• Journal of Dental Anesthesia and Pain Medicine
• /
• v.19 no.6
• /
• pp.323-341
• /
• 2019

Background: Local anesthetics alone or in combination with adjuncts, such as oral medications, have routinely been used for pain control during endodontic treatment. The best clinical choice amongst the vast numbers of agents and techniques available for pain control for irreversible pulpitis is unclear. This network meta-analysis combined the available evidence on agents and techniques for pulpal anesthesia in the maxilla and mandible, in order to identify the best amongst these approaches statistically, as a basis for future clinical trials. Methods: Randomized trials in MEDLINE, DARE, and COCHRANE databases were screened based on inclusion criteria and data were extracted. Heterogeneity was assessed and odds ratios were used to estimate effects. Inconsistencies between direct and indirect pooled estimates were evaluated by H-statistics. The Grading of Recommendation, Assessment, Development, and Evaluation working group approach was used to assess evidence quality. Results: Sixty-two studies (nine studies in the maxilla and 53 studies in the mandible) were included in the meta-analysis. Increased mandibular pulpal anesthesia success was observed on premedication with aceclofenac + paracetamol or supplemental 4% articaine buccal infiltration or ibuprofen+paracetamol premedication, all the above mentioned with 2% lignocaine inferior alveolar nerve block (IANB). No significant difference was noted for any of the agents investigated in terms of the success rate of maxillary pulpal anesthesia. Conclusion: Direct and indirect comparisons indicated that some combinations of IANB with premedication and/or supplemental infiltration had a greater chance of producing successful mandibular pulpal anesthesia. No ideal technique for maxillary anesthesia emerged. Randomized clinical trials with increased sample size may be needed to provide more conclusive data. Our findings suggest that further high-quality studies are required in order to provide definitive direction to clinicians regarding the best agents and techniques to use for mandibular and maxillary anesthesia for irreversible pulpitis.

• Nutrition Research and Practice
• /
• v.4 no.4
• /
• pp.339-344
• /
• 2010

The objective of this study was to measure anthropometric and haemoglobin level and nutrient intake of expecting women in the third trimester of pregnancy and to relate the birth weight of neonates as outcome of pregnancy. A cross sectional study was performed in Zahedan City. Two hospitals situated in the city were selected based on their approval and cooperation. Five hundred healthy pregnant women in the age group 16-40 years were selected for this study. Findings showed that the mean height, weight, fundal height, and haemoglobin of pregnant women were 156.4 cm, 62.6 kg, 34.2 cm, and 11.1g/dl respectively. Nutrient intake was computed based on 24 hour recall method. The results showed that, the mean intake of energy was 1802 Kcal/day. The intake of protein, calcium, iron, zinc and magnesium were 70.7 g, 544.0 mg, 16.1 mg, 10.6 mg and 266.0 mg respectively. Percentage adequacy of nutrient intakes with reference to RDA recommendation showed 95% and 80% of subjects had sufficient RDA intakes, while energy, calcium, iron and zinc intake considered as insufficient. The mean birth weight of neonates was 3.0 kg and 13% of neonates showed low birth weight. Maternal height, weight, fundal height and haemoglobin level were significantly correlated with birth weight of neonates. Energy, protein and calcium intakes in the third trimester were significantly correlated with birth weight of neonates. Using the binary logistic regression analysis fundal height, haemoglobin level and energy intake of pregnant women were considered as predictor factors of birth weight of neonates.

• The Journal of Korean Institute of Communications and Information Sciences
• /
• v.24 no.10B
• /
• pp.1963-1970
• /
• 1999

Researches in draft recommendation H.263 have been made in ITU-T LBC group to broaden its range of useful application and to improve its compression performance. The form of added and revised draft text of H.263 is informally known as “H.263+”. In this paper, we analyzed the characteristics of H.263+ negotiable option modes for four image classes. Based on the analysis results, we proposed the adaptive selection scheme of H.263+ option modes by using a scene change detector for a mixed image class. In case of using the proposed scheme, we obtained the 1.6dB improvement in PSNR compared to the basic mode of H.263, and the 0.4~1.0 dB improvement in PSNR compared to the fixed usage scheme of H.263+ negotiable option modes. In respect to used bits per frame, fewer bits are produced than the basic mode H.263 and the foxed usage scheme of H.263+ option modes.

• Korean Journal of Clinical Pharmacy
• /
• v.27 no.4
• /
• pp.276-283
• /
• 2017

Objective: Dyslipidemia is recognized as a prominent risk factor for cardiovascular and cerebrovascular diseases but it is manageable through therapeutic and lifestyle intervention. Interpreting the latest guidelines is essential for an application of recommendation from guidelines into clinical practice. Therefore, this study aimed to compare the most recent guidelines on dyslipidemia treatment recommendations in Korea and USA. Methods: This study analyzed and compared 2015 Korean guidelines for the management of dyslipidemia, 2013 American College of Cardiology/American Heart Association (ACC/AHA) guideline and 2016 supportive guidelines from ACC. Results: A comparison was made focused on the following: target patients based on cardiovascular risk assessment, target goal, and treatment strategies including statin and non-statin therapies. Four target patient groups by risk were suggested in 2015 Korean guideline and cardiovascular risk factors were also considered for initiation of lipid lowering therapy. Titrated statin regimen was recommended by Korean guideline to reach LDL cholesterol and non-HDL cholesterol target level. In 2013 ACC/AHA guideline, four statin benefit group was introduced considering ASCVD risk and high intensity statin or intermediate intensity statin use were recommended without dose titration. 2016 update was to support non-statin therapy based on updated evidence and new consideration of ezetimibe, PCSK9-inhibitor and bile acid sequestrant was brought up. Conclusion: Guidelines are continuously updating as new and important clinical data are constantly released along with the advent of newly approved drugs for lipid disorder. This article provides resources that facilitates uptake of these recommendations into clinical practice.

• Journal of Satellite, Information and Communications
• /
• v.8 no.4
• /
• pp.117-123
• /
• 2013

The development of the latest emotional recognition and multimedia technology has changed the traditional broadcasting system. The previous broadcasting system, which was operated by the terrestrial broadcasters, is now transformed to the viewer-centered and bidirectional broadcasting through the convergence of internet, mobile and smart TV. In this paper, smart-phone application for estimating human emotion(sadness, anger, depression) has been developed and emerged with smart TV, thereby we can present broadcasting service for enhancing the sense of common humanity among people of same group. If there is friend in the depression, we can bring comfort to him by inviting one for TV program what I watch and having a honest talk with facial avatar or emoticon. The proposed emotional broadcasting service inter-working with smart-phone application can give feeling of belonging and happiness to the people suffering from the blues, and it can prevent him from attempting suicide. In addition, smart-phone based emotional broadcasting service can be expended to program recommendation service customized to user's emotion, emotional LED lighting service to maximize the sense of reality and home shopping service taking advantage of the mood of customer.

• Asian Pacific Journal of Cancer Prevention
• /
• v.15 no.6
• /
• pp.2689-2692
• /
• 2014

Purpose: To investigate the risk factors for appendiceal metastasis of epithelial ovarian cancer and compare findings with the previous studies. Materials and Methods: One hundred and thirty-four patients with epithelial ovarian cancer were assessed in this study. All of them had undergone a surgical procedure including appendectomy. Of these, 21 (15.7%) patients who had appendiceal metastasis were analyzed as the case group and the patients with no metastasis were the controls, compared according to stage, grade, histology of tumor, preoperative Ca125 levels, presence of ascites, peritoneal cytology, diameter and site of tumor considered as risk factors. Results: We found statistically significant differences between the groups in terms of stage, grade, right-sided tumor location, presence of ascites, diameter of tumor${\geq}10cm$ and positive peritoneal cytology (p<0.05). In the logistic regression model, stage, grade, presence of ascites, right-sided location and diameter of tumor were independent risk factors. ROC curve analysis showed that stage, grade and diameter of the tumor were discriminative factors for appendiceal metastasis. Conclusions: In epithelial ovarian cancer, stage, grade, presence of ascites, right-sided location and large tumor size have importance for estimation of risk of appendiceal metastasis. As we compare our findings with previous studies, there is no definite recommendation for the risk factors of appendiceal metastasis in epithelial ovarian cancer and more studies are needed.

• International Journal of Contents
• /
• v.14 no.3
• /
• pp.39-45
• /
• 2018

Purpose: Food Allergen Immunotherapy (Oral) is a form of immunotherapy administered to patients who are allergic to foods such as egg, milk, and peanut. The food allergen is orally administered to the patient in an escalating dose for desensitization or tolerance development. The safety and effectiveness of the therapy were assessed using a systematic literature review and meta-analysis. Methods: For a literature search, 8 national databases and a number of international databases including Ovid-MEDLINE, Ovid-EMBASE, and Cochrane Library were used; and 13 articles (all from international databases) were selected. The target of Food Allergen Immunotherapy (Oral) included patients with food allergy, and the intervention was food allergen immunotherapy without limiting the food type. The safety and effectiveness of Food Allergen Immunotherapy (Oral) were assessed by reviewing all the articles reporting on the therapy. The control group received standard therapies including aversion therapy, no treatment, anti-histamine treatment, and placebo. Safety was assessed through the incidence of complication and emergency medication. Effectiveness was assessed based on therapy success rate, symptomatic improvement, and quality of life. Results: Although Food Allergen Immunotherapy (Oral) was shown to have successful desensitization in patients with food allergy, the safety of the technique has not yet reached an acceptable level; the possible reason is due to the high rate of complication and frequency of emergency medication. Also, each study employed varying protocols while relying on a small number of participants and a short monitoring period. Conclusion: The results of assessment suggest that the level of evidence from current literature review is low and further research is necessitated for the verification of the safety and effectiveness of the therapy (Grade of Recommendation: A; Level of Technology: II-b).

• Journal of the Korea Institute of Information and Communication Engineering
• /
• v.21 no.11
• /
• pp.2167-2175
• /
• 2017

In recent years, an IoT is dramatically developing according to the enhancement of AI, the increase of connected devices, and the high-performance cloud systems. Huge data produced by many devices and sensors is expanding the scope of services, such as an intelligent diagnostics, a recommendation service, as well as a smart monitoring service. The studies of edge computing are limited as a role of small server system with high quality HW resources. However, there are specialized requirements in a smart factory domain needed edge computing. The edges are needed to pre-process containing tiny filtering, pre-formatting, as well as merging of group contexts and manage the regional rules. So, in this paper, we extract the features and requirements in a scope of efficiency and robustness. Our edge offers to decrease a network resource consumption and update rules and learning models. Moreover, we propose architecture of edge computing based on learning factors sharing with a cloud system in a smart factory.

• The KIPS Transactions:PartD
• /
• v.11D no.5
• /
• pp.1205-1212
• /
• 2004

As electronic commerce systems have been widely used, the necessity of adaptive e-commerce agent systems has been increased. These kinds of adaptive e-commerce agents can monitor customer's behaviors and cluster thou in similar categories, and include user's preference from each category. In order to implement our adaptive e-commerce agent system, in this paper, we propose an adaptive e-commerce agent systems consider customer's information of interest and goodwill ratio about preference goods. Proposed system build user's profile more accurately to get adaptability for user's behavior of buying and provide useful product information without inefficient searching based on such user's profile. The proposed system composed with three parts , Monitor Agent which grasps user's intension using monitoring, similarity reference Agent which refers to similar group of behavior pattern after teamed behavior pattern of user, Interest Analyzing Agent which personalized behavior DB as a change of user's behavior.

• Journal of Environmental Health Sciences
• /
• v.33 no.5
• /
• pp.386-391
• /
• 2007

Mercury contamination and its health effects have become major concern of environmental health study in Korea. Mercury exposure of some group were investigated to get the accurate data for policy making and study. About 2,000 children at 26 elementary schools participated in this survey to evaluate the exposure levels and to investigate main exposure source of mercury. Analysis of mercury levels in the whole blood and urine samples were conducted and questionnaire survey was done about the factors influencing exposures simultaneously. Mercury exposure levels of domestic children were N.D. to 17.26 ppb in blood, 0.17 to $21.67{\mu}g/g$-creatinine in urine. The mean(arithmetic) levels are 2.42 ppb in blood and $2.53{\mu}g/g$-creatinine in urine. Both of them were below the recommendation levels of US EPA and German CHBM I $5.8{\mu}g/l$ and $5{\mu}g/l$ in blood, $5{\mu}g/g$-creatinine of German CHBM I in urine. But 1%, 0.51% of levels in blood exceed the level of CHBM I and US EPA, 8%, 0.85% of children were over the level of CHBM I and CHBM II in urine. Multi-valuable regression analysis showed that the existence of road near the residence in addition to the preference for fish have significance with blood mercury exposure level of domestic children. The existence of factory near the house and the experience of dental amalgam treatment had statistical relations with urine mercury level.