김윤진 교수

BACKGROUND AND OBJECTIVES: A single injection interscalene block (ISB) is a common regional analgesic technique in patients undergoing arthroscopic shoulder surgery. However, rebound pain after ISB resolution may reduce its overall benefit. Our primary aim was to assess whether perineural dexamethasone reduces the intensity and incidence of rebound pain in patients undergoing arthroscopic shoulder surgery under general anesthesia combined with a preoperative single injection ISB. METHODS: The pa

the trial was registered with the Clinical Trial Registry of Korea: https://cris.nih.go.kr/cris/index.jsp. Identifier: KCT0001078.

BACKGROUND: The purpose of this study was to evaluate the effect of the addition of 5 mg dexamethasone to 10 ml of 0.5% levobupivacaine on postoperative analgesic effects of ultrasound guided-interscalene brachial plexus block (ISBPB) in arthroscopic shoulder surgery under general anesthesia. METHODS: In 60 patients scheduled for arthroscopic shoulder surgery that underwent general anesthesia, ISBPB was preoperatively performed with 10 ml of 0.5% levobupivacaine under the guidance of ultrasound

The aim of this study was to compare the effect of intravenous (I.V.) dexamethasone with that of perineural dexamethasone on the prolongation of analgesic duration of single-shot interscalene brachial plexus blocks (SISB) in patients undergoing arthroscopic shoulder surgery. We performed a prospective, randomized, double-blind, placebo-controlled study. Patients undergoing elective arthroscopic shoulder surgery with ultrasound-guided SISB were enrolled and randomized into 2 groups. A total volum

BACKGROUND: Pain assessment and management are important in postoperative circumstances as overdosing of opioids can induce respiratory depression and critical consequences. We aimed this study to check the reliability of commonly used pain scales in a postoperative setting among Korean adults. We also intended to determine cut-off points of pain scores between mild and moderate pain and between moderate and severe pain by which can help to decide to use pain medication. METHODS: A total of 180

Display manufacturers require new data and computational models that consider the effect of ambient illumination in order to develop higher-quality displays. In this study, typical variations of small-sized mobile LCDs that exist in the real world were first simulated using a device characterization technique. In addition, psychophysical attributes (e.g., naturalness, clearness, sharpness, contrast, colorfulness, and preference) affecting the image quality evaluation process were analyzed. Conse

The role of particulate matter (PM) in health problems including cardiovascular diseases (CVD) and pneumonia is becoming increasingly clear. Polycyclic aromatic hydrocarbons, major components of PM, bind to aryl hydrocarbon receptor (AhRs) and promote the expression of CYP1A1 through the AhR pathway in keratinocytes. Activation of AhRs in skin cells is associated with cell differentiation in keratinocytes and inflammation, resulting in dermatological lesions. Oleanolic acid, a natural component

This study examined the effects of surround luminance on the shape of the spatial luminance contrast sensitivity function (CSF). The reduction in brightness of uniform neutral patches shown on a computer controlled display screen is also assessed to explain the change of CSF shape. Consequently, a large amount of reduction in contrast sensitivity at middle spatial frequencies can be observed; however, the reduction is relatively small for low spatial frequencies. In general, the effect of surrou

BACKGROUND: Intraoperative hypotension is a risk factor for perioperative adverse outcomes and is highly prevalent in older patients. Frailty has been associated with hemodynamic instability but its impact on postinduction hypotension is unclear. Therefore, we assessed the association between frailty and postinduction hypotension in older patients. METHODS: We retrospectively evaluated electronic medical records of patients aged ≥65 years who were assessed for preoperative frailty and underwent

본 연구는 중등교사의 ICT 효능감, 디지털 리터러시가 수업에서의 ICT 활용 의향에 미치는 영향을 확인하고자 변수 간의 구조적 관계를 살펴보았다. 전국의 중등교원 307명으로부터 데이터를 수집하여 구조방정식모형으로 분석하였다. 그 결과 교사의 ICT 효능감과 디지털 리터러시, ICT 활용에 대한 성과기대, 노력기대, 사회적 영향, 수업에의 ICT 활용 의향 간 구조적 관계가 성립하였다. ICT 효능감과 디지털 리터러시는 ICT 활용 의향에 직접적인 영향을 미치지 않았다. ICT 효능감은 성과기대와 노력기대를 매개로, 디지털 리터러시는 노력기대만을 매개로 하여 간접적으로 영향을 미쳤다. 이를 바탕으로 수업에서의 ICT 활용을 위해서는 교사의 성과기대, 노력기대와 같은 ICT에 대한 인식이 중요하다는 시사점을 도출하였다.

Interscalene block using 10 mL of 0.25% ropivacaine including dexamethasone 5 mg reduced the incidence of post-thoracotomy ipsilateral shoulder pain and did not result in additional impairment of pulmonary function.

This study intends to establish a sound testing and evaluation methodology based upon the human visual characteristics for appreciating the image restoration accuracy; in addition to comparing the subjective results with predictions by some objective evaluation methods. In total, six different super resolution (SR) algorithms - such as iterative back-projection (IBP), robust SR, maximum a posteriori (MAP), projections onto convex sets (POCS), a non-uniform interpolation, and frequency domain app

BACKGROUND: Combined spinal-epidural anesthesia (CSEA) can be performed with either a single-space technique or a double-space technique for cesarean section. We performed a double-blind randomized controlled study to compare the effect of the double-space technique with that of the single-space technique on sensory block level and side effects. METHODS: Parturients undergoing elective cesarean section under regional anesthesia were randomized to receive CSEA with either the double-space techniq

The superiority of air versus saline for identifying the epidural space remains unestablished. Epidural anesthesia using a loss of resistance technique (LORT) with air is associated with increasing complications of dural puncture-induced headaches and neurological and hemodynamic changes. Here, we described a case of pneumocephalus with a large amount of air that was accompanied by severe headache and nuchal and chest pain occurring after epidural block using LORT with air for combined spinal-ep