• Journal of Dental Anesthesia and Pain Medicine
• /
• v.19 no.4
• /
• pp.181-189
• /
• 2019

Local anesthetic systemic toxicity (LAST) refers to the complication affecting the central nervous system (CNS) and cardiovascular system (CVS) due to the overdose of local anesthesia. Its reported prevalence is 0.27/1000, and the representative symptoms range from dizziness to unconsciousness in the CNS and from arrhythmias to cardiac arrest in the CVS. Predisposing factors of LAST include extremes of age, pregnancy, renal disease, cardiac disease, hepatic dysfunction, and drug-associated factors. To prevent the LAST, it is necessary to recognize the risk factors for each patient, choose a safe drug and dose of local anesthesia, use vasoconstrictor, confirm aspiration and use incremental injection techniques. According to the treatment guidelines for LAST, immediate application of lipid emulsion plays an important role. Although lipid emulsion is commonly used for parenteral nutrition, it has recently been widely used as a non-specific antidote for various types of drug toxicity, such as LAST treatment. According to the recently published guidelines, 20% lipid emulsion is to be intravenously injected at 1.5 mL/kg. After bolus injection, 15 mL/kg/h of lipid emulsion is to be continuously injected for LAST. However, caution must be observed for >1000 mL of injection, which is the maximum dose. We reviewed the incidence, mechanism, prevention, and treatment guidelines, and a serious complication of LAST occurring due to dental anesthesia. Furthermore, we introduced lipid emulsion that has recently been in the spotlight as the therapeutic strategy for LAST.

• Korean Journal of Radiology
• /
• v.24 no.1
• /
• pp.1-5
• /
• 2023

• Anxiety and mood
• /
• v.14 no.2
• /
• pp.53-62
• /
• 2018

Objective : The Korean Association of Anxiety Disorders developed Korean guidelines for treatment of panic disorder (PD) 2018. In this paper, we discussed the consensus among psychiatrists, regarding initial and maintenance treatment strategies for pharmacological treatment of PD in Korea. Methods : Based on current treatment guidelines published by the American Psychiatric Association, the National Institute for Clinical Excellence, and the Canadian Psychiatric Association, we developed questionnaires pertinent to initial and maintenance treatment strategies for pharmacological treatment of PD. Seventy-two experts in PD answered questionnaires. We classified expert opinions into three categories, first, second, and third-line treatment strategies, by analyzing the 95% confidence interval. Results : Antidepressants, benzodiazepine anxiolytics, and cognitive-behavioral therapy (CBT) were recommended as treatments of choice (ToC), and first-line strategies for initial treatment of PD. Escitalopram, paroxetine, sertraline, and venlafaxine were preferred from among many anti-panic drugs. Mean starting dose of anti-panic drugs for initial treatment of PD was relatively lower, than that for other psychiatric illnesses such as major depressive disorder. In the case of maintenance treatment of PD, antidepressants and CBT were selected as ToC and first-line strategies. Patients were typically examined every four weeks during treatment, to review effectiveness and side effects of the drug. Pharmacotherapy was generally continued for one year or more. Conclusion : This study provides information about consensus among Korean experts regarding pharmacological treatment strategies for patients with panic disorder.

• Journal of Soil and Groundwater Environment
• /
• v.20 no.6
• /
• pp.8-18
• /
• 2015

Pollutants such as heavy metals and explosives originating from the military operational ranges can be migrated to adjacent surface water body or offsite soil, and can affect to local residents and aquatic ecosystem. Therefore, Korea Ministry of the National Defense has established various guidelines for environmental management including the installation of pollutant migration prevention facilities (PMPFs) and monitoring methodologies for heavy metals in the operational range soil and effluent and sediment of PMPFs. However, current guidelines neither address the explosive compounds such as 2, 4, 6-trinitrotoluene (TNT) and hexahydro-1,3,5-trinitro-1,3,5-triazine (RDX) nor suggest detailed environmental investigation protocol. This paper introduces the new “Environmental Management Manual for Military Firing Ranges”, which includes the environmental criteria for explosives as well as the detailed investigation protocol for the affected environmental media including soil, effluent and sediment of PMPFs.

• The Journal of the Korean dental association
• /
• v.58 no.8
• /
• pp.496-504
• /
• 2020

The osseointegrated implants react biomechanically in a different pattern to occlusal force, due to lack of the periodontal ligament unlike the natural teeth. The implants show markedly less movement and limited tactile sensitivity compared with the natural teeth. The implant occlusion concept aims to avoid overloading on the implants and to direct occlusal loads along the longitudinal axis of the implants, in order to compensate for the different biomechanics of the implants. Although many guidelines and theories on implant occlusion have been proposed, few have provided strong supportive evidence. Moreover, the outcome of treatment often quite successful in spite of different concepts of occlusion and there is an increasing tendency to doubt about the strict theoretical implant-specific occlusion concept. The purpose of this article is to review the previous reports about the concept of implant occlusion and discuss clinical occlusal considerations in implant rehabilitations.

• Journal of Korean Dental Science
• /
• v.15 no.2
• /
• pp.181-189
• /
• 2022

Molar incisor malformation (MIM) has been introduced as a new type of dental anomaly. Currently, the morphological and histological characteristics of MIM are known; however, its etiology has not been clearly identified. To date, the long-term prognosis of first permanent molars (FPM) affected by MIM has rarely been reported, and few treatment guidelines have been established. The purpose of this case report was to present guidelines for the extraction of FPM affected by MIM, depending on the presence of the third molar. In patients with a third molar, spontaneous mesial shift of the posterior molars might be induced by extracting the FPM at an appropriate time, that is, when the second permanent molar is at an early furcation stage of the tooth. However, it is recommended that FPM be preserved for as long as possible if a third molar does not exist. When an FPM needs to be extracted, it is suggested to consider space maintenance.

• Journal of the Korean Society for Geothermal and Hydrothermal Energy
• /
• v.20 no.1
• /
• pp.8-15
• /
• 2024

This study aims to investigate the possibility of expanding the support program for green remodeling of fire stations and analyze the standard design guidelines. Green remodeling is essential for reducing greenhouse gas emissions and promoting green buildings, but currently, it is only conducted for buildings with limited purposes. In this study, we conduct green remodeling for fire stations with severe aging to demonstrate energy performance improvement and investigate the potential for expanding the support program to other types of aging buildings. The research methodology includes analysis of previous studies, preliminary investigation and alternative setting, energy analysis, calculation of construction costs, evaluation of the possibility of introducing support programs, and examine of the fire station standard design guidelines. The research results confirm that green remodeling can reduce energy consumption in fire stations and present the possibility of including fire stations as targets in the support program for green remodeling of public buildings.

• Korean Journal of Radiology
• /
• v.24 no.6
• /
• pp.482-497
• /
• 2023

Sonazoid, a second-generation ultrasound contrast agent, was introduced for the diagnosis of hepatic nodules. To clarify the issues with Sonazoid contrast-enhanced ultrasonography for the diagnosis of hepatocellular carcinoma (HCC), the Korean Society of Radiology and Korean Society of Abdominal Radiology collaborated on the guidelines. The guidelines are de novo, evidence-based, and selected using an electronic voting system for consensus. These include imaging protocols, diagnostic criteria for HCC, diagnostic value for lesions that are inconclusive on other imaging results, differentiation from non-HCC malignancies, surveillance of HCC, and treatment response after locoregional and systemic treatment for HCC.

• Journal of the Korean Society of Marine Environment & Safety
• /
• v.28 no.3
• /
• pp.423-429
• /
• 2022

Ship reporting systems are used to exchange information between ship and shore. To realize the digital ship reporting concept, the International Maritime Organization (IMO) recently developed revised guidelines and descriptions of Maritime Service for ship reporting systems in the context of e-navigation. To improve the existing ship reporting system, each Administration should follow the IMO guidelines for ship reporting system. The purpose of this paper is to identify follow-up measures to be taken by the Korean Government as a member State according to the recently developed IMO guidelines in the context of e-navigation, and to present the considerations for the implementation of follow-up measures in Korea. In this study, a ship reporting system in Korea was investigated to identify the considerations for the digital ship reporting system. Consequently, a digital reporting system and digital traffic clearance were proposed and considerations for ship reporting system are presented. This paper is expected to be helpful for the safe operation of ships by presenting the considerations necessary for the implementation of an automated and standardized ship reporting system.

• Journal of Korean Academy of Nursing Administration
• /
• v.20 no.1
• /
• pp.128-143
• /
• 2014

Purpose: Effective literature searching is essential to support evidence-based nursing. The aim of this study was to present our recent systematic search experience to identify guidelines in PubMed for prevention of catheter-associated urinary tract infections. Methods: Five approaches to the literature search via PubMed were employed. The searches were restricted to items published from 1980 to 2010, for patients admitted to hospital, and in the English language. The search results were compared using the number of records and relevant items, and the sensitivity and precision of each search strategy. Results: The individual approaches retrieved 19-141 of records and 3-6 of relevant items. Sensitivity ranged from 37.5% to 75.0% with the highest values for simple searches and a search combining MeSH terms and free textwords with a methodological search filter. Precision varied from 4.3% to 21.7% and the highest precision was found for MeSH terms with limits feature. Conclusion: The simple search in PubMed is an appropriate way for nurses in a busy clinical practice to search the literature for evidence. However, several approaches using MeSH terms, free textwords, limits feature or methodological search filters are also required to have more efficient and better informed search results.