• Title/Summary/Keyword: mild solutions

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An Experimental Study on the Myocardial Protection Effects of the Cardioplegic Solution (Cardioplegic Solution의 심근보호 효과에 관한 실험적 연구)

  • 이종국
    • Journal of Chest Surgery
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    • v.13 no.4
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    • pp.321-337
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    • 1980
  • The increasing use of cardioplegic solution for the reduction of ischemic tissue injury requires that all cardiplegic solution be carefully assessed for any protective or damaging properties. This study describes functional, enzymatic and structural assessment of the efficiency of three cardioplegic solutions (Young & GIK, Bretschneider, and $K^{+}$ Albumin solution) in a Modified Isolated Rat Heart Model of cardiopulmonary bypass and ischemic arrest. Isolated rat heart were subjected to a 2-minute period of coronary infusion with a cold cardioplegic or a noncardioplegic solution immediately before and also at the midpoint of a 60-minute period of hypothermic ($10{\pm}1$. C) ischemic cardiac arrest. The results of this study were as follow: 1. Spontaneous heart beat after ischemic arrest occured 16 seconds later after Langendorff reperfusion in the Young & GIK group (n=6), and 40 second later in the Bretschneider group (n=6) and 6 minute later in the $K^{+}$ Albumin group (n=6), and 16 minute later in the control group (non-cardioplegia). A good recovery state of spontaneous heart beat was shown in the Young & GIK and Bretschneider groups. 2. The percentage of recorveries of heart function at 30 minute after postischemic working heart perfusion were : heart rate $91.6{\pm}3.1$% (P<0.01)m oeaj airtuc oressyre $83{\pm}3$% (P<0.01), coronary flow $70{\pm}8$% (P<0.05) and aortic flow flow rate $39{\pm}9.3$% (P<0.05) in the Young & GIK group. This percentage of recoveries of the Young & GIK group was significantly greater than the control group. In the Bretschneider group, the percentage of recoveries were : heart rate $87.8{\pm}7.5$%(P<0.05), peak aortic pressure $71{\pm}2.3$% (P<0.05) and aortic flow rate $33.2{\pm}6.6$%(P<0.05). hte percentage of recoveries were significantly greater than in the control group. In the $K^{+}$ Albumin group, recoveries of heart function were poor. 3. Total CPK leakage was $131.2{\pm}12.75$IU/30 min/gm. dry weight in the control group, $50.65{\pm}12.75$IU in the Young & GIK gruop, $69.40{\pm}32.21$Iu in Bretschneider group, and $103.65{\pm}15.47$IU in the $K^{+}$ Albumin group during the 30 minute postischemic Langendorff reperfusion. Total CPK leakage was significantly less (P<0.001) in the Young & GIK group, than in the control group. 4. Direct correlatin between percentage recovery of aortic flow rate and total amount of CPK leakage from Myocardium was noticed.(Correlation Coefficient r = 0.76, P<0.001). 5. Mild perivascular edema was the only finding of light microscopic study of myocardium after 60 minute ischemic arrest with cold cardioplegic solutions and hypothermla.

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Addition of 2 mg dexamethasone to improve the anesthetic efficacy of 2% lidocaine with 1:80,000 epinephrine administered for inferior alveolar nerve block to patients with symptomatic irreversible pulpitis in the mandibular molars: a randomized double-blind clinical trial

  • Aggarwal, Vivek;Ahmad, Tanveer;Singla, Mamta;Gupta, Alpa;Saatchi, Masoud;Hasija, Mukesh;Meena, Babita;Kumar, Umesh
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.22 no.4
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    • pp.305-314
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    • 2022
  • Introduction: This clinical trial aimed to evaluate the anesthetic effect of the addition of 2 mg (4 mg/ml) of dexamethasone to 2% lidocaine (plain or with 1:80,000 epinephrine). The solutions were injected for a primary inferior alveolar nerve block (IANB) to provide mandibular anesthesia for the endodontic treatment of mandibular molars with symptomatic irreversible pulpitis. Methods: In a double-blinded setup, 124 patients randomly received either of the following injections: 2% lidocaine with 1:80,000 epinephrine, 2% lidocaine with 1:80,000 epinephrine mixed with 2 mg dexamethasone, or plain 2% lidocaine mixed with 2 mg dexamethasone, which were injected as a primary IANB. Ten minutes after injection, patients with profound lip numbness underwent electric and thermal pulp sensibility tests. Patients who responded positively to the tests were categorized as "failed" anesthesia and received supplemental anesthesia. The remaining patients underwent endodontic treatment using a rubber dam. Anesthetic success was defined as "no pain or faint/weak/mild pain" during endodontic access preparation and instrumentation (HP visual analog scale score < 55 mm). The effect of the anesthetic solutions on the maximum change in heart rate was also evaluated. The Pearson chi-square test at 5% and 1% significance was used to analyze anesthetic success rates. Results: The 2% lidocaine with 1:80,000 epinephrine, 2% lidocaine with 1:80,000 epinephrine mixed with 2 mg dexamethasone, and plain 2% lidocaine mixed with 2 mg dexamethasone groups had anesthetic success rates of 34%, 59%, and 29%, respectively. The addition of dexamethasone resulted in significantly better results (P < 0.001, 𝛘2 = 9.07, df = 2). Conclusions: The addition of dexamethasone to 2% lidocaine with epinephrine, administered as an IANB, can improve the anesthetic success rates during the endodontic management of symptomatic mandibular molars with irreversible pulpitis.

Hematotoxicity and Vascular Irritation of DA-125, A New Anthracycline Anticancer Agent (새로운 Anthracycline 항암제 DA-125의 조혈기독성 및 혈관장해성)

  • 안병옥;백남기;김옥진;강경구;이순복;김원배;양중익;고광호
    • Biomolecules & Therapeutics
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    • v.1 no.2
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    • pp.244-250
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    • 1993
  • Hematotoxicity and vascular irritation of DA-125, a new anthracycline antitumor antibiotic, were investigated in mice and rabbits. In hematotoxicity study, healthy male ICR mice were treated with DA-125 by a single intravenous injection at doses of 18 and 24 mg/kg. After 4, 8, 12 and 16 days WBC count, RBC count, hemoglobin concentration, hematocrit value, and platelet counts were measured respectively. As a positive control, 12 mg/kg of doxorubicin (DXR) was used in the same manner. Remakable reductions of WBC counts in groups treated with DA-125 or DXR were observed 4 days after administration and returned to normal range 8 days after injection in groups of DA-125 18 mg/kg and DXR 12 mg/kg. The recovery of leukopenia induced in a group of DA-125 24 mg/kg took about 16 days after administration. The RBC counts, hemoglobin concentrations and hematocrit values also decreased in all drug treated groups on day 8 and recovered thereafter. The platelet counts of groups treated with DA-125 or DXR decreased on day 4 and recovered from day 8 of experiment. Local vascular irritation of DA-125 was also assessed in rabbits. The obtained results can be summarized as follows. 1. Thrombophlebitis was not induced even after daily intravenous administration of 0.4% solution of DA-125 or 0.2% solution of DXR for 7 days. 2. Macro- and microscopic observations revealed that the irritative activity of 0.4% solution of DA-125 in blood vessels was not so much different from that of saline when they were injected once a day into vein retroauricularis of rabbits for 7 days. 3. Mild inflammatory reaction was noted around vessels in rabbits treated with 0.2% solution of DXR after consecutive intravenous infusion for more than 5 days. 4. The potencies of vascular irritation of the test solutions were summarized in the following order; saline = 0.4% DA-125<0.2% DXR. These results indicated that DA-125 showed similar pattern of hematotoxicity with DXR but was less hematotoxic than DXR, and that 0.4% solution of DA-125 did not elicit unusual toxic properties when injected through intravenous route for clinical practice.

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The removal characteristics of dissolved solid in wastewater during a capacitive deionization process (축전식 탈염공정을 이용한 하수중의 용존염 제거특성 연구)

  • Shin, Kyong-Suk;Yi, Tae-Woo;Cha, Jae-Hwan;Lim, Yoon-Dae;Park, Seung-Kook;Kang, Kyoung-Suk;Song, Eui-Yeol
    • Journal of Korean Society of Water and Wastewater
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    • v.28 no.2
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    • pp.151-160
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    • 2014
  • Capacitive deionization(CDI) has many advantages over other desalination technologies due to its low energy consumption, less environmental pollution and relative low fouling potential. The objectives of this study are evaluate the performance of CDI which can be used for dissolved salts removal from sewage. To identify ion selectivity of nitrate and phosphate in multiionic solutions and adsorption/desorption performance related to applied potential, a series of laboratory scale experiments were conducted using a CDI unit cell with activated carbon electrodes. The CDI process was able to achieve more than 75 % TDS and $NO_3{^-}$, $NH_4{^+}$ removals, while phosphate removal was 60.8 % and is inversely related in initial TDS and $HCO_3{^-}$ concentration. In continuous operation, increasing the inner cell pressure and reduction of TDS removal ability were investigated which are caused by inorganic scaling and biofouling. However a relative mild cleaning solution(5 % of citric acid for calcium scaling and 500 mg/L of NaOCl for organic fouling) restored the electrochemical adsorption capacity of the CDI unit to its initial level.

A Parabolic Approximation Model for Wave Deformation Combined Refraction, Diffraction, and Breaking (파랑(波浪)의 굴절(屈折), 회절(回折) 및 쇄파변형(碎波變形)에 관한 포물형근사모형(抛物形近似模型))

  • Lee, Dong Soo;Lee, Jong Sup;Park, II Heum
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.14 no.3
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    • pp.619-633
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    • 1994
  • A wave deformation model for general purpose combined refraction, diffraction, and breaking is developed in the shallow water. A parabolic approximation equation considered a higher order diffraction term is derived from the previous mild slope equation. A wave energy dissipation term due to bottom friction and breaking is introduced from the turbulence model. The Crank-Nicoloson implicit scheme is used in the numerical calculation, then the solutions are compared with the various hydraulic experiment data in the circular, the elliptic shoal, and the surf zone. The wave height decay in the surf zone is sensitively affected by the incident wave steepness, and the wave height variation around the elliptic shoal is well explained by the non-linear dispersion relation and the wave energy dissipation term. The model is also applied to a field coastal area and reasonable results are obtained.

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A Mathematical Model of Undertow in the Surf Zone (쇄파대(碎波帶)에서 undertow에 관한 수학적(數學的) 모형(模型))

  • Lee, Jong Sup;Park, Il Heum
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.13 no.3
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    • pp.193-206
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    • 1993
  • An analytical model of undertow is presented in the surf zone. Each term of the derived governing equation is evaluated by the ordering methods. Then the turbulent normal stresses and the streaming velocity terms are neglected. The driving force of undertow is derived from the wave profile which is approximated by the 4th order Chebyshev polynomials. The three types of vertical distribution of eddy viscosity are assumed and the coefficient of eddy viscosity is decided from the new boundary condition. So the input parameters for the calculation of undertow become very simple. The theoretical solutions of the present model are compared with the various experimental results. This model shows a good agreement with the experimental results in the case of mild slope and linear type eddy viscosity.

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Infinite Element for the Analysis of Harbor Resonances (항만 부진동 해석을 위한 무한요소)

  • Park, Woo-Sun;Chun, In-Sik;Jeong, Weon-Mu
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.6 no.2
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    • pp.139-149
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    • 1994
  • In this paper, a finite element technique is applied to the prediction of the wave resonance phenomena in harbors. The mild-slope equation is used with a partial reflection boundary condition introduced to model the energy dissipating effects on the solid boundary. For an efficient modeling of the radiation condition at infinity, a new infinite element is developed. The shape function of the infinite element is derived from the asymptotic behavior of the first kind of the Hankel's function in the analytical boundary series solutions. For the computational efficiency, the system matrices of the element are constructed by performing the relevant integrations in the infinite direction analytically. Comparisons with the results from experiments and other solution methods show that the present model gives fairly good results. Numerical experiments are also carried out to determine the proper distance to the infinite elements from the mouth of the halter, which directly affect the accuracy and efficiency of the solution.

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Transmission of ultrasonic guided wave for damage detection in welded steel plate structures

  • Liu, Xinpei;Uy, Brian;Mukherjee, Abhijit
    • Steel and Composite Structures
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    • v.33 no.3
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    • pp.445-461
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    • 2019
  • The ultrasonic guided wave-based technique has become one of the most promising methods in non-destructive evaluation and structural health monitoring, because of its advantages of large area inspection, evaluating inaccessible areas on the structure and high sensitivity to small damage. To further advance the development of damage detection technologies using ultrasonic guided waves for the inspection of welded components in structures, the transmission characteristics of the ultrasonic guided waves propagating through welded joints with various types of defects or damage in steel plates are studied and presented in this paper. A three-dimensional (3D) finite element (FE) model considering the different material properties of the mild steel, high strength steel and austenitic stainless steel plates and their corresponding welded joints as well as the interaction condition of the steel plate and welded joint, is developed. The FE model is validated against analytical solutions and experimental results reported in the literature and is demonstrated to be capable of providing a reliable prediction on the features of ultrasonic guided wave propagating through steel plates with welded joints and interacting with defects. Mode conversion and scattering analysis of guided waves transmitted through the different types of weld defects in steel plates are performed by using the validated FE model. Parametric studies are undertaken to elucidate the effects of several basic parameters for various types of weld defects on the transmission performance of guided waves. The findings of this research can provide a better understanding of the transmission behaviour of ultrasonic guided waves propagating through welded joints with defects. The method could be used for improving the performance of guided wave damage detection methods.

An in vivo study comparing efficacy of 0.25% and 0.5% bupivacaine in infraorbital nerve block for postoperative analgesia

  • Saha, Aditi;Shah, Sonal;Waknis, Pushkar;Aher, Sharvika;Bhujbal, Prathamesh;Vaswani, Vibha
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.19 no.4
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    • pp.209-215
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    • 2019
  • Background: Pain is an unpleasant sensation ranging from mild localized discomfort to agony and is one of the most commonly experienced symptoms in oral surgery. Usually, local anesthetic agents and analgesics are used for pain control in oral surgical procedures. Local anesthetic agents including lignocaine and bupivacaine are routinely used in varying concentrations. The present study was designed to evaluate and compare the efficacy of 0.25% and 0.5% bupivacaine for postoperative analgesia in infraorbital nerve block. Methods: Forty-one patients undergoing bilateral maxillary orthodontic extraction received 0.5% bupivacaine (n = 41) on one side and 0.25% bupivacaine (n = 41) on the other side at an interval of 7 d. The parameters evaluated for both the bupivacaine concentrations were onset of action, pain during procedure (visual analog scale score [VAS]), and duration of action. The results were noted, tabulated, and analyzed using the Wilcoxon signed rank test. Results: The onset of action of 0.5% bupivacaine was quicker than that of 0.25% bupivacaine, but the difference was not statistically significant (P = 0.306). No significant difference was found between the solutions for VAS scores (P = 0.221) scores and duration of action (P = 0.662). Conclusion: There was no significant difference between 0.25% bupivacaine and 0.5% bupivacaine in terms of onset of action, pain during procedure, and duration of action. The use of 0.25% bupivacaine is recommended.

A study on the management of the cognitive health design pilot projects applied to residential areas (주거지에 적용된 인지건강디자인 시범사업의 유지관리 실태 연구)

  • Kim, Hyunju;Lee, Seungji
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.27 no.4
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    • pp.41-50
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    • 2021
  • Purpose: This study is aimed at the case of the cognitive health design pilot projects promoted by the Seoul Metropolitan Government since 2014 in terms of design to solve social problems in accordance with the aging population of our society. The purpose of this study is to analyze the maintenance and management of the projects and to suggest implications for the promotion and expansion of sustainable cognitive health design in the future. Method: It set the analysis frame by dividing management into maintenance-damage-demolition for the spatial types and spatial elements suggested in the Seoul Cognitive Health Guidelines. And it analyze the actual conditions of four pilot projects based on the field survey. Results: First, the ratio of damage and demolition was higher than maintenance. Second, designs and techniques with low durability were applied. Most of the cases where floor marks were applied to the external environment were lost or difficult to recognize, and their functions were limited due to storage of goods and parking of vehicles and motorcycles. Third, there was a large variation according to the type of residence. The project contents that can be applied to the low-rise residential area were also limited, and more elements were demolished than in the apartment type. Implications: First, it should limit project contents of space types and space elements that can be maintained even over time. Second, it should seek sustainable design and technical solutions. Third, it should seek alternatives to cognitive health design in low-rise residential areas where a large number of elderly people live.