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Clinical Efficacy of Transdermal Clonidine (St 155 BS) for Anesthetic Management in Hypertensive Patients (고혈압 환자 마취시 Transdermal Clonidine (St 155 BS)의 임상적 유용성)

  • Lee, Hyun-Hwa;Kim, Dong-Ok;Kim, Keon-Sik;Choi, Young-Kyoo;Shin, Ok-Young;Kwon, Moo-Il;Lee, Doo-Ik
    • The Korean Journal of Pain
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    • v.6 no.2
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    • pp.231-236
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    • 1993
  • Clonidine, a centrally-acting antihypertensive agent known to reduce central sympathetic outflow and modulate presynaptic transmitter's release, has shown to suppress central noradrenergic hyperactivity induced by immobilization stress in animals, by decreasing the MAC of halothane and the dose of narcotics required to prevent reflex cardiovascular response to noxious stimuli, and to have potent analgesic properties in humans. These characteristics suggest that clonidine might be a useful adjunct to the anesthetic management of patients with preexisting hypertension. Accordingly, we determined the clinical efficacy and safety on analgesia, sedation and hemodynamic stability in the perioperative period. Thirty patients(ASA physical status II-III) with a history of arterial hypertension, scheduled for elective orthopedic surgery were randomly assigned to two groups. We applied CPA-clonidine patch($6.9\;mg/cm^2$, 0.2 mg delivered daily) or placebo patch to each groups, 48 hours prior to induction of anesthesia. Antihypertensive medication was continued until the morning of the scheduled surgery. All patients received premedication of atropine and lorazepam, and induced anesthesia with thiopental and succinylcholine, and maintained with enflurane and 50% nitrous oxide, while sustaining the BP and pulse rate at acceptable range. For the relief of pain postoperatively, diclofenac and fentanyl were administered intramuscularly on demand. The results were as follows: 1) The change of hemodynamic responses in clonidine group was less compared to the placebo group. 2) Intraoperative anesthetic requirement for enflurane in clonidine group were significantly lower than placebo group. 3) Postoperative analgetic requirement in clonidine group were significantly lower than placebo group. In clonidine group, 5 cases out of 15 cases were required no analgetics, and the incidence of administration of additional fentanyl was decreased to 5 cases, comparing with 10 cases in placebo group.

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Seismic First Arrival Time Computation in 3D Inhomogeneous Tilted Transversely Isotropic Media (3차원 불균질 횡등방성 매질에 대한 탄성파 초동 주시 모델링)

  • Jeong, Chang-Ho;Suh, Jung-Hee
    • Geophysics and Geophysical Exploration
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    • v.9 no.3
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    • pp.241-249
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    • 2006
  • Due to the long tectonic history and the very complex geologic formations in Korea, the anisotropic characteristics of subsurface material may often change very greatly and locally. The algorithms commonly used, however, may not give sufficiently precise computational results of traveltime data particularly for the complex and strong anisotropic model, since they are based on the two-dimensional (2D) earth and/or weak anisotropy assumptions. This study is intended to develope a three-dimensional (3D) modeling algorithm to precisely calculate the first arrival time in the complex anisotropic media. Considering the complex geology of Korea, we assume 3D TTI (tilted transversely isotropy) medium having the arbitrary symmetry axis. The algorithm includes the 2D non-linear interpolation scheme to calculate the traveltimes inside the grid and the 3D traveltime mapping to fill the 3D model with first arrival times. The weak anisotropy assumption, moreover, can be overcome through devising a numerical approach of the steepest descent method in the calculation of minimum traveltime, instead of using approximate solution. The performance of the algorithm developed in this study is demonstrated by the comparison of the analytic and numerical solutions for the homogeneous anisotropic earth as well as through the numerical experiment for the two layer model whose anisotropic properties are greatly different each other. We expect that the developed modeling algorithm can be used in the development of processing and inversion schemes of seismic data acquired in strongly anisotropic environment, such as migration, velocity analysis, cross-well tomography and so on.

Predicting Potential Distribution of Monochamus alternatus Hope responding to Climate Change in Korea (기후변화에 따른 솔수염하늘소(Monochamus alternatus) 잠재적 분포 변화 예측)

  • Kim, Jaeuk;Jung, Huicheul;Park, Yong-Ha
    • Korean journal of applied entomology
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    • v.55 no.4
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    • pp.501-511
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    • 2016
  • Predicting potential spatial distribution of Monochamus alternatus, a major insect vector of the pine wilt disease, is essential to the spread of the pine wilt disease. The purpose of this study was to predict future domestic spatial distribution of M. alternatus by using the CLIMEX model considering the temperature condition of the vector's life history. To predict current distribution of M. alternatus, the administrative divisions data where the pine wilt spots caused by M. alternatus were found from 2006 to 2014 and the 10-year mean climate observed data in 68 meteorological stations from 2006 to 2015 were used. Eight parameter sets were chosen based on growth temperature range of M. alternatus reported in preceding researches. Error matrix method was utilized to select and simulate the parameter sets showing the highest correlation with the actual distribution. Regarding the future distribution of M. alternatus, two periods of 2050s(2046-2055) and 2090s(2091-2100) were predicted using the projected climate data of RCP 8.5 Scenario generated from Korea Meteorological Administration. Overall results of M. alternatus distribution simulation were fit in the actual distribution; however, overestimation in Seoul Metropolitan area and Chungnam Region were shown. Gradual expansion of M. alternatus would be expected to nationwide from western and southern coastal areas of Korea peninsula.

Network Effects and Dynamic Capabilities (네트워크 효과와 동태적 경쟁역량)

  • Lee, Jong-Seok
    • Korean Business Review
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    • v.19 no.2
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    • pp.183-206
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    • 2006
  • Recently, the notion of "increasing returns" has been popular not only in academia but also in industries. This notion has been drawn from prior research on network effects, which showed that the market evolution would lock in to a dominant technology. However, the long history of technological change has rarely shown the possibility of lock-in to an inferior technology. How could the market with network effects make transition between incompatible technologies regimes by escaping the lock-in? This paper analyzes the effectiveness of R&D and technological choice to investigate the sources of the dynamic capabilities in the presence of network effects and uncertain technological progress. Why does the market sometimes work against a radical technology, and why, at other times, does the market operate in favor of it? This study is to address this question by modeling the situation of two competing technologies in the presence of network effects. The numerical analysis indicates that the evolution strategy of compatibility is more likely to increase the chance of firm growth when a majority of customers are not power users or when demand for an old technology has been escalated. But when there are a substantial number of power users or when a new technology emerges before such an escalation of demand, the revolution strategy of compelling performance is more likely to be effective. The result suggests a potential mechanism for overcoming the lock-in problem. When the market exhibits some inertia to an obsolete technology, which is reinforced by the increasing customer value with respect to backward compatibility, the survival of a new technology depends on power users. When many power users are cultivated by firms' technological efforts regarding the new technology, the market is less likely to lock into an obsolete technology. Indeed, in the workstation market, where power users characterize much of the demand, innovators like Sun successfully switched to the RISC architecture.

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Effect of Korean Red Ginseng on Sleep : A Randomized, Placebo-Controlled Trial (고려 홍삼이 수면의 질에 미치는 영향 : 무작위 위약-대조군 연구)

  • Lee, Sun-Ah;Kang, Seung-Gul;Lee, Heon-Jeong;Jung, Ki-Young;Kim, Leen
    • Sleep Medicine and Psychophysiology
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    • v.17 no.2
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    • pp.85-90
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    • 2010
  • Objectives: Ginseng has a long history of being used in insomnia treatment and there is some evidence from animal studies of its sleep-enhancing property. From this, it can be assumed that ginseng has sleep-promoting effect in humans. The purpose of this study was to investigate the effect of Korean red ginseng on change of sleep architecture in humans. Methods: A total of 20 healthy young males with regular sleep and wake habits and without any psychiatric nor cognitive problems were selected based on review of sleep questionnaires and sleep diaries they completed followed by an interview with a board-certified psychiatrist. The subjects were randomly assigned to red ginseng or placebo for 2 weeks of trial. The total daily dose of ginseng was 4,500 mg. The polysomnographic recordings were made at baseline and at 2 weeks after. The effects of red ginseng and placebo on sleep were assessed by comparing the changes in polysomnographic variables between the two groups. Results: A total of 15 subjects, 8 from red ginseng group and 7 from placebo group, were included to undergo polysomnographic procedures. The red ginseng group showed tendencies to increase stage 3 sleep (p=0.087) and to decrease stage 2 sleep (p=0.071) from the baseline compared with the placebo group. Conclusion: Korean red ginseng tends to increase deep sleep and decrease shallow sleep. Our result is in line, at least in part, with previous findings that Korean red ginseng increased total and NREM sleep in rats. Further studies with higher ginseng dosage, larger sample size and longer trial duration should be conducted to confirm the sleep stabilizing and balancing effects of Korean red ginseng.

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Clinical Manifestations of Persistent Smear Positive and Culture Negative Sputum Tests 5 Months after First-Line Anti-Tuberculous Chemotherapy (일차 항결핵제 치료 5개월 후 도말 양성 및 배양 음성을 보이는 폐결핵 환자의 임상 양상)

  • Kim, Do Hyung;Hwang, Su Hee;Cheon, Du Su;Min, Jin Hong;Kang, Hyung Seok;Park, Seung Gyu
    • Tuberculosis and Respiratory Diseases
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    • v.63 no.5
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    • pp.417-422
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    • 2007
  • Background: It is not known with certainty whether patients with persistently positive sputum smear results who have also had negative sputum culture results require prolongation of treatment for tuberculosis in order to avoid an increased risk of eventual relapse. The purpose of the present study was to retrospectively describe the treatment characteristics and evaluate the appropriate duration of treatment in these patients. Methods: Sixty of 69 patients with sputum smear positive and culture negative tests at 5 months after first line anti-tuberculous chemotherapy from 2002 to 2003 were retrospectively analyzed. Exclusion criteria included incomplete treatment or resistance to rifampicin or two additional antibiotics, as determined by a drug susceptibility test (DST). Results: Smear conversion of the study subjects was observed after $8.3{\pm}2.3$ months treatment, and the patients were culture negative after $2.0{\pm}0.8$ months. The relapse rates of the study subjects were 3.8, 10.0, and 25.8% after 1, 2, and 5 years of anti-tuberculosis chemotherapy, respectively. The relapse rates were not significantly affected by a series of risk factors such as age, sex, presence of diabetes, a sputum culture examination after 2 months treatment, previous treatment history, chest radiograph, and duration of the treatment (P>0.05). Conclusion: Regimen change is not required for patients with persistent smear positive but culture negative tests in the fifth month for first line antituberculous treatment. However, a further study will be needed to clarify the high relapse rate in this specific group of patients.

NON-SURGICAL TREATMENT WITH TYING OF MUCOCELE (봉합사를 이용한 점액종의 비외과적 처치)

  • Lee, Yong-Seok;Choi, Byung-Jai;Choi, Hyung-Jun;Son, Heung-Kyu
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.3
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    • pp.413-417
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    • 2002
  • Mucocele is a mucous retention phenomenon which is caused by a laceration to the duct of minor salivary glands causing extravasation of mucin into the connective tissue forming a cyst-like space. Sialolithiasis of minor salivary glands and chronic obstruction of salivary glands may also cause such a phenomenon. Mucocele is a smooth, rounded sessile mass with diameters varying from 1 to 15mm of sudden appearance. Mucocele tying directly beneath the mucosa may rupture spontaneously and decrease in size, but frequently recurs. Lower lip is most frequently affected, and the mouth floor and buccal vestibule may also be affected. Enucleation of the cyst is needed and removal of minor salivary glands, marsupialization and cryotherapy may also be done. The mucocele frequently recurs after its removal. A 1-year-old female patient visited the hospital with a complaint of a swelling on the lower lip since 4 months before. She had no pain history but 4 months ago, fell and such symptom appeared since then. On her first visit, a bullous solid, opaque lesion of 5mm in diameter was noted. Treatment choice of surgical approach and nonsurgical approach were explained to the guardian. Considering the patient's age, the guardian agreed to a nonsurgical procedure. Treatment was carried out by tieing 3-0 silk to the base of the lesion. One week later, the tie loosened and was re-tied. A week later, the mucocele disappeared. Mucocele on the lower lip may be usually be treated by surgical removal, but this may traumatize the surrounding minor salivary gland causing it to recur. Also, surgicial removal may induce an ischemic change causing sialometaplasia. In case of young patients or children with management problems, non-surgical methods such as this tie method may be used. This tie method does not need any local anesthesia and has no pain, no secondary infection, and low bleeding tendency.

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Stomach Cancer Screening and Repeat Screening Behaviors among Adults in an Urban Area (부산시 일개구 지역주민의 위암선별검사 수검 및 반복수검 실태 및 관련요인조사)

  • Jeong, Ihn-Sook;Bae, Eun-Sook;Chen, Dong-Hwan;Chun, Jin-Ho;Lee, Hwa-Ja;Park, Nam-Hee
    • Korean Journal of Health Education and Promotion
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    • v.20 no.1
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    • pp.91-109
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    • 2003
  • The importance of repeat screening for stomach cancer is well known to decrease deaths from stomach cancer. This study was aimed at assessing practice behaviors and to identify related factors in the aspects of demographic factors, health status and cancer risk recognition, attitude to cancer screening, health behaviors, and inhibiting or facilitating factors to stomach cancer screening in an urban area. Data was collected through self-administered questionnaires from 403 people aged 40 to 69 years from April 23th to May 15th, 2002. Practice behaviors were classified as : "ever" or "never", and "repeat" or "not repeat" grouped based on a recent 5 year screening history. The results were as follows: 1. Among the 403 subjects: "the ever group" was 23.8% and "the repeat group" was 4.0%, The rates of screening were 20.5% for men, 27.8% for those women, and 27.3% for aged 40-49, 24.5% for those aged 50-59, 19.0% for those aged 60-69. The rates of repeat screening were 4.0% for men, 4.1% for women, and 2.9% for those aged 40-49, 6.3% for aged 50-59, 2.5% for those aged 60-69. 2. The main factors associated with adherence to gastric cancer screening were education(post high school vs below : OR=2.44), previous cancer screening(yes vs no : OR=2.61), belief in personal health(no vs yes : OR=2.72), health status(unhealthy vs healthy : OR=3.40), possibility of cancer compared to others(low vs not low : OR=2.56), and regular exercise(yes vs no : OR=2.94). The main factor associated with adherence to gastric cancer repeat screening was other cancer screening(yes vs no : OR=6.33). Consequently, there is a need to change the recognition of the importance and necessity of stomach cancer screening in healthy conditions through health education, and to perform multiple screening tests each visit.

Landscape Design for Masan Robot Land (마산로봇랜드 조경설계)

  • Yoon, Sung-Yung
    • Journal of the Korean Institute of Landscape Architecture
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    • v.38 no.3
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    • pp.115-125
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    • 2010
  • A theme park is not just a recreational space for leisure activities, but also a place of storytelling as collected around abstract boundaries called themes. These stories are 'a space that tells the meaning' that the visitor is looking for and the Robot Land space offers robots, humans, and nature. This study is a description of the design strategy and content of the work which was elected as a subject of the subsequent rank negotiation of the Masan Robot Land design contest for the selection of a private contractor. The focus of the plan is, first, the organizational power of each space and the delivery power of a theme for the history of revisits, which might be considered depending on whether or not the theme park has been successful in the visitor's mind. Second, it is to actively use the potential of Masan, which is not only the key hub of the mechanical industry but also has beautiful coastal resources. First, they created a space that can flexibly react depending on the user's desire and the change of form, minimizing environmental damage by using a linear metabolism that can provide an amalgam of the elemental characteristics of robots, humans, and nature as motifs. They introduced a planting plan for the admissions square, an existing forest, slope, vacation spot, the inside of a complex, and Eco Island, etc. by utilizing symbolic meaning and adjusting to the spatial characteristics of each space. In addition, they sought a detailed space by setting up zones tailored to the use and character of the subject area, having exhibitions and education about robots, vacation facilities for lodgers, various recreational and commercial facilities, and space for utopian gardens as themes. They planned Masan Robot Land to be a true cultural space that creates mental richness on the basis of not only the economical effects but also local emotion.

A Dynamic Server Power Mode Control for Saving Energy in a Server Cluster Environment (서버 클러스터 환경에서 에너지 절약을 위한 동적 서버 전원 모드 제어)

  • Kim, Ho-Yeon;Ham, Chi-Hwan;Kwak, Hu-Keun;Kwon, Hui-Ung;Kim, Young-Jong;Chung, Kyu-Sik
    • The KIPS Transactions:PartC
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    • v.19C no.2
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    • pp.135-144
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    • 2012
  • All the servers in a traditional server cluster environment are kept On. If the request load reaches to the maximum, we exploit its maximum possible performance, otherwise, we exploit only some portion of maximum possible performance so that the efficiency of server power consumption becomes low. We can improve the efficiency of power consumption by controlling power mode of servers according to load situation, that is, by making On only minimum number of servers needed to handle current load while making Off the remaining servers. In the existing power mode control method, they used a static policy to decide server power mode at a fixed time interval so that it cannot adapt well to the dynamically changing load situation. In order to improve the existing method, we propose a dynamic server power control algorithm. In the proposed method, we keep the history of server power consumption and, based on it, predict whether power consumption increases in the near future. Based on this prediction, we dynamically change the time interval to decide server power mode. We performed experiments with a cluster of 30 PCs. Experimental results show that our proposed method keeps the same performance while reducing 29% of power consumption compared to the existing method. In addition, our proposed method allows to increase the average CPU utilization by 66%.