• Title/Summary/Keyword: Post treatment

Search Result 4,627, Processing Time 0.03 seconds

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
    • /
    • v.23 no.4
    • /
    • pp.221-228
    • /
    • 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.

Monitoring of residue PBDEs level in human milk and fish & shellfish samples collected from Korea (한국인 모유 및 어패류 중 PBDEs 잔류 레벨 모니터링)

  • Jang, Myungsu;Cha, Sujin;Kang, Younseok;Park, Jongsei
    • Analytical Science and Technology
    • /
    • v.19 no.3
    • /
    • pp.244-254
    • /
    • 2006
  • Flame retardants are added to prevent catching fire and to slow down the burning process. PBDEs are known to affect thyroid hormones and hormone disruption. The aim of this study was to propose a manual for determination of PBDEs, and investigate the accumulation of PBDEs(BDE-28, 47, 99, 100, 153, 154 and 183) in fish&shellfish and human milk samples. Pre-treatment for PBDEs determination, alkali digestion and L-L(Liquid-Liquid) extraction method could be applied to fish and shellfish. When Multi-layer column was used for cleaning up the sample, 50 mL of hexane and 100 mL of hexane:dichloromethane(9:1) solutions were used for pre- and post-elution, respectively. Activated-carbon column was optimized by a 100 mL of hexane:dichloromethane(3:1). The result of fish, highest concentration was detected in flatfish, 890 pg/g(wet weight). The other side, lowest concentration was detected in pollack, 40 pg/g(wet weight). The result of breast milk, PBDEs was detected 2,580 and 3,600 pg/g(lipid weight) from breast milk of Seoul and Juju, respectively. BDE-153 and 183 were not detected in all samples. There was no difference in PBDEs level was not difference between first and second delivery. In this study, we could find that PBDEs level in Korea is lower than other countries.

A Modified grid-based KIneMatic wave STOrm Runoff Model (ModKIMSTORM) (I) - Theory and Model - (격자기반 운동파 강우유출모형 KIMSTORM의 개선(I) - 이론 및 모형 -)

  • Jung, In Kyun;Lee, Mi Seon;Park, Jong Yoon;Kim, Seong Joon
    • KSCE Journal of Civil and Environmental Engineering Research
    • /
    • v.28 no.6B
    • /
    • pp.697-707
    • /
    • 2008
  • The grid-based KIneMatic wave STOrm Runoff Model (KIMSTORM) by Kim (1998) predicts the temporal variation and spatial distribution of overland flow, subsurface flow and stream flow in a watershed. The model programmed with C++ language on Unix operating system adopts single flowpath algorithm for water balance simulation of flow at each grid element. In this study, we attempted to improve the model by converting the code into FORTRAN 90 on MS Windows operating system and named as ModKIMSTORM. The improved functions are the addition of GAML (Green-Ampt & Mein-Larson) infiltration model, control of paddy runoff rate by flow depth and Manning's roughness coefficient, addition of baseflow layer, treatment of both spatial and point rainfall data, development of the pre- and post-processor, and development of automatic model evaluation function using five evaluation criteria (Pearson's coefficient of determination, Nash and Sutcliffe model efficiency, the deviation of runoff volume, relative error of the peak runoff rate, and absolute error of the time to peak runoff). The modified model adopts Shell Sort algorithm to enhance the computational performance. Input data formats are accepted as raster and MS Excel, and model outputs viz. soil moisture, discharge, flow depth and velocity are generated as BSQ, ASCII grid, binary grid and raster formats.

Effects of quercetin and coated sodium butyrate dietary supplementation in diquat-challenged pullets

  • Zhou, Ning;Tian, Yong;Liu, Wenchao;Tu, Bingjiang;Gu, Tiantian;Xu, Wenwu;Zou, Kang;Lu, Lizhi
    • Animal Bioscience
    • /
    • v.35 no.9
    • /
    • pp.1434-1443
    • /
    • 2022
  • Objective: This study was designed to investigate the hypothesis that dietary quercetin (QUE) and coated sodium butyrate (SB) supplementation alleviate oxidative stress in the small intestine of diquat (DIQ)-challenged pullets. Methods: A total of 200 13-week-old pullets were divided into four groups: the control group (CON), the DIQ group, the QUE group, and the coated SB group, and injected intraperitoneally with either saline (CON) or diquat (DIQ, QUE, and SB) to induce oxidative stress on day 0. Results: On the first day, the malondialdehyde and superoxide dismutase (SOD) concentrations in the SB group were significantly different from those in the DIQ and QUE groups (p<0.05), and dietary supplementation with SB increased serum glutathione peroxidase (GSH-PX) levels compared with the DIQ group (p<0.05). Quercetin and SB increased the levels of CLAUDIN-1 and zonula occludens-1 (ZO-1) in the jejunum. On the tenth day of treatment, QUE attenuated the decrease in GSH-PX levels compared to those of the CON group (p<0.05), while SB increased SOD, GSH-PX, and total antioxidant capacity levels compared to those of the DIQ group. Nuclear factor erythroid 2-related factor 2 (NRF2) and heme oxygenase-1 (HO-1) mRNA levels in the QUE and SB groups increased (p<0.05) and CLAUDIN-1 mRNA levels in the QUE and SB groups were upregulated compared to those in the DIQ group ileum tissue. Conclusion: Supplementation of QUE and SB demonstrated the ability to relieve oxidative stress in pullets post DIQ-injection with a time-dependent manner and QUE and SB may be potential antioxidant additives for relieving oxidative stress and protecting the intestinal barrier of pullets.

The Development and Effects of a Group Counseling Program for Adaptive College to Work Transition through Enhancing Coping Resources (대학-직장 이행을 위한 대처자원 향상 집단상담 프로그램 개발 및 효과성 검증)

  • Kim, Ji Geun;Lee, JinKoo;Ki-Hak, Lee
    • Korean Journal of School Psychology
    • /
    • v.16 no.3
    • /
    • pp.283-313
    • /
    • 2019
  • The purpose of this study was to develop and examine the effectiveness of 'Coping Resources Improvement Program' designed for emerging adults experiencing psychosocial difficulties during college to work transition. Based on transition model of Scholossberg(1995), the program was developed to intervene in 4S (Situation, Self, Support, Strategy) required in the transition. Participants included 31 job applicants who are senior or above and were assigned to the experimental group (N=10), comparison group (N=10), and control group (N=11). Data to verify effectiveness were collected pre-, mid-, and post treatment. Results indicated that the level of coping resources and psychosocial difficulties in the transition changed significantly after the program and those changes were still maintained after a month in the experimental group. However, there were no statistically significant changes on job-search burnout and career-adaptability in all groups. The implication and limitation of the study and the suggestions for the future studies were discussed.

The Effects of Short-term Loving-Kindness & Compassion Meditation on Compassionate Love, Four Immeasurables, and Altruism (단기 자비명상이 자비심과 이타행동에 미치는 영향)

  • Ji-Hyoen Jang;Wan-Suk Gim
    • Korean Journal of Culture and Social Issue
    • /
    • v.20 no.2
    • /
    • pp.89-105
    • /
    • 2014
  • This study investigated the effects of a brief Loving-Kindness and Compassion Meditation(20 minutes) on compassionate love and altruism of undergraduate students. Among the 187 students who were completed the KIIP-SC, 35 of high scored students in Interpersonal Problem Scale were randomly assigned to one of two different groups: Loving-Kindness and Compassion Meditation group(LCM, n=19) and Imagery Trainning group(IT, n=16). During the 20 minutes of practice, LCM group was asked to practice loving-kindness and compassion meditation and IT group was asked to investigate personal characteristics of the imagined people who were same as LCM. Compassionate love, four immeasurebles, two kind of altruistic behaviors, and mood states were measured pre- and post-treatment. LCM group showed significantly higher incremental scores for compassionate love, donation for strange person, and helping behaviors for friends, for close person, and for stranger than IT group. Negative and positive mood states were improved for each of the groups, but there was no significant differences between groups. The results suggested that the comparatively short practice of loving-kindness and compassion meditation could increase altruistic attitudes and intentions toward other persons. And, these effects could not be attributed to mood effects. Limitations of this study and the directions of further research were discussed.

  • PDF

Intravenous Colistin Therapy for Multidrug-Resistant Gram-Negative Bacterial Infections in Major Burn Injuries (중증 화상환자에서 다약제내성그람음성균의 Colistin 치료)

  • Cho, Gi yuon;Yoon, Jaechul;Chun, Jin Woo;Kim, Youngmin;Yim, Haejun;Kym, Dohern;Hur, Jun;Chun, Wook;Cho, Yong Suk
    • Journal of the Korean Burn Society
    • /
    • v.22 no.1
    • /
    • pp.1-9
    • /
    • 2019
  • Purpose: The aim of this study was to investigate the characteristics of Acute Kidney Injury Network (AKIN)-defined nephrotoxicity in patients undergoing intravenous colistimethate sodium (CMS) therapy for major burns. Methods: This retrospective study included burn patients who received more than 48 h of intravenous CMS between September 2009 and December 2015. Data collection was performed using the institution's electronic medical record system. Patients assigned to the developed nephrotoxic group experienced aggravation of current AKIN stage during CMS treatment; those assigned to the non-nephrotoxic group experienced no change in current or exhibited improved AKIN stage during CMS therapy. Results: A total of 306 patients were included in this study. All patients were grouped according to AKIN stage: AKIN 0 (n=152); AKIN 1 (n=6); AKIN 2 (n=9); AKIN 3 (n=139). The baseline creatinine (Cr) level was 0.73 mg/dL. The incidence of nephrotoxicity was 50.3% according to AKIN stage; overall mortality was 45.8%. The non-nephrotoxic group consisted of 127 (74.7%) patients and 43 (25.3%) were in the developed nephrotoxic group. In patients requiring continuous renal replacement therapy (CRRT), baseline Cr level was 0.83 mg/dL, pre-CMS Cr level was 1.17 mg/dL, and post-CMS Cr level was 1.34 mg/dL. Conclusion: CMS can be administered without signs of nephrotoxicity for a certain period (approximately 1 week), it can be used relatively safely for 2 weeks. Application of CMS is a reasonable option for treating infections caused by multi-drug resistant gram-negative bacteria in patients with major burns. The caution should be exercised nevertheless.

Efficacy and safety of losartan in childhood immunoglobulin A nephropathy: a prospective multicenter study

  • Hyesun Hyun;Yo Han Ahn;Eujin Park;Hyun Jin Choi;Kyoung Hee Han;Jung Won Lee;Su Young Kim;Eun Mi Yang;Jin Soon Suh;Jae Il Shin;Min Hyun Cho;Ja Wook Koo;Kee Hyuck Kim;Hye Won Park;Il Soo Ha;Hae Il Cheong;Hee Gyung Kang;Seong Heon Kim
    • Childhood Kidney Diseases
    • /
    • v.27 no.2
    • /
    • pp.97-104
    • /
    • 2023
  • Purpose: Angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers (ARBs) are frequently employed to counteract the detrimental effects of proteinuria on glomerular diseases. However, the effects of ARBs remain poorly examined in pediatric patients with immunoglobulin A (IgA) nephropathy. Herein, we evaluated the efficacy and safety of losartan, an ARB, in pediatric IgA nephropathy with proteinuria. Methods: This prospective, single-arm, multicenter study included children with IgA nephropathy exhibiting proteinuria. Changes in proteinuria, blood pressure, and kidney function were prospectively evaluated before and 4 and 24 weeks after losartan administration. The primary endpoint was the difference in proteinuria between baseline and 24 weeks. Results: In total, 29 patients were enrolled and received losartan treatment. The full analysis set included 28 patients who received losartan at least once and had pre- and post-urinary protein to creatinine ratio measurements (n=28). The per-protocol analysis group included 22 patients who completed all scheduled visits without any serious violations during the study period. In both groups, the mean log (urine protein to creatinine ratio) value decreased significantly at 6 months. After 24 weeks, the urinary protein to creatinine ratio decreased by more than 50% in approximately 40% of the patients. The glomerular filtration rate was not significantly altered during the observation period. Conclusions: Losartan decreased proteinuria without decreasing kidney function in patients with IgA nephropathy over 24 weeks. Losartan could be safely employed to reduce proteinuria in this patient population. ClinicalTrials.gov trial registration (NCT0223277)

Trend and Future Strategy of Ammonia Gas Recovery based on Adsorption from Livestock Fields (축산현장에서 발생된 암모니아 기체의 흡착기반 회수 동향 및 향후 전략)

  • Sangyeop Chae;Kwangmin Ryu;Sang-hun Lee
    • Resources Recycling
    • /
    • v.32 no.6
    • /
    • pp.45-53
    • /
    • 2023
  • This study discussed the trend and future strategy of adsorption technology R&D to effectively recover ammonia emitted from the livestock fields. A proper ammonia adsorbent should incorporate acidic or hydrogen bonding functional groups on the surface, as well as a high specific surface area and a good surface structure appropriate for ammonia adsorption. Activated carbon and minerals such as zeolite have widely been used as ammonia adsorbents, but their adsorption effects are generally low, so any improvement through surface modification should be necessary. For example, incorporation of metal chloride included in a porous adsorbent can promote ammonia adsorption effectiveness. Recently, new types of adsorbents such as MOFs (Metal-Organic Frameworks) and POPs (Porous Organic Polymers) have been developed and utilized. They have shown very high ammonia adsorption capacity because of adjustable and high specific surface area and porosity. In addition, Prussian Blue exhibited high ammonia adsorption and desorption performance and selectivity. This looks relatively advantageous in relation to the recovery of ammonia from livestock waste discharge. In the future, further research should be made to evaluate ammonia adsorption/desorption efficiency and purity using various adsorbents under conditions suitable for livestock sites. Also, effective pre- and/or post-treatment processes should be integrated to maximize ammonia recovery.

Spatial Analysis of Carbon Storage in Satellite Radar Imagery Utilizing Sentinel-1: A Case Study of the Ungok Wetlands (위성 레이더 영상 중 Sentinel-1을 활용한 탄소 흡수원 공간분석 - 운곡습지를 대상으로 -)

  • Ha-Eun Yu;Young-Il Cho;Shin-Woo Lee;Moung-Jin Lee
    • Korean Journal of Remote Sensing
    • /
    • v.39 no.6_3
    • /
    • pp.1731-1745
    • /
    • 2023
  • Within the framework of the post-2020 climate regime, the Paris Agreement's emphasis on Nationally Determined Contributions and Biennial Transparency Reporting is paramount in addressing its long-term temperature goal. A salient issue is the treatment of wetland ecosystems within the context of Land Use, Land-Use Change, and Forestry, as defined by the Intergovernmental Panel on Climate Change. In the 2019 National Inventory Report, wetlands were recategorized as emission sources due to their designation as inundated areas. This study employs C-band radar imagery to discriminate between inundated and non-inundated regions of wetlands, enabling the quantification of their spatial dynamics. The research capitalizes on 24-period Sentinel-1 satellite data to cover both the inundation and desiccation phases while centering its attention on Ungok Wetland, a Ramsar-designated inland wetland conservation area in Korea. The inundated area is quantitatively assessed through the integration of multi-temporal Sentinel-1 Single-Look Complex (SLC) data, aerial orthophotography, and inland wetland spatial information. Furthermore, the study scrutinizes fluctuations in the maximum and minimum inundated areas, with substantial changes corroborated via drone aerial reconnaissance. The outcomes of this investigation hold the potential to make substantive contributions to the refinement of national greenhouse gas absorption and emission factors, thereby informing the development of comprehensive greenhouse gas inventories. These efforts align directly with the overarching objectives of the Paris Agreement.