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Comparison of pretreatment gabapentin and pregabalin to control postoperative endodontic pain - a double-blind, randomized clinical trial

  • Verma, Jayeeta;Verma, Sidharth;Margasahayam, Sumanthini V
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.22 no.5
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    • pp.377-385
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    • 2022
  • Background: Postoperative endodontic pain is an enigma for the dentist. This study aimed to evaluate the analgesic effect of 300 mg gabapentin or 75 mg pregabalin in reducing postoperative endodontic pain compared with a placebo. Methods: Ninety patients who needed root canal treatment with an initial numerical rating scale (NRS) pain score of > 4 (T0) were randomly divided into three groups (n=30). Patients were then administered either 300 mg gabapentin (group A), 75 mg pregabalin (group B), or a placebo (group C) 30 min prior to the start of endodontic treatment. A single operator performed single-visit endodontics, and pain was evaluated immediately after endodontic treatment (T1) and at 4 h (T2), 8 h (T3), 12 h (T4), 24 h (T5), 48 h (T6), and 72 h (T7) using the NRS. Ibuprofen/paracetamol (400 mg/325 mg) was administered as a rescue dose if needed. Results: Pregabalin performed significantly better when compared with gabapentin at all time points except at 72 h after treatment (P=0.170). The placebo group showed significantly higher pain scores than the other two groups. The percentage of pain relief was maximum for pregabalin (92.1%), followed by gabapentin (87.6%) and placebo (69.1%) at 72 h after treatment completion. Conclusion: This study showed that pretreatment with a single dose of pregabalin and gabapentin both had greater analgesic effects than a placebo. They can be effectively used to reduce postoperative endodontic pain.

Buffered articaine infiltration for primary maxillary molar extractions: a randomized controlled study

  • Dhake, Parag;Nagpal, Devendra;Chaudhari, Purva;Lamba, Gagandeep;Hotwani, Kavita;Singh, Prabhat
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.22 no.5
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    • pp.387-394
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    • 2022
  • Background: Dental pain management is an important aspect of patient management in pediatric dentistry. Articaine is considered the most successful anesthetic agent for infiltration anesthesia. Buffered articaine has been observed to have faster onset and longer duration of action with less pain on injection. The aim of this study was to evaluate and compare pain on injection, onset of action, and pain during extraction using buffered (using Sodium bicarbonate (NaHCO3)) and non-buffered 4% articaine (with 1:100000 adrenaline) infiltrations for primary maxillary molar extractions in 4-10-year-old children. Methods: Seventy children who required extraction of maxillary primary molars were enrolled in this triple-blind randomized study. Children undergoing extraction were randomly divided into two groups, with 35 in each group. The study group was the buffered articaine group; the control group was the non-buffered articaine group. Buccal and palatal infiltrations were administered with either buffered or non-buffered articaine. Subjective evaluation was done for pain on injection, pain during extraction using Wong-Baker Faces Pain Rating Scale (WBFPR) and onset of anesthesia in seconds. Pain on injection, pain during extraction were objectively evaluated using Sound Eye Motor (SEM) scale and onset of anesthesia was also evaluated objectively by pricking with sharp dental probe. Results: The outcome was, significantly less pain on injection and significantly faster onset of anesthesia with significantly less pain during extraction for both subjective and objective evaluations in the buffered articaine group. Subgroup analysis was also performed and it showed variable results, with only significant difference for WBFPR scores in age subgroup 4-7 years for palatal infiltration. Conclusion: Less pain on injection, faster onset of anesthesia, and less pain during extraction were observed when buffered articaine was used for maxillary primary molar extraction.

An optimized deployment strategy of smart smoke sensors in a large space

  • Liu, Pingshan;Fang, Junli;Huang, Hongjun
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.16 no.11
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    • pp.3544-3564
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    • 2022
  • With the development of the NB-IoT (Narrow band Internet of Things) and smart cities, coupled with the emergence of smart smoke sensors, new requirements and issues have been introduced to study on the deployment of sensors in large spaces. Previous research mainly focuses on the optimization of wireless sensors in some monitoring environments, including three-dimensional terrain or underwater space. There are relatively few studies on the optimization deployment problem of smart smoke sensors, and leaving large spaces with obstacles such as libraries out of consideration. This paper mainly studies the deployment issue of smart smoke sensors in large spaces by considering the fire probability of fire areas and the obstacles in a monitoring area. To cope with the problems of coverage blind areas and coverage redundancy when sensors are deployed randomly in large spaces, we proposed an optimized deployment strategy of smart smoke sensors based on the PSO (Particle Swarm Optimization) algorithm. The deployment problem is transformed into a multi-objective optimization problem with many constraints of fire probability and barriers, while minimizing the deployment cost and maximizing the coverage accuracy. In this regard, we describe the structure model in large space and a coverage model firstly, then a mathematical model containing two objective functions is established. Finally, a deployment strategy based on PSO algorithm is designed, and the performance of the deployment strategy is verified by a number of simulation experiments. The obtained experimental and numerical results demonstrates that our proposed strategy can obtain better performance than uniform deployment strategies in terms of all the objectives concerned, further demonstrates the effectiveness of our strategy. Additionally, the strategy we proposed also provides theoretical guidance and a practical basis for fire emergency management and other departments to better deploy smart smoke sensors in a large space.

Efficacy and Safety of Cheong-A-Won Gagambang (JCE003) on Knee Osteoarthritis: Randomized Controlled Pilot Trial

  • Kong, Haejin;Kang, Jaehui;Lee, Hyun
    • Journal of Acupuncture Research
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    • v.39 no.3
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    • pp.202-212
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    • 2022
  • Background: The aim of this study was to evaluate the effectiveness and safety of Cheong-A-Won Gagambang (JCE003) treatment for degenerative knee osteoarthritis. Methods: This was a single-center, randomized, double-blind, placebo-controlled pilot clinical trial. There were 36 adults with degenerative knee osteoarthritis who were randomly allocated into JCE003 1,000 mg, JCE003 2,000 mg, or the placebo group (in a 1:1:1 ratio). The participants received 12 weeks of treatment and had scheduled tests every 6 weeks. The primary outcomes were measured using the Korean Western Ontario and McMaster Universities scale, and the secondary outcomes were measured using the visual analog scale, European quality of life-5-dimensions, patient global impression of change, C-reactive protein, and erythrocyte sedimentation rate. Changes between baseline scores and scores following study completion were analyzed. Results: There were 29 participants whose data were analyzed in this study. The change of Korean Western Ontario and McMaster Universities, visual analog scale, European quality of life-5-dimensions scores showed significant improvement in the JCE003 1,000 mg group. The change of patient global impression of change was significantly improved in the placebo group. There were 14 adverse events, but there was no clinically significant relationship with the intake of JCE003 compared with the placebo. Conclusion: Taking JCE003 may be effective at improving knee pain in patients with degenerative knee osteoarthritis and appears to be safe. Based on this study, the concentration and feasibility of the test group may be used when conducting a large-scale clinical trial of degenerative knee osteoarthritis in the future.

Legislative Policy Assignments in Construction Project Management by Strengthening Safety-Related Laws - Focusing on the CM/supervision-related system - (안전관련 법제 강화에 따른 건설사업관리 분야의 입법정책적 과제 - CM/감리관련제도를 중심으로 -)

  • Lee, Jeonghwan;Jung, Youngchul
    • Korean Journal of Construction Engineering and Management
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    • v.23 no.6
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    • pp.76-88
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    • 2022
  • The death toll in the Korean construction industry accounts for more than 50% of all business deaths. This is the highest level among OECD countries, and the government has proposed various solutions to this, but has not seen any significant effect. In order to strengthen safety responsibilities and obligations to CEOs of companies in the blind spot of punishment, including those who have the greatest authority and influence in the construction industry, the Moon Jae In government strengthened various laws, including legislation of the Serious Accidents Punishment Act. However, at this point in time, half a year later, it is still questionable whether such punishment has been strengthened and the effectiveness of fragmentary measures has been exerted. This paper attempted to present legislative policy directions for the problems of the current system and future improvement measures to contribute to reducing significant accidents in the CM/supervision industry among the various subjects of the construction industry.

Design of PTZ Camera-Based Multiview Monitoring System for Efficient Observation in Vessel Engine Room (선박 기관실의 효율적인 감시를 위한 PTZ 카메라 기반의 멀티뷰 모니터링 시스템 설계)

  • Kim, Heon-Hui;Hong, Sang-Jun;Nam, Taek-Kun
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.27 no.7
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    • pp.1129-1136
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    • 2021
  • A pan-tilt-zoom (PTZ) camera-based monitoring system for efficient monitoring in the engine room of a vessel was designed. A number of places exist where traditional analog instruments are still used in vessel engine rooms, and blind spots closely related to safety exist, for which flooding or fire is a concern. A camera-based monitoring system that guarantees a wide range at a relatively fast cycle for these monitoring points can be an effective alternative to enhance the safety of a vessel. Therefore, a multiview monitoring system is proposed in which the functions of the existing PTZ camera are further strengthened using a software. The monitoring system comprises four modules: camera control, location registration, traversal control, and multiview image reconstruction. The effectiveness of the method was evaluated through a series of experiments in an engine room environment.

Evaluation of the efficacy and safety of epidural steroid injection using a nonparticulate steroid, dexamethasone or betamethasone: a double-blind, randomized, crossover, clinical trial

  • Lee, Guen Young;Lee, Joon Woo;Lee, Eugene;Yeom, Jin S.;Kim, Ki-Jeong;Shin, Hyung-Ik;Kang, Heung Sik
    • The Korean Journal of Pain
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    • v.35 no.3
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    • pp.336-344
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    • 2022
  • Background: The U.S. Food and Drug Administration has prohibited epidural steroid injection (ESI) with particulate steroids. Thus, this study aimed to compare the efficacy and safety of ESI with two nonparticulate steroids, dexamethasone and betamethasone. Methods: The eligible patients (n = 600) who received ESI (0 week) with dexamethasone (ESI-dexa) or betamethasone (ESI-beta) had follow-up visits at 2, 4, and 8 weeks with a phone interview at 12 weeks. The primary endpoint was the proportion of effective responders without pain or who were much improved at 2 weeks. The secondary endpoints were the proportion of crossover injections at 2 weeks; changes in the visual analog scale (VAS) and disability index scores at 2, 4, and 8 weeks; the number of additional ESIs in 12 weeks; the number of participants having spinal surgery, as well as the incidence of adverse events over the 12 weeks. Results: The proportion of effective responders at 2 weeks was not different between ESI-beta (72/216, 33.3%) and ESI-dexa (63/200, 31.5%; P = 0.670). Adverse events were more common with ESI-dexa (40/200, 20.0%) than with ESI-beta (24/216, 11.1%; P = 0.012). VAS scores decreased more with ESI-beta than with ESI-dexa at 2 weeks (difference, 0.35; P = 0.023) and 4 weeks (difference, 0.42; P = 0.011). The disability score improved significantly more with ESI-beta compared with ESI-dexa at 2 weeks (difference, 3.37; P = 0.009), 4 weeks (difference, 4.01; P = 0.002), and 8 weeks (difference, 3.54; P = 0.007). Conclusions: Betamethasone would be more appropriate for ESI.

A plant-based multivitamin, multimineral, and phytonutrient supplementation enhances the DNA repair response to metabolic challenges

  • Yeo, Eunji;Hong, Jina;Kang, Seunghee;Lee, Wonyoung;Kwon, Oran;Park, Eunmi
    • Journal of Nutrition and Health
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    • v.55 no.4
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    • pp.450-461
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    • 2022
  • Purpose: DNA damage and repair responses are induced by metabolic diseases and environmental stress. The balance of DNA repair response and the antioxidant system play a role in modulating the entire body's health. This study uses a high-fat and high-calorie (HFC) drink to examine the new roles of a plant-based multivitamin/mineral supplement with phytonutrients (PMP) for regulating the antioxidant system and cellular DNA repair signaling in the body resulting from metabolic stress. Methods: In a double-blind, randomized, parallel-arm, and placebo-controlled trial, healthy adults received a capsule containing either a PMP supplement (n = 12) or a placebo control (n = 12) for 8 weeks. Fasting blood samples were collected at 0, 1, and 3 hours after consuming a HFC drink (900 kcal). The blood samples were analyzed for the following oxidative stress makers: areas under the curve reactive oxygen species (ROS) levels, plasma malondialdehyde (MDA), erythrocytes MDA, urinary MDA, oxidized low-density lipoprotein, and the glutathione:oxidized glutathione ratio at the time points. We further examined the related protein levels of DNA repair signaling (pCHK1 (Serine 345), p-P53 (Serine 15), and 𝛄H2AX expression) in the plasma of subjects to evaluate the time-dependent effects of a HFC drink. Results: In a previous study, we showed that PMP supplementation for eight weeks reduces the ROS and endogenous DNA damage in human blood plasma. Results of the current study further show that PMP supplementation is significantly correlated with antioxidant defense. Compared to the placebo samples, the blood plasma obtained after PMP supplementation showed enhanced DNA damage response genes such as pCHK1(Serine 345) (a transducer of DNA response) and 𝛄H2AX (a hallmark of DNA damage) during the 8 weeks trial on metabolic challenges. Conclusion: Our results indicate that PMP supplementation for 8 weeks enhances the antioxidant system against oxidative stress and prevents DNA damage signaling in humans.

Application Development to provide General Phrase Medication Guidance for Visually Impaired (시각장애인을 위한 일반의약품 복용 방법 제공 애플리케이션 연구)

  • Min-Seok Cho;Min-Ki Yoon;Min-Su Seo;Young-Hoon Hwang;Won-Whoi Huh
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.23 no.2
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    • pp.201-208
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    • 2023
  • Visually impaired people have difficulty accessing medical services and drug information, and it is not easy for them to take the correct drugs. A health law has been established to deal with this, but the plans are not unified and not applicable to all over-the-counter medicines. Therefore, we planned an application that provides instructions for taking general medicines using image recognition technology, bar code, and QR recognition technology for visually impaired people who are in the blind spot of taking general medicines. In this research, we will optimize the camera shooting environment standards and UI and UX screens for image recognition for the visually impaired, and improve the accessibility for the visually impaired to make it more convenient. If you can apply the results of your research to an application and provide it, it will help people with visual impairments learn the correct way to take over-the-counter medicines.

Fermented Whey Protein Supplementation Improves Muscular Strength, Muscle Parameters, and Physical Performance in Middle-Aged Korean Adults: An 8-Week Double Blind Randomized Controlled Trial

  • Cheol Hyun Kim;Yu Bin Jeon;Dong Gyu Yoo;Ki-Hong Kim;Hwan-Jong Jeong;Byung-Kwan Kim;Mi-Houn Park;Ki-Hwan Kim;Joon-Ho Hwang;Gun Hee Cho;Sung-Kyu Kim;Ki-Woong Lee;Sung-Han Kim
    • Food Science of Animal Resources
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    • v.43 no.3
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    • pp.512-530
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    • 2023
  • The present study evaluated the effects of fermented whey protein using kimchi lactic acid bacteria Lactobacillus casei DK211 on skeletal muscle mass, muscle strength, and physical performance in healthy middle-aged males performing regular resistance exercises. Effective protein supplementation and regular exercise are two important factors for improving muscle health. Therefore, in this study, the effects of consuming fermented whey protein twice a day were investigated and compared with that of non-fermented supplementation. Forty-eight males (average age 44.8) were randomly assigned to two groups: Fermented whey protein supplementation (FWPS) and non-fermented whey protein concentration supplementation (WPCS) groups. Each group ingested 37 g of FWPS or WPCS twice a day for eight weeks. Body composition, muscle strength, and physical performance were assessed pre- and post-intervention. Independent t-tests or chi-square tests for the categorical variables were performed for analyzing the observations. FWPS was effective in promoting the physical performance in dynamic balance measurement and muscle health, indicated through the increment in grip strength (left), upper arm circumference, and flat leg circumference from the baseline. However, similar improvements were not observed in the WPCS group. These results imply that whey protein fermented by L. casei DK211 is an effective protein supplement for enhancing muscle health in males performing regular resistance exercises.