• Journal of Dental Anesthesia and Pain Medicine
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• 제23권6호
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• pp.303-315
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• 2023

Painless treatment determines the quality of pediatric dental care. Although local anesthesia has been used to manage pain in dentistry, children often cite traditional aspirating syringes as a symbol of fear and pain. Adequate pain control during dental procedures may help alleviate fear and anxiety and instill positive oral health attitudes in children. Newer approaches such as intranasal spray, centbucridine, jet injectors, buzzy devices, and acupressure have been developed to help dentists provide near-painless injections while reducing dental anxiety. This review aims to summarize newer approaches to alleviate pain and anxiety in children.

• Restorative Dentistry and Endodontics
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• 제31권4호
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• pp.257-262
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• 2006

에피네프린을 함유한 국소마취제가 치수혈류량에 미치는 영향을 관찰하고, 이 국소마취가 와동 형성에 의해 야기되는 치수의 혈류변화에 미치는 영향을 평가하고자 전신마취 된 아홉 마리의 고양이 견치에서 1 : 100.000 에피네프린이 함유된 2% 리도카인 용액으로의 국소 침윤마취 전후 및 와동형성 전후의 치수혈류를 laser Doppler flowmetry (Periflux 4001, Perimed Co.. Sweden)를 사용하여 측정하고 paired t-test 로 통계 분석하였다 . 상아질 와동의 형성은 치수혈류의 현저한 증가를 초래하였다 (p < 0.05). 에피네프린을 함유한 리도카인의 침윤마취는 치수혈류를 유의하게 감소시켰다 (p < 0.05). 국소마취 한 치아에서는 마취되지 않은 치아에 비해 와동형성 시 유의하게 적은 치수혈류의 증가를 나타내었다 (p < 0.05). 따라서 본 연구에서는 혈관수축제를 포함한 국소마취가 와동 형성에 의해 초래되는 혈류량의 증가를 효과적으로 억제할 수 있음을 보여주고 있다.

• 대한소아치과학회지
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• 제48권1호
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• pp.95-104
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• 2021

이번 연구의 목표는 virtual reality 주의분산이 국소마취 시 소아의 통증과 두려움에 미치는 영향을 평가하는 것이다. 주의분산을 사용하지 않은 대조군, 천장 모니터를 이용해 TV를 시청한 군, virtual reality 기기를 이용한 군으로 나누어 국소마취를 시행하였다. 환자의 통증과 두려움을 평가하기 위해 국소마취 전과 국소마취 시점에 심박수와 산소포화도가 각각 측정되었으며 국소마취 후에 Wong-Baker Faces Pain Rating Scale이 기록되었다. 대조군과 TV를 시청한 군에 비해 virtual reality를 이용한 군은 심박수 변화량과 Wong-Bakers Faces Pain Rating Scale이 유의하게 낮았다(p < 0.05). 연령군별 비교에서는 5 - 7세 어린이에서, Frankl 행동평가척도별 비교에서는 3등급의 어린이에서 virtual reality를 사용한 군과 대조군 사이에 가장 큰 심박수 변화량과 Wong-Bakers Faces Pain Rating Scale의 차이를 나타냈다. 소아 환자의 국소마취 시 virtual reality 장치가 통증과 두려움의 완화에 효과적임을 확인하였으며 효과적인 주의분산 매체로 사용될 수 있을 것으로 사료된다.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2000년도 추계학술대회 논문집
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• pp.659-665
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• 2000

EMU Traction Control System has been largely relied on foreign technology until now. In this time, this system is developed by own local technology according to national technology development policy during 3 years. In this paper, the new developed Traction Control System of EMU and its testing results are introduced. The Traction Control System is consisted latest IGBT switching elements and its traction control algorithm is realized by the state-of-the-art technology, vector control. The system is fully tested in various conditions and the quality is well verified in those tests.

• 수산경영론집
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• 제22권2호
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• pp.101-148
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• 1991

The fisheries cooperative (FC) performs the economic and nonprofitable activity to get the fundamental objective of enhancing cooperative members' economic and social position. The internal control system fitted for a local FC should be required for not only solving the resulting problem from the complexity of FC environment nowaday but also delegating authorities and performance from FC Federation to a local FC by implementing the local autonomy. The methodology of this study is to empirically test and to analyze the condition of FC internal control system (FCICS) by the questionnaire survey. The actual condition of FCICS in Korea is analyzed by the questionnaire and the detailed contents are as follows : (1) sending 208 questionnaire consisting of 162 questions, and receiving 92 replies from 39 manufactures (business firms) and 15 banks in Gyungnam and Pusan area and 25 FC and 13 agricultural cooperative (AC) in Korea, (2) the analyzed results of FC and AC are treated simultaneously. In the fundamentals of above analyzed results, the evaluation model of FCICS is tried to construct from the relationship between the financial condition of FC and the internal control elements through the stepwise regression method. (1) By the stepwise regression method, the number of FC officials $(X_1)$, the experimental number of regular auditing $(X_7)$, and auditing duty years $(X_8)$ are finally accepted as independent variables, (2) and the final model becomes $Y=-1.53526+0.34455X_1+0.24513X_7+0.16585X_8$/ and this model explains to the extent of 47.826%. From the above study, following proposals are to be suggested: (1) The function and problem of internal control in FCICS is able to be improved by enforcing the function of FCICS and enriching the management's recognition of FCICS (2) The cooperative president can bring up good FC by the rational operation of FCICS according to the size and the performance pattern of FC, adding up to enhance members' economic and social position.

• 지역사회간호학회지
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• 제14권3호
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• pp.407-414
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• 2003

Purpose: The purpose of this study was to discern the effects of music therapy on the patients' level of anxiety and operative satisfaction during cataract surgery under local anesthesia. Method: The subjects for this study were fifty patients. Half of the subjects were categorized as an experimental group and the other half as a control group. All of the subjects were admitted to one hospital in Seoul for cataract surgery. This study was conducted from September 7 to October 2, 2002. The level of anxiety determined by self-reporting anxiety, pulse rate, systolic blood pressure, and diastolic blood pressure, was measured before and after the music therapy. The satisfaction degree was measured after the surgery. The tools for this study were Spilberger's state anxiety inventory and Patient Care Management System. Each patient in the experimental group chose the music used in his/her surgery and it was played through an audio system in the operating room. The data analysis was performed using the SAS/pc+(version 8.0). Results: 1. The anxiety of the experimental group decreased significantly compared to the control group. 2. The pulse rate of the experimental group decreased more than the control group. 3. The blood pressure of the experimental group decreased more than the control group. 4. The operative satisfaction of the experimental group was higher than the control group. Conclusion: According to the previous results, music therapy turned out to be a very efficient way to increase the satisfaction of a cataract patient after surgery by reducing the anxiety and the pulse rate of the patient during an operation with local anesthesia.

• 한국정보처리학회논문지
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• 제1권2호
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• pp.172-183
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• 1994

멀티 데이타베이스 시스템에서 가장 중요한 사항은 지역 자치성의 보장과 전역적 일관성을 유지하는 것이다. 전역적 일관성은 전역 동시성 제어 알고리즘과 회복 알고 리즘에 의해 유지될 수 있다. 본 논문은 지역 자치성을 보장하면서 전역적 직렬성을 만족하는 전역 동시성 제어 알고리즘과 지역 자치성을 보장하면서 각종 고장으로부터 멀티 데이타베이스를 회복할 수 있는 전역 회복 알고리즘을 제안한다. 제안된 전역 동시성 제어 알고리즘은 상향식 방법으로 3단계 트랜잭션 처리 모델에 기반을 두고, 지역 트랜잭션들로 인하여 부트랜잭션들 사이에 간접 충돌이 발생할 때 서버에서 가상 연산을 사용하여 지역 데이타베이스 시스템에서 수행되는 부트랜잭션들의 수행 순서와 직렬화 순서가 동일하게 유지할 수 있도록 함으로써 간접 충돌 문제를 해결할 수 있다. 저 전역 모듈에서는 충돌 관계가 있는 전역 트랜잭션들에 대해서만 전역적 직렬성을 검사 함으로써 전역적 직렬성 검사를 더욱 효율적으로 할 수 있다.

• 한국응급구조학회지
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• 제6권1호
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• pp.185-197
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• 2002

Today, the basic problem of functional safe management of Korean Disaster Control system was separately administrated 33 acts that are relating to safe management in 13 ministries. Because of the facts that the fire service is not provided practically, the control system and risk management for safe administration are not operated, the information can not be shared with each other, and the various laws have the lacks of linkage, the National Safe System was appeared unsteady. The roles and functions of fire service have started with restriction to operate structurally and institutionally, which operational structure of fire service is becoming weak. As a result, the federal and local fire organizations have not reached yet to the institutionalization and the local fire service agencies have bias with the task regarding the fire service because of the relation between organizational structure and the local fire agency. With the enforcement of the federal and local fire system, professionality and autonomy for making policy, and dealing with changes of fire service positively, the national fire service on the policy performance can be established. Promotion of research and development and education training to strengthen innovation in technology and competition in fire industry will contribute to the firmly establishment of control system to prevent from fire, flood, terror and national disaster. This article proposed that (a) the established law and administration, agency are required efforts to effectively operate fire service system; (b) the national fire service agency, national college of fire, national institute of science fire, and national fire service hospital should be early established to make firmly policy to operate effectively and practically. These kinds of innovational acts are known the best ways of operating solid policy of national fire service system.

• Asian Pacific Journal of Cancer Prevention
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• 제17권12호
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• pp.5281-5285
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• 2016

Background: Brachytherapy is the most commonly used conservative treatment for the uveal melanoma. The aim of this study was to evaluate therapeutic results of Ruthenium-106 plaque brachytherapy in the management of localized uveal melanoma cases. Methods: We reviewed retrospectively the clinical records of all patients treated in our department for an uveal melanoma, undergoing Ruthenium-106 plaque brachytherapy, from January 1996 to December 2015. We focused on clinical features, therapeutic characteristics, local and distant tumor control and side effects. Results: Nineteen patients were enrolled in our study. Mean age was 56.2 years (28-79) and the sex ratio was 1.37:1 males to females. Diagnosis was made on the basis of ophthalmological clinical examination, angiography, ultrasound and/or magnetic resonance. Median tumor diameter was 9.7 mm (6-13) and median thickness 4.4 mm (2.5-8). The dose of Ruthenium-106 plaque brachytherapy prescribed to the apex of each tumor was 70 Gy in all cases. The median radiation dose to the sclera surface was 226.4 Gy (range: 179.6-342.3) and the median total application time 115.2 hours (range: 27 to 237). After a median follow-up of 61.5 months, local control was achieved in 17 patients (89%): 16 demonstrated a partial tumor response and 1 tumor stabilization. Two patients suffered local progression leading to enucleation, one dying of hepatic metastasis. Radiation-induced complications were cataracts in 3 cases and vitreal hemorrhage in 2. Conclusion: Ruthenium-106 plaque brachytherapy is an efficient treatment for localized uveal melanoma, offering good local control with low toxicity.

• 정보처리학회논문지D
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• 제8D권5호
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• pp.473-482
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• 2001

이질형 통합 데이타베이스 시스템은 비정형 데이타를 비롯하여 관계형 데이타베이스 시스템의 정형 데이타에 이르기까지, 지역적으로 여러곳에 산재해 있는 유용한 정보를 통합하여 일관된 인터페이스를 통한 접근을 제공하는 통합 데이타베이스 시스템이다. 통합된 데이타 자원들은 서로 다른 질의 처리 능력을 제공할 뿐 아니라, 지역 자치성(local autonomy)요구사항 때문에 전역적 트랜잭션 처리를 위한 지역 시스템의 상호 협조 운영이 불가능하여, 전역적 직렬성(global serializability)을 만족하는 전역 트랜잭션 관리기의 설계가 없다. 본 논문에서는 이질형 통합 데이타베이스 시스템의 전역 트랜잭션 관리 문제점 중에서 가장 잘 알려진 간접충돌의 문제를 해결하기 위해, 전역 무결성 제약사항의 특징을 이용한 전역 트랜잭션 모델을 정의한다. 전역 트랜잭션 모델을 기반으로 지역-로킹 연산과 이에 다른 프로토콜을 제안하고, 제안된 프로토콜이 전역 트랜잭션을 보장함을 증명한다. 또한 본 논문에서 제안된 지역 -로킹 병행수행 제어 방법은 보다 현실적인 간접충돌의 범위를 정의함으로써, 기존의 제안된 방법보다 높은 병행성 정도(concurrency degree)를 보장함을 지역 접근에 대한 경쟁률 분석을 통해 살펴본다.