• 한방재활의학과학회지
• /
• 제24권3호
• /
• pp.87-98
• /
• 2014

Objectives The present study aimed to investigate the effects of acupuncture and herbal external preparation on wound healing procedure in a deep partial thickness burn model in rats. Methods A total of 40 male Sprague-Dawley rats were allocated into four groups with an equal number in each group: acupuncture treatment group, herbal external perparation group, Silver sulfadiazine dressing group and control group. We describe the effect of acupuncture and herbal external preparation on morphologic and histologic changes, epithelial growth factor (EGF), hematological value of the deep partial thickness burn wound in rats. Results At 21th day after wounding the wound size in acupuncture treat group and herbal external preparation group were decreased more significantly compared to control group. In addition, epidermal regeneration on acupuncture treatment was than other treatment and control group in histological finding. Hematological findings revealed that acupuncture treatment group and herbal external prepartion group was more effective than control group in reducing inflammation response induced by burn. In acupuncture treated group, neutrophil and leukocyte level were significantly decreased compared to other treatment group. Also, this study showed that EGF was obviously expressed in nascent tissue when wounds were treated with the acupuncture and herbal external preparation after injury. In particular, acupuncture treatment group had a significant increase of EGF expression in burn wound healing area when compared with the other treatment groups. Conclusions These findings suggest that acupuncture and herbal external prepration may improve burn wound healing through decreasing inflammatory reaction, increasing tissue regeneration and expression of EGF. Moreover, acupuncture treatment could be more effective in comparison with Silver sulfadiazine dressing.

• Archives of Plastic Surgery
• /
• 제40권5호
• /
• pp.589-596
• /
• 2013

Background The treatment of pressure ulcers is complicated, given the various wound dressing products available. The cost of different treatments varies and the cost-effectiveness of each product has not been thoroughly evaluated. We compare two wound dressing protocols-alginate silver dressing (AlSD) and silver zinc sulfadiazine cream (AgZnSD) with regard to wound healing and cost-effectiveness Methods Patients with grade III or IV sacral or trochanteric pressure ulcers were eligible for this prospective, randomized controlled trial. The patients were randomized to receive one of the two dressings for an eight-week period. The criteria of efficacy were based on the Pressure Ulcer Scale for Healing (PUSH) scoring tool. The cost of treatment was also assessed. Results Twenty patients (12 women and 8 men) were randomly assigned to receive either AlSD (n=10) or AgZnSD cream (n=10). The demographic data and wound characteristics were comparable in the two groups. The two groups showed no significant difference in the reduction of PUSH score, wound size, or volume of exudate. The tissue type score was significantly lower in the AlSD group ($3.15{\pm}0.68-1.85{\pm}0.68$ vs. $2.73{\pm}0.79-2.2{\pm}0.41$; P=0.015). The cost of treatment was significantly lower in the AlSD group (377.17 vs. 467.74 USD, respectively; P<0.0001). Conclusions Alginate silver dressing could be effectively used in the treatment of grade III and IV pressure ulcers. It can improve wound tissue characteristics and is cost-effective.

• 약학회지
• /
• 제12권1_2호
• /
• pp.16-31
• /
• 1968

Comparative studies were made on some sulfonamides, used individually and combined with parasympatholytic agents as regards (1) the absorption rate through isolated rat small intestine (in vitro), (2) the absorption rate through rat small intestine (in vivo), and (3) the blood concentration of sulfonamides were examined by its oral administration with each combined drug to rabbits, and the following effects were found, parasympatholytic agents inhibit the absorption of sulfonamides from the small intestinal tract. Comparison of the inhibitic efficiency of parasympatholytic agents is as follows: oxazepam, oxyphencyclimine hydrochloride, probantheline bromide, atropine sulfate (The examples are from the weakest to the strongest). Decrement of the absorption rate of sulfonamides is as follows: sulfadiazine, sulfathiazole, sulfamethoxypyridazine, sulfadimethoxine, sulfamerazine, sulfamethazine (The example are from the strongest to the weakest). Additionally, it is assumed that if the combined drugs were absorbed from the small intestine in the original form, those inhibitic effects should be best regarding to their sulfonamide per parasympatholytic agent combined rate "25:1" than to their any other rates.her rates.

• 한국응용과학기술학회지
• /
• 제17권4호
• /
• pp.267-272
• /
• 2000

Dual-actions are the most recently used delivery system in drug study. Dual-action agents are unique chemical entities comprised of two different type of antibacterial compounds covalently linked together in a single molecule in such a way that both components are able to exert their bactericidal properties. Crosslinked sulfadiazine-sulfanilamide such as antibiotics is synthesized by synthetic handle with glutaraldehyde. As a result, New synthetic antibacterial agent exhibited the broad antibacterial activities against gram(+) and gram(-) of 4 strains and a long durability supposing that the stomach and blood.

• 대한수의학회지
• /
• 제17권1호
• /
• pp.13-16
• /
• 1977

In order to know the current status of sensitivity of Corynebacterium renale to some antimicrobial agents of current use, the sensitivity of 37 strains isolated from urine and vaginal cavity of healthy Korean native cattle and dairy cattle was studied by agar plate dilution method, and their sensitivity according to serological types was compared. The antimicrobial agents tested were streptomycin (SM), erythromycin (EM), oxytetracycline (OT), penicillin G (PC), gentamycin (GM), kanamycin (KM), ampicillin (AP), leucomycin (LM), chloramphenicol (CM), colistin (CL), sulfadimethoxine (SDM) and sulfadiazine (SDZ). Most strains were highly sensitive to PC, GM, AP, LM and KM, and moderate to CM and OT, but resistant to SM, EM, CL, SDM and SDZ. Serological type II was more sensitive to EM, SDM and SDZ than type I and II, but more resistant to SM.

• 대한의용생체공학회:학술대회논문집
• /
• 대한의용생체공학회 1996년도 추계학술대회
• /
• pp.327-330
• /
• 1996

Poly(L-leucine)(PLL)/poly(ethylene oxide)(PEO)/poly (L-leucine)(PLL) block copolymers were synthsized by polymerization of L-leucine N-carboxyanhydride with diamine-terminated PEO for possibility of wound dressing which may have several advantages such as 1) increase of solubility, 2) control of biodegradation, 3) absorption of body fluid. 4) non-immunogenic effect than PLL homopolymer wound dressing aleady commercialized. Water content increased with an increase of PEO content in the block copolymer due to the hydrophilicity of PEO. Release of silver sulfadiazine(AgSD) from AgSD loaded wound dressing increased with an increase of PEO content in the block copolymer. It was found that the number of Pseudomonas aeruginosa decrease with an increase of PEO content due to the fast release of antibacterial agents with an increase of PEO content in the block copolymer.

• 한국임상수의학회지
• /
• 제10권1호
• /
• pp.55-60
• /
• 1993

To investigate e effect of antimicrobial ointments on wound healing wound contraction was measured in rabbits with daily application of ointments. Full thickness skin defects(1cm$\times$1cm) were made in three different areas on the back. Percentage of wound contraction based on wound area measured on the day of surgery was calculate every other day until day 9. The percentages of wound contraction in saline and gentamycin solution-treated groups were 86.0% and 75.0%, respectively and higher than those in animicrobial ointments, especially gentamycin cream, silver sulfadiazine and madecasol ointments. It was suggested that the effect of antimicrobial ointments on wound healing were not superior to at of physiological saline in respect to wound contraction in rabbits.

• 한국임상수의학회지
• /
• 제33권5호
• /
• pp.310-312
• /
• 2016

An 8-month-old, intact male Collie and a 4-year-old, intact male Siberian husky presented with severe wounds on the limbs. Although the wounds were not managed adequately before presentation, there were no remarkable findings except for secondary infections. The lesions were cleaned with a disinfectant and then treated with systemic antibiotics. Additionally, a hydrophilic moisture-absorbing polyurethane dressing was applied to the limbs because a conventional bandage with silver sulfadiazine ointment was not effective. Both cases showed significant improvement in the lesions over a short period of time. These cases show that a bioactive dressing works efficiently to heal refractory wounds in dogs.

• 약학회지
• /
• 제33권5호
• /
• pp.273-279
• /
• 1989

2,3-Dichloro-1,4-naphthoquinone was reacted with o-fluoroaniline, p-sulfadiazine, p-acetoanline, N,N-dimethyl-1,4-phenylenediamine as a nucleophilic substitution to form 2-chloro-3-(N-arylamino)-1,4-naphthoquinones (1.-6.) in good yield. 2,3-Dibromo-1,4-naphthoquinone was also reacted with o-fluoroaniline, m-aminobenzoic acid, m-chloroaniline, morpholine, p-acetoaniline, N,N-dimethyl-1,4-phenylenediamine as a nucleophilic substitution to give 2-bromo-3-(N-arylamino)-1,4-naphthoquinones (7.-12.). These new compounds are expected to have a biological activities such as anticoagulant, cytotoxic.

• Tuberculosis and Respiratory Diseases
• /
• 제59권4호
• /
• pp.389-396
• /
• 2005

목 적 : 중환자실 환자에서 중심정맥관 관련 감염증은 원내 감염의 주요 부분을 차지한다. 이러한 중심 정맥관 관련 감염증을 감소시키기 위하여 chlorhexidine-silver sulfadiazine coated catheter (CHSS) 사용에 대한 임상적 유용성에 대해서는 논란의 여지가 있지만, 국내에서는 아직 이와 관련된 보고가 없었다. 본 연구는 non-coated catheter (NCC)와 CHSS의 중심 정맥관 관련 감염증의 차이를 비교하고자 하였다. 대상 및 방법 : 2004년 1월부터 12월까지 12개월간 서울아산병원 내과계 중환자실에 입원하여 48시간 이상 중심정맥관을 삽입하였던 446 예을 대상으로 하였다. NCC(n=187)과 CHSS (n=259)에서 중심정맥관과 환자의 특성, 중심정맥관 삽입 위치, 평균 삽입 일수, 집락화중심정맥관 관련 감염증의 빈도, 및 원인균 등에 대하여 후향적인 방법으로 조사하였다. 결 과 : 1) NCC와 CHSS에서 환자군의 나이 ($62{\pm}16$, $63{\pm}15$; p=0.42) 세, 성비 (94:50, 141:69; p=0.9), 중환자실 재원일수 ($29{\pm}37$, $26{\pm}44$ ;p=0.42) 일, 인공 호흡기 사용 기간 ($17{\pm}22$, $15{\pm}19$; p=0.17) 일, 카테터 삽입 시 APACHE III 점수는 ($81{\pm}34$, $82{\pm}37$; p=0.61) 차이가 없었다. 2) 평균 카테터 삽입 기간은 NCC $11{\pm}8$ 일, CHSS $11{\pm}9$ 일 이었고(p=0.98), 총 카테터 일수는 NCC 2176일, CHSS 3035 일 이었다. NCC와 CHSS에서 카테터 감염 발생 환자는 각각 9명 (4.8%), 4명(1.5%) 으며, 1000 catheter-day당 감염 건수는 4.1건, 1.3건 이었다(p=0.04). 삽입 위치에서는 내경 정맥 삽입 시 CHSS에서 NCC 보다 중심정맥관 관련 감염증이 감소하였다 (p=0.01). 3) 중심정맥관 관련 감염증에서 동정된 균은 NCC에서 Stazfphylococcus aureus 3명, Candida species 3명, coagulase-negative Staphylococci 2명, Klebsiella 1명, 이었고 CHSS는 coagulase-negative Staphylococci 2명, Candida species 2명, Proteus 1명 이었다. 결 론 : 내과계 중환자실 환자에서 중심정맥관 삽입 시 NCC에 비해 CHSS에서 중심정맥관 감염율이 감소하였으며, 특히 삽입 위치가 내경 정맥일 때 유의한 감소를 보였다.