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Chloral hydrate/Hydroxyzine과 Midazolam/Meperidine의 경구 투여 진정효과에 관한 비교 연구
김용헌,김지연,박기태,Kim, Yong-Heon,Kim, Ji-Yeon,Park, Ki-Tae 대한소아치과학회 2005 大韓小兒齒科學會誌 Vol.32 No.2
본 연구의 목적은 소아 환자의 치과 진료를 위한 진정요법 시 chloral hydrate와 hydroxyzine의 경구 투여와 midazolam과 meperidine의 경구 투여간의 임상적인 진정효과 및 합병증 발생 여부를 비교하는 것이다. 삼성서울병원 소아치과를 내원한 환아 중 ASA I 또는 II에 해당하는 4세 미만의 아동 15명을 대상으로 하여 한 달여 간격으로 두 차례에 걸친 진정요법을 시행하였다. 2회의 진정요법 중 1회는 chloral hydrate (60mg/kg)/hydroxyzine(25mg)을 경구 투여하고 나머지 1회는 midazolam(1mg/kg)/meperidine(1mg/kg)을 경구 투여하였으며 투여 순서는 무작위로 정하였다. 두 차례 모두 $N_2O-O_2$ 흡입진정을 병용하였다. 각 치료과정에 따른 진정효과는 Houpt Scale(수면, 움직임, 울음, 전반적인 행동 지수)로 측정하였고 pulse oximeter를 이용하여 저산소증의 유무를 비교, 평가하고 약물 투여 후 구토의 여부를 함께 평가하여 다음과 같은 결과를 얻었다. Chloral hydrate와 hydroxyzine을 경구 투여한 군이 midazolam과 meperidine을 경구 투여한 군보다 전반적인 행동 지수에서 통계학적으로 유의하게 우수한 결과를 보였으며 어느 군에서도 저산소증은 보이지 않았다. 본 연구에서는 chloral hydrate와 hydroxyzine의 경구 투여가 midazolam과 meperidine의 경구 투여보다 우수한 진정효과를 보이는 것으로 판단된다. The purpose of this study was to compare the efficacy and complications of two oral sedative regimens, chloral hydrate (60mg/kg)/hydroxyzine(25mg) versus midazolam(1mg/kg)/meperidine(1mg/kg) for the sedation of pediatric dental patients. Fifteen patients(mean age 36.2months, range 24-47months), ASA Class I or II, who needed at least two restorative dental procedures were selected in this double-blind, randomized study. All subjects were randomly assigned to receive either chloral hydrate/hydroxyzine or midazolam/meperidine and 50% $N_2O/O_2$ was administered at each appointment. Behavior assessment(sleep, movement, crying, overall behavior) was made using Houpt Sedation Rating Scale and physiologic parameters(pulse rate, oxygen saturation) were monitored using pulse oximeter. The incidence of hypoxia($SpO_2$ 90% or less, at least 10s duration) and vomiting was recorded. Patients sedated with chloral hydrate/hydroxyzine showed significantly better overall behavior score than patients sedated with midazolam/meperidine. There was no clinically significant difference in the incidence of hypoxia and vomiting. It was concluded that oral administration of chloral hydrate/hydroxyzine is more effective than midazolam/meperidine for the sedation of pediatric dental patients.
김용헌(Kim Yong-Hun) 한국인물사연구소 2010 한국인물사연구 Vol.13 No.-
Jang Hyeongwang is one of the prominent confucian scholars in Chosun Dynasty. lang Hyeongwang belonged to the Toegye School. Nevertheless his theory of Li and Ch'i(gt), what is called li-gi-gyeong-wi-seol in some respect, was not similar to Toegye's but to Yulgok's, So, after 1920s, the philosophy of lang has been studied by many modern Confucianism researchers. Roughly speaking, many researchers' arguments have been focused on two main issues. On the question of where Jang's theory stands between Toegye s and Yulgok's, there are four different views. While some of modern scholars hold a view that Jang's theory is closer to Yulgok's, others maintain that lang succeeded Toegye's philosophical mind whose main intention was to enhance the position of Li. In the other hand, Some scholars have an opinion that lang's theory is a proper compromise between Toegye's and Yulgok s, others insist that Jang's theory is original theory transcending both Toegye's and Yulgok's. Another issue is concerning how Jang's theory of Li and Ch'i can be ontologically conceptualized. Over this topic Tao-monism has been in conflict with Li-monism. Some people who regard Jang's theory as Tao-monism understand that Tao is the only substance in Jang's philosophy. Others who regard Jang's theory as Li-monism insist that Li is the only substance in Jang's philosophy. Besides, there are opinions that Jang's theory can be prescribed as li-gi-il-won(原)-non or li-gi-il-bon(本)-non looking upon Li and Ch'i as one origin. Hence, according to them, the main characteristics of Jang's theory is the unified relations between Li and Ch'i in this world.
녹색장벽의 국제적 동향과 한국의 ‘저탄소 녹색성장’ 정책에 관한 연구
김용헌(Yong-heun Kim),이용근(Yong-keun Lee) 한국국제상학회 2012 國際商學 Vol.27 No.2
Because of extreme weather conditions coupled with global warming people have begun paying more attention to environmental issues. One could no longer ignore the environment, and people are starting to solve the problem through international cooperation. The global community, however, gives priority to the profit of its own country and do not take steps to protect the environment to the extent of making sacrifices for themselves. In the current circumstance the Republic of Korea has announced a policy called “Low Carbon Green Growth.” The policy is about to become an important strategy governing the future of Korea that helps support environmental and economic growth simultaneously. Therefore, this study attempts to suggest alternative ways to bring about success of the ‘Low Carbon Green Growth’ policy of Korea.