• The Journal of Internal Korean Medicine
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• v.35 no.4
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• pp.439-447
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• 2014

Objectives: The aim of this study was to investigate whether 1) variation of bowel sounds recorded stably through an electronic stethoscope in a sound insulation box can be related with that of gastric contraction and 2) if they are thus useful tool in the measurement of the gastric contractility in awake rats or not. Methods: Electrical potentials of both electronic stethoscope of bowel sound and force transducer were recorded simultaneously and continuously in the sound insulation box for the starting 30 min of basal state, and then 30 min of 0.2 ml normal saline administration, finally 30 min of 0.2 ml mosapride citrate solution (100 mg/Kg) in rats. Each motility index of normal saline or mosapride citrate treatment was presented with ratio against the basal state by using integrated electrical potentials. Results: A pattern of significance of gastric contractility between bowel sound and force transducer was showed analogously. Conclusions: The amplitude of bowel sounds recorded by the electronic stethoscope related with the intensity of gastric contractions. This confirms that a sound insulation box and electronic stethoscope are useful tools in the measurement of the gastric contractility of awake rats.

• Journal of Biomedical Engineering Research
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• v.28 no.6
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• pp.750-755
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• 2007

The linear SEF (Spectral Edge Frequency) parameter and spectrum analysis method can not reflect the non-linear of EEG. This method can not contribute to acquire real time analysis and obtain a high confidence in the clinic due to low discrimination. To solve the problems, the development of a new index is carried out using the bispectrum analyzing the EEG including the non-linear characteristic. At the bispectrum analysis of the 2 dimension, the most significant's power spectrum density peaks appeared much at the specific area in awake and anesthesia state. Because many peaks are showed at the specific area in the frequency coordinate, these points are used to create the new index. Range of the index is 0-100. At the anesthesia, the index is 20-50 and at the awake, the index is 90-60. New index can discriminate the awake and anesthesia state.

• Journal of Dental Anesthesia and Pain Medicine
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• v.18 no.5
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• pp.301-304
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• 2018

Awake fiberoptic nasotracheal intubation is a useful technique, especially in patients with airway obstruction. It must not only provide sufficient anesthesia, but also maintain spontaneous breathing. We introduce a method to achieve this using a small dose of fentanyl and midazolam in combination with topical anesthesia. The cases of 2 patients (1 male, 1 female) who underwent oral maxillofacial surgery are reported. They received $50{\mu}g$ of fentanyl 2-3 times (total $2.2-2.3{\mu}g/kg$) at intervals of approximately 2 min. Oxygen was administered via a mask at 6 L/min, and 0.5 mg of midazolam was administered 1-4 times (total 0.02-0.05 mg/kg) at intervals of approximately 2 min. A tracheal tube was inserted through the nasal cavity after topical anesthesia was applied to the epiglottis, vocal cords, and into the trachea through the fiberscope channel. All patients were successfully intubated. This is a useful and safe method for awake fiberoptic nasotracheal intubation.

• Korean Journal of Veterinary Service
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• v.42 no.4
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• pp.279-283
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• 2019

An 8-year-old castrated male Korean short hair cat was referred with chronic vomiting, diarrhea, and anorexia. The cat was diagnosed with alimentary lymphoma via fine needle aspiration. Three weeks later, he was presented again with anorexia. Hepatomegaly and hyperechoic change in the liver parenchyma were observed. Computed tomography while awake was performed and revealed hypoattenuation of the hepatic parenchyma. The cat was tentatively diagnosed with feline hepatic lipidosis secondary to alimentary lymphoma. In the feline patient with lymphoma, hepatomegaly is important to differentiate hepatic lipidosis from hepatic infiltration of lymphoma on liver. In the present case, fatty infiltration of the liver was identified via non-invasive, rapid, and convenient computed tomography examination in an awake cat with a lymphoma.

• Biomolecules & Therapeutics
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• v.7 no.3
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• pp.242-248
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• 1999

Diazepam, a benzodiazepine (BDZ) agonist, produces sedation and flumazenil, a BDZ antagonist, blocks these actions. The aim of this study was to examine the effects of BDZs on cortical electroencephalogram (EEG) in rats. The recording electrodes were implanted over the frontal and parietal cortices bilaterally, and the reference and ground electrodes over cerebellum under ketamine anesthesia. To assess the effects of diazepam and flumazenil, rats were injected with diazepam (1 mgHg, i.p.) and/or flumazenil ( 1 mg/kg, i.p.), and the EEG was recorded before and after drugs. Normal awake had theta peak in the spectrum and low amplitude waves, while normal sleep showed large amplitude of slow waves. The powers of delta, theta and alpha bands were increased during sleep compared with during awake. Diazepam reduced the mobility of the rat and induced sleep with intermittent fast spindles and large amplitude of slow activity, and it produced broad peak over betaL band and increased the power of gamma band, which were different from EEG patterns in normal sleep. Saline injection awakened rats and abolished fast spindles for a short period about 2-5 min from EEG pattern during diazepam-induced sleep. Flumazenil blocked both diazepam-induced sleep and decreased the slow activities of delta, theta, alpha and betaL, but not of gamma activity for about 10 min or more. This study may indicate that decrease in power of betaL and betaH bands can be used as the measure of central action of benzodiazepines, and that the EEG parameters of benzodiazepines have to be measured without control over the behavioral state by experimenter.

• Korean Journal of Anesthesiology
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• v.71 no.6
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• pp.483-485
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• 2018

A 34-year-old man who previously underwent a craniotomy due to oligodendroglioma was admitted with a diagnosis of recurrent brain tumor. An awake craniotomy was planned. Approximately 15 minutes after completing the scalp nerve block, his upper torso suddenly moved and trembled for 10 seconds, suggesting a generalized clonic seizure. He recovered gradually and fully in 55 minutes without any neurological sequelae. The emergency computed tomography scan revealed a localized fluid collection and small intracerebral hemorrhage nearby in the temporoparietal cortex beneath the skull defect. He underwent surgery under general anesthesia at 8 hours after the seizure and was discharged from the hospital after 10 days. This report documents the first case of generalized seizure that was caused by the accidental intracerebral injection of local anesthetics. Although the patient recovered completely, the clinical implications regarding the scalp infiltration technique in a patient with skull defects are discussed.

• Journal of KIISE:Information Networking
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• v.31 no.5
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• pp.532-543
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• 2004

Mobile Ad hoc NETworks (MANET) consist of mobile nodes which are usually powered by battery Approaches for minimizing power consumption have been proposed for all network layers and devices. IEEE 802.11 DCF (Distributed Coordination Function), a well-known medium access control protocol for MANETS, also defines a power save mode operation. The nodes in power save mode periodically repeat the awake state and the doze state in synchronized fashion. When all nodes are in the awake state, the exchange the announcements for the subsequent message transmission with neighbors. The nodes that send or receive the announcements stay awake for data transmission, and others go into the dole state. The previous works for enhancing the power save mode operation have focused on shortening the duration of the awake state. We observed that the longer sleeping period results in seriously long delivery latency and the consequent unnecessary power consumption as well, because the packets can move forward only one hop for a fixed interval. In this paper, we propose an improved protocol for the power save mode of IEEE 802.11 DCF, which allows the flooding packets to be forwarded several hops in a transmission period. Our approach does not reduce the duration of compulsory awake period, but maximizes its utilization. Each node propagates the announcements for next flooding to nodes of several hops away, thus the packets can travel multiple hops during one interval. Simulation results of comparison between our scheme and the standard show a reduction in flooding delay maximum 80%, and the unicasting latency with accompanying flooding flows near 50%, with slight increase of energy consumption.

• Proceedings of the IEEK Conference
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• 2005.11a
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• pp.311-316
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• 2005

The power saving mechanism of IEEE 802.16e operates in two modes; awake mode and sleep mode. While the user terminal transmits and receives packets in awake mode, it sleeps for a given interval to save the power consumption in sleep mode. The IEEE 802.16e specifies that the user terminal increases the sleep interval exponentially unless it has to wake up. In this paper, we analyze the performance of IEEE 802.16e power saving mechanism by considering down link traffic conditions. With the extensive simulations, we observe the trade-off between the power saving performance and the average packet delay. In addition, we observe that various performance parameters of IEEE 802.16e power saving mechanism are affected by the traffic patterns.

• Journal of Biomedical Engineering Research
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• v.28 no.2
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• pp.287-293
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• 2007

The researchers have studied for a long time about the depth of anesthesia but they don't make criteria for the depth of anesthesia. Anesthetists can't make a prediction about patient's reaction. Therefore, patients have potential risk such as poisonous side effect, late-awake, early-awake and strain reaction. In this study, the distributed characteristics on the bispectrum and bicoherence, the type of nonlinear signal processing, as a result of the coupling of EEG were presented according to depth of anesthesia. These results were consistent with a trend of delta ratio that the index of evaluation for the depth of anesthesia. The higher-order spectrum (HOS), the bispectrum and bicoherence, gives the useful information about depth of anaesthesia than other indexes.

• Journal of Dental Anesthesia and Pain Medicine
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• v.15 no.3
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• pp.153-156
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• 2015

A 47-year-old man was referred to the operating room to treat a dentigenous cyst of the mandibular bone. Initial assessment of the airway was considered normal. However, after the induction of anesthesia, we could not intubate the patient due to severe distortion of the glottis. Fiberoptic bronchoscopy and video laryngoscopy were not effective. Intubation using a retrograde wire technique was successful. After the conclusion of surgery, the patient recovered without any complications. Subsequent magnetic resonance imaging of the patient's neck showed a $6{\times}4{\times}8.6cm$ heterogeneous T2 hyperintense, T1 isointense well-enhancing mass in the prestyloid parapharyngeal space. The patient was scheduled for excision of the mass. We planned awake intubation with fiberoptic bronchoscopy. The procedure was successful and the patient recovered without complications. Anesthetic induction can decrease the muscle tone of the airway and increase airway distortion. Therefore, careful airway assessment is necessary.