• Child Health Nursing Research
• /
• 제22권2호
• /
• pp.126-136
• /
• 2016

Purpose: The purposes of this review were to address misconceptions of childhood fever and fever management practice among parents and health care providers, and to identify the scientific evidences against such misconceptions and practices. Methods: Journal databases and clinical guidelines from 2000 to 2015 were searched. The search terms were fever, fever management, misconception, myth, fiction, fact, fever phobia, child, antipyretics, tepid bath, alternating use/combined use of antipyretics, and physical cooling method. Results: There are significant gaps between current concepts and practices, and the scientific evidence. Misconceptions and unrealistic concerns about childhood fever still exist among parents and even health care providers, worldwide. The evidences suggest that antipyretics should be given carefully with the aim of relieving discomfort or pain rather than decreasing the temperature itself. Alternating use of antipyretics should be discouraged due to the risk of confusion and error. Antipyretics do not prevent febrile convulsions. Moreover, the scientific evidence does not support tepid sponge massage. Conclusion: Evidence-based childhood fever management interventions should be targeted toward parents and health care providers. By adopting an evidence-based approach to nursing interventions, pediatric nurses can ensure children receive appropriate and safe fever management.

• Child Health Nursing Research
• /
• 제15권2호
• /
• pp.171-181
• /
• 2009

Purpose: Fever is a common problem in children. Misconceptions about fever are exacerbated by variations in knowledge and practice of pediatric nurses. The purposes of this study were to identify the knowledge and attitude toward fever and its management and to identify the relationship between knowledge and attitude. Methods: A descriptive correlation study was conducted with 114 pediatric nurses in G city. Self-administered questionnaire was used for data collection. Data were analyzed using descriptive statistics, t-test or ANOVA and Pearson correlation analysis. Results: The mean percent of correct responses for physiology of fever, fever management and antipyretics was 51.3%. Knowledge of antipyretics was lower than knowledge of other items with 29.2% correct. Both positive and negative attitudes were discovered. Pediatric nurses' in this study reported negative attitudes toward beneficial effects of fever and positive attitudes toward use of antipyretics to prevent febrile convulsions and reduction of temperatures as low as $38.3^{\circ}C$. There was no statistically significant correlation between knowledge and attitude related to fever management. Conclusion: The findings suggest that improvements are needed in management practices of pediatric nurses. Educational interventions to increase knowledge of fever management by pediatric nurses and to strengthen positive attitudes about childhood fever are recommended.

• Child Health Nursing Research
• /
• 제18권4호
• /
• pp.164-169
• /
• 2012

Purpose: The purpose of this study was to compare the effectiveness for infants of antifebrile therapy using a hypothermia blanket or rectal antipyretics following open heart surgery. Methods: This was a retrospective study and 174 infants who had open heart surgery at P University Hospital, and whose body temperature body temperature exceeded $37.2^{\circ}C$ were included in the study. The assessment tool was composed of 32 items was used for assessment of fever therapy, physiological indexes and antifebrile duration. Physiological indexes included systolic blood pressure, diastolic blood pressure, heart rate, pH, $PaCO_2$, $PaO_2$, $HCO_3{^-}$, $SaO_2$, and $K^+$ and the antifebrile duration was minutes from having a fever until BT returned to normal levels. Results: The antifebrile duration with the hypothermia blanket was shorter than with rectal antipyretics. There were significant differences in the physiological indexes with either type of antifebrile therapy, but drop in BT was greater with the hypothermia blanket than rectal antipyretics. Conclusion: The results of this study indicate that a hypothermia blanket is a non-invasive, non-drug and safe antifebrile therapy. Therefore, a hypothermia blanket can be applied to infants with a fever following open heart surgery.

• 대한한의학회지
• /
• 제32권6호
• /
• pp.122-130
• /
• 2011

Objectives: This study was designed to investigate the effect of herbal extract medicines for inpatients with fever symptoms in an oriental medicine hospital. Methods: Medical records of inpatients who experienced over $38^{\circ}C$ of fever from July 2010 to August 2011 has been requested with deleted personal identifiable information. The requested data were analyzed by patients' general characteristics, administrated western/herbal medicines, and changes in the body temperature of four administration groups (group 1, herbal extract medicine only; group 2, western medication(antibiotics/antipyretics) only; group 3, combination of herbal extract medicine and western medication; group 4, no medication control). The SPSS 19.0 was used for statistical analysis and p-value of less than 0.05 was regarded significant. Results: The body temperature has significantly dropped over time in the herbal extract medicine only group (p<0.001) along with the antibiotics/antipyretics only group. When both treatments were combined, stronger antipyretic effect was shown compared to the sole treatment of herbal extract medicine or antibiotics/antipyretics. Conclusion: The use of herbal extract medicines may be effective in alleviation of fever.

• Journal of Pharmaceutical Investigation
• /
• 제2권2호
• /
• pp.18-33
• /
• 1972

Pharmaceutical Study on the Compressed tablets. Hardness, Friability, Disintegration time and Coefficient of Variance of Compressed tablets. Soo Uck Kim, Sung Hoon seo and Hyun Woo Lee (Department of Pharmaceutics, College of Pharmacy, Kyung Hee University) In order to know Hardness, Friability, Disintegration time and Coefficient of variance of the pharmaceutical tablets the 135 tablets sampled from market were tested in the paper. The samples tested in this paper were as follows: Antipyretics and Analgetics 41 Stomach and Digestives 22 Antituberculars 19 Vitamins 12 Sulfa drugs 9 Others (Antihistaminics etc) 32 Total 135 The results of the investigation are shown in table 1-8, Fig 1-Fig 6. Mean values of Hardness, Friability, Disintegration time and Coefficient of variance in each pharmaceutical preparation are as follows. Antipyretics and Analgetics : Hardness(kg) = 5.83 Antipyretics and Analgetics : Friabil.(%) = 0.82 Antipyretics and Analgetics : Disint.t.(min) = 5.28' Antipyretics and Analgetics : Coeff. of V.(%) = 2.90 Stomach and Digestives : Hardness(kg) = 4.11 Stomach and Digestives : Friabil.(%) = 0.71 Stomach and Digestives : Disint.t.(min) = 3.43' Stomach and Digestives : Coeff. of V.(%) = 2.76 Antituberculars : Hardness(kg) = 4.78 Antituberculars : Friabil.(%) = 0.52 Antituberculars : Disint.t.(min) = 4.32' Antituberculars : Coeff. of V.(%) = 2.99 Vitamins : Hardness(kg) = 1.60 Vitamins : Friabil.(%) = 0.43 Vitamins : Disint.t.(min) = 4.10' Vitamins : Coeff. of V.(%) = 3.19 Sulfa drugs : Hardness(kg) = 4.77 Sulfa drugs : Friabil.(%) = 0.37 Sulfa drugs : Disint.t.(min) = 3.10' Sulfa drugs : Coeff. of V.(%) = 2.09 Others : Hardness(kg) = 2.40 Others : Friabil.(%) = 0.66 Others : Disint.t.(min) = 2.19' Others : Coeff. of V.(%) = 3.10 The following summeries might be shown; 1. Ranges of Hardness, Friability, Disintegration time and Coefficient of variance are respectively 1.6 to 5.38 kg, 0.37 to 0.82%, 2 minut 19 second to 5 minut 28 second and 2.09 to 3.10%. 2. According to the results, it could be indicated that higher Hardness shows lower Friability. 3. Against the general conception between Hardness and Disintegration time, higher Hardness shows lower Disintegration time. 4. It seems that higher mean weight shows lowcr Coefficient variance.

• 부모자녀건강학회지
• /
• 제11권2호
• /
• pp.105-114
• /
• 2008

Purpose: The purpose of this study was to identify parent's knowledge and cope with their child's fever. Confirmed data provide source and it based on parent's education program and nursing intervention. Method: The research design was a descriptive study by questionnaire. Data were collected from July, 16, 2007 to August, 6, 2007. A total 165 parents who visited the children's hospital in Gwangju. Data were analysed using the SPSS WIN 12.0 program. Results: The results of this study were as follows: 1. Fever was major cause which to visit hospital among children(50.3%). 2. Parents main concerned by child fever were convulsion(52.7%) and brain injury(46.7%). 3. When cause fever most parents checking interval are 30 minutes (38.8%), the most fever management was used antipyretics with tepid water massage(59.4%). 4. Antipyretics used interval was 4hours(56.4%). 5. When visit to hospital by fever, most treatment was antipyretics. 6. The method to get fever information, first by doctor(68.5%), second by family-relative(41.8%) and last by nurse(22.4%). Conclusion: It is necessary to provide information about management of fever. Development and distribution for effective education program for child fever at home are also necessary. Therefore we suggest the education program on the internet.

• Child Health Nursing Research
• /
• 제16권1호
• /
• pp.30-40
• /
• 2010

Purpose: The purposes of this review were to identify whether available evidence supports the nursing interventions that are commonly used to reduce fever in children and to introduce research findings into practice. Methods: Journal databases and clinical guidelines from 1990 to 2009 were searched. The search terms were fever, febrile convulsion, fever management, fever phobia, child, antipyretics, temperature, external cooling, tepid sponge bath, and physical treatment. Results: Evidence suggests that uncomplicated fever is relatively harmless, but it is an important immunological defense. Antipyretics should not routinely be used with the sole aim of reducing body temperature in children with fever who are otherwise well. Currently a lack of evidence supports the practice of alternating acetaminophen and ibuprofen, and the routine use of tepid sponge bath. Conclusion: Currently, fever management in children does not reflect research evidence. Pediatric nurses can play an important role by encouraging clinical research in this area and also by enhancing research utilization in their practice. Moreover, pediatric nurses can educate parents about evidence-based fever management. Evidence-based educational interventions for pediatric nurses need to be developed and evaluated to improve the quality of nursing care in the management of childhood fever.

• Advances in nano research
• /
• 제10권4호
• /
• pp.397-414
• /
• 2021

The steady growth in population has led to an enhanced water demand and immense pressure on water resources. Pharmaceutical residues (PRs) are unused or non-assimilated medicines found in water supplies that originate from the human and animal consumption of antibiotics, antipyretics, analgesics etc. These have been detected recently in sewage effluents, surface water, ground water and even in drinking water. Due to their toxicity and potential hazard to the environment, humans and aquatic life, PRs are now categorized as the emerging contaminants (ECs). India figures in the top five manufacturers of medicines in the world and every third pill consumed in the world is produced in India. Present day conventional wastewater treatment methods are ineffective and don't eliminate them completely. The use of nanotechnology via advanced oxidation processes (AOP) is one of the most effective methods for the removal of these PRs. Present study is aimed at reviewing the presence of various PRs in water supplies and also to describe the process of AOP to overcome their threat. This study is also very important in view of World Health Organization report confirming more than 30 million cases of COVID-19 worldwide. This will lead to an alleviated use of antibiotics, antipyretics etc. and their subsequent occurrence in water bodies. Need of the hour is to devise a proper treatment strategy and a decision thereof by the policymakers to overcome the possible threat to the environment and health of humans and aquatic life.

• 약학회지
• /
• 제27권3호
• /
• pp.207-213
• /
• 1983

Chloramphenicol (CAF) was esterified with aspirin, naproxen and acetaminophen in order to develop new prodrugs which have double effect-antibiotic activity and antipyretic effect. Chloramphenicol acetylsalicylate (CAF-ASP), chloramphenicol naproxenate (CAF-NAX), and chloramphenicol acetaminophen succinate (CAF-SUC-ACET) were synthesized by using dicyclohoxylcarbodiimidc (D.C.C.) because of two hydroxyl group of chloramphenicol. Three synthetic prodrugs did not show bitterness and antibiotic activity in vitro, and were hydrolyzed in liver homogenate, but weren't in acid.

• 약학회지
• /
• 제9권3_4호
• /
• pp.31-33
• /
• 1965

In the previous papers, it was reported that p-methoxycinnamate showed good antipyretic action when tested on the typhoid-vaccinated rabbits and decreased the ascorbic acid content of the adrenals of rats like other wellknown antipyretics. In the present work, it was shown that p-methoxycinnamic acid exhibited marked analgesic properties. The method employed for testing analgesic effect was modification of that described by Woolfe and Macdonald. Of mice which had been trained and jumped out within 5 seconds on the hot plate of $59{\deg}$, the reaction time was prolonged by subcutaneous injection of its sodium salt aqueous solution. Mean responses were proved to increase linearly with the log doses (from doses 160 mg to 500 mg/kg).