• Title/Summary/Keyword: 2-PSK

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An Analysis of Prescription Patterns and Incidence of Dyslipidemia in a Korean Tertiary Hospital HIV Patients Receiving High Active Antiretroviral Therapy (3차 병원에서 HAART 치료를 받은 HIV 환자의 처방패턴 및 이상지질혈증 발생 빈도 분석)

  • Park, Sun Hee;Yang, Young-Mo;Choe, In;Yoon, Hyonok;Choi, Eun Joo
    • YAKHAK HOEJI
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    • v.59 no.3
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    • pp.85-91
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    • 2015
  • Highly active antiretroviral therapy (HAART) has reduced AIDS-related morbidity and mortality; however, it has been associated with metabolic abnormalities including dyslipidemia and dysglycemia depending on the regimens used. The aims of this study were to analyze the prescription patterns of antiretroviral agents and to examine the prevalence of lipid abnormalities among the prescriptions of HAART. The electronic medical records (EMR) of HIV patients were retrospectively reviewed from January 2007 to September 2012 based on our inclusion criteria. The patients who had taken HAART for at least 3 months were included in this study. The lipid profiles of patients on antiretrovirals (ARTs) were collected from his or her laboratory data, and dyslipidemia was defined as total cholesterol (TC) ${\geq}240mg/dL$ and triglycerides (TG) >200 mg/dL. Eighty-four prescriptions were discovered during the study period. Twenty-three prescriptions were the combination of two nucleoside reverse transcriptase inhibitors (NRTIs) and one non-nucleoside reverse transcriptase inhibitor (NNRTI). Fifty-three prescriptions were the combination of two NRTIs and one protease inhibitor (PI) and thirty-nine prescriptions of them included a PI booster. Eight prescriptions were the combination of two NRTIs and one integrase inhibitor. The Incidence of hypertriglyceridemia among the patients receiving HAART was totally about 41.7% (2NRTIs+PI regimen vs. 2NRTIs+NNRTI regimen vs. 2 NRTIs+integrase inhibitor regimen, 52% vs. 12.5% vs. 25%), but there was no incidence of hypercholesterolemia. This study investigated that the prescription medication patterns and dyslipidemia associated with lipid abnormalities among HIV patients receiving HAART. The types of HAART prescription regimens had an effect on the occurrence of hypertriglycemia. Further studies related to metabolic abnormalities and adverse effects of HIV patients on ARTs are needed in the near future.

Pharmacokinetic Study of Matrine in SD-rat after Oral Administration of KIOM-MA128 (SD-rat에 KIOM-MA128을 경구 투여 한 후 혈장 중 Matrine의 약물 동태)

  • Lee, Jae-yeon;Back, Hyun-moon;Song, Byungjeong;Chae, Jung-woo;Jung, Seong Mee;Pradhan, Sudeep;Yun, Hwi-yeol;Kwon, Kwang-il
    • YAKHAK HOEJI
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    • v.59 no.3
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    • pp.92-97
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    • 2015
  • KIOM-MA128 is a novel Korean herbal medicine with anti-atopic, anti-inflammatory and anti-asthmatic effects. This article presents the first pharmacokinetic study on KIOM-MA128. The purpose of this study was to characterize a pharmacokinetic characteristic of matrine, a potential marker of KIOM-MA128, in rats using population pharmacokinetic model. 1, 2 and 8 g/kg of KIOM-MA128 were administered to rats orally and plasma concentrations of matrine was determined by HPLC-MS/MS. Non-compartmental analysis (NCA) was performed using Phoenix$^{(R)}$ and pharmacokinetic model was built using NONMEM$^{(R)}$. This model was validated with internal validation which is visual predictive check (VPC) and bootstrap. The NCA result of matrine showed that $C_{max}$ was 294.24, 552.22 and 868.65 ng/ml, $AUC_{inf}$ was 1273.05, 2724.76 and $9743.25ng{\cdot}hr/ml$ and $T_{max}$ was 1, 1.3 and 2.3 hr for the doses of 1, 2, and 8 g/kg, respectively. The rat plasma concentrations were described very well with one-compartment model. Pharmacokinetic model for matrine was successfully developed and evaluated. Finally, our model is helpful to understand pharmacokinetic characteristic of KIOM-MA128.

Rapid Determination of Caffeine in Forensic Aqueous Sample by Dilute and Shoot LC-MS/MS (시료 희석 직접 주입 LC-MS/MS를 이용한 법화학 수용액 시료 중 카페인 신속 분석)

  • Choi, Yun Jeong;Kim, Hee Seung;In, Moon Kyo;Kim, Jin Young
    • YAKHAK HOEJI
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    • v.60 no.3
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    • pp.112-117
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    • 2016
  • A liquid chromatography-tandem mass spectrometry (LC-MS/MS) method was developed and validated for the determination of caffeine in forensic aqueous sample. The centrifuged sample ($100{\mu}l$) was diluted 50-fold with distilled water. The diluted sample ($400{\mu}l$) was then diluted further with $200{\mu}l$ of 0.1% formic acid solution and $400{\mu}l$ of acetonitrile containing 500 ng of caffeine-(3-methyl-$^{13}C_3$) prior to LC-MS/MS analysis. The mobile phase was composed of 0.1% formic acid in distilled water (A) and acetonitrile (B). Chromatographic separation was performed by using a Zorbax SB-C18 ($100mm{\times}2.1mm$ i.d., $3.5{\mu}m$) column and caffeine was eluted within 1.1 min. Linear least-squares regression with a 1/x weighting factor was used to generate a calibration curve with the coefficients of determination ($r^2=0.9983$). The lower limit of quantification was $25ng/ml$ for the analyte. The process efficiency was 98.6~100.1%. Intra- and inter-day precisions were not more than 2.1% and 1.7%, while intra- and inter-day accuracies were ranged from -6.8 to 4.5%, respectively. The suitability of the method was examined by analyzing unknown forensic aqueous samples.

Tiering 'Drug Combinations to Avoid' and 'Drug-age Precaution' DUR Alerts by Severity Level and its Application (병용금기, 연령금기 경고 등급화 방안과 DUR 처방변경률 분석)

  • Lee, Soo Ok;Je, Nam Kyung;Kim, Dong-Sook;Cheun, Bang Ok;Hwang, In Ok
    • YAKHAK HOEJI
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    • v.59 no.6
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    • pp.278-283
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    • 2015
  • The computerized prospective Drug Utilization Review (DUR) program supported by the Korean government has provided alerts to physicians and pharmacists since December 2010. This study aims to propose and apply the tiering system in "drug combinations to avoid (DCA)" and "age-precaution" alerts based on severity to improve the compliance of users. To propose the severity and clinical importance of 647 DCA alerts and 140 age precautions, a Delphi evaluation survey was conducted. An expert panel comprising 5 clinical pharmacists and 5 physicians were participated in mail surveys. Based on the results of Delphi survey, DCA pairs were classified into 3 groups; group 1 (70.6%), 2 (26.9%), and 3 (2.8%). Drug-age precaution ingredients were also classified into three groups; group 1 (53.6%), group 2 (40.7%), and group 3 (5.7%). When this grouping was applied to claim data from 2011 to 2013, the majority of alerts had occurred in the groups of high severity. Presenting DUR alerts with severity level is expected to improve the compliance of clinicians. The implementation of tiering system in DUR criteria should be considered.

Mathematical Analysis Power Spectrum of M-ary MSK and Detection with Optimum Maximum Likelihood

  • Niu, Zheng;Jiang, Yuzhong;Jia, Shuyang;Huang, Zhi;Zou, Wenliang;Liu, Gang;Li, Yu
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.15 no.8
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    • pp.2900-2922
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    • 2021
  • In this paper, the power spectral density(PSD) for Multilevel Minimum Shift Keyed signal with modulation index h = 1/2 (M-ary MSK) are derived using the mathematical method of the Markov Chain model. At first, according to an essential requirement of the phase continuity characteristics of MSK signals, a complete model of the whole process of signal generation is built. Then, the derivations for autocorrelation functions are carried out precisely. After that, we verified the correctness and accuracy of the theoretical derivation by comparing the derived results with numerical simulations using MATLAB. We also divided the spectrum into four components according to the derivation. By analyzing these figures in the graphic, each component determines the characteristics of the spectrum. It is vital for enhanced spectral characteristics. To more visually represent the energy concentration of the main flap and the roll-down speed of the side flap, the specific out-of-band power of M-ary MSK is given. OMLCD(Optimum Maximum Likelihood Coherent Detection) of M-ary MSK is adopted to compare the signal received with prepared in advance in a code element T to go for the best. And M-ary MSK BER(Bit Error Rate) is compared with the same ary PSK (Phase Shift Keying) with M=2,4,6,8. The results show the detection method could improve performance by increasing the length of L(memory inherent) in the phase continuity.

Immunomodulatory activity of acharan sulfate isolated from Achatina fulica

  • Kim, Hyeon-Seon;Lee, Jae-Kwon;Yang, In-Ho;Lee, Young-Ran;Shin, Hyun-Jeong;Park, Eun-Ju;Park, Hyung-Seok;Kim, Yeong-Shik;Lee, Chong-Kil
    • Proceedings of the PSK Conference
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    • 2002.10a
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    • pp.307.2-308
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    • 2002
  • Acharan sulfate. a new glycosaminoglycan(GAG) isolated from the giant African snail Achatina fulica. was shown to have antitumor activity in vivo. To elucidate the mechanisms for the antitumor activity. we examined its impact on professional antigen presenting cells such as macrophages and dendritic cells (DCs). Acharan sulfate stimulated cytokine production (TNF-a and IL -1b). nitric oxide release. and morphological changes in a dose dependent manner on a macrophage cell Line Raw 264.7 cells. The differentiation-inducing activity of acharan sulfate was examined on immature DCs. Immature DCs were generated from mouse bone marrow (BM) cells by culturing with GM-CSF and IL-4, and then stimulated with acharan sulfate. The resultant DCs were then examined for funcional and phenotypic properties. It was found that acharan sulfate could induce functional maturation of immature DCs as determined by increased allogenic mixed lymphocyte reaction (MLR) and IL-12 production. Phenotypic. analysis for the expression of class II MHC molecules and major co-stimulatory molecules such as B7-1, B7-2 and CD40 also confirmed that acharan sulfate could induce maturation of immature DCs. These results suggest that that the antitumor activity of acharan sulfate is at least in part due to activation adn induction of differentiation of professinal antigen presenting cells. (omitted)

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Performance Analysis of the UHF RFID Reader with the Range Correlation Effects of the Phase Noise (위상 잡음의 거리 상관 효과에 따른 UHF RFID 리더의 성능 분석)

  • Jang, Byung-Jun;Kang, Min-Soo;Lim, Jae-Bong
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.19 no.2
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    • pp.152-160
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    • 2008
  • In this paper, we analyze the performance of a direct-conversion UHF RFID reader with the range correlation effects of the phase noise. Since a UHF RFIB system uses the same oscillator to generate the transmitted carrier and the local oscillation, the periodic interference and phase noise reduction effects occur due to time delay between two signals. Through exact theory and simulation, we verify how to cancel the periodic interference phenomena using I/Q diversity combining technique. And, we analyze phase noise reduction effects due to range correlation as a function of the tag-reader distance and the offset frequency Using these results, we simulate the symbol-error-rate performance with respect to phase noise with and without range correation effects. We show that the phase noise of the local oscillator has little effect on the symbol-error-rate performance because of phase noise reduction by range correlation.

L1 Cell Adhesion Molecule Suppresses Macrophage-mediated Inflammatory Responses (L1 Cell Adhesion Molecule에 의한 대식세포 매개 염증반응의 억제 기전 분석)

  • Yi, Young-Su
    • YAKHAK HOEJI
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    • v.60 no.3
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    • pp.128-134
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    • 2016
  • L1 cell adhesion molecule (L1CAM) is a cell surface molecule to initiate a variety of cellular responses through interacting with other cell adhesion molecules in a homophilic or heterophilic manner. Although its expression was found to be upregulated in some tumor cells, including cholangiocarcinomas, and ovarian cancers, and many studies have investigated the role of L1CAM in these cancers, its role in inflammatory responses has been poorly understood. In this study, we explored the role of L1CAM in macrophage-mediated inflammatory responses. L1CAM significantly suppressed the production of nitric oxide (NO), but induced cell proliferation in RAW264.7 cells. L1CAM expression was detectable, but its expression was markedly decreased by lipopolysaccharide (LPS) in RAW264.7 cells. In addition, the expression of pro-inflammatory genes, such as tumor necrosis factor (TNF)-${\alpha}$, cyclooxygenase (COX)-2, and inducible nitric oxide synthase (iNOS) induced by LPS was dramatically suppressed by L1CAM in RAW264.7 cells. L1CAM inhibited the transcriptional activities of NF-${\kappa}B$ and AP-1 while its cytoplasmic domain deletion form, $L1{\Delta}CD$ did not suppressed their activities in RAW264.7 cells. Moreover, L1CAM suppressed nuclear translocation of p65 and p50 as well as c-Jun, c-Fos and p-ATF2 which are transcription factors of NF-${\kappa}B$ and AP-1, respectively. In conclusion, L1CAM suppressed inflammatory responses in macrophages through inhibiting NF-${\kappa}B$ and AP-1 pathways.

An Analysis of Consumption Patterns of High-Caffeinated Energy Drinks and Adverse Effects by Surveys from Students at Middle and High Schools in Korea (국내 중고등학생들의 고카페인 에너지음료 소비패턴 및 부작용에 대한 분석)

  • Yang, Young-Mo;Huh, Wan;Jeong, Eun;Lee, Jae-Joon;Choi, Eun Joo
    • YAKHAK HOEJI
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    • v.58 no.6
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    • pp.387-396
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    • 2014
  • High Caffeinated Energy Drink (HCED) consumption among adolescents has been exponentially increasing. The intake of HCED may cause various side effects. However, studies regarding intake of HCED in adolescents have been rarely implemented in Korea. The purpose of this study was to investigate HCED consumption patterns among adolescents and prevalence of adverse effects from HCED consumption and to compare them between middle and high school students. The self-reported questionnaire with 31 questions was used to evaluate HCED consumption patterns and adverse effects. Among 792 students, 455 who had drunken HCED were included in the analysis. Nine (4.0%) Middle School Students (MSSs) and 11 (4.8%) High School Students (HSSs) responded that they did not know HCED, and 188 (83.6%) MSSs and 221 (96.1%) HSSs had heard that HCED contains high amount of caffeine. Seventy-four (36.8%) MSSs drank their first HCEDs from curiosity and 63 (31.3%) MSSs to stay awake while studying. However, 134 (61.2%) HSSs consumed their first HCEDs to keep awake while studying, and 57 (26.0%) HSSs from curiosity. Twenty-eight (12.5%) MSSs and 46 (20.3%) HSSs had increase in heart rate, 52 (23.2%) MSSs and 83 (36.4%) HSSs insomnia, and 8 (3.6%) MSSs and 18 (7.9%) HSSs hand and facial tremor. As shown in this study, HCED consumption among adolescents in Korea was high. Thus, Korean government should continuously focus its efforts to educate not only children and adolescents but also their parents for HCEDs in order to increase parents' awareness of HCEDs and conduct education regarding HCED intake at home above all.

Comprehensive Performance Analysis and Comparison of various Digital communication Systems in an Multipath Fading Channel with additive Mixture of Gaussian and Impulsive Noise [Part-2] (가우스성 잡음과 임펄스성 잡음이 혼재하는 다중전파 페이딩 전송로상에서의 제반디지탈 통신시 스템특성의 종합분석 및 비교에 관한 연구 (제 2 부))

  • 김현철;고봉진;공병옥;조성준
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.14 no.3
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    • pp.280-292
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    • 1989
  • In this paper, the error rate equations of digitally modulated signals transmitted through the channel which is not only Gaussian/Impulsive noise but also multi-path fading have been derived. Using the derived equations for the error probabilities of ASK, QAM, CPSK, DPSK, FSK, and MSK signals, the error rate performances of digital modulation systems have been evaluated and represented in the graphs as the functions of CNR, Impulsive indes, the ratio of Gaussian noise power component to Impulsive noise power component, and fading figures. The results show that, in the deep fading environment, the error is occurred more frequency by Gaussian noise than Impulsive noise. And the comparison of various systems certifies that PSK is superior to the ohter systems in the deep fading or shallow fading environment.

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