1.Signal Detection of Alpha-adrenoceptor Antagonist using the KIDS-KAERS database (KIDS-KD)
Hyunji KOO ; Jun Young KWON ; Jae-Hyuk CHOI ; Seung Hun YOU ; Sewon PARK ; Kyeong Hye JEONG ; Sun-Young JUNG
Korean Journal of Clinical Pharmacy 2023;33(2):86-96
Background:
Using KIDS-KAERS database (KIDS-KD) from 2016 to 2020, the aim is to investigate signals of adverse events of alpha-adrenoceptor antagonists and to present adverse events that are not included in the precautions for use when marketing approval.
Methods:
This study was conducted by disproportionality analysis. Data mining analysis was performed to detect signals of alpha-adrenoceptor antagonists, such as terazosin, doxazosin, alfuzosin, silodosin, and tamsulosin. The signal was defined by three criteria as proportional reporting ratio (PRR), reporting odds ratio (ROR), and information component (IC). Detected signals were compared with product labeling and the European Medicines Agency-Important Medical Events list.
Results:
Out of the total number of 408,077 reports for adverse events, 6,750 cases were reported as adverse events of alpha-adrenoceptor antagonists. Dizziness, mouth dryness, hypotension postural, and oedema peripheral are identified as common adverse events of five alphaadrenoceptor antagonists and are typically listed on drug labels. However, new signals were detected for pneumonia, chronic obstructive airway disease, eye diseases such as glaucoma and cataracts, fracture, and ileus of tamsulosin that were not previously listed on the drug labels in Korea.
Conclusions
This study identified signals related to adverse drug reactions of alpha-adrenoceptor antagonists and presented serious adverse events, suggesting new adverse reactions to be aware of when using alpha-adrenoceptor antagonists.
2.A Case of Anti-programmed Cell Death Ligand 1 and Anti-transforming Growth Factor Beta Antibody-associated Keratoacanthoma
Hyun Jeong BYUN ; YoungHwan CHOI ; Chan Seong PARK ; Youngkyoung LIM ; Sewon PARK ; Dong-Youn LEE ; Ji-Hye PARK
Korean Journal of Dermatology 2020;58(3):204-206
Keratoacanthomas (KAs) are epithelial skin tumors characterized by rapid growth and spontaneous regression, with histopathologic features similar to those of cutaneous squamous cell carcinoma (SCC). KA arising after the use of anti-programmed cell death protein 1 (PD1) and anti-transforming growth factor beta (TGF-β) antibody have been reported. The patient in the present case was administered a new anti-cancer drug under clinical trial, which comprised anti-PD-ligand 1 (PD-L1) and anti-TGF-β antibodies. Nine months after the drug was used, a hyperkeratotic nodular lesion appeared on the patient's left arm. As a result of histopathologic examination by excision of the corresponding lesion, it was diagnosed as KA.
3.Platycodi radix beverage ameliorates postprandial lipemia response through lipid clearance of triglyceride-rich lipoprotein: A randomized controlled study in healthy subjects with a high-fat load.
Hansol LEE ; Yeni LIM ; Soo Yeon PARK ; Soo Muk CHO ; Jeong Sook CHOE ; Sewon JEONG ; Jin Sook KWAK ; Oran KWON
Nutrition Research and Practice 2018;12(5):371-377
BACKGROUND/OBJECTIVES: Elevation of postprandial lipemia characterized by a rise in triglyceride (TG)-rich lipoproteins can increase the risk of atherogenesis. The objective of this study was to investigate postprandial lipemia response to a single dietary fat/sugar load test and monitor beneficial changes induced by the consumption of Platycodi radix (AP) beverage in healthy subjects. SUBJECTS/METHODS: A total of 52 subjects were randomly assigned to either placebo or AP beverage group with a high-fat shake in a randomized controlled crossover trial. Postprandial blood was collected at 0, 1, 2, 4, and 6 h and analyzed for TG and lipoprotein lipase mass. Inhibition of pancreatic lipase was determined in vitro. RESULTS: AP inhibited pancreatic lipase activity in vitro (IC₅₀ = 5 mg/mL). Compared to placebo beverage, AP beverage consumption with a high-fat shake induced significant increase of plasma lipoprotein lipase mass (P = 0.0111, β estimate = 4.2948) with significant reduction in very low-density lipoprotein (VLDL) TG concentration (P = 0.038, β estimate = −52.69) at 6 h. Based on significant correlation between high-fat dietary scores MEDFICTS and postprandial TG responses in VLDL (P = 0.0395, r = 0.2127), subgroup analysis revealed that 6 h-postprandial VLDL TG response was significantly decreased by AP consumption in subjects with MEDFICTS ≥ 40 (P = 0.0291, β estimate = −7214). CONCLUSIONS: AP beverage might have potential to alleviate postprandial lipemia through inhibiting pancreatic lipase activity and elevating lipoprotein lipase mass. Subgroup analysis revealed that subjects with high-fat dietary pattern could be classified as responders to AP beverage among all subjects.
Atherosclerosis
;
Beverages*
;
Healthy Volunteers*
;
Hyperlipidemias*
;
In Vitro Techniques
;
Lipase
;
Lipoprotein Lipase
;
Lipoproteins*
;
Plasma
;
Triglycerides
4.A Case of Onychomadesis and Onycholysis in a Patient with Kawasaki Disease.
Jongsic KIM ; Jihong LIM ; Sewon HWANG ; Hyun Jeong PARK ; Shin Taek OH
Korean Journal of Dermatology 2018;56(9):568-569
No abstract available.
Humans
;
Mucocutaneous Lymph Node Syndrome*
;
Onycholysis*
5.Four Cases of Median Nail Dystrophy Treated with Intralesional Steroid Injection.
Sewon HWANG ; Miri KIM ; Baik Kee CHO ; Hyun Jeong PARK
Korean Journal of Dermatology 2017;55(3):220-222
No abstract available.
6.A Case of Darier Disease with Typical Histopathology in the Nails.
Jinhee KANG ; Sewon HWANG ; Miri KIM ; Baik Kee CHO ; Hyun Jeong PARK
Korean Journal of Dermatology 2017;55(2):140-141
No abstract available.
Darier Disease*
7.Solitary Subungual Myxoma.
Sewon HWANG ; Miri KIM ; Gyeol YOO ; Baik Kee CHO ; Hyun Jeong PARK
Korean Journal of Dermatology 2016;54(10):824-826
No abstract available.
Myxoma*
8.Evidence-based estimation of health care cost savings from the use of omega-3 supplementation among the elderly in Korea.
Ji Yun HWANG ; Wu Seon KIM ; Sewon JEONG ; Oran KWON
Nutrition Research and Practice 2015;9(4):400-403
BACKGROUND/OBJECTIVES: By the year 2050, thirty-eight percent of the Korean population will be over the age of 65. Health care costs for Koreans over age 65 reached 15.4 trillion Korean won in 2011, accounting for a third of the total health care costs for the population. Chronic degenerative diseases, including coronary heart disease (CHD), drive long-term health care costs at an alarming annual rate. In the elderly population, loss of independence is one of the main reasons for this increase in health care costs. Korean heath policies place a high priority on the prevention of CHD because it is a major cause of morbidity and mortality. SUBJECTS/METHODS: This evidence-based study aims to the estimate potential health care cost savings resulting from the daily intake of omega-3 fatty acid supplementation. Potential cost savings associated with a reduced risk of CHD and the medical costs potentially avoided through risk reduction, including hospitalizations and physician services, were estimated using a Congressional Budget Office cost accounting methodology. RESULTS: The estimate of the seven-year (2005-2011) net savings in medical costs resulting from a reduction in the incidence of CHD among the elderly population through the daily use of omega-3 fatty acids was approximately 210 billion Korean won. Approximately 92,997 hospitalizations due to CHD could be avoided over the seven years. CONCLUSIONS: Our findings suggest that omega-3 supplementation in older individuals may yield substantial cost-savings by reducing the risk of CHD. It should be noted that additional health and cost benefits need to be revisited and re-evaluated as more is known about possible data sources or as new data become available.
Aged*
;
Budgets
;
Coronary Disease
;
Cost Savings
;
Cost-Benefit Analysis
;
Surveys and Questionnaires
;
Fatty Acids, Omega-3
;
Functional Food
;
Health Care Costs*
;
Hospitalization
;
Humans
;
Incidence
;
Income*
;
Korea
;
Mortality
;
Risk Reduction Behavior
9.Bilateral Congenital Curved Nail of the Fourth Toe.
Sewon HWANG ; Miri KIM ; Baik Kee CHO ; Hyun Jeong PARK
Korean Journal of Dermatology 2015;53(4):330-331
No abstract available.
Toes*
10.Bilateral Congenital Curved Nail of the Fourth Toe.
Sewon HWANG ; Miri KIM ; Baik Kee CHO ; Hyun Jeong PARK
Korean Journal of Dermatology 2015;53(4):330-331
No abstract available.
Toes*

Result Analysis
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