• 제목/요약/키워드: High Level Injection

검색결과 357건 처리시간 0.024초

분사식 주사기를 이용한 소아환자의 국소마취 (LOCAL ANESTHESIA IN CHILDREN USING JET INJECTION INSTRUMENT)

  • 이재춘;김대업;이광희;김성형;양계식
    • 대한소아치과학회지
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    • 제28권4호
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    • pp.633-637
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    • 2001
  • 소아치과에서 국소마취는 공포의 대상이며, 특히 행동조절이 힘든 소아의 경우 더욱 그러하다. 국소마취에 대한 공포는 주사침의 자입시나 주사액의 주입시 느끼는 동통 만큼이나 주사침 자체의 공포도 크게 차지한다. 주사침 자입시의 동통을 완화하기 위하여, 도포마취제 등이 개발되었으나 이들은 국소마취의 동통을 완화시키는 면은 있으나 주사침 자체에 대한 공포를 없애지는 못하였다. Syrijet Mark II$^{(R)}$(Mizzy Inc, USA)는 주사침이 없는 치과용 분사식 주사기 (jet injection device)로서 소아에서 주사침에 대한 공포를 성공적으로 감소시킬 수 있다고 알려져 있다. 저자들은 여러 행동등급의 소아를 대상으로 Syrijet을 사용하여 국소마취를 시행한 후 동통평가의 척도로서 VAS(visual analogue scale)를 소아에게 적합하게 색상화한 CAS(color analogue scale)를 이용하여 국소마취시의 동통수준을 측정한 결과, 기존 주사침에 의한 국소마취시 보다 국소마취의 동통이 감소된 것을 알 수 있었다. Syrijet의 장점으로는 주사침이 없다는 점, 기존의 술식에서 일회용이었던 마취용 카트리지를 재사용할 수 있다는 점, 신경 및 혈관에 안전하다는 점 등이 있었으며, 단점으로 부피가 크며, 가격이 비싸며, 사용시 숙련성을 요구한다는 점 등이 있었다.

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Impact of sperm DNA fragmentation on clinical in vitro fertilization outcomes

  • Choi, Hwa Young;Kim, Seul Ki;Kim, Seok Hyun;Choi, Young Min;Jee, Byung Chul
    • Clinical and Experimental Reproductive Medicine
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    • 제44권4호
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    • pp.224-231
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    • 2017
  • Objective: We studied the association between sperm DNA fragmentation (SDF) and several clinical in vitro fertilization outcomes. Methods: We retrospectively analyzed 169 consecutive fresh IVF cycles. Semen was collected on the day of oocyte retrieval, and we assessed standard semen parameters and the SDF level (by terminal deoxynucleotidyl transferase dUTP nick-end labeling). Poor ovarian response (POR) was defined as the collection of three or fewer mature oocytes. Oocytes were inseminated by the conventional method or intracytoplasmic sperm injection. Results: SDF did not affect the fertilization or pregnancy rate, but did have a significant effect on the miscarriage rate. In the miscarriage group (n = 10), the SDF level was significantly higher (23.9% vs. 14.1%) and number of mature oocytes was significantly lower (4.3 vs. 7.6) than in the live birth group (n = 45). Multiple regression analysis showed that SDF was an independent predictor of miscarriage (odds ratio, 1.051; 95% confidence interval, 1.001-1.104). The cutoffs for the SDF level and number of mature oocytes that could predict miscarriage were > 13% and ${\leq}3$, respectively. In the low-SDF group (${\leq}13%$), the miscarriage rate was similar in POR patients and those with a normal ovarian response (NOR; 14.2% vs. 4.3%). In the high-SDF group ( > 13%), the miscarriage rate was significantly higher in the POR group than in the NOR group (60.0% vs. 13.3%, p= 0.045). Conclusion: Our study demonstrated that a high SDF level ( > 13%) was associated with a high miscarriage rate, and that it mainly contributed to miscarriage in the POR group. The results suggest that SDF measurements should be considered in couples with POR in order to predict the prognosis of the pregnancy.

Mercury Level in Hair of Primary School Children in Korea and China

  • Park, Hee-Jin;Kim, Dae-Seon;Moon, Jeong-Suk;Yang, Won-Ho;Son, Bu-Soon
    • Molecular & Cellular Toxicology
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    • 제4권3호
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    • pp.235-245
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    • 2008
  • Exposure to mercury was assessed in 125 Korean (Gwangju and Busan) and 373 Chinese primary school students (Xinguang village, Goumen town) using hair mercury analysis from November 2006 to September 2007. The geometric mean concentration of mercury was higher among Korean children with recording 0.73 ${\mu}g$/g, compared to Chinese children of 0.12 ${\mu}g$/g, which indicated statistically difference (P<0.01). The mean concentration of Korean children living near incineration facilities was higher by recording 0.76 ${\mu}g$/g while the average concentration of their counterpart in Korea reached 0.69 ${\mu}g$/g. In case of Chinese children, those who are living near power plants showed higher level with posting 0.16 ${\mu}g$/g while the others recorded 0.10 ${\mu}g$/g (P<0.01). Intake of fish was found to be related to hair mercury level. In case of Korean children, those with high fish intake recorded 0.79 ${\mu}g$/g in terms of the geometric mean concentration while the others with low fish intake posted 0.61 ${\mu}g$/g. Among Chinese children, those who often eat fish recorded 0.13 ${\mu}g$/g compared to the others with low fish intake of 0.11 ${\mu}g$/g. On the other hand, amalgam dental fillings have limited influence on mean hair mercury level. As for vaccination, within a month of vaccination, the geometric mean concentration of Korean children reached 0.76 ${\mu}g$/g, and in case of 15 days after injection, the level was 1.20 ${\mu}g$/g. In China, the level of children at one month after receiving injection stood at 0.15 ${\mu}g$/g while the level within 15 days was 0.13 ${\mu}g$/g. Multiple regression analysis showed that BMI, passive smoking, and fish consumption are closely related to hair mercury level among the Korean subjects. In China, hair mercury level was affected by age, location, passive smoking, fish consumption, and vaccination. Explanatory power was 21.6% with $R^2$=0.216.

GC 분석 시스템의 설정과 그에 따른 감도의 차이: 열탈착 방식 대비 루프주입방식에 의한 황성분의 분석 (Changes in the gas chromatographic sensitivity with its analytical setting: Comparison of TDU and loop-injection system for the analysis of sulfur compounds)

  • 김기현;최여진;김성천
    • 분석과학
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    • 제18권1호
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    • pp.66-73
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    • 2005
  • 본 연구에서는 주요 환원황 화합물에 해당하는 4가지 황성분, $H_2S$, $CH_3SH$, DMS, DMDS을 이용하여, 이들의 주요 검출방법에 해당하는 GC/PFPD 방식의 검출특성을 대부분의 환경시료의 분석에 활용할 수 있는 두 가지 기준에서 비교 분석하였다. 우선 수 십 ppb 단위의 고농도 시료들에 대한 분석특성을 이해하기 위해, GC/PFPD에 루프주입장치를 결합한 고농도 모드 시스템을 구성하고, 이에 대한 평가를 시도하였다. 그리고 이에 대비하여, 열탈착 시스템을 연계한 저농도 모드 시스템을 이용하여, 환경대기와 같이 극단적으로 낮은 농도 (ppt 수준)로 존재하는 시료들의 분석기법을 평가하였다. 양 분석방식의 비교에 의하면, 개별 황성분들의 검출특성은 대단히 규칙적인 특성을 유지하는 것으로 나타났다. 고농도모드를 이용한 비교결과에 의하면, 황화수소의 경우 가장 약한 감도를 보인 반면, 황원소를 두개 함유한 DMDS는 가장 민감한 감도를 보였다. 고농도 모드에 대비하여 저농도 모드의 감도를 비교할 경우, 감도가 수십 배 수준으로 감소하는 것으로 나타났다. 양 방식의 뚜렷한 감도차이에도 불구하고, 선택한 모드에 상관없이 황성분들의 상대적인 검량특성은 비교적 규칙적인 경향성이 유지되는 것으로 나타났다. 이들 성분에 대한 정확한 검량을 위해서는 다양한 관점에서 검출특성을 정의하기 위한 노력이 수반되어야 할 것으로 사료된다.

다용량 비타민 C 투여가 생쥐 세포매개면역반응에 미치는 영향 (The Effects of High-dose Vitamin C Administration on the Cell-mediated Immune Response in Mice)

  • 노가화;김헌곤;신영아;임현자;문성규;이용택;이왕재;이동섭;황영일
    • IMMUNE NETWORK
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    • 제3권3호
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    • pp.211-218
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    • 2003
  • Background: Vitamin C is an essential nutrient, taken as a daily supplement by many people. Recently, high-dose vitamin C is considered as a therapeutic regimen in some clinical situations. Until now, few studies have been done with the effects of high-dose vitamin C on the immune response. Methods: In this experiment, the effects of high-dose vitamin C on cell-mediated immune response in immunologically competent mice were evaluated. After intraperitoneal injection of 2.5, 5, or 10 mg/day of vitamin C for 10 days, delayed type hypersensitivity (DTH) was provoked against DNFB in the pinnae as a model for cell-mediated immune response. Severity of DTH reaction was evaluated as the thickness of pinnae, and the vitamin C levels were measured in the serum, liver, kidney, lung, pinnae, and splenocytes. Results: After challenge, the thickness increased at its peak on the $2^{nd}$ day in all groups. On the first day, the pinnae were thicker in the injected groups than in the control. On the contrary, the increment of the pinnae thickness was attenuated and the number of cells infiltrated in the site of DTH decreased proportionately to the amount of vitamin C administered from the second day on. With vitamin C exogenously given, the serum level peaked at 30 min after injection, and returned abruptly to its basal level without accumulation. However, it accumulated in the liver, kidney, and especially in the pinnae inflamed and splenopcytes, proportionately to the amount administered. Conclusion: Based on these results, it is suggested that, in one hand, exogenously administered high-dose vitamin C accumulated in the splenocytes and presumably changed the function of them resulting in the augmented cell-mediated immune response, as was revealed in the first day of DTH reaction. On the other hand, it seems likely that the vitamin C also showed anti-inflammatory effects.

Alterations of c-Fos mRNA Expression in Hypothalamic-Pituitary-Adrenal Axis and Various Brain Regions Induced by Intrathecal Single and Repeated Substance P Administrations in Mice

  • Choi, Seong-Soo;Lee, Han-Kyu;Shim, Eon-Jeong;Kwon, Min-Soo;Seo, Young-Jun;Lee, Jin-Young;Suh, Hong-Won
    • Archives of Pharmacal Research
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    • 제27권8호
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    • pp.863-866
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    • 2004
  • The effect of substance P (Sub P) injected intrathecally (I.t.) on c-fos mRNA expression in vari-ous tissues was examined in the present study. We found that a single administration of Sub P(0.5 nM) caused an increase of the c-fos mRNA level in the hypothalamic-pituitary-adrenal(HPA) axis, hippocampus, and spinal cord. The time-course study showed that c-fos mRNA level was maximal at 10 min and began to decrease 30 min after the Sub P injection in all tis-sues, and the Sub P-induced increase of the c-fos mRNA level was returned to the control level 1 h after the injection. The kinetics of the c-fos mRNA expression in mice that were repeatedly injected with Sub P (every 30 min interval up to 4 times) were different in the HPA axis, hippocampus, and spinal cord. The increased c-fos mRNA level in the hypothalamus and the spinal cord induced by I.t. injected Sub P remained at a high level. In the pituitary gland, adrenal gland, and hippocampus, the increased level of c-fos mRNA expression gradually returned to the control level during the repeated substance P injections up to 4 times. Our results suggest that spinally injected Sub P-induced pain stress increases c-fos mRNA expres-sion in the spinal cord, hippocampus, and HPA axis. In mice repeatedly injected with Sub P, the kinetics of c-fos mRNA appear to be different varied from tissue to tissue.

보중익기탕(補中益氣湯), 소음인(少陰人) 보중익기탕(補中益氣湯)과 그 구성약물군(構成藥物群)이 alloxan으로 유발(誘發)된 고혈당(高血糖) 백서(白鼠)에 미치는 영향(影響) (Effects of Bojungikgitang, Soeumin bojungikgitang and its component groups on diabetes in alloxan induced diabetic rats)

  • 박선동;고원도;신화석
    • 대한한의학방제학회지
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    • 제9권1호
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    • pp.215-230
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    • 2001
  • The purpose of this study was to investigate the effect of Bojungikgitang(補中益氣湯), Soeumin bojungikgitang(少陰人 補中益氣湯) and its component groups on diabetes in alloxan induced diabetic rats. Sprague-Dawley male rats weighing $200{\pm}10\;gm$ were randomly assigned to one normal, one control and five experimental groups. The experimental groups was classified into to Bojungikgitang(B1 group), Soeumin bojungikgitang(B2 group), Bogihyulyak(B0 group), Siho-sengma(B1+ group) and Gwakhyang- soyeup(B2+ group). Diabetes was experimentally induced by abdomenal injection of 100 mg/kg of body weight of alloxan. Animals were sacrificed at the 6th day and 11th day of diabetic states. The results were obtained as follows: In carbohydrate metabolism, the level of glucose in control group was three-fold higher after alloxan injection than that of normal group. In B1, B2 groups the level of glucose was decreased by 39% and 43% compared with that of control group, and in component groups it was decreased by 73%, 81%, and 80% respectively. In fat metabolism, the level of triglyceride and total cholesterol in serum were lower in B1 and B2 groups with high significant difference and had similar tendency in components groups compared with that of control group. The level of HDL cholesterol on serum were increased in B1 and B2 group with significant difference. And in component group it had similar tendency compared with that of control group. In protein metabolism, the level of total protein and albumin were higher in B1 and B2 group with significant difference, and in component group also increased but with no significancy compared with control group. In kidney function, the level of creatinine group with significant difference, and other compared with control group. In liver function, the level of GOT, GPT, ${\gamma}$-GTP. ALP and bilirubin were lower in B1 and B2 group with significant difference, and in component had similar tendency compared with control group. But in the level of LDH, it was decreased with no significancy. These results indicate that Bojungikgitang(補中益氣湯), Soeumin bojungikgitang(少陰人 補中益氣湯) has strong effect on diabetes and it is useful to prevent diabetes, and in component groups the difference between B1+ and B2+ group was not significant.

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디젤기관에 있어서 에멀젼연료가 배기배출물 특성에 미치는 영향 (Effect on Characteristics of Exhaust Emissions by Using Emulsified Fuel in Diesel Engine)

  • 조상곤;황상진;유동훈;임재근
    • Journal of Advanced Marine Engineering and Technology
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    • 제31권1호
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    • pp.44-50
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    • 2007
  • Diesel engines have high thermal efficiency, and they have less CO & HC emissions than another engines. while NOx & Soot emissions are very much. compared with exhaust emission standards. However, the limit level is more and more strengthened yearly due to the importance of environmental protection. So, the optimal countermeasures for the reduction of NOx & Soot emissions below limit level are required. Therefore. the author has investigated the effects of emulsified fuel on the characteristics of exhaust emissions. using an four-cycle, four-cylinder and direct injection diesel engine because the using of emulsified fuel among various methods for reducing NOx & Soot emissions is simple in installation low in cost and high in efficiency. The results of investigation according to various operating conditions are as follows : 1) Specific fuel consumption increase maximum 19.8% at low load. but is not affected at full load. 2) In case of emulsion ratio 25%, NOx emission decrease 32% at 75% load. 30% at full load. 3) In case of emulsion ratio 25%, Soot emission decrease 84% at 75% load, 59% at full load.

모바일 폰 카메라 모듈 금형기술 개발 (Development of Die Technology of Mobile Phone Camera Module)

  • 박준홍;전언찬;김태호;문순균
    • 한국기계가공학회지
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    • 제7권4호
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    • pp.17-23
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    • 2008
  • Development of die technology for holder and barrel dies is necessary according to minimization of lens assembly, image sensor, and connectors. In these cases, there are two technical problems arising from die design. One is determination of knock-out pin location in die set. Minimization of lens assembly size make it difficult to obtain ejecting space. The other is whether or not high-precision die technology is possible to reduce torque variation when holer and barrel products is assembled. In this study, multi-cavity die set was developed taking advantage of gear-driven ejecting method. In the developed technology, die manufacturing technology was guaranteed with a high-precision level.

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밸브 타이밍 지각과 과급에 의한 흡기관 분사식 수소기관의 고성능 실현 (The Realization of High Performance in a Hydrogen-Fueled Engine with External Mixture by Retarding Valve Timing and Super Charging)

  • 이광주;허상훈;이종태
    • 한국수소및신에너지학회논문집
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    • 제20권6호
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    • pp.464-470
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    • 2009
  • In order to analysis the possibility of high expansion and performance without backfire in a hydrogenfueled engine using external mixture injection, combustion characteristics and performance enhancement were analyzed in terms of retarding valve timing and increasing the boosting pressure. As the results, it was found that thermal efficiency increased by retarding intake valve timing with the same level of supplied energy is over 6.6% by the effect of high expansion including effect of combustion enhancement due to supercharging. It was also shown that the achievement of high power (equal to that of a gasoline engine), low brake specific fuel consumption and low emission (NOx of less than 16 ppm) without backfire in a hydrogen-fueled engine is possible around a boosting pressure of 1.5 bar, intake valve opening time of TDC and $\Phi$=0.35 in fuel-air equivalence ratio.