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Consideration on Application of Modified Monitored Anesthetic Care in Plastic Surgery (성형외과 영역의 수술 시 마취하 감시관리의 응용에 대한 고찰)

  • Cho, Geon;Suh, In-Suck;Choi, Young-Ryong;Chung, Mi-Hwa;Tak, Kyoung-Seok;Park, Young-Kyu;Kim, Jae-Hyun;Ko, Eung-Yeol;Sung, Ha-Min
    • Archives of Plastic Surgery
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    • v.38 no.1
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    • pp.7-14
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    • 2011
  • Purpose: Many patients have fear for surgery owing to the injection of lidocaine and the possible pain in the course of the operation. To resolve such a problem the cases to do plastic surgery with monitored anesthetic care are increasing, in which something like sedatives is injected into vein without endotracheal intubation and under voluntary respiration, but the usage is now under the controversy. Methods: There were 25 patients who had surgery with local anesthesia, and another 25 patients who had surgery with monitored anesthetic care which belongs to ASA class 1 and 2 from January to April, 2009. Their anesthesia records were collected and surveys were given before and after the surgery and the surgery staff recorded OAA/S during the surgery. The postoperative surveys included the awakening during the surgery, pain, anxiety, and the degree of patient's satisfaction through visual analogue scale to identify the difference between the two methods. Results: The OAA/S results according to time lapse show that it is possible to lead a fast effective sedation and recovery with monitored anesthetic care, and monitored anesthetic care enhances both surgeon's convenience level and patient's satisfaction level, and reduces awakening, pain, and anxiety, compared to local anesthesia. Conclusion: The current paper shows about the plastic surgery, particularly the outpatient surgery, when monitored anesthetic care method is applied, it could gain a fast sedation and recovery or an effective sedation of patients. The method also has some affirmative effects in regard with surgeon's convenience and the patients' satisfaction degree and the reduction of their awakening, pain, and anxiety. With careful and adequate watch on the measures about vital signs like electrocardiogram, the degree of oxygen saturation, and blood pressure, it could clinically be very useful.

Effect of GM-CSF on the Embryonic Development and the Expression of Implantation Related Genes of Mouse Embryos (Granulocyte-Macrophage Colony Stimulating Factor (GM-CSF)의 첨가가 생쥐 수정란의 발생과 착상관련 유전자 발현에 미치는 영향)

  • Kim, Dong-Hoon;Ko, Duck-Sung;Lee, Hoi-Chang;Lee, Ho-Joon;Kang, Hee-Gyoo;Kim, Tai-Jeon;Park, Won-Il;Kim, Seung-Samuel
    • Clinical and Experimental Reproductive Medicine
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    • v.29 no.2
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    • pp.83-90
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    • 2002
  • Objective : The purpose of the current series of experiments were to assess the effect of GM-CSF, as a medium supplement, on the development of mouse embryos and the expression of LIF and IL-1? mRNA. Materials and Methods: Mouse 2-cell embryos were collected from the oviducts of 6 weeks old ICR mice at 48 hours after hCG injection. Embryos were cultured in P-1 medium supplemented with mouse GM-CSF (0, 1, 5, 10 ng/ml). The embryo development to blastocysts and hatching blastocysts was assessed and the cell number in blastocyst was also examined. Using RT-PCR, the expressions of LIF and IL-1? mRNA in blastocyst were evaluated in the GM-CSF supplemented group and control group. Results: In mouse, the addition of GM-CSF increased the percentage of blastocysts (65.5%, 68.6%, 73.0% and 76.1% for control and 1, 5 and 10 ng/ml, respectively), and increased the proportion of hatching blastocysts (35.2%, 36.4%, 43.2% and 53.0% for control and 1, 5 and 10 ng/ml, respectively). The mean cell numbers in blastocyst were significantly increased in GM-CSF supplemented groups compared to control group. LIF and IL-1? expression in blastocyst were significantly higher in GM-CSF supplemented group than in control group. Conclusion: The results of experiment by mouse embryos showed beneficial effects of GM-CSF as a medium supplement. Furthermore, the addition of GM-CSF significantly increased the expression of LIF and IL-1? in mouse embryos. These results suggest that GM-CSF might be a important molecule in embryo implantation.

Algorithm of Detecting Ground Fault by Using Insulation Monitoring Device(IMD) in Ungrounded DC System (직류 비접지계통에서 절연저항측정장치(IMD)를 이용한 사고검출 알고리즘)

  • Kim, Ki-Young;Lee, Hu-Dong;Tae, Dong-Hyun;Rho, Dae-Seok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.9
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    • pp.528-535
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    • 2020
  • Recently, the protection coordination method of DC systems has been presented because renewable energy and distributed resources are being installed and operated in distribution systems. On the other hand, it is difficult to detect ground faults because there is no significant difference compared to a steady-state current in ungrounded IT systems, such as DC load networks and urban railways. Therefore, this paper formulates the detection principle of IMD (Insulation Monitoring Device) to use it as a protection coordination device in a DC system. Based on the signal injection method of IMD, which is analyzed by a wavelet transform, this paper presents an algorithm of detecting ground faults in a DC system in a fast and accurate manner. In addition, this paper modeled an IMD and an ungrounded DC system using the PSCAD/EMTDC S/W and performed numerical analysis of a wavelet transform with the Matlab S/W. The simulation results of a ground fault case in an ungrounded DC system showed that the proposed algorithm and modeling are useful and practical tools for detecting a ground fault in a DC system.

Therapeutic Effects of Ephedra sinica Stapf Herb-Acupuncture on Adjuvant-induced Polyarthritis of Rat (흰쥐의 Adjuvant 유발 다발성 관절염에 대한 마황 약침의 치료 효과)

  • Lee Han-Chang;Yeom Mijung;Kim Gun-Ho;Shim In-Sop;Choi Kang-Duk;Lee Hye-Jung;Hahm Dae-Hyun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.17 no.2
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    • pp.346-351
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    • 2003
  • The current studies investigated the therapeutic effects of Ephedra sinica Stapf (ES) herb-acupuncture on the inflammatory responses of rat arthritic joint, which was induced by the intradermal injection of heat-killed Mycobacterium tuberculosis emulsified in squalene to the base of the tail. The measurements of body weight and articular index were exploited as the assessment methods addressing arthritic symptoms, and the expression profiles of cytokines such as TNF-α, IL-1β and IL-6 in the rat joint were analyzed using RT-PCR. The articular indexes of arthritic rats were significantly restored after the treatment with ES herb-acupuncture. Although the clinical symptoms of arthritic rats were apparently alleviated by the ES treatments, their body weights were not recovered. It maybe due to the weight-loss and energy enhancement effects of ES extracts. The expression of TNF-α, IL-1β and IL-6 genes, which were highly stimulated in the knee joints of arthritic rats, were restored to the levels of normal rats after the ES treatment. The therapeutic effect of ES herb-acupuncture was not observed in ES-treated, non-acupoint arthritic group as a sham control. The ES herb-acupuncture into an acupoint ST36 was found to be effective in alleviating the arthritic symptoms in adjuvant-induced arthritis rats as regards the body weight, joint appearance and the expression profiles of inflammatory cytokines.

Development of 80 kW RF Thermal Plasma Torch System for Mass Production and Research of Si Nano-Powder Manufacturing Process (양산용 80 kW급 RF Plasma Torch System 개발 및 Si 나노분말 제조 공정 연구)

  • Song, Seok-Kyun;Son, Byungkoo;Kim, Byunghoon;Lee, Moonwon;Sin, Myungsun;Choi, Sunyong;Lee, Kyu-Hang;Kim, Seong-In
    • Journal of the Korean Vacuum Society
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    • v.22 no.2
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    • pp.66-78
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    • 2013
  • In order to develop of 80 kW RF plasma torch system, we achieved three-dimensional simulations for the extraction of more information as temperature in torch and fluid behavior analysis, etc. The position of powder injection tube, the plasma discharge characteristics with various input current and various length of ceramic tube, and the plasma temperature characteristics with process gas flow rate such those was simulated. RF thermal plasma torch designed by simulation was manufactured that was measured to the maximum of 89.3 kW power. The mass production using developed 80 kW RF thermal plasma torch system were investigated by characteristics manufactured of Si nano powder. The mass-production level of Si nano-powder was average of 539 g/hr and high yield rate of 71.6%, respectively. The particle size distribution $D_{99}/D_{50}$ of manufacturing nano-powder was investigated to 1.98 as a good uniform.

Performance of Beam Extractions for the KSTAR Neutral Beam Injector

  • Chang, D.H.;Jeong, S.H.;Kim, T.S.;Lee, K.W.;In, S.R.;Jin, J.T.;Chang, D.S.;Oh, B.H.;Bae, Y.S.;Kim, J.S.;Cho, W.;Park, H.T.;Park, Y.M.;Yang, H.L.
    • Proceedings of the Korean Vacuum Society Conference
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    • 2011.02a
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    • pp.240-240
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    • 2011
  • The first neutral beam injector (NBI-1) has been developed for the Korea Superconducting Tokamak Advanced Research (KSTAR) tokamak. A first long pulse ion source (LPIS-1) has been installed on the NBI-1 for an auxiliary heating and current drive of KSTAR core plasmas. Performance of ion and neutral beam extractions in the LPIS-1 was investigated initially on the KSTAR NBI-1 system, prior to the neutral beam injection into the main plasmas. The ion source consists of a JAEA magnetic bucket plasma generator with multi-pole cusp fields and a set of KAERI prototype-III tetrode accelerators with circular apertures. The inner volume of plasma generator and accelerator column in the LPIS-1 is approximately 123 liters. Final design requirements for the ion source were a 120 kV/ 65 A deuterium beam and a 300 s pulse length. The extraction of ion beams was initiated by the formation of arc plasmas in the LPIS-1, called as an arc-beam extraction method. A stable ion beam extraction of LPIS-1 has been achieved up to an 100 kV/42 A for a 4 s pulse length and an 80 kV/25 A for a 14 s pulse length. Optimum beam perveance of 1.21 microperv has been found at an accelerating voltage of 80 kV. Neutralization efficiency has been measured by using a water flow calorimetry (WFC) method of calorimeter and an operation of bending magnet. The full-energy species of ion beams have been detected by using the diagnostic method of optical multichannel analyzer (OMA). An arc efficiency of the LPIS was 0.6~1.1 A/kW depending on the operating conditions of arc discharge.

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Protective Effect of DWP-04 Against Hepatotoxicity Induced by D-galactosamine (흰쥐에서 DWP-04가 D-galactosamine에 의해 유도된 간독성의 보호효과)

  • Lee Jung-Hee;Chi Sang Cheol;Kim Seok-Hwan;Shin Young-Ho;Choi Jongwon
    • Journal of Life Science
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    • v.15 no.3 s.70
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    • pp.461-467
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    • 2005
  • This study was conducted to investigate the biological activity and hepatoprotective effect of DWP-04 [DDB : selenium yeast: glutathione (31.1 : 6.8 : 62.1(w/w/w)] in D-galactosamine (GaIN) intoxicated rats. The DWP-04 (50, 100 or 200 mg/kg) or its vehicle was orally administered everyday before the start of GaIN injection (400 mg/kg, ip) for two weeks and animal decapitated for 24 hrs after GaIN­injected. The activities of serum enzymes, markers of liver function, were increased in the GaIN group compared to normal group and significantly lowered in the DWP-04 pretreated group than in the GaIN group. Hepatic lipid peroxide level and activities of phase 1 enzymes were significantly higher than those of GaIN group compared to normal group and lower in the DWP-04 pretreated group than in the GaIN group, and phase II enzyme activities in liver were lower in the GaIN group than in the normal group and were increased in the DWP-04 pretreated group than in the GaIN group. Total hepatic glutathione content and glutathione biosynthesis enzymes were lower in the GaIN group than in the normal group and were increased in the DWP-04 pretreated group than in the GaIN group. Therefore, the current results indicated that DWP-04 administration alleviated the GaIN-induced adverse effect through enhancing the antioxidant enzyme activities.

A Delphi Study on National Public Vaccine Research and Development Policy in Korea (델파이기법을 활용한 국가 공공(公共)백신 연구개발 정책수립 기초조사)

  • Lee, Somin;Yeo, Sang-Gu;Kang, Shin Jung;Han, Soon Young;Lee, Sang-Won
    • Health Policy and Management
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    • v.25 no.2
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    • pp.140-148
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    • 2015
  • Vaccination is the most powerful and useful preparation against infectious diseases. However, developing vaccines costs a lot and requires extensive long-term efforts. Therefore, the government should research and develop vaccines with a national-level policy. To greatly enhance the success rate of vaccine development, the policy should be set up considering priorities such as the current status of domestic research, the importance for public health, the urgency of research. The Delphi technique was utilized to draft this survey, through a brainstorming stage, then two inquiries, and finally the final panel meeting where unresolved items were discussed, to draw the conclusion. Among the results, firstly, the highest ranked item on centralized fields for vaccine development by the Ministry of Health was 'self-sufficiency of vaccines.' Secondly, 'emerging infectious disease' was most highly ranked in prioritized fields of vaccine development and research. Thirdly, for the vaccine that needs to be improved and developed further by the government to improve its efficacy and safety, BCG (Bacille de Calmette) for tuberculosis was ranked the highest on both types (intradermal and subcutaneous injection) from National Immunization Programme (NIP) and non-NIP. As for the high risk pathogens, 'anthrax' and 'smallpox' were first and second, consecutively. Lastly, 'development and control of vaccine candidates' was ranked the highest for the area in need for technique development in order to improve domestic vaccine's research level. The results of this study will be put to good use as basic data for the national vaccine research and development (R&D) policy of the country. This study was first step and more studies should be carried out for the final decision of the national vaccine R&D priority.

Preparation of Polymer Light Emitting Diodes with PFO-poss Organic Emission Layer on ITO/Glass Substrates (ITO/Glass 기판위에 PFO-poss 유기 발광층을 가지는 고분자 발광다이오드의 제작)

  • Yoo, Jae-Hyouk;Chang, Ho-Jung
    • Journal of the Microelectronics and Packaging Society
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    • v.13 no.4
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    • pp.51-56
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    • 2006
  • Polymer light emitting diodes (PLEDs) with ITO/EDOT:PSS/PVK/PFO-poss/LiF/Al structures were prepared by the spin coating method on ITO(indium tin oxide)/glass substrates. PFO-poss[Poly(9,9-dioctylfluorenyl-2,7-diyl) end capped with poss] was used as light emitting polymer. PVK[poly(N-vinyl carbazole)] and PEDOT:PSS [poly(3,4-ethylenedioxythiophene):poly(styrene sulfolnate)] polymers were used as the hole injection and transport materials. The effect of PFO-poss concentration and the heating temperatures on the electrical and optical properties of the devices were investigated. At the same concentration of PFO-poss solution, the current density and luminance of PLED device tend to increase as the annealing temperature increase from $100^{\circ}C$ to $200^{\circ}C$. The maximum luminance was found to be about 958 cd/m2 at 13V for the PLED device with 1.0 wt% PFO-poss at the annealing temperature of $200^{\circ}C$. In addition, the PLED device showed bluish white emission through the strong greenish peak with 523 nm in wavelength. As the concentration of PFO-poss increase from 0.5 wt% to 1.0 wt% and temperature of PLEDs increase from $100^{\circ}C$ to $200^{\circ}C$, the emission color tend to be shifted from blue with (x, y) = (0.17,0.14) to bluish white with (x, y) : (0.29,0.41) in CIE color coordinate.

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Analysis of Post-LOCA pH for Korea Nuclear Units (국내 원자력발전소의 LOCA사고에 따른 pH 분석)

  • Hyung Won Lee;Yung Hee Kang;Jae Hee Kim
    • Nuclear Engineering and Technology
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    • v.15 no.3
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    • pp.179-187
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    • 1983
  • The pH of containment spray and sump water following a LOCA for KNU 5'||'&'||'6 and KNU 1 was calculated to see if pH design criteria of containment spray system established by USNRC were met. The pH calculations have been made for the two cases; maximum pH and minimum pH. For KNU 5'||'&'||'6, results showed that long term sump pH values calculated for the maximum pH and minimum pH case well met the pH requirement of at least 8.5 and spray pH for the maximum case slightly exceeded the range of design criteria (8.5 to 11.0). For KNU 1, pH requirement of long term sump pH was also met, however, spray pH value for the maximum pH case was very largely greater than that of current pH requirement. (No pH requirement of containment spray water has been established at the time of designing KNU 1) In order to find the design parameters of containment spray system which are expected to meet the spray pH requirement, several calculations were wade, by changing the input parameters to "LCCAPH". Finally, it was shown that the boric acid concentration in RWST (refueling water storage tank), which was the primary sources of containment spray water during injection mode, be maintained the range of 2750 ppm to 2850 ppm, or tile flow rate of NaOH added to spray water he kept between 10 gpm to 24 gpm.

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