• Journal of Hospice and Palliative Care
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• v.2 no.1
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• pp.7-15
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• 1999

This survey was designed to evaluate knowledge and attitudes of physicians and nurses toward cancer pain management in South Korea and to compare physicians' knowledge and attitudes with nurses' Ninety-nine physicians and 152 nurses working at four major institutions in South Korea were included for the study. With the 30 items of the knowledge with true and false answers about cancer pain such as pain assessment(6 items), pharmacokinetics of opioids(8 items), analgesics classification(11 items), and drug administration(5 items), total score of knowledge answered by physicians was 21.40, which was not significantly higher than 20.87 answered by nurses. Rates of the correct answer were more than 70% in both physicians and nurses. Physicians were more knowledgeable in pharmacokinetics and analgesics classification than nurses, while nurses higher only in pain assessment than physicians. Since physicians and nurses could not effectively manage the cancer pain because of inappropriate knowledge, it is important to provide intensive education to physicians and nurses about cancer pain management.

• Journal of Hospice and Palliative Care
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• v.19 no.4
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• pp.296-302
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• 2016

Purpose: This study examined the effectiveness of a hand massage combined with analgesics on pain control in hospice patients with terminal cancer. Methods: This study is a quasi-experimental study with a single group time series design. The study included 25 terminal cancer patients who were admitted to a hospice ward. Each patient's pain level was measured after analgesics use only (control group). When patients complained of pain again, the pain level was assessed after administering a combination of hand massage and analgesics (experimental group). As for the experimental treatment, the participants were provided with oil hand massage on each hand for 5 minutes. Results: The experimental group and the control group showed no significant differences in the changes of pain score (F=0.74, P=0.3939). Conclusion: Although the pain level of the experimental group did not significantly improve compared with the control group, their pain levels tended to be low to begin with. Thus, a complementary utility value of hand massage cannot be completely excluded in terminal cancer patients. Since the pain level significantly changed according to the dosage of analgesic, nurses need more education and research on analgesic drug therapy for terminal cancer patients.

• Journal of Hospice and Palliative Care
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• v.18 no.2
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• pp.105-111
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• 2015

Purpose: Fatigue, energy loss, feeling of helplessness, poor appetite, pain besides general weakness are major symptoms presented to terminally ill cancer patients. These symptoms are similar to those that appeared with adrenal insufficiency. Also, for terminally ill cancer patients who are hospitalized for palliative care, opioid agents are prescribed to control moderate to severe pain. We studied the relationship of opioid agents and adrenal insufficiency. Methods: From November 2013 through June 2014, we monitored the serum level of cortisol and dehydroepiandrosterone sulfate (DHEAS, serum) in 55 cancer patients who were over 18 years old and were treated at a hospice center. We also checked the treatment period and dosage of opioid agents. Results: The DHEAS level, treatment period and dosage of opioid agents did not have significant correlation. Correlation between the serum cortisol level and the opioid agent treatment period was not significant either, but the serum cortisol level was positively correlated with the dosage of opioid agents (P value 0.0322). Conclusion: This study did not identify a novel link between treatment period, dosage of opioid agents and adrenal insufficiency. But, the DHEAS level was mostly below the normal level in patients who were treated with opioid agents.

• 가정의 벗
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• v.36 no.12 s.424
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• pp.10-11
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• 2003

편두통은 머릿 속에 딱다구리가 들어와 있는 것처럼 생활을 불편하게 하는 병입니다. 특히, 20대 여성에게 많이 나타나는 편두통은 뚜렷한 원인도 없고 완치도 쉽지 않습니다. 두통이 심하면 혹시 '뇌에 종양이 생긴 게 아닐까' 두려워하는 사람도 있는데 대부분 스트레스로 인한 긴장성 두통이나 편두통입니다. 그러나 무작정 진통제로 해결하려는 것은 무모한 일이며 진통제를 남용하면 병이 만성화돼 치료가 더욱 어려울 수 있습니다.

• Journal of Veterinary Clinics
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• v.22 no.1
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• pp.6-15
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• 2005

This study was performed to investigate non-invasive behavioral pain assessment of dogs after surgery, and the analgesic effects of butorphanol after intestinal anastomosis in dogs. In this study, five dogs in the Control Group were anesthetized, but did not undergo surgery. Five dogs in the Analgesic Group were undergone intestinal anastomosis and treated with butorphanol. Five dogs in the Non-analgesic Group were also undergone intestinal anastomosis without analgesic treatment. The dogs in the Analgesic Group received butorphanol (0.4 mg/kg, IM) before and immediately after operation, while dogs in Control and Non-analgesic Groups received isovolumetric doses of sterile saline. The behavior of dogs were videotaped for 400 mins after anesthesia, during which time a researcher interacted with the dog once per each 80 mins. At each interaction, the researcher recorded behavioral pain score, using University of Melbourne Pain Scale. Interactive and non-interactive behaviors were observed and quantitated by a single observer using focal continuous sampling method. Vocalizations were obtained during 400 mins after anesthesia, and duration of call, intensity, pitch, 1-4 Formant were analyzed. Surgery affected an increasing of pain score. During interactions with researcher, greeting behaviors were decreased after surgery. Differences between Analgesic group given analgesic or that given a placebo drug were readily understood using quantitative behavioral measurements and vocalization. Significant difference between Analgesic group given butorphanol or that the given placebo drug was apparent(p< 0.05).

• Journal of Acupuncture Research
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• v.22 no.1
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• pp.165-176
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• 2005

Objective : This study was to vertify the effect of Semen Sinapsis Albae Pressing at Sanyinjiao(SP6), Umnungchon(SP9) and Shinnsu(B23) on dysmenorrhea of Women's University Students. This study was an one group pretest-posttest experimental design. Methods : The subjects were 50 patients who was suffering for dysmenorrhea visited to D University Health center located in B city, from January to May, 2004. They had agreed to take part in this experiment, with didn't take any anodyne drugs. Results : The results of the study are as follows 1. Hypothesis 1 that "Semen Sinapsis Albae pressing in SP6, SP9 and B23 is decreased dysmenorrhea" is adapted(t=12.777, p=0.000). 2. Semen Sinapsis Albae pressing is more fast manifested in alleviation of pain, longer in duration of alleviation of pain, and had a less dysmenorrhea than anodyne drugs. Semen Sinapsis Albae pressing is probably more effective than who are dosed anodyne instead of pressing.

• Proceedings of the Korean Society of Applied Pharmacology
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• 1996.04a
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• pp.234-234
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• 1996

DA-5018은 여러 opiate수용체 실험에서 morphine 또는 naloxone 보다 10-100배 정도 낮은 친화력을 나타내었다. 기니픽 회장표본과 랫드 수정관표본의 전기자극 실험에서는 DA-5018의 의해 유도된 수축반응이 naloxone의 영향을 받지 앉았고, 랫드에서의 진통효과도 naloxone 전처치에 의해 차단되지 않았으므로, DA-5018은 opiate 수용체를 경유하지 앉는 것으로 생각된다. 또한, OA-5018 120$\mu$M에서 cyclooxygenase 생성을 50% 증가시켰고 mM 농도에서 5-lipooxygenase 합성을 약간 억제하였으므로, NSAID계 유사약물이 아님을 확인하였다. DA-5018은 기니픽 기관 표본에 대해 capsaicin과 동일하게 수축반응을 나타내었고, 이것은 capsazepine 전처리에 의해 억제되었다. 척수에서의 substance P 유리활성은 capsaicin보다 약 9배 강한 것으로 나타났다. 또한 랫드에 DA-5018 진통유효용량인 1mg/kg을 피하주사한 후 분리한 척수에서 capsaicin에 의한 substance P의 유리활성은 15분 후에 감소하였고 120분 후에는 회복되었다. 따라서 OA-5018의 진통작용에도 substance P의 고갈이 관여하는 것으로 생각된다. 이상의 결과로부터, DA-5018의 진통작용은 capsaicin수용체를 매개하는 것으로 사료된다.

• Journal of Korean Academy of Nursing
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• v.40 no.3
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• pp.442-452
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• 2010

Purpose: The purpose of this study was to identify the effects of abdominal breathing on state anxiety, stress and tocolytic dosage for pregnant women in preterm labor. Methods: The participants were 60 pregnant women in preterm labor who were hospitalized from April to July, 2009. Thirty participants were assigned to the experimental group and 30 to the control group. None of them had any other complications except preterm labor. The modified Mason's breathing technique was used with the experimental group 3 times a day for 3 days. Data were collected using a self-report questionnaire and chart review, and analyzed with the SPSS 13.0 WIN program. Results: "State anxiety of the experimental group will be lower than that of the control group" was supported. "Stress of the experimental group will be lower than that of the control group" was supported. "The Ritodrine dosage for the experimental group will be lower than that of the control group" was supported. "The Atosiban dosage for the experimental group will be lower than that of the control group" was supported. Conclusion: These results indicate that abdominal breathing is an effective nursing intervention for pregnant women in preterm labor.

• Journal of Chest Surgery
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• v.30 no.2
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• pp.187-194
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• 1997

The management of post-thoracotomy pain is on of the difficult clinical problems. A variety of pain management methods have been used with variable efficacy. We compared the effect of acupuncture with the effect of analgesics for the post-thoracotomy pain control. From March 1995 to September 1995, 20 patients who underwent elective thoracotomy were randomized into two groups. The patients were treated with analgesics in control group(n=10) and acupuncture in the other group(n: 10). Postoperative analgesic effects were evaluated by the scoring system which was made by the Department of Thoracic and Cardiovascular Surgery, Korea University Medical Center. No significant difference was observed between two groups concerning the subjective pain and limitation of motion of operated side. Although the number of analgesic requirement was reduced significantly in the acupuncture group(P < 0.05). We conclude that acupuncture is an effective method to control post-thoracotomy pain and it is safer than the analgesics bacause of its lower side effects.

• Journal of Yeungnam Medical Science
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• v.6 no.2
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• pp.57-62
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• 1989

Clonidine, ${\alpha}2$-adrenergic agonist, applied spinally or epidurally has been shown to be effective in blocking noxious stimuli in human applications. The purpose of this study is to evaluate the analgesic effect of epidurally administered clonidine. In 40 patients undergoing hemorrhoidectomy or anal fistulectomy, 1.33% lidocaine 15ml (Group I) or 1.33% lidocaine mixed with $75{\mu}g$ clonidine(Group II) administered epidurally through sacral hiatus. Intraoperative changes of vital signs and duration of postoperative analgesic effects were observed. The results were as follows : 1) In the group I, average analgesic duration was 2.42 hours. 2) In the group II, average analgesic duration was 7.32 hours. 3) After epidural clonidine injection, the decrease in heart rate and blood pressure was not significant without sedation. 4) Postoperatively, any complaints related clonidine were not reported. In conclusion, postoperative pain control with epidural clonidine was effective.