• Title/Summary/Keyword: CNS effects

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A Study on Operation-Effectiveness Analysis of Clinical Nurse Specialists : Focused on Patient Satisfaction and Expected Profit (임상 전문간호사 운영 효과 분석)

  • Mo, Jin-A;Lim, Ji-Young
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.18 no.1
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    • pp.13-19
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    • 2011
  • Purpose: The aim of this study was to evaluate patient satisfaction and indirect marketing effects (recommendation, hospital re-visit intention) and additionally to calculate the expected incomes by clinical nurse specialists (CNS). Methods: Sixty-six patients who had lower varicose vein removal surgery performed at two general hospitals from August 1 to November 30, 2008, were recruited. The effects were evaluated by degree of patient satisfaction, the number of personal recommendations given, rate of hospital re-visit intention, and indirect marketing effects. Indirect marketing effects were calculated as the total cost of surgery multiplied by the score of other variables. Results: The patient satisfaction score was 0.82 for CNS and 0.43 for general nurses (GN). The number of personal recommendations given was 2.5 for CNS and 1.1 for GN. The rate of hospital re-visit intention was 0.31 for CNS and 0.21 fot GN. The ratio of expected incomes between CNS and GN is 2.07 to 1. Conclusion: We found that when a CNS serves a patient, satisfaction, number of personal recommendations, hospital re-visit intention, and indirect marketing effects were higher than those of GN. These results show that CNS have dominant roles and functions and that the effects of CNS employment can be measured using economics parameters.

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Effects of 8-Fluorociprofloxacin And Ciprofloxacin on the Central Nervous System

  • Kim, Young-Hoon;Kim, Dal-Hyun;Choi, Kyung-Eob
    • Toxicological Research
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    • v.8 no.2
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    • pp.161-170
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    • 1992
  • The objectives of this sutdy were to investigate the effects of 8-fluorociprofloxacin(8-FCP) on the central nervous system (CNS) and to compare with those of ciprofloxacin(CP). The $LD_{50}$ values of intravenous 8-FCP were similar or slightly lower in rat (M;203.6mg/kg, F;186.1mg/kg)and markedly lower in mice (M;126.5mg/kg, F;163.1mg/kg), as compared to those of CP. However, no recognizable differences in the clinical signs and recovery were found between 8-FCP and CP in both species. In combination with fenbufen, the convulsive liability of 8-FCP was higher than that of CP. At an intravenous dose of 10mg/kg, 8-FCP provoked convulsive signs and subsequent death in mice, whereas CP produced convulsion at a dose of 40mg/kg. The hexobabital -induced sleeping time was markedly lengthened by the oral administration of 8-FCP, but slightly increased by CP. In addition, the two quinolone derivatives had analgesic effects. The analgesic activity of 8-FCP was approximately two times higher than that at CP. However, both 8-FCP and CP had little effects of pentylenetetrazole-or strychnine-induced convulsion and muscle relaxation. Our finding that 8-FCP had more remarkable CNS effects than CP strongly suggests that there should be differences in the pharmacokinetic characteristics and/or in the binding affinity for specific biologic targets, or receptors, in the CNS.

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Model tests for the inhibition effects of cohesive non-swelling soil layer on expansive soil

  • Lu, Zheng;Tang, Chuxuan;Yao, Hailin;She, Jianbo;Cheng, Ming;Qiu, Yu;Zhao, Yang
    • Geomechanics and Engineering
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    • v.29 no.1
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    • pp.91-97
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    • 2022
  • The cohesive non-swelling soil (CNS) cushion technology has been widely applied in the subgrade and slope improvement at expansive soil regions. However, the mechanism of the inhibition effect of the CNS layer on expansive soil (ES) has not been fully understood. We performed four outdoor model tests to further understand the inhibition effect, including different kinds of upper layer and thickness, under the unidirectional seepage condition. The swelling deformation, soil pressure, and electrical resistivity were constantly monitored during the saturation process. It is found that when a CNS layer covered the ES layer, the swelling deformation and electrical resistivity of the ES layer decreased significantly, especially the upper part. The inhibition effect of the CNS layer increases with the increase of CNS thickness. The distribution of vertical and lateral soil pressure also changed with the covering of a CNS layer. The electrical resistivity can be an effective index to describe the swelling deformation of ES layer and analyze the inhibition effect of the CNS layer. Overall, the CNS deadweight and the ion migration are the major factors that inhibit the swelling deformation of expansive soil.

Role of Carbon Monoxide in Neurovascular Repair Processing

  • Choi, Yoon Kyung
    • Biomolecules & Therapeutics
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    • v.26 no.2
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    • pp.93-100
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    • 2018
  • Carbon monoxide (CO) is a gaseous molecule produced from heme by heme oxygenase (HO). Endogenous CO production occurring at low concentrations is thought to have several useful biological roles. In mammals, especially humans, a proper neurovascular unit comprising endothelial cells, pericytes, astrocytes, microglia, and neurons is essential for the homeostasis and survival of the central nervous system (CNS). In addition, the regeneration of neurovascular systems from neural stem cells and endothelial precursor cells after CNS diseases is responsible for functional repair. This review focused on the possible role of CO/HO in the neurovascular unit in terms of neurogenesis, angiogenesis, and synaptic plasticity, ultimately leading to behavioral changes in CNS diseases. CO/HO may also enhance cellular networks among endothelial cells, pericytes, astrocytes, and neural stem cells. This review highlights the therapeutic effects of CO/HO on CNS diseases involved in neurogenesis, synaptic plasticity, and angiogenesis. Moreover, the cellular mechanisms and interactions by which CO/HO are exploited for disease prevention and their therapeutic applications in traumatic brain injury, Alzheimer's disease, and stroke are also discussed.

Effects of Dansambohyultang on serum gastrin, secretin release and CNS (단삼보혈탕(丹蔘補血湯)이 혈청(血淸) gastrin, secretin 및 중추신경계(中樞神經系)에 미치는 영향(影響))

  • Yeo, Eun-Kyung;Yun, Sang-Hyup;Rue, Bong-Ha;Park, Dong-Won;Rue, Gi-Won
    • The Journal of Internal Korean Medicine
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    • v.19 no.2
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    • pp.233-248
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    • 1998
  • This study was conducted to investigate effects of Dansambohyultang on serum gastrin, secretin release and CNS in rats and mice. One group of seven rats was intactly in normal condition, the other group of seven rats was respectively heated, starved, and stressfully immobilized. The third group of seven rats was provided with Dansambohyultang before the stress, and the forth one after the stress. And, gastrin concentration and secretin concentration were measured. Mice were studied with regard to convulsion time, total sleep time and analegic effects on cental nerve system. The results were as follows: 1. Gastrin concentration was significantly decreased, and secretin concentration was significantly increased. 2. Analegic effect by acetic acid method was recognizably observed. 3. Effect of total sleep time done by pentobarbital-Na was recognizably observed. 4. Anti-convulsion effects induced by strychnine, picrotoxin and caffeine were recognizable. It is inferred from above results that Dansambohyultang inhibits gastin release, stimulates secretin release and palliate the pain.

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Effects of Adenosine and CNS Stimulants on Motor Activity in Mice (중추신경흥분제 및 Adenosine이 마우스의 자발운동에 미치는 영향)

  • Kwaak, Jung-Jae;Kim, Hea-Young;Kim, Won-Joon
    • The Korean Journal of Pharmacology
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    • v.19 no.1
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    • pp.77-84
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    • 1983
  • The behavioral pattern of an animal is influenced by endogenous and endogenous stimuli such as humoral secretion, neurohumoral transmitters, drugs, light and environmental change. It has teen known that adenosine is a normal constituent of brain, and has sedative or hypnotic effects and anticonvulsant effects, inhibiting the spontaneous firing of cells in the brain via membrane adenosine receptors. Recent studies suggest that the excitatory responses to xanthines in the CNS might be related to the competitive antagonism of xanthines to adenosine. This study was undertaken to Investigate the effects of adenosine and the CNS stimulants such as picrotoxin, strychnine and caffeine on the spontaneous activity of mire, and to examine the influence of adenosine on the seizures induced by large doses of CNS stimulants. Subjects were $20{\sim}30\;g$ adult mice, and the spontaneous activity was measured using the Selective Activity Meter after intraperitoneal injection of adenosine (10 mg/kg), caffeine (100 mg/kg), strychnine(0.2 mg/kg) or picrotoxin(0.5 mg/kg) with or without adenosine pretreatment. The seizures were induced with caffeine(200, 250 and 300 mg/kg), strychnine(1.25 and 1.5 mg/kg) or picrotoxin(10 and 15 mg/kg). The results are summarized as follows : 1) The spontaneous activity in mite was significantly inhibited between 10 and 20 minutes after adenosine treatment. 2) Caffeine and picrotoxin increased the motor activity significantly while strychnine had no effect on the activity. 3) The ambulatory activity in the caffeine, strychnine and picrotoxin treated groups was significantly inhibited by adenosine pretreatment. 4) The seizures were observed with caffeine(200, 250 and 300 m9/kg), strychnine(1.25 and 1.5 mg/kg) or picrotoxin(10 and 15 mg/kg). The caffeine induced seizures were inhibited by adenosine pretreatment, but the strychnine or picrotoxin induced seizures were not affected.

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Effects of the ADL Activity Group Exercise Program on Independent Life of CNS Patients (일상생활 동작 집단학습 운동프로그램이 편마비 환자의 독립적 생활에 미치는 영향)

  • Park, Hyun-Sik;Kim, Taek-Yean;Park, Jong-Hang
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.14 no.1
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    • pp.66-76
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    • 2008
  • Purpose : The purpose of the study was to determine Effects of the ADL Group Study Program Training on Functional Independence and Quality of Life for the CNS Patients. Methods : Thirty patients with stroke were assigned to experimental and control group. During eight weeks, both group participated in the conventional physical therapy and only the experimental group added in the ADL Group Study program. Experimental group performed two a week for 8 weeks and both group were scored Mini-Mental State Examination-Korean version before the training. The data were analyzed with frequency, independent t-test, paired t-test using SPSS PC(ver.12.0). Results : The result of this study is as fallows : First, after eight weeks, the experimental group the significant improvement in Korean Activity Daily Living scale, washing(p<0.01), bathing, ambulation, toilet using(p<0.05) and decorating, the short distance transfer(p<0.05) in Korean Independent Daily Living scale, vitality(p<0.05) in Quality of Life score. Conclusion : These finding suggest that the ADL Group Study Program Training can be used to improve functional independent and quality of life for the CNS patients. Also, the result of this study can provide a reference for the successful therapeutic program in CNS patients.

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The Effects of KR-10876, a new Quinolone Antimicrobial Agent, on the Central Nervous System

  • Kim, Eun-Joo;Cha, Shin-Woo;Shin, Hwa-Sup;Roh, Jung-Koo;Park, Myoung-Whan;Kim, Wan-Joo
    • Archives of Pharmacal Research
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    • v.16 no.1
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    • pp.6-12
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    • 1993
  • To evaluate KR-10876, a new fluoroquinolone antibacterial agent, its effects on the central nervous system(CNS) were investigated in mmice as part of phamacological study, and the results were compared with those for ciprofloxacin and ofloxacin, two prototypes of quinolone antiabctrial agents. All the parameters indicative of CNS function and acute toxicity were measured by close observation of the animals at regular time intervals after oral treatment of test compounds. KR-10876 did not have any effect on the parameters measured at lower does (100, 300 mg/kg, p.o.), it caused ptosis, suppressed spontaneous locomotor activity, hypothemia, and prolonged hexobarbital-induced sleeping time. KR-10876 also had a slight effect on motor coordination only at high dose. Simialr to ciprofloxacin, KR-10876 did not protect mice from pentylenetetrazol-strychnine-, and electroshock-inducedl convulsions at doses tested. These findings demonstrate that KR-10876 affects CNS functions only at high doses. The rank order for effects is ofloxacin$\le$KR-10876>ciprofloxacin.

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Effects of Prenatal and Neonatal Exposure to Bisphenol A on the Development of the Central Nervous System

  • Mizuo, Keisuke;Narita, Minoru;Miyagawa, Kazuya;Suzuki, Tsutomu
    • Biomolecules & Therapeutics
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    • v.18 no.2
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    • pp.125-134
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    • 2010
  • Bisphenol A (BPA) is one of the most common endocrine disrupters. In the last decade, the number of studies concerning the effects of chronic treatment with BPA on the development of the central nervous system (CNS) has increased. However, little is known about the effects of chronic exposure to BPA on higher brain functions such as memory or psychomotor functions. Here, we report our following findings: (1) Prenatal and neonatal exposure to BPA enhances psychostimulant-induced rewarding effects, results in the up- or downregulation of dopamine receptors, causes memory impairment, and decreases choline acetyltransferase (ChAT) activity. (2) BPA activates astrocytes in vivo and in vitro. These findings suggest that prenatal and neonatal exposure to BPA affects the development of the CNS.

A Rare Case of Viagra Induced Toxic Encephalopathy

  • Jeong, Soo Yeon;Jeon, Se Jeong;Kim, Youe Ree;Choi, See-Sung;Kwak, Hyo Sung
    • Investigative Magnetic Resonance Imaging
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    • v.20 no.3
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    • pp.196-199
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    • 2016
  • Viagra has been prescribed worldwide to treat men with erectile dysfunction. Clinical trials have shown that Viagra may cause various kinds of adverse effects include some central nervous system (CNS) adverse effects. Although extremely rare, toxic encephalopathy also can be one of those effects. This report presents a case of encephalopathy caused by Viagra in correlation with its radiologic findings. Its pharmacologic mechanism and potential effects on the biochemistry of the CNS are reviewed.