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의식하진정법을 적용한 성인 환자의 치과공포 및 불안의 변화 (Changes of dental anxiety and fear in adult patients applying conscious sedation)

  • 이시하;이수영
    • 한국치위생학회지
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    • 제21권1호
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    • pp.53-63
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    • 2021
  • Objectives: The purpose of this study was to determine the relationship between conscious sedation, a moderate sedation method used to reduce dental fear, and anxiety. Methods: The previously developed modified dental anxiety investigation scale (MDAS) and dental fear investigation scale (DFS) were investigated using a self-administered survey for adults aged 19 to 65 years old who visited a dental clinic located in Daegu City from April to November 2020. Those who met the ASA Recommendation Level 1 to 2 were the subjects of this study. The participants were evaluated using the sedation severity rating scale (OAA/S) during the implementation of conscious sedation. A lot of 106 valid questionnaires were analyzed using SPSS. Results: Dental fear and anxiety decreased significantly after dental care with conscious sedation. Dental fear after dental care accompanied by conscious sedation was statistically significant in females, those under the age of 40, those with a bachelor's degree or higher, and those who weighed 60 kg or less. Conclusions: Dental care using conscious sedation was found to have an effect on the reduction of dental fear after the dental procedure. Dental fear can occur in people of all ages, and, regardless of the individual's general and physical characteristics, conscious calming is considered an effective intervention for dental fear in all adults.

복강경하 담낭절제술환자에서의 마취방법에 따른 수술 후 오심과 구토의 비교 (The Comparison of the Effects of Two Anaesthetic Techniques on Postoperative Nausea and Vomiting in Patients Undergoing Laparoscopic Cholecystectomy)

  • 서윤주;박효선;양인순
    • 임상간호연구
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    • 제15권2호
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    • pp.67-75
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    • 2009
  • Purpose: Postoperative nausea and vomiting(PONV) is a common problem after general anesthesia. The aim of this prospective, double-blind randomized study was to compare the effect of Propofol-Remifentanil vs. Sevoflurane inhalational anesthetics on PONV after laparoscopic cholecystectomy. Methods: Forty patients (ASA physical status 1, 2) scheduled for elective surgery participated in the study. Twenty of them received total intravenous anesthesia (TIVA group) with Propofol-Remifentanil, and the rest were given Sevoflurane inhalational anesthetics (inhalation group). The TIVA group was induced with Propofol 5mcg/ml and Remifentanil 3~4mcg/ml. The anesthesia was maintained with the continuous infusion of Propofol 2~3mcg/ml and Remifentanil 2~3mcg/ml IV. The inhalation group was induced with Pentotal Sodium 5mg/kg and 3~4mcg/kg/hr IV Remifentanil. Maintenance was obtained with 1.5~2.0 vol% Sevoflurane. Results: The subjects in TIVA group reported less PONV than those in Sevoflurane inhalation anesthesia group. Conclusion: Propofol-Remifentanil anesthesia (TIVA group) was considered a satisfactory anesthetic technique in reducing PONV in patients with laparoscopic cholecystectomy.

식사대용 떡에 대한 주부들의 이용실태 및 기호도 조사 (A Study on the Housewives' Consumption Pattern and Preference of the Korean Rice Cake as a Substitute for Meal)

  • 노광석;한기영;윤숙자
    • 한국식생활문화학회지
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    • 제22권1호
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    • pp.10-21
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    • 2007
  • The purpose of this study was to investigate the housewives’ consumption pattern and preference of the Korean rice cake asa substitute for meal. The rate of housewives who had eaten rice cake as a substitute for meal were 75.30% and those who had not were 20.83%. Usually 62.03% of them ate rice cake for breakfast, and 34.21% did them within one time per a week. Reasons for eating rice cake for meal were investigated on ‘easy to eat(54.51%)’, ‘good taste (24.44%)’ and ‘healthy food(14.29%)’. The older housewives wanted healthy rice cake for meal and ate with tea and Kimchi(Dongchimi). The younger ones ate rice cake for meal with tea and milk. Thawing methods of frozen rice cake for meal were different between the older and the younger, respectively, steaming and using microwave. Kinds of rice cake as a substitute meal were Injeolmi(50.75%), Backsulgi(49.62%), Chaltteok (47.74%) and Yaksik(46.44).

Chloral hydrate와 Hydroxyzine의 경구투여와 $N_2O-O_2$ 병용투여시 진정효과에 관한 연구 (A STUDY ON THE CONSCIOUS SEDATIVE EFFECT OF CHLORAL HYDRATE/HYDROXYZINE WITH AND WITHOUT $N_2O-O_2$)

  • 홍성준;이긍호
    • 대한소아치과학회지
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    • 제29권4호
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    • pp.489-497
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    • 2002
  • 경희대학교 치과대학병원 소아치과에 내원한 환자 중, negative이거나 definitively negative로 분류되는, 전신적으로 건강한(ASA I) 4세미만의 아동 20명(평균 30.8개월, 남아 12명, 여아 8명)을 대상으로 하여, 두 차례의 진료를 시행하였다. 첫 진료시 chloral hydrate(50mg/kg)와 hydroxyzine HCl(25mg)만을 경구투여하고, 동일한 대상에게 두 번째 진료시 chloral hydrate (50mg/kg)와 hydroxyzine HCl(25mg)의 경구투여와 함께 $N_2O-O_2$를 병용하여 통상의 보존적 처치를 시행하였다. 각 치료과정 별로 나타나는 진정효과를 Houpt의 평가표(수면, 울음, 움직임, 전반적 행동지수)에 의해 측정하였고, pulse oximeter를 이용하여 맥박수 및 동맥혈 산소포화도의 차이 등을 비교, 평가하여 그 결과 chloral hydrate와 hydroxyzine HCl의 경구투여와 함께 $N_2O-O_2$를 병용한 경우가 chloral hydrate와 hydroxyzine만을 경구투여한 경우에 비해 어린이의 행동조절에 더 바람직한 진정요법인 것으로 판단된다.

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해조류 추출물의 항산화 및 nitrite 소거활성 평가 (Evaluation of Antioxidant and Nitrite Scavenging Activity of Seaweed Extracts)

  • 안선미;홍용기;권기석;손호용
    • 생명과학회지
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    • 제21권4호
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    • pp.576-583
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    • 2011
  • 유용생리활성의 해조류를 이용한 식품소재 개발 연구의 일환으로, 35종 해조류(갈조류 17종, 홍조류 11종 및 녹조류 7종)의 메탄올 추출물을 대상으로 in-vitro 항산화 및 nitrite 소거활성을 평가하였다. 해조류 추출물($500\;{\mu}g/ml$) 중 감태, 곰피, 대황, 넓패, 패, 모자반, 알송이모자반, 야마자모자반 및 잘피의 9종에서 60% 이상의 DSA 활성을 나타내었으며, ASA활성은 DSA활성과 높은 상관관계를 나타내었다(상관계수 0.855). 환원력 평가 결과에서는 감태, 곰피 및 대황의 3종만이 0.88 ($Abs_{700}$) 이상의 강력한 활성을 나타내었다. 한편 식품에서의 발암인자인 nitrosoamine생성억제와 관련된 NSA평가의 경우, 전체 35종의 해조류 중 19종에서 60% 이상의 NSA를 나타내었으며, 특히 기존에 알려지지 않은 모자반, 야마다모자반, 알송이모자반, 패, 넓패에서 우수한 활성을 확인하였다. 1차 선별된 9종 해조류의 DSA, ASA, NSA의 $IC_{50}$를 조사한 결과, 기존의 항산화능이 알려진 곰피, 대황, 감태 이외에도 야마다모자반 및 넓패에서 강력한 항산화 활성과 nitrite 소거활성을 확인하였다. 본 연구결과는 야마다 모자반 및 넓패를 이용하여 항혈전, 항산화, NSA 활성을 동시에 나타내는 기능성 식품소재로의 개발이 가능함을 제시하고 있다.

지속적 경막외진통법후 Pressure Algometer에 의한 요통의 평가 (Evaluation of Backpain after Continuous Epidural Analgesia by Pressure Algometer)

  • 권영은;박성희;김인령;이준학;이기남;문준일
    • The Korean Journal of Pain
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    • 제9권2호
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    • pp.363-367
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    • 1996
  • Background: Recently postoperative pain control with continuous epidural analgesia has been increased. This study aimes to evaluate backpain following continuous epidural analgesia by pressure threshold meter (algometer). Methods: After informed consent, 50 ASA physical status I or II patients undergoing elective gynecologic surgery were selected. After placing epidural catheter, patients received morphine 0.05mg/kg with 0.25% bupivacaine 5 ml followed by continuous infusion of 0.125% bupivacaine 100 ml with morphine 4 mg for 48 hours. backpain was measured by pressure algometer over lumbar paraspinalis at the L4 level, 5 and 7 cm from the midline on preoperative, operation day, 1st, 2nd, 3rd, and 4th postoperative days. Results: Postoperative mean pressure thresholds of were higher than preoperative value (p<0.05). Conclusion: The continuous epidural analgesia dose not provide or aggravate postoperative backpain, but it must be evaluated for long term follow-up.

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영상예술 몽타주이론과 애니메이션의 상관관계 연구 (A Study on the Correlation of the Theory of Montage in Film Arts with Animation)

  • 이이남
    • 만화애니메이션 연구
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    • 통권9호
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    • pp.199-219
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    • 2005
  • 본 논문 에서는 영상매체의 몽타주 이론과 미장센의 효과 등을 살펴보고, 구체적인 작품의 사례들과 그것이 애니메이션에 어떠한 효과와 발전에 도움이 되었나를 살펴보고자 한다. 아울러 이러한 시각매체의 대표적인 장르인 영화의 영상연구를 바탕으로 몽타주이론과 미장센이 애니메이션의 장면에 도입되어 나타나는 점들도 고찰해 보겠다. 향후 애니메이션의 발전에 영상의 몽타주 이론과 미장센의 폭넓은 이해와 수용 발전으로 창의적인 애니메이션의 장면들에 도움을 주고자 하며, 더 나아가 영상예술로서의 애니메이션의 독특하고 창조적인 화면을 위해 미장센과 몽타주 이론의 폭넓은 수용을 통해 애니메이션의 발전에 이바지 하려는 연구 목적이 있다.

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치과 수술후의 통증 관리: Myprodol 대 Ibuprofen 대 Codeine (Pain Control after Dental Surgery: Myprodol Versus Ibuprofen Versus Codeine)

  • 한태형;신병섭;김정혜
    • The Korean Journal of Pain
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    • 제11권1호
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    • pp.74-80
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    • 1998
  • Background: Myprodol, a newly introduced combination analgesics with codeine, ibuprofen and paracetamol was evaluated in the dental surgery patients for its efficacy and side effects. Methods: Total 60 ASA I or II outpatients dental surgical patients were randomly assigned into three groups(n=20 each). After various oral procedures, one of three oral analgesics, myprodol, ibuprofen or codeine, was prescribed to each patients in double blind fashion for three days. Each patient was followed carefully by daily phone calls for verbal analog pain scale, side effects and patient's satisfaction level. Results: Demographic data and duration of surgery revealed no statistical differences in all three groups. Myprodol group showed better verbal analgesic scores consistently for the study period than ibuprofen or codeine group. Adverse effects were minimal. Patients' satisfaction level was high in all three groups. Conclusion: We conclude that myprodol is an excellent oral analgesic for day-surgery based dental procedure patients. This effect appears to be synergistic among different analgesics rather than additive.

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뇌파 스펙트럼 분석에 의한 마취 심도 지표 개발 (Development for the Index of an Anesthesia Depth using the Power Spectrum Density Analysis)

  • 예수영;백승완;김재형;박준모;전계록
    • 대한의용생체공학회:의공학회지
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    • 제30권4호
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    • pp.327-332
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    • 2009
  • In this paper, new index was developed to estimate the depth of anesthesia during general anesthesia using EEG. Analysis of the power spectral density(PSD) of EEG was used to develop new parameters because EEG signal tends to have slow wave during anesthesia. Classifier for index creator was developed by using SEF, BDR and BTR parameters, which are calculated by power spectral density. EEG data were obtained from 7 patients (ASA I, II) during general anesthesia with Sevoflurane. The anesthetic depth evaluation indexes ranged from 0 to 100. The average were $86.05{\pm}10.1$, $36.98{\pm}20.2$, $15.33{\pm}13.6$, $50.87{\pm}16.5$ and $87.72{\pm}11.7$ for the states of pre-operation, induction of anesthesia, operation, awaked and post-operation, respectively. The results show that while the depth of anesthesia was evaluated, more accurate information can be provided for anesthetician.

버퍼층 삽입을 통한 박막 태양전지의 고효율화 시뮬레이션 (A simulation of high efficiently thin film solar cell with buffer layer)

  • 김희중;장주연;백승신;이준신
    • 한국신재생에너지학회:학술대회논문집
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    • 한국신재생에너지학회 2011년도 추계학술대회 초록집
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    • pp.64.2-64.2
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    • 2011
  • a-Si 박막 태양전지는 a-Si:H을 유리 기판 사이에 주입해 만드는 태양전지로, 뛰어난 적용성과 경제성을 지녔으나 c-Si 태양전지에 비해 낮은 변환 효율을 보이는 단점이 있다. 변환 효율을 높이기 위한 연구 방법으로는 a-Si 박막 태양전지 단일cell 제작 시 high Bandgap을 가지는 p-layer를 사용함으로 높은 Voc와 Jsc의 향상에 기여할 수 있는데, 이 때 p-layer의 defect 증가와 activation energy 증가도 동시에 일어나 변환 효율의 증가폭을 감소시킨다. 이를 보완하기 위해 본 실험에서는 p-layer에 기존의 p-a-Si:H를 사용함과 동시에 high Bandgap의 buffer layer를 p-layer와 i-layer 사이에 삽입함으로써 그 장점을 유지하고 높은 defect과 낮은 activation energy의 영향을 최소화하였다. ASA 시뮬레이션을 통해 a-Si:H보다 high Bandgap을 가지는 a-SiOx 박막을 사용하여 p-type buffer layer의 두께를 2nm, Bandgap 2.0eV, activation energy를 0.55eV로 설정하고, i-type buffer layer의 두께를 2nm, Bandgap 1.8eV로 설정하여 삽입하였을 때 박막 태양전지의 변환 효율 10.74%를 달성할 수 있었다. (Voc=904mV, Jsc=$17.48mA/cm^2$, FF=67.97).

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