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The Recent Trends of Clinical Research on General Anxiety Disorder in Chinese Herbal Medicine (범불안장애의 중의학 약물 임상시험 최신 동향)

  • No, Dong-Jin;Lee, Sang-Ryong;Jung, In-Chul
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.4
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    • pp.79-89
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    • 2009
  • Objectives : To address suitable method for designing clinical trial intervening Traditional Korean Herbal Medicine on General anxiety disorder through the recent clinical research in Chinese Herbal Medicine. Methods : Randomized, controlled trials(RCTs) of treatment of general anxiety disorder intervening herbal medicine were searched through CNKI databases. We examined several item of studies and evaluated using Jadad scale. We searched articles in CNKI with the key word "General anxiety disorder or 廣範性焦慮症", among them we selected the clinical trial studies related with herbal medicine except for case reports, studies of acupuncture therapy or west medicines. Results : 11 RCT studies of herbal medicine met inclusion criteria. The Studies used CCMD-3, HAMA as inclusion tool and mainly HAMA as a evaluation tool. Studies were progressed for 2-8 weeks, mostly used various positive control. Experiment medicine were mainly 理氣劑, 安神劑. In most studies, experiment group made similar or higher efficacy in comparison with control group. Mean Jadad score of studies was $1.3{\pm}0.67$, and only one study was double-blinded among 11 studies. Conclusions : RCT studies on general anxiety disorder of chinese herbal medicine tend to focus on investigating effect of herbal medicine through setting positive control group with CCMD-3 and HAMA. But, most studies had low quality of trial, for lack of pattern identification, evaluation and inclusion tool of chinese medicine. Clinical trials of general anxiety disorder should provide good quality by randomization, double-blinding, and multi-site trial.

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Size-based Characteristics of Airborne Bacteria and Fungi Distributed in the General Hospital (종합병원의 실내공기에 분포하는 부유 세균과 진균의 입경별 종류와 특성)

  • Kim, Ki-Yeon;Lee, Chang-Rae;Kim, Chi-Nyon;Won, Jong Uk;No, Jaehoon
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.16 no.2
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    • pp.101-109
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    • 2006
  • The objective of this study is to provide fundamental data for pertinent management of indoor air quality through investigating the size-based characteristics of bioaerosol distributed in the general hospital. Measurement sites are main lobby, ICU, ward and laboratory and total five times were sampled with six-stage cascade impactor. Based on the result of this study, concentrations of airborne bacteria and fungi were the highest in main lobby as followed by an order of ward, ICU and laboratory. Concentrations of airborne bacteria was generally higher than those of airborne fungi and the ratio of indoor and outdoor concentration of both exceeded 1.0 in all the measurement sites of the general hospital. The predominant genera of airborne bacteria identified in the general hospital were Staphylococcus spp.(50%), Micrococcus spp.(15-20%), Corynebacterium spp.(5-20%), and Bacillus spp.(5-15%). On the other hand, the predominant genera of airborne fungi identified in the general hospital were Cladosporium spp.(30%), Penicillium spp.(20-25%), Aspergillus spp.(15-20%), and Alternaria spp.(10-20%). In regard to size distribution of bioaerosol, the detection rate was generally highest on 5 stage($1.1-2.1{\mu}m$) for airborne bacteria and on 1 stage(>$7.0{\mu}m$) for airborne fungi. Cleanliness of facilities in the general hospital and condition of HVAC system should be monitored regularly to prevent indoor air contamination by airborne microorganisms.

Dexmedetomidine inhibits vasoconstriction via activation of endothelial nitric oxide synthase

  • Nong, Lidan;Ma, Jue;Zhang, Guangyan;Deng, Chunyu;Mao, Songsong;Li, Haifeng;Cui, Jianxiu
    • The Korean Journal of Physiology and Pharmacology
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    • v.20 no.5
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    • pp.441-447
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    • 2016
  • Despite the complex vascular effects of dexmedetomidine (DEX), its actions on human pulmonary resistance arteries remain unknown. The present study tested the hypothesis that DEX inhibits vascular tension in human pulmonary arteries through the endothelial nitric oxide synthase (eNOS) mediated production of nitric oxide (NO). Pulmonary artery segments were obtained from 62 patients who underwent lung resection. The direct effects of DEX on human pulmonary artery tension and changes in vascular tension were determined by isometric force measurements recorded on a myograph. Arterial contractions caused by increasing concentrations of serotonin with DEX in the presence or absence of L-NAME (endothelial nitric oxide synthase inhibitor), yohimbine (${\alpha}_2$-adrenoceptor antagonist) and indomethacin (cyclooxygenase inhibitor) as antagonists were also measured. DEX had no effect on endothelium-intact pulmonary arteries, whereas at concentrations of $10^{-8}{\sim}10^{-6}mol/L$, it elicited contractions in endothelium-denuded pulmonary arteries. DEX (0.3, 1, or $3{\times}10^{-9}mmol/L$) inhibited serotonin-induced contraction in arteries with intact endothelium in a dose-dependent manner. L-NAME and yohimbine abolished DEX-induced inhibition, whereas indomethacin had no effect. No inhibitory effect was observed in endothelium-denuded pulmonary arteries. DEX-induced inhibition of vasoconstriction in human pulmonary arteries is mediated by NO production induced by the activation of endothelial ${\alpha}_2$-adrenoceptor and nitric oxide synthase.

A Survey of Dental Treatment under General Anesthesia in Division of Pediatric Dentistry, Ajou University Hospital (아주대학교병원 소아치과에서 시행된 전신마취 하 치과치료에 관한 실태조사)

  • Choi, Soo-Yeon;Kong, Eun-Kyung;Baek, Kwang-Woo
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.14 no.4
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    • pp.205-211
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    • 2014
  • Background: General anesthesia is a necessary method for successful dental treatment for children, compromised patients and the disabled who have difficulty in cooperation. The aim of this study was to assess dental treatment under general anesthesia at the department of pediatric dentistry, Ajou university hospital on children and the disabled. Methods: 217 general anesthesia from June 2010 to June 2014 were assessed for this study. Patient's distribution, treatment pattern, reasons for general anesthesia, distribution of combined operation, duration of anesthesia, treatment, frequency of general anesthesia and agents for general anesthesia were examined. Results: The proportion of male, the disabled were higher and above 19 years age group was the highest. Combined operation with otolaryngology was highest. Main reasons for general anesthesia were mental retardation for the disabled and uncooperative behavior for the non-disabled. Percentage of restorative treatment was the highest. Average anesthesia duration was 186 minutes and average treatment time was 143 minutes. Most of the airway was maintained by nasotracheal intubation and induction was done by sevoflurane. Conclusions: General anesthesia for dental treatment has been increasing for children, the disabled who have a difficulty of cooperation. The demand for dental treatment under general anesthesia is expected to continuously increase. Therefore, continuous research and studies should be done to establish efficiency and safety of general anesthesia and provide an enhanced environment for treatment.

Application of Human Papillomavirus in Screening for Cervical Cancer and Precancerous Lesions

  • Wang, Jin-Liang;Yang, Yi-Zhuo;Dong, Wei-Wei;Sun, Jing;Tao, Hai-Tao;Li, Rui-Xin;Hu, Yi
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.5
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    • pp.2979-2982
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    • 2013
  • Cervical cancer is a commonly-encountered malignant tumor in women. Cervical screening is particularly important due to early symptoms being deficient in specificity. The main purpose of the study is to assess the application value of cervical thinprep cytologic test (TCT) and human papillomavirus (HPV) detection in screening for cervical cancer and precancerous lesions. In the study, cervical TCT and HPV detection were simultaneously performed on 12,500 patients selected in a gynecological clinic. Three hundred patients with positive results demonstrated by cervical TCT and/or HPV detection underwent cervical tissue biopsy under colposcopy, and pathological results were considered as the gold standard. The results revealed that 200 out of 12,500 patients were abnormal by TCT, in which 30 cases pertained to equivocal atypical squamous cells (ASCUS), 80 cases to low squamous intraepithelial lesion (LSIL), 70 cases to high squamous intraepithelial lesion (HSIL) and 20 cases to squamous cell carcinoma (SCC). With increasing pathological grade of cervical biopsy, however, TCT positive rates did not rise. Two hundred and eighty out of 12,500 patients were detected as positive for HPV infection, in which 50 cases were chronic cervicitis and squamous metaplasia, 70 cases cervical intraepithelial neoplasia (CIN) I, 60 cases CIN II, 70 cases CIN III and 30 cases invasive cervical carcinoma. Two hundred and thirty patients with high-risk HPV infection were detected. With increase in pathological grade, the positive rate of high-risk HPV also rose. The detection rates of HPV detection to CIN III and invasive cervical carcinoma as well as the total detection rate of lesions were significantly higher than that of TCT. Hence, HPV detection is a better method for screening of cervical cancer at present.

A Study on Characteristics of User-Focused Interior Design in Common Space Composition of Contemporary General Hospitals - Focused on Overseas Case - (현대 종합병원 공용공간구성의 사용자중심적 실내디자인 특성 연구 - 해외사례를 중심으로 -)

  • Kim, Jeong-Ah
    • Korean Institute of Interior Design Journal
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    • v.23 no.5
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    • pp.174-182
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    • 2014
  • As patients prefer large scale hospitals recently, the interior design of general hospitals are conspicuously improving. In the past, most patients visit hospitals to get treatment on diseases; however, recently patients visiting hospitals for the early prevention of disease is rapidly increasing. Accordingly, contemporary hospitals should meet the wish of patients who want to get medical service in more clean and comfortable environment. The existing studies on hospital interior design were mostly limited on analyzing the functionality of each space; however, studies on the interior design of common use space, which is open to all hospital users, are required now. Accordingly, this study classified the common use space in contemporary general hospitals into lobby space, corridor space, waiting space and resting space. The interior design characteristics of each space were classified into; connectivity with external environment, level change by void, introduction of natural elements, dynamics of space and variety of color. Then a case analysis was done by selecting 12 common use spaces in overseas general hospitals. According to the analysis result, the interior design characteristics were more conspicuous in the sequence of corridor space, lobby space, resting space and waiting space. The interior design elements such as overall space arrangement and material-finishing were relatively acceptable; however, the aspect of a user's environmental behavior, in other words, the psychological aspect, which can lead a patient to natural healing, was relatively insufficient. It is believed that an in-depth interior design focusing on practical users would enable various spatial behaviors. It is hoped that this study would be a help to the interior design of domestic general hospitals as a guideline.

Analysis of cavity expansion based on general strength criterion and energy theory

  • Chao Li;Meng-meng Lu;Bin Zhu;Chao Liu;Guo-Yao Li;Pin-Qiang Mo
    • Geomechanics and Engineering
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    • v.37 no.1
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    • pp.9-19
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    • 2024
  • This study presents an energy analysis for large-strain cavity expansion problem based on the general strength criterion and energy theory. This study focuses on the energy dissipation problem during the cavity expansion process, dividing the soil mass around the cavity into an elastic region and a plastic region. Assuming compliance with the small deformation theory in the elastic region and the large deformation theory in the plastic region, combined with the general strength criterion of soil mass and energy theory, the energy dissipation solution for cavity expansion problem is derived. Firstly, from an energy perspective, the process of cavity expansion in soil mass is described as an energy conversion process. The energy dissipation mechanism is introduced into the traditional analysis of cavity expansion, and a general analytical solution for cavity expansion related to energy is derived. Subsequently, based on this general analytical solution of cavity expansion, the influence of different strength criterion, large-strain, expansion radius, cavity shape and characteristics of soil mass on the stress distribution, displacement field and energy evolution around the cavity is studied. Finally, the effectiveness and reliability of theoretical solution is verified by comparing the results of typical pressure-expansion curves with existing literature algorithms. The results indicate that different strength criterion have a relatively small impact on the displacement and strain field around the cavity, but a significant impact on the stress distribution and energy evolution around the cavity.

Preventive Replacement Policy with the Number of General Repairs (일반수리회수에 의한 장비 교환 정책)

  • 김용필;윤덕금
    • Journal of Korean Society for Quality Management
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    • v.28 no.3
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    • pp.11-17
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    • 2000
  • This paper presents a model for determining the optimal number of general repairs and supplementary input cost limit rate in addition to minimal repair cost rate to implement preventive maintenance. The basic concept parallels the periodic replacement model with minimal repair at failure introduced by Barlow and Hunter(1960) and Park(1979), only difference being the replacement signalled by the number of previous general repairs performed on the system. A general repair brings the state of the system to a certain better state than before repaired. Numerical examples are provided.

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