• Journal of Dental Anesthesia and Pain Medicine
• /
• v.19 no.5
• /
• pp.261-270
• /
• 2019

Background: People with the Ehlers-Danlos Syndromes (EDS), a group of heritable disorders of connective tissue, often report experiencing dental procedure pain despite local anesthetic (LA) use. Clinicians have been uncertain how to interpret this apparent LA resistance, as comparison of EDS and non-EDS patient experience is limited to anecdotal evidence and small case series. The primary goal of this hypothesis-generating study was to investigate the recalled adequacy of pain prevention with LA administered during dental procedures in a large cohort of people with and without EDS. A secondary exploratory aim asked people with EDS to recall comparative LA experiences. Methods: We administered an online survey through various social media platforms to people with EDS and their friends without EDS, asking about past dental procedures, LA exposures, and the adequacy of procedure pain prevention. Among EDS respondents who both received LA and recalled the specific LA used, we compared agent-specific pain prevention for lidocaine, procaine, bupivacaine, mepivacaine, and articaine. Results: Among the 980 EDS respondents who had undergone a dental procedure LA, 88% (n = 860) recalled inadequate pain prevention. Among 249 non EDS respondents only 33% (n = 83) recalled inadequate pain prevention (P < 0.001 compared to EDS respondents). The agent with the highest EDS-respondent reported success rate was articaine (30%), followed by bupivacaine (25%), and mepivacaine (22%). Conclusions: EDS survey respondents reported nearly three times the rate of LA non-response compared to non-EDS respondents, suggesting that LAs were less effective in preventing their pain associated with routine office dental procedures.

• The Bulletin of The Korean Astronomical Society
• /
• v.43 no.2
• /
• pp.39.2-39.2
• /
• 2018

RR Tel is an interacting binary system in which a hot white dwarf (WD) accretes matter from a Mira variable via gravitational capture of the stellar wind. We present a high-resolution optical spectrum of RR Tel obtained with MIKE at Magellan-Clay telescope, Chile. We find broad emission features at 6825, 7082, 7023, and $7053{\AA}$, which are formed through Raman scattering of far-UV O VI ${\lambda}{\lambda}$ 1032 and $1038{\AA}$, C II ${\lambda}{\lambda}$ 1036 and $1037{\AA}$ with atomic hydrogen. Raman O VI 6825 and 7082 features are characterized by double-peaked profiles indicative of an accretion flow with a characteristic speed ~ 30km/s, whereas the Raman C II features exhibit a single Gaussian profile with FWHM ${\sim}10{\AA}$. Monte Carlo simulations for Raman O VI and C II are performed by assuming that the emission nebula around the WD consists of the inner O VI disk with a representative scale of 1 AU and the outer part with C II sphere. The best fit for Raman profiles is obtained with an asymmetric matter distribution of the O VI disk, the mass loss rate of the cool companion ${\dot{M}}{\sim}2{\times}10^{-6}M_{{\odot}/yr}$ and the wind terminal velocity v~10 km/s. We also find O VI doublet at 3811 and $3834{\AA}$, which are blended with other emission lines. Our profile decomposition shows that the O VI ${\lambda}{\lambda}$ 3811, 3834 doublet have a single Gaussian profile with a width ~ 25 km/s. A comparison of the restored fluxes of C II ${\lambda}{\lambda}$ 1036 and 1037 from Raman C II features with the observed C II ${\lambda}1335$ leads to an estimate of a lower bound of N(CII) > $9.87{\times}10^{13}cm^{-2}$ toward RR Tel, which appears consistent with the presumed distance D ~ 2.6 kpc.

• Journal of Korean Neurosurgical Society
• /
• v.64 no.2
• /
• pp.229-237
• /
• 2021

Objective : Expansion in the spinal canal area (SCA) after laminoplasty is one of the critical factors to relieve the preoperative symptoms. No previous study has compared the increases in SCA achieved by open-door laminoplasty (ODL) and double door laminoplasty (DDL) according to the preoperative lamina angle (LA). This study was designed to clarify the relationship between the laminoplasty opening angle (OA)/laminoplasty opening size (OS) and increases in the SCA following ODL and DDL according to the preoperative LA using a simulation model. Methods : The simulation model was constructed and validated by comparing the clinical data of 64 patients who had undergone C3-C6 laminoplasty (43 patients with ODL and 21 patients with DDL). SCA expansion was predicted with a verified simulation model at various preoperative LAs (from 28° to 32°) with different OAs (40° to 44°) and OSs (10 mm to 14 mm) recruited from patient data. Results : The constructed simulation model was validated by comparing clinical data and revealed a very high degree of correlation (r=0.935, p<0.001). In this validated model, at the same OA, the increase in SCA was higher following ODL than following DDL in the usual LA (p<0.05). At the same OS, the increase in SCA was slightly larger following DDL than following ODL, but the difference was not significant (p>0.05). The difference was significant when the preoperative LA was narrower or much wider. Conclusion : Based on clinical data, a simulation model was constructed and verified that could predict increases in the SCA following ODL and DDL. When applying this model, prediction in SCA increase using the OS parameter was more practical and compatible with clinical data. Both laminoplasties achieved enough SCA, and there was no significant difference between them in the usual range.

• Journal of The Korean Astronomical Society
• /
• v.55 no.4
• /
• pp.111-121
• /
• 2022

Based on the light an exoplanet blocks from its host star as it passes in front of it during a transit, the mid-transit time can be determined. Periodic variations in mid-transit times can indicate another planet's gravitational influence. We investigate 83 transits of TrES-1 b as observed from 6-inch telescopes in the MicroObservatory robotic telescope network. The EXOTIC data reduction pipeline is used to process these transits, fit transit models to light curves, and calculate transit midpoints. This paper details the methodology for analyzing transit timing variations (TTVs) and using transit measurements to maintain ephemerides. The application of Lomb-Scargle period analysis for studying the plausibility of TTVs is explained. The analysis of the resultant TTVs from 46 transits from MicroObservatory and 47 transits from archival data in the Exoplanet Transit Database indicated the possible existence of other planets affecting the orbit of TrES-1 and improved the precision of the ephemeris by one order of magnitude. We now estimate the ephemeris to be (2 455 489.66026 BJD_TDB ± 0.00044 d) + (3.0300689 ± 0.0000007) d × epoch. This analysis also demonstrates the role of small telescopes in making precise midtransit time measurements, which can be used to help maintain ephemerides and perform TTV analysis. The maintenance of ephemerides allows for an increased ability to optimize telescope time on large ground-based telescopes and space telescope missions.

• International conference on construction engineering and project management
• /
• 2022.06a
• /
• pp.484-491
• /
• 2022

A paradigm shift in teaching modular construction in higher education and K-12 is proposed as a means to increase the future adoption of the modular construction technique. To this effect, a new education module is presented to STEM educators. This education module is based on LEGOs and directed towards educators in the architecture, engineering, and construction (AEC) industry. The main objectives of the education module are to increase interest and knowledge of modular construction, acknowledge the benefits of using 3D design with 4D scheduling, and create a simulating hands-on educational opportunity. The education module is designed to allow participants to experience a hands-on simulation of modular construction and stick-built construction through building a LEGO project. Participants are challenged to find the advantages and disadvantages in both construction systems first-hand and record their findings. Results are presented from the preliminary testing of this education model on a group of construction management students at the University of Nevada, Las Vegas. Overall, the survey results showed that the LEGO education module was successful at achieving the project's three main objectives: 1) increasing the participants' interest and knowledge of modular construction through an interactive project; 2) increasing the participants' understanding of the benefits of 3D design with 4D scheduling over the use of 2D drawings; and 3) creating a simulating hands-on educational opportunity to help participants compare modular construction to stick-built construction. In the end, this proposed a new LEGO education module addressing the problems identified from this study with more participants.

• Journal of Environmental Science International
• /
• v.31 no.12
• /
• pp.1127-1134
• /
• 2022

Herein , the effect of changes in the organic loading rate in anaerobic digestion was evaluated. The experiment was carried out by a laboratory -scale semi-continuous stirred tank reactor, and feedstock was food-waste leached. The organic loading rate was increased by 0.5 kgVS/m3 in each phase from 1.0 kgVS/m3 to 4.0 kgVS/m3. At the end of the operation, to check the failure of the reactor, the organic loading rate was increased by 1.0 kgVS/m3 in each phase and reached 6.0 kgVS/m3. This shows that the biogas yield decreased as organic loading rate increased. Biogas production seemed to be unstable at 3.5-6.0 kgVS/m3. Moreover, biogas production dramatically fell to approximately 0 mL at 6.0 kgVS/m3, which was decided as the operation failure on the 16th day of the las tphase. The result of the reactor analysis shows that the cumulation of volatile fatty acid increased as the organic loading rate increased. This seems to occur due to the decreasein pH in the reactor and led to extinction of anaerobic bacteria, which were the biogas products. Although the buffer compound (alkalinity) could prevent the decline in pH, the concentration of alkalinity was found to be lacking at a high organic loading rate

• The Bulletin of The Korean Astronomical Society
• /
• v.46 no.1
• /
• pp.38.4-39
• /
• 2021

The Local Volume Mapper (LVM), for the Sloan Digital Sky Survey V, consists of four 16 cm telescopes with three fiber spectrographs in the Las Campanas Observatory in Chile. With the fixed telescopes on optical tables, the Alt-Alt mounted siderostats point and guide targets during spectrograph exposures. We are developing the integrated LVM instrument control software. Considering international travel restrictions caused by the COVID-19 pandemic in 2021, we decided to make a simplified version of siderostat to test the LVM telescope control system in Korea. The prototype siderostat consists of two aluminum flat mirrors, optomechanical housing structures made by aluminum profiles, and the Planewave L-350 mount. We designed the optical mirrors and the optomechanical structure of the siderostat. From structural analysis at various pointing cases, we estimated the tilt misalignments of mirrors within 4 arcsec, which would affect the telescope pointing errors.

• Journal of the Korean Geographical Society
• /
• v.41 no.5 s.116
• /
• pp.527-544
• /
• 2006

This study provides a definition of heat waves, which indicate the conditions of strong sultriness in summer, appropriate to Korea and intends to clarify long term(1973-2006) averaged spatial and temporal patterns of annual frequency of heat waves with respect to their intensity. Based on examination of the Korean mortality rate changes due to increase of apparent temperature under hot and humid summer conditions, three consecutive days with at least $32.5^{\circ}C,\;35.5^{\circ}C,\;38.5^{\circ}C,\;and\;41.5^{\circ}C$ of daily maximum Heat Index are defined as the Hot Spell(HS), the Heat Wave(HW), the Strong Heat Wave(SHW), and the Extreme Heat Wave(EHW), respectively. The annual frequency of all categories of heat waves is relatively low in high-elevated regions or on islands adjacent to seas. In contrast, the maximum annual frequency of heat waves during the study period as well as annual average frequency are highest in interior, low-elevated regions along major rivers in South Korea, particularly during the Changma Break period(between late July and mid-August). There is no obvious increasing or decreasing trend in the annual total frequency of all categories of heat waves for the study period However, the maximum annual frequencies of HS days at each weather station were recorded mainly in the 1970s, while most of maximum frequency records of both the HW and the SHW at individual weather stations were observed in the 1990s. It is also revealed that when heat waves occur in South Korea high humidity as well as high temperature contributes to increasing the heat wave intensity by $4.3-9.5^{\circ}C$. These results provide a useful basis to help develop a heat wave warning system appropriate to Korea.

• Journal of Microbiology and Biotechnology
• /
• v.30 no.4
• /
• pp.571-582
• /
• 2020

Quorum sensing (QS)-mediated infections cause severe diseases in human beings. The control of infectious diseases by inhibiting QS using antipathogenic drugs is a promising approach as antibiotics are proving inefficient in treating these diseases. Marine fungal (Pestalotiopsis sydowiana PPR) extract was found to possess effective antipathogenic characteristics. The minimum inhibitory concentration (MIC) of the fungal extract against test pathogen Pseudomonas aeruginosa PAO1 was 1,000 ㎍/ml. Sub-MIC concentrations (250 and 500 ㎍/ml) of fungal extract reduced QS-regulated virulence phenotypes such as the production of pyocyanin, chitinase, protease, elastase, and staphylolytic activity in P. aeruginosa PAO1 by 84.15%, 73.15%, 67.37%, 62.37%, and 33.65%, respectively. Moreover, it also reduced the production of exopolysaccharides (74.99%), rhamnolipids (68.01%), and alginate (54.98%), and inhibited the biofilm formation of the bacteria by 90.54%. In silico analysis revealed that the metabolite of P. sydowiana PPR binds to the bacterial QS receptor proteins (LasR and RhlR) similar to their respective natural signaling molecules. Cyclo(-Leu-Pro) (CLP) and 4-Hydroxyphenylacetamide (4-HPA) were identified as potent bioactive compounds among the metabolites of P. sydowiana PPR using in silico approaches. The MIC values of CLP and 4-HPA against P. aeruginosa PAO1 were determined as 250 and 125 ㎍/ml, respectively. All the antivirulence assays were conducted at sub-MIC concentrations of CLP (125 ㎍/ml) and 4-HPA (62.5 ㎍/ml), which resulted in marked reduction in all the investigated virulence factors. This was further supported by gene expression studies. The findings suggest that the metabolites of P. sydowiana PPR can be employed as promising QS inhibitors that target pathogenic bacteria.

• Journal of Sasang Constitutional Medicine
• /
• v.12 no.1
• /
• pp.10-23
• /
• 2000

Four-constitutional theory proposed by Dr. Lee, Je-ma has been evolve for last 100years by his followers. One of the major progresses was the emergence of constitutional acupuncture proposed by Dr. Kwan Doh-won. Constitutional acupuncture included the new pulse diagnostic method to determine the body type, pulse diagrams and corresponding acupuncture method called five element acupuncture in which five-element points in 12 meridian channels are used. Dr. Sa-ahm proposed five-element acupuncture three and a half hundred years age. Conjunction of Dr Lee's theory to Dr. Kwan proposed eight constitutions with eight pulse diagrams. He also adopted eight acupuncture prescriptions out of twenty-four Sa-ahm's acupuncture prescriptions. The author, Dr. Yom Tae-hwa, proposed more inclusive theory of 24 constitutions with 24 diagnostic pulse diagrams in Las Vegas International Acupuncture Convention in 1986. This article reviews history of constitutional medicine briefly. Each step of theoretical evolution from four-constitutional theory to twenty-four-constitutional theory is explained. By understanding the theoretical connection between twelve meridian channels based on five-element theory and four-constitutional theory in the article, one will easily accept the emergence of twelve of twenty four constitutional theory. Next, the article is focused on four subcategories under Sao-Yin constitution, which are one-sixth of 24 constitution. in this section classification, pulse diagnostic method, pulse diagram acupuncture prescriptions and herbal prescriptions are explained in detail. Then, clinical trial reports of acupuncture treatment and/or herbal formulas for such constitutions are attached for the rest part of the article. the purpose of this paper is to present the new hypothesis with the result of preliminary clinical trial hoping that additional clinical reports from other practitioners in this field triggers well-designed clinical study in future.