• Journal of Acupuncture Research
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• 제28권4호
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• pp.143-147
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• 2011

Objectives : The purpose of this study was to examine the effect of needle-embedding therapy against facial wrinkle. Methods : Ten patients with facial wrinkles were treated with needle-embedding therapy. Pictures and satisfaction questionnaire were compared before and after the treatment. And all patients were examined for adverse side effect after needle-embedding therapy. Results : After treatment, facial wrinkles were visibly improved after needle-embedding therapy. There were no adverse side effect except bruise. Conclusions : This study suggests that needle-embedding therapy can improve facial wrinkles.

• The Korean Journal of Pain
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• 제31권2호
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• pp.73-79
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• 2018

All drugs have both favorable therapeutic and untoward adverse effects. Conventional opioid analgesics possess both analgesia and adverse reactions, such as nausea, vomiting, and respiratory depression. The opioid ligand binds to ${\mu}$ opioid receptor and non-selectively activates two intracellular signaling pathways: the G protein pathway induce analgesia, while the ${\beta}$-arrestin pathway is responsible for the opioid-related adverse reactions. An ideal opioid should activate the G protein pathway while deactivating the ${\beta}$-arrestin pathway. Oliceridine (TRV130) has a novel characteristic mechanism on the action of the ${\mu}$ receptor G protein pathway selective (${\mu}$-GPS) modulation. Even though adverse reactions (ADRs) are significantly attenuated, while the analgesic effect is augmented, the some residual ADRs persist. Consequently, a G protein biased ${\mu}$ opioid ligand, oliceridine, improves the therapeutic index owing to increased analgesia with decreased adverse events. This review article provides a brief history, mechanism of action, pharmacokinetics, pharmacodynamics, and ADRs of oliceridine.

• 대한한방내과학회지
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• 제27권4호
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• pp.836-844
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• 2006

Background: Mahuang (Ephedra sinica STAPF) is well known as an herbal medicine and has been widely used to reduce body weight and increase athletic ability. However, as a result of reporting many cases of adverse effects on the cardiovascular system, use of dietary supplements containing ephedra was prohibited by the FDA. Objectives : The object of this study was to find the effectiveness of ephedra on weight loss without severe adverse effect. Methods : 16 healthy volunteers consisting of an ephedra group (N=8) and a placebo group (N=8) were investigated. Study form was a randomized, controlled, double-blind clinical trial. The ephedra group took 12g of ephedra while the placebo group took 12g of glutinous rice powder. Both groups were measured with BCA (body composition analysis) on weight loss and with HRV (heart rate variability) on its adverse effect before and after medication. Results : The following results were obtained after taking 12g of ephedra for 14 days. In the ephedra group, body weight reduced significantly. In the placebo group, there were no significant differences of body weight between before and after placebo treatment. There was a slight increase of heart beat rate and deactivation of cardiac activity. Parasympathetic nerves were deactivated, but balances of autonomic nervous system were well maintained. Conclusions : The results suggest that ephedra in healthy adults tends to reduce body weight and deactivation of autonomic nervous system and cardiac activity.

• 구강회복응용과학지
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• 제30권4호
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• pp.299-306
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• 2014

보툴리눔 독소는 여러 영역에서 치료적 목적으로 사용되어 왔으며, 그 사용량과 적용범위가 점차 커지는 추세이다. 보툴리눔 독소가 강력한 독성 물질임에도 불구하고, 그 효과가 6개월이면 사라지는 가역적 치료방법이라는 인식이 강해서, 부작용이나 사용시 주의사항을 중요하게 생각하지 않는 경향이 있었다. 하지만 미국에서 부작용으로 사망하는 사례가 발생하여, 사용시 사망에 대한 주의사항이 추가되었다. 이에 본 종설은 보툴리눔 독소가 인체 내에서 대사되는 과정과, 발생 가능한 부작용, 사용시 유의사항, 사망 부작용 사례 등에 대해 지금까지 보고된 문헌들을 토대로 자세히 검토하고자 한다.

• 한국임상약학회지
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• 제24권2호
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• pp.106-114
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• 2014

Purpose: Recent investigations suggest that the antiplatelet effect of clopidogrel may be decreased when this medication is taken together with certain proton pump inhibitors (PPIs). However, there has been no study conducted in Korea regarding the clinical effect of clopidogrel-PPI interaction. This study targeted patients who received stents to investigate the effect of the concomitant use of clopidogrel and PPIs on the occurrence of adverse cardiovascular events in Korean patients. Methods: The patients who received a stent insertion at the Yeouido St. Mary's Hospital between January 2010 and April 2011 were included. The patients were divided into two groups, clopidogrel and clopidogrel + PPI, and followed for 12 months after the date of stent insertion using prescription history and medical records. The recurrence rates of the cardiovascular events among the two patient groups were statistically analyzed. Results: There was no difference between the two groups in the basic characteristics of the 157 patients in the clopidogrel group and the 62 patients in the clopidogrel+PPI group. Simple logistic regression showed a significantly higher rate of re-hospitalization in the clopidogrel+PPI group (OR=1.893, 95% CI 1.040-3.445, p=0.037). However, the results of the multivariate logistic regression of the variables found to have statistical significance by crosstabulation showed no significant difference in the rate of adverse cardiovascular events or re-hospitalization between the two groups. Conclusions: There was no significant difference between the clopidogrel and clopidogrel+PPI group among new patients with cardiovascular stents with respect to the occurrence of revascularization procedures, stent thrombosis, or chest pain, or with respect to the re-hospitalization rate for all cardiovascular events.

• 한국환경보건학회지
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• 제23권2호
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• pp.57-63
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• 1997

This study was carried out to find the adverse health effects of ozone by papers, the potential indoor sources of ozone by papers, and then the removal mechanism of ozone by experiments. The exposure of individuals to excessive levels of ozone both in the industrial and ambient environment is a continuing public health concern. Ozone indoors may play a role in generating secondary pollutants that may have adverse health effects. The removal efficiency of ozone was studied by (1) the effect of concentration on breakthrough time, (2) the effect of flow rate on breakthrough time, (3) the effect of adsorbent's weight on breakthrough time, (4) the effect of temperature on breakthrough time, (5) the application of Langmuir's isotherm equation in using activated carbon. The followings are the conclusions that were derived from this study. 1. In the effect of concentration on breakthrough time, the adsorption capacity of activated carbon was inversely proportional to ozone concentratuion (0.1, 0.2, 0.3 ppm). 2. In the effect of flow rate on breakthrough time, the service life of activated carbon was inversely proportional to flow rate (2, 8, 14l/min). 3. The difference in removal efficiency of ozone between weights(100 mg and 150 mg) was seen. And when weight of activated carbon was 100 mg and 150 mg, pressure loss was 4-5mmHg and 6-7mmHg, respectively. It is required to study relations among flow rate and adsorbent's weight and ventilation quantity, too. 4. Generally, Langmuir's equation, one of the oldest and most used frequently isotherm equation, applies to chemisorption. In case of ozone, when the weight of activated carbon was 70 mg and temperature 40, slope(1/a) was $6.25\times 10^{-1}$ and intercept(1/ab) was $1.9\times 10^{-4}$ (average r=0.94).

• Journal of Acupuncture Research
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• 제18권4호
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• pp.205-211
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• 2001

Objective : There was no report on traumatic pneumothorax associated with acupuncture in korea yet, although many people guess at its possibility. In order to make known that acupuncture can cause pneumothorax in reality and to prevent more acupuncture-related adverse effect cases in future, this report was made. Methods : Close observation was done on clinical symptoms & radiologic examination of acupuncture-related traumatic pneumothorax patient. Results : During acupuncture therapy on neck stiffness & shoulder pain, a acupuncture needle was inserted too deeply into upper part of thorax unintentionally, patient showed dyspnea, chest pain & discomfort, cough, sweating and mild rupture of right lung in chest radiologic findings, and recovered after 2 weeks of conservative treatment. Conclusion : In order to prevent traumatic pneumothorax during acupuncture therapy, needling into thorax sometimes requires tilted acupuncture needle inserting under consideration of needle width & length. At least 0.40mm width of needle is generally considered appropriate in needling into taut band of thoracic muscles, because too thin and long needle sometimes can be bent and inserted into wrong way, which can cause adverse effects like pneumothorax.

• Animal cells and systems
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• 제14권3호
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• pp.225-236
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• 2010

We compared the composition of phospholipid fatty acids (PLFA) to assess the microbial community structure in the soil and rhizosphere community of non-transgenic watermelons and transgenic watermelons in Miryang farmlands in Korea during the spring and summer of 2005. The PLFA data were seasonally examined for the number of PLFA to determine whether there is any difference in the microbial community in soils from two types of watermelons, non-transgenic and transgenic. We identified 78 PLFAs from the rhizosphere samples of the two types of watermelons. We found eight different PLFAs for the type of plants and sixteen PLFAs for the interaction of plant type and season. The PLFA data were analyzed by analysis of variance separated by plant type (P<0.0085), season (P<0.0154), and the plant type${\times}$season interaction (P<0.1595). Non-parametric multidimensional scaling (NMS showed a small apparent difference but multi-response permutation procedures (MRPP) confirmed that there was no difference in microbial community structure for soils of both plant types. Conclusively, there was no significant adverse effect of transgenic watermelon on bacterial and fungal relative abundance as measured by PLFA. We could reject our hypothesis that there might be an adverse effect from transgenic watermelon with our statistical results. Therefore, we can suggest the use of this PLFA methodology to examine the adverse effects of transgenic plants on the soil microbial community.

• Clinics in Shoulder and Elbow
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• 제18권4호
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• pp.237-241
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• 2015

Background: We investigated the effectiveness of pain management and the adverse events of intravenous (IV) patient-controlled analgesia (PCA) after orthopedic surgery. Methods: From September 2014 and August 2015, we performed a retrospective analysis of 77 patients who underwent orthopedic surgery of the shoulder or the elbow in our hospital. The composition of the intravenous PCA administered to the patients was as follows: 250 mg of dexketoprofen trametamol, 70 mg of oxycodone, and 0.6 mg of ramosetron, which were made up to 79 ml of normal saline. We evaluated and statistically analyzed the difference in the visual analogue scale (VAS) scores for pain at immediate postoperation, at 24 hours of PCA, at 72 hours of PCA, and after discontinuation of PCA and in the incidence of adverse events. Results: We found that VAS score decreased for 3 postoperative days and that with discontinuation of IV PCA a meaningful change in VAS score was no longer seen. Of the 77 patients, 22 presented with adverse events (28.6%). We terminated IV PCA temporarily in the 21 patients who presented with adverse events; we terminated analgesia permanently in one patient (1.2%). Consequently, 76 of 77 patients carried out IV PCA till the designated period. Conclusions: Intravenous PCA after orthopedic surgery of the shoulder or the elbow may be accompanied with adverse events. Careful assessment of the patient and treatment of the adverse outcomes are key to a successful maintenance of PCA and to a successful management of postoperative pain.

• 재무관리연구
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• 제22권2호
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• pp.213-226
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• 2005

역선택은 금융 산업에서 많이 연구되는 주제이다. 은행 대출 이자율에 대해서는 이자율과 역 선택의 관계에 대해서 공감을 형성하고 있지만, 신용카드 이자율에 있어서 이자율의 변화와 역선택이 발생하는 방향에 대해서 아직 논쟁 중이다. 그러므로 이 논문에서는 신용카드 이자율에 있어서 역선택이 어떻게 발생하는 지를 밝히고, 균형 이자율이 결정되는 과정을 보이려 한다. 신용카드 이용자들과 공급자 사이의 상호 작용이 이자율을 결정하게 되는 중요한 요소이다. 신용카드 이용자들은 거래수단으로서 혹은 자금 조달 수단으로 신용카드와 현금을 이용할 수 있는데, 단위 화폐가치당 소용 비용을 최소화하려는 선택을 하는 합리적인 소비자로 가정하고 있다. 반면에 신용카드 공급자들은 그들의 이익을 최대화하려는 노력을 기울이는데, 현금보다 신용카드가 널리 쓰일수록 유리하다. 이런 가정하에서 신용카드 이자율과 역선택의 관계를 이론적 모형을 통해서 분석하였고, 은행 대출 이자율에서 발생하는 역선택과 같은 역선택이 발생함을 보였다. 즉 증가하는 신용카드 이자율은 역선택을 유발하는 것이다.