• Journal of Korean Neurosurgical Society
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• 제59권3호
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• pp.250-258
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• 2016

Objective : A common cause of failure in laminectomy surgery is when epidural, peridural, or perineural adhesion occurs postoperatively. The purpose of this study is to examine the efficacy of a temperature-sensitive, anti-adhesive agent (TSAA agent), Guardix-SG$^{(R)}$, as a mechanical barrier for the prevention or reduction of peridural scar adhesion in a rabbit laminectomy model. Methods : Twenty-six mature rabbits were used for this study. Each rabbit underwent two separate laminectomies at lumbar vertebrae L3 and L6, left empty (the control group) and applied 2 mL of the TSAA agent (the experimental group), respectively. Invasive scar formation or inflammation after laminectomy was quantitatively evaluated by measuring the thickness of the dura, the distance from the surface of dura to the scar tissues, the number of inflammatory cells in the scar tissues at the laminectomy site, and the concentration of collagen in histological sections. Results : At 6 weeks postsurgery, the dura was significantly thinner and the distance from the surface of dura to the scar tissues was greater in the experimental group than in the control group (p=0.04 and p=0.01). The number of inflammatory cells was not significantly different in the two groups (p=0.08), although the mean number of inflammatory cells was relatively lower in the experimental group than in the control group. Conclusion : The current study suggests that the TSAA agent, Guardix-SG$^{(R)}$, could be useful as an interpositional physical barrier after laminectomy for the prevention or reduction of adhesion.

• Journal of Korean Neurosurgical Society
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• 제50권5호
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• pp.409-414
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• 2011

Objective : The aim of this study was to evaluate the impact of sodium hyaluronate-sodium carboxymethyl cellulose (HA-CMC), an anti-adhesive material for spinal surgery, on bone fusion by applying it to rat spinal models after lumbar posterolateral fusion. Methods : Lumbar posterolateral fusion was performed at L4-5 using bone graft substitutes in 30 rats. HA-CMC was injected in 15 rats at a dose of 0.2 cc (HA-CMC group) and a saline solution of 0.2 cc in the other 15 rats (control group). Simple radiographs were taken until postoperative 9 weeks with an interval of one week. At postoperative 4 and 9 weeks, three dimensional computed tomography (3D CT) scanning was performed to observe the process of bone fusion. At 9 weeks, bone fusion was confirmed by gross examination and manual palpation. Results : There were no statistically significant differences in bone fusion between the two groups. 3D CT scanning did not reveal significant differences between the groups. The gross examination and manual palpation after autopsy performed at 9 weeks confirmed bone union in 93.3% of both groups. Conclusion : The anti-adhesive material used for spinal surgery did not have adverse effects on spinal fusion in rats.

• Clinics in Shoulder and Elbow
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• 제20권1호
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• pp.3-9
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• 2017

Background: Many hyaluronic acid (HA)-based anti-adhesive agents have been commercialized for clinical use in the pharmaceutical market. But their efficacy in arthroscopic rotator cuff repairs remains elusive. To determine their efficacy, we performed a comparative analysis of the effects of two hyaluronate/carboxymethylcellulose (CMC)-based anti-adhesive agents, Protescal and Guardix. Methods: We recruited a total of 256 patients who had received an arthroscopic rotator cuff repair at our hospital between January 2014 and March 2015. Among them, 96 patients fulfilled the study's selection criteria and were enrolled as the final population sample. Thirty patients who had received a postoperative injection of Protescal were allocated into Group A. Another 30 patients who had received a postoperative injection of Guardix were allocated into Group B. As controls, 36 patients who did not receive any injection were allocated into Group C. The patients included in this study were aged between 19 and 75 years. For the clinical assessment, we measured the following clinical parameters-the visual analogue scale for pain (PVAS), the American Shoulder and Elbow Surgeons (ASES) score, and the constant score, as well as passive range of motions (ROMs)-at three time-points (preoperatively, 2-month postoperatively, and 6-month postoperatively). Results: We found that Group A compared to Group B tended to show a swifter recovery in passive anterior elevation and in internal rotation by the 2-month postoperative follow-up, but the differences were not statistically significant. Conclusions: We found that the effects of HA/CMC-based injections were minimal after arthroscopic rotator cuff repairs.

• 한국임상수의학회지
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• 제24권3호
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• pp.379-383
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• 2007

This study was performed to compare the effects of carboxymethylcellulose (CMCE), chondroitin sulfate (Chondron), and carboxymethylchitosan (CMCH) on preventing intraperitoneal adhesion. As a result, the tensile strength of adhesions formed between the parietal peritoneum and the ileal serosa was significantly decreased in the groups of three different kinds of anti-adhesive agents. The distance of adhesion site was slightly increased in the treatment groups comparing control group. In the CMCH group, the inflammatory cell infiltration, collagen hyperplasia, and neovascularization were significantly lower than those of control group. It was observed that the damage at intestinal serosa was significantly decreased in the chondron and CMCH groups comparing control group. Therefore CMCH may be useful as a anti-adhesive agent in the prevention of intraperitoneal adhesion in rats.

• 한국산학기술학회논문지
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• 제11권5호
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• pp.1741-1746
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• 2010

본 연구는 건축자재로 널리 사용되는 PVC 바닥상재 표면을 오염성 및 정전기로부터 보호하기 위하여 기존에 사용하는 광경화형 우레탄-아크릴 수지에 내오염/대전성을 향상시킨 광경화형 내오염 코팅액 개발에 관한 것이다. PVC 바닥상재용으로 사용되는 내오염성이 없는 우레탄-아크릴 수지에 4가 암모늄을 사용한 수용성 대전방지제와 아크릴용 대전방지제, 폴리우리탄용 대전방지제를 수지의 양 대비 함량(wt%) 5~20%로 변화하여 첨가한 후 배합하여 수지의 내오염/대전성을 향상시킨 내오염 코팅액을 제조하였다. 제조한 내오염 코팅액은 코팅 층의 두께조절이 가능한 코팅(Bar-coating)을 사용하여 PVC 바닥상재에 코팅 한 후 내오염성, 대전성, 부착력, 코팅두께 등의 코팅 층 표면물성을 평가하였다. 연구결과, 수지에 수용성대전방지제 15%를 혼합하여 제조한 코팅액을 Bar-coater No.12로 코팅한 코팅표면이 전기저항($3.24{\times}10^9{\Omega}/cm^2$), 내오염도(매직 Test, 먼지부착 Test) 및 부착력(100%) 모두 가장 좋은 물성을 보였다. 전반적으로 함량이 많을수록 전기저항과 오염도에서 우수한 것으로 나타났다. 그러나 대전방지제가 과량으로 들어간 경우 migration 현상이 보이는 것을 알 수 있었다.

• 한국산학기술학회논문지
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• 제11권2호
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• pp.608-613
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• 2010

본 연구는 건축용 바닥재로 널리 이용되는 PVC 상재의 표면을 열에 의한 손상으로부터 보호하기 위하여 기존에 사용하는 광경화형 우레탄-아크릴 수지에 내열성(anti-cigar burning)을 향상시킨 광경화형 수성도료 개발에 관한 것이다. PVC 바닥상재용으로 사용되는 내열기능성이 없는 우레탄-아크릴 수지에 인계화합물을 주원료로 합성한 내열재, 구아니딘을 주원료로 합성한 내열재, 일시적 방염제로 사용되는 제 2인산암모늄을 수지의 양 대비 함량(wt%)을 10, 20, 30%로 변화하여 첨가한 후 배합하여 수지의 내열성을 향상시킨 코팅액을 제조하였다. 제조한 코팅액은 코팅층의 두께조절이 가능한 Bar-coating을 사용하여 PVC 바닥상재에 코팅한 후, 내열성, 부착력, 내화학성, 코팅두께 등의 코팅층 표면물성을 평가하였다. 연구결과, 수지에 인계화합물을 주원료로 합성한 내열재 30%를 혼합하여 제조한 코팅액을 Bar-coater No.12로 코팅한 코팅표면이 열에 의한 손상이 가장 적고, 부착력 100%, 내화학성 양호로 가장 좋은 물성을 보였다. 전반적으로 내열재 함량이 높고, 코팅 두께가 두꺼울수록 내열성이 우수한 것으로 나타났다.

• 한국산학기술학회논문지
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• 제11권9호
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• pp.3615-3620
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• 2010

본 연구는 건축자재로 널리 사용되는 PVC바닥상재 표면에 내오염성과 항균성을 증가시키기 위한 광경화형 코팅액 개발에 관한 것이다. PVC 바닥상재용으로 사용되는 우레탄-아크릴 수지에 수용성대전방지제와 항균제를 배합하여 오염 및 정전기로부터 상재를 보호하고 미생물에 의한 전염성질환을 예방할 수 있는 광경화형 내오염/항균 코팅액에 관한 실험을 수행하였다. 연구결과, 수지에 수용성대전방지제 15%와 항균제 1%를 혼합하여 제조한 코팅액을 bar-coater No.12로 코팅한 표면이 전기저항($10^9{\Omega}/cm^2$), 내오염도(매직 Test, 먼지부착 Test) 및 부착력(100%) 양호, 항균성(99.99%)로 가장 좋은 물성을 보였다.

• Natural Product Sciences
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• 제19권1호
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• pp.54-60
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• 2013

Rhus verniciflua Stokes (Anacadiaceae) is a plant that is native to East Asian countries, such as Korea, China, and Japan, and it has been found to exert various biological activities including antioxidative, anti-aggregatory, anti-inflammatory, anti-mutagenic, and apoptotic effects. Sulfuretin is one of the major flavonoid component isolated from the heartwood of R. verniciflua. Reactive oxygen species (ROS), produced via dental adhesive bleaching agents and pulpal disease, can cause oxidative stress. In the present study, we isolated sulfuretin from R. verniciflua and demonstrated that sulfuretin possesses cytoprotective effects against hydrogen peroxide ($H_2O_2$)-induced dental cell death. $H_2O_2$ is a representative ROS and causes cell death through necrosis in human dental pulp (HDP) cells. $H_2O_2$-induced cytotoxicity and production of ROS were blocked in the presence of sulfuretin, and these effects were dose dependent. Sulfuretin also increased heme oxygenase-1 (HO-1) protein expression. In addition, to determine whether sulfuretin-induced HO-1 expression mediated this cytoprotective effect, HDP cells were cotreated with sulfuretin in the absence or presence of SnPP, an inhibitor of HO activity. Sulfuretin-dependent HO-1 expression was required for suppression of $H_2O_2$-induced HDP cell death and ROS generation. These results indicate that sulfuretin-dependent HO-1 expression was required for the inhibition of $H_2O_2$-induced cell death and ROS generation. In addition, sulfuretin may be used to prevent functional dental cell death and thus may be useful as a pulpal disease agent.

• 대한족부족관절학회지
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• 제21권4호
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• pp.151-155
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• 2017

Purpose: Reducing tenderness or pain on the ankle joint and improving the range of motion are thought to be possible using hyaluronate-based anti-adhesive agents. On the other hand, there are more aspects to be studied regarding the incidence of complications, such as resting pain, tenderness, and stiffness, after surgery. Therefore, the aim of this study was to prove the effectiveness of the agents after ankle fracture surgery. Materials and Methods: Patients, who underwent open reduction and internal fixation surgery due to ankle joint fractures from June 2015 to May 2016, were studied prospectively. Thirty patients of them received a $Guardix^{(R)}$ injection during their surgeries and were included in the injection group. The other 30 patients were included in the control group. Postoperatively, tenderness on the scar, a delay in wound healing, and the active range of motion were evaluated at 2, 6, and 12 weeks after surgery. Results: A significant difference in tenderness on the scar was observed 2 weeks after surgery. On the other hand, there was no significant difference at 6 and 12 weeks after the surgery. The agent-using group showed a 6.7% delay in wound healing and a 93.3% nondelaying. In the non-using group, the delay was 63.3%, while non-delay was 36.7% (p<0.001). The group that underwent $Guardix^{(R)}$ usage showed an effective result in the visual analogue scale, which was statistically significant (p<0.001). The result at 6 and 12 weeks after surgery showed a significant difference. Conclusion: Improvement was observed in the patients who underwent a $Guardix^{(R)}$ injection, regarding the range of motion, visual analog scale, and healing of the wound postoperatively.

• The Korean Journal of Pain
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• 제12권1호
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• pp.64-69
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• 1999

Background: The new drug HP228 is a cytokine restraining agent with a broad spectrum of anti-inflammatory, analgesic, and antipyretic activity. Six healthy, adult, male volunteers were studied to determine the independent and interactive effects of HP228 and morphine on pain perception. Methods: Two groups of stimuli were applied to each volunteers before drug administration as control, 20 min after morphine and HP228 administration, and 20 min after combined administration of these two drugs. Two adhesive electrically-conducting pads were applied on opposite sides of the arm approximately 8 cm apart. The electrode were connected to an electrical impulse generator and 50 Hz 1 msec pulses of incrementally increasing intensity were delivered at 1 sec intervals. The analgesic endpoints were the current intensity (mA) at which the subject first detected the stimulus (THRESH), the intensity at which the stimulus was first idenfied as being painful (PAIN), and the intensity at which the subject requested that the stimulus be terminated due to discomfort (LIMIT). A second series of stimuli were applied immediately thereafter using 1-sec duration 50 Hz tetanus pulses with increasing intensities at 2~5 sec intervals. Results: There were significant differences between drug treatments (Morphine, HP228, HP228/Morphine) and control (No drugs) in any of the measurements (PAIN, LIMIT) except THRESH with the twitch and tetanus test. Conclusions: The data suggests that HP228 is an analgesic, but it does not appear to interact with morphine in an additive manner.