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BackgroundRapid sequence induction (RSI) is indicated in various situations. Succinylcholine has been the muscle relaxant of choice for RSI, and rocuronium has become an alternative medicine for patients who cannot be administered succinylcholine for various reasons. Although rocuronium has the most rapid onset time among non-depolarizing muscle relaxants, the standard dose of rocuronium (0.6 mg/kg) takes 60 seconds to achieve appropriate muscle relaxation. We evaluated intubating conditions using the "modified timing principle" with rocuronium and succinylcholine.MethodsIn this prospective controlled blinded study, all patients received 1.5 µg/kg fentanyl intravenously with preoxygenation for 2 minutes and were randomized to receive 0.6 mg/kg rocuronium followed by 1.5 mg/kg propofol or 1.5 mg/kg propofol and 1.5 mg/kg succinylcholine. The rocuronium group was intubated just after confirming loss of consciousness, and the succinylcholine group was intubated 1 minute after injecting succinylcholine. Intubation condition, timing of events, and complications were recorded.ResultsAll patients were successfully intubated in both groups. Apnea time of the rocuronium group (38.5 seconds) was significantly shorter than that in the succinylcholine group (100.7 seconds). No significant differences were observed in loss of consciousness time or intubation time. The succinylcholine group tended to show better intubation conditions, but no significant difference was observed. None of the patients complained awareness of the intubation procedure or had respiratory difficulty during a postoperative interview.ConclusionsThe modified RSI with rocuronium showed shorter intubation sequence, acceptable intubation conditions, and a similar level of complications compared to those of conventional RSI with succinylcholine.

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Smart Library as an archetype of future library systems is presented in this paper. Smart Library is an innovative system converging the cuttingedge information technology. The functional requirements of Smart Library Systems by considering the users' demands and the ecosystems of information technology is described. The referential framework that can accommodate functional requirements and provide smart knowledge services to the users through the diverse smart devices is also shown.

In this paper, we designed 2D, 2.5D cloth design system and a 3D cloth animation system. They make the 3D cloth animation possible by using coordinate points extracted from 2D and 2.5D cloth design system in order to realize a system that allows customers to wear clothes in the virtual space. To make natural draping, it uses for description the mesh creation and transformation algorithms, path extraction algorithm, warp algorithm, and brightness extraction and application algorithms. The coordinate points extracted here are received as text format data and inputted as clothing information in the cloth file. Moreover, the cloth file has a 2D pattern and is realized to be used in the 3D cloth animation system. The 3D cloth animation system generated in this way builds a web-based fashion mall using ISB (Internet Space Builder) and lets customers view the clothing animation on the web by adding the animation process to the simulation result.