• 제목/요약/키워드: induction therapy

검색결과 404건 처리시간 0.022초

The Effects of Propofol and Thiopental Continuous Infusion on Serum Potassium Disturbances in Neurosurgical Patients

  • Kim, Tae Kyong;Lim, Young-Jin;Ju, Jae-Woo;Kim, Jin Wook;Park, Hee-Pyoung
    • Journal of Korean Neurosurgical Society
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    • 제57권3호
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    • pp.197-203
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    • 2015
  • Objective : The potassium disturbance associated with thiopental continuous infusion in neurosurgical patients is well known. However, the effect of propofol continuous infusion on serum potassium levels has not been investigated extensively. Methods : We reviewed the medical records of 60 consecutive patients who received coma therapy or deep sedation for intracranial pressure control using either thiopental or propofol between January 2010 and January 2012. Results : The overall incidence of hypokalemia (K<3.5 mmol/L) was comparable between thiopental and propofol groups (89.2% vs. 82.6%). But, the incidence of moderate to severe hypokalemia (K<3.0 mmol/L) was significantly higher in thiopental group (51.4% vs. 13.0%, p=0.003). The lowest potassium level (2.9 mmol/L vs. 3.2 mmol/L, p=0.020) was lower in thiopental group. The patients in the thiopental group required greater potassium replacement than the propofol group patients (0.08 mmol/kg/h vs. 0.02 mmol/kg/h, p<0.001). On multivariate analysis, thiopental [odds ratio, 95% confidence interval, 7.31 (1.78-27.81); p=0.005] was associated with moderate to severe hypokalemia during continuous infusion. The incidence of rebound hyperkalemia (K>5.0 mmol/L, 32.4% vs. 4.3%, p=0.010) and the peak potassium concentration (4.8 mmol/L vs. 4.2 mmol/L, p=0.037) after the cessation of therapy were higher in thiopental group. On multivariate analysis, thiopental [8.82 (1.00-77.81); p=0.049] and duration of continuous infusion [1.02 (1.00-1.04); p=0.016] were associated with rebound hyperkalemia once therapy was discontinued. Conclusion : Propofol was less frequently associated with moderate to severe hypokalemia after induction and rebound hyperkalemia following the cessation of continuous infusion than thiopental.

만성 뇌졸중 환자에서 장기간 지팡이 사용이 건측 하지 통증 발현에 미치는 영향 (Induction of Pain in the Ipsilateral Lower Limb from Long-term Cane Usage after Stroke)

  • 손성민;권중원;남석현;김중선
    • The Journal of Korean Physical Therapy
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    • 제25권1호
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    • pp.36-41
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    • 2013
  • Purpose: To investigate whether the long-term use of a cane induces pain in the unaffected lower limb of stroke patients. Methods: A total of 107 stroke patients with chronic hemiparesis were recruited in this study and classified into two groups; a cane-use group (n=49) and non-cane-use group (n=58). The existence of pain in the unaffected lower limb was assessed on a visual analog scale in the hip, knee, and ankle joint, and the University of Alabama pain behaviors scale (UAB pain behavior scale) used to measure the intensity of pain. In addition, the Motricity Index (MI) was tested in the upper and lower extremities. Results: The proportion of pain in each joint of the lower limb was significantly higher in the cane-use group, compared to the non-cane-use group (p<0.05). In addition, significant differences were observed on the UAB pain behavior scale between the two groups. The lower MI score was significantly lower in the cane-use group, compared with the control group. However, no difference was observed in MI scores of the upper limb between the two groups. Conclusion: These findings reveal that long-term cane usage can induce pain in the unaffected lower limb of stroke patients. We suggest careful consideration when prescribing a cane, depending on functional ability in hemiparetic patients, and recommend continuous evaluation for pain in the affected lower limb.

수술 불가능한 두경부 종양에서 방사선 단독요법과 유도 화학요법 및 방사선 병용요법의 비교 (A Comparision of Radiotherapy Alone with Induction Chemotherapy-Radiotherapy in Inoperable Head and Neck Cancer)

  • 박인규;윤상모;김상보;류삼열;박준식
    • Radiation Oncology Journal
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    • 제9권2호
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    • pp.205-213
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    • 1991
  • 수술불가능한 두경부 종양에서 유도 화학요법의 효과를 알아보기 위해, 저자들은 후향성 조사를 실시하였다. 55명의 환자가 유도 화학요법 및 방사선 병용요법으로 치료를 받았으며, 이 환자군은 방사선 단독요법으로 치료받은 54명의 환자와 비교되었다. 치료에 이용된 화학요법은 CF (cis-platine+5-FU), CVB(cyclophosphamide+vincristine, bleomycin), CAP (cyclophosphamide+adriamycine+prednisolone) 혹은 PVBM(cis-platine+vincristine+ bleomycine+methotrexate)이었다. 유도화학요법의 독성은 미미했고, 주로 오심 및 구토, 점막 염증그리고 골수 억제였다. 화학요법에 대한 주관해율은 $61.8\%$였고, 이중 완전관해율은 $14.5\%$ 그리고 부분관해율은 $47.3\%$로 나타났다. 유도 화학요법 및 방사선 병용요법에 있어서, 국소 치료이후 주관해율은 $87.3\%$(48/55), 이중 완전관해율은 $58.2\%$ (32/55)그리고 부분관해율은 $29.1\%$ (16/55)였다. 방사선 단독요법으로 치료한 군에서는 주관해율 $81.5\%$(44/55), 완전관해율 $50\%$(27/55) 그리고 부분관해율$31.5\%$ (17/55)로 나타났다(p=0.57) . 중앙 추적기간은 유도 화학요법 및 방사선 병용요법으로 치료한 군에서는 17개월, 방사선 단독요법으로 치료한 군에서는 11개월 이었다. 중앙 생존기간은 유도 화학요법 및 방사선 병용요법으로 치료한 군에서는 30개월, 방사선 단독요법으로 치료한 군에서는 24개월이었다(p=0.3). 2년, 3년, 그리고 5년 생존율은 유도 화학요법 및 방사선 병용요법으로 치료한 군에서는 각각 $60.9\%,\;48.6\%,\;42.5\%$로 나타났고, 방사선 단독요법으로 치료한 군에서는 $54.9\%,\;49.9\%,\;49.9\%$로 나타났다(p=0.33). 방사선 단독군과 유도 화학요법 및 방사선 병용요법 군에서 전체 종양의 병기, 원발 종양 및 임파절의 병기, 원발 병소의 위치, 그리고 조직학적 소견에 대하여 비교하여 보았으나, 모든 경우에 있어 생존율에 유의한 차이를 보이지 않았다. 따라서, 저자들은 이 후향성 조사에서 수술 불가능한 두경부 종양에 있어서 유도 화학요법의 이점을 발견하지 못했다.

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불안수준 및 일시적 유발정서가 서열정보 어휘처리에 미치는 효과 (An Effect for Sequential Information Processing by the Anxiety Level and Temporary Affect Induction)

  • 김충명
    • 한국산학기술학회논문지
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    • 제20권4호
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    • pp.224-231
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    • 2019
  • 본 연구는 불안 및 정상그룹을 대상으로 서열성을 판단하는 인지과제 수행과정에서, 유발된 배경정서와 내재된 불안 수준이 과제처리에 미치는 영향을 밝히고자 하였다. 어휘 간 관계정보 중 서열판단 과제에서의 피험자 내 변인으로 유발정서 유형(기쁨, 분노, 슬픔 및 통제) 및 인지과제 처리유형(숫자서열 및 크기서열)을, 피험자 간 변인으로는 일반 대학생 중 벡 불안척도 검사를 통해 분리된 불안여부로 설정한 후 반응시간 및 오류율의 차이를 분석하였다. 자극의 제시와 반응의 수집은 DmDx5를 활용하였다. 실험결과, 집단 간 반응의 차이가 확인되었고 불안그룹이 과제유형에 관계없이 모든 정서유발 조건에서 정상그룹에 비해 더 느린 반응시간과 더 높은 오류율을 보였다. 그리고 정서유형에 관계없이 두 서열과제에서도 지체응답 경향을 보였다. 다음으로 정서유발 및 서열과제 효과를 통해 정서 및 과제 특정적인 반응경향을 확인하였는데, 슬픔조건이 타 정서보다 빠른 반응을 보였으며, 숫자서열 조건이 크기서열 조건보다 더 빨랐다. 이는 그룹별 그리고 과제유형별 인지과제 처리경향은 물론, 수반되는 정서유형에 따른 응답경향의 차이를 확인해 줌으로써 정서-인지 관련 행동에서의 기저의 배경정서가 처리과정에 주요 요인이 될 수 있음을 시사하는 결과라 하겠다.

A NOTE ON THREE-DAY STEROID THERAPY FOR INDUCTION OF LACTATION IN INFERTILE HEIFERS

  • Dabas, Y.P.S.;Sud, S.C.
    • Asian-Australasian Journal of Animal Sciences
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    • 제2권4호
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    • pp.575-578
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    • 1989
  • Estradiol-$17{\beta}$ and progesterone at the rate of 0.1 and 0.25 mg respectively, per kg body weight per day were administered s/c to each of the five infertile feifers for 3 consecutive days i.e. days 1 to 3, and 2 mg of reserpine were followed twice daily on days 8 to 11. Results indicated that three of the treated heifers were successfully induced into lactation. Progesterone concentrations in the blood plasma and defatted milk exhibited considerable variations.

Promyelocytic Leukemia Gene Functions and Roles in Tumorigenesis

  • Imani-Saber, Zeinab;Ghafouri-Fard, Soudeh
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권19호
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    • pp.8019-8026
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    • 2014
  • The promyelocytic leukemia (PML) gene is a gene known to be a tumor suppressor, although recent data suggest that it has a dual function in tumorigenesis. It was initially discovered in acute promyelocytic leukemia (APL) in which a t(15; 17) chromosomal translocation fused it to the retinoic acid receptor alpha ($RAR{\alpha}$). It has been shown to be involved in various types of cancer. It has at least 6 nuclear isoforms and a cytoplasmic type with different characteristics. Its multiple functions in growth inhibition, apoptosis induction, replicative senescence, inhibition of oncogenic transformation, and suppression of migration and angiogenesis have made it a therapeutic target for cancer therapy. However, its dual role in the process of tumorigenesis has made this field challenging. In this review, we discuss PML structure, functions and expression in tumors.

전통침의 제법(製法) 특성과 전자기적 상관성 연구 (A Study on the Characteristics of Manufacturing and the Electromagnetic Correlations of Traditional Acupuncture Needle)

  • 홍도현
    • Journal of Acupuncture Research
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    • 제30권5호
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    • pp.95-105
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    • 2013
  • Objectives : The purpose of this study is to examine the preparing methods of the traditional acupuncture needle and to interpret the electromagnetic meaning intervened in them. Methods : The overall manufacturing processes of the acupuncture needles in ancient books were surveyed. And the facts that special functional activities were carried out in common in the preparing processes were detected. The reproduction tests for the detected former functional activities were followed. Results : According to the ancient medical books, the traditional acupuncture needles were treated with the magnet through the preparing processes. The reproduction tests provided the fact that the ferromagnetic iron needles treated with the magnet were enhanced their magnetisms. And major techniques of the ancient supplementation and draining can be interpreted as magnetic or induced electromagnetic actions. Conclusions : Considering the electromagnetic characteristics of human body, the magnet treated ferromagnetic iron needles of ancient era and magnetic or induced electromagnetic interpretable manipulation techniques are the historical evidences of magnetic activities of acupuncture. So modern acupuncture therapy should be understood, studied, and reinterpreted as an electromagnetic viewpoint.

유전자 재조합 대장균을 이용한 5-Aminolevulinic acid(ALA)의 대량 생산 기술 및 모니터링 기술 개발

  • 정상윤;이종일
    • 한국생물공학회:학술대회논문집
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    • 한국생물공학회 2003년도 생물공학의 동향(XII)
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    • pp.87-90
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    • 2003
  • ALA is an essential intermediate in the tetrapyrrole biosynthesis pathway and has applications as a biodegradable herbicide and insecticide as well as medical applications including photodynamic therapy of cancers. For the development of mass production process of ALA it is necessary to on-line monitor some metabolites such as glycine, succinate, LA and ALA. In this work, medium compositions, pH conditions, induction and addition of LA were investigated to increase the production of ALA by recombinant E. coli. A 2-dimensional fluorescence sensor was used to monitor the processe and the fluorescence spectra were correlated with on- and off-line data like ALAS, ALAD, cell mass etc.

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Recent Trends of Infliximab Treatment for Crohn's Disease

  • Kim, Mi-Jin;Choe, Yon-Ho
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제15권1호
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    • pp.19-22
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    • 2012
  • Crohn's disease is a chronic inflammatory disorder of the gastrointestinal tract and characterized by relapsing and remitting episodes, with progression over time to complications of stricture, fistulas, or abscesses. The etiology is unknown, although the common opinion is that the disease arises from a disordered immune response to the gut contents in genetically predisposed individuals. Infliximab is a mouse-human chimeric antibody against tumor necrosis factor ${\alpha}$, and has proven to be effective in active Crohn's disease for both induction and maintenance therapy. Despite the growing experience with infliximab in Crohn's disease, optimal treatment strategies still need to be determined. The purpose of this review is to summarize the current knowledge on the use of infliximab in Crohn's disease and to discuss the yet-unsolved issues.

Current advances in adenovirus nanocomplexes: more specificity and less immunogenicity

  • Kang, Eun-Ah;Yun, Chae-Ok
    • BMB Reports
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    • 제43권12호
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    • pp.781-788
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    • 2010
  • An often overlooked issue in the field of adenovirus (Ad)-mediated cancer gene therapy is its limited capacity for effective systemic delivery. Although primary tumors can be treated effectively with intralesional injection of conventional Ad vectors, systemic metastasis is difficult to cure. Systemic administration of conventional naked Ads leads to acute accumulation of Ad particles in the liver, induction of neutralizing antibody, short blood circulation half-life, non-specific biodistribution in undesired organs, and low selective accumulation in the target disease site. Versatile strategies involving the modification of viral surfaces with polymers and nanomaterials have been designed for the purpose of maximizing Ad anti-tumor activity and specificity by systemic administration. Integration of viral and non-viral nanomaterials will substantially advance both fields, creating new concepts in gene therapeutics. This review focuses on current advances in the development of smart Ad hybrid nanocomplexes based on various design-based strategies for optimal Ad systemic administration.