• Title/Summary/Keyword: 시간적 연관성

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Decreased Nocturnal Blood Pressure Dipping in Patients with Periodic Limb Movements in Sleep (수면중 주기성 사지 운동에서 나타나는 야간 혈압 강하의 감소)

  • Lee, Mi Hyun;Choi, Jae-Won;Oh, Seong Min;Lee, Yu Jin
    • Sleep Medicine and Psychophysiology
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    • v.25 no.2
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    • pp.51-57
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    • 2018
  • Objectives: Previous studies have shown that periodic limb movements in sleep (PLMS) could be one of risk factors for cardiovascular morbidity. The purpose of this study was to investigate the association between PLMS and blood pressure changes during sleep. Methods: We analyzed data from 358 adults (176 men and 182 women) aged 18 years and older who were free from sleep apnea syndrome (Respiratory Disturbance Index < 5) and sleep disorders such as REM sleep behavior disorder or narcolepsy. Demographic characteristics, polysomnography records, and clinical variable data including blood pressure, body mass index, alcohol, smoking, and current medications were collected. In addition, self-report questionnaires including the Beck Depression Index, Epworth Sleepiness Scale and Pittsburgh Sleep Quality Index were completed. Blood pressure change from bedtime to awakening was compared between the two periodic limb movement index (PLMI) groups [low PLMI ($PLMI{\leq}15$) and high PLMI (PLMI > 15)]. Blood pressure change patterns were compared using repeated measures analysis of variance. Results: Systolic blood pressure in the high PLMI group was lower than that in the low PLMI group (p = 0.036). These results were also significant when adjusted for gender and age, but were not statistically significant when adjusted for BMI, alcohol, smoking, anti-hypertension medication use and sleep efficiency (p = 0.098). Systolic blood pressure dropped by 9.7 mm Hg in the low PLMI group, and systolic blood pressure in the high PLMI group dropped by 2.9 mm Hg. There was a significant difference in delta systolic blood pressure after sleep between the two groups in women when adjusted for age, BMI, alcohol, smoking, antihypertensive medication use and sleep efficiency (p = 0.023). Conclusion: PLMS was significantly associated with a decreasing pattern in nocturnal BP during sleep, and this association remained significant in women when adjusted for age, BMI, alcohol, smoking, antihypertension medication use and sleep efficiency related to blood pressure. We suggest that PLMS may be associated with cardiovascular morbidity.

유산균 발효에서 항생물질 불활화에 관한 연구

  • 강국희;이수원;김영진;김영창
    • Proceedings of the Korean Society for Applied Microbiology Conference
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    • 1978.10a
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    • pp.204.2-205
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    • 1978
  • 발효유 원료유중에 항생물질이 함유되어있을 경우 이것이 발효유 제조에 미치는 영향을 검토하였다. 발효유의 원가유 살균과정, 배양기간, 보존기간중에 있어서 항생물질의 변화를 검토하기 위하여 Bacillus stearothermophilus var. calidolactis C 953을 사용한 cylinder plate법으로 penicillin의 역가를 측정하였다. 저온 장시간 $살균(60^{\circ}C,$ 30분) 조건에서는 조금도 불활성화되지 않았으나, 온도를 높이고, 시간을 길게함에 따라 점점 불활화률이 높아져 $고압멸균조건(121^{\circ}C,$ 15분)에서는 약 90% 이상이 불활화되었다. 또 현재 우리나라에서 발효유제조에 사용되고 있는 Lactobacillus casei, Hy3와 Lactoba-cillus bulgaricus Hy4A, Hy4B를 사용하여 $37^{\circ}C에서$ 배양할 경우 배양기간 중에 있어서 penicillin은 2일내에 95% 이상 불활화되었다. 그리고 $보존기간(5^{\circ}C)$ 중에는 phosphate buffer(pH 6.0)와 10% skim milk의 경우에 10일까지도 거의 불활화가 되지 않았으나, 발효유내에서는 5일만에 85% 이상이 불활화된다는 결과를 얻었다. 이와같은 발효유 배양기간과 보존기간 중의 penicillin 불활화의 원인을 규명하기 위하여 각종 유기산의 영향을 조사한 결과(조건 pH.3.30~3.45, 보존온도 $37^{\circ}C),$ 염산과 유산의 경우 24시간, 구연산의 경우 48시간, 초산의 경우 72시간내에 실험에 사용한 penicillin 농도의 99.99%가 불활화되었다. 이러한 결과로 볼 때 유산발효에서 penicillin이 불활화되는 주원인은 발효에 의하여 생성된 유기산에 의한 것으로 추정된다.방식이군이 중지방식이군과 고지방식이군에 비해 혈장내 LCAT 활성이 유의하게9p<0.001) 증가하였다. 3) 간의 콜레스테롤합성 능력은 정어리유군이 다른지방군보다(p<0.001), 무지방식이군이 식이지방첨가군보다(p<0.001), 동물성지방군의 식물성유지군보다 유의하게(p<0.001) 증가하였으나, 식이 지방의 수준에 의한 차이는 나타나지 않았다. 수용성 식이섬유소가 생리져 기능이 거의 비슷하고 무독성이 관찰됨으로써 신갈나무로부터 제조된 수용성 식이섬유소의 제조 방법이 우수하다고 볼 수 있다.있었다.세에 해당되는 중년 여성의 에너지, 단백질, 철분 섭취량을 권장량과 비교하여 보면, 각각 74.8$\pm$12.6%, 94.6$\pm$26.4% 및 64.5$\pm$14.1%로 당뇨군 (각각 112.8$\pm$28.5%, 157.8$\pm$68.2%, 92.8$\pm$21.7%)에 비해 유의하게 낮았고 정상군과는 유의한 차이를 보이지 않았다.상고나성이 있었다. 혈중 호모시스테인 농도는 질병의 위험요인으로서 뿐 아니라 대사적으로 밀접하게 연관된 비타민 영양상태의 biomarker로서도 그 영향력이 크다고 할 수 있다. 따라서 성별에 다른 다양한 연령집단에서 건강한 일반인과 심혈관계 질환자 등을 대상으로 호모시스테인과 비타민 영양상태에 대한 연구가 체계적으로 이루어 져야 할 것이다.태를 보다 효율적으로 증진시킬 수 있는 대안이 마련되어져야 한다고 사료된다.$\ulcorner$순응$\lrcorner$의 범위를 벗어나지 않는다. 그렇기 때문에도 $\ulcorner$순응$\lrcorner$$\ulcorner$표현$\lrcorner$의 성격과 형태를 외형상으로 더욱이 공간상에서는

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Clinical characteristics of Kikuchi disease in children (소아 Kikuchi 병의 임상 양상)

  • Chung, Sunghoon;Park, Sungsin;Lee, Kyuha;Song, Junhyuk;Han, Miyoung;Choi, Yongmook;Cha, Sungho;Park, Yongkoo
    • Pediatric Infection and Vaccine
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    • v.14 no.2
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    • pp.129-135
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    • 2007
  • Purpose : Kikuchi disease is a subacute necrotizing lymphadenitis characterized by fever, cervical lymphadenopathy and benign self-limiting course in young women especially, but rare in children. Their etiopathology is still unknown, but involved viruses and autoimmune mechanism were proposed. We investigated the clinical and laboratory characteristics of Kikuchi disease in children. Methods : Five patients were diagnosed of Kikuchi disease from January 2001 to June 2006 in Kyunghee University Hospital. We reviewed their medical records retrospectively and analyzed clinical and laboratory findings. Results : The mean age of 5 patients (male to female ratio; 2:3) was 9 yr 9 mon(range: 8 yr 2 mon-12 yr 6 mon). The chief complaints were sustained fever and cervical lymph node that was unilateral, tender and swollen. All patients were treated with antibiotics before diagnosis was made, and rash developed in 2 patients. One patient showed necrotic change in ultrasound with which we suspected Kikuchi disease. Three patients were examined by CT scan additionally. The interval between admission and cervical lymph node excisional biopsy ranged from 6 days to 15 days, and mean period was 9.6 days. All pathological findings were compatible to necrotizing lymphandenitis. Conclusion : Unnecessary laboratory and imaging studies, and treatment with antibiotics tend to be done before making diagnosis, and that caused prolonged hospitalization. Therefore we studied the clinical and laboratory characteristics of Kikuchi disease in children.

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Effects of Formula (JR-22) Maybe Containing Traditional Herbs on Maximal Exercise Performance and Antioxidant Meterials in Murine Model (생약조성물 투여가 지구력 향상과 항산화 물질에 미치는 영향)

  • 홍성길;양동식;강봉주;이홍석;윤유식
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.32 no.7
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    • pp.1076-1081
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    • 2003
  • The effects of dietary supplementation of JR-22, formula containing distilled extracts of traditional herbs on maximal exercise performance and endurance were evaluated in mouse and rat model. In acute forced swimming test with 4%∼8% of the body weight attached to the tail, it was shown that dietary JR-22 supplementation increased endurance in exercise performance. There was no change of blood lactic acid, ammonia, inorganic phosphorous ion and creatine kinase activity, however ATP concentration in muscle was increased by JR-22 supplementation. Also, insulin-like growth factor-l (IGF-1) concentration in blood was significantly increased by JR-22 supplementation. In addition, the oxidative damage induced by exercise was reduced by JR-22 supplementation. In these results, we suggested that JR-22 supplementation enhanced maximal endurance exercise performance by the mechanism of increasing ATP and IGF-1 concentration and reducing oxidative damage.

Changes of Growth and Antioxidative Enzyme(SOD, APX, GR) Activities of Spinach Beet(Beta vulgaris var. cicla) Under Saline Condition (염 환경하에서 근대(Beta vulgaris var. cicla)의 생장과 항산화효소(SOD, APX, GR)의 활성변화)

  • 배정진;추연식;송승달
    • Journal of Life Science
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    • v.13 no.5
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    • pp.658-667
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    • 2003
  • Antioxidative enzymes (superoxide dismutase; SOD, ascorbate peroxidase; APX, glutathione reductase; GR) play major roles in scavenging mechanism of reactive oxygen species which were involved in various stress conditions including salt. In order to investigate the relation between their growth responses (dry weight) and the changes of antioxidative enzymes activity, salt-tolerant spinach beet having 15cm of shoot length were treated with various salt levels (0, 50, 200, 1000 mM NaCl) for 24 hours. Spinach beet exhibited an increase in the activity of antioxidative enzymes by salt, the maximal activity at 200 mM NaCl and the lowest activity at 50 mM NaCl in 2 hrs. after treatments. As a result of PAGE, it has been confirmed that spinach beet contained 3 isoforms (Fe-SOD, CuZn-SOD and Mn-SOD) of SOD and main isoform was CuZn- SOD form. In case of APX, isoforms of the low molecular weight(No. 7, 8) were showed strong expression especially at 200 and 400 mM NaCl treatment. Meanwhile, GR did not show specific pattern of isoforms among the salt treatments. Especially, in case of 50 mM treatment, plant showed the lowest activity of SOD with the best growth, a low enzyme activity was induced by inactivation of the Mn-SOD. Therefore, we suggested that the decrease of SOD activity at a low salt level (50 mM NaCl) or the increase of enzyme activity at a high salt level (200 mM NaCl) may be related to expression of the Mn-SOD isoform. These antioxidative enzymes showed the increase of activity in a short time by salt addition. So, it is considered that spinach beet copes effectively with a stressful condition such as salt by operating effective antioxidative defense mechanism rapidly under high salt level.

Toxicity and Behavioral Changes of Medaka (Oryzias latipes) by Brine Exposure (송사리(Oryzias latipes)를 이용한 고염해수의 생태독성 및 단기적 행동변화에 관한 연구)

  • Yoon, Sung-Jin;Park, Gyung-Soo
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.16 no.1
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    • pp.39-51
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    • 2011
  • Acute toxicity test and behavioral change analysis of seawater acclimated Japanese medaka were conducted to identify the brine effects on fish by seawater desalination. 7 day acute toxicity test of brine revealed linear concentration-response relationship from 40.0~80.0 psu treatment groups. There was no significant brine effect for 30-40 psu groups and mass mortality was observed from >50 psu exposure (7-day $LC_{50}$=51.4 psu). Images from the real time camera system were analyzed to observe the changes in behavioral patterns of medaka exposed to various salinity. 40.0 and 50.0 psu exposed groups were stabilized in behavioral patterns after 3.1 and 4.6 hours, respectively and 60.0 psu group showed sharp increase in activity during first 12 hours and 50% mortality thereafter. Similar patterns were observed to 70 and 80 psu groups and both experimental groups showed 100% mortality within 12 hours. Acute toxicity test and behavioral patterns showed very similar toxicity results which revealed the increases in mortality and behavioral activities from 50.0 psu. This critical salinity for fish impacts must be implemented to brine discharge strategy by seawater desalination into the coastal area. Also, we recommend that real time camera monitoring system must be a useful tool for early warning of fish toxicity for other applications. This research was funded by Ministry of Land, Transport and Maritime Affairs, Korea.

Algorithm Development and Experimental Verification of Acoustic Emission First-arrival-time Determination for the Source Location (정확한 미소파괴음의 발생위치 분석을 위한 신호 도달시간 결정 알고리즘 연구 및 실험적 검증)

  • Jang, Hyun-Sic;Choi, Jun-Young;Jang, Bo-An
    • The Journal of Engineering Geology
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    • v.25 no.4
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    • pp.587-598
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    • 2015
  • We examined various existing threshold methods for the determination of the first arrival time of acoustic emission (AE), and developed a new variable threshold method that could determine the first arrival time of AE more accurately and more quickly than existing methods. The new method, a modification of an existing threshold method, does not fix the threshold, but applies variable thresholds for the AE signals according to noise analysis. Two- and three-dimensional models were established to test the effectiveness of the new method. It could determine source locations of AE in a two-dimensional model 38.3% more accurately than the pre-existing threshold methods. Its accuracy improvement over the existing methods in a three-dimensional model was about 15.2%. A practical test involved measuring the source locations of AE during three-point bending tests of granite cores. The new method placed the sources closer to the fracture plane than did the pre-existing methods, indicating its superior (and quicker) ability to determine the source locations of AE.

A Spatial Statistical Method for Exploring Hotspots of House Price Volatility (부동산 가격변동 한스팟 탐색을 위한 공간통계기법)

  • Sohn, Hak-Gi;Park, Key-Ho
    • Journal of the Korean Geographical Society
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    • v.43 no.3
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    • pp.392-411
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    • 2008
  • The purpose of this paper is to develop a method for exploring hotspot patterns of house price volatility where there is a high fluctuation in price and homogeneity of direction of price volatility. These patterns are formed when the majority of householders in an area show an adaptive tendency in their decision making. This paper suggests a method that consists of two analytical parts. The first part uses spatial scan statistics to detect spatial clusters of houses with a positive range of price volatility. The second part utilizes local Moran's I to evaluate the homogeneity of direction of price volatility within each cluster. The method is applied to the areas of Gangnam-Gu, Seocho-Gu, and Songpa-Gu in Seoul from August to November of 2003; the Participatory Government of Korea designated these areas and this period as the most speculative. The results of the analysis show that the area around Gaepo-Dong was as a hotspot before the Government's anti-speculative 10.29 policy in 2003; the house prices in the same area stabilized in October, 2003 and the area was identified as a coldspot in December, 2003. This case study shows that the suggested method enables exploration of hotspot of house price volatility at micro spatial scales which had not been detected by visual analysis.

Postcardiotomy Ventricular Support with Biomedicus Pump (Biomedicus pump를 이용한 개심술후 심실보조)

  • Kim, Won-Gon;Lee, Chang-Ha;Kim, Ki-Bong;Ahn, Hyuk;Rho, Ryang-Joon
    • Journal of Chest Surgery
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    • v.29 no.11
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    • pp.1218-1222
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    • 1996
  • The reported incidence of postcardiotomy cardiogenic shock not responding to conventional therapy is still 0.1 to 0.8%. For this group of patients, more aggressive form of circulatory support must be employed. Centrifugal pumps are a ventricular assist device most commonly used on this purpose, due to low cost and easy availability. Currently, however, clinical experience of centrifugal pumps as a ventricular assist device is rarely reported in Korea. From January 1992 to January 1996, 2986 patients underwent cardiac operations on cardiopulmonary bypass at Seoul National University Hospital. Refractory postcardiotomy cardiac failure requring ventricular support with a Biomedicus centrifugal pump developed in ten of these patients. There were eight men and two women, ranged in age from nine years to 77 years with a mean of 50$\pm$20 years. The primary surgical procedures consisted of isolated coronary revascularization in four patients, combined coronary revascularization and aortic valve replacement in two, aortic dissection repair in two, pulmonary embolectomy in one, and heart transplantation in one. Of the ten patients, five had left ventricular assistance, one had right ventricular assistance, and four had biventricular assistance. Duration of ventricular assistance ranged from 24 to 175 hours, with a mean of 76$\pm$51 hours. Seven patients were weaned from ventricular assistance, and four of them discharged. The causes of death for nonsurvivors were progressive cardiac failure in two patients and multiorgan failure, intractable ventricular fibrillation, irreversible brain injury, and mechanical problem, respectively, in the other four. Survival was not predicted by time on cardiopulmonary bypass, aortic cross-clamp time, or duration of ventricular support. Major complications included bleeding(7), renal failure(6), infection(3) and neurologic complication(2). These results indicate that a centrifugal pump can provide reasonably satisfactory short-term circulatory support.

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Adaptive Error Recovery in cdma2000 1xEV-DO Broadcast and Multicast Networks (cdma2000 1xEV-DO를 위한 모바일 브로드캐스트/멀티캐스트 네트워크에서의 능동적인 에러 교정 방법에 관한 연구)

  • Kang Kyungtae;Park Hosang;Cho Yongwoo;Shin Heonshik
    • Journal of KIISE:Information Networking
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    • v.33 no.1
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    • pp.91-102
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    • 2006
  • We analyze the performance of MAC-layer Reed-Solomon error recovery in the cdma2000 1xEV-DO Broadcast and Multicast Services (BCMCSs) environment, with respect to the size of the ECB (Error Control Block) and the air-channel condition, and establish the relationship between ECB size, error recovery capacity and service latency. From this we propose an adaptive error recovery scheme which adjusts the size of the ECB to reflect the environment of the mobile nodes so as to meet the required service quality (target bit error-rate), while reducing the latency of real-time applications. Extensive simulation results show the effectiveness of our approach compared to the current static scheme. Proposed adaptive schemes achieves near optimal solution with respect to service latency while satisfying the required service quality.