The success rate of bupivacaine and lidocaine as anesthetic agents in inferior alveolar nerve block in teeth with irreversible pulpitis without spontaneous pain
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- Restorative Dentistry and Endodontics
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- 제40권2호
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- pp.155-160
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- 2015
Objectives: Achieving adequate anesthesia with inferior alveolar nerve blocks (IANB) is of great importance during dental procedures. The aim of the present study was to assess the success rate of two anesthetic agents (bupivacaine and lidocaine) for IANB when treating teeth with irreversible pulpitis. Materials and Methods: Sixty volunteer male and female patients who required root canal treatment of a mandibular molar due to caries participated in the present study. The inclusion criteria included prolonged pain to thermal stimulus but no spontaneous pain. The patients were randomly allocated to receive either 2% lidocaine with 1:80,000 epinephrine or 0.5% bupivacaine with 1:200,000 epinephrine as an IANB injection. The sensitivity of the teeth to a cold test as well as the amount of pain during access cavity preparation and root canal instrumentation were recorded. Results were statistically analyzed with the Chi-Square and Fischer's exact tests. Results: At the final step, fifty-nine patients were included in the study. The success rate for bupivacaine and lidocaine groups were 20.0% and 24.1%, respectively. There was no significant difference between the two groups at any stage of the treatment procedure. Conclusions: There was no difference in success rates of anesthesia when bupivacaine and lidocaine were used for IANB injections to treat mandibular molar teeth with irreversible pulpitis. Neither agent was able to completely anesthetize the teeth effectively. Therefore, practitioners should be prepared to administer supplemental anesthesia to overcome pain during root canal treatment.
Korea Atomic Energy Research Institute (KAERI) has been operating an integral effects test facility, the Advanced Thermal-Hydraulic Test Loop for Accident Simulation (ATLAS), according to APR1400 for transient experimental and design basis accident simulation. Moreover, based on the experimental data, the domestic standard problem (DSP) program has been conducted in Korea to validate system codes. Recently, through DSP-05, the performance of the passive auxiliary feedwater system (PAFS) in the event of multiple steam generator tube rupture (MSGTR) has been analyzed. However, some errors exist in the reference input model distributed for DSP-05. Furthermore, the calculation results of the heat loss correlation for the secondary system presented in the technical report of the reference indicate that a large difference is present in heat loss from the target value. Thus, in this study, the reference model is corrected using the geometric information from the design report and drawings of ATLAS. Additionally, a new heat loss correlation is suggested by fitting the results of the heat loss tests. Herein, MSGTR-PAFS accident analysis is performed using MARS-KS 1.5 with the improved model. The steady-state calculation results do not significantly differ from the experimental values, and the overall physical behavior of the transient state is properly predicted. Particularly, the predicted operating time of PAFS is similar to the experimental results obtained by the modified model. Furthermore, the operating time of PAFS varies according to the heat loss of the secondary system, and the sensitivity analysis results for the heat loss of the secondary system are presented.
Chikungunya fever is an arboviral disease caused by the Chikungunya virus (CHIKV). The disease has similar clinical manifestations with other acute febrile illnesses which complicates differential diagnosis in low-resource settings. We aimed to develop a rapid test for CHIKV detection based on the nucleic acid lateral flow immunoassay technology. The system consists of a primer set that recognizes the E1 region of the CHIKV genome and test strips in an enclosed cassette which are used to detect amplicons labeled with FITC/biotin. Amplification of the viral genome was done using open-source PCR, a low-cost open-source thermal cycler. Assay performance was evaluated using a panel of RNA isolated from patients' blood with confirmed CHIKV (n = 8) and dengue virus (n = 20) infection. The open-source PCR-NALFIA platform had a limit of detection of 10 RNA copies/ml. The assay had a sensitivity and specificity of 100% (95% CI: 67.56% - 100%) and 100% (95% CI: 83.89% - 100%), respectively, compared to reference standards of any positive virus culture on C6/36 cell lines and/or qRT-PCR. Further evaluation of its performance using a larger sample size may provide important data to extend its usefulness, especially its utilization in the peripheral healthcare facilities with scarce resources and outbreak situations.
Background: Although quantitative sensory test (QST) is being used with increasing frequency for measuring sensory thresholds in clinical practice and epidemiologic studies, there has been no age-matched normative data in Korean adults. The objective of this study is to evaluate the value of QST in diabetic polyneuropathy with normal range in Korean adults. Methods: The Computer Aided Sensory Examination IV 4,2 (WR Medical Electronics Co., Stillwater, Minnesota, U.S.A.), with 4,2,1 stepping algorithm was used to determine vibration and cold perception threshold in 70 normal controls and 19 patients with diabetic polyneuropathy aged from 21 to 79 years. The data were used to define age-matched upper and lower normal limits and normal range of side to side difference. We also evaluated the duration of diabetes, serum HbA1C level, and findings of nerve conduction study (NCS) and QST in patients with diabetic polyneuropathy. Results: In normal adults, sensory thresholds slightly increased with age, and a slight side-to-side difference was observed. The diagnostic sensitivity of QST was not higher than NCS in patients with diabetic polyneuropathy (36.8% vs. 42.1%, p=0.716), especially among elderly patients. Conclusions: QST might be used as a complementary test for NCS in the diagnosis of diabetic polyneuropathy. Although the QST is a simple method for the evaluation of peripheral nerve function, there are some limitations. Most of all, because the QST measuring is dependent on the subjective response of patients, the degree of concentration and cooperation of the patients can significantly affect the result. And thus, attention should be paid during the interpretation of QST results in patients with peripheral neuropathy.
The fatigue life of ship structure under cyclic loading condition is made up of crack initiation and propagation stages. For a welding member in ship structure, the fatigue crack propagation life is more important than the fatigue crack initiation life. To calculate precisely the fatigue crack propagation life at the critical welding location, the knowledge of the residual stress sensitivity on the fatigue strength is necessary. In this study, thermo elastic-plastic analysis was conducted in order to examine the effect of residual stress on the fatigue crack propagation life. Also the fatigue crack propagation lives considering residual stress were calculated using fatigue crack growth code, AFGROW, on the basis of fracture mechanics. AFGROW is widely used for fatigue crack growth predictions under constant and variable amplitude loading. The reliability of AFGROW on the fatigue of ship structure was confirmed by the comparison of the estimated results with the fatigue propagation test results.
The ductile-brittle transition behavior of two austenitic Fe-18Cr-10Mn-N-C alloys with different grain sizes was investigated in this study. The alloys exhibited a ductile-brittle transition behavior because of an unusual brittle fracture at low temperatures unlike conventional austenitic alloys. The alloy specimens with a smaller grain size had a higher yield and tensile strengths than those with a larger grain size due to grain refinement strengthening. However, a decrease in the grain size deteriorated the low-temperature toughness by increasing the ductile-brittle transition temperature because nitrogen or carbon could enhance the effectiveness of the grain boundaries to overcome the thermal energy. It could be explained by the temperature dependence of the yield stress based on low-temperature tensile tests. In order to improve both the strength and toughness of austenitic Fe-Cr-Mn-N-C alloys with different chemical compositions and grain sizes, more systematic studies are required to understand the effect of the grain size on the mechanical properties in relation to the temperature sensitivity of yield and fracture stresses.
본 논문에서는 새로운 방식의 금속 산화물 감지막의 형성 기술에 대해서 제안을 하였다. Sn 증착을 위해 사용된 기판은 Pt 전극을 가진 실리콘 웨이퍼를 이용하였다. 증착 방식은 금속 Sn이 연속적인 막이 아닌 island로만 형성된 상태로 하였다. 제안된 방식의 최적의 Sn 증착 조건을 구하기위해 Pt 전극간의 저항이
본 연구에서는 BETHSY 실험장치에서 수행한 6" 소형 냉각재 상실사고(LOCA) 실험을 최적 열수력 코드인 CATHARE2 V1.2와 RELAP5/MOD3를 이용하여 계산했다. 본 연구의 주 목적은 소형 LOCA시 관심을 가지는 주요 물리현상인 이상 임계유동, 감압과정, 노심수위 감소, loop seal clearing 등에 대한 두 코드의 소형 LOCA 계산모의능력을 평가하는 것이다. 두코드는 이상 유동현상의 전개 경향이나 발생시점을 비교적 잘 예측하는 것으로 나타났고, CATHARE2의 경우가 실험과 더 잘 일치했다. 그렇지만 두 코드는 loop seal clearing 현상, loop seal clearing 발생후의 노심수위, accumulator 유량거동 등의 예측에는 약간의 편차를 보였는데, 편차의 정도는 RELAP5가 CATHARE2보다 더 큰 것으로 나타났다. 두 코드의 편차요인을 보다 상세히 분석하기 위하여 계면 마찰력, mesh크기, 파단노즐 junction에서의 방출계수(Discharge coefficient)등에 대하여 민감도분석을 수행하였다. 그 결과 CATHARE2의 경우는 계면 마찰력을 증가시킴으로써 감압과정시 일차계통의 질량분포, 즉 증기 발생기 입구 공동(SG inlet plenum)에서의 차압과 Cross√er leg의 차압이 개선되었으며, 증기발생기 외측 열전달계수를 증가시킴으로써 중기발생기의 압력변화를 개선할 수 있었다. RELAP5의 경우는 어떤 하나의 입력변수를 변화시켜서 과도기의 결과를 개선할 수 없었으며 다만, 계면 마찰력 모델링에 여전히 많은 불화실성이 내포되어 있음을 확인했다.확인했다.
The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70
The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70