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Postoperative nausea and vomiting after general anesthesia for oral and maxillofacial surgery

  • Apipan, Benjamas;Rummasak, Duangdee;Wongsirichat, Natthamet
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.16 no.4
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    • pp.273-281
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    • 2016
  • Background: Postoperative nausea and vomiting (PONV) is one of the most common postoperative complications. Despite this, few papers have reported the incidence and independent risk factors associated with PONV in the context of oral and maxillofacial surgery (OMFS). Therefore, we sought to determine the incidence of PONV, as well as to identify risk factors for the condition in patients who had undergone OMFS under general anesthesia. Methods: A total of 372 patients' charts were reviewed, and the following potential risk factors for PONV were analyzed: age, sex, body mass index, smoking status, history of PONV and/or motion sickness, duration of anesthesia, amount of blood loss, nasogastric tube insertion and retention and postoperative opioid used. Univariate analysis was performed, and variables with a P-value less than 0.1 were entered into a multiple logistic regression analysis, wherein P-values < 0.05 were considered significant. Results: The overall incidence of PONV was 25.26%. In the multiple logistic regression analysis, the following variables were independent predictors of PONV: age < 30 years, history of PONV and/or motion sickness, and anesthesia duration > 4 h. Furthermore, the number of risk factors was proportional to the incidence of PONV. Conclusions: The incidence of PONV in patients who have undergone OMFS varies from center to center depending on patient characteristics, as well as on anesthetic and surgical practice. Identifying the independent risk factors for PONV will allow physicians to optimize prophylactic, antiemetic regimens.

Dual-Band Circle Microstrip Patch Antenna with Parasitic Patch (기생 패치 면을 갖는 이중 대 역 원형 마이크로스트립 패치 안테나)

  • Noh Seung-Jin;Shin Heai-Young;Kim Young-Sang;Kim Nam-Soo
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.17 no.7 s.110
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    • pp.665-672
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    • 2006
  • In this paper, we propose and fabricate the dual-band microstrip patch antenna with parasitic patch for S-DMB(Satellite-Digital Multimedia Broadcasting) and ITS (Intelligent Transport System) services. The measured - 10 dB bandwidth and the minimum return loss is 300 MHz and - 27 dB for S-DMB, 600 MHz and -17 dB for ITS, respectively. It is noticed that the measured and simulated results are agreed well. The S-DMB antenna has conical beam pattern in the vertical plane and has omni-directional beam pattern in the horizontal plane. The conical beam pattern has the maximum gain about 4.2 dBi when ${\theta}$ is $45^{\circ}$ at the center frequency of 2.6 GHz. The ITS antenna has directional beam pattern in the vertical plane that has maximum gain about 6.4 dBi when ${\theta}$ is $0^{\circ}$ at the center frequency of 5.8 GHz.

Efficient Kernel Integrity Monitor Design for Commodity Mobile Application Processors

  • Heo, Ingoo;Jang, Daehee;Moon, Hyungon;Cho, Hansu;Lee, Seungwook;Kang, Brent Byunghoon;Paek, Yunheung
    • JSTS:Journal of Semiconductor Technology and Science
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    • v.15 no.1
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    • pp.48-59
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    • 2015
  • In recent years, there are increasing threats of rootkits that undermine the integrity of a system by manipulating OS kernel. To cope with the rootkits, in Vigilare, the snoop-based monitoring which snoops the memory traffics of the host system was proposed. Although the previous work shows its detection capability and negligible performance loss, the problem is that the proposed design is not acceptable in recent commodity mobile application processors (APs) which have become de facto the standard computing platforms of smart devices. To mend this problem and adopt the idea of snoop-based monitoring in commercial products, in this paper, we propose a snoop-based monitor design called S-Mon, which is designed for the AP platforms. In designing S-Mon, we especially consider two design constraints in the APs which were not addressed in Vigilare; the unified memory model and the crossbar switch interconnect. Taking into account those, we derive a more realistic architecture for the snoop-based monitoring and a new hardware module, called the region controller, is also proposed. In our experiments on a simulation framework modeling a productionquality device, it is shown that our S-Mon can detect the rootkit attacks while the runtime overhead is also negligible.

Atmospheric Icing Effects on the Aerodynamic Characteristics and Performance of Wind Turbine Blade (풍력 블레이드의 결빙에 의한 공력특성 및 성능 변화)

  • Park, Ji-Ho;Myong, Rho-Shin
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.42 no.2
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    • pp.134-143
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    • 2014
  • A significant degradation in the aerodynamic performance of wind turbine system can occur by ice accretion on the surface of blades operated in cold climate. The ice accretion can result in performance loss, overloading due to delayed stall, excessive vibration associated with mass imbalance, ice shedding, instrumental measurement errors, and, in worst case, wind turbine system shutdown. In this study, the effects of ice accretions on the aerodynamic characteristics of wind turbine blade sections are investigated on the basis of modern CFD method. In addition, the computational results are used to predict the performance of three-dimensional wind turbine blade system through the blade element momentum method. It is shown that the thickness of ice accretion increases from the root to the tip and the effects of icing conditions such as relative wind velocity play significant role in the shape of ice accretion.

Effects of Egg Shell Membrane Hydrolysates on Anti-Inflammatory, Anti-Wrinkle, Anti-Microbial Activity and Moisture-Protection

  • Yoo, Jinhee;Park, Kimoon;Yoo, Youngji;Kim, Jongkeun;Yang, Heejin;Shin, Youngjae
    • Food Science of Animal Resources
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    • v.34 no.1
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    • pp.26-32
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    • 2014
  • This study was conducted to examine the effects of eggshell membrane hydrolysates (ESMH) on the anti-inflammatory, anti-wrinkle, anti-microbial activity, and moisture-protection for cosmetic use. Whole ESMH (before fractionation), and fraction I (>10 kDa), fraction II (3-10 kDa), and fraction III (<3 kDa) of the hydrolysates were assessed in this experiment. As lipopolysaccharide (LPS) and IFN-${\gamma}$ caused the inflammation on Raw264.7 cell, whole ESMH and fraction I showed to be effective in inhibiting the induction of cell inflammation depending on the concentration, and also showed outstanding effect to suppress the skin inflammation. Fraction I inhibited collagenase and elastase activities to a greater extent than the other fractions, while all fractions had antibiotic effects at concentrations of 10 mg/disc and 20 mg/disc. In addition, it showed the moisture protection effects of skin on the holding amount and losing amount of moisture in upper-inner arm of the human body with a relatively low loss rate in skin, which confirmed that the hydrolyzed fractions of ESM helps to form the superior protective layer of moisture. It was concluded that ESMH fractions with different molecular weights, especially the 10 kDa fraction, have anti-lipopolysaccharide, anti-IFN-${\gamma}$-induced inflammation, anti-collagenase and elastase activities, and thus can be used as a cosmetic agent to protect skin.

An In Vitro and In Vivo Cholinesterase Inhibitory Activity of Pistacia khinjuk and Allium sativum Essential Oils

  • Ghajarbeygi, Peyman;Hajhoseini, Ashraf;Hosseini, Motahare-Sadat;Sharifan, Anoosheh
    • Journal of Pharmacopuncture
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    • v.22 no.4
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    • pp.231-238
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    • 2019
  • Objectives: Alzheimer's disease (AD), an overwhelming neurodegenerative disease, has deleterious effects on the brain that consequently causes memory loss and language impairment. This study was intended to investigate the neuroprotective activity of the two essential oils (EOs) from Iranian Pistacia khinjuk (PK) leaves and Allium sativum (AS) cloves against β-Amyloid 25-35 (Aβ25-35) induced elevation of cholinesterase enzymes in AD. Methods: The EOs of PK (PKEO) and AS (ASEO) were prepared and analyzed in terms of extraction yield, phenolic content, and cholinergic markers in vitro. Moreover, both were administered orally to adult male Wistar rats at concentrations of 1, 2, and 3%. The inhibitory potential of PKEO and ASEO was compared with Donepezil (0.75 mg/kg) against the high activities of acetylcholinesterase (AChE) and butyrylcholinesterase (BChE) enzymes. Results: PKEO reached an inhibition rate of 83.6% and 81.4% against AChE and BChE, respectively. ASEO had lower anti-cholinesterase activity (65.4% and 31.5% for the inhibition AChE and BChE). PKEO was found to have more phenolic content than ASEO. A significantly positive correlation was observed between the total phenolics and anti-cholinesterase potential. In rats, both EOs decreased the enzyme activity in a concentration-dependent manner. As compared with Donepezil, the significant difference in the AChE and BChE inhibition occurred as rats were treated with PKEO 3% (p < 0.05). Conclusion: It could be concluded that PKEO and ASEO are potent inhibitors of AChE and BChE in rats that hold promise to be used for the treatment of AD.

Effect of Long Time Physical Aging on Ultra Thin 6FDA-Based Polyimide Films Containing Carboxyl Acid Group (Carboxyl Acid Group을 포함한 6FDA-Based 폴리이미드 박막필름의 장시간 에이징에 따른 특성변화)

  • Im, Hyun-Gu;Kim, Joo-Heon;Lee, Hyuk-Soo;Kim, Tae-Min
    • Polymer(Korea)
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    • v.31 no.4
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    • pp.335-342
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    • 2007
  • The goal of this study is to investigate the effect of molecular structure modifications on the kinetics of physical aging of thin films formed from 6FDA-based polyimides with time. The permeability for 6FDA-based polyimide thin films containing carboxyl acid groups commonly decreased 20-50% after the isothermal aging and the selectivity gained anywhere from 10% to 30% while the rate of permeability loss on the change of polymer structure showed different reciprocal relationship between 6FDA-6FpDA based polyimides and 6FDA-DAM based polyimides. The Lorenz-Lorentz equation was used to relate changes in refractive index to densification and volume relaxation with aging time. The permeability as a function of aging time fits the expected form $P=Ae^{(-B/f)}$. The results matched well with the data for different polymer membranes.

Modified Mau Osteotomy for the Treatment of Severe Hallux Valgus (중증 무지외반증에서 변형 Mau 절골술을 이용한 치료)

  • Bae, Su-Young;Kim, Young-Eun
    • Journal of Korean Foot and Ankle Society
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    • v.8 no.2
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    • pp.117-120
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    • 2004
  • Purpose: The purpose of this study was to evaluate the effect and short-term results of the modified Mau osteotomy designed by the author. Materials and Methods: Seventeen feet treated with newly designed osteotomy from 2003 to 2004 were included. We performed metatarsal osteotomy and distal soft tissue procedure on 17 feet (12 patients) and additional Akin osteotomy on 6 feet (4 patients). An oblique osteotomy was made from the neck in the dorsum, aiming proximal to the base of the first metatarsal with vertical short arm on the base. We performed long arm of osteotomy parellel to the acrylic plate which was supposed as ground plane. Preoperative radiographs and follow up radiographs at three month were used for radiologic evaluation. Results: Mean hallux valgus angle was $43.6^{\circ}$ and mean intermetatarsal angle was $20.4^{\circ}$ on preoperative weight bearing radiograph. Mean amount of correction of the hallux valgus angle was $37.5^{\circ}$ and intermetatarsal angle was $14.2^{\circ}$ at three months after operation. There was no fixation loss or malunion, and the clinical result was subjectively exellent. Conclusion: More proximal rotational axis can achieve sufficient intermetatarsal angle correction, and vertical arm can provide more stable contact. So this newly modified Mau osteotomy was considered as a good alternative procedure in the treatment of severe hallux valgus.

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A Study on the Analysis of Accident Cases in Laboratories (실험실의 사고사례 분석에 관한 연구)

  • Lee, Keun-Won;Lee, Jung-Suk
    • Journal of the Korean Institute of Gas
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    • v.16 no.5
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    • pp.21-27
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    • 2012
  • The loss of life and property due to accidents in the research facilities or the laboratories of the university occurs steadily and the necessity of laboratory accident prevention is proposed. Above all, the main work to laboratory accident prevention is a systematic analysis of laboratories accidents. Analyzing reports or researches on industrial accidents in Korea had been carried out but these researches or reports did not based on laboratory accidents analysis. To the establishment of the accident prevention countermeasure in laboratory, a questionnaire sheet has been developed in this study. The questionnaires to survey the accident cases were gathered by electronic mail and visit survey from the laboratories and universities. The data of accident cases from the questionnaires was analyzed and discussed on accident distribution by season, the type of accident classification, the type of occurrence, the objects that caused the accident and laboratory accident by the damage incurred etc.. These results of this study can be used as basic data to the safety security and laboratory accident prevention of the laboratory worker.

A study on the Effective Selection of the Personal Information Audit Subject Using Digital Forensic (디지털 포렌식 기법을 활용한 효율적인 개인정보 감사 대상 선정 방안 연구)

  • Cheon, Jun-Young;Lee, Sang-Jin
    • Journal of Advanced Navigation Technology
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    • v.18 no.5
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    • pp.494-500
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    • 2014
  • Recently the leak of personal information from in-house and contract-managed companies has been continually increasing, which leads a regular observation on outsourcing companies that perform the personal information management system to prevent dangers from the leakage, stolen and loss of personal information. However, analyzing many numbers of computers in limited time has found few difficulties in some circumstances-such as outsourcing companies that own computers that have personal information system or task continuities that being related to company's profits. For the reason, it is necessary to select an object of examination through identifying a high-risk of personal data leak. In this paper, this study will formulate a proposal for the selection of high-risk subjects, which is based on the user interface, by digital forensic. The study designs the integrated analysis tool and demonstrates the effects of the tool through the test results.