• Journal of Dental Anesthesia and Pain Medicine
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• 제21권5호
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• pp.441-449
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• 2021

Background: The efficacy of local anesthesia decreases in patients with symptomatic irreversible pulpitis. Therefore, it was proposed that the use of premedication with an anti-inflammatory drug might increase the success rate of pulpal anesthesia in mandibular posterior teeth with vital inflamed pulp. Methods: One hundred thirty-four patients who were actively experiencing pain willingly participated in this study. The Heft Parker (HP) visual analog scale (VAS) was used to record the initial pain intensity. Patients were randomly allocated to receive a placebo, 10 mg of ketorolac, and 650 mg of paracetamol. The standard inferior alveolar nerve block (IANB) was administered to all patients using 2% lidocaine with 1:200,000 adrenaline after one hour of medication. After 15 min, the patient was instructed to rate the discomfort during each step of the treatment procedure, such as access to remaining dentin, access to the pulp chamber, and during canal instrumentation on the HP VAS. IANB was considered successful if the patient reported no or mild pain during access preparation and instrumentation. Moderate or severe pain was classified as a failure of IANB and another method of anesthesia was used before continuing the treatment. Results: The rate of successful anesthesia in the placebo, paracetamol, and ketorolac groups was 29%, 33%, and 43%, respectively, and no statistically significant difference was found between the groups. Conclusion: Preoperative administration of paracetamol or ketorolac did not significantly affect the success rate of IANB in patients with irreversible pulpitis. No significant difference was observed between the paracetamol and ketorolac groups.

• 대한한방내과학회지
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• 제40권3호
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• pp.425-442
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• 2019

Objectives: This study aimed to reveal the pharmacological properties of the newly prescribed herbal mixture, Chenmadansamgamibokhap-tang(CDBT), against hypoxia-induced neuronal cell injury (especially mouse hippocampal neuronal cell line, HT-22 cells) and their corresponding mechanisms. Methods: A cell-based in vitro experiment, in which a hypoxia condition induced neuronal cell death, was performed. Various concentrations of the CDBT were pre-treated to the HT-22 cells for 4 h before 18 h in the hypoxia chamber. The glial cell BV-2 cells were stimulated with $IFN{\gamma}$ and LSP to produce inflammatory cytokines and reactive oxygen species. When the neuronal HT-22 cells were treated with this culture solution, the drug efficacy against neuronal cell death was examined. Results: CDBT showed cytotoxicity in the normal condition of HT-22 cells at a dose of $125{\mu}g/mL$ and showed a protective effect against hypoxia-induced neuronal cell death at a dose of $31.3{\mu}g/mL$. CDBT prevented hypoxia-induced neuronal cell death in a dose-dependent manner in the HT-22 cells by regulating $HIF1{\alpha}$ and cell death signaling. CDBT prevented neuronal cell death signals and DNA fragmentation due to the hypoxia condition. CDBT significantly reduced cellular oxidation, cell death signals, and caspase-3 activities due to microglial cell activations. Moreover, CDBT significantly ameliorated LPS-induced BV-2 cell activation and evoked cellular oxidation through the recovery of redox homeostasis. Conclusions: CDBT cam be considered as a vital therapeutic agent against neuronal cell deaths. Further studies are required to reveal the other functions of CDBT in vivo or in the clinical field.

• 한국추진공학회지
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• 제23권3호
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• pp.58-66
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• 2019

본 연구에서는 다단연소 사이클 로켓엔진의 구성 부품에 대한 관계식을 이용하여 통합 엔진 시스템 성능해석 프로그램을 구축하여 시동 특성을 해석하였다. 엔진의 시동 특성은 다단연소 사이클 엔진의 시동부터 정상상태에 도달하는 시간까지 엔진 시스템의 진행과정 전체를 고려하여 해석되었다. 엔진의 시동과정동안 엔진의 엔진 파워팩의 RPM, 예연소기의 O/F비와 압력, 추진제의 유량과 같은 엔진 구성품의 시동 특성을 도출하였다. 또한 엔진의 시동과정에서 도출된 엔진의 성능특성 데이터와 실제 엔진의 연소시험을 통한 성능 데이터를 비교하였으며, 비교결과 엔진 시동과정의 해석 프로그램이 타당한 것으로 확인하였다.

• Journal of Information Science Theory and Practice
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• 제7권2호
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• pp.40-53
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• 2019

Although fake news has been present in human history at any time, nowadays, with social media, deceptive information has a stronger effect on society than before. This article answers two research questions, namely (1) Is the dissemination of fake news supported by machines through the automatic construction of filter bubbles, and (2) Are echo chambers of fake news manmade, and if yes, what are the information behavior patterns of those individuals reacting to fake news? We discuss the role of filter bubbles by analyzing social media's ranking and results' presentation algorithms. To understand the roles of individuals in the process of making and cultivating echo chambers, we empirically study the effects of fake news on the information behavior of the audience, while working with a case study, applying quantitative and qualitative content analysis of online comments and replies (on a blog and on Reddit). Indeed, we found hints on filter bubbles; however, they are fed by the users' information behavior and only amplify users' behavioral patterns. Reading fake news and eventually drafting a comment or a reply may be the result of users' selective exposure to information leading to a confirmation bias; i.e. users prefer news (including fake news) fitting their pre-existing opinions. However, it is not possible to explain all information behavior patterns following fake news with the theory of selective exposure, but with a variety of further individual cognitive structures, such as non-argumentative or off-topic behavior, denial, moral outrage, meta-comments, insults, satire, and creation of a new rumor.

• 한국초지조사료학회지
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• 제15권3호
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• pp.198-206
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• 1995

본 연구는 1991년부터 1993년까지 사료작물과 목초류 7종(호맥, 대맥, 연맥, Italian ryegrass, alfalfa, orchardgrass 및 혼과목초)을 공시재료로 하여 곤포사일리지(BS=baled silage making)조제이용을 위한 수확시기와 이때의 BS 생산성 및 품질을 평가하였다. 시험방법에 있어서 작물재배는 농촌진흥청의 사료작물 및 목초 표준경종방법에 준하여 실시하였다. 사일리지 조제작업중 BS는 자체적으로 제작한 각형 베일러를 이용 개체당 크기 90cm$\times$60cm$\times$50cm, 중량은 건물기준 20kg 내외, 곤포압착 21~23mm를 유지하여 조제하였다. 한편 고수분 재료는 수분정도에 따라 예건처리(무처리, 0.5일 및 1.0일)와 formic acid(무처리, 0.3% 및 0.6%)를 병행 처리하여 BS 를 조제하였다. 맨류작물의 BS 생산을 위한 수확적기는 대맥, 황숙기, 호맥과 연맥은 유숙기 이었으며 이때의 BS 수량은 각각 11.92톤(대맥), 12.64톤(호맥) 및 8.41톤/ha(연맥)이었다. Italian ryegrass 및 목초의 수확적기는 각 초종 모두 개화기로서 년간 BS 생산성은 Italian 13.81톤(2회 예취), 혼파목초 11.46톤(3회), alfalfa 10.62톤/ha(3회)이었다. 한편 조기수확에 따른 고수분 재료의 BS 품질은 무처리시의 35점에서 예건 및 FA 동시처리시에는 84점으로 향상되었다. Italian tyegrass의 BS품질도 무처리시의 61점에서 예건 및 FA 처리시에는 88점으로 개선되는 효과가 있었다.

• 한국산림과학회지
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• 제109권1호
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• pp.41-49
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• 2020

본 연구는 벌개미취 종자의 대면적 파종 효율성을 증진시키기 위하여, 적절한 종자 전처리 조건과 펠렛코팅 소재를 선정하고자 실시하였다. 벌개미취 종자는 충실종자를 사용하기 위해 1일간 침지처리 후 침강 종자만을 사용하였다. 종자 전처리는 GA₃(200, 500 ppm), 24-epibrassinolide(10^-6, 10^-7, 10^-8 M) 호르몬 처리와 염류삼투프라이밍(100 mM KNO₃) 처리로 구분하였다. 펠렛코팅은 무처리와 프라이밍 처리 종자에 피복물질(DTCS와 DTK)과 접착제(PVA와 CMC)를 적용하여 제작하였다. 종자들은 필터페이퍼, 상토, 사양토 환경에서 파종하여 파종상에 따른 종자 처리 효과를 비교하였다. 필터페이퍼에 파종한 종자의 발아율은 무처리 종자가 41%, 프라이밍 종자가 65%로 가장 높았으며, 호르몬 처리 간 차이는 없었다. 프라이밍과 DTCS/PVA 펠렛 혼용 종자의 발아율은 71%로 가장 높았으며, 프라이밍과 DTK/CMC 펠렛 혼용 종자의 발아율은 42%로 가장 낮았다. 프라이밍 처리 후 펠렛코팅한 종자는 무처리 펠렛코팅 종자보다 발아율, 평균발아일수, 발아속도가 향상되었다. 온실의 상토에 파종한 프라이밍 종자의 발아율은 58%로 가장 높았으며, 평균발아일수는 9.4일, 발아속도는 7.0%·day로 27% 발아율의 무처리 종자보다 높았다. 또한 DTK/PVA 코팅 종자의 발아율(40%)은 무처리 종자의 발아율(27%) 보다 높았으며, 무처리 펠렛코팅한 종자의 평균발아일수는 15.0-27.0일로 프라이밍 처리 후 펠렛코팅한 종자보다 길었다. 온실의 사양토에 파종한 무처리 펠렛코팅 종자와 프라이밍 처리 후 펠렛코팅한 종자의 발아율은 모두 1-39%의 범위로 무처리 종자보다 낮았다. 펠렛 소재인 DTK는 DTCS보다 높은 발아율을 보였으며, 무처리 펠렛코팅 종자의 평균발아일수는 15.0-19.8일로 프라이밍 후 펠렛코팅한 종자보다 느렸다. 본 연구 결과를 기준으로, 벌개미취 종자의 프라이밍 전 처리는 유묘 출현율에 매우 효과적이며, 프라이밍과 펠렛코팅을 병행할 경우, 펠렛 소재로는 DTK가 더 적합하였고, 접착제는 PVA와 CMC 간 차이가 크지 않기 때문에 모두 사용이 가능한 것으로 판단되었다.

• 한국의학물리학회지:의학물리
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• 제11권2호
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• pp.123-130
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• 2000

전리계의 성능은 방사선 선량측정의 정확도와 정밀도에 직접적으로 영향을 준다. 본 연구에서는 전리계의 성능을 유지하기 위한 정도관리의 항목들을 제시하고 구체적인 성능검사를 시행하고자 한다. 선정된 성능평가 항목들은 적절한 인가전압, 예열 및 고전압 후의 평형시간, 누설에 의한 상쇄 전류, 방사선 측정 전후의 영점이동 (배경전류), 장시간 안정성, 선형성, 외부조건의 영향 등이었다. 전리계에 연결된 자루가 단단한 전리함과 방사선원으로 스트론티움-90이 내장된 검사기가 성능검사용으로 이용되었다. 인가전압의 측정은 전리함의 입력단자에서 직접 측정하였고 평형시간의 측정은 전리계에 전원을 연결한 후와 인가전압을 바꾼 후 검사기에 연결된 전리함의 반응이 안정을 가져오는 시간으로 측정하였다. 누설은 전리계가 안정된 후 방사선을 조사하지 않은 상태에서 전리계의 측정값이 영점에서 이동하는 것으로 나타냈으며 배경전류는 안정된 전리계의 영점을 조정하고 전리계에 연결된 검사기에서 전리함을 10분 조사한 후 영점의 변화로 나타냈다. 장시간의 안정성 3개월에 걸쳐 측정되었으며 이때 검사기의 측정값을 온도-기압에 대한 보정을 한 후 그 값을 비교하였다. 선형성은 전리계에 연결된 전리함을 n번 연속하여 조사하여 그 전체의 측정값과 초기값을 n번 곱한 값을 비교하였다. 외부조건의 영향은 인위적으로 외부온도를 17-34 $^{\circ}C$ 로 변화시켜서 환경변화에 의한 전리계의 영점이동으로 나타냈다. 인가전압의 측정에서 명목상의 인가전압 300, 500V에 대한 측정값은 각각 2.5%와 5.8% 작게 나타났다. 전원을 연결한 후 전리계가 실제로 평형에 도달하는 시간은 20분으로 이는 전리계의 안정성 표시기보다 9분 지연되었으며 인가전압을 바꾼 경우에는 1분 이내에 평형에 도달하였다. 전리계의 누설의 측정에서 영점의 이동은 0.002(스케일)/15분이었고 10분 조사 후 영점의 이동은 발견되지 않았다. 전리계는 3개월 동안 99.4%의 안정성을 유지하였다. 스케일 영역 0.000-9.991 에서 전리계의 선형성에서의 이탈은 0.9% 이었다. 온도 범위 17 - 34 $^{\circ}C$ 에서 전리계의 영점이동은 0.2% 이내였다. 본 연구에서는 임상에서 사용하고 있는 전리계에 대한 성능을 평가하는 항목을 제시하고 이를 전리계의 정도관리에 이용하도록 하였다. 이러한 프로그램의 운용을 통하여 전리계에 의한 오차를 줄임으로써 방사선측정에서의 정확도와 정밀도를 향상시킬 수 있을 것으로 사료된다.

• 대한한방내과학회지
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• 제31권4호
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• pp.792-812
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• 2010

In the 18th century, Xu Lingtai (徐靈胎) and Yoshimasu Todo (吉益東洞) were famous doctors advocating ancient medicine, though they lived in different countries, China and Japan. We compared their major books, analyzed their academic thoughts and then took conclusions as below. 1. The first, for instance "Classified Prescriptions of Treatise on Cold Damage Diseases, 傷寒論類方" and "Classified Assemblage of Prescriptions, 類聚方". Based on essential thought that a prescription and a syndrome should correspond, these books arranged and classified the Zhang Zhongjing (張仲景)'s texts."Classified Prescriptions of Treatise on Cold Damage Diseases", based on the thought that principles, methods, formulas and medicinals (理法方藥) were integrated in prescriptions, tried to find out the implicit treatment rules in prescriptions and syndromes through analyzing "Treatise on Cold Damage Diseases, 傷寒論". On the other hand, because Classified Assemblage of Prescriptions focused on the syndromes of ancient prescriptions (古方), it classified and collected the related texts of Treatise on Cold Damage Diseases and "Synopsis of Prescriptions of the Golden Chamber, 금궤요략", and then suggested only simple instructions on how to prescribe medicine. So in this book, the trend of experience was clear. 2. The second, there is "100 Kinds Records from Shennong's Classic of Materia Medica, 神農本草經百種錄" and "Description work of herbal pharmacology comprised of excerpts from Shanhanlun and medical experiences, 藥徵". Though both of these books are professional oriental pharmacology publications that advocate reactionism, there were remarkable differences in writing style between them. "Description work of herbal pharmacology comprised of excerpts from Shanhanlun and medical experiences" was based on "Treat on Cold Damage Diseases" and "Synopsis of Prescriptions of the Golden Chamber", just explained the effects of medications and discussed 'matter of course (所當然)', but not discussed 'the reason why (所以然)'. In explaining style of syndromes, it confirmed through research, and emphasized the inductive method. On the other hand, "100 Kinds Records from Shennong's Classic of Materia Medica based on "Shennong's Classic of Materia Medica, 神農本草經", explained the nature of medications and discussed 'the reason why (所以然)'. In explaining style of syndromes, it annotated and explained, and emphasized the process of reasoning. 3. The third, there is "Discuss the Headwaters of Medicine, 醫學源流論" and Severance of Medical evils, 醫斷". Aiming the then medical theories fallen in confused state, these books brought order out of chaos, clarified the categories of medical research, and emphasized the scientific method that could put theories into practice and verify them. The difference is that "Severance of Medical Evils" researched only macroscopic viewable clinical phenomena, and even denied the existence of names of diseases and etiological causes. Thus, it emphasized the accumulation of experiences, laid emphasis on "watching and realizing (目認)", and "understand and taking in (解悟)". Discuss the Headwaters of Medicine extremely emphasized the research of 'something not occuring (未然)', that is to say, induced notions of a disease from observing clinical phenomena, furthermore based on these, predicted the 'something not occuring (未然)' and emphasized researching 'the reason why (所以然)'. As regards how they deal with the traditional theories and post-Zhang Zhongjing's medicines, "Severance of Medical evils" took completely denying attitudes. In case of "Discuss the Headwaters of Medicine", it could be used reasonably through specific situation and detailed analysis. Collectively speaking, there were some differences between medical theories of Xu Lingtai and Yoshimasu Todo. Actually, these differences were whether he tried to research the essence of disease, whether he tried to consider it rationally, and how he treated various opinions occurring in the theories of traditional medicine and clinical experience.

• 대한치과마취과학회지
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• 제12권1호
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• pp.45-50
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• 2012

The Fontan operation is a heart operation used to treat complex congenital heart defects like tricuspid atresia, hypoplastic left heart syndrome, pulmonary atresia and single ventricle. A single ventricle is dedicated to pumping oxygenated blood to the systemic circulation and the entire systemic venous return reaches the pulmonary arterial system without the direct influence of a pumping chamber. In the patient with Fontan operation, it is important to achieve adequate pulmonary blood flow and cardiac output in anesthetic management. In this case, a 10-year-old boy (19.6 kg, 114 cm) with cleft palate, cerebral palsy and severe mental retardation, who underwent a Fontan operation when he was 4 years old, was presented for deep sedation. Because he was suffering from eating disorder with cleft palate, the orthodontist and the plastic surgeon planned to insert intraoral orthodontic device before cleft palate repair. But it was impossible to open his mouth for alginate impression procedure. After careful pre-anesthesia evaluation we planned to administer deep sedation with propofol infusion. After Intravenous catheter insertion, we started propofol intravenous infusion with the formula of a loading dose of 1.0 mg/kg followed by an infusion rate of 6.0 mg/kg/hr with syringe pump. His blood pressure was remained around 80/40 mmHg after loss of consciousness, but he could not maintain his airway patent. So we lowered the infusion rate to 3.0 mg/kg/hr, immediately. The oxygen saturation was maintained above 95% with nasal oxygen supply, and blood pressure was maintained around 100-80/60-40 mmHg. After the sedation of 110 minutes with propofol (the infusion rate to 3.0-5.0 mg/kg/hr), he fully regained consciousness, and was discharged without complication after 1 hour observation. In case of post-Fontan patient, intravenous deep sedation with propofol was safe and effective method of behavioral management during dental treatment.

• 한국임상수의학회지
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• 제35권4호
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• pp.126-129
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• 2018

This study was performed to describe the outcome of pars plana retinopexy with perfluoro-n-octane (PFO)-silicone oil (SiO) exchange in dogs with rhegmatogenous retinal detachment in Seoul National University Veterinary Medical Teaching Hospital (SNU VMTH) from 2014 to 2017. Nine eyes of 8 dogs were included in this study. Medical records including signalment, history, duration from onset of blindness to surgical intervention, pre-operative findings, duration from surgery to regaining vision, and post-operative complications were evaluated. No eyes were visual before surgery. Duration from onset of blindness to surgical intervention was 2-30 days (median 8 days); duration from surgery to regain vision was 1-14 days (median 6 days); follow-up time was 15-1088 days (median 69 days). Post-operative complications were divided as temporary vs permanent conditions. Temporary complications were corneal ulcer, uveitis, retinal haemorrhage, glaucoma, subconjunctival leakage of SiO, and vitreal haemorrhage. Permanent complications were anterior chamber migration of SiO, retinal degeneration, corneal degeneration, re-detachment, and cataract. Six of 9 eyes regained functional vision, five of which remained visual throughout the follow-up time while the other one lost vision after 3 months because of uveitic glaucoma. In conclusion, pars plana retinopexy with PFO-SiO exchange provided fair outcome in 66.7% cases described in this study.