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The Survey of Dentists: Updated Knowledge about Basic Life support and Experiences of Dental Emergency in Korea

  • Cho, Kyoung-Ah;Kim, Hyuk;Lee, Brian Seonghwa;Kwon, Woon-Yong;Kim, Mi-Seon;Seo, Kwang-Suk;Kim, Hyun-Jeong
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.14 no.1
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    • pp.17-27
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    • 2014
  • Background: Various medical emergency situations can occur during dental practices. Cardiac arrest is known to comprise approximately 1% of emergency situation. Thus, it is necessary for dentists to be able to perform cardiopulmonary resuscitation (CPR) to increase the chance of saving patient's life in emergency situation. In this paper, we conducted a survey study to evaluate to what extent dentists actually understood CPR practice and if they had experience in handling emergency situations in practice. Method: The survey was done for members of the Korean Dental Society of Anesthesiology (KDSA), who had great interest in CPR and for whom survey-by-mail was convenient. We had selected 472 members of the KDSA with a dental license and whose office address and contact information were appropriate, and sent them a survey questionnaire by mail asking about the degree of their CPR understanding and if they had experience of handling emergency questions before. Statistical analyses -frequency analysis, chi-square test, ANOVA, and so on- were performed by use of IBM SPSS Statistics 19 for each question. Result: Among 472 people, 181 responded (38.4% response rate). Among the respondents were 134 male and 47 female dentists. Their average age was $40.4{\pm}8.4$. In terms of practice type, there were 123 private practitioners (68.0%), 20 professors (11.0%), 16 dentists-in-service (8.8%), 13 residents (specialist training) (7.2%) and 9 military doctors (5%). There were 125 dentists (69.1%) who were specialists or receiving training to be specialist, most of whom were oral surgeon (57, 31.5%) and pediatric dentists (56, 30.9%). There were 153 people (85.0%) who received CPR training before, and 65 of them (35.9%) were receiving regular training. When asked about the ratio of chest pressure vs mouth-to-mouth respiration when conducting CPR, 107 people (59.1%) answered 30:2. However, only 27.1% of them answered correctly for a question regarding CPR stages, C(Circulation)- A(Airway)- B(Breathing)- D(Defibrillation), which was defined in revised 2010 CPR practice guideline. Dentists who had experience of handling emergency situations in their practice were 119 (65.6%). The kinds of emergency situations they experienced were syncope (68, 37.6%), allergic reactions to local anesthetic (44, 24.3%), hyperventilation (43, 23.8%), seizure (25, 13.8%), hypoglycemia (15, 8.3%), breathing difficulty (14, 7.8%), cardiac arrest (11, 6.1%), airway obstruction (6, 3.3%), intake of foreign material and angina pectoris (4, 2.2%), in order of frequency. Most respondents answered that they handled the situation appropriately under the given emergency situation. In terms of emergency equipment they had blood pressure device (70.2%), pulse oximetry (69.6%), Bag-Valve-Mask (56.9%), emergency medicine (41.4%), intubation kit (29.8%), automated external defibrillator (23.2%), suction kit (19.3%) and 12 people (6.6%) did not have any equipment. In terms of confidence in handling emergency situation, with 1-10 point scale, their response was $4.86{\pm}2.41$ points. The average point of those who received regular training was $5.92{\pm}2.20$, while those who did not was $4.29{\pm}2.29$ points (P<0.001) Conclusion: The result showed they had good knowledge of CPR but the information they had was not up-to-date. Also, they were frequently exposed to the risk of emergency situation during their dental practice but the level of confidence in handling the emergency situation was intermediate. Therefore, regular training of CPR to prepare them for handling emergency situation is deemed necessary.

Intermediate-term Result of Tricuspid Annuloplasty for Tricuspid Regurgitation Associated with Congenital Heart Disease in Adult (성인 선천성 심기형에 동반된 삼첨판막 폐쇄부전의 판막륜 성형술 후 중기성적)

  • Yun, Tae-Jin;Kim, Sang-Hwa;Lee, Jun-Wan;Park, Jeong-Jun;Song, Hyun;Lee, Jae-Won;Seo, Dong-Man;Song, Meong-Gun;Song, Jong-Min;Kang, Duck-Hyun;Song, Jae-Kwan;Jang, Wan-Sook;Kim, Young-Hwue;Ko, Jae-Kon;Park, In-Sook
    • Journal of Chest Surgery
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    • v.36 no.3
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    • pp.136-141
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    • 2003
  • We assessed the intermediate-term result of tricuspid annuloplasty (TAP) for tricuspid valve regurgitation (TR) associated with congenital heart disease in adults. Risk factors for residual TR were also analysed. Material and Method: From August 1989 to June 2001, seventy three adult patients, 51 females and 22 males, underwent TAP for TR associated with various congenital heart disease. Their age ranged from 46 years to 73 years (mean:43). Associated heart anomalies were atrial septal defect (55), ventricular septal defect (6), partial anomalous pulmonary venous return (4) and others (8). Preoperative and post-operative TR velocities were 3.25 m/sec and 2.56 m/sec respectively, and the types of TAP were De Vega in 43, Kay in 18 and Ring annuloplasty in 12. Postoperative follow-up duration was 2,347 patient-month (mean: 32.6 months), and 134 two-dimensional echocardiographic examinations were done during this period. Residual TR greater than III/IV was considered as TAP failure. Result: TAP failure was observed in 7 patients (9.6%), and one patient among them underwent tricuspid valve replacement. Risk factors for TAP failure were diagnosis other than atrial septal defect (p=0.001), preoperative (p=0.038) and postoperative (p=0.028) high TR velocity. There was no statistical significance in terms of TAP methods. Conclusion: Careful evaluation of valve morphology and aggressive surgical intervention are mandatory for the repair of TR with preoperative or residual RV pressure overload.

Monitoring for the Resistance of Botrytis cinerea Causing Gingseng Gray Mold to Procymidone and Its Multiple resistance with the Mixture of Carbendazim/Diethofencarb (인삼 잿빛곰팡이병균의 procymidone에 대한 감수성 변화와 carbendazim/diethofencarb 합제와의 다중 저항성)

  • Lee, Seon-Wook;Kim, Joo-Hyung;Min, Ji-Young;Bae, Young-Seok;Kim, Heung-Tae
    • Research in Plant Disease
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    • v.13 no.3
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    • pp.170-176
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    • 2007
  • Effects of fungicides on the mycelial growth of Botrytis cinerea isolated from ginseng leaves were investigated by an agar dilution method. By using a agar dilution method, it was investigated the effect of fungicides, procymidone, carbendazim and the mixture with both of carbendazim and diethofencarb, on the mycelial growth of Botrytis cinerea isolates, which were isolated from infected leaves of ginseng in 2005 and 2006. With MIC (minimum inhibiton concentration) of procymidone against B. cinerea, pathogens were divided into two groups. While one showed the low MIC between 0.8 and $4.0{\mu}g/ml$, the other showed higher MIC above $20{\mu}g/ml$. In terms of the inhibition ratio of mycelial growth at the indicated concentration of procymidone, isolates of B. cinerea were divided into three groups; the sensitive, the intermediate resistant, and the resistant group. Each group was differentiated by $EC_{50}$; the sensitive group showed below $2.0{\mu}g/ml$, the intermediate resistant group between 2.0 to $5.0{\mu}g/ml$, and resistant group above $5.0{\mu}g/ml$. Compared with the ratio of resistant isolates of B. cinerea in 2005, the ratio in 2006 increased from 19.3% to 27.5%. Furthermore, the average $EC_{50}$ value of them increased from $10.0{\mu}g/ml$ in 2005 to $237.3{\mu}g/ml$ in 2006. The ratio of isolates showing the multiple resistance between procymidone and carbendazim was 40.2%, whereas the ratio was 4.0% showing the multiple resistance in the mixture.

Formation and Dissociation Kinetics of Zinc(II) Complexes of Tetraaza-Crown-Alkanoic Acids (Zinc(Ⅱ) Tetraaza-Crown-Allkanoic Acids 착물의 형성 및 해리 반응속도론)

  • Choi, Ki Young;Kim, Dong Won;Kim, Chang Suk;Park, Byung Bin;Choi, Suk Nam;Hong, Choon Pyo;Ryu, Hae Il
    • Journal of the Korean Chemical Society
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    • v.44 no.5
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    • pp.403-409
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    • 2000
  • The formation and dissociation rates of $Zn^{2+}$ Complexes with l,4,7,10-tetraaza-13,16-diox-acyclooctadecane-N,N',N",N'"-tetraacetic acid (1), 1,4,7,10-tetraaza-13,16- dioxacyclooctadecane-N,N',N",N'"-tetramethylacetic acid (2), and 1,4,7,10-tetraaza-13,16- dioxacyclooctadecane-N,N',N",N'"-tetrapropionic acid(3) have been measured by stopped-flow and conventional spectrophotometry. Observations were made at 25.0$\pm$0.1 $^{\circ}C$ and at an ionic strength of 0.10 M NaClO$_4$. The formation reactions of $Zn^{2+}$ ion with 1 and 2 took place by the rapid formation of an intermediate complex (ZnH$_3L^+$) in which the $Zn^{2+}$ ion is incompletely coor-dinated. This might then lead to be a final product in the rate-determining step.ln the pH range 4.76-5.76, the diprotonated (H2L2-) form is the kinetically active species despite of its low concentration. The stability con-stants (log$K_{(ZnH$_3$3$L^+$)}$) and specific water-assisted rate constants (koH) of intermediate complexes have been deter-mined from the kinetic data. The dissociation reactions of $Zn^{2+}$ complexes of 1,2, and 3 were investigated with $Cu^{2+}$ ions as a scavenger in acetate buffer. All complexes exhibit acid-independent and acid-catalyzed con-tributions. The effect of buffer and $Cu^{2+}$ concentration on the dissociation rate has also been investigated. The ligand effect on t dissociation rate of $Zn^{2+}$ complexes is discussed in terms of the side-pendant armsand the chelate ring sizes of the ligands.

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Segmentation of Airborne LIDAR Data: From Points to Patches (항공 라이다 데이터의 분할: 점에서 패치로)

  • Lee Im-Pyeong
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.24 no.1
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    • pp.111-121
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    • 2006
  • Recently, many studies have been performed to apply airborne LIDAR data to extracting urban models. In order to model efficiently the man-made objects which are the main components of these urban models, it is important to extract automatically planar patches from the set of the measured three-dimensional points. Although some research has been carried out for their automatic extraction, no method published yet is sufficiently satisfied in terms of the accuracy and completeness of the segmentation results and their computational efficiency. This study thus aimed to developing an efficient approach to automatic segmentation of planar patches from the three-dimensional points acquired by an airborne LIDAR system. The proposed method consists of establishing adjacency between three-dimensional points, grouping small number of points into seed patches, and growing the seed patches into surface patches. The core features of this method are to improve the segmentation results by employing the variable threshold value repeatedly updated through a statistical analysis during the patch growing process, and to achieve high computational efficiency using priority heaps and sequential least squares adjustment. The proposed method was applied to real LIDAR data to evaluate the performance. Using the proposed method, LIDAR data composed of huge number of three dimensional points can be converted into a set of surface patches which are more explicit and robust descriptions. This intermediate converting process can be effectively used to solve object recognition problems such as building extraction.

The Effect of Magnetic Field on Enhancing the Anisotropy of Melt-spun Nd-Fe-Co(-Zr)-B Alloy (급속응고중 외부자장에 의한 Nd-Fe-Co(-Zr)-B계 합금의 자기이방성 향상)

  • Lee, U-Yeong;Choe, Seung-Deok;Yang, Chung-Jin
    • Journal of the Korean Magnetics Society
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    • v.2 no.3
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    • pp.233-238
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    • 1992
  • Melt-spun $Nd_{14}Fe_{76}Co_4B_6$ and $Nd_{10.5}Fe_{79}Co_2Zr_{1.5}B_7$ ribbons were prepared under an externally applied magnetic field. Magnetic properties in terms of anisotropy were evaluated by discussing the effect of textured structure of the ribbon samples as well as its powders. About 32 % increase in $(B{\cdot}H)_{max}$ and 18.8 % increase in $B_r$ were observed along the perpendicular direction of the ribbon plane which is more prominent for the Nd-Fe-Co-Zr-B than for the Nd-Fe-Co-B alloy. The enhancement of magnetic anisotropy was monitored by measuring the anisotropy constant of each alloy as a function of quenching rate of the ribbon. It was found that for the melt-spun ribbon quenched at slow rate(less than 7 m/s) the magnetic field effect was overwhelmed by the heat gradient effect through the ribbon thickness while the field effect was prominent at intermediate quenching rate (more than 7~11 m/s). The reproducible maximum energy product, $(B{\cdot}H)_{max}$=16.4 MGOe can be obtained from the Nd-Fe-Co-Zr-B alloy.

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Distributions of Water Temperature and Salinity in the Korea Southern Coastal Water During Cochlodinium polykrikoides Blooms (C. polykrikoides 적조 발생시의 한국 남해안의 수온 및 염분 분포)

  • Lee, Moon-Ock;Choi, Jae-Hoon
    • Journal of the Korean Society for Marine Environment & Energy
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    • v.12 no.4
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    • pp.235-247
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    • 2009
  • In order to elucidate the cause of Cochlodinium polykrikoides blooms in the Korea southern coastal water, we investigated observational data of water temperatures and salinities in summer and winter, obtained from the stoppage of ship by NFRDI (National Fisheries Research and Development Institute) as well as composite images by NOAA from 1995 to 2008. Cochlodinium polykrikoides blooms occurred when water temperature was approximately $25.0{\sim}26.0^{\circ}C$ and salinity was 31.00 psu on average in Narodo neighboring seas. Different thermohaline fronts were observed between the Korea southern coastal water and the open sea water in summer and winter, respectively. That is, in winter four fronts were observed between the Korea southern coastal water with low temperature and low salinity, intermediate water originated from Tsushima Warm Current, Tsushima Warm Current with high temperature and high salinity, and the China coastal water with low temperature and low salinity. In contrast, in summer two fronts were observed between the Korea southern coastal water with low temperature and high salinity, Tsushima Warm Current with high temperature and low salinity, and the China coastal water with high temperature and high salinity. These thermohaline fronts also proved to be formed by two water masses with a different physical property, in terms of T-S diagrams. Consequently, we noticed that C. polykrikoides blooms occurring in Narodo neighboring seas in summer had a close relationship with thermohaline fronts observed between the Korea southern coastal water and Tsushima Warm Current.

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A Proposal of Educational 3D Modelling Software Development Type Via User Experience Analysis of Open Source 3D Modelling Software (무료공개 3D모델링 소프트웨어 사용자 경험 분석을 통한 교육용 3D모델링 소프트웨어 개발유형 제안)

  • Lee, Guk-Hee;Cho, Jaekyung
    • Science of Emotion and Sensibility
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    • v.20 no.2
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    • pp.87-102
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    • 2017
  • With increasing interest in 3D printing, the interest in the 3D modelling training that should precede the 3D printing is increasing. However, the existing 3D modelling software is developed mostly by foreign brands. Thus, the interfaces are all in English. 3D modelling software training for Korean novices who are not familiar with these terms has constraints. This study aims to explore what to consider when developing a Korean model for 3D modelling educational software for 3D printing in the face of such reality. For this goal, after having novices with no experience in 3D modeling to perform a house building task using either 12D Design or Tinker CAD, we conducted a survey. It was found in the result that more users favored Tinker CAD over 123D Design, and the errors involved while working with the Tinker CAD were less than those with the 123D Design, and the ratio of people who completed the task with the Tinker CAD was higher than that with the 123D Design. In general discussion, an introductory level educational 3D modeling software development is proposed which utilize characteristics of Tinker CAD (easy modelling is possible by three-dimensional figures) and web-based method. Also, a beginner/intermediate level educational 3D modeling software development is proposed which utilize characteristics of 123D Design (with finer measurement manipulations and figure alignment) and Windows-based method.

Estimation of Heat Sterilization Time of Chinese Laminae Species Used in The Production of Glue-laminated Board (집성재 제조용 중국산 층재 수종의 적정 열처리 시간 평가)

  • Kim, Min-Ji;Shin, Hyun-Kyeong;Kim, Gyu-Hyeok
    • Journal of the Korean Wood Science and Technology
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    • v.44 no.5
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    • pp.760-766
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    • 2016
  • This study explored the effects of heating temperature and laminae thicknesses on the time required to heat the center of air-dried Paulownia tomentosa, Pinus sp., Abies sp., and Larix sp. laminae to $56^{\circ}C$, which is a minimum core temperature of wood packaging materials defined by ISPM 15 standard, and maintain for 30 minutes in dry heat treatment schedule. Heating times were different among wood species and were Pinus sp. ${\geq}$ Abies sp. > Paulownia tomentosa > Larix sp. in decreasing order. The differences in heating times of some species were significantly different statistically, but were not different enough in practical terms to warrant heating four species separately. Heating times decreased as heating temperature increased and followed approximately power-function relationship. Also, heating times increased linearly with increasing laminae thickness. These relationships make it possible to calculate intermediate heating times relative to experimentally observed heating times. The results of this study will serve as a guideline for heat sterilization of Chinese laminae species to meet heat treatment requirements for protection against invasive pests.

Geochronological and Geochemical Studies for Triassic Plutons from the Wolhyeonri Complex in the Hongseong Area, Korea (홍성지역 월현리 복합체 내에 분포하는 트라이아스기 심성암류의 지질연대학 및 지구화학적 연구)

  • Oh, Jae-Ho;Kim, Sung Won
    • Economic and Environmental Geology
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    • v.46 no.5
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    • pp.391-409
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    • 2013
  • The Hongseong area of the southwestern Gyeonggi massif is considered to be part of suture zone that is tectonically correlated with the Qinling-Dabie-Sulu belt of China in terms of the preservation of collisional evidences during Triassic in age. The Wolhyeonri complex, preserved at the center of the Hongseong area, consists mainly of Neoproterozoic orthogneisses and Middle Paleozoic intermediate- to high-grade metamorphic schists, orthogneisses and mafic metavolcanics. The area includes various Middle to Late Triassic intrusives (e.g. dyke or stock). They are mainly monzonite and aplite with small intrusions of monzodiorit, syenite and diorite in composition. The SHRIMP U-Pb zircon ages yield 237 Ma to 222 Ma. The geochemistry of the studied Triassic intrusives show similar subuction- or arc-type signatures having Ta-Nb troughs, depletion of P and Ti, and enrichment of LILEs (large ion lithophile elements). In addition, the Triassic plutons in the Hongseong area, including those from this study, mostly possess high-K calc-alkaline to shoshonitic tectonic affinity. These results could be tectonically correlated to the post-collisional magmatic event following the Triassic collision between the North and South China blocks in China. Therefore, the Triassic plutons in the Hongseong area offer an important insight into the Triassic geodynamic history of the NE Asian region.