Earticle

Background : Neuromuscular blocking agents are used as the last step for preventing shivering during targeted temperature management (TTM). Cisatracurium has a shorter half-life than vecuronium and does not affect the liver and renal function. The objective of this study was to compare the effectiveness and safety between two neuromuscular blockers in order to determine the benefit of cisatracurium during TTM. Methods : We reviewed electronic medical records of patients in the neurocritical care unit (NCU) who received cisatracurium or vecuronium during TTM at Seoul National University Bundang Hospital from February 2011 to May 2018. The incidence of shivering and the recovery time of motor function were evaluated as effectiveness parameters. The incidence of bradycardia, hypotension duration of antibiotic use, and mortality rate after discontinuation of the neuromuscular blocker were evaluated as safety parameters. Recovery time of motor function was assessed by using motor power and Glasgow Coma Scale (GCS). Results : A total of 53 patients were included in the cisatracurium group and 50 patients in the vecuronium group. The incidence of shivering was 18.0% and 18.9% (p=0.910) in the vecuronium and cisatracurium groups, respectively.The median recovery time of motor function was 7.0 hours [3.7-20.3 hours] and 1.7 hours [1.0-3.3 hours] (p<0.001) based on the Motor Power score, and the median recovery time of motor function was 6.5 hours [3.7-23.5 hours] and 1.7 hours [1.0-3.3 hours] (p<0.001) based on the motor response score of GCS, respectively. Conclusion : Recovery time of motor function was significantly shorter in the cisatracurium group than in the vecuronium group and there was no significant difference in safety outcomes. This study identified the benefits of cisatracurium in the NCU under TTM.

본 연구는 급속히 진전하고 있는 한국사회의 다문화현상에서 역사 속에서 소수 민족으로 살아온 일본인처들의 디아스포라적인 삶의 특성을 고찰해 보고자 하였다. 특히 재한 일본인 처의 고령화로 그들의 목소리를 직접 듣고 남길 수 있는 시간은 한계가 있기에 현 시기에 일본인 처에 관한 연구의 중요성은 역사적으로 의미있는 작업이라고 할 수 있다. 따라서 본 연구는 재한일본인처가 집단적으로 거주하고 있는 경주 나자레원의 사례를 중심으로 재한일본인처의 삶을 분석하였다. 그 결과 재한일본인처의 삶은 여성으로서 겪었던 이산의 경험, 현모양처로서의 삶의 유지, 경계인으로서의 삶, 그리고 고향지향성을 지난 디아스포라의 삶에 대한 특성을 지니고 있는 것으로 나타났다. 또한 일제 식민지시기에 조선인 남성과 결혼하고 한국으로 건너온 일본인처들은 현재 시점에서 보면 국제결혼이민자의 한 종류임에도 불구하고, 현재 한국과 일본, 양국에서 제대로 된 지원이나 대우를 못 받으면서 ‘잊혀진 국제 미아’로 살아가고 있었다. 이와 같은 그녀들의 삶을 특성과 맞물려 한국에서 살고 있는 그녀들의 문제를 간과한 채 다문화정책을 수립하는 것은 한국사회에 들어와 있는 소수자인 이주민의 역사를 고려하지 않은 단기적이며 단편적인 정책 지원에 머루를 것으로 예측되어진다.

The purpose of this study was to examine the characteristics of the Diaspora lives of Japanese wife lived in the minority in Korea. In particular, the time to leave to hear their voices directly to the aging of Japanese wives is limited. Thus, the study of the Japanese wives in the current period is historically meaningful work. As a result of having an oral history of the second raw data with the selected Japanese Wives in Gyengju Nazareth Center to determine their diasporic characteristics, its found that they could have a discrete experience, the maintenance of life as good wife and wise mother, boundary maintenance and homeland orientation. In addition, Japanese wives who were married to Korean men in the Japanese colonial period are looking at the moment a kind of marriage immigrants, while receiving not properly supported and they are living as forgotten international missing children. In conclusion, the findings of the study suggest that without solving the problem of the Japanese wives, establishing a multicultural policy is expected to be short-term and fragmentary support.

자가화합성이고 3종의 육상 난초인 은난초, 금난초, 은대난초가 간혹 동소적 개체군들에서 동시에 개화한다. 흰꽃이 완전히 열리지 않는 은난초와 은대난초는 주로 자가수분하며, 밝은 노란색 꽃이 완전히 열리는 금난초는 꽃 내 먹이가 존재하는 듯 속이는 방법으로 곤충을 유인하면서 타가교배한다. 잡종의 형성은 강한 수분 장벽(꽃간의 구조적 격리) 때문에 종간에 거의 일어나지 않는다. 만약 이 들 3종이 종간 잡종화의 방지로 진화하였다면, 저자들은 3 종의 공간 분포 양상이 서로 공간적으로 분리(즉, '공간적 반발') 될 것으로 기대할 수 있다. 이 예측을 검증하기 위해 한국의 경상남도 연화산군립공원 내 동소적집단에서 동시개화하는 3 종류의 은대난초 종의 공간적 분포를 연구하였다. 각각 개체군에서는 개체들이 공간적으로 강하게 뭉쳐 있으나, 종 간에서는 이들이 공간적으로 서로 독립되어 있는 결과는 다른 종 들에서 보여준 기존 연구와 다르다. 저자들은 이들 은대난초속 종이 유사한 균근 형성 균류들을 공유함으로써 공간적으로 다소 무작위로 분포 해왔을 것이라는 가정을 제시한다.

The three self-compatible, terrestrial orchids Cephalanthera erecta, C. falcata, and C. longibracteata flower synchronously in sympatric populations. Cephalanthera erecta and C. longibracteata, which have white flowers that do not fully open, are predominantly autogamous, whereas the food-deceptive C. falcata, whose bright yellow flowers open completely, is predominantly outcrossing. The formation of hybrids rarely occurs between species owing to strong prepollination barriers (floral isolation). If these three species have evolved toward the prevention of interspecific hybridization, we can expect that the spatial distribution patterns of the three species would be characterized as spatial segregation (i.e., 'spatial repulsion') from each other. To test this prediction, we studied the three Cephalanthera species in sympatric populations showing coincident flowering within Yeonwhasan Provincial Park (YPP, Gyeongsangnam Province, South Korea). We found strong spatial aggregation in each population and spatial independence in the interspecific spatial distribution, differing from previous studies. We further hypothesize that Cephalanthera species in sympatry within YPP are distributed somewhat randomly in space, perhaps due to the sharing of similar mycorrhizal fungi.

The effects between preexisting four types and one that author had designed of posterior palatal seal on the retention of denture base were compared and observed from six systemically healthy edentulous subjects. Using one without posterior palatal seal as the control, the retention of each type was measured and analyzed six times with cantilever type Load cell after adaptation of denture base, which were constructed with usual manner. The following results wear obtained. 1. Morphological and positional changes of posterior palatal seal effected on denture retention. 2. No specific type showed most desirable effect in every experimental subject. 3. Experimental subject I, II, VI showed higher retention on the control in every type. 4. In five types of posterior palatal seal, for subject III, VI F types and for subject II, V C types were most effective. 5. In each experimental subject F type showed higher retention than the control.