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김승민,유효경,김병준 대한미용성형외과학회 2021 Archives of Aesthetic Plastic Surgery Vol.27 No.1
Small-volume liposuction can be performed under local anesthesia, but intolerable pain usually occurs during the perioperative period. This study evaluated the analgesic effect of ultrasound-guided transverse abdominis plane (TAP) block prior to harvesting a small volume of fat from the lower abdomen under local anesthesia and to demonstrate the safety and efficacy of this technique. Methods Eight patients who participated in a clinical trial of injecting autologous adipose-derived stromal cells obtained from small-volume liposuction of the lower abdomen from May 2020 to July 2020 were included in this study. Ultrasound-guided TAP block was performed 30 minutes before the main procedure. A total of 15 mL of a mixture of 2% lidocaine (20 mL) and normal saline (10 mL) was injected into the fascia layer between the internal oblique muscle and transverse abdominis muscle. Subjective pain was evaluated through questionnaires by a verbal numerical rating scale (VNRS) at the time of tumescent infiltration and 1, 2, 4, and 6 hours after the operation. Results The median time required for TAP block was 14 minutes (range, 10–21 minutes). The median VNRS score was 3.0 at the time of tumescent solution infiltration, 1.5 at postoperative 1 hour and 2 hours, and 2.0 at postoperative 4 and 6 hours. No complications occurred in relation to the TAP block procedure, including infection, inflammation, hematoma, nerve palsy, or bowel perforation. Conclusions Ultrasound-guided TAP block prior to small-volume liposuction of the lower abdomen was confirmed to be a safe and effective technique for perioperative analgesia.
국내 여윔 넙치에서 검출된 점액포자충 Parvicapsula sp.의 정량적 분석
김승민,정준범,Kim, Seung Min,Jeong, Joon Bum 한국어병학회 2018 한국어병학회지 Vol.31 No.2
여윔증상이 나타난 양식장(farm-B 및 farm-C)의 넙치 및 여윔증상이 나타나지 않은 양식장(farm-A) 넙치의 각 내부 장기(신장, 장, 비장, 뇌 및 간)를 대상으로 점액포자충 Parvicapsula sp.의 양적 분석을 real-time PCR 방법을 사용하여 각각 실시하였다. 여윔증상을 보였던 farm-C의 넙치 신장에서 가장 높은 DNA copy number ($1.7{\times}10^7copies/mg$ tissue)를 보였고, farm-B의 넙치에서는 모든 내부 장기에서 낮은 수치가 나타났으며, farm-A의 넙치에서는 모든 내부 장기에서 음성 결과를 나타내었다. 동일한 시료를 사용한 PCR 및 병리조직학적 분석에서도 real-time PCR에서의 결과와 같은 양상을 보였다. Quantitative analysis of a myxosporean parasite, Parvicapsula sp. in internal organs (kidney, intestine, spleen, brain and liver) from non-emaciated (farm-A) or emaciated (farm-B and farm-C) olive flounder Paralichthys olivaceus were performed by real-time PCR. The highest DNA copy number ($1.7{\times}10^7copies/mg$ tissue) was detected in kidney of the emaciated olive flounder from farm-C, while the DNA copy number was below detection limit in all the organs of the olive flounder from farm-B. There was not positive result in all of organs from olive flounder in farm-A. PCR and histopathological analysis were also performed using the same specimen and showed same results as those by real-time PCR.