• Restorative Dentistry and Endodontics
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• 제44권4호
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• pp.40.1-40.10
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• 2019

Objectives: This study aimed to assess the effect of DentalVibe on the level of pain experienced during anesthetic injections using 2 different techniques. Materials and Methods: This randomized crossover clinical trial evaluated 60 patients who required 2-session endodontic treatment. Labial infiltration (LI) anesthesia was administered in the anterior maxilla of 30 patients, while inferior alveolar nerve block (IANB) was performed in the remaining 30 patients. 1.8 mL of 2% lidocaine was injected at a rate of 1 mL/min using a 27-gauge needle. DentalVibe was randomly assigned to either the first or second injection session. A visual analog scale was used to determine participants' pain level during needle insertion and the anesthetic injection. The paired t-test was applied to assess the efficacy of DentalVibe for pain reduction. Results: In LI anesthesia, the pain level was 12.0 ± 15.5 and 38.1 ± 21.0 during needle insertion and 19.1 ± 16.1 and 48.9 ± 24.6 during the anesthetic injection using DentalVibe and the conventional method, respectively. In IANB, the pain level was 14.1 ± 15.9 and 35.1 ± 20.8 during needle insertion and 17.3 ± 14.2 and 39.5 ± 20.8 during the anesthetic injection using DentalVibe and the conventional method, respectively. DentalVibe significantly decreased the level of pain experienced during needle insertion and the anesthetic injection in anterior LI and mandibular IANB anesthesia. Conclusions: The results suggest that DentalVibe can be used to reduce the level of pain experienced by adult patients during needle insertion and anesthetic injection.

• 대한전자공학회논문지SP
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• 제46권1호
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• pp.41-48
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• 2009

본 논문에서는 복잡한 삼차원 장면을 다시점 텍스처와 깊이맵을 이용해 표현하고 이를 부호화하는 기법을 제안한다. 이를 위해 입력 다시점 데이터를 압축된 텍스처 및 깊이맵쌍 포맷으로 변환하고 제안한 코덱인 X-Codec을 통해 손실을 최소화하면서 부호화 효율을 향상시킨다. 우선 제안한 부호화 시스템은 다시점 색상과 깊이영상을 입력으로 사용하므로 기존의 기하학 기반 렌더링 기법과 달리 렌더링 속도가 장면의 복잡도가 아닌 입력 영상의 해상도에 따라 좌우된다. 또한, 영상을 블록 단위로 나누어 부호화와 복호화를 수행하기 때문에 임의 영역 접근이 용이하고 그래픽스 프로세싱 유닛을 이용한 실시간 렌더링이 가능하다. 실험결과 제안한 방법은 다시점 데이터를 이용한 다시점 렌더링, 선택적 복호화, 깊이정보를 이용한 삼차원 장면의 조작 등 다양한 기능을 동시에 제공하므로 대용량 데이터로부터 삼차원 장면을 탐색하는 그래픽스 응용에 유용하다.

• 생물정신의학
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• 제18권3호
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• pp.163-167
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• 2011

Complex regional pain syndrome (CRPS) is a disease that causes chronic spontaneous pain and hyperesthesia of one or more parts of legs and arms, which is accompanied with problems of the automatic nervous system or the motor nervous system. However, up to date, it is unclear what causes the syndrome and how to diagnose and treat it. Although several treatments including medication and sympathetic nerve block are performed against CRPS, the therapeutic effect of the treatments is limited. The electroconvulsive thera-py (ECT), of which the mechanism is not clarified, is a treatment used for treatment-resistant depression. ECT is also reported to be effective against pain. Therefore, we performed the ECT for a 24-year-old female patient who has been diagnosed as CRPS. Her pain had not been much improved by medications and interventional procedures. At admission to a psychiatric ward for ECT, she com-plained of over 8 points of pain on visual analogue scale and the constrained movement around the painful part. Eight ECTs-three times a week-were performed for three weeks in hospital and then the ECT once a week was performed after her leaving the hospital. During the ECTs, pain had been reduced and the range of movement in the constrained parts had increased. Further systematic re-search is needed to confirm the effect of electroconvulsive therapy against CRPS.

• 대한물리의학회지
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• 제9권4호
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• pp.485-492
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• 2014

PURPOSE: This study aimed to examine the pain, range of motion (ROM), upper extremity task performance, and functional levels of patients after rotator cuff repair according to the timing of a closed chain exercise thereby presenting basic data for an effective rehabilitation program. METHODS: The intervention was applied three times per week, one hour per day, for four weeks to 40 participants, 78 of whom had undergone rotator cuff repair. The participants were divided into four groups and assigned to usual general physical therapy and an open chain exercise. Group I consisted of the open chain exercise only. The closed chain exercise was applied to group II after the 4 times, group III after the 7 times, group IV after the 10 times. Measurement were used ROM, visual analogue scale (VAS), box and block test (BBT), and shoulder pain and disability index (SPADI). A one-way analysis of variance was conducted to test differences. RESULTS: There were significant differences in the internal/external rotation between group I and group II. The VAS significantly differed between group II and group I, group III, and group IV. The BBT results of group II and group I were significantly different compared to those of group IV. The SPADI significantly differed between group II and group I and between group II and group IV. CONCLUSION: The closed chain exercise was effective for patients following rotator cuff repair from the second week after active exercise was prescribed, verifying its applicability in rehabilitation programs.

• The Korean Journal of Pain
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• 제13권1호
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• pp.31-37
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• 2000

Background: Recent studies suggested that a preoperative block of N-methyl-D-aspartate (NMDA) receptors with NMDA antagonists may reduce postoperative pain. In this double-blind study, magnesium sulfate, a natural NMDA receptor antagonist, was administered preoperatively to investigate the effects of magnesium sulfate on postoperative pain and pulmonary function. Methods: Seventy patients who were to undergo gastrectomy under general anesthesia were randomly assigned to one of three groups. Groups 2 and 3 received intravenous magnesium, preoperatively (Group 2: 50 mg/kg bolus, 7.5 mg/kg/hr for 20 hr, Group 3: 50 mg/kg bolus, 15 mg/kg/hr for 20 hr). Group 1 received normal saline as the control group. Visual analog scale (VAS) for postoperative pain and mood, cumulative analgesic consumption, recovery of pulmonary function and side effects were evaluated at 6, 24, 48 and 72 hours after the operation. Results: In Groups 2 and 3, plasma concentration of magnesium were significantly higher than in Group 1 at 6 and 20 hours after infusion (P<0.05). There were no significant differences in the analgesic consumption, and recovery of pulmonary function and the incidence of side effects at 6, 24, 48 and 72 hours after the operation among the three groups. In Group 3, pain scores at rest measured 24 and 48 hours after operation were lower than the control group, and pain scores when deep breathing were significantly lower than the control group at postoperative 6, 24, 48, and 72 hours. Conclusions: We conclude that intravenous infusion of greater amount of magnesium has little effectiveness in reducing postoperative pain. However, further studies are needed to characterize the clinical significance of these effects on postoperative pain.

• The Korean Journal of Pain
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• 제13권1호
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• pp.67-73
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• 2000

Background: This study intends to evaluate the benefits of the administation of continuous infusion and demand doses of 0.125% ropivacaine compared with 0.125% bupivacaine after addition of fentanyl using patient controlled epidural analgesia (PCEA) for pain control during labor. Methods: Thirty-nine American Society of Anesthesiologists physical status 1 or 2 parturients were randomized by double blind design to receive either 0.125% bupivacaine with fentanyl 1 ug/ml or equivalent concentration of ropivacaine/fentanyl using PCEA; with 6~8 ml/hr basal rate, 3 ml bolus, 5 min lockout, 30 ml/hr dose limit. We assessed analgesia, the amount of study solution used in PCEA, sensory levels, motor block (0~3 scales), side effects and patient satisfaction. A postpartum questionnaire was carried out afterward. Results: There were no differences in visual analogue scores (VAS) for pain, hourly study solution use, sensory levels, side effects and patient satisfaction between groups. However, patients administered ropivacaine/fentanyl had significantly less demand, less administered in PCEA, less numbness and restriction of movement compared with patients in the bupivacaine/fentanyl group. Conclusions: Ropivacaine 0.125% with fentanyl, when administerd epidurally by PCEA for labor analgesia, was equally efficious as bupivaciane 0.125% with fentanyl, having with minimal numbness and restriction of motion.

• 한국정보통신학회논문지
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• 제21권7호
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• pp.1355-1363
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• 2017

최근에 낮은 복잡도의 부호화기를 구현하기 위해 분산 비디오 부호화 와 압축센싱을 결합한 구조로서 분산 압축 비디오 센싱기술에 대한 연구가 활발히 진행되고 있다. 기존에 움직임 보상 블록 압축센싱 기술(MC-BCS-SPL)은 가장 간단한 표본화를 추구하면서 모든 압축센싱 프레임을 갖는 DCVS방식중의 효과적인 방안으로 다루어져 왔다. 이 방식은 키 프레임과 WZ 프레임으로 분리하여 압축센싱한다. 그러나 MC-BCS-SPL 방식은 복호화기에서 WZ 프레임을 복원할 때, 움직임이 큰 영상 시퀀스의 경우에 화질 저하가 발생시키는 단점이 존재한다. 본 논문에서는 이러한 기존의 문제점을 극복하기 위한 개선된 MC-BCS-SPL 방식을 제안한다. 제안한 방식은 연속적인 키 프레임 간 에 존재하는 높은 상관관계를 이용하여 키 프레임을 참조함으로써 초기 영상을 보정한다. GOP 예측 구조 방식에 따른 율-왜곡 성능을 비교한다. 다양한 실험 결과를 통하여 제안하는 알고리즘이 기존 알고리즘보다 더 좋은 화질을 제공함을 보여준다.

• 한국정보통신학회논문지
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• 제19권12호
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• pp.2949-2955
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• 2015

최근 들어 사진, 애니메이션, 동영상과 같은 디지털 시각 매체가 폭발적으로 증가함에 따라서 의도적 또는 비의도적으로 입력 영상 내에 모자이크 블록들을 생성해야 할 필요성이 증가하고 있다. 본 논문에서는 입력된 컬러 영상에 존재하는 모자이크 블록들을 경계 특징을 이용하여 효과적으로 검출하는 방법을 제안한다. 제안된 방법에서는 먼저 입력 영상으로부터 캐니 에지를 검출하고, 검출된 에지로부터 모자이크 블록의 경계 특징을 추출하여 모자이크 블록이 존재할 가능성이 있는 후보 영역들을 찾는다. 그런 다음, 기하학적인 특징을 활용하여 비 모자이크 영역들을 제거하고 실제적인 모자이크 블록들만을 검출한다. 본 논문의 실험 결과에서는 제안된 방법이 다양한 종류의 입력 영상에서 모자이크 블록들을 강건하게 검출한다는 것을 보여준다.

• The Korean Journal of Pain
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• 제11권2호
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• pp.235-240
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• 1998

Background: Preoperative blocking of surgical nociceptive inputs may prevent sensitization of CNS and reduce postoperative pain. The stress responses to surgical trauma consist of increase in catabolic hormones and decrease in anabolic hormones. We studied whether preoperative intravenous morphine could affect postoperative pain and change plasma cortisol and serum glucose levels. Methods: Thirty eight patients undergoing total abdominal hysterectomy were randomly assigned to one of three groups. Control group (n=11) did not received intravenous morphine, preoperative group (n=13) received intravenous morphine (0.1 mg/kg as a bolus 10 min before operation and followed by 1.5 mg/hr for 10 hours), postoperative group (n=14) received the same doses and method of intravenous morphine of preoperative group postoperatively. Postoperative pain relief was provided with i.v. fentanyl through Patient-Controlled-Analgesia Pump. Postoperative visual analogue scores (VAS), analgesic requirement (first request time, total amounts used), side effects, plasma cortisol and serum glucose levels were compared. Results: VAS were different between control group and the other two goups, but were not different between preoperative and postoperative group. Total amounts of used fentanyl were not different among groups, but first request time were significantly delayed in the preoperative group compared with the other two groups ($66.2{\pm}33.9$ vs $39.0{\pm}15.4$ and $45.0{\pm}14.9$ min respectively, p<0.05). Plasma cortisol and serum glucose levels were not different among groups. Conclusions: Above dosage of preoperative and postoperative morphine has analgesic effect, but could not block surgical stress induced plasma cortisol and serum glucose increase.

• The Korean Journal of Pain
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• 제25권4호
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• pp.254-257
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• 2012

Background: Elderly patients visiting pain clinic may be at greater risk of misunderstanding the explanation because of age-related cognitive decline. Video instruction may provide a consistent from of teaching in a visual and realistic manner. We evaluated the effect of educational video on the patient understanding and satisfaction in a group of geriatric patients visiting pain clinic. Methods: Ninety two patients aged more than 60 years old who were scheduled for transforaminal epidural block were recruited. After exposure to either video or paper instruction process, each patient was asked 5-item comprehension questions, overall satisfaction and preference question. During follow-up period, number of outpatient referral-line call for further explanation was counted. Results: We observed significantly better comprehension in the video education compared with paper instruction (P < 0.001). Patient satisfaction was also higher in the video group (P = 0.015), and patients visiting pain clinic were more preferred video instruction (P < 0.001). Proportion of referral-line call for further explanation were similar (P = 0.302). Conclusions: Video approach to instruction process before consent improves treatment comprehension in geriatric patient visiting pain clinic.