• 제목/요약/키워드: abstinence

검색결과 144건 처리시간 0.027초

인삼의 항마약 효과 (Antinarcotic Effect of Panax ginseng)

  • Hack Seang Kim;Ki
    • Journal of Ginseng Research
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    • 제14권2호
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    • pp.178-186
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    • 1990
  • The analgesic effect of morphine was antagonized and the development of tolerance was suppressed by the modification of the neurologic function in the animals treated with ginseng saponins The activation of the spinal descending inhibitory systems as well as the supraspinal structures by the administration of morphine was inhibited in the animals treated with ginseng saponine intracerebrally or intrathecally. The development of morphine tolerance and dependence, and the abrupt expression of naloxone inducted abstinence syndrom were also inhibited by ginsenoside Rb1, Rb2, Rg1 and Re. These results suggest that ginsenoside Rbl, Hbs, Rgl and Re are the bioactive components of panax ginseng on the inhibition of the development of morphine tolerance and dependence, and the inhibition of abrupt abstinence sindrome. In addition, further research on the minor components of Pnnnxkinsenl should be investigated. A single or daily treatment with ginseng saponins did not induce any appreciable changes in the brain in level of monoamines at the variolls time intervals and at the various day intervals, respectively. The inhibitory or facilitated effects of ginseng saponins on electrically evoked contractions in guinea pig ileum ($\mu$-receptor) and mouse vats deferens ($\delta$-receptor) were not mediated through opioid receptors. The antagonism of a $\chi$ receptor agonist, U-50, 488H was also not mediated through opioid receptors in the animals treated with ginseng saponins, but mediated through serotonergic mechanisms. Ginseng saponins inhibited morphine 6-dehydrogenase which catalyzed the production of morphinone from morphine, and increased hepatic glutathione contents for the detoxication of morphinone. This result suggests that the dual action of the above plays an important role in the inhibition of the development of morphine tolerance and dependence.

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Tobacco Use and Quit Behaviour Assessment in the Global Adult Tobacco Survey (GATS): Invalid Responses and Implications

  • Jena, Pratap Kumar;Kishore, Jugal;Pati, Sanghamitra;Sarkar, Bidyut Kanti;Das, Sagarika
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권11호
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    • pp.6563-6568
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    • 2013
  • Background: Tobacco use and quit attempts are two key indicators of the Global Adult Tobacco Survey (GATS) that assess quit attempts among current as well as former tobacco users. The relevant data have inherent policy implications for tobacco cessation programme evaluation. This study aimed to review the concepts of quit attempt assessment and quantifying invalid responses considering GATS-India data. Materials and Methods: GATS assessment of tobacco use and quit attempts were examined in the current literature. Two categories of invalid responses were identified by stratified analysis of the duration of last quit attempt among current users and duration of abstinence among former users. Category A included absolute invalid responses when time-frame of assessment of current tobacco use and less than former tobacco use were violated. Category B included responses that violated the unit of measurement of time. Results: Current daily use, current less than daily use and former use in GATS were imprecisely defined with overlapping of time-frame of assessment. Overall responses of 3,102 current smokers, 4,036 current smokeless users, 1,904 former smokers and 1,343 former smokeless users were analyzed to quantify invalid responses. Analysis indicated overall 21.2% (category A: 7.32%; category B: 17.7%) and 22.7% (category A: 8.05%; category B: 18.1%) invalid responses among current smokers and smokeless users respectively regarding their duration of last quit attempt. Similarly overall 6.62% (category A: 4.7%; category B: 2.3%) and 10.6% (category A: 8.6%; category B: 3.5%) invalid responses were identified among former smokers and smokeless users respectively regarding their duration of abstinence. Conclusions: High invalid responses for a single assessment are due to the imprecise definition of current use, former use and quit attempt; and failure to utilize opportunity of direct data entry interface use during the survey to validate responses instantly. Redefining tobacco use and quit attempts considering an appropriate timeframe would reduce invalid responses.

알코올성 간경변증 환자에 대한 치험 2례 (A Case Study of Two Alcoholic Liver Cirrhosis Patients)

  • 배정한;주성희;안소연;장은경;김영철;이장훈
    • 대한한방내과학회지
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    • 제39권2호
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    • pp.176-183
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    • 2018
  • Objectives: To observe the treatment progress of two patients diagnosed with alcoholic liver cirrhosis. Methods: We closely observed two patients with alcoholic liver cirrhosis who had visited the Department of Hepato-hemopoietic System, Kyung Hee University Korean Medicine Hospital in 2017. They were treated with Chungganhaeju-tang and auricular acupuncture, and we evaluated the changes in their general conditions and laboratory tests. Results: In the first case, the patient underwent continuous drinking despite the treatment, and the laboratory tests showed exacerbation. During the treatment, the patient stopped drinking for one week, and both clinical symptoms and laboratory tests were slightly improved. However, overall, there were no substantial improvements. In the second case, clinical symptoms and laboratory tests were markedly improved as the patient took herbal medicine and was treated with auricular acupuncture combined with abstinence from drinking. Conclusion: Two patients with alcoholic liver cirrhosis were observed with the treatment of Chungganhaeju-tang and auricular acupuncture. A patient with continuous drinking showed no improvements while a patient with abstinence from drinking showed substantial improvements in both clinical symptoms and laboratory tests.

가상현실을 이용한 알코올중독자의 단서노출 치료 (Cue-Exposure Therapy using Virtual Reality for alcohol Addicts)

  • 권효석;노성원;최준호;양병환;이장한
    • 한국HCI학회:학술대회논문집
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    • 한국HCI학회 2006년도 학술대회 2부
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    • pp.639-645
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    • 2006
  • During abstinence from alcohol, craving is elicited by the cues and contexts previously associated with alcohol, and contributes to relapse. To prevent the craving and relapse experienced by alcoholics, cue-exposure therapy (CET) has been used to extinguish the association between alcohol and alcohol-related cues and contexts. This study applied CET, using a virtual reality (VR) system, to eight members of an Alcoholics Anonymous group, in eight sessions. Cues and contexts most likely to elicit an urge to drink were selected through a preliminary survey in order to compose VR-CET scenarios: a glass, bottle, food, and a bar were judged to be the most tempting for people in alcohol dependence and abstinence. By these cues and contexts, a Japanese style pub and a western bar were composed. Each session was administered for 30 minutes by a psychiatrist and included an introduction, immersion, VR navigation, interviews about feelings, and self-report questionnaires about cravings. The eight sessions consisted of initial and closing sessions, and six cue- and context-focused sessions. As a result, a reduction in cue-elicited craving after VR-CET was reported. A mean score of 15.75 (SD = 10.91) on the Alcohol Urge Questionnaire in the first session decreased to 11.57 (SD = 6.88) in the final session.

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종교의 영향을 받은 동아시아 복식미의 연구 - 불교.도교.유교를 중심으로 - (A Study on East Asian Costume Beauty, Affected by Religion - Focusing on Buddhism, Taoism, and Confucianism -)

  • 서봉하;김민자
    • 복식
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    • 제58권2호
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    • pp.93-106
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    • 2008
  • Asia Folk Costumes are certainly different from the Western Costumes. This distinction is based upon the effect of environment, technology, and social structure, and especially, which was generated by religion, ideology, and philosophy. The ideas of fundamental ground of this eastern features are religions such as Buddhism, Taoism, and Confucianism. The religion of the East has determined the form of traditional costumes, affecting the costume up to now. This study aims at the investigation of the effect of religion on the formation of East Asia Traditional Costumes around Korea, China, and Japan and its figurative beauty. Study was carried out by chiefly referring to literatures. Eastern Aesthetics was formed by accepting aesthetic concepts, acquired from the idea of Three Religions. Especially, the ideas of non-duality(不二), emptiness(空), five aggregates(五蘊), mind control(心法), derived by Buddhism, and nature theory(自然論) and creationism(創造論) of Taoism, and abstinence theory(節制論) and decorum(禮法) and the principles of Yin and Yang(陰陽) of confucianism have had great effect on the aesthetics of costume. The figurative features of costume, affected by three religions are described by the factors; First, non structural feature, second, the beauty of abstinence and chastity of ample silhouette, third, the feature of natural color and achromatic color, fourth, the figurative feature of costume by the principles of Yin and Yang, and fifth, bright ornaments. The aesthetic values of the East Asia Costume are 'A Beauty of Vacancy', 'A Beauty of Concealment', 'A Beauty of Nature', and 'A Beauty of Symbolism'. As philosophy, culture, and ethnics itself, the religions of Asia have had effect on the overall culture, which is inclusive of social structure, as well as art and aesthetics, and have decided the style of costume.

정액(精液)의 액화(液化)에 관한 연구(硏究) (Studies on Liquefaction of Semen)

  • 김석희;이희영
    • Clinical and Experimental Reproductive Medicine
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    • 제3권2호
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    • pp.35-42
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    • 1976
  • The human semen ejaculated in a form of liquid state, coagulates immediately after ejaculation, and then liquefies again. However, the mechanisms of neither coagulation and liquefaction of semen have not been explained clearly so far, and very limited numbers of report are available, although the spermatology and andrology made rapid progress. This clinical study has been undertaken to investigate the liquefaction phenomena and practicability of the results might be applied to fertility and infertility problems. As a preliminary study, in this report the liquefaction time of various semen groups is measured and analysed. The following results are obtained: 1. An average liquefaction time of semen of a total of 60 subjects: 25 minutes. 2. An average liquefaction time of semen according to sperm count: 1) Normospermia group (20 cases): 34 minutes. 2) Oligospermia group (20 cases): 21 minutes. 3) Azoospermia group (20 cases): 20 minutes. 3. An average liquefaction time of semen according to abstinence period: 1) Less than 3 days group (30 cases): 22 minutes. 2) More then 5 days group (30 cases): 28 minutes. In conclusion: 1. The liquefaction time of semen of the normospermia group is longer than oligospermia group or azoosermia group. 2. The liquefaction time of semen may not be greatly influenced by the various factors such as abstinence period, semen volume, semen pH, age of the subjects and so on. 3. In routine semen analyses, it is recommended to begin the analysis at least 25 minutes after the ejaculation. 4. Further studies are required in conjunction with practical application of liquefaction mechanism in infertility and fertility control.

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알코올 의존 환자에서 탄수화물결핍 트랜스페린과 신경성장인자의 변화 (The Alteration of Carbohydrate-Deficient Transferrin and Nerve Growth Factor in the Patients with Alcohol Dependence)

  • 전찬민;박병양;변정현;이병철;함병주;허미나;최인근
    • 생물정신의학
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    • 제14권3호
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    • pp.161-166
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    • 2007
  • Objectives:Recent studies have raised the possibility that nerve growth factor(NGF) is abnormally regulated in the central nervous system(CNS) of animal models with alcohol dependence. The possible alteration of NGF by prolonged alcohol intake may play an important role in alcohol-induced neurotoxicity. Carbohydrate-deficient transferrin(CDT) is regarded as a reliable biological marker of alcohol dependence. The goal of this study was to estimate the changes of %CDT and serum NGF level according to the duration of alcohol abstinence, and to identify whether %CDT level is associated with the serum NGF level in the patients with alcohol dependence. Methods:The subjects were 24 patients with alcohol dependence. We used the Axis-Shield ASA to measure the %CDT level and the enzyme-linked immunosorbent assay(ELISA) to measure the serum NGF level. %CDT and NGF levels were measured immediately after the admission and at 2 weeks after the admission. Results:Decreased %CDT were observed during the period of 2 weeks after the admission. NGF level was not significantly different after 2 weeks. The NGF levels were not correlated with %CDT. The possibility of %CDT as a predictor of alcohol-induced neurotoxicity was not confirmed. Conclusion:Serum NGF levels is not a reliable indicator of abstinence state in the patients with alcohol dependence. Further studies are needed to evaluate the relation between two indicators in regard to hematological and neurological changes in alcohol dependence.

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보건소 금연클리닉 프로그램의 실시 후 6개월 금연성공 요인 (Factors associated with success of smoking cessation for 6 months at smoking-cessation clinic of public health center in urban area)

  • 전용욱;지남주;이원영
    • 보건교육건강증진학회지
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    • 제25권1호
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    • pp.25-38
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    • 2008
  • Objectives: This study identified the factors associated with successful smoking cessation for 6 months at a smoking-cessation clinic of a public health center in an urban area. Methods: The subjects of this study were 670 visitors to the smoking cessation clinic of Dongjak-Gu public health center in Seoul, from September 6, 2005 to March 24, 2006. The 274 visitors of them responded to the questionnaire with registration, which contained the information related to the study except that of registered card for the clinic. A dependent variable was success or failure in smoking cessation during the 6 month-smoking cessation program, measured the status of smoking cessation in each week by self-report. Independent variable included demographic information, the characteristics in using the clinic, health status and smoking related behaviour, exposure to other smokers in daily life and motivation. Multiple logistic regression model was used to find the factors associated with success of smoking cessation. Results: The success rate in smoking cessation for 6 months was 33.6%. Five pretreatment characteristics were identified as univariate predictors of continuous abstinence. Finally, age, job, and practice oriented motivation were associated significantly with the success of smoking cessation for 6 months from a multiple logistic regression analysis. The lower socio-economic smokers such as people having lower literacy level, lower income people, unskilled workers, and recipients by Medical Assistant Program were more likely to fail in continuous abstinence for 6 months. Conclusions: In order to increase the success rate in smoking cessation clinics of public centers, counselors should activate self confidence and practice oriented motivation of participants for smoking cessation.

치과위생사의 스트레스 탄력성, 분노표출, 직무만족이 삶의 질에 융합적으로 미치는 영향 (Dental Hygienist's Stress Resilience, Anger Expression, Job Satisfaction Convergence Effect on Quality of Life)

  • 윤성욱;오나래
    • 융합정보논문지
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    • 제11권1호
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    • pp.208-215
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    • 2021
  • 본 연구는 치괴위생사의 분노표출, 스트레스 탄력성, 직무만족, 삶의 질의 융합적 관계를 규명하기 위해 대구, 경북지역의 치과위생사 202명을 조사하였다. 자료는 SPSS WIN 18.0통계프로그램으로 기술통계, t-test, ANOVA, 상관분석을 이용하여 분석하였다. 주요결과는 분노표출은 평균 1.50이며 병원급, 직업동기유발이 있는 경우, 자부심이 없는 경우, 높은 수입, 금주가 높았다. 스트레스 탄력성은 평균 3.09이며 음주를 하지 않은 경우 높았으며 직무만족은 평균 3.24이며 자부심이 있는 경우, 금주가 높았다. 삶의 질, 분노표출, 스트레스 탄력성, 직무만족의 상관분석 결과 삶의 질과 스트레스 탄력성과 직무만족은 양의 상관관계(p<.05). 스트레스 탄력성과 직무만족은 양의 상관관계이다(p<.05). 총괄적으로 치괴위생사의 삶의 질을 높이고 분노표출을 줄이기 위해서 직무만족과 스트레스 탄력성을 높이기 위한 정보제공과 환경적인 지원이 되어야 할 것이다.

간호사의 이상섭식행위 관련 예측모형 연구 (A Study on the Prediction Model of Nurses' Abnormal Eating Behavior)

  • 주현정;진수진;권영채;박미경
    • 디지털융복합연구
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    • 제20권1호
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    • pp.399-414
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    • 2022
  • 본 연구는 간호사 493명을 대상으로 내현적 자기애, 외모에 대한 사회문화적 태도가 직무스트레스, 사회부과적 완벽주의, 섭식절제를 통해 이상섭식행위에 미치는 영향에 대한 구조모형을 검정하고자 시도되었다. 연구결과 첫째, 이상섭식행위에 영향을 미치는 변수들의 직접효과는 섭식절제가 가장 큰 요인이었고, 그 다음 사회부과적 완벽주의 순이었으며 이들 변인은 이상섭식행위를 85% 설명하였다. 둘째, 내현적 자기애는 사회부과적 완벽주의와 섭식절제를 통해 이상섭식행위에 유의한 영향을 미쳤고, 외모에 대한 사회문화적 태도는 섭석절제를 통해 이상섭식행위에 유의한 영향을 미쳤다. 병원 간호사와 보건소 간호사 집단을 조절변수로 하는 다중집단 조절효과에서 직무스트레스와 이상섭식행위와 의 경로계수, 사회부과적 완벽주의와 이상섭식행위와이 경로계수가 집단간 차이가 있어 부분조절효과가 있었다. 따라서 이상섭식행위를 감소시키기 위해서는 과도한 섭식절제에서 벗어날 수 있는 간호중재와 사회부과적 완벽주의를 낮출 수 있는 방안모색이 필요하다.