• Journal of the korean academy of Pediatric Dentistry
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• v.32 no.3
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• pp.416-426
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• 2005

Intravenous sedation have many advantages of rapid onset and recovery, ability of control sedation levels and duration through titration. Midazolam is most commonly used intravenous medication for sedation in pediatrics, endoscopy, oncologic procedures and so on. But in dentistry, midazolam intravenous sedation is usually for adult, and there are few reports for children. Todays, children who need sedation become more and older, intravenous sedation technique is going a matter of concern in pediatric dentistry. The purpose of this paper is to evaluate the efficacy of sedation and clinical success for different initial dosage of midazolam in intravenous sedation for pediatric dental patients. 16 healthy children (male 10, female 6), mean age $54.7{\pm}10.7$ months, who needed at least two separate treatment visits requiring local anesthesia were chosen for this study. Every children were taken 0.3mg/kg, maximum 5mg of midazolam by intramuscular route, and then 30~50% $N_2O-O_2$ for 10 minutes was given. On every visits, one of the following 2 different initial dosage was given by intravenous route : (1) Group I : 0.1mg/kg Midazolam (2) Group II : 0.2mg/kg Midazolam. Additional dosage was half of the first dose. Physiologic parameters (oxygen saturation, heart rate, respiratory rate, end-tidal carbon dioxide pressure) was recorded by ten procedure steps. Behavior was videotaped and rated using Ohio State University Behavioral Rating Scale and Automated Counting System by one investigator, blind to administered dosage. After the treatment, operator evaluated the clinical success. Physiologic parameters were stable and within normal range during treatment in both groups. The analyzed sedative effect, in behavioral evaluation, ratio of favorable Quiet was higher in group II, and clinical success rate of group II was better than group I. Induction time was rapid in group II, and recovery time was rapid in group I. And there was no statistically difference between two groups in every results.

• Journal of the korean academy of Pediatric Dentistry
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• v.32 no.1
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• pp.40-48
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• 2005

The purpose of present study was to compare the sedative effect of chloral hydrate and oral midazolam treatment. The study was conducted on twenty two child patients who required at least two visits. All the patients showed a good physical status (ASA-I). The patient was randomly assigned to receive drug either chloral hydrate 60mg/kg and hydroxyzine 25mg(Group I) or midazolam 0.5mg/kg and hydroxyzine 25mg(Group II) at each visit. Treatment procedures were divided into six stages. In each stage, sleep, crying, movement and overall behavior score were evaluated. The overall results can be summarized as follows: 1. Success rate was 59.9% in group I and was 77.8% in Group II. 2. Mean sleep score was $1.81{\pm}0.93$ in group I and was $1.44{\pm}0.69$ in group II (P<0.05). 3. Through all treatment procedures, no significant difference was observed between group I and group II in terms of crying, movement and overall behavior score(P>0.05). 4. There was no significant difference between the sex and the age(P>0.05). In regard to above results, oral midazolam considered to be a valuable drug as sedative agent in pediatric dentistry.

• Journal of Hospice and Palliative Care
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• v.11 no.3
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• pp.140-146
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• 2008

Purpose: Sooner of later, end-of-life care decision-making will unfold and be settled during the professional lives of medical students. However, there is prevalent ambiguity and uncertainty between the palliative treatment and euthanasia. We conducted this survey to investigate attitudes of medical students towards end-of-life making decisions, and to find out which factors primarily influenced the attitudes. Methods: A study was conducted among medical students at one university, the Republic of Korea. A written questionnaire was sent to all the 1st, 2nd, and 3rd-year medical students. It presented 5 statements on end-of-life decision-making. Students were asked whether they agreed or disagreed with each statement. Results: The response rate was 74.4%, and 267 questionnaires were analyzed. Percentages of agreement with each statements on Voluntary active euthanasia (VAE), Physician assisted suicide (PAS), Withholding life-sustaining management, Withdrawing life-sustaining management, and Terminal sedation (TS) was 37.1%, 21.7%, 58.4%, 60.3%, and 41.6%, respectively. The grade of students, religious activity, and educational experience were determinant factors. Agreement on each statements was higher in the low religious activity group than in the high religious activity group. Agreement on TS was higher among 3rd year students during their clerkship than among 1st and 2nd year students. Age of students and the experience of dying-people care had no significant influence. Conclusion: In end-of-life decision-making, religious and educational factors influenced medical students' attitudes. Especially, the experience of education during clerkship had significant influence on the attitude. Proper teaching on end-of-life decisions should further be considered during medical students' clerkship.

• Journal of the korean academy of Pediatric Dentistry
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• v.27 no.4
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• pp.505-516
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• 2000

Chloral hydrate is one of the most widely used sedative agents to control the difficult-to-treat young age group in the dental clinic. We are often frustrated to see the patient still awake and cry with agitation even after far more than the normal onset time of Chloral hydrate. In such a case, the patient has to be rescheduled for another sedation visit with different agents and/or routes which greatly disappoints the guardians. This study was designed to test the efficacy of one sedative regimen that can possibly help the clinician complete scheduled treatment without postponement. We have tried sleep induction with mixed gas of Enflurane(2vol%) and $N_2O(50%)-O_2(50%)$ for $60\sim120$ seconds to 35 patients of those who failed to respond properly to the dose(70mg/kg)of oral Chloral hydrate. The Result of this regimen was compare to those of two oral regimen of Chloral hydrate/Hydroxyzine and Chloral hydrate only Analyses of result on vital signs and behavior pattern were performed. The outcome of the study suggest that sleep induction by a short inhalation of low dose of $Enflurane/N_2O-O_2$ provide dentist with suitable condition for the completion of scheduled treatment in the patient who failed to oral Chloral hydrate. Evidence of adverse effect was not detected or reported during and/or after the procedures.

• Journal of the korean academy of Pediatric Dentistry
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• v.28 no.3
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• pp.441-446
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• 2001

Flumazenil is a competitive antagonist of benzodiazepines. It is usually administered intravenously. However, if the intravenous route is not available then other routes of drug administration should be considered. This study was designed to evaluate the reversal effects of flumazenil after nasal administration. Twenty-five young, healthy adult volunteers participated in this clinical trial. The dosage of 0.08mg/kg midazolam was administered intravenously to induce deep sedation. Ten minutes after midazolam administration, 0.5mg of flumazenil was dropped nasally, over a period of one minute. Blood samples were taken to measure the concentration of midazolam and flumazenil at 0, 5, 10, and 20min after nasal administration of flumazenil, using High Performance Liquid Chromatography. The degree of sedation was evaluated with sedation score and bispectral index (BIS), Statistical analysis was performed by multivariate ANOVA and correlation analysis (P<0.05). Peak serum flumazenil concentration was reached in 10min. Sedation score decreased after midazolam administration and showed a significant increase after flumazenil administration. However, BIS decreased during the first 10min after midazolam administration and then no significant changes after flumazenil administration. There were two instances representing rapid and complete reversal of midazolam after intranasal administration of flumazenil. In conclusion, intranasal flumazenil administration may be effective in some patients when intravenous route is not available in condition of benzodiazepine overdose.

• Journal of Korean Biological Nursing Science
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• v.22 no.2
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• pp.81-89
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• 2020

Purpose: The purpose of this study was to investigate nutritional intake, body mass index (BMI) and depression, and to elucidate depression in relation to nutritional intake and BMI among Chinese college students studying in South Korea. Methods: A descriptive study design was adopted. Data were collected from 170 Chinese college students in South Korea June-August, 2019. In this study, 24-hour dietary records were obtained and BMI was measured. Nutrient intakes were calculated from the dietary records using the CAN-PRO software. Depression was assessed using the Center for Epidemiological Studies Depression Scale (CES-D). Results: Of 170 participants, 19 (11.2%) were underweight and 42 (24.7%) were overweight. Female, single, and non-smoking participants were underweight. There were 97 (57.1%) participants experiencing depression, and 99 (58.2%) consuming lower protein than the recommended nutrient intake resulting in insufficient nutrients. The intake of vitamin A, vitamin C, vitamin D, pantothenic acid, calcium, iron, and selenium was much lower than the standard. Depressive participants were significantly greater among the underweight participants and those consuming insufficient nutrients in terms of protein, pantothenic acid, and selenium. Conclusion: An intervention program is required to improve nutritional status, which should be a part of the strategies to manage depression for Chinese college students in South Korea.

• Journal of Korean Clinical Nursing Research
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• v.22 no.3
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• pp.249-256
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• 2016

Purpose: The purpose of this study was to examine the effect of leg raising and peripheral excercise on recovery of the patients who were applied with dexmedetomidine for their dental surgery. Methods: There were two groups, the experimental group (n=35) and control group (n=35), in this study. We checked blood pressure, pulse rate, oxygen saturation, sedation level and symptoms such as dizziness and somnolence every 30 minutes. These parameters were assessed throughout the participants' recovery room stay. Leg raising and peripheral excercise were conducted in the experimental group in the recovery room. We have conducted chi-square test, Fisher's exact test, t-test, ANOVA, and ANCOVA to compare the measured parameters in both groups. Results: The experimental group showed a significant elevation of mean arterial blood pressure, and mitigation of somnolence, sedation and dizziness compared to the control group. Conclusion: Leg raising and peripheral exercise is effective to expedite recovery in the patients who were applied with dexmedetomidine for their dental surgery.

• Journal of the Korea Convergence Society
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• v.11 no.10
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• pp.349-353
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• 2020

Background: The dosage of the anesthetic drugs is generally determined by the total body weight of the patients. However, the drugs can be overdosed when the patient is morbidly obese. We have determined anesthetic induction dose based on lean body mass estimated from bioelectrical impedance analysis (BIA). Case: We report a case of morbidly obese patient (161 cm, 138 kg and body mass index 53.1) who had an elective laparoscopic cholecystectomy. The dose of induction agent was determined by lean body mass estimated by BIA, and the sedation was assessed by the observer's assessment alertness/sedation scale. Conclusions: Dose determination through lean body mass measured by BIA is useful in highly obese patients.

• Journal of Korean Philosophical Society
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• v.139
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• pp.23-45
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• 2016

This paper analyzes Paul Ricoeur's theory of mutual recognition with the concern for the establishment of a desirable relationship between cultures. Ricoeur tries to construct his own theory via Hegel and Honneth. He thinks, according to their theory, the state of being recognized could not arrive eternally. This means that the struggle for recognition could continue permanently. To put an end to the struggle for recognition, Ricoeur introduces the state of peace made possible by the exchange of ceremonial gifts. In other words, the struggle could be eliminated symbolically thorough the exchange of gifts. The mutuality established by this process however, can not accomplish its meaning without overcoming the original dissymmetry between one and the other in which phenomenology has a keen interest. To integrate the dissymmetry into mutuality, Ricoeur gives attention to 'between' the giver and the receiver in the system of gift exchange. He carries out this task by securing a just distance, or a distance in proximity.

• The Optical Journal
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• s.156
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• pp.52-60
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• 2015

선진국 스마트폰 시장이 포화상태에 도달함에 따라 주요 IT기업들의 차세대 IT 비즈니스 발굴이 큰 화두다. 차세대 IT 비즈니스의 주목할만한 후보군 중 하나는 가상현실(VR: Virtual Reality)이다. 최근 고해상도 디스플레이, 강력한 컴퓨팅 파워, 3D센싱 등의 기술이 비약적으로 발달하고 하드웨어 비용이 크게 하락함에 따라 드디어 일반 사용자들을 대상으로 유의미한 수준의 '몰입감'과 '상호작용'을 제공할 수 있는 환경이 조성됐다. 현재 삼성전자, 소니, 엡슨 등의 대기업들이 VR 헤드셋 개발에 뛰어들었으며 뷰직스(Vuzix), 아 베간트(Avegant), 버추익스(Virtuix), 시브라이트(Seebright) 등의 가상현실 벤처기업들이 크게 주목을 받으면서 해당 업체들에 투자하겠다는 문의가 쇄도하고 있는 실정이다. 향후 가상현실 시장은 기업들에게 엄청난 비즈니스 기회를 제공할 것으로 전망된다. 단지 VR 헤드셋이나 관련 기기의 매출보다는 가상공간에서 사용자들이 소비하는 시간과 비용이 중요하다. 기존 오프라인, 온라인의 비즈니스 모델과 수익 모델 대부분을 가상현실에서 구현할 수 있다. 사람들은 앞으로 현실환경의 모든 오브젝트와 연결돼 상호작용을 하고, 또한 가상환경의 모든 오브젝트와 연결돼 상호작용을 하게 될 것이다. 그것이 진정한 사물인터넷과 가상현실이다.