• Title/Summary/Keyword: 깊은 진정

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A Survey of Non-Emergency and Emergency Deep Sedation using Sevoflurane Inhalation for Pediatric or Disabled Patients (세보플루란 깊은 진정의 응급과 비응급적 사용에 관한 실태조사)

  • Kim, Seungoh
    • Journal of the korean academy of Pediatric Dentistry
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    • v.41 no.1
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    • pp.18-26
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    • 2014
  • Deep sedation is considered for the dental treatment of pediatric or disabled patients who have severe anxiety or involuntary movement. Deep sedation using sevoflurane inhalation in emergency dental practice, therefore, is also preferred for fast induction and recovery. This survey consists of 121 people with pediatric or disabled patients who underwent dental treatment under deep sedation using sevoflurane inhalation from January 2013 to October 2013. Patients who were scheduled for deep sedation were classified into a non-emergency sevoflurane sedation group, whereas patients who underwent emergency sedation due to trauma and patients with disabled characteristics itself were classified into an emergency sevoflurane sedation group. Of 121 patients studied, 95 patients received dental care under non-emergency sedation, 26 patients received dental care under emergency sevoflurane sedation. The two groups were analyzed according to: gender; age; primary reason for sedation; duration of sedation; treatment time; induction methods; treatment information; and departments. Non-emergency sevoflurane sedation in pediatric or disabled patients was safe and effective for controlling the behavior. Emergency sevoflurane sedation was a useful method for younger pediatric patients with traumatic injury who need simple, short time emergency treatment. Deep sedation using sevoflurane inhalation not only will reduce the use of general anesthesia gradually but also will be a useful method to emergency treatment for pediatric or disabled patients.

현대건설, 힐스테이트-명품 주거 문화의 진정한 가치를 담아내다

  • Kim, So-Jin
    • 주택과사람들
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    • s.200
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    • pp.78-79
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    • 2007
  • 현대 건설의 새로운 아파트 브랜드 '힐스테이트'에 대한 수요자들의 반응이 뜨겁다. 광고 카피가 사람들의 입에 오르내릴 정도로 힐스테이트는 벌써부터 유명세를 떨칠 기세다. 진정한 명품의 가치를 아는 사람들만이 느낄 수 있는 힐스테이트의 매력과 깊은 의미를 새겨보고 브랜드 네이밍과 광고 촬영 현장을 스케치했다.

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THE NITROUS OXIDE CONCENTRATION IN BREATHING ZONE ACCORDING TO SCAVENGING METHODS DURING DEEP SEDATION OF PEDIATRIC DENTAL PATIENTS (소아치과 환자의 깊은 진정시 호기가스 제거 방법에 따른 호흡대역에서 Nitrous Oxide 농도 변화)

  • Lee, Chung-Won;Yoon, Hyung-Bae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.1
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    • pp.124-131
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    • 2003
  • The concentration of nitrous oxide in dental environment has increased especially in pediatric department. In pediatric department frequently met the behavior disordered patients who need the deep sedation. As the deeply sedated patients could not respond well to verbal command, the amount of mouth breathing would be increased especially with mouth prop which backward transposition of mandible. Inhalation of low concentration of nitrous oxide for a long duration has caused various side effects such as spontaneous abortion and inhibition of methionine synthetase activity which is harmful to DNA synthesis. For evaluation of factors of mouth breathing during deep sedation. The author measured the concentration of nitrous oxide in breathing zone by the change of the scavenging methods. One is drain the gas through the tail part of reservoir bag of Jackson Ree's system naturally. Another is scavenge from tail portion of reservoir bag with negative pressure. Last one is scavenge from nasal mask with negative pressure. The nitrous oxide concentration in breathing zone was the lowest in nasal part drainage but high above the recommended concentration of NIOSH. The order of nitrous concentration in breathing zone was: natural drainage, tail part with negative pressure, nasal part with negative pressure. This would reflect the order of resistance of nasal airway and showed the amount of mouth breathing. From the above experiment, the resistance of nasal airway by the increment of gas flow in corrugating tube and reservoir bag would be one of the causative factors of mouth breathing in deeply sedated patients.

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venture portfolio-SSCP 오주언 대표

  • Kim, Yun-Hui
    • Venture DIGEST
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    • s.102
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    • pp.12-15
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    • 2007
  • 색감이 고급스러운 휴대폰, 백색을 탈피한 냉장고, 세계인이 쓴다는 MP3플레이어, 눈이 피곤하지 않은 PDP TV, 머리 아픈 냄새가 나지 않는 자동차. 이 제품들의 공통점은 무엇일까. 바로 기술과 디자인, 친환경 제품으로 보이지 않는 곳에서 우리의 삶을 풍요롭게 만드는 SSCP의 제품이다. 30여 년이 넘는 시간동안 특수 도료라는 분야에 뿌리를 내리고 성장해 온 SSCP. 그리고 그 뿌리 깊은 나무를 가꿔온 SSCP 오주언 회장. 그에게서 진정한 벤처정신을 들어본다.

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CONVERTING FROM ORAL SEDATION TO INTRAVENOUS SEDATION USING TOPICAL ANESTHETICS ON SKIN AFTER ORAL SEDATION FAILURE (경구진정 실패 후 피부 도포마취제를 사용한 정주진정으로의 전환 치료)

  • Lee, Eun-Hui;Kim, Seung-Oh;Kim, Jong-Soo;Yoo, Seung-Hoon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.37 no.2
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    • pp.213-217
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    • 2010
  • The use of chloral hydrate and hydroxyzine for oral sedation is most effective in children aged less than 36 months and weighing less than 15 kg. Children who do not belong to this category may show frequent movements due to shallow sedation level, and it can lead to sedation failures. One of the solutions to such sedation failure is conversion to deeper sedation. But, it is not so much of an option, since inhalation anesthetics and devices are required. In this case, conversion from oral sedation to intravenous sedation was successfully achieved without causing injection pain while searching for an intravenous route, by using EMLA cream (Eutectic Mixture of Local Anesthesia). A patient aged 46 months and weighing 15 kg visited the Pediatric Department of Dankook University Dental Hospital. Treatment under TSD(Tell Show Do) was offered, but due to the parent's request, oral sedative measures were taken. Considering prompt converting from oral sedation to iv sedation in case the oral sedation fails, EMLA cream was apllied preemptively. Adequate sedation level could not be achieved after 90 minutes of oral administration, therefore, under the parent's consent, intravenous route was prepared after conscious sedation by $N_2O-O_2$. During treatment, $ETCO_2$, $SPO_2$ and heart rate was monitored every 5 minutes. The patient showed stable vital signs and did not show any movements. The whole procedure took two and a half hours in total, and the treatment was completed without any adverse effects.

A Study on CSR Types of Cosmetic Companies to Gain Customer Loyalty of Product Brand (제품 브랜드의 고객 충성도를 확보하기 위한 화장품 기업 CSR 활동 유형 연구)

  • Chung, Da-Hae;Sung, Jung-Hwan
    • The Journal of the Korea Contents Association
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    • v.19 no.12
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    • pp.184-192
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    • 2019
  • In the domestic cosmetics market, it is important to secure high customer loyalty in order to stably enter the market. To do this, customers should have a deep sense of trust and bond through the authenticity of the brand. At this time, among the components of brand authenticity, only corporate authenticity has a positive effect on customer brand attachment and loyalty. This paper suggests marketing strategies based on CSR activities that can most effectively show corporate authenticity. First, only cases where the activity was continued for more than one year and the activity contents and results were clear and recognized for authenticity were selected. Twenty cosmetic brands met this condition and 28 CSR activities which conducted by the brand are analyzed. The characteristics of each area were derived by dividing it into four areas of desirable society presented by the EU, and a marketing strategy for each type was presented. This research will be of practical help in conducting CSR activities later in the enterprise.

Sevoflurane Sedation Using a Nasal Cannula in Pediatric Patients (소아환자에서 경비 캐눌라를 이용한 세보플루란 흡입 진정)

  • Ji, Sang-Eun;Kim, Jong-Soo;Kim, Jong-Bin;Kim, Seung-Oh
    • Journal of the korean academy of Pediatric Dentistry
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    • v.40 no.3
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    • pp.194-200
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    • 2013
  • A total of 14 children who visited the department of Pediatric dentistry of Dankook University Dental Hospital from January, 2012 to May, 2012 and decided to get dental treatment under inhalation sevoflurane deep sedation, were studied to determine the effectiveness of end-tidal sevoflurane, respiratory and cardiovascular function to analyze monitoring sheets. The Heart rate (H.R) data were mean 101.4 rate/min (76.4-135.4 rate/min). The systolic blood pressure data mean were 96.9 mmHg (84.2-109.2 mmHg) and diastolic blood pressure data mean were 50.5 mmHg (34.0-62.0 mmHg). The Respiration rate (R.R) data mean were 24.4 rate/min (15.0-36.7 rate/min). The $SpO_2$ data mean were 99.4% (97.5-100.0%). The end tidal $CO_2$ ($ETCO_2$) data mean were 27.8 mmHg (16.4-38.0 mmHg). The end-tidal sevoflurane data mean were 1.9 vol% (1.0-3.4 vol%).

A Qualitative Study on Counselors' Authenticity and Therapeutic Changes based on Experience by Clients Majoring in Counseling (상담 전공 내담자가 경험한 상담자 진정성과 치료적 변화에 관한 질적 연구)

  • Shim, Eun Jung;Lee, Hee-Kyung
    • The Journal of the Korea Contents Association
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    • v.22 no.7
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    • pp.332-344
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    • 2022
  • The purpose of this study was to identify the components of how clients perceive the counselors' authenticity in actual counseling, and to examine the therapeutic changes and processes related to the counselors' authenticity. In-depth interviews were conducted with 12 clients majoring in counseling at graduate school, and as a result of analyzing using the Grounded theory approach, 57 concepts, 40 sub-categories, and 14 categories were derived. The major results of this study are as follows: first, the components of counselor authenticity perceived by clients were identified as 'honesty', 'sincere attitude', and 'heartfelt caring'. Second, counselors' authenticity was found to bring about deeper and generalized therapeutic changes when a deep level of acceptance and empathy for the client was accompanied. Finally, therapeutic changes in counselors' authenticity were found to be 'increasing self-understanding and acceptance', 'generalization of authenticity modeling', and 'increasing initiative in coping with problems'. This study contributed to the increase of the practical knowledge of the counselors' authenticity by identifying the therapeutic value of authenticity and factors, and provided the implications to education and training for novice counselors.

소박한 자연과 마주한 하이퍼 리얼리즘의 대표 화백 - 비움을 통해 수많은 '나'를 발견하다

  • 한국주택협회
    • 주택과사람들
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    • s.224
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    • pp.88-93
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    • 2008
  • 에 따르면, '21세기의 신(新) 노블리안은 사회적 엘리트로서, 가족들과 지인들 대부분 상류층 커뮤니티와 네트워크를 지니고 있지만, 부를 과시하지 않고 보수적인 편이다' 라고 말한다. 은 2009년 신년호를 시작으로 이 시대 신 노블리안들의 특별한 라이프스타일을 좇아가보고자 한다. 진정한 '노블'의 개념과 그 속에서 추구하는 정신적 풍요, 삶의 위트, 그리고 보다 나은 내일을 만들기 위한 섬세한 지혜와 같은, 숨은 보물을 찾아 떠나는 여행. 그 뜻 깊은 첫 만남은 국내 하이퍼 리얼리즘을 대표하는 이석주 화백이다.

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심층 리포트 - 제조와 유통은 동상이몽?

  • 한국자동판매기공업협회
    • Vending industry
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    • v.10 no.2
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    • pp.75-79
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    • 2010
  • 자판기 산업경기가 죽을 맛이다. 제조업은 자판기 판매에 있어 극도의 시장 침체에 시달리고 있고, 유통업 역시 자판기의 떨어지는 운영효율에 시름이 늘어가고 있다. 시장이 부진하다보니 유기적인 관계가 되어야할 제조와 유통의 연결고리도 취약해 지고 있다. 제조업은 '아무리 좋은 제품을 개발해도 유통에서 관심을 가지고 써주지 않는다'고 볼 멘 소리이다. 유통은 '시장이 이렇게 부진한데 정작 팔만할 제품이 없다' 하소연한다. 제조는 유통 탓을 하고 있고, 유통은 제조 탓을 하고 있는 지경이다. 산업계에 뗄레야 뗄 수 없는 동반자 관계임에도 불구하고 시장을 보는 시각에는 '건너기 힘든 강' 하나가 걸쳐 있는 것 같다. 어떻게 이런 지경이 되었는가? 제조와 유통의 깊은 골을 극복하고, 상생의 모델을 찾을 수 있는 방안은 진정 없는 것인가?.

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