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A Study on Efficacy of Preemptive Analgesia - A Comparison on Efficacy of Preoperative and Postoperative Analgesic Administration - (선행적 진통 요법의 효과성에 대한 연구 -발치 전과 후 진통 요법의 효과 비교-)

  • Jung, Young-Soo;Kim, Moon-Key;Park, Hyung-Sik;Lee, Eui-Wung;Kang, Jeong-Wan
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.3 no.1 s.4
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    • pp.10-18
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    • 2003
  • Background: Studies on the pain have been dealing with many different ways for last several centuries. Especially, preemptive analgesia is being used as a method to control the postoperative pain. Many studies on its efficacy have been processed in different ways about various drugs, administration methods and times for various operations. And the value of preemptive analgesia are still controversial regarding the results of other clinical studies. The authors performed a clinical study on efficacy of preemptive analgesia using an non-steroidal anti-inflammatory drug (NSAID) for the surgical extraction of impacted third molar teeth and present the more effective pain treatment after oral surgery with literature review. Methods: Using a randomized double blind test design, this study compared the analgesic efficacies of an NSAID, Talniflumate 370 mg. This drug administrated first either 1 hour preoperatively (experimental group) or when the pain developed moderately to severely over 5 scale of verbal rating scales (0-10) to respective 30 patients undergoing the removal of impacted third molars. Pain intensity and the time from the end of surgery were assessed postoperatively whenever the patients demanded additional drug over 5 scale for forty eight hours using same verbal rating scales. Results: The sex distribution, the age of the patients. and the time required for surgery in two groups were similar. The average first time for demanding additional drug after surgery was 163.9 minutes in experimental group and 191.5 minutes in control group. At this time, the average pain intensity was 5.8 in experimental group and 6.1 in control group. And the average second time for demanding additional drug was 365.5 minutes in experimental group and 351.8 minutes in control group. At this time. the average pain intensities were 6.6 in experimental group and 6.2 in control group. No statistically significant difference was found between the average first times and second times, and the average pain intensities at first and second times in two groups. Conclusions: From these results the efficacy of preemptive analgesia used in this study was not appeared. This clinical study indicates that many NSAIDs administrated preoperatively in present practices have weak efficacy of preemptive analgesia for postoperative pain, thus the authors recommend that only postoperative analgesics are adequate without preoperative use of analgesics.

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A Study on the Ratio of Weight-far-Height in Insurance Medicine (비체중(比體重)의 보험의학적고찰(保險醫學的考察))

  • Im, Young-Hoon
    • The Journal of the Korean life insurance medical association
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    • v.2 no.1
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    • pp.195-217
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    • 1985
  • A statistical analysis on the ratio of weight-for-height in insurance medicine was carried out in a total of 12,690 insured persons who were medically examined at the Honam medical department, Dong Bang life insurance company, ltd. from June, 1979 to February, 1984. The results were as follows: 1. The mean value of the ratio of weight-for-height(W/H ratio) was $102.3{\pm}11.3%$ in all males, and $105.2{\pm}103.6%$ in all females. The difference of the values between males and females showed statistical significance(P<0.001). The mean value of W/H ratio in all the insureds was $103.8{\pm}12.9%$. In each age group, the mean value of female was higher than that of male without exception(P<0.001). The mean value of both sexes in each age group showed gradual increase with age except for the age group over 50(P<0.001). 2. The incidences of the average weighted, overweighted and underweighted lives were respectively 91.6% in all males, 84.2% in all females(P<0.001); 7.9% in all males, 15.4% in all females(P<0.001); 0.5% in all males, 0.4% in all females(P>0.05). The incidences of average weighted, overweighted and underweighted lives in all the insureds were respectively 87.6%, 12.0% and 0.5%. The incidence of the average weighted lives in male in each age group was always higher than that in female with the exception of the age group below 19(P<0.001), whereas the incidence of the overweighted lives in male in each age group was always lower than that in female(P<0.05 in the age group below 19, P<0.001 in the other age groups). The incidence of average weighted lives of both sexes in each age group showed gradual decrease with age from the second to fifth decade(P<0.001), whereas the incidence of the overweighted lives of both sexes in each age group showed gradual increase with age from the second to fifth decade(P<0.001). 3. The relative frequency distribution polygons of W/H ratio of both sexes drawn in a pair on one coordinate plane revealed lying in juxtaposition each other horizontally and showed the shifting of female's polygon to male's one toward the direction of greater value of W/H ratio at a short distance which increased gradually with age. 4. Correlations between both sexes and among age groups relating to W/H ratios of the insureds seem to be a physiological phenomenon of body build and should be considered on the rating of the build. Author prepared a rating table of build based on the correlations above menthioned. Some gradients by sex and age in the rating table of build are organized; in female group, the ratings of 0, 30-50, 50-100 and 100-D are to calculate by the build with W/H ratio of 80-125%, $126{\sim}145%,\;146{\sim}165%$ and over 166% respectively in the age group of 29 or under, by the build with W/H ratio of $80{\sim}130%,\;131{\sim}150%,\;151{\sim}170%$ and over 171% respectively in the age group of $30{\sim}59$, and by the build with W/H ratio of $80{\sim}135%,\;136{\sim}155%,\;156{\sim}175%$ and over 176% respectively in the age group of 60 or over. In male group, the ratings of 0, $30{\sim}50$, 50-100, and 100-D are to calculate by the build with W/H ratio of $80{\sim}120%,\;121{\sim}140%,\;141{\sim}160%$ and over 161% respectively in all ages. Of under weighted lives, in both sexes, the ratings of 30-50 and 50-D are to calculate by the build with W/H ratio of $76{\sim}79%$ and under 75% respectively. The results of the ratings according to a rating table by author were as follows: The incidence of the ratings of 0, 30-50, 50-100 and 100-D showed no difference between male and female. The incidence of the ratings of 0(indicating the average weighted lives) showed gradual decrease with age and the incidence of the ratings of 30-50 and 50-100(indicating the overweighted lives) showed gradual increase with age. These results are thought to be considerably reasonable because the incidence of the builds in each age group is supposed to have no difference by sex and the incidence of the overweighted lives would increase with age.

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Active Power Factor Correction Technology of Electronic Ballast (안정기용 능동역율 제어기술)

  • Han, Soo-Bin;Park, Suck-In;Jeoung, Hak-Guen;Jung, Bong-Man;You, Seong-Won
    • Proceedings of the Korean Institute of IIIuminating and Electrical Installation Engineers Conference
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    • 2006.05a
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    • pp.225-227
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    • 2006
  • Active power factor correction methods for electronic ballast are reviewed in this paper. PFC technology becomes more important due to various wattage ratings of new light sources. Expecially, most popular two method critical conduction mode and average mode, are described. Each characteristics are compared in relation to application target and power rating.

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A Study on Burden of Middle Aged Spouses of Rheumatoid Arthritic Patients (류마티스 관절염 환자 배우자의 부담감)

  • Choi, Kyung-Sook;Eun, Young;Ham, Mee-Young
    • Journal of muscle and joint health
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    • v.7 no.2
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    • pp.241-257
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    • 2000
  • Rheumatoid arthritis as one of the chronic illness requiring management in long period of time puts great burden to patients, their family and society. For patients with chronic illnesses, providing a social support is important and the most important source comes from spouses. Therefore we assessed burden of husbands of female rheumatoid arthritic patients and also found out the factors affecting burden. The sample of study was 107 female rheumatoid arthritic patients and their spouses. The tool of assessing spouses' burden was the revised version of subjective and objective parameters developed by Montgomery et al.(1985). The results are as follows: 1. General characteristics of patients and spouses: The mean age of the patients was 48 years. Educational level of patients was high school 41.1%. The mean age of the spouses was 51years. Educational level of spouses was mostly high school(40.2%) and college(29.9%) graduate. The mean marital period was 23.4years. Average income per month was 1,609,000 won. The average duration since diagnosis was 9.4years. As a therapy, 67.3% chose standard drug therapy. Average rating of discomfort by patient was 3.05(range 1-5) and that of severity was 3.48 and that of dependency was 2.58. The husband's rating of their spouses disease severity was 3.68. 2. Husbands' burden: The average burden in subjective items was 21.61(range 6-36) and objective items was 35.24(range 10-60). The average of total burden was 56.59(range 16-96). 3. Husband's total burden correlated with patient's age, educational level of patients, therapy method, patient's level of discomfort, patient's severity, patient's level of dependence, husband's recognition of level of severity in statistical level. Husband's objective burden correlated with patient's age, educational level of patient, patient's level of discomfort, husband's recognition of level of severity. Husband's subjective burden correlated with patient's age, educational level of patients, therapy method, patient's severity, patient's level of dependence, husband's recognition of level of severity. 4. Linear correlation analysis on burden: The husbands' total burden is explained in 37 7% by husband's recognition of level of severity and husband's age. The husbands' objective burden is explained in 31.2% by patient's level of dependence, husband's age, husband's recognition of level of severity. The husbands' subjective burden is explained in 26.7% by husband's recognition of level of severity and patient's age. In conclusion, husbands' level of burden is affected by many factors and therefore nursing strategy for relieving burden of middle aged husbands should be individualized taking these factors into consideration.

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Correlation between Physical Fatigue and Speech Signals (육체피로와 음성신호와의 상관관계)

  • Kim, Taehun;Kwon, Chulhong
    • Phonetics and Speech Sciences
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    • v.7 no.1
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    • pp.11-17
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    • 2015
  • This paper deals with the correlation between physical fatigue and speech signals. A treadmill task to increase fatigue and a set of subjective questionnaire for rating tiredness were designed. The results from the questionnaire and the collected bio-signals showed that the designed task imposes physical fatigue. The t-test for two-related-samples between the speech signals and fatigue showed that the parameters statistically significant to fatigue are fundamental frequency, first and second formant frequencies, long term average spectral slope, smoothed pitch perturbation quotient, relative average perturbation, pitch perturbation quotient, cepstral peak prominence, and harmonics to noise ratio. According to the experimental results, it is shown that mouth is opened small and voice is changed to be breathy as the physical fatigue accumulates.

A Study on the Rating of the Insureds' Anthropometric Data IX. A Study on the Change of Cardiothoracic Ratio by Age (피보험체계측치(被保險體計測値)의 평가(評價)에 관한 연구(硏究) 제9보(第9報) 심흉비(心胸比)의 연령적(年齡的) 변화(變化)에 관한 연구(硏究))

  • Im, Young-Hoon
    • The Journal of the Korean life insurance medical association
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    • v.7 no.1
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    • pp.170-179
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    • 1988
  • A study on the change of cardiothoracic ratio by age calculated from photofluorography film of chest in a total of the 8,115 insureds was undertaken. The results were as follows: 1. The incidence of cardiothoracic ratio of high value increased gradually with age. 2. At the same build, the average cardiothoracic ratio increased gradually with age. 3. Larger the build index was, the incidence of higher cardiothoracic ratio increased. 4. It seemed that the change of cardiothoracic ratio by age was influenced mainly by age and build(the change of build by age) from $18{\sim}19$ to $40{\sim}49$ age group and by age itself in $50{\sim}59$ age group and over. 5. The average cardiothoracic ratio of $30{\sim}39$ age group in male or female was approximate to that of all ages group respectively.

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Work Load Dependency of Heart Rate Variability (HRV) (심박변이도의 운동부하 의존성)

  • Kwon J.H.;Kim C.S.;Eom G.M.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2006.05a
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    • pp.641-642
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    • 2006
  • The purpose of this work is to investigate the effect of work load on heart rate variability (HRV) which is widely used marker of the autonomic nervous system activity. Average heart rate, rating of perceived exertion, and the power spectrum of heart rate variability were investigated in seven healthy males during exercise at various work loads. The subjects were divided into two groups according to the average heart rate during exercise, group 1 with lower heart rate and group 2 with higher heart rate. HF component showed decrease followed by increase with workload. Accordingly, the LF/HF ratio showed increase followed by decrease with workload. The peak in LF/HF ratio of group 1 was at the lower workload than that of group 2.

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Korean & Native Speakers' High -low Range Differences in F0 and its Role in Pronunciation Assessment (한국인과 원어민 영어 발화의 F0 고저 범위 차이와 발음 평가에 있어서 그 역할)

  • Rhee, Seok-Chae;Cho, Chul-Hyun;Moon, Sun-Young
    • Speech Sciences
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    • v.10 no.4
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    • pp.93-103
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    • 2003
  • This study examines the high-low pitch range differences between Korean and native English speakers' utterances of 36 English sentences, and explores the role of the pitch fluctuation range in the pronunciation assessment. Findings are: i) Korean speakers implement half as much pitch fluctuation as the native speakers with the achievement rate of, on an average, 47%. Especially, pitch fluctuation range is below the average in the sentence types of exclamation, yes-no & wh-questions, ii) the reason why Korean speakers' pitch fluctuation range is only half the range of the native speakers is that Korean speakers do not raise the pitch at certain sentence positions so much as the native speakers, and iii) the range of pitch fluctuation plays an important role in distinguishing the utterances of the native speakers from those of Korean speakers, but does not in rating the English utterances among Korean speakers.

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Content-based Movie Recommendation system based on demographic information and average ratings of genres. (사용자 정보 및 장르별 평균 평가를 이용한 내용 기반 영화 추천 시스템)

  • Ugli, Sadriddinov Ilkhomjon Rovshan;Park, Doo-Soon;Kim, Dae-Young
    • Proceedings of the Korea Information Processing Society Conference
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    • 2022.11a
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    • pp.34-36
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    • 2022
  • Over the last decades, information has increased exponentially due to SNS(Social Network Service), IoT devices, World Wide Web, and many others. Therefore, it was monumentally hard to offer a good service or set of recommendations to consumers. To surmount this obstacle numerous research has been conducted in the Data Mining field. Different and new recommendation models have emerged. In this paper, we proposed a Content-based movie recommendation system using demographic information of users and the average rating for genres. We used MovieLens Dataset to proceed with our experiment.

A Study on Developing the Evaluation Items for Estimating the Digitization Level of Libraries (도서관의 디지털화 수준 평가항목 개발에 관한 연구)

  • Noh, Younghee
    • Journal of the Korean Society for Library and Information Science
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    • v.50 no.2
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    • pp.47-75
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    • 2016
  • This study was conducted to develop items for evaluating the level of the digitization of libraries. For this purpose, it analyzed the literature related to the digital library, underwent a convergence process of 10 experts, and finally derived an axis of 13 different dimensions comparing the digitization of libraries. The axis is composed of acquisitions, collections (physical and online collections), classification and cataloging, circulation service, reference, user service, SNS service, the library's organization and staff, device providing service, next-generation service, and status of our library. This study conducted a survey of librarians to secure the validation of the primarily derived evaluation items regarding libraries' digitization. As a result, the average rating of the traditional evaluation items was 3.82, and the average rating of the digital evaluation items was 4.08. Therefore, it can be said that the results of this research to evaluate the digitized level of libraries have a certain degree of validity.