• Journal of Dental Anesthesia and Pain Medicine
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• 제22권6호
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• pp.419-426
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• 2022

Topical anesthetics are routinely used in dental practice for various purposes. They are usually available at higher dosages and have serious potential adverse reactions, such as seizures, anaphylaxis, and acquired methemoglobinemia. To date, the scope of application of herbal plants and their extracts, which have medicinal properties, has been elaborated in the field of dentistry. The growing interest in herbal medication can be attributed to the increased safety profile of herbal agents, in contrast to synthetic preparations that have a higher risk of systemic complications. Herbal preparations can induce topical anesthesia with minimal side effects. Recently, many studies have reported the use of topical herbal preparations. The current review aimed to evaluate data from various articles comparing the capacity of herbal topical anesthetic formulations and conventional synthetic anesthetics in reducing pain perception when used as local anesthesia before dental procedures.

• Journal of Medicine and Life Science
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• 제20권3호
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• pp.131-134
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• 2023

Here, we present a case of a 56-year-old man with acute myocardial infarction. The patient underwent percutaneous coronary intervention (PCI) at the left main bifurcation and mid-left anterior descending artery using drugeluting stents. Four months after the PCI, the patient was readmitted for cardiac arrest. Coronary angiography (CAG) revealed stent thrombosis in the left main-to-proximal left anterior descending artery and in-stent restenosis in the left main-to-proximal left circumflex artery. We performed balloon angioplasty at the left main to mid-left anterior descending artery and left main to proximal left circumflex artery stents; subsequently, blood flow was fully restored. However, contrast agent extravasation was observed outside the mid-portion of the left main artery to the proximal left anterior descending artery stent, indicating the presence of a coronary artery aneurysm (CAA) outside the stent. After guideline-directed medical therapy with dual antiplatelet agents and high-intensity statins, follow-up CAG revealed near-resolution of the CAA, absence of stenotic lesions, and good blood flow.

• 한국콘텐츠학회논문지
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• 제10권7호
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• pp.317-325
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• 2010

이 연구는 PPA 기법을 적용하여 민간경호경비원들의 여가활동 집중개선 여가활동을 도출하고, 나아가 여가제약이 참가지수에 미치는 영향을 규명하는데 주된 목적이 있다. 이러한 과정을 통하여 최종적으로 민간경호경비원들의 여가후생복지 개선을 위한 정책투자우선순위를 도출하고자 한다. 따라서 본 연구는 2010년 2월 서울 소재 6개소 민간경비업체를 대상으로 판단표집법을 적용하여 최종분석에 사용된 사례 수는 총 267명이다. 수집된 자료는 SPSSWIN 17.0 프로그램으로 요인분석, 신뢰도 분석, 대응표본 t검증, PPA 분석, 회귀분석을 실시하였다. 설문지의 신뢰도는 Cronbach's $\alpha$값이 .768 이상으로 나타났다. 결론은 다음과 같다. 첫째, 민간경호경비원의 여가활동 참가 지수인 선호도와 참여도는 차이가 있다. 중점개선 여가활동은 헬스, 산책/조깅, 숙박관광, 당일여행 등이며, 노력지속 여가활동은 영화, 국내유명관광지, 이성교재, 외식, 대인관계, 스포츠 관람, 독서, 노래방, TV 비디오 시청, 음주 등이다. 개선요망 여가활동은 수상스포츠, 등산, 자전거, 축구, 사진촬영, 구기운동, 항공스포츠, 바둑/장기, 인라인스케이트, 요리 등이다. 둘째, 민간경호경비원의 여가제약은 여가활동 참가지수에 영향을 미친다. 여가제약의 하위요인인 개인내적 제약, 주변의식적 제약이 클수록 선호하는 여가활동 참가지수는 감소하는 반면, 구조적 제약, 시간 경제적 제약과 같은 어려움을 극복할 경우 여가활동 참가지수는 증가한다.

• 한국의학물리학회지:의학물리
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• 제20권4호
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• pp.235-243
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• 2009

다양한 간 질환에 Ferucarbotran (SPIO)과 Gd-EOB-DTPA (Primovist) 조영제를 사용하여 자기공명영상 상에서 비교하여 간 질환의 특성 및 검출 과 그 질환에 따른 조영제 흡수관계를 알아보고자 한다. 실험대상은 국소 간 병변을 가진 50명의 환자 중 남자 25명, 여자 25명으로 평균나이는 50세이었다. 사용된 장비와 코일은 3.0T (General Electric Medical System, Excite HD) 자기공명영상장치와 8채널 채부코일이었다. 질환과 조영제 흡수관계를 비교하기 위하여 사용된 펄스 시퀀스는 Liver aquisition with volume acceleration (LAVA)와 Multi-Gradient rapid Echo (MGRE)이었다. 모든 검사기법은 일정한 데이터를 획득하기 위하여 Ferucarbotran (SPIO) 및 Gd-EOB-DTPA (Primovist) 조영제를 주입 전 후에 같은 위치를 선정하여 검사를 시행했다(p<0.05). 검사 결과는 Ferucarbotran와 Gd-EOB-DTPA의 대조도대 잡음비는 간세포암(HCC, 16 cases)이 $3.08{\pm}0.12$과 $7.00{\pm}0.27$이었다. 과다형성결절(Hyperplastic Nodule, 7 cases) 질환은 $3.62{\pm}0.13$, $2.60{\pm}0.23$, 전이(Metastasis, 13 cases)는 $1.70{\pm}0.09$, $2.60{\pm}0.23$, 초점성 결절성 과증식(Focal Nodular Hyperplasia, 6 cases)질환은 $2.12{\pm}0.28$, $5.86{\pm}0.28$, 농양(Abscess, 8 cases)은 $4.45{\pm}0.28$, $1.73{\pm}0.02$이었다. 또한, 각 질환에 대한 진단적 수행을 위해 ANOVA 검증을 하였다(p<0.05). 결론적으로, 두 조영제 효과로 2개 검사기법 모두가 간질환의 특성 및 검출과 그 질환에 따른 조영제 특성을 잘 보여주었다.

• 한국산학기술학회논문지
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• 제16권7호
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• pp.4704-4710
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• 2015

본 연구는 가돌리늄 조영제의 T1 shortening effect를 이용하여 말초동맥으로 갈수록 신호강도가 낮아지는 위상영상의 단점을 근본적으로 개선함으로써 진단에 유용한 영상을 획득하고자 하였다. 연구기간은 2014년 10월부터 동년 12월까지 시행하였으며, 심장질환자를 제외한 AVM 환자 30명을 대상으로 하였다. 연구방법은 T1 shortening effect에 따른 신호강도의 차이를 알아보기 위해 가돌리늄 조영제 주입 전 후 자화강조영상을 획득한 다음, 위상영상을 비교평가 하였다. 연구결과, 가돌리늄 조영제 주입 전, 후 뇌실질 내 말초동맥의 신호강도는 가돌리늄 조영제 주입 후가 주입 전에 비해 전두엽 19.45%, 측두엽 23.09%, 두정엽 18.82%, 후두엽 25.45%, 소뇌 20.93%로 증가 하였고 통계적으로 유의하였다. 그러므로 위상영상 획득 시 가돌리늄 조영제의 T1 shortening effect를 이용하면 위상영상의 단점을 보완할 수 있어 진단 및 치료에 유용한 영상을 획득할 수 있으리라 사료된다.

• 한국임상약학회지
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• 제24권1호
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• pp.39-44
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• 2014

Purpose: To investigate adverse drug reactions (ADR) and causative drugs in the elderly 65 years of age or older, using Korean spontaneous reporting adverse events reporting database from June 2009 to December 2010. Methods: We estimated the association between ADRs and implicated medications by calculating a proportional reporting ratio (PRR), reporting odds ratio (ROR), and information component (IC). We reexamined the most frequently implicated medications and ADRs, and the seriousness of ADRs. Then, we assessed reports and concordant rate of ADRs due to medications designated as "high-risk" in elderly by 2012 healthcare effectiveness data and information set (HEDIS) or "potentially inappropriate" by 2012 American Geriatrics Society updated Beers criteria for potentially inappropriate medications (PIMs). Results: Among 15,484 elderly reports, data-mining analysis by PRR, ROR and IC showed that 421 drug-ADR pairs were detected as signals (3,189). The most frequently reported ADR and causative drug were urticaria (470) and contrast media agents (647), respectively. One hundred eighty nine ADR cases were graded as serious. Twenty-two kinds of high-risk medications were shown to be implicated in only 0.9% of ADRs. Only thirty-nine cases were consistent with 2012 Beers criteria or HEDIS. Conclusion: These results suggest that management of the other medications including contrast media agents as well as close monitoring of PIMs are necessary for reducing ADRs in the elderly.

• Journal of Microbiology
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• 제42권4호
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• pp.299-304
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• 2004

To investigate the presence of infectious agents in human atherosclerotic arterial tissues. Atherosclerotic plaques were removed from 128 patients undergoing carotid endarterectomy or other bypass proce­dures for occlusive disease, and from twenty normal arterial wall samples, obtained from transplant donors with no history of diabetes, hypertension, smoking, or hyperlipidemia. Using the polymerase chain reaction (PCR) or reverse transcription-PCR, these samples were analyzed for the presence of Chlamydia pneumoniae, cytomegalovirus, enterovirus, adenovirus, herpes simplex viruses types 1 and 2, and Epstein-Barr virus. The amplicons were then sequenced, and phylogenetic analyses were per­formed. Enteroviral RNA was found in 22 of 128 atherosclerotic vascular lesions $(17.2\%),$ and C. pneu­moniae and cytomegalovirus were each found in 2 samples $(1.6\%).$ In contrast, adenovirus, herpes simplex viruses, and Epstein-Barr virus were not identified in any of the atherosclerotic samples. Enterovirus was detected in 6/24 $(25.0\%)$ aortas, 7/33 $(21.2\%)$ carotid arteries, 6/40 $(15.0\%)$ femoral arteries, and 3/31 $(9.7\%)$ radial arteries of patients with chronic renal failure. There were no infectious agents detected in any of the control specimens. Using phylogenetic analysis, the enterovirus isolates were clustered into 3 groups, arranged as echovirus 9 and coxsackieviruses Bl and B3. Enteroviral RNA was detected in $17.2\%$ of atherosclerotic plaques, but was not observed in any of the control spec­imens. This suggests a connection between enteroviral infection and atherosclerosis. These findings dif­fer from those of other studies, which found more frequent incidence of C. pneumoniae and cytomegalovirus infection in atherosclerotic plaques.

• 대한약리학회지
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• 제9권1호
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• pp.23-37
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• 1973

This paper presents the effect of chronic administration of psychotropic drugs on rats. The experimental animals were litter mates (average initial body weight $47{\pm}1.1g$) whose mother were bred at our laboratory. Each litter mate was treated as one group. Control animals were treated with tap water and each experimental group was treated with caffeine citrate 0.1%, nialamide 0.1%, ethyl alcohol 2.5%, phenobarbital sod. 0.1%, diphenylhydantoin 0.1%, chlorpromazine 0.1%, reserpine 0.005%, diazepam 0.01%, chlorpheniramine 0.01% solutions respectively in drinking water over a period of ten weeks. All rats were allowed food and drinking water ad libitum. The mortality rate and the per cent increase of body weight were recorded weekly throughout the course of the experiment. The effects of above agents on the pentobarbital sleeping time, gastric secretion, and brain and liver weights were studied at the end of ten weeks treatment. The obtained results are summarized as follows: 1. Mortality rate was highest in the groups treated with phenobarbital and chlorpromazine respectively. Through the experimental period (ten weeks), the mortality rate was higher in earlier stage than in the later period. 2. During the period of prolonged administration of psychotropic drugs, only diazepam treated group showed remarkable difference in per cent increase of body weight from the control group of rats. 3. Acute treatment with psychotropic drugs delayed the onset of pentobarbital sleeping time. In contrast, the sleeping time was significantly shortened (p<0.001) when the rats were treated chronically with those agents. 4. The effects of chronic treatment with phenobarbital or diphenylhydantoin on the gastric secretion are as follows: the total acidity was remarkably decreased while the pH was increased. 5. The brain weight was significantly decreased in the ethyl alchol and in the chlorpheniramine treated groups, in the mean time, there was no change in liver weight treated with any psychotropic drugs.

• 한국생물공학회:학술대회논문집
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• 한국생물공학회 2000년도 춘계학술발표대회
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• pp.279-282
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• 2000

S. lincolnensis 배양시 나타나는 거품의 문제를 해결하기위해 UP-1과 OP-1배지에 소포제 종류를 PPG, PEG 및 CA-110을 첨가하여 실험하였다. OP-1배지를 이용한 플라스크 배양의 경우 PPG와 PEG 각각 402 mg/L, 394 mg/L로 높은 Lincomycin 생산농도를 나타내었으나, UP-1배지의 경우 대조구에 비해 Lincomycin 생산농도는 큰 차이가 없었다. 두 가지 배지에서 소포제 농도의 변화에 대한 Lincomycin생산을 통계처리한 결과는 실험한 농도 범위에서 큰 차이를 나타내지 않았다. 충분한 산소공급은 Lincomycin 생산에 필수적이고, rpm의 변화에 따른 실험 결과 300 rpm의 경우 가장 효과적이었다. 발효조에서 PPG 농도 5, 1, 0.5 g/L를 첨가하여 발효한 결과 상당한 차이를 나타내었다. Lincomycin 생산을 위한 소포제로서 PPG가 가장 좋았으며 농도는 0.5 g/L가 적절하였다.

• Toxicological Research
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• 제34권4호
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• pp.281-290
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• 2018

Exposure to chemical agents is an inevitable consequence of modern society; some of these agents are hazardous to human health. The effects of chemical carcinogens are of great concern in many countries, and international organizations, such as the World Health Organization, have established guidelines for the regulation of these chemicals. Carcinogens are currently categorized into two classes, genotoxic and non-genotoxic carcinogens, which are subject to different regulatory policies. Genotoxic carcinogens are chemicals that exert carcinogenicity via the induction of mutations. Owing to their DNA interaction properties, there is thought to be no safe exposure threshold or dose. Genotoxic carcinogens are regulated under the assumption that they pose a cancer risk for humans, even at very low doses. In contrast, non-genotoxic carcinogens, which induce cancer through mechanisms other than mutations, such as hormonal effects, cytotoxicity, cell proliferation, or epigenetic changes, are thought to have a safe exposure threshold or dose; thus, their use in society is permitted unless the exposure or intake level would exceed the threshold. Genotoxicity assays are an important method to distinguish the two classes of carcinogens. However, some carcinogens have negative results in in vitro bacterial mutation assays, but yield positive results in the in vivo transgenic rodent gene mutation assay. Non-DNA damage, such as spindle poison or topoisomerase inhibition, often leads to positive results in cytogenetic genotoxicity assays such as the chromosome aberration assay or the micronucleus assay. Therefore, mechanistic considerations of tumor induction, based on the results of the genotoxicity assays, are necessary to distinguish genotoxic and non-genotoxic carcinogens. In this review, the concept of threshold of toxicological concern is introduced and the potential risk from multiple exposures to low doses of genotoxic carcinogens is also discussed.