• Journal of Dental Anesthesia and Pain Medicine
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• v.23 no.2
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• pp.101-110
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• 2023

Background: Dentists make various efforts to reduce patients' anxiety and fear associated with dental treatment. Dental sedation is an advanced method that dentists can perform to reduce patients' anxiety and fear and provide effective dental treatment. However, dental sedation is different from general dental treatment and requires separate learning, and if done incorrectly, can lead to serious complications. Therefore, sedation is performed by a limited number of dentists who have received specific training. This study aimed to investigate the proportion of dentists who practice sedation and the main sedatives they use in the context of the Republic of Korea. Methods: We used the customized health information data provided by the Korean National Health Insurance. We investigated the number of dental hospitals or clinics that claimed insurance for eight main sedatives commonly used in dental sedation from January, 2007 to September, 2019 at the Health Insurance Review and Assessment Service. We also identified the changes in the number of dental medical institutions by region and year and analyzed the number and proportion of dental medical institutions prescribing each sedative. Results: In 2007, 302 dental hospitals prescribed sedatives, and the number increased to 613 in 2019. In 2007, approximately 2.18% of the total 13,796 dental institutions prescribed sedatives, increasing to 3.31% in 2019. In 2007, 168 institutions (55.6%) prescribed N₂O alone, and in 2019, 510 institutions (83.1%) made claims for it. In 2007, 76 (25.1%) hospitals made claims for chloral hydrate, but the number gradually decreased, with only 29 hospitals (4.7%) prescribing it in 2019. Hospitals that prescribed a combination of N₂O, chloral hydrate, and hydroxyzine increased from 27 (8.9%) in 2007 to 51 (9%) in 2017 but decreased to 38 (6.1%) in 2019. The use of a combination of N₂O and midazolam increased from 20 hospitals (6.6%) in 2007 to 51 hospitals (8.3%) in 2019. Conclusion: While there is a critical limitation to the investigation of dental hospitals performing sedation using insurance claims data, namely exclusion of dental clinics providing non-insured treatments, we found that in 2019, approximately 3.31% of the dental clinics were practicing sedation and that N₂O was the most commonly prescribed sedative.

• The korean journal of orthodontics
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• v.11 no.1
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• pp.25-30
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• 1981

Fifteen young pigs were used in this study. The animals were divided into three groups 1. Group for removal of the temporal muscle, 2. Group for removal of the masseter muscle, 3, Group for removal of masseter and internal pterygoid muscles. The animals were anesthetized with $3.5\%$ chloral hydrate intraperitoneally. In the right side the head was shaved. The masticatory muscle was removed. The animals were sacrificed four months later. The head was separated from trunk and cleaned by boiling in a solution of potassium hydroxide. The results were as follows; 1. In the group for removal of the temporal muscle, the Coronoid process of the mandible was resorbed. 2. In the group for removal of the masseter muscle, there was produced asymmetrical growth of the mandible, attrition of the molar teeth in the control side, and resorption of the mandibular angle. 3. In the group for removal of the Masseter and Internal muscles, the changes were more severe than that of the group for removal of the masseter muscle. The mandibular angle was completely absent. 4. The growth of the bone seems definitely related to the presence of the muscular tissue actively pulling upon it.

• Environmental Sciences Bulletin of The Korean Environmental Sciences Society
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• v.4 no.2
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• pp.71-78
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• 2000

The chlorination of municipal drinking water supplies leads to the formation of so-called disinfection by-products(DBPs), many of which have been reported to cause harmful health effects based on animal studies. This study was conducted: 1) to observe seasonal changes in the major DBPs at four sampling sites on a drinking water distribution system located in Chunchon, Kangwon Do; and 2) to examine the effects of major water quality parameters on the formation of DBPs. During the field sampling, the water temperature, pH, and total and free chlorine residuals were all measured. The water samples were then analyzed for total organic carbon(TOC) and eight disinfection by-products in the laboratory. Chloroform, dichloroacetic acid, and trichloroacetic acid were the major constituents of the measured DBPs. The concentrations of the total DBPs were highest in fall, particularly in October, and lowest in summer. The concentrations of the total DBPs increased with increasing TOC concentrations. Multiple regression analyses showed that the concentrations of chloroform, bromodichloromethane, and chloral hydrate were linearly correlated with the pH. Other water parameters were not included in the regression equations. Accordingly, these results suggest that TOC and pH are both important factors in the formation of DBPs.

• The Korean Journal of Physiology and Pharmacology
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• v.22 no.1
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• pp.17-21
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• 2018

Our previous studies have confirmed that morroniside has neuroprotective effects. However, the effects of morroniside on cardiac myocardium remain unknown. Rats were anaesthetized with 10% chloral hydrate (0.35~0.4 mL/kg) and an acute myocardial infarction (AMI) was induced by ligating the anterior descending coronary artery (LAD). Following AMI, morroniside was administered intragastrically for 3 consecutive days at doses of 45, 90 and 180 mg/kg, respectively. Lactate dehydrogenase (LDH) and cardiac troponin T (cTnT) activities in AMI rats in the serum were detected with commercial kits. The expression of IL-6, $IL-1{\beta}$ and $TNF-{\alpha}$ in myocardium was detected by Western blotting analysis. We observed a significant decline in the Q(q) wave amplitude in morroniside-treated rats after 72 h. Additionally, treatment of morroniside decreased the levels of LDH and cTnT in AMI rats. We also observed that morroniside reduced the expression of IL-6, $IL-1{\beta}$ and $TNF-{\alpha}$ in myocardium. Taken together, our findings demonstrate that morroniside had effective anti-inflammatory properties in AMI rats.

• Journal of Environmental Science International
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• v.13 no.1
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• pp.55-59
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• 2004

The effect of ozone on the formation and the removal of disinfection byproducts(DBPs) of chlorination process was studied to elucidate the performance of water treatment process. The samples of raw water, prechlorination process, and preozonation process were analyzed quantitatively according to the Standard Methods for the Examination of drinking water. As a result, most of total trihalomethanes(THMs) which were formed in prechlorine treatment process was not removed in the preozonation process. Most of haloacetic acids(HAAs), haloacetonitriles(HANs), and chloral hydrate(CH) was removed in sedimentation and biological activated carbon(BAC) filtration processes. However, DBPs were increased more or less by postchlorine step. In particular, the formation of THMs and HAAs depends on ozone more than chlorine, but, the formation of HANs and CH depends on chlorine more than ozone. The seasonal variation of DBPs concentration for the year needs to be investigated to study the temperature effect because DBPs strongly depend on temperature among various efficient factors.

• Journal of Korean Society on Water Environment
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• v.20 no.3
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• pp.275-280
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• 2004

This study was performed to investigate the disinfection efficiency and the formation characteristics of disinfection by-products(DBPs) by chlorination in the sewage effluent. The effluent was sampled from the sewage treatment plants operated in the activated sludge process and the advanced sewage process. The type of DBPs investigated were Trihalomethanes(THMs), Dichloroacetonitrile(DCAN), Chloral hydrate(CH), Dichloroacetic acid(DCAA), Trichloroacetic acid(TCAA). Major findings are as follows. First, the optimum injection concentration for chlorination in sewage effluent were found to be in the range $0.5{\sim}1.0mg\;cl_2/L$. Also, It was found that the chlorine dosage in the effluent of activated sludge process was higher than in the effluent of advanced sewage process. Second, the maximum formation concentration of THMs were $12.7{\mu}g/L$. The THMs formation reaction was finished in a short time of several seconds and chloroform was mainly formed. Also, it was found that the concentration of ammonium nitrogen is higher, the concentration of THMs is lower. Third, it was found that DCAA and TCAA were mainly formed as DBPs by disinfection.

• Journal of Korean Society of Water and Wastewater
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• v.19 no.3
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• pp.301-311
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• 2005

The characteristics of disinfection by-products (DBPs) formation at 28 water treatment plants in Korea were investigated. Investigated species of DBPs were trihalomethanes (THMs), haloacetic acids (HAAs) and chloral hydrate (CH). The maximum concentration of THMs was $84.1{\mu}g/L$, minimum and the averages were $6.9{\mu}g/L$ and $27.8{\mu}g/L$, respectively; the maximum concentration of $HAA_5$ was $90.8{\mu}g/L$, minimum and the averages were $3.8{\mu}g/L$ and $26.7{\mu}g/L$, respectively; while the maximum concentration of CH was $29.5{\mu}g/L$, minimum and the averages were $0.5{\mu}g/L$ and $7.4{\mu}g/L$, respectively. On the other hand, DBPs levels during summer months, when the water temperature was near $25^{\circ}C$, were nearly twice as great as DBPs levels during the winter season. The ratio of $THMs/HAA_5$ was 1.07, and $HAA_5$ and THMs were the dominant species of DBPS in the Kum-Sumjin river and Nakdong river, respectivley.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.4 no.2
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• pp.148-156
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• 1994

Chloral hydrate(CH), an intermediate metabolite of trichloroethylene(TRI) is reduced to trichloroethanol(TCE-OH), and is oxidized to trichloroacetic acid(TCA) by the nicotinamide adenine dinucleotide(NAD)-dependent enzymes such as alcohol dehydrogenase(ADH) and aldehyde dehydrogenase(ALDH) in liver. This study was performed to find out the change of activity of ADH and ALDH with increasing amount of TRI. Intraperitoneal injection of TRI were done to the male Sprague Dawely rats(mean body weight, $170{\pm}10g$) in com oil at the dosage of 150, 300, 600 mg/kg for 2 days. The results of experiments are following : 1. The contents of xenobiotic metabolic enzymes in liver are tended to be decreased with increasing amount of, but not significantlly (p>0.05). 2. Activity of ADH in microsome is decreased(p<0.05), and activity of ALDH is increased with amount of TRI(P<0.05). 3. Total trichloro-compounds(TTC) concentration in urine are increased with amount of TRI, but the ratio of between the TCE-OH and the TCA were not shown any critical change. These results suggests that the ALDH in microsome may be related to metabolism of TRI, but ADH was nothing less than the effected to metabolism of TRI.

• Journal of Dental Anesthesia and Pain Medicine
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• v.15 no.4
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• pp.213-220
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• 2015

Background: Pediatric dentists face challenges when young patients require a mesiodens extraction. General anesthesia may be a burden to the child as well as the parent due to dental fears and costs. The aim of this study was to evaluate oral and intravenous sedation in the outpatient setting as a safe and effective means of managing patients who require a mesiodens extraction. Methods: Records were reviewed retrospectively to find patients who underwent a mesiodens removal procedure from January 2013 to September 2014 in the Department of Pediatric Dentistry at Ajou University Hospital (Suwon, Gyeonggi-do, Republic of Korea). A total of 81 patients (62 male and 19 female) between 4 and 11 years of age (mean [${\pm}SD$] $81.6{\pm}14.1$ months) were studied, with a mean weight of $22.9{\pm}3.3kg$ (16 kg to 30 kg). Vital signs, sedation drug dosage, and sedation time were studied. Results: Mean doses of $63.7{\pm}2.5mg/kg$ chloral hydrate and $1.36{\pm}0.22mg/kg$ hydroxyzine were used for oral sedation. Nitrous oxide/oxygen was administrated for $40.0{\pm}2.1$ min. The mean dose of midazolam administered intravenously was $0.14{\pm}0.06mg/kg$ ($2.38{\pm}0.97$ times). In all cases, the mesiodens was removed successfully. Conclusions: Intravenous sedation combined with oral sedation and nitrous oxide/oxygen inhalation can be an alternative to general anesthesia when administrated and monitored properly.

• The Korean Journal of Physiology
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• v.17 no.1
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• pp.29-35
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• 1983

The most popular way to get the animal to be co-operative for the animal experimentation is by using some kinds of general anesthetic agents. One of the most important point to take care of is, however, whether the agent(s) to be used is hinder the experimentation itself. There have been many contradictory reports of the general anesthetic agents on the renal function. Moreover, little information on the changes of the renal function by anesthesia has been available. We have done experiments to clarify and compare the effects of anesthesia induced by several general anesthetic agents on renal function in unanesthetized rabbits. Nembutal anesthesia(30 mg/kg, iv.) caused a decrease in free-water clearance, and increase in sodium and chloride excretion without significance. Thiopental anesthesia$(20{\sim}30\;mg/kg,\;iv.)$ suppressed all renal parameters tested. Chloralose(50 mg/kg, iv.) and chloral hydrate(75 mg/kg, iv.) did not change renal functions except for glomerular filtration rate, which parameter was suppressed only for a short period just after agent administration. Urethane(1 g/kg), administered by the route of either subcutaneously or intraperitoneally, suppressed renal functions lasted for the duration of experimental anesthesia. The above data suggest that it is very important to chose an appropriate anesthetic agents for a given experiment, especially experiment involved with renal function, and to interprete the data obtained from the anesthetized animal model for the expected results.