• The Korean Journal of Pain
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• 제18권2호
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• pp.133-137
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• 2005

Background: Cannabinoids have shown antinociceptive action. The aims of this study were to examine the effect of chronic infusion of a cannabinoids receptors agonist (WIN 55,212-2) for thermal nociception at the spinal level, and to also observe the development of toxicity. Methods: Male Sprague-Dawley rats were implanted with lumbar intrathecal catheters with the nociceptive response (withdrawal response latency) determined by exposing the plantar surface of the hindpaw to radiant heat. Initially, the effect of intrathecal WIN 55,212-2 was evaluated followed by the change in the effect at 1, 2, 3 and 4 weeks after repeated infusion. Finally, the histopathological findings were assessed 1 and 4 weeks following the infusion of WIN 55,212-2. Results: Intrathecal WIN 55,212-2 was found to produce a limited antinociception during the thermal test. %MPE of WIN 55,212-2 at 1, 2, 3, and 4 weeks after infusion was not different from each other. No abnormal pathological findings were observed following a chronic intrathecal infusion of WIN 55,212-2. Conclusions: WIN 55,212-2, a cannabinoids receptors agonist, may be useful in the management of thermal nociception, without changing the effectiveness or causing the toxicity following a chronic infusion at the spinal level.

• Asian Pacific Journal of Cancer Prevention
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• 제13권6호
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• pp.2669-2673
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• 2012

Purpose: Pancreatic carcinoma is one of the most malignant tumors of the alimentary system, with relatively high incidence rates. The purpose of this study was to assess the efficacy and safety of two regimens for advanced pancreatic carcinoma: continuous transarterial infusion versus systemic venous chemotherapy with gemcitabine and 5-fluorouracil. Methods: Of the 48 patients with advanced pancreatic carcinoma receiving chemotherapy with gemcitabine and 5-fluorouracil, 24 received the selective transarterial infusion, and 24 the systemic chemotherapy. For the continuous transarterial infusion group (experimental group), all patients received gemcitabine 1000 mg/$m^2$, given by 30-minute transarterial infusion, on day 1 of a 4-week cycle for 2 cycles, and a dose of 600 mg/$m^2$ 5-fluorouracil was infused on days 1~5 of a 4-week cycle for 2 cycles. For the systemic venous group (control group), gemcitabine and 5-fluorouracil were infused through a peripheral vein, a dose of 1000 mg/$m^2$ gemcitabine being administrated over 30 min on days 1 and 8 of a 4-week cycle for 2 cycles, and a dose of 600 mg/$m^2$ 5-fluorouracil was infused on days 1~5 of a 4-week cycle for 2 cycles. The effectiveness and safety were evaluated after 2 cyclesaccording to WHO criteria. Results:The objective effective rate in transarterial group was 33.3% versus 25% in the systemic group, the difference not being significant (P=0.626). Clinical benefit rates(CBR) in the transarterial and systemic groups were 83.3% and 58.3%, respectively (P=0.014). The means and medians for survival time in transarterial group were higher than those of the systemic group (P < 0.005). at the same time, the adverse effects did not significantly differ between the two groups (P > 0.05). Conclusion: Continuous transarterial infusion chemotherapy with gemcitabine and 5-fluorouracil could improve clinical benefit rate and survival time of patients with advanced pancreatic carcinoma, compared with systemic venous chemotherapy. Since adverse effects were limited in the transarterial group, the regimen of continuous transarterial infusion chemotherapy can be used more extensively in clinical practice. A CT and MRI conventional sequence can be used for efficacy evaluation after chemotherapy in pancreatic carcinoma.

• Journal of Forest and Environmental Science
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• 제34권5호
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• pp.376-381
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• 2018

For the control of oak wilt caused by Raffaelea quercus-mongolicae, an antifungal microorganism, Streptomyces blastmyceticus, was used as a potential agent. Culture suspension of S. blastmyceticus was injected into Quercus mongolicae in the research forest of Kangwon National University by $ChemJet^{(R)}$ trunk injection and Macro-infusion at root flare injection. $Alamo^{(R)}$ (a.i., propiconazole 14.5%), a fungicide currently used for the control of oak wilt in USA, was also treated by both methods to compare the efficacy. For preventive efficacy, culture suspension of the pathogen was inoculated at 1 month after injection of either agent. Tested trees were cut at 3 months after treatment, stained with 1% Fuchsin acid, and then non-conductive area (NCA) and re-isolation frequency (RIF) of oak wilt fungus were compared among treatments. While NCA was the highest as 47.3% in pathogen only treatment, it was the lowest as 16.0% in sterilized water treatment by Macro-infusion. NCAs of Alamo treatment by Macro-infusion and ChemJet injection were 25.3% and 32.1%, respectively. NCA of S.blastmyceticus treatment by ChemJet injection was 32.3%, similar with Alamo treatment's by ChemJet injection. All treatments by either injection method showed significantly lower NCA compared to the pathogen only treatment. These results indicate that S. blastmyceticus injection shows the preventive efficacy against oak wilt disease by suppressing the growth of pathogen injected. NCA of Macro-infusion injection of sterilized water was lower as 16.0%, compared to 21.3% of ChemJet injection. It means that Macro-infusion is more effective in translocation of sterilized water than ChemJet injection by even distribution. RIF from wood discs of treated trees showed high in pathogen only treatment, but relatively low in S. blastmyceticus treatment. RIF results were correlated with NCA results. From the above results, it was confirmed that S. blastmyceticus showed preventive efficacy against oak wilt disease by ChemJet trunk or Macro-infusion at root flare injection.

• Childhood Kidney Diseases
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• 제2권2호
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• pp.178-182
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• 1998

목 적 : 폐색성 요로질환의 진단방법 중 하나인 Whitaker 검사는,소아에서 신우내 관류액의 주입속도를 일반적으로 5mL/min로 시행한다. 그러나 이러한 속도는 생리적이지 못할 뿐 아니라 급속한 신우내 압력의 상승으로 요일출, 신내역류 등의 합병증을 초래할 수 있다. 이에 저자들은 소아 Whitaker 검사사, 보다 낮은 관류속도에서 어떠한 신우내 압력의 변화가 오는가를 관찰하고 적절한 관류속도를 평가하고자 하였다. 방 법 : 이뇨성 신주사로 요로폐색의 진단이 모호했던 3명의 편측 수신증 환아를 대상으로 Whitaker검사를 시행하였으며, 이때 신우내 관류속도를 1 mL/min로부터 시작하여 폐색의 진단기준인 신우내 압력이 $22\;cmH_2O$ 이상이 쥘 때까지 서서히 증가시켰다. 결 과 : 1례에서는 2 mL/min의 관류속도에서 신우내압력이 $50\;cmH_2O$까지 상승하였고 다른 2례에서도 3 mL/min에서 양성의 결과를 얻을 수 있었다. 한편 검사 중, 요일출 등의 부작용은 발생하지 않았다. 결 론 : 소아 Whitaker검사시 관류속도를 획일적으로 5mL/min로 시행하기보다는 1 mL/min로부터 서서히 속도를 증가시킴으로써 요로폐색의 진단을 내릴 수 있을뿐더러, 검사의 합병증을 예방할 수 있을 것으로 사료된다.

• Clinical and Experimental Pediatrics
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• 제45권11호
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• pp.1397-1402
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• 2002

목 적 : 대퇴동맥 혈전증은 하지 절단같은 극단적인 재앙뿐만 아니라 하지의 성장 장애를 초래할 수 있는 심도자술의 심각한 합병증이지만, 소아에서 이에 대한 표준적 치료법은 아직 정립되지 못한 상태이다. 저자는 심도자술후 발생한 대퇴동맥 혈전증에서 urokinase의 동맥내 국소 주입요법의 유용성을 검토하고자 본 연구를 시행하였다. 방 법 : 1994년 1월부터 2002년 8월까지 심도자술 후 발생한 대퇴동맥 혈전증으로 동아대학교병원 소아과에서 동맥내 urokinase 국소 주입법을 이용해 혈전용해술을 받은 9명, 12례를 대상으로 하여, 병력지와 혈관조영 소견을 후향적으로 분석하였다. 결 과 : 1) 대퇴동맥을 이용한 심도자술이 행해진 391례 중 전신적 헤파린 또는 urokinase에 반응을 보이지 않았던 대퇴동맥 혈전증의 발생빈도는 2.8퍼센트였다. 2) 대상 환아들의 연령은 기하평균 5.8개월(1-71개월)이었고 체중은 $8.5{\pm}4.6kg$(3.5-20.5 kg)였다. 3) Urokinase는 1,000-4,400 unit/kg/hr로 $50.6{\pm}29.2$시간(18-110시간)에 걸쳐 주입하였는데, 치료중 2례에서 환측의 천자부위로 출혈이 있었으며, 한명은 수혈이 필요했다. 심도자술후 4일 이내에 치료를 시작했던 환아들은 모두 혈전의 완전 소실을 보였다. 혈전 형성후 각각 12일과 19일째 치료를 시작했던 2례는 호전되지 않아 풍선 혈관성형술을 실시하였는데 부분적으로 도움이 되었다. 결 론: 심도자술후 발생한 대퇴동맥 혈전증에서, 전신적 혈전용해제 투여로 회복되지 않으면, 반대측 대퇴동맥을 통한 국소적 동맥내 혈전용해제 투여를 조기에 시행하는 것이 효과적이다.

• The Korean Journal of Pain
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• 제28권3호
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• pp.210-216
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• 2015

Background: Infusion methods during regional analgesia using perineural catheters may influence the quality of postoperative analgesia. This study was conducted to compare the effects of combined or bolus-only infusion of 0.2% ropivacaine on the postoperative analgesia in interscalene brachial plexus block (ISBPB) with perineural catheterization. Methods: Patients scheduled for arthroscopic rotator cuff repair were divided into two groups, one that would receive a combined infusion (group C, n = 32), and one that would receive intermittent infusion (group I, n = 32). A perineural catheter was inserted into the interscalene brachial plexus (ISBP) using ultrasound (US) and nerve stimulation, and 10 ml of 0.2% ropivacaine was administered. After the operation, group C received a continuous infusion of 4 ml/h, and a 4 ml bolus with a lockout interval of 60 min. Group I received only a 4 ml bolus, and the lockout interval was 30 min. Postoperative pain by the numeric rating scale (NRS) and the forearm muscle tone by the manual muscle test (MMT) were checked and evaluated at the following timepoints: preoperative, and postoperative 1, 4, 12, 24, 36, and 48 h. Supplemental opioid requirements, total consumed dose of local anesthetic, and adverse effects were compared between the two groups. Results: Sixty-four patients completed the study and the postoperative values such as operation time, time to discharge, and operation site were comparable. There were no differences in NRS scores and supplemental opioid requirements between the two groups. The MMT scores of group I at 4 and 12 h after surgery were significantly higher than those of group C (P < 0.05). The total consumed dose of local anesthetic was significantly lower in group I than in group C (P < 0.05). The adverse effects were not different between the groups. Conclusions: The bolus-only administration of 0.2% ropivacaine provided a similar analgesic effect with a lower total volume of local anesthetic and decreased motor weakness compared to combined infusion. Therefore, bolus-only administration is an effective postoperative analgesic method in ISBPB with perineural catheterization after rotator cuff repair.

• 대한핵의학회지
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• 제25권1호
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• pp.27-36
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• 1991

Thirty-one patients with coronary artery disease and twenty-sir normal subjects underwent $^{99m}Tc-GBPS$ before and after coronary vasodilatation was induced by dipyridamle 0.54 mg/kg given IV over 4 min. LVEF, ${\Delta}EF$ and regional wall motion by phase analysis were measured during rest and dipyridamole infusion. The results were as follows: 1) Mean LVEF of normal subjects was significantly higher than that of MI group (p=0.001), but similar to that of angina group during rest. Among MI group, mean LVEF of anterior MI group was significantly lower than that of inferior MI group during rest (p=0.024). 2) The normal subjects had a significaat increase in mean LVEF during dipyridamole infusion $(+12{\pm}3.8)$, while the CAD group had no increase $(+2{\pm}5.0)$ (p<0.001). If an increase of LVEF during stress is less than 5%, it suggests an abnormality. The sensitivity and specificity of LVEF changes after dipyridamole infusion were 81%, 96%, respectively. 3) With phase analysis, LV mean phase angle of normal subjects and CAD patients was $143{\pm}20.5^{\circ},\;132{\pm}20.6^{\circ}$ respectively, durign rest (p=0.049). But an ncrease of LV mean phase angle during dipyridamole infusion in these two groups was not significantly different. Dipyridamole infusion did not affect standard deviation and FWHM of phase angle. 4) Regional wall motion was abnormal in 5 patients (16%) during dipyridamole infusion. 5) Side effects with dipyridamole infusion include; headache, angina pain, chest discomfirt, nausea, weakness sense. In conclusion, dipyridamole GBPS might be useful in detection and follow up of CAD.

• 폴리머
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• 제38권3호
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• pp.333-337
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• 2014

PVC 재질로 만들어진 기존의 수액백과 튜브는 가소제인 DEHP(diethylhexyl phthalate)를 함유하고 있어 정맥 주사 시에 가소제의 용출과 약물 흡착이라는 심각한 취약점을 내재하고 있다. 본 연구에서는 폴리올레핀 재질로 만들어진 non-PVC 수액튜브(가소제 미포함)를 개발하고, 이들 튜브 내면에서의 약물 흡착 거동을 기존의 PVC 및 PU 재질의 수액 튜브와 비교 검토하므로써, 수액 주사 시 약물 흡착으로 인한 약효 감소 효과를 최소화 가능한 방안을 도출하고자 한다. 4가지의 non-PVC 수액튜브는 폴리에틸렌(PE), 폴리프로필렌(PP), syndiotactic 1,2-폴리부타 다이엔(PB)과 스타이렌-에틸렌(SE)의 공중합 탄성체를 사용하여 압출하여 제조하였으며, 이들은 기존의 PVC 수액튜브의 기계적 특성과 동등한 물성을 나타내었다. 아울러 제조된 폴리올레핀 재질의 4가지 수액튜브들은 기존의 PVC 및 PU 재질의 수액튜브 대비 우수한 약물흡착 방지 효과를 나타내었다. 따라서 이들은 약물흡착 방지용 수액튜브뿐 아니라 DEHP의 용출 위험이 배제된 안전한 수액튜브로서 임상 적용 가능할 것이다.

• 정보화정책
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• 제25권2호
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• pp.46-66
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• 2018

본 연구에서는 공공행정 정보시스템을 대상으로 정보시스템 내재화의 영향요인을 살펴보고, 정보시스템 내재화가 업무성과에 미치는 영향을 분석한다. 이를 위해 개인의 동기를 설명하는 자기결정이론을 토대로 정보시스템 내재화의 영향요인을 자발적, 비자발적 동기로 구분한다. 자발적 동기요인으로는 성과기대, 개인혁신성, 조직시민행동을, 비자발적 동기요인으로는 정부의 영향, 경쟁조직의 영향, 최고관리자의 영향을 제시하였다. 분석결과, 자발적 동기요인인 성과기대, 개인혁신성, 조직시민행동은 정보시스템의 내재화에 영향을 미치는 것으로 나타났으나, 비자발적 동기요인을 구성하는 정부의 영향, 경쟁조직의 영향, 최고관리자의 영향은 모두 유의한 영향을 미치지 않았다. 정보시스템의 내재화와 업무성과 간의 관계는 유의한 것으로 나타났다. 공공행정 정보시스템과 같이 비자발적 사용 환경에서는 정보시스템 사용여부를 개인이 결정할 수는 없지만, 의무적 사용수준을 넘어선 적극적 활용은 개인의 자율성과 관련된 요인들이 중요한 역할을 수행하는 것으로 분석되었다.

• Perspectives in Nursing Science
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• 제14권2호
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• pp.45-54
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• 2017

Purpose: The aim of this study was to compare the effect of training and implementation of a pediatric peripheral intravenous infusion protocol on the nurses' performance and infusion complication rate. Methods: A quasiexperimental study using a posttest comparison of a one group pretest-time series design was utilized. This method was developed to measure nursing knowledge and performance based on a pediatric peripheral intravenous infusion protocol. To calculate the occurrence rate of complications, the number of complications were divided into the number of intravenous insertions. Results: It was shown that the training developed by the study team in 2015 contributed to nurses' increased knowledge, as well as improved job performance. Furthermore, the implementation of the protocol revealed that the number of peripheral intravenous insertions, an invasive procedure, decreased. Additionally, the nursing workload related to pediatric intravenous infusions was reduced. Conclusion: This protocol may contribute to the improved scientific quality and efficiency of nursing management of peripheral intravenous infusions.