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The Effectiveness and Side Effects of Conscious Sedation using Chloral hydrate, Hydroxyzine, and Nitrous oxide (Chloral hydrate, hydroxyzine 및 N2O/O2 의식하 진정의 효과와 부작용)

  • Kim, Gyeongmin;Lee, Jaesik;Kim, Hyunjung;Nam, Soonhyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.47 no.2
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    • pp.109-119
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    • 2020
  • This retrospective study assessed the effectiveness and side effects of conscious sedation using chloral hydrate, hydroxyzine, and N2O/O2 in the sedation of 149 pediatric patients over 188 sedation sessions, and to identify associated variables. The effectiveness of the sedation was evaluated using the Houpt scale, and was considered effective for scale categories of excellent or good. Effectiveness and side effects were assessed every 15 minutes. The effectiveness decreased and side effects increased over time. The effectiveness of sedation during 60 minutes was 57.4%, and one or more side effects occurred in 18.1% of sessions. Effectiveness of sedation increased with body mass index (BMI). When patients were sedated at the beginning of the procedure, the effectiveness was greater. Side effects increased with patient age. When sedation was divided into two sessions, the number of sedation did not affect the effectiveness or side effects. It can be suggested that sedation should be performed over two separate sessions, as a single prolonged session may lead to reduced effectiveness and increased side effects. To maximize effectiveness and minimize side effects, several variables such as BMI, whether to sedate at the beginning of the procedure and age should be considered thoroughly before sedation.

Analysis of Optimized Column-pile Length Ratio for Supplementing Virtual Fixed Point Design of Bent Pile Structures (단일 현장타설말뚝의 가상고정점 설계를 보완한 상부기둥-하부말뚝 최적 길이비 분석)

  • Jeong, Sangseom;Kim, Jaeyoung
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.33 no.5
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    • pp.1915-1933
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    • 2013
  • In this study, the virtual fixed point analysis and 3D fully modeling analysis for bent pile structures are conducted by considering various influencing factors and the applicability of the virtual fixed point theory is discussed. Also, the optimized column-pile length ratio is analyzed for supplementing virtual fixed point design and examining a more exact behavior of bent pile structures by taking into account the major influencing parameters such as pile length, column and pile diameter, reinforcement ratio and soil conditions. To obtain the detailed information, the settlement and lateral deflection of the virtual fixed point theory are smaller than those of 3D fully modeling analysis. On the other hand, the virtual fixed point analysis overestimates the axial force and bending moment compared with 3D fully modeling analysis. It is shown that the virtual fixed point analysis cannot adequately predict the real behavior of bent pile structures. Therefore, it is necessary that 3D fully modeling analysis is considered for the exact design of bent pile structures. In this study, the emphasis is on quantifying an improved design method (optimized column-pile length ratio) of bent pile structures developed by considering the relation between the column-pile length ratio and allowable lateral deflection criteria. It can be effectively used to perform a more economical and improved design of bent pile structures.

The Complex Salmonella typhimurium Ghost Cells Play an Additional Role as an Immune Adjuvant (면역보강제로서 부가적인 역할을 가지는 복합 살모넬라 타이피무리움 고스트 세포)

  • Ha, Yeon Jo;Kim, Seung Tae;Kang, Ho Young;Gal, Sang Wan;Kim, Sam Woong
    • Journal of Life Science
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    • v.24 no.2
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    • pp.154-160
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    • 2014
  • Ghost cells have been recognized as eliciting humoral and cell-mediated immune responses and have also been predicted to play a role as an immune adjuvant. In this study, we used the intramuscular (IM) route to inject BALB/c mice with four vaccine groups constructed from Salmonella typhimurium ghost (STG) cells originating from different virulent strains and complex STG groups instead of heat-labile toxin (LT)-B, a type of adjuvant. Although the complex STG groups exhibited a response after a short delay, the groups showed final total IgG levels similar to those of the LT-B group, which encodes LT-B from pMMP300. The IgG1 response to the ${\chi}$3339 group was the highest response at 6 weeks, whereas IgG2a responses to the ${\chi}$3339 and JOL389 groups were higher at 6 and 8 weeks compared to those of the LT-B group. The response of vaginal sIgA to the LT-B group was generally higher than that of the other groups, whereas fecal sIgA to the LT-B group exhibited lower responses. Protection to virulent S. typhimurium in all groups was above 80%, which was similar to the LT-B group. Taken together, we suggest that STG complex groups can be used as an immune adjuvant instead of LT-B.

Fundamental Performance Evaluation of Recycled Aggregate Concrete with Varying Amount of Fly Ash and Recycled Fine Aggregate (순환잔골재 및 플라이애쉬 혼입률에 따른 순환골재 콘크리트의 압축강도, 염소이온 투과 및 중성화 저항성 평가)

  • Sim Jongsung;Park Cheolwoo;Moon Il-Whan;Lee Hee-Chul
    • Journal of the Korea Concrete Institute
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    • v.17 no.5 s.89
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    • pp.793-801
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    • 2005
  • This study investigates fundamental properties of recycled aggregate concrete which incorporated 100% recycled coarse aggregate and various amount of recycled fine aggregate. In addition, for the purpose of the improvement of long term strength and durability, a part of cement was replaced with fly ash. Compressive strength and resistance to chloride ion penetration and carbonation were investigated. When the coarse aggregate was completely replaced with the recycled the replacement ratio of the fine aggregate with the recycled was recommended to be limited below 60% in the consideration of strength. The strength of the steam-cured specimen was very comparable to the wet-cured at 28 days. As fly ash content increased the resistance to chloride ion penetration was increased. The chloride ion penetrability based on the charge passed was found to be low at 21 days and very low at 56 days, respectively. Carbonation depth and carbonation velocity coefficient increased as the fly ash content increased and the relationship between the carbonation depth and recycled fine aggregate replacement ratio was not clear. Up to 28days, however, the measured carbonation depth was mostly less than 10mm which could be considered as low.

An Analysis of Elementary Mathematics Curriculum in Korea through the Philosophical View of Mathematics Education (수학 교육 철학적 분석을 통한 초등 수학과 교육과정의 경향 파악)

  • Lee Myeong Hee;Paik Seok Yoon
    • Journal of Elementary Mathematics Education in Korea
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    • v.4 no.1
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    • pp.39-55
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    • 2000
  • The purpose of this research is to analyse Korean elementary mathematics curriculum taking a philosophical view of mathematics education. In this research, 1 will analyze not only the current elementary mathematics curriculum but also the past ones. There have been intermittently quantitative and external analysis so far to comprehend the elementary mathematics curriculum. But, I thought we also need qualitative and internal comprehension and examined the curriculums through a philosophical analysis. Generally, mathematics curriculums at every period have their own mathematical philosophy consciously or tacitly. And, the school mathematics is the practice of mathematics curriculum based on that mathematical philosophy. Mathematical curriculum reflects both the philosophical aspect in mathematical philosophy that forms the background of the mathematical curriculum and the sociological aspect in real-class that is the output of the curriculum. With this view, the logic of social constructivism can be an appropriate way that leads mathematical philosophical analysis and sociological analysis in mathematics education. So, I comprehend the tendency of the Korean elementary mathematics curriculum from the first to the seventh through the philosophical views. In view of the results so far achieved, after the second half of the 20th century, the Korean mathematical curriculums mainly have the tendency from the Ideology of progressive educator (the first) to of technological pragmatist (the second), from that of old humanist (the third and forth) to progressive educator (the fifth and sixth), and lastly that of social constructivism (the seventh).

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Analysis of Hydraulic Characteristics for the Design Parameters of Culvert Outlet Facilities in Detention Pond (저류지 암거방류시설 설계인자의 수리학적 특성 분석)

  • Lee, Jae Joon;Jang, Joo Young;Lee, Hoo Sang;Jang, Hyun Min
    • 한국방재학회:학술대회논문집
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    • 2011.02a
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    • pp.213-213
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    • 2011
  • 근래 이상기후에 의한 강우량 증대와 도시화에 따른 첨두유출량의 증대 및 도달시간의 단축은 기존의 유수지만으로 도시홍수를 대처하는데 그 한계점에 다다르게 되었다. 1990년대에 들어 각종 우수유출 저감시설의 활용으로 이상의 문제를 해결하고자 하는 노력들이 시작되었으며, 현재 신규개발지에 저류지와 같은 우수유출저감시설 설치를 법제도적으로 의무화 하고 있어, 전국적으로 천여개소의 저류지가 시설되어 있거나 계획 중에 있다. 저류지는 개발로 인해 증가된 첨두유출량을 개발전의 상태로 저감시키기 위하여 임시 또는 상시 저류하거나 저류능력 이상의 유출량에 대해서는 암거방류시설을 통해 하류부의 하천 또는 하도로 방류시키는 역할을 수행하는 수공구조물로서 일반적으로 저류지 계획 및 설계는 첨두유출량 증가분에 대해 초점을 맞추고 있을 뿐 방류시설에 대한 구체적인 설계는 이루어지지 않고 있는 실정이다. 또한 현재 국내에는 저류지 방류시설로 주로 사용되는 암거에 관한 설계규정이나 기법은 미미한 상태로, 한국도로공사(1991)에서 발표한 "도로배수계획"을 이용하고 있으며, 이는 미국 연방도로국(FHWA, 1985)에서 발표한 설계기법을 그대로 인용하고 있다. 즉, 지형 또는 현장 여건에 따라 암거 흐름의 8형식 중 하나의 형식으로 결정하고, 그 형식에 따라 관련도표를 이용한 시산법 또는 도식해법을 적용하여 유입부 상류수위를 산정함으로써 암거설계가 이루어진다. 하지만 이러한 암거설계 방식은 도로 배수암거에 적합한 것으로 저류지 배수암거에 적용하기에는 무리가 있다고 본다. 따라서, 본 연구에서는 저류지의 일반적인 특성상 암거흐름 8형식 중 Class-II군의 암거 상류부 수위가 잠수된 조건 즉, 평상시 저류지가 일정수위 이상의 저류량을 유지하고 있는 상태에서 저류지 암거방류시설의 대표적인 설계인자인 암거직경, 암거경사, 암거경사, 하류단 수위조건의 변화에 따른 상류부 수위변화를 유량별로 분석해 보았다. 방류 암거의 개수를 고려하기 위하여 암거상류부 수위와 암거직경의 관계해석 시 암거단면적을 이용하여 분석하였으며, 각각의 유량별로 상류부 수위와 암거단면적의 관계를 회귀식으로 제시하였다. 암거상류부 수위와 암거경사의 관계를 분석한 결과 암거경사가 5~20%로 변화할 때 암거상류부 수위의 변화는 2~5%정도의 매우 작은 변화를 보임을 확인할 수 있었으며, 암거길이의 경우는 해석 조건의 특성상 상류부 수위에 영향이 전혀 나타나지 않았다. 암거상류부 수위와 암거하류단 수위의 관계에서 암거상류부 수위는 암거하류단 수위가 암거직경과 퇴사위 높이의 합보다 암거하류단의 수위가 높아지는 시점부터 암거하류단 수위에 비례해서 증가되는 결과를 알 수 있었다.

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The Fundamental Research for Discomfort Glare Evaluation of Building Interior Artificial Illumination (건축실내 인공조명의 불쾌글레어 평가를 위한 기초적 연구)

  • Lee, Jin-Sook;Kim, Won-Do;Kim, Byoung-Soo
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.20 no.1
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    • pp.27-33
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    • 2006
  • Evaluating comfort of illumination environment of building interior is recognizing the degree of glare causing discomfort. Currently, to use the experimental formula for discomfort glare studied abroad it would be not appropriate because each races feel about the degree of glare differently. Therefore, this study aim to make up prediction formula for evaluating discomfort glare reasonably from Koreans' vision and it proceeded with 4 stages as follows: First, after reviewing the existing discomfort glare evaluation formula, I selected experimental variables. Second, I made a mock-up that I can control experimental variables and conditions according to the purpose of this study. Third, 1 conducted discomfort glare evaluation experiment. Finally, compared with UGR evaluation method suggested for Westerner in prior studies. In conclusion, 1) it's proved that discomfort glare is influenced highly by a light source luminance, background luminance and location of testee and the line of vision. 2) In interior discomfort glare experiment whether the glare light source is placed within range of vision or not has more significant influence than the distance between the light source and testee. 3) I compared and analyzed with UGR, the most representative discomfort glare evaluation system and I found there is a little difference in the results. This shows discomfort glare of Koreans and Westerners are different.

The Sisterhood Shown in an Animation in the Feminist Perspective (페미니즘 관점으로 본 애니메이션 <겨울왕국>의 자매애)

  • Choi, Hyekyung
    • Cartoon and Animation Studies
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    • s.44
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    • pp.57-84
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    • 2016
  • The image of woman shown in an animation was pretty extraordinary as Disney has kept the conservative tendency so far. The two princesses in were described as independent women getting out of the traditional gender role and dependence on men. For this reason, there is a tendency that interprets as a feminist work. Even though the character showing the image of independent woman could be an essential index to define feminist work, it is not enough to define the tendency of works. Thus, this study reviewed if it would be valid to interpret as a feminist work. First, the 'sisterhood' which is the main theme of contained the feminist concept as 'women's solidarity' on top of friendship between sisters. Therefore, when analyzed focusing on the core concept of women's solidarity like difference, empathy, and solidarity, reflected 'differences' in narration, character, and image, etc. When differences in sisters which became the cause for misunderstanding and conflict were acknowledge based on their true love, the process of forming empathy and solidarity was described. The solidarity between Elsa and Anna not only became the power to defeat the enemy, but also reflected the feminist value of forming the community of coexistence like Adelen which was rebuilt after getting back the spring. Thus, it was verified that is a feminist work.

Effective consultation strategy for patients of aesthetic case (심미 증례 환자의 효과적인 상담 전략)

  • Kim, Jumee
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.22 no.1
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    • pp.74-82
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    • 2013
  • In the modern society, the awareness of images is affecting the body-related consumer behavior through mass media such as TV and internet, and SNS that has grown explosively with the wide availability of smartphones. As a consequence, the demands for aesthetic treatments by patients who wish to improve their inferiority complex are increasing. Patients who want aesthetic treatments display more active inclinations than those receiving general treatments, and have the expectation for the improvement in images along with the anxiety over potential functional problems and satisfaction about the outcomes. In the consultation of the patient of aesthetic case, the basic starting point is that the surgeon and the patient recognize improvement points that the patient expects through the aesthetic treatment. The consultation starting from the viewpoint of the patient proceeds in a way that the consensus is reached through the medical approach, eventually finding the balance between ideals and naturalness. The consultation process from the initial meeting is established at each stage of treatment, at which the consultation is correctly recorded and shared by the surgeon and the care staff. In addition, the consistent policy is implemented from the initial consultation through to the maintenance care. Together, these will result in the consultation based on the true communications leading to the outcome that satisfies the patient, the surgeon and the care staff, rather than the one that gives the patient an unfounded hope and leads to the unsympathetic outcome. This article introduces the consultation strategy for patients of aesthetic case based on the sympathy with them through cases of aesthetic treatment by type.

Injury Aspects of the Stone Leek Leafminer, Liriomyza chinensis Kato (Diptera: Agromyzidae) on Welsh Onion (파를 가해하는 파굴파리의 충태별 피해 양상 및 행동)

  • 최인후;김정화;김길하;김철우
    • Korean journal of applied entomology
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    • v.42 no.4
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    • pp.335-343
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    • 2003
  • An experiment was conducted to investigate types of injury inflicted by the stone leek leafminer, Liriomyza chinensis Kato (Diptera: Agromyzidae) on welsh onion. A feeding scar made by an adult female was a hole round in shape, with diameter of 0.08 mm and 0.48 mm in lesion, resulting in a white spot, many of which often form vertical dotted lines on a leaf. Egg spots were oval with 0.1 ${\times}$0.14 mm in size, one or several of which often form a V-shape in group. Feeding by adults began immediately after emergence and was very active from 4th to 5th day. Oviposition was done from 2nd to 6th day after emergence. In both feeding and oviposition, they were more active in the day time. Larvae after emergence crawled up the leaf at first, and then moved up and down to feed on mesophyll. When in high density, they feed on leaf from leaf tip to bottom, and let the leaf die. Area of damage per one larva was calculated as 72.1 $\textrm{mm}^2$. The aged larvae escaped from the leaf in early morning, usually between 5 and 7 am. Most pupation sites were distributed near plants,5cm in soil depth and within 10 cm away from the plant. Pupae of L. chinensis overwintered 10cm below soil surface and emerged from early May to late June the next year Adults then moved to welsh onions near over wintering sites, nursery, transplanted, and levee.