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Effectiveness and Tolerance of a Locust Bean Gum-Thickened Formula: A Real-Life Study

  • Tounian, Patrick;Meunier, Leo;Speijers, Gerrit;Oozeer, Raish;Vandenplas, Yvan
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.23 no.6
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    • pp.511-520
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    • 2020
  • Purpose: Thickened infant formulas reduce regurgitation frequency and volume. Because the digestive tolerance of locust bean gum-containing formulas is controversial, the effectiveness and tolerance of a locust bean gum-thickened formula in infants presenting with regurgitation was evaluated. No other interventions were allowed during the 1 month follow-up period. Methods: We conducted an open, prospective, observational study of a locust bean gum-thickened formula administered to infants presenting with moderate to severe regurgitation according to parents during 1 month. Effectiveness and tolerance were assessed by evaluating gastrointestinal symptoms and quality of life indicators. Results: A total of 2,604 infants with an average age of 9.3±4.3 weeks were included in this 1 month trial. Regurgitation frequency and estimated volume decreased significantly (p<0.001) and the episodes were resolved completely in 48% of the infants. A significant decrease in duration of crying and episodes of gas (p<0.001), with improvement in quality of life parameters, was observed. Stool frequency increased and stool consistency softened (p<0.001) to levels within the physiologic range, consistent with the increased fiber load (0.42 g/100 mL). Conclusion: Locust bean gum-thickened formula decreased infant regurgitation, was well tolerated, and improved parental quality of life. Stool composition and frequency of the infants remained within the physiologic range.

Tactile Transceiver for Fingertip Motion Recognition and Texture Generation (손끝 움직임 인식과 질감 표현이 가능한 촉각정보 입출력장치)

  • Youn, Sechan;Cho, Young-Ho
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.37 no.6
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    • pp.545-550
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    • 2013
  • We present a tactile information transceiver using a friction-tunable slider-pad. While previous tactile information devices were focused on either input or output functions, the present device offers lateral position/vertical direction detection and texture expression. In characterizing the tactile input performance, we measured the capacitance change due to the displacement of the slider-pad. The measured difference for a z-axis click was 0.146 nF/$40{\mu}m$ when the x-y axis navigation showed 0.09 nF/$750{\mu}m$ difference. In characterizing the texture expression, we measured the lateral force due to a normal load. We applied a voltage between parallel electrodes to induce electrostatic attraction in DC and AC voltages. We measured the friction under identical fingertip action conditions, and obtained friction in the range of 32-152 mN and lateral vibration in the force range of 128.1 mN at 60 V, 2 Hz. The proposed device can be applied to integrated tactile interface devices for mobile appliances.

Tacrolimus Differentially Regulates the Proliferation of Conventional and Regulatory CD4+ T Cells

  • Kogina, Kazue;Shoda, Hirofumi;Yamaguchi, Yumi;Tsuno, Nelson H;Takahashi, Koki;Fujio, Keishi;Yamamoto, Kazuhiko
    • Molecules and Cells
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    • v.28 no.2
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    • pp.125-130
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    • 2009
  • Tacrolimus is a widely used T cell targeted immunosuppressive drug, known as a calcineurin inhibitor. However, the exact pharmacological effects of tacrolimus on $CD4^+$ T cells have yet to be elucidated. This study investigated the effects of tacrolimus on $CD4^+$ T cell subsets. Mouse or human $CD4^+$ T cells were cultured with immobilized anti-CD3/CD28 antibodies in the presence of tacrolimus. The cell division of $CD4^+$ T cells was analyzed using a flow cytometer according to the expression of Foxp3. The gene expression patterns of tacrolimus-exposed T cells were examined by quantitative PCR. In the case of conventional $CD4^+$ T cells (Tconv cells), tacrolimus inhibited T cell receptor stimulation-induced cell division. In contrast, the cell division of regulatory $CD4^+$ T cells (Treg cells) was even promoted in the presence of tacrolimus, especially in humans. Tacrolimus did not promote conversion of Tconv to Treg cells in mice. Furthermore, tacrolimus modified the expression levels of Foxp3-regulated T cell receptor signal related-genes, PTPN22 and Itk, in human Treg cells. Immunosuppressive effect of tacrolimus may be attributed to the relatively enhanced proliferation of Treg cells in association with altered gene expression levels of TCR signaling molecules.

A Study on the Behavior of the Plane Stress Fracture Toughness - About the Compact Tension Specimen- (平面應力 破壞靭性値 擧動에 관한 硏究)

  • 송삼홍;고성위
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.10 no.6
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    • pp.937-946
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    • 1986
  • In this paper, the plane stress fracture toughness of low carbon steel with 3mm thickness is investigated for various specimen widths and crack ratios using the J integral. The experiments is carried out for the compact tension(CT) specimen on an Instron machine. For materials that may be approximated by the Ramberg and Osgood stress strain law, the relevant crack parameter like the J integral and load line displacement are approximately normalized. Crack driving forces in terms of J integral is computed using the above estimation scheme. Abtained results are summarized as follows. (1) The plane stress fracture toughness, J$_{c}$, is almost constant in the range 50-70mm of width. Hence J$_{c}$ can be obtained by using smaller specimen than ASTM standard. (2) Yoon's and Simpson's formular which considers crack growth in obtaining J integral show more consevative J than Rice's and Merkle's (3) J$_{c}$ is almost constant in the range 0.499-0.701 crack ratios tested. J$_{c}$ obtained by using Kumar's formular is 28.14kgf/mm for base metal specimen and 32.51kgf/mm for annealed. (4) Comparison of the prediction with actual experimental measurements by Yoon's formular show good agreement for several different-size specimens.

Screening of Antimicrobial Activity from Castanea crenata Sieb. et Zucc. Leaves and Flowers. I. Chemical Compositions (밤나무 꽃과 잎의 화학성분 및 항균활성 검색 -제1보. 화학성분 조성-)

  • Jo, Jae-Sun;Cho, Gyu-Seong
    • Applied Biological Chemistry
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    • v.46 no.3
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    • pp.257-261
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    • 2003
  • Chemical components relevant to the characteristic antimicrobial activities of the Korean chestnut (Castanea crenata S. et Z.) leaves and flowers were analyzed. The composition of free sugar were sucrose, maltose in the chestnut flowers and sucrose, glucose, fructose in the chestnut leaves. The contains of tannin were 0.16% in the chestnut flower and 1.98% in the chestnut leaves. In fatty acids case, the linoleic contents were significantly high in the chestnut leaves and flowers. The organic acids showed high composition to succnic and citric acid in the chestnut leaves. The ammo acid compositions showed high contents to aspatic acid, proline, glutamic acid, glycine and methionine in the chestnut leaves and flowers. The total amino acid showed significantly higher in the chestnut leaves than flowers. The major minerals contained in the chestnut leaves and flowers were K, Ca, Ng, Fe, Mn and Al. Ascorbic acids were detected highly in the chestnut leaves and flowers.

Studies on the Development of Bearing Capacity Reinforcement for the Foundation of Soil (기초지반의 지지력보강공법에 관한 연구)

  • 유동환;최예환;유연택
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.30 no.1
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    • pp.38-49
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    • 1988
  • This paper presented as follows results of laboratory model tests with various shaped footings on soil bed reinforced with the strips on the base of behaviour of soil structure according to the loads and triaxial test results reinforced with geotextiles. Their parameters studied were the effects on the bearing capacity of a footing of the first layer of reinforcement, horizontal and vertical spacing of layers, number of layers, tensile strength of reinforcement and iclination load to the vertical 1.Depending on the strip arrangement, ultimate bearing capacity values could be more improved than urreinforced soil and the failure of soil was that the soil structure was transfered from the macrospace to microspase and its arrangement, from edge to edge to face to face. 2.The reinforcement was produced the reinforcing effects due to controlling the value of factor of one and permeable reinforcement was never a barrier of drainage condition. 3.Strength ratio was decreased as a linear shape according to increment of saturation degree of soil used even though at the lower strength ratio, the value of M-factor was rot influenced on the strength ratio but impermeable reinforcement decreased the strength of bearing capacity. 4.Ultimate bearing capacity under the plane-strain condition was appeared a little larger than triaxial or the other theoretical formulars and the circular footing more effective. 5.The maximum reinforcing effects were obtained at U I B=o.5, B / B=3 and N=3, when over that limit only acting as a anchor, and same strength of fabric appeared larger reinforcing effects compared to the thinner one. 6.As the LDR increased, more and more BCR occurred and there was appeared a block action below Z / B=O.5, but over the value, decrement of BCR was shown linear relation, and no effects above one. 7.The coefficient of the inclination was shown of minimum at the three layers of fabrics, but the value of H / B related to the ultimate load was decreased as increment of inclination degree, even though over the value of 4.5 there wasn't expected to the reinforcing effects As a consequence of the effects on load inclination, the degree of inclination of 15 per cent was decreased the bearing capacity of 70 per cent but irnproved the effects of 45 per cent through the insertion of geotextile.

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The Fish community of the Ungchon Stream Around the New Dam Intended Area (댐예정지를 중심으로 한 웅천천 수계의 어류군집에 관하여)

  • Hong, Young-Pyo;Jang, Min-Ho;Kang, Ho;Choi, Sin-Seok
    • Korean Journal of Environmental Biology
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    • v.17 no.1
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    • pp.79-88
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    • 1999
  • The fish fauna, notified species, and fish community was studied at the six stations in a 18km section of the Ungchon stream, a mountain stream in Korea, where a new dam is planned from 1994 to 1996. Twentynine species (11 families, 25 genera) were found. Nine species were endemic to Korea. The Dominant specie in the studied area were Zacco temmincki, Z. platypus and Squalidus gracilis majimae. Some of the korean endemic species (Coreoperca herzi) including the Korean endangered species such as Pseudopungtudgia nigra and Liobagrus obesus were not found in this stream anymore. The average of area density was 0.69 individuals per square meter and the volume density was 1.45 individuals per cubic meter. Species diversity was highest in the middle region. According to community correlation coefficients of six stations, similality coefficients of station one, four, five and six were higher than others, but no significant difference in the composition of fish fauna was found between six study staions.

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Antifungal Effect of Plant Essential Oils on Controlling Phytophthora Species

  • Amini, Jahanshir;Farhang, Vahid;Javadi, Taimoor;Nazemi, Javad
    • The Plant Pathology Journal
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    • v.32 no.1
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    • pp.16-24
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    • 2016
  • In this study, antifungal activity of essential oils of Cymbopogon citratus and Ocimum basilicum and two fungicides Mancozeb and Metalaxyl-Mancozeb in six different concentrations were investigated for controlling three species of Phytophthora, including P. capsici, P. drechsleri and P. melonis on pepper, cucumber and melon under in vitro and greenhouse conditions, respectively. Under the in vitro condition, the median effective concen- tration ($EC_{50}$) values (ppm) of plant essential oils and fungicides were measured. In greenhouse, soil infested with Phytophthora species was treated by adding 50 ml of essential oils and fungicides (100 ppm). Disease severity was determined after 28 days. Among two tested plant essential oils, C. citratus had the lowest $EC_{50}$ values for inhibition of the mycelial growth of P. capsici (31.473), P. melonis (33.097) and P. drechsleri (69.112), respectively. The mean $EC_{50}$ values for Metalaxyl-Mancozeb on these pathogens were 20.87, 20.06 and 17.70, respectively. Chemical analysis of plant essential oils by GC-MS showed that, among 42 compounds identified from C. citratus, two compounds ${\beta}$-geranial (${\alpha}$-citral) (39.16%) and z-citral (30.95%) were the most abundant. Under the greenhouse condition, Metalaxyl-Mancozeb caused the greatest reduction in disease severity, 84.2%, 86.8% and 92.1% on melon, cucumber, and pepper, respectively. The C. citratus essential oil reduced disease severity from 47.4% to 60.5% compared to the untreated control ($p{\leq}0.05$). Essential oils of O. basilicum had the lowest effects on the pathogens under in vitro and greenhouse conditions. These results show that essential oils may contribute to the development of new antifungal agents to protect the crops from Phytophthora diseases.

Besteht die Pflicht des Arztes, den Patienten ${\ddot{u}}$ber einen eigenen Behandlungsfehler zu informieren? (의사에게 치료상의 과오를 설명할 의무가 있는가?)

  • Kim, Min Joong
    • The Korean Society of Law and Medicine
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    • v.15 no.2
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    • pp.165-194
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    • 2014
  • Der Vertrag zwischen dem Arzt und seinem Patienten wird als Auftrag im Sinne des ${\S}680$ KBGB qualifiziert. Dem Arzt erwachsen innerhalb dieses Behandlungsvertrages zahlreiche Pflichten, von denen ein gro${\ss}$er Teil durch Richterrecht geschaffen wurde. Den Arzt treffen z.B. Behandlungspflicht, Informationspflicht ${\ddot{u}}$ber die Behandlung, Aufkl${\ddot{a}}$rungspflicht ${\ddot{u}}$ber einwilligungspflichtige Umst$\ddot{a}$nde, Dokumentationspflicht, Schweigepflicht. Der Arzt ist nach Rechtsprechung und Literatur verpflichtet, den Patienten ${\ddot{u}}$ber s${\ddot{a}}$mtliche f${\ddot{u}}$r die Einwilligung wesentlichen Umst${\ddot{a}}$nde aufzukl${\ddot{a}}$ren, insbesondere ${\ddot{u}}$ber Art, Umfang, Durchf${\ddot{u}}$hrung, zu erwartende Folgen und spezifische Risiken der Ma${\ss}$nahme, die Notwendigkeit, Dringlichkeit und Eignung der Ma${\ss}$nahme zur Diagnose oder zur Therapie und uber die Erfolgsaussichten der Ma${\ss}$nahme im Hinblick auf die Diagnose oder Therapie. Mu${\ss}$ der Arzt den Patienten auf einen eigenen Behandlungsfehler hinweisen, wenn f$\ddot{u}$r ihnen Umst${\ddot{a}}$nde erkennbar sind, die die Annahme eines Behandlungsfehlers begr${\ddot{u}}$nden. Allgemeine Offenbarungspflichr bei ${\ddot{a}}$rztlichen Behandlungsfehlern wird bisher nicht diskutiert. Nach derzietigem Recht besteht keine allgemeine Offenbarungspflicht des Arztes, den Patienten unaufgefordert ${\ddot{u}}$ber einen eigenen Behandlungsfehler hinzuweisen. Aber wie im ${\S}630c$ BGB, sind f${\ddot{u}}$r den Behandelnden Umst${\ddot{a}}$nde erkennbar, die die Annahme eines Behandlungsfehlers begr${\ddot{u}}$nden, hat er den Patienten ${\ddot{u}}$ber diese auf Nachfrage oder zur Abwendung gesundheitlicher Gefahren zu informieren.

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Antimicrobial Activity of Some Essential Oils Against Microorganisms Deteriorating Fruit Juices

  • Helal G.A.;Sarhan M.M.;Shahla A.N.K. Abu;El-Khair E.K. Abou
    • Mycobiology
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    • v.34 no.4
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    • pp.219-229
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    • 2006
  • Seventeen microbial species including 10 fungal taxa, two yeasts and five bacteria, were isolated from freshly prepared orange, guava and banana juices kept in open bottles at room temperature for 7 days. Eight different essential oils, from local herbs, were tested for their antimicrobial activity against these test organisms. The essential oils of Cymbopogon citratus, Ocimum basilicum and Origanum majorana were found to be highly effective against these microorganisms. Aspergillus niger, A. flavus and Saccharomyces cerevisiae, the most prevalent microorganisms in juice, showed the highest resistance against these essential oils. GC-MS analysis showed that while e-citral, a'-myrcene, and z-citral represent the major components (75.1 %) of the essential oil of Cymbopogon citratus; bezynen,l-methyl-4-(2-propenyl), 1,8-cineole and trans-a'-bisabolene were the main components (90.6%) of Ocimum basilicum; whereas 3-cyclohexen-l-0l,4-methyl-l(l-methylethyl)-(CAS), c-terpinene and trans-caryophyllene represent the major components (65.1%) of Origanum majorana. These three essential oils were introduced into juices by two techniques namely, fumigation and direct contact. The former technique showed more fungicidal effect than the latter one against A. flavus, A. niger, and S. cerevisiae. The essential oil of Cymbopogon citratus by comparison to other test oils showed the strongest effect against these fungi with a minimum inhibitory concentration of $1.5\;{\mu}l/ml$ medium and a sublethal concentration of $1.0\;{\mu}l/ml$. The antimicrobial activity of this oil is thermostable at $121^{\circ}C$ for 30 min.