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Study for Association between Adverse Drug Reactions and Causative Drugs in the Elderly Using Data-mining Analysis (데이터마이닝 분석을 이용한 노인약물유해반응과 원인약물의 연관성연구)

  • Lee, Mee Woo;Lee, Jeong Seon;Han, Ok Yeon;Choi, In Young;Jeong, Seung Hee;Yim, Hyeon Woo;Lee, Dong Gun;La, Hyen O;Park, Young Min
    • Korean Journal of Clinical Pharmacy
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    • v.24 no.1
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    • pp.39-44
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    • 2014
  • Purpose: To investigate adverse drug reactions (ADR) and causative drugs in the elderly 65 years of age or older, using Korean spontaneous reporting adverse events reporting database from June 2009 to December 2010. Methods: We estimated the association between ADRs and implicated medications by calculating a proportional reporting ratio (PRR), reporting odds ratio (ROR), and information component (IC). We reexamined the most frequently implicated medications and ADRs, and the seriousness of ADRs. Then, we assessed reports and concordant rate of ADRs due to medications designated as "high-risk" in elderly by 2012 healthcare effectiveness data and information set (HEDIS) or "potentially inappropriate" by 2012 American Geriatrics Society updated Beers criteria for potentially inappropriate medications (PIMs). Results: Among 15,484 elderly reports, data-mining analysis by PRR, ROR and IC showed that 421 drug-ADR pairs were detected as signals (3,189). The most frequently reported ADR and causative drug were urticaria (470) and contrast media agents (647), respectively. One hundred eighty nine ADR cases were graded as serious. Twenty-two kinds of high-risk medications were shown to be implicated in only 0.9% of ADRs. Only thirty-nine cases were consistent with 2012 Beers criteria or HEDIS. Conclusion: These results suggest that management of the other medications including contrast media agents as well as close monitoring of PIMs are necessary for reducing ADRs in the elderly.

Analysis of Producing of Thermostable Alkaline Protease using Thermoactinomyces sp. E79 (Thermoactinomyces sp. E79를 이용한 내열성 Alkaline 단백질 분해효소 생산:환경인자의 영향)

  • 정상원;박성식;박용철;오태광
    • Microbiology and Biotechnology Letters
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    • v.28 no.3
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    • pp.167-171
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    • 2000
  • Analysis of Production of Thermostable Alkaline Protease using Thermoactinomyces sp. E79. Jung, Sang Won, Sung-Sik Park, Yong-Cheol Park" Tae Kwang Oh2, and Jin-Ho Seo*, Department of Food Science and Technology, Seoul National University, Suwon 441-744, Korea, 1lnterdisciplinary program [or Biochemical Engineering & Biotechnology, Seoul National Univer5it}~ Seoul 151 "7421 Koreal 2Microbial Enzyme RU, Korea Research Institute of Bioscience & Biotechnology, Po. Box 1151 Yusong, Taejon 305"6001 Korea - This research was undertaken to analyze fermentation properties of Thermoactinomyces sp. E79 for production of a thermostable alkaline protease, which is able to specifically hydrolyze defatted soybean meal (DSM) to amino acids. TIle optimum pH for cell growth and protease production was pH 6.7, Thermoactinomyces sp. E79 did not grow at pHlO Among carbon sources tested, soluble starch was the best for protease production, while glucose repressed protease production. Tryptone was found to be the best nitrogen source for cell growth and soytone was good tor protease production. Oxygen transfer rate played an important role in producing thermostable alkaline protease. Ma'<..imum values of 6.58 glL of dry cell weight and 43.0 UJmL of protease activity were obtained in a batch fermentation using a 2.5 L jar fermentor at 1.93 X 102 hr-l of volumetric oxygen transfer coeff'jcient (kLa). Addition of 200 mgIL humic acid to the growth medium resulted in 1.64 times higher protease activity and 1.77 times higher cell growth than the case without humic acid addition.

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Hemodynamic Instability after Patent Ductus Arteriosus Ligation in Very Low Birth Weight Infants (극소저체중출생아에서 동맥관 개존증 결찰술 후 발생한 혈역동학적 불안정성에 대한 고찰)

  • La, Kyong-Suk;Lee, Jang-Hoon;Choi, Byung-Min;Han, Heon-Seok;Hong, Young-Sook;Lee, Joo-Won
    • Neonatal Medicine
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    • v.17 no.2
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    • pp.201-206
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    • 2010
  • Purpose: Recently, after patent ductus arteriosus (PDA) ligation in preterm infants, unexplained hemodynamic instabilities are reported. To determine the incidence, risk factors and clinical manifestations of hemodynamic instability after PDA ligation in very low birth weight (VLBW) infants. Methods: This retrospective multicenter study enrolled 18 VLBW infants who underwent PDA ligation from January 2002 to February 2008. Hemodynamic instability defined as unexplained cardiopulmonary dysfunction with increased dependency on mechanical ventilation and decreased blood pressure. Results: The mean gestational age and birth weight (BW) of all infants were $27^{+6}{\pm}1^{+6}$ weeks and 951${\pm}$245 g. Hemodynamic instability group (HI) included seven infants (39%) and hemodynamic stability group (HS) included 11 infants (61%). Compared to HS, HI had lower BW (1,033${\pm}$285 g vs. 821${\pm}$126 g, P=0.048) and weight on operation day (1,195${\pm}$404 g vs. 893${\pm}$151 g, P=0.042), longer hospital days (105${\pm}$29 vs. 141${\pm}$39, P=0.038), more severe bronchopulmonary dysplasia (BPD), (no/mild/moderate/severe, 2/5/2/2 vs. 0/1/2/4, P=0.038) and higher preoperative $FiO_2$ (0.29${\pm}$0.06 vs. 0.38${\pm}$0.09, P=0.02). One case of mortality due to sepsis, which was not associated with ligation, was observed among HS. Conclusion: The incidence of hemodynamic instability after PDA ligation in VLBW infants was 39%. Low BW, low weight on operation day and preoperative high $FiO_2$ might be risk factors of hemodynamic instability after PDA ligation in VLBW infants. The hemodynamic instability could increase the severity of BPD and hospital days.

Global Temperature Trends of Middle and Upper Tropospheres Derived from Satellite Data and Model Reanalyses (위성자료와 모델 재분석에서 유도된 중간 및 상부 대류권의 전지구 온도 경향)

  • Yoo, Jung-Moon;Lee, Ji-Eun
    • Journal of the Korean earth science society
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    • v.21 no.5
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    • pp.525-540
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    • 2000
  • Global temperature trends of middle and upper tropospheres have been investigated using the data of satellite-observed Microwave Sounding Unit (MSU) channels 2-3(Ch2, Ch3) during the period of 1980-97 and three GCM (NCEP, ECMWF, GEOS) reanalyses during 1981-93. The global, hemispheric and tropical anomalies, computed from the data during the common period, have been intercompared in the following regions; ocean, land, and both ocean and land. The correlation with MSU in midtropospheric temperatures is the best (r=0.81${\sim}$0.95) in ECMWF, particularly over the tropics. The correlations in upper troposphere are lower (r=0.06${\sim}$0.34) due to poor quality of MSU Ch3 data consistent with previous result. The midtropospheric trends during 1981-93, obtained from MSU and three GCMs, show the global warming of 0.01${\sim}$0.18K decade$^{-1}$. The warmest years have been 1987 and 1991 in El Ni${\tilde{n}$o while the coolest 1993 and 1994 in La Ni${\tilde{n}$a. The warming (0.12${\sim}$0.13K decade$^{-1}$) in MSU over global ocean is similar to that over global land. The largest discrepancy in upper troposphere between MSU and GCMs has been found in the transition period (1984. 12-1985. 1) from NOAA 9 to 10, because of a sizable error in the MSU Ch3. The midtropospheric trends near the Korean peninsula during 1981-93 are almost negligible(-0.02K decade$^{-1}$) in MSU, but indicate significant warming (0.25-0.43K decade$^{-1}$) in GCMs. The trends are crosschecked and discussed with other two independent MSU data of Spencer and Christy (1992a, 1992b).

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Protective Effects of Sea Buckthorn (Hippophae rhamnoides L.) Leaves Fermented with Hericium erinaceum Mycelium against Oxidative Modification of Biological Macromolecules and Cell Death (노루궁뎅이 버섯균사체를 이용한 비타민나무 발효물이 생체고분자의 산화적 변형과 세포사멸에 미치는 보호 영향)

  • Kim, Seung-Sub;Kyeong, Inn-Goo;Lee, Mi-La;Kim, Dong-Goo;Shin, Ji-Young;Yang, Jin-Yi;Lee, Gwang-Ho;Eum, Won-Sik;Kang, Jung-Hoon
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.44 no.1
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    • pp.35-43
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    • 2015
  • In this study, hot water extract from sea buckthorn (Hippophae rhamnoides L.) leaves fermented with Hericium erinaceum mycelium (SBT-HE) was assessed for protection against oxidative modification of biological macromolecules and cell death. Antioxidant activity of SBT-HE was evaluated based on 2,2-diphenyl-1-picrylhydrazyl (DPPH) radical, 2,2'-azino-bis(3-ethylbenzothiazoline-6-sulfonic acid) (ABTS) radical, and peroxyl radical scavenging assays. SBT-HE showed 65.06% DPPH radical scavenging activity at $500{\mu}g/mL$, 98.83% ABTS radical scavenging activity at $50{\mu}g/mL$, and 44.03% peroxyl radical scavenging activity at $100{\mu}g/mL$. SBT-HE significantly inhibited DNA strand breakage induced by peroxyl radical. SBT-HE also prevented peroxyl radical-mediated human serum albumin modification. SBT-HE effectively inhibited $H_2O_2$-induced cell death and significantly increased cell survival by 21.59% at $100{\mu}g/mL$. SBT-HE also reduced intracellular reactive oxygen species levels in $H_2O_2$-treated cells. The results suggest that SBT-HE can contribute to antioxidant activity and protect cells from oxidative stress-induced cell injury.

Effect of Supplemental Medicinal Plants(Artemisia, Acanthopanax and Garlic) on Growth Performance, IGF-1 and Meat Quality Characteristics in Growing-Finishing Pigs (사료내 약용 식물(인진쑥, 오가피 및 마늘)의 첨가가 육성-비육돈의 생산성, IGF-1 및 육질 특성에 미치는 영향)

  • Kwon, O.S.;Cho, J. H.;Min, B. J.;Kim, H. J.;Chen, Y. G.;Yoo, J. S.;Kim, I. H.;La, J. C.;Park, H. K.
    • Food Science of Animal Resources
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    • v.25 no.3
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    • pp.316-321
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    • 2005
  • A total of ninety six pigs ($L{\times}Y{\times}D$, 20.92(2.13kg average initial body weight) were used in a 16-week performance growth assay to determine the effect of supplemental medicinal plane (Artemisia, Acanthopanax and Garlic) on growth performance, IGF-1 of serum and carcass characteristics in finishing pigs. The dietary treatments were included 1) CON (basal diet; Control), 2) MP1 (basal diet added $0.02\%$ of medicinal plant mixtures), 3) MP2 (basal diet added $0.04\%$ of medicinal plant mixtures) and 4) MP3 (basal diet added $0.06\%$ of medicinal plant mixtures). Through entire experimental period, as medicinal plants mixture (MP) increased, there was a decrease (linear, P<0.08) in average daily feed intake and an increase (linear, P<0.02; quadratic, P<0.08) in gain/feed. The backfat thickness tended to decrease in pigs fed MP diet compared to pigs fed CON diet (linear, P<0.09; quadratic, P<0.01). Increasing medicinal plane mixture tended to increase in IGF-1 content in serum (linear, P<0.09). The hunter $a^{*}$ (redness) (linear, P<0.01) and $b^{*}$ (yellowness) (linear, P<0.02) values of longissimus muscle were affected by the dietary MP treatments. The color of longissimus muscle was higher in the dietary MP treatments than that of the muscle in the control diet (linear, P<0.03). In conclusion, the result obtained from this feeding triad suggest that the medicinal plants mixture supplementation below $0.06\%$ in diets for growing-finishing pigs can be improved growth performance, IGF-1 and meat quality.

The Waveform and Spectrum analysis of Tursiops truncatus (Bottlenose Dolphin) Sonar Signals on the Show at the Aquarium (쇼 학습시 병코돌고래 명음의 주파수 스펙트럼 분석)

  • 윤분도;신형일;이장욱;황두진;박태건
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.36 no.2
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    • pp.117-125
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    • 2000
  • The waveform and spectrum analysis of Tursiops truncatus(bottlenose dolphin) sonar signals were carried out on the basis of data collected during the dolphin show at the aquarium of Cheju Pacificland from October 1998 to February 1999. When greeting to audience, the pulse width, peak frequency and spectrum level from the five dolphins'sonar signals were 3.0ms, 4.54kHz and 125.6dB, respectively. At the time of warm-up just before the show, their figures were 5.0㎳, 5.24kHz and 127.0dB, respectively. During the performance of dolphins, with singing, peak frequency ranged 3.28∼5.78kHz and spectrum level ranged 137.0∼142.0dB. With playing ring, pulse width, peak frequency and spectrum level were 7.0㎳, 2.54kHz and 135.9dB, and when playing the ball, the values were 9.0㎳, 2.78kHz and 135.2dB, respectively. The values determined from the five dolphins during jump-up out of water were : pulse width 2.0㎳, peak frequency 4.50kHz and spectrum level 126.8dB. When they responded to trainer's instructions, the values were 2.25㎳, 248kHz and 148.7dB, respectively, and greeting to audience, the peak frequency and spectrum level were 5.84kHz and 122.5dB. During swimming under water, peak frequency and spectrum level were determined to be 10.10kHz and 126.8dB. It was found that there exited close consistencies in pulse width, frequency distribution and spectrum level between whistle sounds and dolphin's sonar signals. Accordingly, the dolphins can be easily trained by using whistle sound based on the results obtained from the waveform and spectrum of the dolphin's sonar signals.

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The Simulation for the Organization of Fishing Vessel Control System in Fishing Ground (어장에 있어서의 어선관제시스템 구축을 위한 모의실험)

  • 배문기;신형일
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.36 no.3
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    • pp.175-185
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    • 2000
  • This paper described on a basic study to organize fishing vessel control system in order to control efficiently fishing vessel in Korean offshore. It was digitalized ARPA image on the fishing processing of a fleet of purse seiner in conducting fishing operation at Cheju offshore in Korea as a digital camera and then simulated by used VTMS. Futhermore, it was investigated on the application of FVTMS which can control efficiently fishing vessels in fishing ground. The results obtained were as follows ; (1) It was taken 16 minutes and 35 minutes to casting and hauling net in fishing processing respectively. The length of rope pulled by scout boat was 200m, tactical diameter in casting net was 340.8m, turning speed was 6kts as well. (2) The processing of casting and hauling net was moved to SW, NE as results of simulation when the current direction and speed set into NE, 2kts and SW, 2kts respectively. Such as these results suggest that can predict to control the fishing vessel previously with information of fishing ground, fishery and ship's maneuvering, etc. (3) The control range of VTMS radar used in simulation was about 16 miles. Although converting from a radar of the control vessel to another one, it was continuously acquired for the vector and the target data. The optimum control position could be determined by measuring and analyzing to distance and direction between the control vessel and the fleet of fishing vessel. (4) The FVTMS(fishing vessel traffic management services) model was suggested that fishing vessels received fishing conditions and safety navigation information can operate safely and efficiently.

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Cytotoxic and Anti-inflammatory Activities of Lipids from the Nuruk (Rhizopus oryzae KSD-815) (누룩(Rhizopus oryzae KSD-815)으로부터 분리한 지질화합물의 세포독성 및 항염증 활성)

  • Kwak, Ho-Young;Lee, Sang-Jin;Lee, Dae-Young;Bae, Nark-Hyun;Jung, La-Koon;Hong, Sung-Youl;Kim, Gye-Won;Baek, Nam-In
    • Applied Biological Chemistry
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    • v.51 no.2
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    • pp.142-147
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    • 2008
  • Nuruk is the Korean traditional Koji that contains various microorganisms and has been used to make the traditional fermented foods including alcoholic beverages. Rhizopus oryzae KSD-815 was isolated from the alcohol-fermenting Nuruk used for manufacturing traditional alcohol. In this study, the authors reported the isolation and identification of four lipids from the Nuruk (Rhizopus oryzae KSD-815) that inoculated wheat with Rhizopus oryzae KSD-815. The dried and powdered Nuruk (Rhizopus oryzae KSD-815) were extracted three times at room temperature with 80% aqueous MeOH. The extracts were partitioned with EtOAc, n-BuOH, and water, successively. The EtOAc extract was suspended in 80% MeOH and partitioned repeatedly with n-hexane. From the n-hexane fraction, four lipids were isolated through the repeated silica gel and ODS column chromatographies. According to the results of physico-chemical data including NMR, GC and MS, the chemical structures of the compounds were determined as linolenic acid methyl ester (1), palmitic acid methyl ester (2), linoleic acid (3), palmitic acid (4). Cytotoxicity was evaluated in huamn breast cancer cells, MDA-MB-231 and human hepatocarcinoma, SK-HEP-1 cells using MTT assay. Exposure of compounds 1 and 3 led to a dose-dependent inhibition of cell viability in both cancer cell lines. In addition, treatment of RAW264.7 cells with compound 3 caused inhibition of lipopolysaccharide/interferon-${\gamma}$-induced nitric oxide production.

The Trend of Regional Geography in Germany in the 1920s and 1930s ($1920{\sim}1930$년대(年代) 독일(獨逸) 지지학(地誌學)의 연구(硏究) 동향(動向))

  • Kim, Jae-Wan
    • Journal of the Korean association of regional geographers
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    • v.6 no.1
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    • pp.69-89
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    • 2000
  • The regional geography had been at the height of prosperity in the first half of the twentieth century since Alexander von Humboldt and Carl Ritter. The geography remained stationary in the late 19th century had greatly developed around the regional geography in European countries since the early 20th century. Particularly, A. Hettner and O. $Schl{\ddot{u}}ter$ in Germany, Vidal de la Blache in France and A. J. Herbertson in Britain developed their own methods of regional studies and produced many results of empirical studies ; accordingly the regional geography had been at the height of prosperity in the 1920s and 1930s. This paper aims to study the regional concepts and the methods of regional studies of Germany geographers in the 1920s and 1930s. This study is useful to understand the current methods of classifications of regions and descripitive systems of regions. The noteworthy results of studies are summarized as follows : First, The regional geography of Germany had been developed by Hettner who regarded the geography as the chorological science of the earth's surface, $Schl{\ddot{u}}ter$ who did the geography as the study of cultural landscape and Penck's students, the morphologists of landscape (Landschaftsmorphologie). Hettner defined the geography as the chorological science, maintained that the earth's surface was classify according to its localized difference -continents, lands, districts and localities(Erdteile, $L{\ddot{a}}nder$, Landschaften und Ortlichkeiten) and emphasized on the total character of areas. He tried to classify downward from continents to localities based on the sizes of regions. He also gave the logic of causal relation to schematic approach(Das $L{\ddot{a}}nderkundliche$ Schema) and further developed it. $Schl{\ddot{u}}ter$ argued that The process of change on the landscape through time must be studied. And Passarge and Penck's pupils, morphologists of landscape, tried to classify the landscape synthetically. Thereafter, De Geer and $Gran{\ddot{o}}$ employed the creative methods of regional classification which used signs and simbols. Second, The regional geography of Germany differed from that of France on the next points ; 1. The former was analytic, but the latter was synthetic. 2. The former placed great emphasis on physical elements, terrain and climate etc., but the latter did great emphasis on both physical and human elements. 3. The former gave priority to the studies of large scale regions, but the latter did priority to the studies of small scale regions. In 1920s and 1930s the regional study of Germany geographers exerted direct influence on the development of geography of Japan. Especially, Tanaka Keiji, Japanese typical regional geographer, tried to classify Japan synthetically on the bases of terrain, climate, vegetation and human elements under the influence of European geographers. He exerted great influence on both Japanese and Korean geographers at that time.

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