaceutical companies are gaining economic profits by producing and selling a medical supplies, if they do not take any remedy measures for the victims of their products' side effects, the victims have to use medical supplies under their own responsibility of taking a risk, and they have to accept the full damage of the potential consequence. Therefore, to remove such absurdity and contradiction, and to practically remedy the victim of medical supplies' side effects, the pharmaceutical side effects remedy project pending in the the Drugs, Cosmetics and Medical Instruments Lawneeds to be actively implemented.

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국내 동물용의료기기 부작용 관리시스템에 대한 고찰 (Review of Regulatory Management System on Side Effects for Veterinary Medical Devices in Korea)

  • 강경묵;박희명;이창민;강민희;서태영;강환구;문진산
    • 한국임상수의학회지
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    • 제35권1호
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    • pp.1-6
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    • 2018
  • This study reviewed the regulatory safety management system for prevention of side effects of veterinary medical devices in Korea based on data obtained through analyses of those medical devices. In order to ensure the safety of medical devices, Ministry of Food and Drug Safety has established the management system include licensing, test inspection (134 designated clinical trial agencies) and post management. In addition, it was introduce the good manufacture practice (GMP) certification system and device tracking requirements. In contrast, it is necessary to establish regulations for side effects report and awareness on veterinary medical devices in Korea. The center for veterinary medicine of FDA in the United States has been operated side effects reporting system of veterinary medical devices from user, manufactures and distributor. Due to increase the use of various kinds of veterinary medical devices for animals, it should be required to improve regulation related to the licensing procedures, GMP system, and the side effects reporting system in our country.

정맥으로 투여하는 발포성 항암제의 합병증 (Survey on the Side Effects of the Vesicant Chemotherapy)

  • 최은숙;김금순;주명순;김복자
    • 기본간호학회지
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    • 제7권3호
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    • pp.415-428
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    • 2000
  • The purpose of this study was to identify side effects of the vesicant chemotherapy. The study was designed to be a descriptive survey. The subjects of this study were 88 patients with various types of cancer, primary lung cancer(25.0%), advanced gastric cancer(25.0%), breast cancer(20.5%), etc. The mean age was 44.8 years old(range: 16-68). The questionnaire was completed by nurses of the outpatient unit and chemotherapy ward, and intravenous nurse specialist. The results of the study were as follows: 1) Chemotherapy was administered with a 23G scalp needle and 24G insyte. Injection site was dorsum of hands(64.7%), cephalic vein(19.3%). Successful rate for the first attempt was 88.6%. The first & second cycle chemotherapy was 29.5% each.. Mainly used drugs were Navelbine(34.1%), Adriamycin(20.5%). 2) Venous Problems after chemotherapy were pain(13.6%) incurred by venous, mainly due to the administration of Navelbine; redness at the inravenous site(12.5%) and itching sense 2.3% Non-venous problems were nausea (18.2%), dullness(14.8%), vomiting(8.0%), facial flushing(6.8%), anxiety(5.7%). Subjective discomforts after chemotherapy were generalized arm pain at the injection side(14.8%), dizziness(6.8%), weakness(5.7%) and general bodyache(5.7%). Systemic anaphylactic reaction and extravasation did not occur. 3) Non-venous problem after chemotherapy were nausea, vomiting & anorexia. Frequency of chemotherapy related to side effects were itching, facial flushing, and nausea(p< .05). Day of chemotherapy related to side effects were nausea & vomiting(p< .05). Site of chemotherapy related to side effects were redness(p< .05). Frequency of venipuncture related to side effects were redness(p< .05). Conclusively, cancer chemotherapy patients have had some venous problem. They need appropriate venous access devices for chemotherapy. And other non-venous problem will be managed appropriately. Further research was required to identify the rate of venous complication or side effects of vesicant chemotherapy.

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D.I.T.I.를 통한 Bee Venom과 BV Partner의 비교연구 (The Comparative Study of Bee Venom and BV Partner on D.I.T.I.)

  • 신민섭;설현;육태한
    • Journal of Acupuncture Research
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    • 제20권2호
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    • pp.68-76
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    • 2003
  • Objective : In the pain control, Bee Venom Acupuncture therapy is highly effective but cause allergic side-effects frequently. This study was performed to compare Bee Venom(BV) with BV Partner(BVP) in decreasing side-effects of BV. Methods : BV partner(BVP) which dilutes the Morus bombycis Koiduzumi Herbal Acupuncture was developed to decrease the side effects of the Bee Venom. We used D.I.T.I. to verify the effectiveness of BVP in decreasing side-effect of BV. We injected BV to Group I (n=18) at 4 points of body [Fengmen(風門 : B12), Feishu(肺兪 : B13), Fufen(附分 : B41), Pohu(魄戶 : B42)], and BVP to group II (N=18) at the same points. We observed the chages of temperature at beginning, 5 minutes, 1 hour, 1 day, 2days and 7days after injection. Results : The following results were obtained; 1. The difference of temperature had been continued until 2days in BV group, but 1day in BVP group. 2. The difference of temperature was significantly greater than time at 1hour in BV and at 5 minutes in BVP. 3. Other side-effects(the local pain, redness, angioedema and pruritus) were less appeared in BVP than BV group, too.

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Evaluation of hematologic profile may be needed for patients treated with oxcarbazepine

  • Jung, Gu Hyun;You, Su Jeong
    • Clinical and Experimental Pediatrics
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    • 제62권8호
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    • pp.312-316
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    • 2019
  • Purpose: The major side effects of treatment with oxcarbazepine (OXC) are skin rash and hyponatremia. Hematologic side effects are reported rarely. The aim of this study was to investigate the rate and types of the hematologic side effects of OXC. Methods: The medical records of 184 patients diagnosed with epilepsy or movement disorder and on OXC monotherapy, at the Department of Pediatrics of Inje University Sanggye Paik Hospital from July 2001 to July 2018, were retrospectively reviewed. Results: Of the 184 patients, 10 (5.4%) developed leukopenia in addition to pancytopenia and 2 (1.0%) developed pancytopenia. Leukopenia developed in 11 days to 14 years after OXC administration and was more frequent in males than in females (male vs. female, 9 vs. 1; Fisher exact test, P<0.05). Of the eight patients with leukopenia alone, 7 continued OXC treatment; 6 improved without intervention; 1 was lost to follow-up; and 1 received a reduced OXC dose, who improved after intervention. Pancytopenia developed within 2 months of initiation of OXC treatment. Both patients initially continued OXC. One improved within 1 month and continued treatment with OXC, but the other showed progression of the side effect, leading to the discontinuation of OXC and subsequent improvement within 1 month. There were no significant differences in the ages of the patients, OXC dose, and duration of OXC treatment between patients with and without these side effects of OXC (P>0.05, t-test). Conclusion: OXC-induced leukopenia is not rare and may result in pancytopenia. Patients being treated with OXC should be regularly monitored for abnormal complete blood count profiles.

Float 판유리에 있어서 바닥면의 Tin성분이 이온교환에 미치는 영향 (The Effects of Tin in Bottom Surface to Ion Exchange of Float Glasses)

  • 이동인;이용근;이희수
    • 한국세라믹학회지
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    • 제27권6호
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    • pp.763-768
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    • 1990
  • The gradient and depth of tin at the side of glasses by float process were measured. The effects of tin to ion exchanged of glasses in the molten salt of KNO3 and AgNO3 were presented by means of Ag+ ion penetration depth, diffusion coefficient variation, spectral transmittance and color coordinates. The diffusion coefficient of Ag+ ion of tin side was higher than air side, and the activation energy of tin side was 0.2-0.6Kcal/mole lower than air side. Therefore Ag+ ion penetration depth of tin side is 2-10$\mu\textrm{m}$ deeper, hence it can be seen that tin promote Ag+ ion diffusion. The same treatment of ion exchange, reddish-brown oflong wavelength in case of tin present, yellowish-amber of short wavelength in case of tin absence were revealed.

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