Earticle

The summary of a study of efficacy of Rose essential oil and Lavender essential oil against physiologic active change s of skin caused to surfactant is as follows. 1. In feed intake efficiency, there is more significant difference than control group, and then in water intake, there are significant differences between each group. It is presented that the water intake efficiency ratio of the group treated by Rose essential oil and Lavender essential oil is higher than all of groups to be participated in experiment. And then, the reason that the group treated Lavender essential oil is lower than any other group is needed water intake to be caused by stress. 2. As the result of serum analysis, in atherosclerotic index(A.I), the cholesterol of control group is higher than that of the group treated. As HDL cholesterol is activated, the dan1aged group is higher than control group, in LDL cholesterol the control group is higher. It is seen that the damaged group of the quantity of HDL cholesterol is lower frequently in A.I. This fact is presented that HDL cholesterol that cholesterol is exhausted is changed, because of the dan1aged group that replacement is activated. 3. As the observed result of alteration of sebaceous glands, it is appeared that the demage of sebaceous glands is destroyed in the damaged group. It is observed that epidermis of the group applied by Rose essential oil after treated surfactant is dry, secretion of phenomenon of water and sebum is appeared more. It is observed that the epidermis recovery of the group applied by Lavender essential oil after treated surfactant is insufficient. And then it is seen that stratum corneum is recovered and the quantity of sebum secretion is decreased. 4. As the observed result of alteration of Mast cell group treated by Rose essential oil and Lavender essential oil for 3 weeks Luna's stain(*100), it is observed that the damaged group treated by Lavender essential oil is numerous in alteration of mast cell's number and Mast cell's size is larger than the dan1aged group. It is presented that the Mast cell's number and Mast cell's size is larger than the damaged group, the Mast cell's size and quantity of the group treated by Rose essential oil and Lavender essential oil is decreased more.

Objective: To compare two testing protocols for evaluating range of motion (ROM) changes in the preloaded cadaveric spines implanted with a mobile core type Charite$^{TM}$ lumbar artificial disc. Methods: Using five human cadaveric lumbosacral spines (L2-S2), baseline ROMs were measured with a bending moment of 8 Nm for all motion modes (flexion/extension, lateral bending, and axial rotation) in intact spine. The ROM was tracked using a video-based motion-capturing system. After the Charite$^{TM}$ disc was implanted at the L4-L5 level, the measurement was repeated using two different methods: 1) loading up to 8 Nm with the compressive follower preload as in testing the intact spine (Load control protocol), 2) loading in displacement control until the total ROM of L2-S2 matches that when the intact spine was loaded under load control (Hybrid protocol). The comparison between the data of each protocol was performed. Results: The ROMs of the L4-L5 arthroplasty level were increased in all test modalities (p < 0.05 in bending and rotation) under both load and hybrid protocols. At the adjacent segments, the ROMs were increased in all modes except flexion under load control protocol. Under hybrid protocol, the adjacent segments demonstrated decreased ROMs in all modalities except extension at the inferior segment. Statistical significance between load and hybrid protocols was observed during bending and rotation at the operative and adjacent levels (p< 0.05). Conclusion: In hybrid protocol, the Charite$^{TM}$ disc provided a relatively better restoration of ROM, than in the load control protocol, reproducing clinical observations in terms of motion following surgery.

연구배경 : 최근 기계환기 중 기관지내시경술의 필요성이 증가하고 있으나, 시술 중 생리학적 변화나 안전성에 대한 연구가 부족한 상황이다. 이에 연구자들은 PEEP을 시술전과 동일하게 유지하면서 기관지내시경술을 시행하여 생리학적 변화 및 안전성에 대해 알아보고자 본 연구를 시행하였다. 방 법 : 2002년 6월부터 2002년 11월까지 삼성서울병원 내과계 중환자실에서 기계환기를 하면서 기관지내시경술을 시행했던 19명의 환자(남자 10명 여자 9명, 연령 중앙값 61.6세)를 대상으로 하였다. 기관지내시경술을 시행하기 전 100% 산소로 15분간 전산 소요법을 시켰으며 기관지내시경 시술 중 기계환기는 용적조절양식으로, 일회환기량 4 ml/kg, 호흡수 20회/분, 흡기 대 호기비 1:2로 환기하였으며 PEEP은 시술전과 동일하게 유지하였다. 시행 후 30분간 100% 산소를 유지하였다. 결 과 : 기관지내시경술 시행시간의 중앙값은 6분(범위 3-15분)이었다. 기관지내시경술을 시행하면서 호흡성 산증과 저환기, 최고기도압의 상승, 심박수의 증가, auto-PEEP의 발생을 보였다. 이들 변화는 기관지내시경 시술 후에 시술 이전의 상태로 되었다. 압력손상 및 혈압 감소 등의 심각한 합병증은 관찰되지 않았다 결 론 : 심각한 저산소증으로 높은 PEEP을 유지하고 있는 환자에게서 PEEP을 유지한 채로 기관지내시경술을 시행하여도 심각한 합병증은 관찰되지 않았다. 다만, 기관지내시경을 시행하는 동안 호흡성 산증 및 저환기를 보였고, 비록 가역적이지만 이러한 상태에서 환자의 노출을 최소화하기 위해서는 기관지내시경 시행시간을 최소화하여야 한다고 사료된다.

Background : Bronchoscopy in patients on mechanical ventilation is being performed much more frequently. However, there is little data on the changes in physiologic parameters and no established mechanical ventilation protocol during bronchoscopy. A decreasing or the removal of positive end-expiratory pressure (PEEP) during bronchoscopy may precipitate severe hypoxemia and/or derecruitment. Methods : Our standardized mechanical ventilation protocol, without changing the PEEP level, was used during bronchoscopy. The physiological parameters were measured during the bronchoscopic procedure. Results : During bronchoscopy, respiratory acidosis, elevation of peak pressure, elevation of heart rate and auto-PEEP were developed, but were reversible changes. Procedure-related gross barotraumas or other severe complications did not developed. Conclusion : No serious complications developed during bronchoscopy under our standardized mechanical ventilation protocol when the PEEP level remained unchanged. The procedure time should be kept to a minimum to decrease the exposure time to undesirable physiological changes.

Purpose: This study was conducted to examine the effects of Pericardium Kimek (K9) and Nei-Guan (P6) acupressure on relief of the anxiety, nausea, retching and physiologic changes (oxygen saturation, blood pressure, heart rate, temperature and respiration) in the patients undergoing unsedated esophagogastroduodenoscopy. Methods: A quasi-experimental research design was used. The participants were assigned into the listed three groups, i.e., the control group, the first experimental group (E1: K9 acupressure group) and the second experimental group (E2: P6 acupressure group). A total of 60 participants were included for analysis. Results: The severity of nausea (F=3.503, p=.037), the oxygen saturation (F=5.417, p=.007). and the respiration rate (F=7.270, p=.002) showed statistically significant differences in three groups. Conclusion: Based on the results of the present study, K9 acupressure with moxa pellets and P6 acupressure with wristbands (Sea-Band) are considered to be safe and an easy-to-apply intervention to relieve nausea and maintain the level of oxygen saturation and respiration rate in patients undergone unsedated esophagogastroduodenoscopy.