• 제목/요약/키워드: PREM

검색결과 55건 처리시간 0.02초

Comparative evaluation of intranasal midazolam-ketamine, dexmedetomidine-ketamine, midazolam-fentanyl, and dexmedetomidine-fentanyl combinations for procedural sedation and analgesia in pediatric dental patients: a randomized controlled trial

  • Abhilasha Agarwal;Afroz Alam Ansari;Rajendra Nath;Rakesh Kumar Chak;Rajeev Kumar Singh;Richa Khanna;Prem Raj Singh
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제23권2호
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    • pp.69-81
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    • 2023
  • Background: In order to assess the effectiveness of various analgesio-sedative combinations for pain relief and sedation in pediatric dental patients, a thorough evaluation of clinical studies and patient outcomes is necessary. Methods: A total of 128 healthy, uncooperative pediatric dental patients were randomly allocated to receive one of the four combinations of drugs via the intranasal (IN) route: Group I received midazolam-ketamine (MK), Group II received dexmedetomidine-ketamine (DK), Group III received midazolam-fentanyl (MF), and Group IV received dexmedetomidine-fentanyl (DF) in a parallel-arm study design. The efficacy and safety of the combinations were evaluated using different parameters. Results: The onset of sedation was significantly faster in the DF group than in the DK, MF, and MK groups (P < 0.001). The depth of sedation was significantly higher in the DK and DF groups than in the MK and MF groups (P < 0.01). DK and DF produced significant intra- and postoperative analgesia when compared with combinations of MK and MF. No significant adverse events were observed for any of the combinations. Conclusions: The DK and DF groups showed potential as analgesio-sedatives in view of their anxiolytic and analgesic effects.

In-silico and structure-based assessment to evaluate pathogenicity of missense mutations associated with non-small cell lung cancer identified in the Eph-ephrin class of proteins

  • Shubhashish Chakraborty;Reshita Baruah;Neha Mishra;Ashok K Varma
    • Genomics & Informatics
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    • 제21권3호
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    • pp.30.1-30.13
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    • 2023
  • Ephs belong to the largest family of receptor tyrosine kinase and are highly conserved both sequentially and structurally. The structural organization of Eph is similar to other receptor tyrosine kinases; constituting the extracellular ligand binding domain, a fibronectin domain followed by intracellular juxtamembrane kinase, and SAM domain. Eph binds to respective ephrin ligand, through the ligand binding domain and forms a tetrameric complex to activate the kinase domain. Eph-ephrin regulates many downstream pathways that lead to physiological events such as cell migration, proliferation, and growth. Therefore, considering the importance of Eph-ephrin class of protein in tumorigenesis, 7,620 clinically reported missense mutations belonging to the class of variables of unknown significance were retrieved from cBioPortal and evaluated for pathogenicity. Thirty-two mutations predicted to be pathogenic using SIFT, Polyphen-2, PROVEAN, SNPs&GO, PMut, iSTABLE, and PremPS in-silico tools were found located either in critical functional regions or encompassing interactions at the binding interface of Eph-ephrin. However, seven were reported in nonsmall cell lung cancer (NSCLC). Considering the relevance of receptor tyrosine kinases and Eph in NSCLC, these seven mutations were assessed for change in the folding pattern using molecular dynamic simulation. Structural alterations, stability, flexibility, compactness, and solvent-exposed area was observed in EphA3 Trp790Cys, EphA7 Leu749Phe, EphB1 Gly685Cys, EphB4 Val748Ala, and Ephrin A2 Trp112Cys. Hence, it can be concluded that the evaluated mutations have potential to alter the folding pattern and thus can be further validated by in-vitro, structural and in-vivo studies for clinical management.

Influence of loading rate on flexural performance and acoustic emission characteristics of Ultra High Performance Concrete

  • Prabhat Ranjan Prem;Vignesh Kumar Ramamurthy;Vaibhav Vinod Ingle;Darssni Ravichandran;Greeshma Giridhar
    • Structural Engineering and Mechanics
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    • 제89권6호
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    • pp.617-626
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    • 2024
  • The study investigated the behavior of plain and fibered Ultra-High Performance Concrete (UHPC) beams under varying loading conditions using integrated analysis of the flexure and acoustic emission tests. The loading rate of testing is -0.25 -2 mm/min. It is observed that on increasing loading rate, flexural strength increases, and toughness decreases. The acoustic emission testing revealed that higher loading rates accelerate crack propagation. Fiber effect and matrix cracking are identified as significant contributors to the release of acoustic emission energy, with fiber rupture/failure and matrix cracking showing rate-dependent behavior. Crack classification analysis indicated that the rise angle (RA) value decreased under quasi-static loading. The average frequency (AF) value increased with the loading rate, but this trend reversed under rate-dependent conditions. K-means analysis identified distinct clusters of crack types with unique frequency and duration characteristics at different loading rates. Furthermore, the historic index and signal strength decreased with increasing loading rate after peak capacity, while the severity index increased in the post-peak zone, indicating more severe damage. The sudden rise in the historic index and cumulative signal strength indicates the possibility of several occurrences, such as the emergence of a significant crack, shifts in cracking modes, abrupt failure, or notable fiber debonding/pull-out. Moreover, there is a distinct rise in the number of AE knees corresponding to the increase in loading rate. The crack mapping from acoustic emission testing aligned with observed failure patterns, validating its use in structural health monitoring.

트리트먼트(Treatment)를 이용한 모발 염색이 손상도와 중금속 함량에 미치는 영향 (A Study on the Damage Degree of Hair Dye Treatments and the Impact of Heavy Metals)

  • 이태숙;김영희
    • 디지털융복합연구
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    • 제15권10호
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    • pp.551-557
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    • 2017
  • 헤어(Hair)의 연출은 현대인의 개성 창출을 위한 요소로 작용하고 있으나 염색(Dye), 펌(Prem) 등과 같은 반복적인 화학 시술은 모발 손상을 초래하게 된다. 손상을 줄이기 위한 화학 시술 방법으로 헤어 트리트먼트(hair treatment)에 대한 중요성이 크게 부각되고 있다. 따라서 본 연구에서는 염색 시, 헤어 트리트먼트의 사용이 실제 모발의 형태학적 손상도와 모발 내의 유독성 미네랄과 필수 미네랄의 수치에 어떠한 영향을 미치는지를 확인하기 위해, 20대 전 후반 5명의 모발(normal hair, NH)을 채취하여 염색 전 모발(NH), 염색 모발(dye hair, DH), 염색제와 헤어 트리트먼트 혼합 모발(dye with treatment hair, DTH)의 형태학적 손상도를 관찰하였으며, 모발 속 중금속 및 미네랄(mineral) 함량분석을 통하여 염모제와 헤어 트리트먼트에 의한 모발 내 중금속 변화를 조사하였다. 모발의 형태학적 영향은 DTH 모발에서 DH나 NH에 비하여 큐티클 형태의 배열이 대체적으로 균일하게 보여 지며, 들뜸이 차분해지고 선이 매끄럽게 관찰 되어 손상도가 적게 관찰되었다. 미네랄 함량의 농도 부분에서는 대체적으로 균형범위에 있었으나 유독성 미네랄 부분에서는 바륨(Ba), 영양미네랄 부분에서는 Na, Ca, Mg의 농도가 NH모발, DH모발, DTH모발에서 균형범위보다 높게 나타났다.

층상구조의 Na1.9Li0.1Ti3O7과 그 구리 혼입 유도체의 EPR 및 전기적 연구 (EPR and Electrical Studies in Layered Na1.9Li0.1Ti3O7 and its Copper Doped Derivatives)

  • Pal, D.;Chand, Prem;Tandon, R.P.;Shripal
    • 대한화학회지
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    • 제49권6호
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    • pp.560-566
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    • 2005
  • 순수한 또는 미량의 구리(몰 퍼센트(0.0$Na_{1.9}Li_{0.1}Ti_{3-X}Cu_XO_{7-X}$) 물질을 합성하였다. 상온에서 모든 구리 혼입 유도체와 다양한 낮은 온도에서 0.05몰 퍼센트 Cu 혼입 유도체의 EPR 특성을 조사하였다. 격자 안의 $Ti^{4+}$자리에 $Cu^{2+}$가 치환됨으로 인한 TiO6 팔면체의 찌그러짐이 나타났다. 또한, log(${\sigma}_{d.c.}T$) 대 1000/T 그래프를 통하여 세개의 특징적인 영역이 관찰되어진다. 가장 낮은 온도 영역은 모든 구리 혼입 유도체의 polaron 과 Li이 치환된 $Na_2Ti_3O_7$의 이온 전도도에 기인한다. 중간 온도영역의 전도 메커니즘은 관련된 층간의 이온 전도도에 기인하며 가장 높은 온도 영역에서는 변형된 층간 이온 전도도에 기인한다.