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Managing general anesthesia for low invasive dental procedures while maintaining spontaneous respiration with low concentration remifentanil: a cross-sectional study

  • Daijiro Ogumi;Shota Abe;Hikaru Sato;Fumihiko Suzuki;Hiroyoshi Kawaai;Shinya Yamazaki
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.23 no.4
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    • pp.221-228
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    • 2023
  • Background: We assessed the relationship between patient age and remifentanil dosing rate in patients managed under general anesthesia with spontaneous breathing using low-dose remifentanil in sevoflurane. Methods: The participants were patients with an American Society of Anesthesiologists Physical Status of 1 or 2 maintained under general anesthesia with low-dose remifentanil in 1.5-2.0% sevoflurane. The infusion rate of remifentanil was adjusted so that the spontaneous respiratory rate was half the rate prior to the induction of anesthesia, and γH (㎍/kg/min) was defined as the infusion rate of remifentanil under stable conditions where the respiratory rate was half the rate prior to the induction of anesthesia for ≥ 15 minutes. The relationship between γH and patient age was analyzed statistically by Spearman's correlation analysis. Results: During dental treatment under general anesthesia using low-dose remifentanil in sevoflurane, a significant correlation was detected between γH and patient age. The regression line of y = - 0.00079 x + 0.066 (y-axis; γH, x-axis; patient's age) was provided. The values of γH provide 0.064 ㎍/kg/min at 2 years and 0.0186 ㎍/kg/min at 60 years. Therefore, as age increases, the dosing rate exhibits a declining trend. Furthermore, in the dosing rate of remifentanil when the patient's respiratory rate was reduced by half from the preanesthetic respiratory rate, the dosing rate provided was around 0.88 mL/h in all ages if the remifentanil was diluted as 0.1 mg/mL. EtCO2 showed 51.0 ± 5.7 mmHg, and SpO2 was controlled within the normal range by this method. In addition, all dental treatments were performed without major problems, such as awakening and body movement during general anesthesia, and the post-anesthetic recovery process was stable. Conclusion: General anesthesia with spontaneous breathing provides various advantages, and the present method is appropriate for minimally invasive procedures.

Examining the Disparity between Court's Assessment of Cognitive Impairment and Online Public Perception through Natural Language Processing (NLP): An Empirical Investigation (Natural Language Processing(NLP)를 활용한 법원의 판결과 온라인상 대중 인식간 괴리에 관한 실증 연구)

  • Seungkook Roh
    • The Journal of Bigdata
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    • v.8 no.1
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    • pp.11-22
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    • 2023
  • This research aimed to examine the public's perception of the "rate of sentence reduction for reasons of mental and physical weakness" and investigate if it aligns with the actual practice. Various sources, such as the Supreme Court's Courtnet search system, the number of mental evaluation requests, and the number of articles and comments related to "mental weakness" on Naver News were utilized for the analysis. The findings indicate that the public has a negative opinion on reducing sentences due to mental and physical weakness, and they are dissatisfied with the vagueness of the standards. However, this study also confirms that the court strictly applies the reduction of responsibility for individuals with mental disabilities specified in Article 10 of the Criminal Act based on the analysis of actual judgments and the number of requests for psychiatric evaluation. In other words, even though the recognition of perpetrators' mental disorders is declining, the public does not seem to recognize this trend. This creates a negative impact on the public's trust in state institutions. Therefore, law enforcement agencies, such as the police and prosecutors, need to enforce the law according to clear standards to gain public trust. The judiciary also needs to make a firm decision on commuting sentences for mentally and physically infirm individuals and inform the public of the outcomes of its application.

Moderating Effect of Population Drop in the Relationship Between Demographic Changes and Crime Decline (인구통계학적 구조 변화와 범죄 감소 간의 관계에 있어서 인구 감소의 조절 효과 검증)

  • Soo-Chang Lee;Dae-Chan, Kim
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.3
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    • pp.95-102
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    • 2023
  • This study aims to empirically verify the moderating effect of population drop on the relationship between demographic changes and crime decline in local cities facing population decline in Korea. The study employs changes in the population of young adults, men, elderly, foreign residents, and population movement as factors of demographic changes, including types of the city as a control variable in the research model. The rate of change in population drop is used as a moderator variable and the rate of change in crime decline as a dependent variable. Data are collected from 155 cities with declining populations from 2010 to 2022 through KOSIS, the National Statistics Portal, and information disclosure requests. Data collected are analyzed using moderated regression analysis. In the first and second stages of the analysis, they show that changes in the population of young adults, population movement, foreign people, population drop, and the type of city affect the change in crime. Moderated regression analysis shows that only the interaction terms among changes in the population of young adults, changes in population movement, and changes in the population of foreigners and the population drop affects change in crime significantly.

Exploring Place Identity and Sustainable Residency of Youth Migrating to Local Areas (청년들의 지방이주와 정주지속을 위한 장소정체성 연구)

  • Lee, Chang-Hyun;Park, Ji-Young
    • Journal of the Korean Institute of Landscape Architecture
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    • v.51 no.3
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    • pp.139-152
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    • 2023
  • Recently, there has been an increasing interest in the migration of young people to local areas. These young people are discovering and reinterpreting local resources to open local businesses while generating new value in local activities and businesses. This study was initiated with the recognition that fundamental solutions are needed for these young people to settle and sustain residence in the local area. Edward Relph stated that 'place' is a fundamental attribute that influences human existence in the world and is the source of stability and identity formation for individuals. This is deeply related to the psychology of young people who have migrated to local areas. These young people accept the unfamiliar 'space' as a 'place' to form stability and personal identity. Therefore, this study utilized PhotoVoice methodology to examine the process and key factors of place identity formation among migrant youths. As a result, the study identified factors that enable young people to settle in local areas and sustain residence while recognizing elements the local government should focus on to support and address the influx of young people. The results of this study can serve as a foundation for addressing the declining population in local areas through the formation of a relationship population and spur the inflow of young people to local cities in the future.

Multiple Aging Trajectories of the Elderly in Korea (한국 노인의 노화궤적 연구)

  • Kim, Sojin
    • 한국노년학
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    • v.39 no.1
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    • pp.37-60
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    • 2019
  • This study was attempt to derive the aging trajectories of Korean elderly people and identify its characteristics. In particular, this study used the successful aging model of Rowe and Kahn as an analytical framework. Using the Korean Longitudinal Study of Ageing(KLoSA), this study applied group-based multi-trajectory analysis to identify multiple aging trajectories in sample of Korean elder aged 65~74(n=2,682). This study also used several demographic characteristics as baseline predictors to identify the characteristics of each aging trajectory. Five dimensions were analyzed in the multi-trajectory model: chronic disease, physical functional limitation, cognitive functioning, depressive symptom and social engagement. As a result of the analysis, five aging trajectories were identified: successful aging(17.8%), usual aging (33.9%), health declining aging(18.2%), pathological aging(7.9%), and aging with mild cognitive impairment(22.1%). In general, the odds of experiencing successful aging were high in men, low-aged, highly educated, high-income, and spousal elderly. On the other hand, for the elderly, who are under-educated, low-income, and high-aged, there was a high probability of experiencing a relatively difficult aging process. In particular, the odds of experiencing a mild cognitive impairment aging was high in older, lower-income women without a spouse.

Longitudinal Dynamic Relationships of Delinquent Peers and Delinquency Trajectories (비행또래집단과 청소년비행 간의 종단적인 역동적 관계)

  • Chung, Ick-Joong;Lee, Eun-Ju
    • Korean Journal of Social Welfare Studies
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    • v.41 no.1
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    • pp.119-144
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    • 2010
  • This study advances the knowledge of developmental patterns in affiliation with delinquent peers and delinquency during adolescence; data were obtained from waves 1-5 (2003-2007) of the Korea Youth Panel Survey. Semi-parametric group-based modeling (SGM) identified 3 affiliative trajectories of delinquent peers from age 13 to 16: rarely or never, persistently affiliative, and declining groups; and five developmental trajectories of delinquency: non-offending, late onset, low-level continuous, desisting, and chronic groups. A joint trajectory analysis predicted the membership of delinquency trajectories conditional on delinquent peer trajectories. Persistently affiliative group was more likely than others to follow chronic trajectory of delinquency; the rarely or never affiliative group was more likely to be non-offending. This study may help reconcile different theoretical models such as influence, selection, and enhancement models with respect to the role of delinquent peers in delinquency. The distinct theoretical models are equally valid, albeit each model pertains to a specific aspect of longitudinal patterns of affiliation with delinquent peers. Implications of this study for youth welfare were discussed to reduce increased risks for both affiliation with delinquent peers and delinquency.

The Carbon Stock Change of Vegetation and Soil in the Forest Due to Forestry Projects (산림 사업에 의한 산림 식생 및 토양 탄소 변화)

  • Heon Mo Jeong;Inyoung Jang;Sanghak Han;Soyeon Cho;Chul-Hyun Choi;Yeon Ji Lee;Sung-Ryong Kang
    • Korean Journal of Ecology and Environment
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    • v.56 no.4
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    • pp.330-338
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    • 2023
  • To investigate the impact of forestry projects on the carbon stocks of forests, we estimated the carbon stock change of above-ground and soil before and after forestry projects using forest type maps, forestry project information, and soil information. First, we selected six map sheet with large areas and declining age class based on forest type map information. Then, we collected data such as forest type maps, growth coefficients, soil organic matter content, and soil bulk density of the estimated areas to calculate forest carbon storage. As a result, forest carbon stocks decreased by about 34.1~70.0% after forestry projects at all sites. In addition, compared to reference studies, domestic forest soils store less carbon than the above-ground, so it is judged that domestic forest soils have great potential to store more carbon and strategies to increase carbon storage are needed. It was estimated that the amount of carbon stored before forestry projects is about 1.5 times more than after forestry projects. The study estimated that it takes about 27 years for forests to recover to their pre-thinning carbon stocks following forestry projects. Since it takes a long time for forests to recover to their original carbon stocks once their carbon stocks are reduced by physical damage, it is necessary to plan to preserve them as much as possible, especially for highly conservative forests, so that they can maintain their carbon storage function.

Long-Term Trend of Picophytoplankton Contribution to the Phytoplankton Community in the East Sea (동해 식물플랑크톤 군집에 대한 초미소 식물플랑크톤(< 2 ㎛) 기여도 장기 경향성 연구)

  • Hyo Keun Jang;Dabin Lee;Sang Heon Lee
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.29 no.6
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    • pp.525-535
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    • 2023
  • In thi study, we unveil the intricate interplay among picophytoplankton (0.2-2 ㎛) communities, warming surface water temperatures, and major inorganic nutrients within the southwestern East Sea from 2003-2022. The observed surface temperature rise, reflecting global climate trends, defies conventional seasonal patterns in temperate seas, with highest temperatures in summer and lowest in spring. Concurrently, concentrations of major dissolved inorganic nutrient display distinct seasonality, with peaks in winter and gradually declining thereafter during spring. The time course of chlorophyll-a concentrations, a proxy for phytoplankton biomass, reveals a typical bimodal pattern for temperate seas. Notably, contributions from picophytoplankton exhibited a steady annual increase of approximately 0.5% over the study period, although the total chlorophyll-a concentrations declined slightly. The strong correlations between picophytoplankton contributions and inorganic nutrient concentrations is noteworthy, highlighting their competitively advantageous responsiveness to the shifting nutrient regime. These findings reflect significant ecological implications for the scientific insights into the marine ecosystem responses to changing climate conditions.

Identifying Degradation Causes of Endangered Freshwater Fish, Microphysogobio rapidus Using Habitat-Environmental Characteristics (멸종위기 야생생물 I급 여울마자 서식지 환경 특성 파악을 통한 훼손 원인 분석)

  • Ju-Duk Yoon;Keun-Sik Kim;Chang-Deuk Park;Dong-Won Kang;Heung-Heon Lee;Chi-Hong Lim;Nam-Shin Kim
    • Korean Journal of Ecology and Environment
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    • v.56 no.3
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    • pp.229-241
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    • 2023
  • Microphysogobio rapidus is designated as endangered species class I by Ministry of Environment, and its distribution and population have been gradually declining, and it is now limited to the Nam River and some tributary streams of the Nakdong River Watershed. For the restoration of this highly endangered species, it is important to identify the causes of the decline and establish appropriate restoration plans. However, due to lack of basic data and ecological research, most steps are stagnant. Therefore, in this study, we identified the differences in the physical, biological, and sociological habitats between current and past distributed sites through field surveys and literature reviews. As a result of the field survey, there were differences in conductivity between the current and past distributed sites, and fish communities were also showed differences. The literature data also showed that the physico-chemical values of the past distributed sites were generally unfavorable, which generated negative consequences on biological factors. In particular, the effects of urbanization were found to be a major factor affecting the habitat of M. rapidus. Habitat stabilization is crucial for the recovery of this endangered species. However, in the past distributed sites, disturbances such as stream development and weir construction have altered streams physico-chemically and result in changes of M. rapidus. Therefore, a comprehensive plan that considers both stream connectivity and water quality is needed to manage and restore the habitat of M. rapidus.

Analysis of living population characteristics to measure urban vitality - Focusing on mobile big data - (도시활력 측정을 위한 생활인구 특성 분석 - 이동통신 빅데이터를 중심으로 -)

  • Yoko Kamata;Kwang Woo NAM
    • Journal of the Korean Association of Geographic Information Studies
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    • v.26 no.4
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    • pp.173-187
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    • 2023
  • In an era of population decline, depopulated regions facing challenges in attracting inbound population migration must enhance urban vitality through the attraction of living populations. This study focuses on Busan, a city experiencing population decline, comparing the spatiotemporal distribution characteristics of registered residents and living populations in various administrative districts (Eup-Myeon-Dong) using mobile communication big data. Administrative districts are typified based on population change patterns, and regional characteristics are analyzed using indicators related to urban decline and vitality. Spatiotemporal distribution analysis reveals generally similar density patterns between registered residents and living populations; however, a distinctive feature is observed in the city center areas where the density of registered residents is low, while the density of living populations is high. Divergent trends in spatial patterns of change between registered residents and living populations show clusters of registered population decline in low-density areas and clusters of living population decline in high-density areas. Areas adjacent to declining living populations exhibit large clusters of population changes, indicating a spillover effect from high-density to neighboring areas. Typification results reveal that, even in areas with a decline in registered residents, there is active population influx due to commuting or visiting. These areas sustain an increase in the number of businesses, confirming the presence of industrial and economic growth. However, approximately 47% of administrative districts in Busan are experiencing a decline in both registered residents and living populations, indicating ongoing regional decline. Urgent measures are needed for enhancing urban vitality. The study emphasizes the necessity of utilizing living population data as an urban planning indicator, considering the increasing limit distance of urban activities and growing interregional interaction due to advancements in transportation and communication.