• Journal of Dental Anesthesia and Pain Medicine
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• 제22권6호
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• pp.395-404
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• 2022

Hydroxyzine is one of the most popular oral sedatives used in pediatric dentistry. This study aimed to investigate the safety and possible side effects of sedation using hydroxyzine in pediatric dentistry. "Hydroxyzine," "Dental sedation," "Child," and "Safety" and their associated synonyms were searched using the Cochrane Library, Embase, PubMed, KISS, KMBASE, and KoreaMed databases. Academic information and portals of DBpia and RISS were also perused. Altogether, 340 papers were found, among which a total of 24 papers were selected according to the detailed criteria. Nine studies used hydroxyzine as monotherapy, and 10 studies compared its safety when hydroxyzine used as multitherapy. In addition, seven studies employed a drug regimen wherein hydroxyzine was one of the components. All these studies revealed that the adverse events specific to hydroxyzine usage were drowsiness and dryness of the mouth, and that there were respiratory complications due to a synergistic reaction of hydroxyzine. Although classified as a histamine blocker, hydroxyzine with its sedative, antiemetic, anticonvulsant, and anticholinergic properties is an oral sedative available without serious adverse events, If the proper dosage of the drug is used and its synergistic effects with other drugs are ascertained in the route of administration.

• 대한임상독성학회지
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• 제20권1호
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• pp.22-24
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• 2022

Elapid snakes have neurotoxic venom which causes diverse neuroparalytic manifestations, including fatal respiratory failure. In South Korea, since elapid snakebites are very rare, the cobra antivenom, which is effective against neurotoxicity, was only introduced recently. Most physicians in South Korea have little experience in the treatment of patients who have been bitten by elapid snakes. A 19-year-old man was brought to the emergency department with sudden diplopia, 1 hour after a snakebite on the left 2nd finger. The patient presented with drowsiness and complained of mild dizziness and binocular diplopia. After 1 hour, he had sudden onset of dyspnea and dysphagia and appeared to be agitated. He was immediately intubated and received mechanical ventilation as he was unable to breathe on his own. A total of 2.5 mg of neostigmine diluted with normal saline was slowly infused, and 1 vial of cobra antivenom was infused for an hour, 5 times every 2 hours, for a total of 5 vials. He slowly recovered self-breathing; on the 3rd day of hospitalization, he showed tolerable breathing and was extubated. He was discharged without any neurological deficits or other complications.

• 대한중풍순환신경학회지
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• 제15권1호
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• pp.29-38
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• 2014

■ Objectives The purpose of this study was to investigate the correlation of The Korean Standard Pattern Identification for Stroke and Intima-Media Thickness of common carotid artery(CCA-IMT). ■ Methods 100 subjects with acute ischemic stroke were recruited from the patients admitted to DongEui Medical Center from the June 2011 to January 2014. We assessed 100 patient's Common Carotid Intima Media Thickness data by B Mode ultrasonography. We investigated pattern identification of all subjects based on Korean Standard Pattern Identification for Stroke-III. then, We analyzed their characteristics, risk factor, blood test result, life style. ■ Results We analyzed indicators of Korean Standard Pattern Identification for Stroke-III by Common Carotid Intima Media Thickness difference. As a result, pale complexion, look powerless, drowsiness like to lie, heat vexation and aversion to heat were significantly higher in the CCAIMT ≧ 1.0mm group then in the CCA-IMT < 1.0mm group. ■ Conclusion According to the analysis, the Relationship between Carotid Intima-Media Thickness and The Korean Standard Pattern Identification for Stroke in Ischemic Stroke Patients were founded. To acquire more concrete conclusion on this theme, we need more research.

• 전자통신동향분석
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• 제38권6호
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• pp.31-40
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• 2023

Given recent accidents involving autonomous vehicles, driver monitoring technology related to the transition of control in autonomous vehicles is gaining prominence. Driver status monitoring systems recognize the driver's level of alertness and identify possible impairments in the driving ability owing to conditions including drowsiness and distraction. In autonomous vehicles, predictive factors for the transition to manual driving should also be included. During traditional human driving, monitoring the driver's status is relatively straightforward owing to the consistency of crucial cues, such as the driver's location, head orientation, gaze direction, and hand placement. However, monitoring becomes more challenging during autonomous driving because of the absence of direct manual control and the driver's engagement in other activities, which may obscure the accurate assessment of the driver's readiness to intervene. Hence, safety-ensuring technology must be balanced with user experience in autonomous driving. We explore relevant global and domestic regulations, the new car assessment program, and related standards to extract requirements for driver status monitoring. This kind of monitoring can both enhance the autonomous driving performance and contribute to the overall safety of autonomous vehicles on the road.

• 한국인터넷방송통신학회논문지
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• 제9권5호
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• pp.213-224
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• 2009

현재 교통사고의 원인은 차량 결함보다 운전자의 과실에 의한 것이 더 높은 사고 원인으로 나타나고 있다. 이를 해결하기 위하여 운전자의 신체적 상태를 관찰, 분석하여 현재 상태를 추정 및 경고해 줄 수 있는 시스템이 필요하다. 이러한 운전자 상태 추정 시스템을 개발하기 위하여, 본 논문에서는 실시간 비전 시스템을 사용하여 운전자 두 눈동자의 중심점과 크기, 입의 양 끝 모서리 점을 추적하여 얻어진 정보들을 기본적으로 이용한다. 움직임의 추적을 위해 얼굴인식이 필요하며, 인식은 YUV 컬러 공간에서 눈과 입, 얼굴의 색상 정보를 통계학적 방법에 기초하여 설계하고, 얼굴의 기하학적 모델에 의해 이루어진다. 이 시스템을 이용함으로써 운전자의 움직임에 의한 모든 회전 방향을 구분하고, 눈과 입이 차단되는 현상을 차단 모델에 의해 검출할 수 있다. 또한 눈이 감기거나 떠진 상태를 검출하여, 눈의 3차원 시선을 복원한다. 부주의한 운전과 졸음운전을 각각 정의하고 눈동자의 크기 변화 등에 의해 구분하며, 내장형 PC를 기반으로 카메라 시스템, 영상 데이터 처리 장치 및 상태 추정 알고리즘을 구현한 실험 시스템을 구현하여 제안된 신체 상태 추정 방법의 타당성과 성능을 검토한다.

• 대한인간공학회지
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• 제36권5호
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• pp.579-587
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• 2017

Objective: The purpose of this study is to measure the workload of Korea coastal ship crew members, to investigate whether they are following work-break time regulations and to identify the main causes of their workload. Background: According to the US Coast Guard, about 33% of human casualties are reported to be due to fatigue, and 30% of marine casualties reported by the British Marine Accident Investigation Agency (MAIB) are attributed to crew fatigue. But the coastal ship are not managed for business hours and breaks despite the harsh environment. Method: The workload of duty crew members on the 100 domestic coastal vessels was measured. It was also investigated whether they are following domestic and international work-break time regulations. Finally, the marine accidents resulted from the fatigue of the crew was analyzed. Results: As a result of workload analysis, the workload on the 42~62% of the vessels exceeded the standard of working time on the related regulation. The workload increased with the number of inbound and outbound ports. Especially, in the system where there are two seafarers, the workload exceeded the working time requirement. As a result of the marine accidents analysis on 100 vessels, it was found that collision and grounding occurred due to fatigue, workload and drowsiness in 7 marine accidents out of 30 marine accidents. Conclusion: It is necessary for the shipping companies to introduce an operation management manual for the management of the crews' workload and reasonable crew arrangement. It is also required for crew members to easily record work times and for shipping companies to manage the record. It would be possible to prevent many marine accidents by providing adequate rest to the crews and flexibly adjusting their working hours. Application: The results of this study can be used as fundamental data to manage crews' fatigue and to make job management manuals.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제23권5호
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• pp.428-434
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• 2001

Few topics in operative and perioperative patient management generate more controversy than that of appropriate fluid and electrolyte therapy. especially, controversy has swirled around colloid vs crystalloid therapy and the composition of administered fluids, agreement among clinicians as to what fluid therapy is appropriate, and in what amount, is rare. This controversy likely will be enhanced by Arieff' s provocative article. He described 11 adults and 2 pediatric patients. All developed fatal postoperative pulmonary edema, seemingly caused solely by excessive postoperative fluid administration. From January 1999 to December 1999, we investigated 24 patients, which were operated by orthognathic surgery, about the intraoperative fluid therapy and the associated effect in orthognathic surgery, which is regarded as one of the major surgery of oral and maxillofacial surgery. First, They were devided into two groups, that is one-jaw surgery and two-jaw surgery, and each groups were devided by intraoperative fluid volume of 8ml/kg/hr. Subjective assesment was collected through use of a series of 3 questionnaries. In each questionnaire, a 5-point Liekert scale was used far assessment of following parameters of recovery from anesthesia: headache, dizziness, drowsiness, nausea/vomiting, thirst. The patient completed questionnaire 1 at 4 hour after surgery, questionnaire 2 was completed at 24 hours after surgery, and questionnaire 3 was completed at 48 hours after surgery. This study demonstrated that appropriated perioperative rehydration decreases postoperative adverse outcomes and improved the patient's perception of the postoperative period.

• 한국자동차공학회논문집
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• 제20권6호
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• pp.39-45
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• 2012

More than 80 percent of traffic accidents related with lane departure believed to be the result of crossing the lane due to either negligence or drowsiness of the driver. Lane-departure related accident in the highway usually involve high fatality. Even though LDWS is believed to prevent accident 25% and reduce fatalities by 15% respectively, its effectiveness in performance is yet to be confirmed in many aspects. In this study, the vehicle lateral locations relative to warning zone envelop (earliest and latest warning zone) defined in ISO standard, ECE and NHTSA regulations are compared with respect to various factors including delays, vehicle speed and vehicle heading angle with respect to the lane. Since LDWS is designed to be activated at the speed over 60 km/h, vehicle speed range for the study is set to be from 60 to 100 km/h. The vehicle heading angle (yaw angle) is set to be up to 5 degree away from the lane (abrupt lane change) considering standard for lane change test using double lane-change test specification. The TLC is calculated using factors like vehicle speed, yaw angle and reaction time. In addition, the effect of vehicle type has been considered to assess LDWS safety.

• Journal of Acupuncture Research
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• 제28권4호
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• pp.65-76
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• 2011

Objectives : The aim of this study is to survey adverse events of acupuncture in the course of peripheral facial palsy treatments. Methods : The prospective observational study included patients hospitalized to receive acupuncture treatments for peripheral facial palsy. All patients were surveyed daily for adverse events associated with the acupuncture treatments applied the day before. Results : A total of 50 patients received $37.68{\pm}20.37$ acupuncture treatments in average. 36 patients reported experiencing at least one adverse event. Total 163 adverse events were reported. Common adverse events were bleeding(62), bruise(33), pain(30), tiredness(11), hematoma(7). The others were paresthesia(4), erythema(3), delay of removing needles(2), edema(2), aggravation of symptoms(2), declining of appetite(2), pruritus(1), drowsiness(1), anxiety(1), sweating(1), headache(1). Conclusions : Acupuncture has adverse events, like any therapeutic approaches. However, it is a relatively safe treatment. In future study, organized large scale prospective survey should be carried out to fully prove that acupuncture is safe.

• 한국항행학회논문지
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• 제18권2호
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• pp.128-133
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• 2014

본 논문은 TLC(telephone line controller)를 기반으로 한 BNWAS(bridge navigational watch alarm system) 연구이다. BNWAS의 기능과 동작은 국제 표준을 통해 제안되었으나, 현재 배에 탑재되어 있는 BNWAS는 모니터링하는 것에 많은 어려움을 가지고 있다. NMEA(national marine electronic association)-0183, NMEA-2000과 같은 BNWAS내의 장비에서 생성되는 여러 데이터가 있다. 비록 이러한 데이터가 배의 항해에 주로 사용되어지나, 센서를 통한 BNWAS 장비를 제어한다면 그 유용성은 더욱 증가할 것이다. 본 시스템의 취지는 선교의 항해 중 항해 당직자의 졸음 등으로 인한 해양사고를 예방하기 위한 것이다. 야간 항해 시 항해 당직자는 선교 내의 여러 장비를 통해 인근 선교의 여러 항행정보를 수집하고 지속적인 감시를 통하여 선박의 안전항해 여부를 결정하게 된다.