• Title/Summary/Keyword: Intermediate Support

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Current Guidelines on the Management of Dyslipidemia (이상지질혈증의 국내 및 국외 치료 가이드라인 비교)

  • Choi, Yunjeong;Lee, Song;Kim, Ju Young;Lee, Kyung Eun
    • Korean Journal of Clinical Pharmacy
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    • v.27 no.4
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    • pp.276-283
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    • 2017
  • Objective: Dyslipidemia is recognized as a prominent risk factor for cardiovascular and cerebrovascular diseases but it is manageable through therapeutic and lifestyle intervention. Interpreting the latest guidelines is essential for an application of recommendation from guidelines into clinical practice. Therefore, this study aimed to compare the most recent guidelines on dyslipidemia treatment recommendations in Korea and USA. Methods: This study analyzed and compared 2015 Korean guidelines for the management of dyslipidemia, 2013 American College of Cardiology/American Heart Association (ACC/AHA) guideline and 2016 supportive guidelines from ACC. Results: A comparison was made focused on the following: target patients based on cardiovascular risk assessment, target goal, and treatment strategies including statin and non-statin therapies. Four target patient groups by risk were suggested in 2015 Korean guideline and cardiovascular risk factors were also considered for initiation of lipid lowering therapy. Titrated statin regimen was recommended by Korean guideline to reach LDL cholesterol and non-HDL cholesterol target level. In 2013 ACC/AHA guideline, four statin benefit group was introduced considering ASCVD risk and high intensity statin or intermediate intensity statin use were recommended without dose titration. 2016 update was to support non-statin therapy based on updated evidence and new consideration of ezetimibe, PCSK9-inhibitor and bile acid sequestrant was brought up. Conclusion: Guidelines are continuously updating as new and important clinical data are constantly released along with the advent of newly approved drugs for lipid disorder. This article provides resources that facilitates uptake of these recommendations into clinical practice.

A Data Gathering Protocol for Multihop Transmission for Large Sensor Networks (대형 센서네트워크에서 멀티홉 전송을 이용한 데이터 수집 프로토콜)

  • Park, Jang-Su;Ahn, Byoung-Chul
    • Journal of KIISE:Information Networking
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    • v.37 no.1
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    • pp.50-56
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    • 2010
  • This paper proposes a data gathering method by adapting the mobile sink to prolong the whole operation time of large WSNs. After partitioning a network into several clusters, a mobile sink visits each cluster and collects data from it. An efficient protocol improves the energy efficiency by delivering messages from the mobile sink to the cluster head as well as reduces the data gathering delay, which is the disadvantage of the mobile sink. For the scalability of sensor network, the network architecture should support the multihop transmission in the duster rather than the single hop transmission. The process for the data aggregation linked to the travelling path is proposed to improve the energy consumption of intermediate nodes. The experiment results show that the proposed model is more efficient than legacy methods in the energy consumption and the data gathering time.

A Mobility Header Conversion Mechanism for Mobile IPv4 and Mobile IPv6 Communications (Mobile IPv4/Mobile IPv6 통신을 위한 모바일 헤더 변환 메커니즘)

  • Kim, Dae-Sun;Hong, Choong-Seon
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.32 no.1B
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    • pp.61-70
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    • 2007
  • An interworking translator for IPv6 and IPv4 services can be defined as an intermediate component between a native IPv4 host and a native IPv6 host to enable direct communication between them without requiring any modifications to the hosts. But if the host is a mobile node, triangle routing problem occurs, since Mobile IPv4 allows mobile node to roam transparently in my network. In this situation, mobile node must notify transfer information to its own home agent and correspondent node in IPv6 network. But current NAT-PT does not permit mobility header translation. Therefore, NAT-PT does not support efficient communication between Mobile IPv4 and Mobile IPv6. In this paper, we propose a mobility header conversion mechanism to resolve the triangle routing problem between Mobile IPv4 and Mobile IPv6.

Gas Permeation Characteristics of Silica Membrane Prepared by Ultrasonic Spray Pyrolysis (초음파 분무 열분해법에 의해 합성한 실리카 막의 기체 투과 특성)

  • Lee Kew-Ho;Youn Min-Young;Park Sang-Jin;Lee Dong-Wook;Sea Bongkuk
    • Membrane Journal
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    • v.15 no.2
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    • pp.105-113
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    • 2005
  • Silica membranes were prepared on a porous metal sheet by ultrasonic spray pyrolysis method for gas separation at high temperatures. In order to improve the permselectivity, silica was deposited in the sol-gel derived $silica/\gamma-alumina$ intermediate layer by pyrolysis of tetraethyl orthosilicate (TEOS) at 873 K. The pyrolysis with forced cross flow through the porous wall of the support was very effective in plugging mesopores, Knudsen diffusion regime, that were left unplugged in the membranes. At permeation temperature of 523 K, the silica/alumina composite membrane showed $H_2/N_2$ and water/methanol selectivity as high as 17 and 16, respectively, by molecular sieve effect.

Ecosystem Health Assessments of Changwon Stream as a Preliminary Diagnosis for Aquatic Ecosystem Restoration

  • Han, Jung-Ho;Bae, Dae-Yeul;An, Kwang-Guk
    • Korean Journal of Ecology and Environment
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    • v.40 no.4
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    • pp.527-536
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    • 2007
  • In this study, we applied 10-metric health assessment model, based on the Index of Biological Integrity (IBI) during 2006 in the Changwon Stream, which is located in the Changwon city, Gyeongnam province, S. Korea, and then compared with water quality data. The Index of Biological Integrity (IBI) in the Changwon Stream varied from 18 to 38 in the watershed depending on the sampling location and averaged 30.3 (n=6) during the study. Analysis of tolerance guilds showed that the proportion of sensitive species was 13%, but tolerant and intermediate species were 34% and 53%, respectively. Qualitative Habitat Evaluation Index (QHEI) averaged 43.3 (range: 65-104, n=6) indicating non-supporting condition, based on the criteria of U.S. EPA (1993). Values of QHEI showed a typical longitudinal decreases from the headwater reach to the downstream location, except for Site 1 with a low QHEI value by artificial habitat by concrete construction. Minimum QHEI was found in Site 4 where fish diversity was minimal. Conductivity increased continuously along the gradients and especially showed abrupt increases in the downstream sites along with turbidity. Stream ecosystem health of IBI matched to the values of QHEI except for S6. Low IBI values in the sites 4 and 5 was considered to be a result of combined effects of chemical pollutions and habitat degradations. Our results support the hypotheses of Plafkin et ai. (1989) that physical habitat quality directly influences the trophic structure and species richness, and is closely associated with IBI values.

Kinetic and Theoretical Studies on Pyridinolysis of 2,4-Dinitrophenyl X-Substituted Benzoates: Effect of Substituent X on Reactivity and Mechanism

  • Um, Ik-Hwan;Kim, Eun-Hee;Im, Li-Ra;Mishima, Masaaki
    • Bulletin of the Korean Chemical Society
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    • v.31 no.9
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    • pp.2593-2597
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    • 2010
  • Second-order rate constants ($k_N$) have been measured spectrophotometrically for reactions of 2,4-dinitrophenyl X-substituted benzoates (X = 4-MeO, H and 4-$NO_2$) with a series of Z-substituted pyridines in 80 mol % $H_2O$/20 mol % DMSO at $25.0{\pm}0.1^{\circ}C$. The Br${\o}$nsted-type plots exhibit downward curvature (e.g., $\beta_2$ = 0.89 ~ 0.96 when $pK_a$ < 9.5 while $\beta_1$ = 0.38 ~ 0.46 when $pK_a$ > 9.5), indicating that the reaction proceeds through a stepwise mechanism with a change in rate-determining step (RDS). The ${pK_a}^o$, defined as the $pK_a$ at the center of Br${\o}$nsted curvature, has been analyzed to be 9.5 regardless of the electronic nature of the substituent X in the benzoyl moiety. Dissection of $k_N$ into the microscopic rate constants $k_1$ and $k_2/k_{-1}$ ratio has revealed that $k_1$ is governed by the electronic nature of the substituent X but the $k_2/k_{-1}$ ratio is not. Theoretical calculations also support the argument that the electronic nature of the substituent X in the benzoyl moiety does not influence the $k_2/k_{-1}$ ratio.

An Immune Algorithm based Multiple Energy Carriers System (면역알고리즘 기반의 MECs (에너지 허브) 시스템)

  • Son, Byungrak;Kang, Yu-Kyung;Lee, Hyun
    • Journal of the Korean Solar Energy Society
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    • v.34 no.4
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    • pp.23-29
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    • 2014
  • Recently, in power system studies, Multiple Energy Carriers (MECs) such as Energy Hub has been broadly utilized in power system planners and operators. Particularly, Energy Hub performs one of the most important role as the intermediate in implementing the MECs. However, it still needs to be put under examination in both modeling and operating concerns. For instance, a probabilistic optimization model is treated by a robust global optimization technique such as multi-agent genetic algorithm (MAGA) which can support the online economic dispatch of MECs. MAGA also reduces the inevitable uncertainty caused by the integration of selected input energy carriers. However, MAGA only considers current state of the integration of selected input energy carriers in conjunctive with the condition of smart grid environments for decision making in Energy Hub. Thus, in this paper, we propose an immune algorithm based Multiple Energy Carriers System which can adopt the learning process in order to make a self decision making in Energy Hub. In particular, the proposed immune algorithm considers the previous state, the current state, and the future state of the selected input energy carriers in order to predict the next decision making of Energy Hub based on the probabilistic optimization model. The below figure shows the proposed immune algorithm based Multiple Energy Carriers System. Finally, we will compare the online economic dispatch of MECs of two algorithms such as MAGA and immune algorithm based MECs by using Real Time Digital Simulator (RTDS).

Major Element Changes in the Upper Quaternary Sediment of the East Sea (Sea of Japan): Their Implications for the Onset of Holocene

  • Hyun, Sang-Min;Han, Sang-Joon;Bahk, Jang-Jun
    • Journal of the korean society of oceanography
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    • v.33 no.4
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    • pp.185-195
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    • 1998
  • Two piston cores (94PC-2 and 95PC-4) taken from the East Sea (Sea of Japan) are studied to evaluate the paleoceanographic changes and its interaction with climatic variation. The bulk geochemistry of the non-biogenic fractions of 54 sediment samples is determined using X-ray fluorescence. Four geochemical stratigraphic units at both core sediments are recognized based on the variations in major element concentration. These chemical stratigraphic units correspond well with the sedimentological and paleontological facies. Source materials are considered as basic and/or intermediate rocks judging from silica content. A distinctive boundary around 11 kyr may correspond to Younger Dryas event. The switch of most major elements at this level and the distinctive changes in concentration of typical terrigenous elements (TiO$_2$ and Al$_2$O$_3$) are the strong evidence for the difference in sources of terrigenous materials. The weathering indices exhibit high degree in Core 94PC-2 and low degree in Core 95PC-4. The changes in weathering degree can be distinguished by the lowest value occurred at 11 kyr in Core 94PC-2 and by a gradual decrease from top to bottom in Core 95PC-4. The profiles of potassium and sodium exhibit specific excursions between the Holocene and the late Pleistocene. This implies that sediments of the two cores originating from different sources with different weathering degrees. The distinct two-group distributions in K$_2$O/CaO vs. Na$_2$O/K$_2$O also support the difference in provenance of aluminosilicate materials at the boundary of 11 kyr. Thus, supply patterns of terrigenous materials are stable in Holocene and more complicated in the last glacial period.

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Analysis of Local Community Spaces Bringing Empty Homes Back into Use in Japan - Focused on Empty Home Utilization Model Project of Kyoto City - (일본의 빈집을 활용한 지역사회 커뮤니티 거점공간 분석 - 교토시 「빈집활용 & 마을만들기」 모델 프로젝트를 중심으로 -)

  • Park, Hae-sun;Eun, Nan-Soon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.24 no.2
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    • pp.65-77
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    • 2018
  • Purpose: By identifying the contents of the "Empty Home Utilization & Community Revitalization Model Project" which is a pilot project of empty homes back into use in Kyoto City and analyzing the characteristics of the case housing, the purpose of this study is to find out implications and suggest improvements for the domestic empty home utilization project. Methods: The scope of the survey covers seven project sites in the period from 2014 to 2016. The research method is to derive the physical and operational characteristics of the project, through the literature reviews related to bringing empty homes back into use in Kyoto City and the field survey including the space measurement and the operator interview. Results: First, in order to succeed in bringing empty homes back into use for community revitalization, the selection process of the project and the role of the public in and after supporting the project are important. Second, the important features that are required as a physical characteristic of the project are an advantage in location and an interactive space that is available at all time like a community cafe at the entrance. Third, as an operational characteristic of the empty home utilization project, it is advantageous for the local residents to participate as a business actor or an operator, and it is the continuous use of residents and outsiders by implementing an operating program that is suitable for the characteristics of the local community. Implications: The physical and operational activation factors to bring empty homes back into use need to be included as the project screening standards. And it is necessary for the public to develop the Intermediate Support Organization and to participate in linking with residents in order to carry out the empty homes utilization project effectively.

Radical Intermediate Generation and Cell Cycle Arrest by an Aqueous Extract of Thunbergia Laurifolia Linn. in Human Breast Cancer Cells

  • Jetawattana, Suwimol;Boonsirichai, Kanokporn;Charoen, Savapong;Martin, Sean M
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.10
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    • pp.4357-4361
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    • 2015
  • Thunbergia Laurifolia Linn. (TL) is one of the most familiar plants in Thai traditional medicine that is used to treat various conditions, including cancer. However, the antitumor activity of TL or its constituents has never been reported at the molecular level to support the folklore claim. The present study was designed to investigate the antitumor effect of an aqueous extract of TL in human breast cancer cells and the possible mechanism(s) of action. An aqueous crude extract was prepared from dried leaves of TL. Folin-Ciocalteu colorimetric assays were used to determine the total phenolic content. Antiproliferative and cell cycle effects were evaluated in human breast adenocarcinoma MCF-7 cells by MTT reduction assay, cell growth inhibition, clonogenic cell survival, and flow cytometric analysis. Free radical generation by the extracts was detected using electron paramagnetic resonance spectroscopy. The exposure of human breast adenocarcinoma MCF-7 cells to a TL aqueous extract resulted in decreases in cell growth, clonogenic cell survival, and cell viability in a concentration-dependent manner with an $IC_{50}$ value of $843{\mu}g/ml$. Treatments with extract for 24h at $250{\mu}g/ml$ or higher induced cell cycle arrest as indicated by a significant increase of cell population in the G1 phase and a significant decrease in the S phase of the cell cycle. The capability of the aqueous extract to generate radical intermediates was observed at both high pH and near-neutral pH conditions. The findings suggest the antitumor bioactivities of TL against selected breast cancer cells may be due to induction of a G1 cell cycle arrest. Cytotoxicity and cell cycle perturbation that are associated with a high concentration of the extract could be in part explained by the total phenolic contents in the extract and the capacity to generate radical intermediates to modulate cellular proliferative signals.