• 제목/요약/키워드: Square pulse

검색결과 259건 처리시간 0.025초

Anesthetic efficacy of supplemental buccal infiltration versus intraligamentary injection in mandibular first and second molars with irreversible pulpitis: a prospective randomized clinical trial

  • Zargar, Nazanin;Shojaeian, Shiva;Vatankhah, Mohammadreza;Heidaryan, Shirin;Ashraf, Hengameh;Baghban, Alireza Akbarzadeh;Dianat, Omid
    • Journal of Dental Anesthesia and Pain Medicine
    • /
    • 제22권5호
    • /
    • pp.339-348
    • /
    • 2022
  • Background: To compare the anesthetic efficacy of supplemental buccal infiltration (BI) (1.7 ml) versus intraligamentary (IL) injection containing 0.4 ml of 4% articaine with 1:100.000 epinephrine after an inferior alveolar nerve block (IANB) with 1.7 ml 2% lidocaine in the first and second mandibular molars diagnosed with irreversible pulpitis (IP). Methods: One hundred subjects diagnosed with IP of either the mandibular first (n = 50) or second molars (n = 50) and failed profound anesthesia following an IANB were selected. They randomly received either the IL or BI techniques of anesthesia. Pain scores on a 170 mm Heft-Parker visual analog scale were recorded initially, before, and during supplemental injections. Furthermore, pulse rate was measured before and after each supplemental injection. During the access cavity preparation and initial filing, no or mild pain was assumed to indicate anesthetic success. The chi-square test, Mann-Whitney U test, and independent samples t-test were used for the analyses. Results: The overall success rates were 80% in the IL group and 74% in the BI group, with no significant difference (P = 0.63). In the first molars, there was no significant difference between the two techniques (P = 0.088). In the second molars, IL injection resulted in a significantly higher success rate (P = 0.017) than BI. IL injection was statistically more successful (P = 0.034) in the second molars (92%) than in the first molars (68%). However, BI was significantly more successful (P = 0.047) in the first molars (88%) than in the second molars (64%). The mean pulse rate increase was significantly higher in the IL group than in the BI group (P < 0.001). Conclusions: Both the IL and BI techniques were advantageous when used as supplemental injections. However, more favorable outcomes were observed when the second molars received IL injection and the first molars received BI.

Response Matrix에 의한 감마선(線) Spectrum 및 그 조사선량(照射線量) 해석(解析) (Analysis of Gamma-ray Spectrum and Assessment of Corresponding Exposure Rate by Means of Response Matrix Method)

  • 김성관;전재식
    • Journal of Radiation Protection and Research
    • /
    • 제11권1호
    • /
    • pp.3-14
    • /
    • 1986
  • $3'{\times}3'$ 원통형 NaI(T1) 검출기와 다중파고분석기(多重波高分析器)를 사용하여 측정한 $0.05{\sim}2.0MeV$ 구간의 ${\gamma}$선 spectrum에서 실(實)spctrum을 구하기 위하여 조사선량율(照射線量率)산출에 편리한 response matrix 방법을 사용하였다. Response mateix 구성에는, 위의 에네지 구간을 0.1 MeV의 등간격으로 나눈 $20{\times}20$ matrix로 한것과 검출기의 분해능이 입사 ${\gamma}$선 에너지의 평방근(平方根)에 의존한다는 가정하에 $0.1(MeV)^{1/2}$구간으로 나누어 $14{\times}14$ matrix로 구성한, 두가지 방법을 사용하였으며 그 역(逆)matrix들은 P-E 82/32 콤퓨터로 계산하였다. 이 방법으로 얻은 조사선량율은 에너지와 flux가 알려진 ${\gamma}$선량(陽)에 대하여 흔히 사용되는 계산방법으로 구한값과 10% 이내에서 일치하고 있으며, 선량측정학적(線量測定學的) 견지에서는 $E^{1/2}$ 구간으로 형성된 matrix가 등에너지간격으로 구성된 것보다 현실적인 것으로 판단되었다.

  • PDF

교류형 플라즈마 평판 표시장치(AC-PDP)에서 ITO 전극 구조에 따른 Xe 여기종의 시공간 밀도 분포 연구 (Measurement of Spatiotemporal Distribution for the Density of Excited Xe Atoms in the 1s5 in Accordance with Various ITO-shapes in Ac-PDP)

  • 조석호;홍영준;손창길;한용규;정용환;권기청;홍병희;조광섭;최은하
    • 한국진공학회지
    • /
    • 제18권1호
    • /
    • pp.54-59
    • /
    • 2009
  • 3전극 면방전형 AC-PDP에서 발광효율을 높이기 위한 방법으로 새로운 구조의 ITO전극을 제안하였다. 기존에 사용하고 있는 사각형(square), T 형태의 ITO 전극구조와 새롭게 설계한 물고기뼈 형태(fish-boned type) ITO 전극 구조의 시험패널을 제작하였다. 레이저 흡수 분광법(Laser absorption spectroscopy)을 이용하여 각 ITO 전극 구조에 따라 Xe 여기종의 밀도분포를 측정하고, 고속 ICCD(Image Intensified Charge-Coupled Diode) 카메라를 이용하여 각각의 전극에 따른 $750\;nm\;{\sim}\;900\;nm$ 파장의 방전모습을 확인하였다. 시험패널 상판의 x, f 전극에 220V의 사각펄스(square pulse)를 교대로 인가하여 방전시켰다. 사각형, T 그리고 물고기뼈 형태의 ITO 전극 구조에서 $X_e$ 여기종 밀도는 각각 $2.06{\times}10^{13}\;cm^{-3}$, $2.66{\times}10^{-3}\;cm^{-3}$$3.01{\times}10^{13}\;cm^{-3}$으로 물고기뼈 형태에서 가장 높게 측정되었다.

Dexmedetomidine 감시마취관리 환자의 회복 시 적용한 하지거상 및 말초운동의 효과 (The Effects of Leg Elevation and Stretching Exercise on Monitored Anesthesia Care (MAC) with Dexmedetomidine)

  • 이희진;이인숙;정여진;이은진;박정온
    • 임상간호연구
    • /
    • 제22권3호
    • /
    • pp.249-256
    • /
    • 2016
  • Purpose: The purpose of this study was to examine the effect of leg raising and peripheral excercise on recovery of the patients who were applied with dexmedetomidine for their dental surgery. Methods: There were two groups, the experimental group (n=35) and control group (n=35), in this study. We checked blood pressure, pulse rate, oxygen saturation, sedation level and symptoms such as dizziness and somnolence every 30 minutes. These parameters were assessed throughout the participants' recovery room stay. Leg raising and peripheral excercise were conducted in the experimental group in the recovery room. We have conducted chi-square test, Fisher's exact test, t-test, ANOVA, and ANCOVA to compare the measured parameters in both groups. Results: The experimental group showed a significant elevation of mean arterial blood pressure, and mitigation of somnolence, sedation and dizziness compared to the control group. Conclusion: Leg raising and peripheral exercise is effective to expedite recovery in the patients who were applied with dexmedetomidine for their dental surgery.

Resonace theory에 기반을 둔 index function을 통한 새로운 QRS 검출 알고리즘 (A New QRS Detection Algorithm Using Index Function Based on Resonance Theory)

  • 이전;윤형로;이경중
    • 대한의용생체공학회:의공학회지
    • /
    • 제24권2호
    • /
    • pp.107-112
    • /
    • 2003
  • 본 연구는 공진이론에 기초한 인덱스 함수(index function)를 이용하여 간단하게 QRS를 검출하는 새로운 알고리즘에 관한 것이다 ECG 근 몇 개의 사인파형의 조합으로 모델링 가능하며. 이때 ECG의 일차차분 값은 사인파형의 크기 및 주파수와 관계가 있다. 이 사실에 근거하여, R-L-C 회로의 허수부의 제곱값과 유사한 인덱스함수를 디자인하였으며. 인덱스 함수의 응답에 적응방법(adaptive method)를 첨가하여 QRS를 검출하였다. 이 알고리즘은 다른 QRS 검출 알고리즘에 비해 비슷하거나 높은 검출성능을 보였고. 복잡한 전처리 또는 후처리 과정이 필요치 않으므로 실시간 검출에 유용하게 사용될 수 있을 것이다.

화병 환자의 심학변이도 특성에 대한 임상적 연구 (Clinical Study for Characteristics of Heart Rate Variability in Hwabyung Patients)

  • 배은주;김동현;유경환;박성욱;윤성우;고창남
    • 대한한방내과학회지
    • /
    • 제26권4호
    • /
    • pp.844-852
    • /
    • 2005
  • Objectives : Through spectral analysis of heart rate variability(HRV) to study autonomic nervous system dysfunction of Hwabyung, culture related disease in Korea. Methods : HRV of 18 patients diagnosed as Hwabyung was measured against 13 healthy controls. HRV was measured by SA-2000p(Mediocre, Korea) for five minutes after 5 minutes resting. Results : 1. In time domain analysis, mean pulse rate(PRT) of in Hwabyung group was significantly higher than healthy controls. Standard deviation of all normal P-P intervals(SDNN), the square root of the mean of the sum of the squares of differences between adjacent normal P-P intervals(RMS-SD) in Hwabyung group was lower than healthy controls, but not significant. 2. As for frequency domain analysis, In TP(logarithmic total power), In VLF(logarithmic very low frequency), and In LF(logarithmic low frequency )in Hwabyung group was significantly lower than healthy controls. Ln HF(logarithmic high frequency), LF/HF ratio in Hwabyung group was also lower but not significant. Conclusions : This study suggests tile activity and imbalance of cardiac autonomous nervous system in Hwabyung patient is significantly lower than healthy individuals.

  • PDF

심인성(心因性) 두통(頭痛)의 심박변이도(HRV) 분석에 의한 자율신경기능 평가 (Assessment of Autonomic Function in Functional Headache by Heart Rate Variability)

  • 김경옥;송지형;김근우;구병수;심상민
    • 동의신경정신과학회지
    • /
    • 제13권1호
    • /
    • pp.19-37
    • /
    • 2002
  • Objectives : This study sought to define autonomic functional difference on heart rate variability between headache patients and normal subjects Methods : We determined, heart rate variability of 52 headache patients and 30 normal subjects by means of three time domain measures: Mean PR(mean pulse rate), SDNN(standard deviation of all normal R-R intervals), RMSSD(the square root of the mean of sum of the squares of differences between adjacent normal R-R intervals), and five frequency domain measures: TP(total power), VLF(very low frequency), LF(low frequency), HF(high frequency). Results : 1) RMSSD, TP, HF, HF Norm of HRV decreased with aging and LF Norm, LF/HF increased with aging in headache patients. 2) There was no significant differences between migraine and tention headache in any standard index of HRV, whereas, HRV of total headache patients were smaller than those of normal subjects. 3) In the gender comparison, SDNN, RMSSD, HF of tention headache patients were the smallest and then migraine patients, normal subjects in order with man, whereas, LF Norm, LF/HF of normal subjects were the smallest with man. RMSSD of migraine patients were the smallest and then tention headache patients, normal subjects in order with women. 4) In the term of history of headache patients, SDNN, RMSSD were getting lower as long term. 5) There was no significant differences of HRV in physical symptom of headache patients. Conclusions : All of these results show that standard index of HRV of headache patients were significantly different with normal subjects.

  • PDF

Brief, Intense TENS 자극이 신경전도, 통증역치의 변화에 미치는 효과 (The effects of Breif, Intense Transecutaneous Electrical Nerve Stimulation on Nerve conduction, Pain Threshold in Healthy subjects)

  • 김태열;황태연;허춘복
    • The Journal of Korean Physical Therapy
    • /
    • 제6권1호
    • /
    • pp.171-183
    • /
    • 1994
  • Purphose. This present study examines the effect of brief, intense transcutaneous electrical nerve stimulation(BTENS) on sensory nerve conduction, electrical pain threshold, and two-point discrimination measured at the superficial radial nevre distribution in 20 healthy subjects. Subjects. Twenty volunteercs, (10 females and 10 males(age range : 20-38 years : $mean{\pm}SD\;:\;27.00{\pm}5.12$), only subjects without prior traumatological and pathological were eligible to participated in this study. Methods. Nerve conduction were determined for the right superficial radial nerve. Electrical pain threshold were determined for the right wrist ipsilateral to the site of BTENS. Small disc electrodes were attached to the surface of the skin stradding the end of the radius. Square wave electrical pulses were delivered from an isolated stimulator through a constant current device at a frequency of 2 Hz(5 ms pulse width). Two-point discrimination, measured on the sensory distribution of superficial radial nerve. BTENS was delivered using a Max-SD( Medical design co.) portable battery powered stimulator. A cicular Ag/AgCl electrode in contact with hypertonic saline gel was attached to the lateral(radial side) surface of the forearm. Results. No significant effects were observed between stimulation methods in the prestimulation cycle(multi-way ANOVA repeated measures : distal latency ; F1.14=0.332. amplitude ; F 0.80=0.445, pain threshold ; F0.06=0.940.2 point discrimination ; F1.50=0.236). Highly significant effects were observed time with the pretreatment and 6 posttreatment cycles(p<0.01). Mighty significants differences in nerve conduction and pain threshold were found using un multi-way ANOVA repeated measures among stimulation methods for each cycles(p<0.01). Conclusion and Discussion The authors concludes that both nerve conduction and pain threshold changes are associated with therapy (stimulation) level of BTENS.

  • PDF

Sensorless Detection of Position and Speed in Brushless DC Motors using the Derivative of Terminal Phase Voltages Technique with a Simple and Versatile Motor Driver Implementation

  • Carlos Gamazo Real, Jose;Jaime Gomez, Gil
    • Journal of Electrical Engineering and Technology
    • /
    • 제10권4호
    • /
    • pp.1540-1551
    • /
    • 2015
  • The detection of position and speed in BLDC motors without using position sensors has meant many efforts for the last decades. The aim of this paper is to develop a sensorless technique for detecting the position and speed of BLDC motors, and to overcome the drawbacks of position sensor-based methods by improving the performance of traditional approaches oriented to motor phase voltage sensing. The position and speed information is obtained by computing the derivative of the terminal phase voltages regarding to a virtual neutral point. For starting-up the motor and implementing the algorithms of the detection technique, a FPGA board with a real-time processor is used. Also, a versatile hardware has been developed for driving BLDC motors through pulse width modulation (PWM) signals. Delta and wye winding motors have been considered for evaluating the performance of the designed hardware and software, and tests with and without load are performed. Experimental results for validating the detection technique were attained in the range 5-1500 rpm and 5-150 rpm under no-load and full-load conditions, respectively. Specifically, speed and position square errors lower than 3 rpm and between 10º-30º were obtained without load. In addition, the speed and position errors after full-load tests were around 1 rpm and between 10º-15º, respectively. These results provide the evidence that the developed technique allows to detect the position and speed of BLDC motors with low accuracy errors at starting-up and over a wide speed range, and reduce the influence of noise in position sensing, which suggest that it can be satisfactorily used as a reliable alternative to position sensors in precision applications.

몸체진동형 링레이저 자이로의 환산계수 오차 및 불규칙잡음 특성 (Scale Factor Error and Random Walk Characteristics of a Body Dither Type Ring Laser Gyro)

  • 심규민;정태호;이호연
    • 한국군사과학기술학회지
    • /
    • 제2권1호
    • /
    • pp.139-149
    • /
    • 1999
  • 본 논문에서는 몸체진동에 의하여 Lock-in을 보상해주는 링레이저 자이로의 환산계수 오차와 불규칙잡음 특성을 시뮬레이션에 의해서 예측하였다. 그리고 그 결과를 약 0.5deg/sec의 static Lock-in을 갖는 28cm인 4각형 링레이저 자이로에 대한 정적시험 결과와 비교하였다. 진폭이 일정한 정현파 몸체진동을 인가하는 경우에 자이로의 출력 펄스가 몸체진동 진동수의 정수배가 되는 지점에서 주기적으로 dynamic Lock-in이 발생한다. Dynamic Lock-in의 폭은 몸체진동의 진폭에 따라서 변화하는데, 입력가속도가 몸체진동 진동수의 짝수배 지점과 홀수배 지점에서 나타나는 dynamic Lock-in의 폭은 180도 위상차이를 가짐을 알 수 있었다. 그리고 dynamic Lock-in을 보상해주기 위하여 불규칙진동을 추가로 인가하는데 이 불규칙성이 작으면 dynamic Lock-in에 의한 환산계수 오차가 제거되지 않으며, 불규칙성이 커지면 환산계수 오차는 줄어들지만 불규칙 잡음이 상대적으로 커짐을 알 수 있었다. 그리고 불규칙 잡음은 몸체진동의 진폭이 클수록 작아짐을 확인하였다.

  • PDF