• The Korean Journal of Pain
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• v.20 no.2
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• pp.169-173
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• 2007

Background: Although the use of intravenous patient controlled analgesia (IVPCA) has been compared to the use of patient conrolled epidural analgesia (PCEA), there is no optimal administration route of alfentanil for the treatment of postoperative pain. This randomized double-blind study compared the efficacy of the use of IVPCA and PCEA for postoperative pain and the side effects after a total abdominal hysterectomy (TAH). Methods: Sixty patients undergoing a TAH were randomly assigned to receive either IVPCA (Group I) or PCEA (Group E) for the infusion of alfentanil for postoperative pain control. In both groups, a loading dose of $750{\mu}g$ alfentanil was administered. All patients received the same continuous infusion rate (0.3 mg/h), bolus dose (0.15 mg), and lockout time (15 min). The incidence of side effects, the VAS (visual analog scale) of pain, blood pressure, and heart rate were checked for 20 hours after the loading dose injection. Results: The VAS of pain was not significantly different between the two groups of patients. The onset of the analgesic effect was significantly more rapid in the Group I patients than in the Group E patients. There was no difference in side effects for either group. Conclusions: When considering multiple factors such as the onset of analgesia, technical difficulties or infection after the procedure, IVPCA using alfentanil is more useful than PCEA for postoperative pain control after a TAH.

• Journal of Chest Surgery
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• v.30 no.8
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• pp.809-814
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• 1997

Continuous epidural pain block with a local anesthetic agents is a commonly employed technique for pain relief after thoracotomy. In this study, we evaluated the effectiveness of the continuous epidural pain block in 19 patients undergoing elective lateral or posterolatrral thoracotomy with control group(n=19) from November 1994 to July 1995, Epidural lidocaine and morphine mixtures were injected via an epidural catheter as a bolus after operation, and then bupivacaine and morphine mixtures were injected continuously following 5 or 6 days. The pain score, upper arm elevation(ROM score), and respiratory rate were significantly changed(P<0.05) from 30min after injection. The CO2 tension of arterial blood was decreased significantly(P<0.05) from 2hr after injection. The postoperative hospital days were decreased significantly(P<0.05). Side effects of the epidural pain block were urinary retention(n= 10), urticaria(n=2) and a case of headache. There was no postoperative lung atelectasis. We conclude that the continuous epidural pain block is good for prevention of the postoperative lung complication and early recovery after thoracotomy.

• Proceedings of the Korean Society for Bioinformatics Conference
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• 2006.02a
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• pp.116-123
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• 2006

생물체의 cDNA를 유리기판위에 고밀도로 첨착 시킨 유전자 칩과 정량적인 방법으로 개별 유전자 발현을 진단 가능한 Real- time PCR (실시간 고분자중합연쇄반응 기술) 기법은 첨단 의학분야와 신약개발 및 독성유전체 연구분야에 활발히 도입되고 있는 기술이다. 본 발표의 첫 번째 부분에서는 유전자칩 에서 얻어진 유전자 발현패턴분석에 기반한 바이오마커 선정 및 real time PCR에 의한 확증 관련 기술 과 유전자칩에서 얻어지는 수많은 데이터를 재정렬 및 다양한 분석기법과 display기술을 활용하여 광범위한 화학물질에 대한 독성효과 분석을 가능하게 해주며, 특정 독성물질에 대한 관련유전자 그룹 발견 및 독성영향에 따른 분류방법에 관한 결과를 발표할 것이다. 또한 바이오마커 활용의 하나로 박테리아세포 기반 바이오센서 제작및 세포칩 개발등에 대한 결과도 추가될 것이다. 두 번째 부분에서는 non-model organism(유전체정보가 확보되지 않은 생물체)인 송사리를 이용하여 새로운 2K 유전자칩을 개발하고, 여기서 각종 화학물질에 대하여 얻어진 수많은 유전자칩 분석 데이타를 활용하여 각각의 화학물질이 보여주는 독성효과를 매우 효과적이고 쉽게 이해할 수 있는 display기술을 개발, 적용함으로써 유전자칩 발현에 기반한 화학물질 독성 screening 및 specificity discrimination을 가능케 하는 예가 발표될 것이다. 이 연구에서 개발한 송사리 유전자칩은 간조직의 RNA를 직접 cDNA화 하는 방식을 취하고 있어 전체 송사리의 유전정보를 필요로 하지 않아 비용 및 효율에서 전체 송사리의 유전정보를 얻는 비용과 노력을 취하지 않고 간에서 발생하는 독성학적 영향 및 유전자의 발현정도를 정밀하고 효율적인 방법으로 얻어 낸다. 현재 2000여개의 cDNA유전자중 50%이상의 유전자가 17베타에스트라디올, 페놀, 노닐페놀, 비스페놀, 감마레이조사, 잔류약품중 이보프란, 다이클로펜악, 농약중의 파라???R, 돌연변이 유발물질 중의 이티비알, 금속류중의 카드뮴을 통해 발현양상과 특정 캐미칼별 발현 특이성이 조사되었고, 이들 유전자는 염기서열 분석을 통해 염기서열이 분석되었으며, 미국 NCBI의 유전자 은행과의 비교를 통해 일부유전자는 새로운 유전자로 밝혀지고 있다. 또한 이 발표에서는 소염진통제계열 의약품인 dichlofenac 이 송사리의 각종 조직에 미치는 독성영향을 Real-time PCR을 이용하여 대표적 스트레스 유전자의 발현에 미치는 영향에 대한 분석 예가 발표될 것이다.

• Journal of the Korea Convergence Society
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• v.9 no.2
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• pp.371-380
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• 2018

The purpose of this study was to investigate the effects of patient controlled analgesia(PCA) convergence education on postoperative pain management in spinal surgery patients. Sixty spinal surgery patients were included. For the experimental group(n=30), PCA education using video, booklet, and a PCA model practice was provided before surgery. The data were collected using questionnaire and were analyzed using descriptive statistics, ${\chi}^2-test$, Fisher's exact test, t-test and repeated measures ANOVA. PCA knowledge-attitude, PCA satisfaction and pain control satisfaction were higher in the experimental group than the control group(p<.001; p=.001; p<.001). Postoperative pain and frequency of additional analgesia use of the experimental group were significantly lower than those of the control group(p<.001; p=.001). This findings showed that the convergence PCA education of audiovisual aids with PCA practice training could be effective pain management intervention in patients undergoing spinal surgery. These apply to development of convergence nursing interventions in clinical practice.

• Korean Journal of Agricultural Science
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• v.24 no.2
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• pp.218-225
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• 1997

This study was performed to evaluate the physical and mechanical properties of surlightweight polymer concrete using synthetic lightweight aggregate. The following conclusions were drawn; 1. Unit weight was in the range of $810~970kgf/m^3$, the unit weights of those concrete were decreased 58~65% than that of the normal cement concrete. 2. The highest strength was achieved by $P_1$, it was increased 112% by compressive strength, 378% by bending strength and 290% by tensile strength than that of the normal cement concrete, respectively. 3. Ultrasonic pulse velocity was in the range of 2,206~2,595m/s, which was low showed compared to that of the normal cement concrete. 4. Durability of surlightweight polymer concrete was superior to that of the normal cement concrete. 5. Compressive, tensile and bending strength were largely showed with the increase of unit weight. But, ultrasonic pulse velocity was low showed with the increase of unit weight.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.9
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• pp.4257-4260
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• 2011

Hot spring water is underground water which naturally flows out to the earth's surface or is drilled for artificially and the water temperature should be higher than the region's average temperature for the year or underground water temperature of the earth's shallow strata of the region. Our nation stipulates that hot spring can be called if it is over $25^{\circ}C$. Generally, it is widely know that hot spring water has an effect on blood circulation, pain alleviation, soothing, and skin care and that its efficacy is mainly due to water temperature and a variety of minerals contained in water. The Onyang springs are the oldest spring district in our country and one of the most typical hot springs in this country. The current study found that there's no skin irritation through the skin irritation test applying hot spring water to cosmetic formulas, and that products using Onyang hot spring water showed an increase of 8.56% in epidermal water rate and a decrease of -67.74% in relative transepidermal water loss(TEWL), which indicates that cosmetics using Onyang hot spring water has an effecton skin improvement.

• Journal of the Korean Orthopaedic Association
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• v.55 no.1
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• pp.9-28
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• 2020

Non-steroidal anti-inflammatory drugs (NSAIDs) are the most commonly used drugs worldwide for chronic pain, such as arthritis, and there are many different types depending on their composition and mechanism. After long-term use, various side effects can occur, such as gastrointestinal and cardiovascular complications. With a similar analgesic effect to that of traditional non-selective NSAIDs, cyclooxygenase-2-selective NSAIDs have been highly anticipated, because they could complement gastrointestinal tolerance. On the other hand, because of concerns about cardiovascular safety in 2004 and 2005, and the license withdrawals of rofecoxib and valdecoxib, the interest in the side effects of NSAIDs is increasing. Therefore, it is important to use the necessary drugs at a minimum, considering the side effects and interactions of each drug. This study examined the side effects and characteristics of each NSAID that may occur and reviewed the recent research and guidelines related to the use of non-selective NSAIDs and cyclooxygenase-2-selective NSAIDs.

• Neonatal Medicine
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• v.18 no.2
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• pp.353-358
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• 2011

Purpose: The goal of this study was to compare the efficacy of oral 25% dextrose treatment or/and pacifier for analgesia in healthy newborns during intramuscular injection of a hepatitis B vaccine. Methods: A prospective, randomized, partially blinded, clinical trial was performed in 132 healthy newborns. They were assigned randomly to 4 treatment groups: control group (2 mL distilled water), dextrose group (2 mL 25% dextrose), pacifier group, dextrose+pacifier group (pacifier coating with 25% dextrose) during intramuscular injection of hepatitis B vaccine. For all groups, Neonatal Infant Pain Scale (NIPS), Neonatal Facial Coding System (NFCS), Premature Infant Pain Profile (PIPP) scores were evaluated before the injection, during the injection, and at 2 minutes after the injection. Pain scores were compared among the 4 groups. Results: Maternal and neonatal characteristics were similar among the 4 groups. 25% dextrose treatment led to lower NIPS pain scores during injection (6.4${\pm}$0.9 vs. 5.5${\pm}$1.7, P=0.01) and after injection (1.6${\pm}$2.0 vs. 0.6${\pm}$0.9, P=0.01) and NFCS pain scores after injection (1.5${\pm}$2.3 vs. 0.7${\pm}$0.8, P=0.04) than control group. The number of neonates who feel the pain (indication of scores: NIPS${\geq}$4, NFCS${\geq}$3) decreased (9 (23.1%) vs. 0 (0%), P=0.04 via NIPS, 7 (17.9%) vs. 0 (0%), P=0.02 via NFCS). However, all treatment groups did not decreased PIPP scores, compared with the control group. Conclusion: Oral 25% dextrose is effective than distilled water or using pacifier with or without 25% dextrose in reducing pain during intramuscular injection of hepatitis B vaccinations. Further study based on this preliminary study need about nonpharmacologic management of pain in newborns.

• Journal of Life Science
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• v.31 no.12
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• pp.1128-1141
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• 2021

'Angelica' is one of the most traditionally consumed medicinal herbs around Northeast Asia including Korea for treatments of various diseases or health care purposes like hematopoiesis, blood circulation for women, sedative, analgesic, and a tonic medicine etc. Angelica gigas Nakai, a Korean native species of Angelica, is clearly different from the others in containing a high concentration of active ingredients like pyranocoumarines including decursin, decursinol, and decursinol angelate. These compounds have various kinds of positive effects such as anti-tumor activity including the precaution of neutropenia occurred during anticancer drug administration, improvements of metabolic disorders, menstrual irregularity, impairment of renal function, respiration improvement, cognition-enhancement, anti-inflammatory effect, anti-oxidative effect, enhancing fertility and so forth. Thus it implies incredible potentialities in future development for foods and drugs. However, certain purity-related qualities and/or overdose in food products can cause side effects like toxicities; therefore, their safety profiles should also be considered. This review focuses on the positive and negative effects of three pyranocoumarines in Angelica gigas Nakai and some possibilities and considerations for future food and drug products development.

• Journal of Veterinary Clinics
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• v.29 no.3
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• pp.220-225
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• 2012

This study examined the anesthetic and cardiopulmonary effects of xylazine or medetomidine in combination with ketamine-butorphanol in dogs. Five dogs were used in both the medetomidine-ketamine-butorphanol (MKB) group and the xylazine-ketamine-butorphanol (XKB) group. The procedures for the two groups were performed 4 weeks apart. MKB group showed a shorter duration for anesthesia than XKB group. Other factors were not statistically significant between the two groups. The MKB group showed signs of bradycardia, therefore cautious patient monitoring is necesessary. The XKB showed a longer anesthetic time and less adverse effects, however the MKB combination was more expensive and had less advantages. In conclusion, the results suggested the recommended use of both MKB and XKB in procedures that need approximately 50 minutes. If patients have a risk of bradycardia, one should be cautious of using a medetomidine-xylazine-butorphanol combination. Both MKB and XKB did not have much adverse effects; however MKB did not have advantages when compared to XKB. Therefore, XKB may be more effective when compared to MKB.