• 제목/요약/키워드: Crossover study

검색결과 509건 처리시간 0.029초

가열담배 사용과 연소담배 흡연의 급성 심혈관 효과 검증 (Comparison of Acute Cardiovascular Effects of Using Heated Tobacco Productsand Cigarette Smoking)

  • 김동규;김맹규
    • 생명과학회지
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    • 제34권5호
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    • pp.320-332
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    • 2024
  • 본 연구는 연소담배와 비교해 서로 다른 가열담배(heated tobacco products, HTPs) 사용 시 혈역학적 지표들의 급성 반응을 비교하고, 급성 HTPs 에어로졸 노출이 심장 자율신경조절(cardiac autonomic regulation, CAR)에 미치는 영향을 탐색하려는 목적으로 수행되었다. 또한, 서로 다른 연초 스틱 간 급성 심혈관 효과의 비교 검증을 목표로 하위연구를 설계했다. 외관상 건강한 남성 흡연자 16명은 개방표지, 무작위 교차시험으로, 최소 48시간 세척기간과 함께 비-흡연(non-smoking, NS), 담배 흡연 및 서로 다른 두 가지 HTPs 사용 세션을 각각 수행했다. 하위연구는 NS와 함께 서로 다른 두 가지 연초 스틱 간 급성 심혈관 효과를 비교하기 위해, 참여자 중 8명을 대상으로 실시되었다. 수축기와 확장기 혈압 및 CAR을 반영하는 심박변이도(heart rate variability, HRV)가 각 세션 시작 전, 제품 사용 중 그리고 사용 후 30분까지 평가되었다. NS 동안 혈역학적 변화는 통계적 차가 없었으나, HTPs 에어로졸에 급성 노출은 담배 연기와 상응하는 수축기와 확장기 혈압의 유의한 증가를 초래했으며, 이들 지표에서 HTPs 기기 간 통계적 차는 없었다. 연소담배와 HTPs 사용 후 통계적으로 유의한 심장 교감신경활동(cardiac sympathetic nerve activity, CSNA)의 급성 증가와 심장 미주신경 긴장도(cardiac vagal tone, CVT)의 급격한 저하가 나타났다. 사용 기기와 독립적으로 HTPs 사용에 따른 CSNA와 CVT 반응은 연소담배와 통계적 차가 없었다. 서로 다른 두 가지 연초 스틱은 NS와 비교해 혈역학적 지표들의 유의한 증가를 유도했으나, 연초 스틱 간 통계적 차는 없었다. CVT는 두 가지 연초 스틱 사용에 따라 유의하게 감소했으며, 연초 스틱의 종류에 따라 CVT 저하에 통계적 차가 있었다. 이상의 결과들은 HTPs 에어로졸 노출이 사용 기기와 독립적으로 연소담배와 동등한 급성 심혈관 효과를 유도할 수 있으며, 연초 스틱의 종류에 따라 급성 CAR 저하가 강화될 수 있음을 시사한다.

Effects of low dietary cation-anion difference induced by ruminal ammonium chloride infusion on performance, serum, and urine metabolites of lactating dairy cows

  • Wang, Kun;Nan, Xuemei;Zhao, Puyi;Liu, Wei;Drackley, James K.;Liu, Shijie;Zhang, Kaizhan;Bu, Dengpan
    • Asian-Australasian Journal of Animal Sciences
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    • 제31권5호
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    • pp.677-685
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    • 2018
  • Objective: The objective of the present study was to determine ammonium chloride tolerance of lactating dairy cows, by examining effects of negative dietary cation anion difference (DCAD) induced by ruminal ammonium chloride infusion on performance, serum and urine minerals, serum metabolites and enzymes of lactating dairy cows. Methods: Four primiparous lactating Chinese Holstein cows fitted with ruminal cannulas were infused with increasing amounts (0, 150, 300, or 450 g/d) of ammonium chloride in a crossover design. The DCAD of the base diet was 279 mEq/kg dry matter (DM) using the DCAD formula (Na + K - Cl - S)/kg of DM. Ammonium chloride infusion added the equivalent of 0, 128, 330, and 536 mEq/kg DM of Cl in treatments. According to the different dry matter intakes (DMI), the resulting actual DCAD of the four treatments was 279, 151, -51, and -257 mEq/kg DM, respectively. Results: DMI decreased linearly as DCAD decreased. Yields of milk, 4% fat-corrected milk, energy-corrected milk, milk fat, and milk protein decreased linearly as DCAD decreased. Concentrations of milk protein and milk urea nitrogen increased linearly with decreasing DCAD. Concentration of Cl- in serum increased linearly and concentration of PO43- in serum increased quadratically as DCAD decreased. Urine pH decreased linearly and calculated urine volume increased linearly with decreasing DCAD. Linear increases in daily urinary excretion of $Cl^-$, $Ca^{2+}$, $PO_4{^{3-}}$, urea N, and ammonium were observed as DCAD decreased. Activities of alanine aminotransferase, aspartate aminotransferase, and ${\gamma}-glutamyl$ transferase in serum and urea N concentration in serum increased linearly as DCAD decreased. Conclusion: In conclusion, negative DCAD induced by ruminal ammonium chloride infusion resulted in a metabolic acidosis, had a negative influence on performance, and increased serum enzymes indicating potential liver and kidney damage in lactating dairy cows. Daily ammonium chloride intake by lactating dairy cows should not exceed 300 g, and 150 g/d per cow may be better.

Short-term Effect of Fine Particulate Matter on Children's Hospital Admissions and Emergency Department Visits for Asthma: A Systematic Review and Meta-analysis

  • Lim, Hyungryul;Kwon, Ho-Jang;Lim, Ji-Ae;Choi, Jong Hyuk;Ha, Mina;Hwang, Seung-sik;Choi, Won-Jun
    • Journal of Preventive Medicine and Public Health
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    • 제49권4호
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    • pp.205-219
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    • 2016
  • Objectives: No children-specified review and meta-analysis paper about the short-term effect of fine particulate matter ($PM_{2.5}$) on hospital admissions and emergency department visits for asthma has been published. We calculated more precise pooled effect estimates on this topic and evaluated the variation in effect size according to the differences in study characteristics not considered in previous studies. Methods: Two authors each independently searched PubMed and EMBASE for relevant studies in March, 2016. We conducted random effect meta-analyses and mixed-effect meta-regression analyses using retrieved summary effect estimates and 95% confidence intervals (CIs) and some characteristics of selected studies. The Egger's test and funnel plot were used to check publication bias. All analyses were done using R version 3.1.3. Results: We ultimately retrieved 26 time-series and case-crossover design studies about the short-term effect of $PM_{2.5}$ on children's hospital admissions and emergency department visits for asthma. In the primary meta-analysis, children's hospital admissions and emergency department visits for asthma were positively associated with a short-term $10{\mu}g/m^3$ increase in $PM_{2.5}$ (relative risk, 1.048; 95% CI, 1.028 to 1.067; $I^2=95.7%$). We also found different effect coefficients by region; the value in Asia was estimated to be lower than in North America or Europe. Conclusions: We strengthened the evidence on the short-term effect of $PM_{2.5}$ on children's hospital admissions and emergency department visits for asthma. Further studies from other regions outside North America and Europe regions are needed for more generalizable evidence.

무지 외반증과 동반된 소족지 기형에 대한 수술적 교정치료가 임상 결과에 미치는 영향 (The Effect of Operative Treatment for Lessor Toes Deformity Concomitant with Hallux Valgus on Clinical Outcomes)

  • 박지강;김용민;김동수;박경진;조병기;정호승
    • 대한족부족관절학회지
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    • 제17권3호
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    • pp.225-233
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    • 2013
  • Purpose: This study was performed to evaluate the impact of the lesser toe operation on the overall clinical outcomes, and to analyze the clinical results of concomitant surgery for hallux valgus and lesser toe deformities. Materials and Methods: Forty-six cases underwent surgery for hallux valgus with concomitant lesser toe deformities were followed up for at least 1 year. Lesser toe deformities consisted of 9 crossover toes, 10 claw toes, 12 hammer toes and 15 bunionettes. Clinical evaluation was performed according to AOFAS (American Orthopaedic Foot and Ankle Society) score, patient's satisfaction score, and pain VAS (visual analogue scale) score. Hallux valgus angle (HVA), intermetatarsal angle (IMA), and period to union were measured. Preoperative expectation about lesser toe deformities, postoperative satisfaction, complication rate, hospitalization period, medical expenses, and frequency of outpatient follow-up were analyzed. Results: AOFAS score, VAS score, HAV and IMA had improved significantly. On preoperative expectation of patients, correction of lesser toe deformities was ranked third, following the improvement of big toe(bunion) pain and the correction of hallux valgus. Patient's satisfaction score was average 92.8 points, and the importance of lesser toe operation was 30.2%. When compared to hallux valgus operation only, there were average 2.5 days of additional hospitalization, 2.4 times of additional outpatient follow-up, 386000 won of additional medical expenses. Conclusion: Combined operation for hallux valgus and concomitant lesser toe deformities showed good clinical results. When compared to hallux valgus operation only, there were longer hospitalization, more frequent follow-up, more medical expenses, more complications. However, lesser toe deformity correction in patients underwent hallux valgus operation is considerable, because of high preoperative expectation and postoperative satisfaction.

20세기말 현대패션에 나타난 다문화주의(Multiculturalism) 현상에 관한 연구 (A Study on the Multiculturalism Phenomena Expressed in Contemporary Fashion of the End twentieth century)

  • 최혜정;임영자
    • 복식
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    • 제51권2호
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    • pp.149-167
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    • 2001
  • Today, every culture has taken on the compromise form by means of the cultural difference, variety, and pluralism according to the internationalization and the advance so that it has been developed toward the half-blooded and multilayered the aspect. In accordance with this current of the times, this thesis observed the feminism found in the multiculturism of the end of the 20th century, the third world, and technology with the side of the tendency of modern fashion, considered the hybride phenomenon which is pulling down the wall between culture and genre due to the social diversification. and predicted the fashion trend do 21st century serf on it. Multiculturism is the movement that began to arise in the academic world of America and the literary world form the close of 1980's in accepting the variety of culture and regarding the culture with the more balanced and wide view and just as it is, it means the attitude of accepting one or more cultures of variely and the position of taking interest in the culture of minority race not the culture of a governing race. It is the fashion of feminism adapts dualism like unisex, androgynous look, etc of bisexual lendency in the 1980's, it shows new style with crossover of liberal sense because there is not the difference of sex in fashion. The eco-feminism pursues the natural sexuality not being instrumental and dismantling and expressed it in the Gender expression of an integrated human being. The trend of ethnic fashion in the close of 20th century is that the element of hippie is working so strongly. By adding embroidery of Oriental style, accessories of Indian style, feathers, beads, a hempen hood to the ethnic costumes of Asia and Latin, is shows the figure of ethnic hippie. As the cycler fashion is the future clothes through technology of computer, it uses a cool glass material bringing up the image of a spacesuit in order to expresses cyber image through artificial color combination of sheen colors, Though this techno-color fashion has established the fresh stimulation and the innovative aspect with ultramodern materials and image of futurism, it transmits a hope of estranged people and the natural elements. Hybride means a cross and mixture of animal and plant in Korean and is also called fusion. The phenomenon of hybrid predicts to comes the period of a cross and variation because something completely new comes into the world by contamination, mixture and compromise through meeting something different each other and it has on advantage of developing something existing to one more stage. It is prospected that in the society of 21st century, the borderline of traditional gender will be disappeared, variety and individuality will determine the individual behavior, and the masculine value will be substituted by feminine value. In the society giving priority to feminine value, a fashion stuck closely to women is what must reflect lives of woman under the proposition of woman's beauty, being on original function. So, it is considered that a fashion with added convenience and practicality having the function which is easy to put on, comfortable to act, able to express solves so much, and able to show various appearances according to T.P.O will get into the spotlight.

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모노크롬(MonoCrom)앨범에 관한 고찰 (A Study on the Album "MonoCrom")

  • 김준수;조태선
    • 한국산학기술학회논문지
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    • 제21권2호
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    • pp.205-211
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    • 2020
  • 많은 대중들은 가수 신해철에 대해 음악프로듀서, 싱어송라이터, 작곡가 등 다양한 음악적 활동을 했던 뮤지션으로 알고 있다. 그러나 그는 그 외에도 각종 대중매체에 다 방면으로 활발한 활동을 했던 전 방위적인 엔터테이너이기도 하다. 그의 음악적인 성향은 매우 진보적이며, 다양한 시도와 실험적인 퓨전 스타일의 음악을 지향한다. 그의 앨범 중 '모노크롬'은 독특한 테크노 음악과 전통음악을 접목한 결과물로 새로운 사운드를 향한 음악적인 가치와 의미에서 한국대중음악의 수준을 한 차원 끌어 올렸다는 평가를 받고 있다. 본 앨범에서 국악의 비중은 매우 높다. 꽹과리, 장구, 징 등 사물놀이 전통악기뿐만 아니라, 대금, 태평소, 품바, 타령 등을 사용, 기존 국악과의 협업을 통해 보다 진보된 확장성 있는 크로스오버 음악을 보여주고 있다. 현재 'K-Pop'이 세계적인 음악으로 계속 사랑받기 위해서는 음악적인 확장성을 기반을 둔 새로운 시도가 무엇보다 필요하다고 본다. 그렇기 때문에 모노크롬 앨범에서처럼 국악을 음악적 기재(器財)로 사용한다면, 차별성을 둔 우리만의 음악을 만들 수 있으며, 그로 인해 세계적으로 높은 'K-Pop'의 관심도 지속될 수 있을 것이라고 생각한다.

의약품 지출 비용에 미치는 영향 요인 - 한국의료패널자료를 활용하여 (Factors Affecting Medicines Expenditure Costs - Using Korean Medical Panel Data)

  • 김윤정;황병덕
    • 한국콘텐츠학회논문지
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    • 제18권4호
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    • pp.664-676
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    • 2018
  • 본 연구는 의약품 지출 비용에 미치는 요인을 파악하기 위하여 한국의료패널조사의 2014년 원자료를 분석자료로 이용하여, 의약품 지출 비용이 있는 자 3,107명을 최종 분석 대상으로 하였다. 분석은 빈도분석, 교차분석, 회귀분석 및 t-test를 실시하였고, 모든 검증은 p=.05를 유의수준으로 하였다. 처방전 비용은 72.4%가 지출 경험이 있었고, 최소 비용은 84원, 최대 비용은 270,653원 이었고, '3천원 이상~1만원 이하'가 31.7%로 가장 많았다. 일반의약품 비용은은 81.8%가 지출 경험이 있었고, 최소 비용은 800원, 최대 비용은 2,718,000원 이었고, '2만원 이하'가 31.4%로 가장 많았다. 한약 및 첩약 비용은 9.4%가 지출 경험이 있었고, 최소 비용은 4,000원, 최대 비용은 2,700,000원 이었고, '10만원 초과'가 37.8%로 가장 많았다. 의약품 지출 총 비용은 최소 비용은 84원, 최대 비용은 2,760,093원 이었고, '10만원 초과'가 27.0%로 가장 많았다. 의약품 지출비용에 미치는 요인은 성별, 혼인상태, 소득분위, 지역권, 주관적 건강상태 이었다.

슈프락스 캅셀 (세픽심 100 mg)에 대한 세피린 캅셀의 생물학적 동등성 (Bioequivalence of Cepirin Capsule to Suprax Capsule (Cefixime 100 mg))

  • 정은주;강원구;권광일
    • Journal of Pharmaceutical Investigation
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    • 제29권2호
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    • pp.145-149
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    • 1999
  • Bioequivalence of two cefixime capsules, test drug ($Cepirin^R$ capsule: Cheiljedang Corp.) and reference drug ($Suprax^R$ capsule: Dong A Pharm. Com.), was evaluated according to the guidelines of Korea Food and Drug Administration (KFDA). Sixteen healthy volunteers were divided randomly into two groups and administered the drug orally at the dose of 400 mg as cefixime in a $2{\times}2$ crossover study. There was a 1-week washout period between the administrations. Blood samples were taken at predetermined time intervals for 12 hour and the plasma concentration of cefixime was determined with a HPLC method. $AUC_{0-12hr}$ (area under the plasma concentration-time curve form time zero to 12 hour), $C_{max}$ (maximum plasma drug concentration) and $T_{max}$ (time to reach $C_{max}$) were estimated from the plasma drug concentrationtime data. Analysis of variance (ANOVA) revealed no difference in $AUC_{0-12hr}$, $C_{max}$ and $T_{max}$ between the formulations. The apparent differences of these parameters between the formulations were less than 20% (i.e., 8.62, 11.10 and 0.00% for $AUC_{0-12hr}$, $C_{max}$ and $T_{max}$,respectively). The powers $(1-{\beta})$ for $AUC_{0-12hr}$ $C_{max}$ and $T_{max}$ were over 0.9. Minimal detectable difference $({\Delta})$ at ${\alpha}=0.05$, $1-{\beta}=0.8$ were less than 20% (i.e., 12.84, 11.05 and 17.99% for $AUC_{0-12hr}$, $C_{max}$ and $T_{max}$, respectively). The 90% confidence intervals $({\delta})$ for these parameters were also within ${\pm}20%$ (i.e., $-0.53{\le}{\delta}{\le}17.76$, $3.23{\le}{\delta}{\le}18.97$ and $-12.81{\le}{\delta}{\le}12.81$ for $AUC_{0-12hr}$, $C_{max}$ and $T_{max}$, respectively). These results satisfied the criteria of KFDA guideline for bioequivalence, indicating the two formulations of cefixime were bioequivlent.

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Identification and Functional Analysis of the Chain Length Determinant Gene ste8 Involved in the Biosynthesis of Ebosin by Streptomyces sp. 139

  • Yang, Zhang;Li, Xiaohua;Qi, Xiaoqaing;Shan, Junjie;Jiang, Rong;Guo, Lianhong;Zhang, Ren;Li, Yuan
    • Journal of Microbiology and Biotechnology
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    • 제23권11호
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    • pp.1500-1508
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    • 2013
  • Ebosin, a novel exopolysaccharide produced by Streptomyces sp. 139, has obvious antirheumatic arthritis activity in vivo, and its biosynthesis gene cluster (ste), consisting of 27 open reading frames, has been identified. This paper reports our study of the gene functionality of ste8, the predicted protein product of which is homologous to some bacterial chain length determinant Wzz proteins. For characterization of Ste8, ste8 was cloned and expressed in the mutant strain E. coli 086:H2 (${\Delta}wzz$). The functional complementation of wzz by ste8 was demonstrated by the restoration of wild-type lipopolysaccharide biosynthesis and increased levels of serum resistance of E. coli 086:H2 (${\Delta}wzz$) (pET30a-ste8). To examine the function of ste8 in ebosin biosynthesis, the gene was knocked out with a double crossover via homologous recombination. The molecular weight of the ebosin derivative EPS-8m produced by the mutant Streptomyces sp. 139 ($ste8^-$) was much lower than that of ebosin, and the binding activity of EPS-8m for IL-1R decreased significantly compared with ebosin. These results demonstrate that ste8 encodes a chain length determinant (Wzz) that functions in ebosin biosynthesis.

바나듐 레독스 흐름 전지를 위한 과불소화 술폰산 복합막 (Perfluorinated Sulfonic Acid based Composite Membranes for Vanadium Redox Flow Battery)

  • 조국진;박진수
    • 전기화학회지
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    • 제19권1호
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    • pp.21-27
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    • 2016
  • 바나듐 레독스 흐름 전지는 황산 바탕용액 내 바나듐 이온을 함유하는 전해질을 활용하여 충전과 방전을 번갈아 운전하는 에너지 저장 장치 중 하나이다. 양극액엔 $V^{5+}$$V^{4+}$가 음극액엔 $V^{2+}$$V^{3+}$가 충전 또는 방전 모드에 따라 주로 존재하게 된다. 두 종류의 바나듐 용액이 혼액되는 것을 방지하기 위해 주로 수소이온교환막을 활용하여 전체 셀을 완성하게 된다. $V^{5+}$의 높은 산화력으로 현재 듀퐁사의 Nafion 117이 유력하나 바나듐 이온의 높은 크로스오버라는 단점을 극복해야 한다. 본 연구에서는 상기 단점을 극복할 뿐만 아니라 고가의 Nafion계 막의 가격을 저감하고 화학적 안정성을 지속적으로 유지하기 위해 다공성 폴리에틸렌 필름에 나피온 고분자를 함침하여 바나듐 레독스 흐름 전지용 복합막을 제조하였으며, 상용막인 Nafion 117과 성능을 비교 분석하였다. 복합막의 두께가 두꺼워질수록 함수율과 이온전도도가 증가 하였으나 Nafion 117에 비해 다소 낮은 성능을 확인하였으며, 바나듐 이온의 투과성은 현저히 줄어드는 것을 확인할 수 있었다. 충 방전 실험 결과, $190{\mu}m$ 두께의 나피온 복합막이 가장 좋은 성능을 보였으며, Nafion 117과 비교하여 전압효율은 낮아졌지만, 충 방전 효율이 높아져 전체적인 에너지 효율은 비슷하게 측정되었다. 또한 6.4% 중량비에 해당하는 지지체만큼의 과불소화 술폰산 고분자의 중량이 감소함에 따라 비용을 절감할 수 있었으며, 성능면에서는 바나듐 이온의 투과도를 낮추어 자가 방전 속도를 저하시키면서 충 방전 용량의 감소가 느려지는 것을 알 수 있었다.