• Title/Summary/Keyword: post 2020

Search Result 1,299, Processing Time 0.041 seconds

Sevoflurane with opioid or dexmedetomidine infusions in dogs undergoing intracranial surgery: a retrospective observational study

  • Marquez-Grados, Felipe;Vettorato, Enzo;Corletto, Federico
    • Journal of Veterinary Science
    • /
    • v.21 no.1
    • /
    • pp.8.1-8.11
    • /
    • 2020
  • This study reports the clinical use of two sevoflurane-based anesthetic techniques in dogs undergoing craniectomy. Twenty-one animals undergoing elective rostrotentorial or transfrontal craniectomy for brain tumor excision, anesthetized with sevoflurane, were enrolled in this retrospective, observational study. Anesthetic records were allocated to two groups: Sevo-Op (sevoflurane and short acting opioid infusion): 8 dogs and Sevo-Dex (sevoflurane and dexmedetomidine infusion): 13 dogs. Average mean arterial pressure (MAP), heart rate, end-tidal carbon dioxide, end-tidal sevoflurane and intraoperative infusion rates during surgery were calculated. Presence of intra-operative and post-operative bradycardia, tachycardia, hypotension, hypertension, hypothermia, hyperthermia was recorded. Time to endotracheal extubation, intraoperative occurrence of atrioventricular block, postoperative presence of agitation, seizures, use of labetalol and dexmedetomidine infusion were also recorded. Data from the two groups were compared with Fisher's exact test and unpaired t tests with Welch's correction. Odds ratio (OR) and 95% confidence interval (CI) were calculated for categorical variables. Intra-operatively, MAP was lower in Sevo-Op [85 (± 6.54) vs. 97.69 (± 7.8) mmHg, p = 0.0009]. Time to extubation was longer in Sevo-Dex [37.69 (10-70) vs. 19.63 (10-25), p = 0.0033]. No differences were found for the other intra-operative and post-operative variables investigated. Post-operative hypertension and agitation were the most common complications (11 and 12 out of 21 animals, respectively). These results suggest that the infusion of dexmedetomidine provides similar intra-operative conditions and post-operative course to a short acting opioid infusion during sevoflurane anesthesia in dogs undergoing elective rostrotentorial or transfrontal intracranial surgery.

Effects of Forest Healing Program on Depression, Stress and Cortisol Changes of Cancer Patients

  • Lee, Mi-Mi;Park, Bong-Ju
    • Journal of People, Plants, and Environment
    • /
    • v.23 no.2
    • /
    • pp.245-254
    • /
    • 2020
  • Patients diagnosed with cancer face mental problems such as alienation, isolation, anxiety about death and fear, recovering from psychological difficulties. In this study, a forest healing program was provided for cancer patients to recover from psychological stress, depression, social isolation and self-esteem caused by cancer and changes in salivary cortisol through psychological and emotional recovery were measured. From September 19 to November 28, 2017, a forest healing program composed of a total of 10 sessions, two hours per session was provided for 12 cancer patients in the Forest of Taegyo located in Yongin. Psychological tests were performed with Social Adaptation Self-evaluation Scale (SASS), Korean-version Perceived Stress Scale (PSS) and Beck Depression Inventory (BDI) and the collected data were analyzed with the SPSS 18.0. The salivary cortisol level was measured along with the psychological tests and were analyzed by a specialized testing agency. The results of the analysis showed that the pre- and post-assessment score of SASS was 29.17 and 25.92, respectively, and that the pre- and post-assessment score of PSS was 30.50 and 23.92, respectively. The pre- and post-assessment score of BDI was 41.00 and 34.83, respectively, which showed significant differences. In addition, the pre- and post-assessment level of saliva cortisol was 3.13 and 1.68, respectively, showing a significant decrease. In short, the forest healing program was found to be effective in reducing physiological changes caused by social isolation and stress due to the emotional and psychological difficulties that the subjects who were diagnosed with cancer and were recovering from it have. In the future, it will be necessary to develop and implement a forest healing program by conducting a forest healing requirement survey on cancer patients.

Effect of post space preparation drills on the incidence of root dentin defects

  • Thaise Ayres Bezerra Zuli ;Orlando Aguirre Guedes ;Gislaine Figueiredo Zarza Arguello Goncalves;Aurelio Rosa da Silva Junior ;Alvaro Henrique Borges ;Andreza Maria Fabio Aranha
    • Restorative Dentistry and Endodontics
    • /
    • v.45 no.4
    • /
    • pp.53.1-53.11
    • /
    • 2020
  • Objectives: This study investigated the incidence of root dentin defects after the use of different post space preparation (PSP) drills. Materials and Methods: Seventy-two bovine incisors were selected and obtained 14-mm-long root sections. Twelve roots served as controls with no intervention (G1). The 60 root canals remaining were instrumented using the crown-down technique with the ProTaper Next system and obturated using the lateral condensation technique. Specimens were randomly distributed into 5 groups (n = 12) according to the operative steps performed: G2, root canal instrumentation and filling (I+F); G3, I+F and PSP with Gates-Glidden drills; G4, I+FI+F and PSP with Largo-Peeso reamers; G5, I+F and PSP with Exacto drill; and G6, I+F and PSP with WhitePost drill. Roots were sectioned at 3, 6, 9, and 12 mm from the apex, and digital images were captured. The presence of root dentin defects was recorded. Data were analyzed by the χ2 test, with p < 0.05 considered to indicate statistical significance. Results: Root dentin defects were observed in 39.6% of the root sections. No defects were observed in G1. G5 had significantly more cracks and craze lines than G1, G2, and G3 (p < 0.05), and more fractures than G1, G2, G3, and G4 (p < 0.05). When all root sections were analyzed together, significantly more defects were observed at the 12-mm level than at the 3-mm level (p < 0.05). Conclusions: PSP drills caused defects in the root dentin. Gates-Glidden drills caused fewer root defects than Largo-Peeso reamers and Exacto drills.

MR Neurography: Current Several Issues for Novice Radiologists (자기공명영상 신경조영술: 경험이 적은 영상의학과 의사가 이해해야 할 몇 가지 쟁점들)

  • Dong-ho Ha
    • Journal of the Korean Society of Radiology
    • /
    • v.81 no.1
    • /
    • pp.81-100
    • /
    • 2020
  • Magnetic resonance neurography (MRN) has been increasingly used in recent years for the assessment of peripheral neuropathies. Fat suppression T2-weighted imaging (T2WI) and diffusion-weighted imaging (DWI) have typically been used to provide high contrast MRN. Isotropic 3-dimensional (3D) sequences with fast spin echo, post-processing imaging techniques, and fast imaging methods, among others, allow good visualization of peripheral nerves that have a small diameter, complex anatomy, and oblique course within a reasonable scan time. However, there are still several issues when performing high contrast and high resolution MRN including standard sequence; fat saturation techniques; balance between resolution, field of view, and slice thickness; post-processing techniques; 2D vs. 3D image acquisition; different T2 contrasts between proximal and distal nerves; high T2 signal intensity of adjacent veins or joint fluid; geometric distortion; and appropriate p-values on DWI. The proper understanding of these issues will help novice radiologists evaluate peripheral neuropathies using MRN.

CCAAT/enhancer binding protein β Induces Post-Switched B Cells to Produce Blimp1 and Differentiate into Plasma Cells

  • Geonhee Lee;Eunkyeong Jang;Jeehee Youn
    • IMMUNE NETWORK
    • /
    • v.20 no.5
    • /
    • pp.42.1-42.10
    • /
    • 2020
  • Long-lasting post-switched plasma cells (PCs) arise mainly from germinal center (GC) reactions, but little is known about the mechanism by which GC B cells differentiate into PCs. Based on our observation that the expression of the transcription factor CCAAT/enhancer binding protein β (C/EPBβ) is associated with the emergence of post-switched PCs, we enquired whether a cell-autonomous function of C/EPBβ is involved in the program for PC development. To address this, we generated C/EPBβ-deficient mice in which the Cebpb locus was specifically deleted in B cells after transcription of the Ig γ1 constant gene segment (Cγ1). In response to in vitro stimulation, B cells from these Cebpbfl/flCγ1Cre/+ mice had defects in the induction of B lymphocyte-induced maturation protein 1 (Blimp1) and the formation of IgG1+ PCs, but not in proliferation and survival. At steady state, the Cebpbfl/flCγ1Cre/+ mice had reduced serum IgG1 titers but normal IgG2c and IgM titers. Moreover, upon immunization with T-dependent Ag, the mice produced reduced levels of Ag-specific IgG1 Ab, and were defective in the production of Ag-specific IgG1 Ab-secreting cells. These results suggest that a cell-autonomous function of C/EPBβ is crucial for differentiation of post-switched GC B cells into PCs through a Blimp1-dependent pathway.

The Influence of Unconditional Self-Acceptance and Self-Exposure on Post-traumatic Growth of Firefighters (소방공무원의 무조건적 자기수용과 자기노출이 외상 후 성장에 미치는 영향)

  • Hwang, Chang-Ui
    • Fire Science and Engineering
    • /
    • v.34 no.3
    • /
    • pp.126-133
    • /
    • 2020
  • The purpose of this study was to investigate the effects of unconditional self-acceptance and self-exposure of trainees on the post-traumatic growth and to develop a program to achieve post-traumatic growth beyond the previous level without suffering from psychopathological consequences such as post-traumatic stress disorder I wanted to help. For this purpose, unconditional self-acceptance, self-exposure, and Korean post-traumatic growth scale were used. First, it was confirmed that unconditional self-acceptance and self-exposure of firefighters are correlated with post-traumatic growth. Second, hierarchical regression analysis showed that unconditional self-acceptance has more influence on self-acceptance and post-traumatic growth than self-acceptance of firefighters. Based on the results of this study, we propose the program development and therapeutic intervention strategies to promote post-traumatic growth of firefighters.

The Impact of COVID-19 on Earnings Management in the Distribution and Service Industries

  • RYU, Haeyoung;CHAE, Soo-Joon
    • Journal of Distribution Science
    • /
    • v.20 no.4
    • /
    • pp.95-100
    • /
    • 2022
  • Purpose: This study aimed to investigate whether distribution and service companies maintained their accounting information quality and provided reliable information despite the economic changes occurring after the outbreak of the COVID-19 pandemic in Korea. The distribution industry has enjoyed increased demand as many companies expanded their untact distribution channels, including to online sales. However, as the pandemic drags on, their future prospects remain uncertain. Research design, data, and methodology: In this study, we define 2018-2019 as the "pre COVID-19 period" and 2020 as the "post COVID-19 period." An empirical analysis was performed using a regression model that includes POST, the independent variable, indicating the post COVID-19 period, and discretionary accruals(DA), a proxy for earnings management, as a dependent variable. Results: The analysis shows that the coefficient of POST is significantly positive (+) for the dependent variable DA. This finding suggests that distribution and service companies engaged in more earnings management during the post COVID-19 period than during the pre COVID-19 period, indicating their awareness of the uncertainty of future business performance as the pandemic persists. An additional analysis confirmed that smaller companies with fewer stakeholders and higher information asymmetry tend to engage more in earnings management than larger companies.

Design of Conveyor Structure for Integrated Post-Process in Multi-Injection Molding Machine Environments (다중 사출설비 환경에서 후가공 공정의 통합운영을 위한 컨베이어 구조 설계에 관한 연구)

  • Kim, Ki Bum
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.21 no.5
    • /
    • pp.22-27
    • /
    • 2020
  • In this paper, we study the methodology to improve productivity and transportation efficiency simultaneously in the manufacturing environment of injection plants which has multiple injection machines arranged in parallel. In general, the post-processes such as finishing are continuously arranged in the injection machine located in the lower level of the injection plants, and one or two workers in charge of post-processing are always arranged. Therefore injection plants have low productivity due to post-processing and the front of the injection machine is very crowded due to various logistics flows. In this paper, we propose the designing methodology of conveyor structure for integrating the post-processes arranged at each injection machine and transporting the injection products to the integrated post-process automatically. Specifically, we propose the models for computing the number of conveyor units into the integrated processes, and for finding the optimal combinations to connect each machines and the conveyors. The proposed model is for the total productivity improvement, which are productivity and transportation efficiency. By applying the proposed model to companies that produce injection parts used for the home appliances, we verify the applicability and the effect of improving productivity and transportation efficiency, which more than 40%.

Influencing Factor on the Job Satisfaction of Emergency Room Nurses: Focusing on Violence Experience and Post-Traumatic Stress Disorder, Compassion Fatigue (응급실 간호사의 직무만족도에 영향을 미치는 요인: 폭력 경험과 외상 후 스트레스, 공감피로를 중심으로)

  • Kim, Hwa-Jin;Park, Jum-Mi
    • Journal of Convergence for Information Technology
    • /
    • v.10 no.7
    • /
    • pp.67-74
    • /
    • 2020
  • This study was a correlational study between the violence experience and post-traumatic stress disorder, compassion fatigue, and job satisfaction of emergency room nurses. The researcher conducted this study on 114 randomized emergency room nurses from 9 emergency rooms located in Gyeonggi-do and collected data for approximately 4 weeks from July 1, 2019 to July 31, 2019. The mean values of verbal violence showed 11.50±3.37 points, physical threatening showed 11.57±4.15 points, and physical violence showed 11.07±5.20. In this study, the mean values of post-traumatic stress disorder was 34.59±14.46 points, compassion fatigue was 26.50±7.17, and job satisfaction was 61.19 ± 8.38 points. Multiple linear regression indicated that post-traumatic stress disorder (β=-.21, p=.009) respectively predicted job satisfaction(F=23.11, p<.001) Based on the study results above, it is considered that programs that can systematically manage and prevent post-traumatic stress disorder and compassion fatigue are required to reduce post-traumatic stress disorder, and compassion fatigue from violence experience of emergency room nurses. Moreover, safe work environments should be established to work efficiency.

Pre- and Post-Treatment Imaging of Primary Central Nervous System Tumors in the Molecular and Genetic Era

  • Sung Soo Ahn;Soonmee Cha
    • Korean Journal of Radiology
    • /
    • v.22 no.11
    • /
    • pp.1858-1874
    • /
    • 2021
  • Recent advances in the molecular and genetic characterization of central nervous system (CNS) tumors have ushered in a new era of tumor classification, diagnosis, and prognostic assessment. In this emerging and rapidly evolving molecular genetic era, imaging plays a critical role in the preoperative diagnosis and surgical planning, molecular marker prediction, targeted treatment planning, and post-therapy assessment of CNS tumors. This review provides an overview of the current imaging methods relevant to the molecular genetic classification of CNS tumors. Specifically, we focused on 1) the correlates between imaging features and specific molecular genetic markers and 2) the post-therapy imaging used for therapeutic assessment.