• Title/Summary/Keyword: N_4

Search Result 39,410, Processing Time 0.077 seconds

Comparison of Sugammadex and Neostigmine on First Spontaneous Breathing and Adverse Effects for Laparoscopic Cholecystectomy (Laparoscopic Cholecystectomy 수술 후 Sugammadex와 Neostigmine 간에 첫 자발호흡과 부작용 발현 연구)

  • Park, HyunSuk;Park, Moon Soo;Kim, Min Jung;Kim, Kwi Suk;Cho, Yoon Sook;Bae, Seng Sim;Rhie, Sandy Jeong
    • Korean Journal of Clinical Pharmacy
    • /
    • v.28 no.2
    • /
    • pp.101-106
    • /
    • 2018
  • Objective: The purpose of the study was to investigate the time from the injection of muscle relaxants to the first spontaneous respiration between sugammadex and conventional reversal for patients undergoing laparoscopic cholecystectomy. Methods: This study was retrospectively conducted on patients who were diagnosed with gallbladder stone (N802) between January 2014 and April 2017. The data were collected from the electronic medical records of a total of 186 patients (84 patients in the neostigmine group and 102 patients in the sugammadex group). Results: The time required for the first spontaneous respiration in the sugammadex group was shorter than that in the neostigmine group (3.6 min vs 4.9 min; p<0.05). After the injection of intermediate muscle relaxants, the comparison of heart rate and mean arterial pressure in the sugammadex and neostigmine groups revealed that the heart rate in the neostigmine group was higher than in the sugammadex group after 5 min (p<0.05). The mean arterial pressure in the neostigmine group was higher than in the sugammadex group after 10 min (p<0.05). A significant adverse effect of tachycardia was observed in the neostigmine group (p<0.05), but the frequency of rescue antiemetic in the sugammadex group was significantly higher than in the neostigmine group (p<0.05). Conclusion: In this study, the unwanted effect of neostigmine group was tachycardia; therefore, in the case of patients with hemodynamic instability, sugammadex is recommended. At 12 hours after the injection of sugammadex to patients, more antiemetics were required than in the neostigmine group; therefore, more research should be conducted on postoperative nausea and vomiting.

Electric and Electromagnetic Surveys of the Hongseong Fault Zone (홍성 단층대에서의 전기, 전자 탐사 연구)

  • Kwon, Byung-Doo;Lee, Heui-Soon;Park, Gye-Soon;Oh, Seok-Hoon;Lee, Choon-Ki
    • Journal of the Korean earth science society
    • /
    • v.24 no.4
    • /
    • pp.361-368
    • /
    • 2003
  • We have investigated the electric resistivity structure of the fault zone located in the Hongseong area where a big earthquake with M 5.0 occurred in 1978. Usually, Electric and Electromagnetic methods are broadly operated in the field of engineering works since these methods are effective to understand the distribution of geological weak zones - fault or fracture zones. We have conducted the dipole-dipole array resistivity method and MT(magnetotelluric) method and interpreted the resistivity distribution of the fault zone with the aid of various inversion methods. An MT survey was performed at 18 points along a 2.9 km survey line perpendicular to the fault line and a magnetic dipole source was used to enhance the S/N ratio in the high frequency. A Electric dipole-dipole array resistivity survey with the dipole length of 50 meters was carried out perpendicular to the fault. In view of two survey results, the fault marks the boundary between two opposite resistivity structures, especially the low resistivity zone is exhibited deeply through the prospective fault line. The result that the low resistivity zone is located at the center of the fault zone corresponds with the fact that the fault zone of the Hongseong area is active. We expect these results to provide basic information about the physical properties of fault zones in Korea.

Geochemical Characteristics of Stream Sediments and Waters around the Pungam Landfill in Gwangju City, Korea (광주광역시 풍암매립지 주변 하상퇴적물과 물의 지구화학적 특성)

  • Park, Cheon-Young;Shim, In-Hyun;Bae, Jong-Phill;Ahn, Kun-Sang
    • Journal of the Korean earth science society
    • /
    • v.24 no.4
    • /
    • pp.290-302
    • /
    • 2003
  • This study was carried out to evaluate geochemical properties for stream sediments, surrounding soils, sludge collected in the drainage pipe of leachate and waters (stream water, groundwater, leachate) around the Pungam Landfill in Gwangju city. The stream sediments don't show any systematic trend of contents from upstream to downstream. The most enriched major element in the stream sediments is Fe (up to 7.08wt.% in GJ-23). Though stream sediment GJ-23 and GJ-34 were enriched by some heavy metals (eg. As, Cu, Zn), they do not constitute serious problems for environment consideration. The concentration of Fe (35.lwt.%) and As (38ppm) are significantly high in the GJ-8, which is soil specimen adjacent to leachate reservoir. The sludge (GJ-7) shows very high concentrations of As, Mn, Cr, Pb. In particular, the Cr content is 45.6 ppm, which exceeds the permitted level. The leachate is characterized by high TDS (2210-2470mg/L) and high electric conductivity (468, 530ms/cm), and enriched in both cation (Na, K) and anion (HCO$_3$). The leachate(PK-3) had a relatively high concentration of Cl, and is plotted in Na-Cl type on the Piper's diagram. The NO$_3$-N of the groundwater and stream water exceeded the permitted levels for drinking water.

Effects of Pre-Sintering Surface Treatment and Liner Application on the Shear Bond Strength of Zirconia and Pressable Ceramic (소결 전 지르코니아 표면처리와 라이너 사용에 따른 지르코니아와 열가압성형도재의 전단결합강도)

  • Lee, Gwang-Young;Cho, Mi-Hyang;Choi, Sung-Min
    • Journal of Technologic Dentistry
    • /
    • v.37 no.3
    • /
    • pp.121-127
    • /
    • 2015
  • Purpose: This study was intended to investigate the effect of applying liner for chemical bonding and physical surface roughness created on zirconia by using a sandpaper before sintering on the bond strength between the two materials. Methods: Zirconia blocks were cut using a low-speed cutter. Plate-shaped specimen($6mm{\times}6mm{\times}3mm$) was fabricated by sintering after giving surface roughness according to four kinds of sandpapers. Depending on whether or not to use liner, 60 specimens were divided into two groups ZN(non-liner), ZL(liner), and the two groups were subdivided into four groups respectively in accordance with sandpaper used, totaling eight groups (n=10). The surface roughness (Ra) values and shapes before sintering were observed, and shear bond strength after pressing ceramic plasticity was measured with a universal testing machine. For a test of the significance, a one-way ANOVA was performed, and Tukey's multiple comparison test was conducted. Results: The observation of the surface roughness was SB04($2.22{\pm}1.16{\mu}m$), SB08($2.98{\pm}0.33{\mu}m$), SB12($2.44{\pm}1.32{\mu}m$), SB20($2.34{\pm}0.59{\mu}m$) and SA04($2.34{\pm}0.67{\mu}m$), SA08($1.28{\pm}0.90{\mu}m$), SA12($2.03{\pm}1.60{\mu}m$), SA20($2.19{\pm}1.73{\mu}m$). In the case of ZN Group, the shear bond strength was ZN04($23.26{\pm}3.83MPa$), ZN08($21.76{\pm}2.33MPa$), ZN12($20.49{\pm}3.01MPa$), ZN20($24.98{\pm}4.22MPa$)(p<0.05). As for ZL Group, the shear bond strength was ZL04($25.09{\pm}5.67MPa$), ZL08($22.98{\pm}2.26MPa$), ZL12($21.54{\pm}5.70MPa$), ZL20($23.98{\pm}3.23MPa$)(p<0.05). Conclusion: The research results showed that the bond strength of Zirconia core and Pressing ceramic was further improved by physical surface treatment before sintering, rather than by chemical bonding through liner surface treatment.

Scattering Characteristic from Building Walls with Periodic and Random Surface (규칙적 또는 불규칙적 구조를 가지는 빌딩벽면에서의 전자파 산란 특성)

  • 윤광렬
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
    • /
    • v.15 no.4
    • /
    • pp.428-435
    • /
    • 2004
  • With the rapid and wide-spread use of cellular telephones much attention has been focussed on propagation in the urban area crowed with buildings and houses. It is often surrounded by hills, forests, and mountains. The importance of surface scattering intereference between transmitters and receivers on the rough surfaces has been interested and investigated. Therefore, a prediction method is necessary to estimate the influence of rough surfaces on microwave radio propagation. Moreover, most of the mobile communications are performed based on the digital communication system rather than the analog one. In this case, we must pay more careful attention to the signal delay caused by the phase delay due to the multi-path propagation. In this paper we have analyzed numerically scattering of electromagnetic waves from building walls by using FVTD(Finite Volume Time Domain) method. We consider three different types of rough surfaces such as periodic, random, and composite structures. We calculate the bistatic normalized radar cross section (NRCS) for horizontal and vertical polarization, and we take account of the conventional optical reflection which corresponds to the n-th Bragg reflection for periodic structures. In addition, we investigated what conditions are needed in order to be able to ignore the higher order Bragg reflection for the periodic structures.

Mechanical evaluation of the use of conventional and locking miniplate/screw systems used in sagittal split ramus osteotomy

  • Santos, Zarina Tatia Barbosa Vieira;Goulart, Douglas Rangel;Sigua-Rodriguez, Eder Alberto;Pozzer, Leandro;Olate, Sergio;Albergaria-Barbosa, Jose Ricardo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.43 no.2
    • /
    • pp.77-82
    • /
    • 2017
  • Objectives: The aim of this study was to compare the mechanical resistance of four different osteosyntheses modeled in two different sagittal split ramus osteotomy (SSRO) designs and to determine the linear loading in a universal testing machine. Materials and Methods: An in vitro experiment was conducted with 40 polyurethane hemimandibles. The samples were divided into two groups based on osteotomy design; Group I, right angles between osteotomies and Group II, no right angles between osteotomies. In each group, the hemimandibles were distributed into four subgroups according to the osteosynthesis method, using one 4-hole 2.0 mm conventional or locking plate, with or without one bicortical screw with a length of 12.0 mm (hybrid technique). Each subgroup contained five samples and was subjected to a linear loading test in a universal testing machine. Results: The peak load and peak displacement were compared for statistical significance using PASW Statistics 18.0 (IBM Co., USA). In general, there was no difference between the peak load and peak displacement related to osteotomy design. However, when the subgroups were compared, the osteotomy without right angles offered higher mechanical resistance when one conventional or locking 2.0 mm plate was used. One locking plate with one bicortical screw showed higher mechanical resistance ($162.72{\pm}42.55N$), and these results were statistically significantly compared to one conventional plate with monocortical screws (P=0.016) and one locking plate with monocortical screws (P=0.012). The difference in peak displacement was not statistically significant based on osteotomy design or internal fixation system configuration. Conclusion: The placement of one bicortical screw in the distal region promoted better stabilization of SSRO. The osteotomy design did not influence the mechanical behavior of SSRO when the hybrid technique was applied.

Effects of Gagamsosokmyeong-tang(Jiajianxiaoxuming-tang) Treatment on the Monosodium Iodoacetate-induced Early Stage Osteoarthritis in Rats (가감소속명탕이 Monosodium Iodoacetate로 유발된 골관절염의 초기변화에 미치는 영향)

  • Park, Dong-Soo;Jeong, Su-Hyeon;Kim, Soon-Joong;Seo, Il-Bok
    • Journal of Korean Medicine Rehabilitation
    • /
    • v.21 no.4
    • /
    • pp.49-65
    • /
    • 2011
  • Objectives: This study was performed to investigate the effects of Gagamsosokmyeong-tang(Jiajianxiaoxuming-tang) on the monosodium iodoacetate(MIA) induced early state osteoarthritis in rats. Methods: Osteoarthritis was induced by injection of MIA(0.25 mg) into knee joints of rats. Osteoarthritis rats were divided into control(n=8) and treated=8 group respectively, Control group was taken distilled water and treated group was taken extracts of Gagamsosokmyeong-tang(Jiajianxiaoxuming-tang) by orally for 20 days. Body weight was measured at 0, 5, 10, 15, 20 days after MIA injection. At the end of experiment, gross and histopathological examination on the articular cartilages of the knee joints were performed. Proteoglycan(PG) content of articular cartilages were analysed by safranine O staining method. The content of tumor necrosis $factor-{\alpha}(TNF-{\alpha})$, $interleukin-1{\beta}(IL-1{\beta})$ in synovial fluids were analysed by enzyme-inked inmunosorbent assay(ELISA) method. And also cycloxygenase-2(COX-2), matrix metalloproteinase 3(MMP-3), inducible nitric oxide synthase(iNOS), calpain immunochistochemical examination on the knee joints were performed. Results: PG content in articular cartilages of the treated group was significantly increased compared with control group. Histopathological osteoarthritic score of the treated group was significantly decreased compared with control group. $TNF-{\alpha}$ content in synovial fluids, expression of iNOS and calpain in synovial membrane of the treated group were significantly decreased compared with control group. But body weight, $1L-1{\beta}$ content in synovial fluids, expression of iNOS and MMP-3 of the treated group were not significantly changed compared with control group. Conclusions: On the basis of these results, we conclude that Gagamsosokmyeong-tang(Jiajianxiaoxuming-tang) has anti-arthritic effects on the MIA induced early stage osteoarthritis in rats.

STUDIES OF OSSEOINTEGRATED IMPLANT-MODELS ON STRESS DISTRIBUTION (치과용 골유착성 임플랜트 고정체 형상의 응력 분산에 관한 연구)

  • Han, Chong-Hyun;Chun, Hung-Jae;Jung, Sin-Young;Heo, Seong-Joo;Choi, Yong-Chang;Chung, Chong-Pyung;Ku, Young;Ryu, In-Chul;Kim, Myung-Ho
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.38 no.4
    • /
    • pp.526-543
    • /
    • 2000
  • Finite element analyses were performed to study effects on stress distribution generated in jaw bone for various shapes of dental implants: plateau type, plateau with small radius of curvature, triangular thread screw type in accordance with ISO regulations and square thread screw filleted with small radius partially. It was found that square thread screw filleted with small radius was more effective on stress distribution than other dental implants used in analyses. Additional analyses were performed on the implant with square thread screw filleted with small radius for very-ing design parameters, such as the width of thread end, the height of the thread of the implant and load direction, to determine the optimum dimensions of the implant. The highest stress concentration occurred at the region in jaw Pone adjacent to the first thread of the implant. The maximum effective stress induced by a 15 degree oblique load of 100 N was twice as high as the maximum effective stress caused by an equal amount of vertical load. Stress distribution was more effective in the case when the width of thread end and the height of thread were p/2 and 0.46p, respectively, where p is the pitch of thread. At last, using tensile force calculated from the possible insert torque without breading bone thread, finite element analysis was performed on the implant to calculate pre-stress when the primary fixation of the implant was operated in jaw bone. The maximum effective stress was 136.8 MPa which was proven to be safe.

  • PDF

Analysis of Co-relationship between Rock Mass Grade by RMR and Estimation Method of Rock Deformation Modulus by Suggested Formulas (RMR 분류에 의한 암반등급과 제안식에 의한 암반 변형계수 추정기법의 상관관계 분석)

  • Do, Jongnam;Lee, Jinkyu;Chun, Byungsik
    • Journal of the Korean GEO-environmental Society
    • /
    • v.13 no.4
    • /
    • pp.13-26
    • /
    • 2012
  • The deformation modulus of rock masses is a very important design factor for the computation of stability of tunnels and their support systems. Several empirical formulas to estimate the deformation modulus using simple rock classification methods such as RQD or RMR are widely used because field tests to evaluate the deformation modulus are very expensive and time consuming work. However, these formulas can be depended on experiences from the characteristics of local sites in each country. So it is possible that there might be limitations to estimate appropriate deformation modulus in South Korea using the empirical formulas. Therefore, in this study, the applicability of empirical formulas was analyzed by comparing estimated value with the measured value from eight sites in South Korea. The results show that the estimated value based on the empirical formulas partially have tendency to overestimate. Especially, in case of sedimentary rocks, it was too difficult to apply to the empirical formulas because there was no relation ship between estimated value and measured value. For these reasons, additional data from many tests and accurate analyses are necessary to evaluate the estimation method for the deformation modulus considering the local characteristics of rock masses.

Characteristics of Elastic Waves in Sand-Silt Mixtures due to Freezing (동결에 따른 모래-실트 혼합토의 탄성파 특성)

  • Park, Junghee;Hong, Seungseo;Kim, Youngseok;Lee, Jongsub
    • Journal of the Korean GEO-environmental Society
    • /
    • v.13 no.4
    • /
    • pp.27-36
    • /
    • 2012
  • The water in surface of the earth is frozen under freezing point. The freezing phenomenon, which causes the volume change of soils, affects on the behavior of soils and causes the significant damage on the geotechnical structures. The purpose of this study is to investigate the characteristics of elastic waves in sand-silt mixtures using small size freezing cells, which reflect the frozen ground condition due to temperature change. Experiments are carried out in a nylon cell designed to freeze soils from top to bottom. Bender elements and piezo disk elements are used as the shear and compressional wave transducers. Three pairs of bender elements and piezo disk elements are placed on three locations along the depth. The specimen, which is prepared by mixing sand and silt, is frozen in the refrigerator. The temperature of soils changes from $20^{\circ}C$ to $-10^{\circ}C$. The velocities, resonant frequencies and amplitudes of the shear and compressional waves are continuously measured. Experimental results show that the shear and compressional wave velocities and resonant frequencies increase dramatically near the freezing points. The amplitudes of shear and compressional waves show the different tendency. The dominant factors that affect on the shear wave velocity change from the effective stress to the ice bonding due to freezing. This study provides basic information about the characteristics of elastic waves due to the soil freezing.