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Infusion Methods for Continuous Interscalene Brachial Plexus Block for Postoperative Pain Control after Arthroscopic Rotator Cuff Repair

  • Byeon, Gyeong Jo;Shin, Sang Wook;Yoon, Ji Uk;Kim, Eun Jung;Baek, Seung Hoon;Ri, Hyun Su
    • The Korean Journal of Pain
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    • v.28 no.3
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    • pp.210-216
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    • 2015
  • Background: Infusion methods during regional analgesia using perineural catheters may influence the quality of postoperative analgesia. This study was conducted to compare the effects of combined or bolus-only infusion of 0.2% ropivacaine on the postoperative analgesia in interscalene brachial plexus block (ISBPB) with perineural catheterization. Methods: Patients scheduled for arthroscopic rotator cuff repair were divided into two groups, one that would receive a combined infusion (group C, n = 32), and one that would receive intermittent infusion (group I, n = 32). A perineural catheter was inserted into the interscalene brachial plexus (ISBP) using ultrasound (US) and nerve stimulation, and 10 ml of 0.2% ropivacaine was administered. After the operation, group C received a continuous infusion of 4 ml/h, and a 4 ml bolus with a lockout interval of 60 min. Group I received only a 4 ml bolus, and the lockout interval was 30 min. Postoperative pain by the numeric rating scale (NRS) and the forearm muscle tone by the manual muscle test (MMT) were checked and evaluated at the following timepoints: preoperative, and postoperative 1, 4, 12, 24, 36, and 48 h. Supplemental opioid requirements, total consumed dose of local anesthetic, and adverse effects were compared between the two groups. Results: Sixty-four patients completed the study and the postoperative values such as operation time, time to discharge, and operation site were comparable. There were no differences in NRS scores and supplemental opioid requirements between the two groups. The MMT scores of group I at 4 and 12 h after surgery were significantly higher than those of group C (P < 0.05). The total consumed dose of local anesthetic was significantly lower in group I than in group C (P < 0.05). The adverse effects were not different between the groups. Conclusions: The bolus-only administration of 0.2% ropivacaine provided a similar analgesic effect with a lower total volume of local anesthetic and decreased motor weakness compared to combined infusion. Therefore, bolus-only administration is an effective postoperative analgesic method in ISBPB with perineural catheterization after rotator cuff repair.

Herbicidal activity of a new benzenesulfonylurea compound, KSC-13906 (신규 benzenesulfonylurea 계 화합물 KSC-13906의 제초활성)

  • Hwang, I.T.;Choi, J.S.;Ko, Y.K.;Choi, Y.S.;Kim, M.H.;Kim, D.W.;Cho, K.Y.
    • The Korean Journal of Pesticide Science
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    • v.3 no.1
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    • pp.1-12
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    • 1999
  • Herbicidal activities of newly synthesized experimental compound, KSC-13906 [Erythro N-{(4,6-dimethoxy pyrimidin-2-yl)aminocarbgnyl}-2-(2-fluoro-1- hydroxy-n-propyl)benzenesulfonamide, US Patent 5,461,025], were investigated in greenhouse and field for development as a paddy herbicide. KSC-13906 exihibited excellent weeding effects and selectivity to rice under submerged paddy condition in geenhouse. At the application rate of $2.5{\sim}5$ g ai/ha treated on surface of water, KSC-13906 effectively controlled three annual weeds such as Echinochloa crus-galli var. oryzicola. Scirpus juncoides, and Monochoria vaginalis as well as five perennial weeds such as Cyperus serotinus, Sagittaria pygmaea, Eleocharis kuroguwai, Potamogeton distinctus, and S. trifolia. However, there was no effect on Aneilema keisak and Lindernia procumbens. Especially, KSC-13906 effectively controlled Echinochloa crus-galli var. oryzicola at growth stages ranging from pre-emergence to 3-leaf stage. Antagonistic interaction was found between pyrazosulfuron-ethyl and mefenacet, but not between KSC-13906 ana mefenacet. KSC-13906 had high selectivity to transplanted rice, but caused phytotoxic effect on direct-seeded rice when treated before 3-leaf stage. Herbicidal activity of KSC-13906 on the Echinochloa crus-galli var. oryzicola was 7-folds greater than that of pyrazosulfuron-ethyl in terms of relative dose ratio of the herbicides. These results suggest that KSC-13906 possesses selective herbicidal potency in rice.

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Pre-seasonal Physical Examination of Professional Soccer Team (프로 축구팀의 시즌 전 체력검사)

  • Lee, Kyung-Tai;Choi, Byung-Ok
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.5 no.2
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    • pp.129-134
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    • 2006
  • Purpose: In the professional soccer team, we performed pre-seasonal physical examination and analyzed the results to establish a standardization data in relation to their position. Materials and Methods: We performed physical examination to the professional soccer team, consisted 34 player's average age 24.9 years. The examination performed were questionnaire on history, musculoskeletal examination, muscle power test, physiologic test, functional test. Results: According to the relationship between player position and injury pattern,. Knee injuries are most frequent on history. Physical examination outcome was that forward were prone to flexor hallucis longus tendinitis, midfielder for chronic ankle instability, defender for achilles tendinitis. Isokinetic test was done at dominant side, Peak torque to body weight ratio was 55.1%. Physiologic test checked body fat percentage was midfielder was superior as 19.8 (SD 2.9). Functional test out-come was that back strength 125 N. sergeant jump 59.6 cm, reaction time 208.5 sec, flexibility 19.2 m/s, side step 39.9 cm. Conclusion: Pre-seasonal physical examination gave us the standardization data and preventive measurement could be advocated from this results.

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Reconstruction of the Finger using Rerouting the Transverse Digital Palmar Arch in the Crushing or Avulsion Injured Finger (짓니긴 및 벗겨진 손상에서 가로손가락손바닥활을 이용한 손가락 재건)

  • Choi, Hwan-Jun;Lee, In-Soo;Choi, Chang-Yong;Kim, Mi-Sun;Kim, Jun-Hyuk
    • Archives of Plastic Surgery
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    • v.37 no.1
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    • pp.59-66
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    • 2010
  • Purpose: In the finger, there are three major palmar arches in the arterial system. The location of this arches are constant. The middle and distal transverse arches are consistently large (almost 1 mm) and may be used for arterial vessel repairs either proximally or distally, depending on the length and direction needed. This paper describes our experiences in reconstruction and replantation of the finger using rerouting the transverse digital palmar arch. Methods: 31 patients with injuries according to our classification were treated from March of 2005 to October of 2008. In this study the authors subdivided injuries into those with amputation distal to the insertion of the flexor digitorum profundus (Class I, 31 fingers); those with amputation distal to the insertion of the flexor digitorum superficialis (Class II, 4 fingers). Replantation was performed using the artery-only technique with neither vein nor nerve repair. Because the artery has been damaged, it is still possible to make a direct suture by transposing the arterial arch in an inverted Y to I arterial configuration or converting the arch. Venous drainage was provided by an external bleeding method with partial nail excision, medical leech, and repaired margin. Results: The success rate was 87% (n=27) in class I and 75% (n=4) in class II. The authors conclude that crushing and complete avulsion injuries & amputations are salvageable, with acceptable functional results in select patients, especially those with amputation distal to the insertion of the flexor digitorum superficialis. Conclusion: We performed replantation and reconstruction with only-arterial transposing anastomosis successfully, resulting in good recovery of aesthetic and functional outcome. Three major digital palmar arches, especially distal two branches, give us additional treatment options. In the finger replantation and reconstructive techniques using rerouting healthy the transverse digital palmar arch increase the survival rate of the finger.

Alcohol Craving in Subjects with Alcohol Use Disorders in Response to Alcohol Cues (알코올 사용 장애자의 알코올 단서에 의해 유발된 갈망 특성)

  • Park, Mi-Sook;Sohn, Sun-ju;Park, Ji-Eun;Kim, Suk-Hee;Yu, In-Kyu;Sohn, Jin-Hun
    • Science of Emotion and Sensibility
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    • v.10 no.4
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    • pp.603-611
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    • 2007
  • Initially, this study was to develop reliable and effective alcohol-associated visual cues. Alcoholic picture cues were chosen from the Normative Appetitive Picture System (NAPS). Additional images consisted of Korean beer and mild liquor was pre-tested to select the pictures that would induce craving most intensely. The images that recorded the highest scores on a scale were chosen through the pre-test. And then, the reliability and validity were examined for the selected alcohol cues from NAPS and pre-test via another psychometric test. Secondly, the study was to investigate differences in craving between subjects with alcohol use disorders (AUDs) and non-alcoholic control subjects when exposed to the alcohol visual cues. Alcohol abusers with AUD (n=9) and demographically similar non-abusers (n=9) participated in this study. After given 5cc of alcohol, subjects were exposed to different types of stimuli (i.e., alcohol, nonalcoholic beverage, and visual control pictures and one rest (cross-hair)). Craving levels were rated through self-report on a Likert scale immediately after the presentation of visual cues. Results showed statistically significant differences between the AUD group and the control group in the Obsessive Compulsive Drinking Scale (OCDS) scores, pre-sip and post-sip alcohol craving. Also, the AUD group showed significantly a higher level of craving during alcohol cues compared to the control group. In conclusion, alcohol craving induced by alcohol cues among subjects with AUD was found to be different from that of non-abusers.

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Species and Sex Identification of the Korean Goral (Nemorhaedus caudatus) by Molecular Analysis of Non-invasive Samples

  • Kim, Baek Jun;Lee, Yun-Sun;An, Jung-hwa;Park, Han-Chan;Okumura, Hideo;Lee, Hang;Min, Mi-Sook
    • Molecules and Cells
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    • v.26 no.3
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    • pp.314-318
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    • 2008
  • Korean long-tailed goral (Nemorhaedus caudatus) is one of the most endangered species in South Korea. However, detailed species distribution and sex ratio data on the elusive goral are still lacking due to difficulty of identification of the species and sex in the field. The primary aim of this study was to develop an economical PCR-RFLP method to identify species using invasive or non-invasive samples from five Korean ungulates: goral (N. caudatus), roe deer (Capreolus pygargus), feral goat (Capra hircus), water deer (Hydropotes inermis) and musk deer (Moschus moschiferus). The secondary aim was to find more efficient molecular sexing techniques that may be applied to invasive or non-invasive samples of ungulate species. We successfully utilized PCR-RFLP of partial mitochondrial cytochrome b gene (376 bp) for species identification, and sex-specific amplification of ZFX/Y and AMELX/Y genes for sexing. Three species (goral, goat and water deer) showed distinctive band patterns by using three restriction enzymes (Xbal, Stul or Sspl). Three different sexing primer sets (LGL331/335 for ZFX/Y gene; SE47/48 or SE47/53 for AMELX/Y gene) produced sex-specific band patterns in goral, goat and roe deer. Our results suggest that the molecular analyses of non-invasive samples might provide us with potential tools for the further genetic and ecological study of Korean goral and related species.

Design and Implementation of a Web-based Public Transportation Guidance System (웹기반 대중교통 안내시스템 설계 및 구현)

  • Bae, Su-Gang;Lee, Seung-Ryong;Choe, Dae-Sun;Jeong, Tae-Chung;Seung, Hyeon-U
    • Journal of KIISE:Computing Practices and Letters
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    • v.5 no.4
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    • pp.426-439
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    • 1999
  • 본 논문에서는 웹(World Wide Web)에서 사용자가 손쉽고 편리하게 이용할 수 있는 멀티미디어 대중교통 안내시스템 개발 경험을 소개한다. 개발된 시스템은 클라이언트와 서버 시스템, 경로탐색 시스템, 교통정보 저장 시스템, 노선 및 정류장 관리 시스템으로 구성되어 있다. 클라이언트에서 작동되는 사용자 인터페이스는 직관적으로 이해가 쉽고, 사용이 편리하며 인터액티브한 멀티미디어 대중 교통안내 서비스를 제공한다. 서버 시스템은 교통정보 수집 시스템으로부터 입력되는 데이타와, 경로탐색 시스템, 교통정보 저장 시스템과 연동되어 클라이언트의 요구사항을 처리하고 그 결과를 사용자에게 돌려준다. 수정된 A* 알고리즘을 이용하는 경로탐색 시스템은 최적경로를 탐색하며, 교통정보 저장 시스템은 현재 교통상황, 정류장, 노선, 지도 등의 정보를 저장한다. 노선 및 정류장 관리시스템은 시스템 관리자가 노선 또는 정류장 관리를 서버 화면의 지도상에서 효율적으로 수행할 수 있는 도구이다. 본 논문에서 다루는 대중교통 안내시스템은 Java로 구현하였기 때문에 확장과 이식이 용이하며, 시스템 유지보수 비용이 적게 드는 장점을 가지고 있다. 그리고, 웹 브라우저가 동작되는 환경에서는 어디서나 쉽게 접근이 가능하며 향후 구축될 Intelligent Transportation Systems(ITS)의 한 모듈로써 바로 작동될 수 있을 뿐만 아니라, 현재 인터넷상에서 제공되는 다양한 서비스와도 연동이 가능하다.Abstract This paper introduces our experience for developing a public transportation guidance system, which facilitates the World-Wide Web(WWW) to provide users with easier access and use. The proposed system is composed of four subsystems: client/server system, path search system, traffic data storage system, and traffic raw-data management system. The user interface in clients utilizes Java to furnish users with multimedia data accessibility and interactivity. The server processes clients' requests based on the traffic data coming from remote sensing devices and interacts with the path search system and traffic data storage system to provide users with the results. The path search system, which uses a modified A* algorithm, produces optimal solutions based on dynamic traffic data. The traffic data storage system stores the current traffic information together with the geographical information about the b$us_way routes. The traffic raw-data management system is a graphical user interface which enables the system manager to handle the traffic information easily on the map in the terminal screen. The system has considerable benefits such as portability, scalability, and flexibility since it is implemented using Java. Also, it can be extended to an integrated Intelligent Transportation Systems(ITS) which includes a variety of information on the Internet as well as traffic information.n.

Influence of Tungsten Carbide/Carbon Coating on the Preload and Tightening Torque of Implant Abutment Screws (임플랜트 지대주 나사의 텅스텐 카바이드/탄소 코팅이 전하중 및 조임회전각에 미치는 영향)

  • Shin, Hyon-Mo;Cho, Wook;Jeong, Chang-Mo
    • Journal of Dental Rehabilitation and Applied Science
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    • v.25 no.1
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    • pp.53-59
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    • 2009
  • The purpose of this study was to clarify the clinical efficiency of tungsten carbide/carbon coating on obtaining optimal preload of abutment screw compared with non-coated screw in external-hex implant system. In the present work, rotational value and the compressive force between abutment and fixture of abutment screws without coating and with coating tightened to 30Ncm were measured. Mean compressive force of coated screw was 504.6N. Then uncoated screw was tightened to clamping the abutment and the implant to 504.6N, and the tightening torque value and the rotational value was recorded. The following conclusions were drawn within the limitation of this study. Compressive force of coated screw was higher than that of uncoated screw after tightening at 30Ncm. The tightening torque that was nedeed to clamping the uncoated screw equal to coated screw tightened to 30Ncm was 55.6Ncm. In case of equal compressive force, there was no significant difference in rotation value between coated and uncoated screw.

An Efficient Method to Compute Partial Atomic Charges of Large Molecules Using Reassociation of Fragments

  • Lee, Jung-Goo;Jeong, Ho-Young;Lee, Ho-Sull
    • Bulletin of the Korean Chemical Society
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    • v.24 no.3
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    • pp.369-376
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    • 2003
  • Coulson (ZINDO), Mulliken $(MP2/6-31G^*)$ and Natural $(MP2/6-31G^*)$ population analyses of several large molecules were performed by the Fragment Reassociation (FR) method. The agreement between the conventional ZINDO (or conventional MP2) and FR-ZINDO (or FR-MP2) charges of these molecules was excellent. The standard deviations of the FR-ZINDO net atomic charges from the conventional ZINDO net atomic charges were 0.0008 for $C_{10}H_{22}$ (32 atoms), 0.0012 for $NH_2-C_{16}O_2H_{28}-COOH$ (53 atoms), 0.0014 for $NH_3^+-C_{16}O_2H_{28}-COOH$ (54 atoms), 0.0017 for $NH_2-C_{16}O_2H_{28}-COO^-$ (52 atoms), 0.0019 for $NH_3^+-C_{16}O_2H_{28}-COO^-$ (53 atoms), 0.0024 for a conjugated model $(O=CH-(CH=CH)_{15}-C=O-(CH=CH)_{12}-CH=CH_2)$, 118 atoms), 0.0038 for aglycoristocetin $(C_{60}N_7O_{19}H_{52}^+$, 138 atoms), 0.0023 for a polypropylene model complexed with a zirconocene catalyst $(C_{68}H-{121}Zr^+$, 190 atoms) and 0.0013 for magainin $(C_{112}N_{29}O_{28}SH_{177}$, 347 atoms), respectively. The standard deviations of the FR-MP2 Mulliken (or Natural) partial atomic charges from the conventional ones were 0.0016 (or 0.0016) for $C_{10}H_{22}$, 0.0019 (or 0.0018) for $NH_2-C_{16}O_2H_{28}-COOH$ and 0.0033 (or 0.0023) for $NH_3^+-C_{16}O_2H_{28}-COO^-$, respectively. These errors were attributed to the shape of molecules, the choice of fragments and the degree of ionic characters of molecules as well as the choice of methods. The CPU time of aglycoristocetin, conjugated model, polypropylene model complexed with zirconocene and magainin computed by the FR-ZINDO method was respectively 2, 4, 6 and 21 times faster than that by the normal ZINDO method. The CPU time of $NH_2-C_{16}O_2H_{28}-COOH\;and\;NH_3^+-C_{16}O_2H_{28}-COO^-$ computed by the FR-MP2 method was, respectively, 6 and 20 times faster than that by the normal MP2 method. The largest molecule calculated by the FR-ZINDO method was B-DNA (766 atoms). These results will enable us to compute atomic charges of huge molecules near future.

PRIP, a Novel Ins(1,4,5)P3 Binding Protein, Functional Significance in Ca2+ Signaling and Extension to Neuroscience and Beyond

  • Kanematsu, Takashi;Takeuchi, Hiroshi;Terunuma, Miho;Hirata, Masato
    • Molecules and Cells
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    • v.20 no.3
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    • pp.305-314
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    • 2005
  • Investigation of chemically synthesized inositol 1,4,5-trisphosphate [$Ins(1,4,5)P_3$] analogs has led to the isolation of a novel binding protein with a molecular size of 130 kDa, characterized as a molecule with similar domain organization to phospholipase C-${\delta}1$ (PLC-${\delta}1$) but lacking the enzymatic activity. An isoform of the molecule was subsequently identified, and these molecules have been named PRIP (PLC-related, but catalytically inactive protein), with the two isoforms named PRIP-1 and -2. Regarding its ability to bind $Ins(1,4,5)P_3$ via the pleckstrin homology domain, the involvement of PRIP-1 in $Ins(1,4,5)P_3$-mediated $Ca^{2+}$ signaling was examined using COS-1 cells overexpressing PRIP-1 and cultured neurons prepared from PRIP-1 knock-out mice. Yeast two hybrid screening of a brain cDNA library using a unique N-terminus as bait identified GABARAP ($GABA_A$ receptor associated protein) and PP1 (protein phosphatase 1), which led us to examine the possible involvement of PRIP in $GABA_A$ receptor signaling. For this purpose PRIP knock-out mice were analyzed for $GABA_A$ receptor function in relation to the action of benzodiazepines from the electrophysiological and behavioral aspects. During the course of these experiments we found that PRIP also binds to the b-subunit of $GABA_A$ receptors and PP2A (protein phosphtase 2A). Here, we summarize how PRIP is involved in $Ins(1,4,5)P_3$-mediated $Ca^{2+}$ signaling and $GABA_A$ receptor signaling based on the characteristics of binding molecules.