In the present study, we examined the effect of pertussis toxin (PTX) administered centrally in a variety of stress-induced blood glucose level. Mice were exposed to stress after the pretreatment of PTX (0.05 or 0.1 mg) i.c.v. or i.t. once for 6 days. Blood glucose level was measured at 0, 30, 60 and 120 min after stress stimulation. The blood glucose level was increased in all stress groups. The blood glucose level reached at maximum level after 30 min of stress stimulation and returned to a normal level after 2 h of stress stimulation in restraint stress, physical, and emotional stress groups. The blood glucose level induced by cold-water swimming stress was gradually increased up to 1 h and returned to the normal level. The intracerebroventricular (i.c.v.) or intrathecal (i.t.) pretreatment with PTX, a $G_i$ inhibitor, alone produced a hypoglycemia and almost abolished the elevation of the blood level induced by stress stimulation. The central pretreatment with PTX caused a reduction of plasma insulin level, whereas plasma corticosterone level was further up-regulated in all stress models. Our results suggest that the hyperglycemia produced by physical stress, emotional stress, restraint stress, and the cold-water swimming stress appear to be mediated by activation of centrally located PTX-sensitive G proteins. The reduction of blood glucose level by PTX appears to due to the reduction of plasma insulin level. The reduction of blood glucose level by PTX was accompanied by the reduction of plasma insulin level. Plasma corticosterone level up-regulation by PTX in stress models may be due to a blood glucose homeostatic mechanism.
Sung, Ji Yoon;Kang, Kyung Dong;Kim, Min Wook;Kim, Joo Hyoung
Archives of Plastic Surgery
/
v.47
no.1
/
pp.15-19
/
2020
Background Pain caused by nasal pack removal after closed reduction of nasal bone fractures is a common problem. This study investigated the effect of infiltrating lidocaine into nasal packs on the pain caused by pack removal after closed reduction of nasal bone fractures. Methods Seventy-five patients who underwent closed reduction of nasal bone fractures between March 2016 and March 2018 were enrolled in this prospective, randomized, single-blind study. Merocel (hydroxylated polyvinyl acetate) packs were applied bilaterally and retained for 5 days. Twenty minutes before removal, both packs were rehydrated with 6 mL of 2% lidocaine in 26 patients and with 6 mL of saline in 24 patients; the packs were not rehydrated in 25 patients. Visual analog scale (VAS) scores for pain on removal were recorded. Results The mean VAS score was 5.3±2.0 in all patients, 3.8±1.5 in the lidocaine group, 5.8±1.4 in the saline group, and 6.3±2.1 in the non-rehydrated group. There was a significant difference in the pain score between the lidocaine and saline groups (P<0.001) but not between the saline and non-rehydrated groups (P=0.186). Conclusions Infiltration of lidocaine into Merocel packs reduced the pain caused by pack removal after closed reduction of nasal bone fractures.
In this study, the methods of sedimentation reduction for the estuary barrage were analyzed using the CCHE2D bed change model. Especially, the effectiveness of sediment dredging currently applied in the field was evaluated quantitatively and also the channel contraction method which is a substitute method was analyzed for the Nakdong River Estuary Barrage (NREB). The numerical model was calibrated and validated for the sediment transport equations and transport modes. In the NREB case, the Ackers and White formula and bed load type was the most similar to the field condition. As a results of the dredging simulation, there was the sedimentation reduction effect of 0.2 m in the bed changes. Furthermore, the analysis result of the channel contraction method represented that the sedimentation reduction effects of the average 0.4 m and the maximum 2.0 m were produced.
Six kinds of sugars (Maltose, Sucrose, Glucose, Fructose, Mannose and Lactose) and four kinds of organic acids (Malic, Tartaric, Lactic and Citric) were added by 2-10% for the former and 0.2-1.8% for the later in quantitatively to the inferior quality of Flue-cured leaf tobaccos, and treated at 135$^{\circ}C$ for 10 minutes to examine the effect on deliveries of tar and nicotine in smoke, variation of smoke pH and smoking taste. The results obtained are as follows. Tar and nicotine deliveries in smoke of tobacco show a great reduction with 5-6% addition of sugars. Reduction of nicotine delivery was to be 19% with addition of Glucose. Tar in smoke was, however, increased by 5-8% with 4% addition of Sucrose or Lactose. On the other hand, 4% addition of Glucose and Fructose gave 1 % reduction of tar delivery, but the reduction rate became to be small with increase of adding quantity. The smoking taste by the addition of Glucose and Fructose tobacco was found to be milder than by the other sugars. Tar and nicotine deliveries show a decreasing trend with the addition of organic acid, and Tartaric acid, among the organic acids described above, had greater effect than the other acids. 1% addition of Tartaric acid gaves 10-11% reduction in tar and nicotine delivery, and a fall of smoke pH, from 6.40 to 6.05, was found. Smoking taste by the addition of Lactic and Tartaric acid had milder than the others. And heat treatment for 10 minutes at $135^{\circ}C$ gave also better on smoking taste. The addition of mixture of sugars and organic acids, (Glucose 4%+Lactic acid 0.8% + Tartaric acid 0.2%) and then the successive heat treatment for 10 minutes at $135^{\circ}C$ improved greatly the quality of Fluecured leaf tobacco, and nicotine were reduced to 16-29%, and pH was changed from 6.46 to 6.14.
Kim, Hyunhwa;Kim, Heenyun;Jeong, Hyojeong;Seo, Youngjoon
Korea Journal of Hospital Management
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v.26
no.3
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pp.1-12
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2021
Purpose: This study aims to examine the effect of the copayment reduction policy on the health care utilization of patients under age 15 after the policy started in 2017. (이하는 아래 methodoloty로 이동) Methodology: Data on the ALOS, the average admission cost, and the out-of-pocket expenditure for patients under 15 years of age from 2015 to 2019 were obtained from the National Health Insurance database. Policy effects were measured by analyzing three dependent variables before and after policy: the average length of stay (ALOS), the average admission cost, and the out-of-pocket expenditure for patients under 15 years of age. The collected data were analyzed using the SAS package, and the analysis methods used in this study were the mean difference test and linear regression analysis. Findings: The study results reveal that, after the copayment reduction policy in the year 2017, the ALOS and the out-of-pocket expenditure were significantly decreased, but the average admission cost was significantly increased. Practical Implications: These results imply that the policy of copayment reduction for the patients under the age of 15 has contributed to mitigating the patients' financial burden with little concern about growing medical utilization.
Journal of The Korean Society of Agricultural Engineers
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v.64
no.1
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pp.65-77
/
2022
Due to muddy water from the highland fields upstream of Soyangho Lake, the Mandae, Gaa, and Jawoon have been redesignated as NPS management areas. This study aims to evaluate the adequacy and supplementation points of the implementation plan by analyzing the operation status of muddy water generation and reduction facilities through on-site investigations by NPS management area to achieve the effective nonpoint pollution reduction goal in the implementation of the implementation plan established in 2020. The SS load calculated based on the survey results from July to October 2019 from 2017 showed a decreasen in 2019 compared to 2017. Both and the Jawoon were analyzed to have decreased. However, the amount of precipitation also decreased by about 27%, so it was judged that the effect of the reduction project was not significant. As a result of the detailed investigation of abatement facilities, about 86% of the 793 facilities installed in the management area were evaluated as 'good'. As a result of a detailed investigation by subwatersheds, subwatersheds 105 and 106 in the Mandae were analyzed as apprehensive subwatersheds. appeared to fall. In addition, it was analyzed that the effect of reducing muddy water in the Mandae district was insufficient due to the high ratio of leased farmers, lack of efforts to reduce turbid water in leased farmland, conversion to annual crops, and neglect of bare land. In the case of Gaa district, although the abatement facilities are concentrated in the upstream, muddy water was also found to be severe.
Open reduction and rigid internal fixation is the most popular treatment method for maxillofacial fracture patients, and it is unevitable that postoperative pain can be developed. Many surgeons including oral & maxillofacial surgeons have made constant efforts to decrease postoperative pain. This study is a comparison of postoperative analgesia and intramuscular analgesia in patients with mandibular fractures. In this study, twenty-one patients (Experimental group) were randomly selected and they were injected with IV patient-controlled analgesia (PCA; Walkmed$^{(R)}$, USA). For control group another twenty-one patients were injected with intramusclar non-steroid anti-inflammatory drugs (Rheoma$^{(R)}$, Samsung Pharm. Co.). And then, we measured visual analogue scale (VAS) scores from first postoperative day to second day at regular time interval. The following results were uptained; 1. In patient group who with open reduction and rigid internal fixation, there was significant difference of postoperative analgesic effect during the first postoperative day(p<0.05). 2. In patient group with over 90 minutes surgery time, there was significant difference of postoperative analgesic effect during the first and second postoperative day when compared between experimental group and control group(p<0.05). 3. In patient group with less than 90 minutes surgery time, there was no significant difference of postoperative analgesic effect during the first and second postoperative day when compared between experimental group and control group(p>0.05). 4. In patient group with surgery of open reduction using rigid internal fixation at single fractured site, there was no significant difference of postoperative analgesic effect during the first and second postoperative day when compared between experimental group and control group(p>0.05). 5. In patient group with surgery at two fractured sites, there was significant difference of postoperative analgesic effect during the first postoperative day when compared between experimental group and control group(p<0.05). As mentioned above, it suggest that patient-controlled analgesia is more effective for postoperative pain relief than intramuscular injection in patients with rigid internal fixation by open reduction after mandibular fracture occurred. Especially, it is considered that in patient with more than 90 minutes surgery time or in cases with multiple fractured sites had more effective results with PCA therapy than conventional intramuscular analgesics.
Lee, Kyu Hong;Lee, Sang Woo;Choi, Jun Sung;Lee, Sung Kyun;Park, Jihwan;Park, Seunghee
Journal of Korean Society of Disaster and Security
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v.11
no.2
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pp.69-74
/
2018
Fog to which environmental impacts are sensitive has a danger to the safety of citizens due to the difficulty in predicting the specific area/time zone. Therefore, we propose a white smoke fog reduction technique using a fog removal device that can remove fog particles directly through dry air and anionic condensation nucleus instead of conventional passive countermeasures. In this study, to verify the effect of reducing fog and the effect of temperature on the white smoke fog which is frequently occurred in the detention basin. As a result, the visible distance of 100m or more was secured within 30 seconds, and it was confirmed that the fog reduction effect is more effective. Also, the lower the temperature, the larger the amount of white smoke fog was. However, the effect of reducing the white smoke fog by temperature was insignificant. Through this experiment, it was possible to verify the reduction effect of the white smoke fog generated in the detention basin through fog removal device.
Pulpal temperature is changed in response for various conditions which were mechanical, thermal, chemical and biological stimuli. This study was performed to determine the pulpal temperature changes which were using air turbine with air-water coolant, water coolant, and conventional dental engine with water coolant and no coolant on 28 canine of dogs. In order to record pulpal temperature, pulp chamber was opened on the labiocervical area of canine. Thermocouple was inserted into pulp chamber and was fixed with filling material(dycal). Changes of pulpal temperature were recorded on the physiograph, which had been standardized temperature degree, through thermocouple to thermistor bridge and carrier preamplifier. The amount of experimental temperature change to that of control was interpreted in the pulpal cavity. The obtained results were as followings: 1. The mean normal temperature was 33.07 centigrade. 2. The temperature was decreased than normal pulpal temperature. It was 12.04 centigrade in reduction by air turbine with air-water coolant, 7.17 centigrade in reduction by air turbine with air coolant, 5.54 centigrade in reduction by conventional engine with water coolant, and 1.26 centigrade in reduction by conventional engine with no coolant. 3. The time for maximal temperature change was 53.3 seconds in reduction by air turbine with air-water coolant, 73.4 seconds in reduction by air turbine with air coolant, 50.9 seconds in reduction by conventional engine with water coolant, and 27.1 seconds in reduction by conventional engine with no coolant. 4.. After reduction was ceased, the recovery time to normal pulp temperature was 287.1 seconds in air turbine with air-water coolant, 189.0 seconds in air turbine with air coolant, 86.9 seconds in conventional engine with water coolant, and 52.9 seconds in conventional engine with no coolant respectively.
Livestock manure is known to be the main cause of non-point pollution in agricultural areas. The pollutant reduction ratio of livestock manure recycling to fertilizers was measured in order to analyze the effect on the water quality of the Total Maximum Daily Load (TMDL) system in Korea. The reduction ratio has been applied by theoretical consideration without a survey, and there is no value for Total Organic Carbon (TOC) newly introducing any organic items. The reduction ratio of each pollutant from this study was revealed as follows: TOC, BOD, T-N and T-P were 0.34, 0.60, 0.37, and 0.42 for individual farm and 0.38, 0.61, 0.45 and 0.44 for entrustment facilities, respectively. The reduction ratio of individual farm was surveyed as TOC 0.63, BOD 0.62, T-N 0.42 and T-P 0.32 for liquid fertilizer, and TOC 0.30, BOD 0.64, T-N 0.40 and T-P 0.48 for compost. The total reduction ratio was derived by multiplying the ratio for liquid fertilizer and compost by the respective load. Compared to the pollutant reduction ratio of the individual farm with entrustment facilities marking the higher in liquid fertilizer and the lower in compost. Through this study, we found the difference of pollutant reduction ratio between a livestock manure recycling process and facilities. Although phosphorus is known as a preservative matter, the treatment efficiency of T-P is analyzed to decrease by chemical precipitation.
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