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      • KCI등재

        Assessment of phase-lag entropy, a new measure of electroencephalographic signals, for propofol-induced sedation

        전미령,유재화,박선영,나소진,권혜림,노재휘,김순임 대한마취통증의학회 2019 Korean Journal of Anesthesiology Vol.72 No.4

        Background: Phase-lag entropy (PLE) was recently described as a measurement of temporal pattern diversity in the phase relationship between two electroencephalographic signals from prefrontal and frontal montages. This study was performed to evaluate the performance of PLE for assessing the depth of sedation. Methods: Thirty adult patients undergoing upper limb surgery with a brachial plexus block were administered propofol by target-controlled infusion. The depth of sedation was assessed using the Observer’s Assessment of Alertness/Sedation (OAA/S) scale. The effect-site concentration (Ce) of propofol was initially started at 0.5 μg/ml and was increased in increments of 0.2 μg/ml until an OAA/S score of 1 was reached. Three minutes after the target Ce was reached, the PLE, bispectral index (BIS), and level of sedation were assessed. Correlations between the OAA/S score and PLE or BIS were determined. The prediction probabilities (Pk) of PLE and BIS were also analyzed. Results: The PLE values were closely correlated with the OAA/S scores (Spearman’s Rho = 0.755; P < 0.001) to an extent comparable with the correlation between the BIS and OAA/S score (Spearman’s Rho = 0.788; P < 0.001). The Pk values of PLE and BIS were 0.731 and 0.718, respectively. Conclusions: PLE is a new and reliable consciousness monitoring system for assessing the depth of sedation induced by propofol, which is comparable with the BIS.

      • 쇄골하정맥카테터의 고리형성과 위치이상

        전미령,김상호,유재화,김도연 순천향대학교 순천향의학연구소 2017 Journal of Soonchunhyang Medical Science Vol.23 No.2

        Central venous catheterization is a useful procedure for administrating fluids and drugs as well as monitoring central venous pressure in the operating room. The internal jugular vein and the subclavian vein are preferred as catheter insertion sites because of the low risk of infection and mechanical complications. However, the risk of venous malposition is higher in subclavian vein. The loop formation of the central venous catheter accompanied by its malposition increases the risk of thrombosis. If the procedure is to be performed with any difficulty, early radiologic examination should be required to detect and avoid complications. We report a case of malposition and loop formation of central venous catheter located in subclavian vein confirmed by chest X-ray after transferred to the intensive care unit.

      • 대퇴신경 차단술과 국소적 팽창마취로 시행한 하지정맥류 고주파 열폐쇄술 후 운동차단의 지연 회복

        전미령,김영은,윤상철,김문규 순천향대학교 순천향의학연구소 2017 Journal of Soonchunhyang Medical Science Vol.23 No.1

        Femoral nerve block with tumescent anesthesia is used to perform the radiofrequency ablation of varicose veins. The surgery can be done as day-case. But if recovery from motor block is delayed, it can make hospital discharge difficult. Prolonged femoral nerve blocks with motor blockade of the quadriceps have been noted after the use of bupivacaine. The motor blockade lasted up to 30– 40 hours when 15–30 mL of 0.5% bupivacaine was used. However, it was rarely reported in ropivacaine. We report that femoral nerve block with 15 mL of 0.375% ropivacaine induced prolonged motor blockade up to 30 hours.

      • KCI등재

        浅谈中国社区矫正制度的现状及改善方案

        김창준,田美玲 전북대학교 동북아법연구소 2020 동북아법연구 Vol.14 No.2

        On December 28th, 2019, National People’s Congress (“NPC) passed the Community Corrections Law in the 13th Standing Committee meeting. The law came into effect on July 1st, 2020. The implementation of the law marks the starting point of community correction in China and provided the legal framework for work related to community correction. However, the intention of enforcement by legislator is built on the thinking of unilateral protectionism. This creates deviation from the actual implementation of the law when considering the purpose of legislation, community correction nature, personnel working for community correction related agencies and the scope of enforcement. For example, if “correction” is the sole intention of the legislation and the act is enforced at a criminal charge level, the law should not only confer community correction agencies non-compulsory enforcement authority such as monitoring, providing educational support and warning. The overly idealistic intention of community correction lawmaking will hinder the efficiency and impact in the actual implementation. Thus, amendments should be passed to detail the criminal enforcement protocol, making community correction, as being a non-imprisonment matter, serve the dual functions of punishment and protection (mainly for protection). Ideally, the amendment can confer community correction agency personnel the authority to act as policemen and use police equipment under certain circumstances, hold individuals committing criminal activities in custody and other compulsory authoritarian activities. If such authority is granted, the effectiveness and deterrence of community correction work will substantially improve, which truly aligns the impact and intention of community correction. 2019年12月28日,《社区矫正法》经中国第十三届全国人民代表大会常务委员会第十五次会议审议通过,于2020年7月1日正式实施。《社区矫正法》的出台是中国社区矫正制度发展的一个新起点,也为社区矫正工作的未来提供了坚实的法律基础。但是,立法者们所秉持的单一刑罚目的的思想即单边预防主义的理念,致使《社区矫正法》在立法目的、社区矫正的性质、社区矫正机构的专门工作人员的执法身份及执法权限等重大的问题上,都严重偏离了其坐标。比如把“矫正”设定为唯一的立法目的,把社区矫正的性质设定为刑事执行,只赋予了社区矫正机构工作人员监督管理、教育帮扶等日常性执法职责和批评、警告等非强制性的执法权限等。这种过于理想化的立法思想与模式下的社区矫正法,其施行后中国社区矫正工作其实效性以及恢复性的前景将不容乐观。因此,应当通过修法在本法中明确体现社区矫正作为刑罚执行方法之一所固有的报应性,使社区矫正这一非监禁性刑罚执行制度发挥其惩罚和预防的双重功能(以预防的功能为主);赋予社区矫正机构工作人员以人民警察的身份在特定条件下使用警械及时制止社区矫正对象的违法犯罪行为以及拘传、留置(行政拘留)社区矫正对象等必要的强制性执法权限,以此保障社区矫正作为非监禁刑罚执行制度的实效性及威慑力,真正达到社区矫正的报应性与矫正性目的的统一。

      • 무용학습자의 심상훈련이 불안에 미치는 영향

        이지은,서영,전미령,심영 圓光大學校 附設 體力科學硏究所 2003 體力科學硏究 Vol.26 No.2

        The purpose of the study was to investigate the effect of image ability and factor of anxiety upon the dancing performance. Investigated Surveyed were 60 girls enrolled in the 2nd grade of Y Middle School located in K City taken as population. They were divided into the physical training group, physical video image training group and control group with 20 assigned to each group at random. The sence of anxiety between these treatment groups before and after the dancing repeat motion was compared and analyzed, Which leads to the following conclusion: First, an negatively proportional correlation of r=.34, p<.05 was found between sport image ability and factor of anxiety, a statistically significant relation to justify. Second, regarding the effect of test treatment on the factors governing the factor of anxiety, the physical training group falls from 46.05 before the treatment to 45.75±2.49 after the treatment, a slight decrease with little statistical significance. On the other hand, the physical video image training group showed a drastic fall from 46.25±2.51 before the treatment to 40.20±2.53 after the treatment, with t=7.89, p<.001 being statistically significant.

      • 광주 한국무용의 발달과 대중화 방안

        송준영,김미숙,전미령 조선대학교 스포츠과학연구소 1998 스포츠科學硏究 Vol.9 No.-

        To recover humanity, forfeited by development of material civilization inconsequence of high growth of economy with harmony of nature and to create a spiritually affluent society and culture, importance of dance is increasing. The present study examined development process of Korean Folk Dance and presents plans for popularization of Korean Folk Dance to develope and revitalize Korean Folk Dance. To develope and popularize Korean folk Dance, we need following plans. 1. Extending and renovating the educational system. 2. Categorizing traditional dances and using repertory system. 3. Using mass-media and activating criticism. 4. Activating dance performance in little theaters and diversifying performance places.

      • KCI등재

        벤지딘 및 벤지딘계 염료(Direct Black 38)의 요중 대사물질에 관한 연구

        노재훈,김치년,전미령,원종욱,김현수 한국산업위생학회 1996 한국산업보건학회지 Vol.6 No.1

        Benzidine is recognized as a urinary bladder carcinogen in humans. The use of benzidine in industries was prohibited because of its carcinogenecity, but, production and usage of benzidine based dye was still permitted in most countries. This study was performed to compare the excretory patterns of urinary metabolites between benzidine-based dye(Direct Black 38) and benzidine in rats. Benzidine-based dye was administered orally at the doses of 0.3, 0.5, 0.7 mmol/㎏ and benzidine was administered orally at the doses of 0.2, 0.4, 0.6 mmol/㎏ into Sprague-Dawley rats. To analyze benzidine and its metabolites, the high performance liquid chromatography with an electric chemical and ultraviolet detector were used. N-acetylbenzidine, N,N‘-diacetylbenzidine and 4-aminobiphenyl were identified in the urine of the rats receiving dye and benzidine. The excreted amount of the urinary benzidine from dye was almost 1/10 of that from benzidine. Excretion rates of metabolites were more prolonged in the dye receiving group than those of the benzidine group. Peak concentration time of urinary N,N’-diacetylbenzidine was more prolonged than other metabolites in both groups. The excreted amount of N-acetylbenzidine was more than the others in both group. These results suggested that N-acetylbenzidine may be an useful Biological exposure index for benzidine-based dye.

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