• Title/Summary/Keyword: 깊은진정

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People inside (1) - 사랑과 나눔 운동 펼치는 젊은 아빠 되고 싶어, 배우 이광기

  • 대한결핵협회
    • 보건세계
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    • v.60 no.3
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    • pp.26-27
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    • 2013
  • 우리는 사극 '태조 왕건'에서 광기 어린 신검의 모습으로 시청자들에게 깊은 인상을 남긴 배우 '이광기'를 기억한다. 한창 인기가 절정일 무렵, 아들(고(故) 이석규)을 떠나보내는 가슴 아픈 일을 겪어야만 했지만, 나눔과 봉사로 '잊는 것이 아닌 만남을 기억해가는', 이제는 국민 아빠가 된 이광기 씨다. 여기에 그치지 않고 제작년에는 늦둥이 아들 이준서 군을 얻어 진정 위대한 아빠의 모습이 무엇인지 보여주고 있다. 그런 그가 지난 3월 대한결핵협회 홍보대사로 나서며 범국민 결핵퇴치 및 결핵 인식 개선에 앞장서고 있다.

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A Retrospective Statistical Study on Sedation Cases in Department of Pediatric Dentistry at Dankook University Dental Hospital for 5 Years (단국대학교 치과병원 소아치과에서 5년간 시행된 진정법에 대한 후향적 통계 연구)

  • Park, Changhyun;Shin, Jisun;Kim, Jongsoo;Kim, Jongbin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.45 no.1
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    • pp.75-81
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    • 2018
  • Recently, sedation is routinely used in children who lacked cooperation in pediatric dental clinics. The purpose of this study is to analyze dental treatment cases in department of pediatric dentistry at Dankook University Dental Hospital associating with sedation during 5 years. From January 2011 to December 2015, information about dental treatment cases in department of pediatric dentistry was collected and reviewed. The information gathered included patient gender, age, sedation type, sedative agents, date of operation, and type of procedure. The proportion of treatment cases with conscious sedation for total treatment cases continued to decline until 2014. On the other hand, the incidence of general anesthesia increased gradually. The frequency of midazolam administration and nitrous oxide inhalation sedation increased recently. The use of conscious sedation was significantly decreased when the age of patient was 3 years or older. The frequency of general anesthesia was similar in all age groups. There was a tendency to perform treatment with deeper sedation when the patient was male than female, and when the pulp treatment was performed together with the restorative treatment than not performed. The frequency of re-treatment within 90 days after restoration treatment decreased as the depth of sedation increased.

Effects of Midazolam with Sevoflurane Insufflation Sedation on Concomitant Administration in Pediatric Patients : A Preliminary Study (소아환자의 세보플루란 흡입진정시 미다졸람 병용 투여의 효과에 관한 예비연구)

  • Chi, Seongin;Kim, Jongsoo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.41 no.4
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    • pp.283-291
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    • 2014
  • Patients with extreme anxiety who are unable to cope with dental treatment under non-pharmacological behavioral management method may require sedation, or other forms pharmacological behavioral management method. The aim of this retrospective study was to investigate the effect of concomitant administration of 0.1 mg/kg intramuscular midazolam with or without sevoflurane insufflation sedation on sedation depth and cardiopulmonary function in pediatric patients. We analysed the records of anesthesia on patients who received dental treatment under deep sedation using sevoflurane insufflation from January 2013 to March 2014. Thirty-six children, aged 3 to 6 years, undergoing dental treatment were sedated using either sevoflurane insufflation alone (Group S, n = 18) or a combination of intramuscular injection of 0.1 mg/kg midazolam plus sevoflurane insufflation (Group SM, n = 18). Upon comparison, the average entropy value of group SM was lower than that of group S, but there were no statistically significant difference between the two groups (p > 0.05). The average heart rate and mean arterial pressure of group SM were higher than those of group S (p < 0.05). Concomitant intramuscular injection of 0.1 mg/kg midazolam with sevoflurane insufflation sedation is not sufficient to enhance the quality of sedation.

A COMPARATIVE STUDY ON THE VITAL SIGN AND BEHAVIOR APPEARANCE DEPENDING ON THE ROUTE OF FLUMAZENIL ADMINISTRATION IN CONSCIOUS SEDATION BY MIDAZOLAM (Midazolam을 이용한 의식진정시 flumazenil의 투여경로에 따른 생징후 및 행동양상의 비교 연구)

  • Kim, Hyun-Sik;Lee, Chang-Seop;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.2
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    • pp.159-167
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    • 2002
  • The purpose of this study was to evaluate the efficacy and safety depending on the route of flumazenil, as an antagonist against midazolam. The subjects of this study were 15 volunteers of $22{\sim}24$ years old. They were sedated with midazolam 0.2mg/Kg intranasal spray, and then 40 minutes after midazolam administration, they were given flumazenil 0.2mg intranasal spray for their reversal. For evaluation of the efficacy and safety of intranasal spray for flumazenil, they were monitored with pulse-oxymeter(Nellcor symphony N-3000, Nellcor Puritan CO. USA) and electric sphygmomanometer (Heartcare 200, National CO. Japan), and were assessed themselves using visual analogue scale(VAS) for tranquilization, sleep, fatigue and attitude. All of these subjects were reduced completely without any undesired situations. The results from this study can be summarized as follows ; 1. Nasaly administered flumazenil using spray device produced much more rapid reduction than intravenously administered flumazenil, but soon after fell in more deep sedated state than intravenously administered flumazenil. 2. There were no considerable side effects or bad influence on vital signs of both nasaly administered flumazenil and intravenously administered flumazenil. These results suggested that the flumazenil administered nasaly using spray device for reversal, we could treat patients safely and effectively under conscious sedation using midazolam administration. But, We will have to research about its optimal dosages for flumazenil, used as intranasal spray for reversal agents against the midazolam by evaluating the blood plasma concentration of midazolam and flumazenil.

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The relationship between lowest bispectral index value and age in high spinal anesthesia (고위 척추마취에서 마취심도감시장치를 이용한 나이에 따른 진정 정도의 비교)

  • Hwang, Byeong-Mun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.5
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    • pp.2322-2328
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    • 2013
  • The aim of this study was to quantify the sedative effects of high spinal anesthesia, according to patient age, by also evaluating respiratory and hemodynamic changes. A prospective study was performed in 60 patients who were electively scheduled for lower limb or lower abdominal surgery. They were allocated into one of 2 groups according to their age: older age (51-80 years) and young age (20-50 years). In all groups, the lowest intraoperative bispectral index (BIS) values significantly lower than preoperative values. Patients in the older age group had significantly lower intraoperative BIS values than younger patients. The sedative effect of high spinal anesthesia is greater in older patients than in young patients, with an increase in respiratory instability. Our study showed a negative correlation between age and lowest BIS value; the lowest BIS value was reduced in older patients.

A Study on Fashion Design of Threedimensional Modeling-Paper Folding Expression- (접기 기법의 입체적 조형이 도입된 복식 디자인 연구-접기 기법의 표현 성을 중심으로-)

  • 김지희;양취경
    • Archives of design research
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    • no.18
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    • pp.75-84
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    • 1996
  • 모든 예술적 표현 활동은 서로 깊은 연관을 지니고 있으며, 복식 디자인 역시 예술적 표현 활동의 한 분야로서, 현대에 이르러 복식은 단순히 입는다는 개념을 탈피한 하나의 조형 예술로 인식되어지고 있다. 예술적 표현 활동은 조형 제작 활동의 주체인 인간이 예술적 표현의 의지를 사물로 객체화하는 과정에 있어서, 그 재료와 재료의 가공 기법을 통해 표현되는 활동이라고 말할 수 있다. 근자에 이르러 종이는 예술표현 활동에 있어서 진정한 표현 매재로 간주되고 있으며, 특히 종이를 예술적 표현을 위한 피동적 표면이라는 재료로서의 고정된 관념에서 탈피하여 입체적 조형이 시도되고, 이러한 종이의 입체로의 성형 가능성에 대한 발견은 조형 매체로서의 종이에 대한 새로운 시각을 제시하고 있다. 이에 본 연구는 종이 조형에 의해 표현되는 조형성을 복식에 적용시키기 위한 것으로서, 종이를 통한 조형성 표현의 여러 방법 중 특히 접기의 방법을 응용하여, 접기 기법의 조형요소로서의 특성과 인체와 결합하여 복식으로 이루어졌을 때 새로운 조형물로 인식되어질 수 있는 복식의 형태를 시도하였다. 작품은 접기 기법에 의해 형성되는 조형성을 복식을 응용하여, 복식에 대한 기하학적 조형성과 함께 새로운 실루엣과 이미지를 창출하며, 복식의 새로운 표현 영역의 확대를 위한 실물 작품으로 제작하였다.

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IV Deep Sedation Management of Waardenburg Syndrome Child during Dental Treatment - A case report - (Waardenburg Syndrome 환아의 치과치료를 위한 정주 깊은 진정법 -증례보고-)

  • Kim, Seung-Oh
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.6 no.1 s.10
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    • pp.6-12
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    • 2006
  • IV Deep sedation is useful for Waardenburg syndrome Child undergoing extensive dental treatment. We experienced a case of dental treatment under W deep sedation in a 3 years old boy with Waardenburg syndrome. He was treated on an outpateint basis. He was diagnosed hypothyroidism and received thyroid hormone. Premedication was done using ketamine and atropine IM. Induction using $N_2O$-enflurane mask ventilation was uneventful and intravenous cathetering was carried out. IV deep sedation was maintained with midazolam-$N_2O$ combination. After monitoring the patient for 2 hours and confirming his recovery, he was discharged from the day care unit. In summary, we report this successful IV Deep sedation management of Waardenburg syndrome child during dental treatment in as out patient.

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Blood Gas Analysis of Respiratory Depression during Sevoflurane Inhalation Induction for General Anesthesia in the Disabled Patients (장애 환자의 전신 마취를 위한 세보플루란 흡입 유도 시 발생한 호흡 저하의 혈액 가스 분석)

  • Yoon, Taewan;Kim, Seungoh
    • Journal of the korean academy of Pediatric Dentistry
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    • v.45 no.4
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    • pp.508-513
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    • 2018
  • Tidal volume by sevoflurane in small amounts is stable due to the increase in the breathing rate. But alveolus ventilation decreases due to sevoflurane as the degree of sedation increases; this ultimately causes $PaCO_2$ to rise. The occurrence of suppression of breath increases the risk of severe hypoxia and hypercapnia in deeply sedated patients with disabilities. Sevoflurane inhalation anesthesia has a number of risks and may have unexpected problems with hemodynamic changes depending on the underlying state of the body. This study was conducted to examine the stability of internal acid-base system caused by respiratory depression occurring when patients with disabilities are induced by sevoflurane. Anesthetic induction was carried out by placing a mask on top of the patient's face and through voluntary breathing with 4 vol% of sevoflurane, 4 L/min of nitrous oxide, and 4 L/min of oxygen. After the patient's loss of consciousness and muscle relaxation, IV line was inserted by an expert and intravenous blood gas was analyzed by extracting blood from vein. In a deeply sedated state, the average amount of pH of the entire patients was measured as $7.36{\pm}0.06$. The average amount of $PvCO_2$ of the entire patients was measured as $48.8{\pm}8.50mmHg$. The average amount of $HCO_3{^-}$ of the entire patients was measured as $27.2{\pm}3.0mmol/L$. In conclusion, in dental treatment of patients with disabilities, the internal acid base response to inhalation sedation using sevoflurane is relatively stable.

인터넷의 한국사회의 변화와 건전한 정보이용 환경조성의 과제

  • Jang, Gyeong-Chae;Jeon, Sang-Gyun
    • Management & Information Systems Review
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    • v.17
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    • pp.83-105
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    • 2005
  • 인터넷은 한국사회 전반에 많은 변화를 초래하였다. 인터넷이 빠르게 확산되어 2004년 말에 인터넷 이용자 3,000만 명 시대를 열었고 이동전화, 초고속 인터넷 등 새로운 정보기술이 보편적으로 활용되는 단계에 이르렀다. 그에 따라 개인 홈페이지가 커뮤니케이션의 새로운 수단으로 자리 잡았고, 이에 따른 새로운 네티즌 문화를 탄생시켰다. 사회문화적 측면에서 그동안 정보화가 창출한 가장 큰 변화는 조직사회의 변화, 교육환경의 변화, 문화생활의 변화를 들 수 있다. 인터넷이 조직사회에 미친 영향은 전통적인 연공서열식 피라미드형 조직구조가 새로운 네트워크형 조직으로 발전하였으며, 노동시장도 장소에 구애받지 않고 이동원격근무(mobile Office)로 발전하는 추세이다. 그리고 교육환경은 가상공간을 통한 다양한 교육정보 접근기회를 확대하고 있으며, 사람들의 사고방식, 생활양식, 가치관의 변화도 수반하고 있다. 반면에 인터넷 사회는 한국사회 전반의 변화와 함께 정보화의 역기능 현상도 다양하고 광범위하게 확산되고 있다. 인터넷이라는 온라인상에서 다양한 주제로 서로 만나고 정보를 교환하는 사이버 공동체(Cyber Community)는 온라인 공간에 한정되는 것이 아니라 현실공간으로 확장되어 나타나고 있으며, 인터넷 중독문제는 개인뿐만 아니라 가정과 사회에도 부정적 영향을 끼치고 있을 뿐만 아니라 안티사이트도 진정한 대안문화로 자리 잡지 못하고 인터넷의 익명성을 이용해 무차별적인 비방과 욕설이 난무한 과도기적 현상을 보이고 있다. 이제 인터넷은 한국사회의 모든 것과 깊은 관련을 맺는 매우 중요한 일부분이 된 것이다. 인터넷은 20세기 공학기술이 성취한 위대한 업적 중의 하나이다. 인터넷은 단순히 정보화 사회를 실현하는 것이 아니라 인간의 삶의 가치, 생활의 편익 등을 증대한다는 믿음 때문이다. 한편 현실은 여러 가지 역기능이 함께 나타나고 있다. '네티즌 윤리강령'까지 선포했지만, 진정한 네티즌 윤리는 강령을 선포했다고 저절로 확립되는 것이 아니다. 네티즌 각자의 실천의지가 있어야 한다. 인류가 새로운 이상향이라고 추구하는 가상사회는 윤리적인 사고와 행동으로 질서를 유지하지 못하면 인류의 밝은 미래는 보장할 길이 없다. 21세기 정보화 사회, 인터넷 사회를 맞이한 우리는 이 세상을 참으로 살기 좋은 세상으로 만들어야 할 고귀한 책무를 안고 있다. 아무리 험한 길, 어려운 과제라 할지라도 그 목표를 잃어서는 안 되며, 그 해답을 얻는 노력을 결코 게을리 해서는 안 된다.

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The Effects of Brand Awareness Factors on Brand Resonance (브랜드 정보 인식요인들이 브랜드 공감에 미치는 효과)

  • Choi, Soow-A;Kyung, Ae Rim;Hwang, Yoon Yong
    • Journal of Korea Society of Industrial Information Systems
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    • v.25 no.4
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    • pp.101-115
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    • 2020
  • It is very important for companies to form a strong brand resonance to maximize profits, attract new customers, and prevent them from leaving existing customers. In this study, we examined the relationship between brand awareness factors and brand attachment leading to brand identity cognition, brand performance, and brand emotion, and verified how brand attachment plays a role in shaping brand resonance. As a result, it was confirmed that brand emotion among brand awareness factors is a key factor affecting brand attachment and forming brand resonance. In addition, if the perception of brand identity is established until the true brand resonance of consumers is established, they will experience the true value of the brand through differential performance on the brand, and further increase the emotional response of consumers. This led to deep solidarity with the brand and consumers through attachment to the brand, interacting with the brand and showing high brand empathy behavior.