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Utility of CoaguChek XS for Monitoring the Prothrombin Time (프로트롬빈시간 모니터링을 위한 CoaguChek XS의 유용성)

  • Park, Rojin;Kim, Yong-Hyun;Kwon, Kyung Ock;Na, Jongsung;Won, Yong Soon;Sung, Ki Bum;Lee, Nae-Hee;Choi, Tae Youn;Shin, Jeong Won;Shin, Hee Bong;Lee, Yong-Wha;Lee, You Kyeong
    • Tuberculosis and Respiratory Diseases
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    • v.65 no.6
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    • pp.471-475
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    • 2008
  • Background: In order to achieve a maintenance level and to prevent hemorrhagic complications, regular monitoring of the INR is mandatory for patients on oral anticoagulation therapy (OAT). A point-of-care instrument for INR monitoring is convenient for users, but the accuracy of the results has been controversial, and so this calls for exact evaluation of the point-of-care instrument that is used for INR monitoring. Methods: From Aug 2007 through Feb 2008, 85 patients on OAT among the all the patients who were admitted to Soonchunhyang University Bucheon Hospital were involved in this study. Parallel measurements of the PT INR were performed using a CoaguChek-XS and, a CA-7000 laboratory reference instrument and the results were analyzed. In addition, the patients' clinical data, including the diagnosis and the frequency and interval of the INR measurements, were also analyzed. Results: Of the 85 patients, 25 were admitted more than once to undergo INR testing and the mean interval between testing was 8.6 weeks with 39% and 38% of the tests being less than INR 2 units with using the CoaguChek-XS and the reference method, respectively. The coefficients of variation of CoaguChek-XS were 4.50 and 2.45 for the high and low INR patients, respectively. An excellent correlation was found between the two methods with a $R^2$ of 0.966 (p<0.001). Through Bland-Altman analysis, the mean INR difference between the two methods was 0.13 with the limit of agreement being -0.47~+0.72 with a 95% confidence interval. CoaguChek-XS was shown to overestimate the INR value for patients with an increasing INR, as compared to the reference method. Conclusion: CoaguChek-XS demonstrated great precision and accuracy for patients on OAT when compared to the laboratory INR results. Accordingly, the instrument should help to monitor the INR in the patients on OAT.

MARGINAL LEAKAGE OF COMPOSITE RESIN AND COMPOMER RESTORATIONS CURED WITH THREE DIFFERENT LIGHT SOURCES (광중합기 종류에 따른 복합레진과 콤포머의 미세누출에 관한 연구)

  • Park, Chang-Hoo;Yang, Kyu-Ho;Kim, Seon-Mi;Choi, Nam-Ki
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.3
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    • pp.438-446
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    • 2006
  • The purpose of this study was to evaluate the microleakage of composite resin($Z250^{(R)}$) and compomer(Dyract AP) cured with various curing lights(Elipar $TriLight^{(R)}$, $Flipo^{(R)}$, and Elipar FreeLight $2^{(R)}$). Box-shaped class V cavities were prepared on the buccal and lingual surfaces of extracted human third molars. The sectioned specimens were evaluated for dye penetration and following results were obtained. 1. Regarding microleakage in the enamel margin with different curing light sources, there was no significant difference in Dyract AP whereas $Z250^{(R)}$ with $Flipo^{(R)}$ showed higher microleakage score than those of FreeLight $2^{(R)}$ or $TriLight^{(R)}$(p<0.05). 2. Regarding microleakage in the dentin margin with curing light sources, there were no significant differences in both Dyract AP and $Z250^{(R)}$(p>0.05). 3. Regarding microleakage in the enamel margin with filling materials. there were no significant differences in both filling materials with $Flipo^{(R)}$ whereas $Z250^{(R)}$ showed less microleakage than Dyract AP with FreeLight $2^{(R)}$ or $TriLight^{(R)}$ (p<0.05). 4. Regarding microleakage in the dentin margin with filling materials, there wer no significant differences in both filling materials with $TriLight^{(R)}$ whereas $Z250^{(R)}$ showed less microleakage than Dyract AP with FreeLight $2^{(R)}$ or $Flipo^{(R)}$ (p<0.05). 5. Enamel margin showed less microleakage than dentin margin when filled with Dyract AP and cured with $Flipo^{(R)}$ or FreeLight $2^{(R)}$ (p<0.05), but there were no statistically significant differences between the enamel and the dentin in the rest groups. This study suggested that $Z250^{(R)}$ showed lower microleakage score than Dyract AP. and that $Flipo^{(R)}$ showed higher microleakage score than FreeLight $2^{(R)}$ and $TriLight^{(R)}$ in the enamel margin filled with $Z250^{(R)}$.

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Trend (in 2005) of Repair of Inguinal Hernia in Children in Korea - A National Survey by the Korean Association of Pediatric Surgeons in 2005 - (2005년도 소아 서혜부 탈장치료 경향)

  • Kim, Seong-Min;Kim, Dae-Yeon;Kim, Sang-Yoon;Kim, Seong-Chul;Kim, Woo-Ki;Kim, Jae-Eok;Kim, Jae-Chun;Park, Kwi-Won;Seo, Jeong-Meen;Song, Young-Tack;Oh, Jung-Tak;Lee, Nam-Hyuk;Lee, Doo-Sun;Chun, Yong-Soon;Chung, Sang-Young;Chung, Eul-Sam;Choi, Kum-Ja;Choi, Soon-Ok;Han, Seok-Joo;Huh, Young-Soo;Hong, Jeong;Choi, Seung-Hoon
    • Advances in pediatric surgery
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    • v.12 no.2
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    • pp.155-166
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    • 2006
  • Inguinal hernia is the most common disease treated by the pediatric surgeon. There are several controversial aspects of management 1)the optimal timing of surgical repair, especially for preterm babies, 2)contralateral groin exploration during repair of a clinically unilateral hernia, 3)use of laparoscope in contralateral groin exploration, 4)timing of surgical repair of cord hydrocele, 5)perioperative pain control, 6)perioperative management of anemia. In this survey, we attempted to determine the approach of members of KAPS to these aspects of hernia treatment. A questionnaire by e-mail or FAX was sent to all members. The content of the questionnaire were adapted from the "American Academy of Pediatrics (AAP) Section on Surgery hernia survey revisited (J Pediatr Surg 40, 1009-1014, 2005)". For full-term male baby, most surgeons (85.7 %) perform an elective operation as soon as diagnosis was made. For reducible hernia found in ex-preterm infants already discharged from the neonatal intensive care unit (NICU), 76.2 % of surgeons performed an elective repair under general anesthesia (85.8 %). 42.9 % of the surgeons performed the repair just before discharge. For same-day surgery for the ex-premature baby, the opinion was evenly divided. For an inguinal hernia with a contralateral undescended testis in a preterm baby, 61.9 % of surgeons choose to 'wait and see' until 12 month of age. The most important consideration in deciding the timing of surgery of inguinal hernia in preterm baby was the existence of bronchopulmonary dysplasia (82.4 %), episode of apnea/bradycardia on home monitoring (70.6 %). Most surgeons do not explore the contralateral groin during unilateral hernia repair. Laparoscope has not been tried. Most surgeons do not give perioperative analgesics or blood transfusion.

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The Necessity and Method of Stand Density Control Considering the Shape Ratio of Pinus thunbergii Coastal Disaster Prevention Forests in South Korea (곰솔 해안방재림의 형상비를 고려한 밀도 관리의 필요성과 방안)

  • Kim, Suk-Woo;Chun, Kun-Woo;Park, Ki-Hyung;Lim, Young-Hyup;Yun, Ju-Ung;Kwon, Se-Myoung;Youn, Ho-Joong;Lee, Jin-Ho;Teramoto, Yukiyoshi;Ezaki, Tsugio
    • Journal of Korean Society of Forest Science
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    • v.104 no.3
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    • pp.411-420
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    • 2015
  • This study examined methods for stand density control by using shape ratio (tree height/DBH) and its application for effective management of Pinus thunbergii coastal disaster prevention forests. We analyzed the present conditions (height, DBH, and density) of P. thunbergii coastal disaster prevention forests at 123 study sites on Jeju Island and west, south, and east coasts of South Korea and compared them with results from previous studies. The average shape ratio for P. thunbergii showed positive correlations with stand density and was significantly higher on the west coast (66.32) than on the south (49.57) and east (48.19) coasts and Jeju Island (48.29). Stands with shape ratio higher than 70 accounted for 50% of the total study sites on the west coast, indicating a decrease in their disaster prevention function compared to that of other previous studies. The stand density in most coastal areas, except the east coast, was significantly higher than the standards recommended by the Korea Forest Service and the Forestry and Forest Products Research Institute of Japan, indicating the need for stand density control. According to the growth estimation equation for P. thunbergii in the coastal area of South Korea, density control is required for young stands less than 14 years old, which show drastic increase in the shape ratio, to conserve their disaster prevention function. Particularly, the first thinning of P. thunbergii forests should be implemented before the stand age of 8 years that a shape ratio exceeds 70. For disaster-prone young stands (${\leq}20cm$ DBH) of P. thunbergii, the stand density was higher in the standard of Japan considering shape ratio than in that of Korea aiming timber production. Hence, the standard guidelines employed in Japan, which assign higher importance to disaster prevention function based on field surveys, can be applied effectively for controlling the stand density of P. thunbergii coastal forests in South Korea, to improve their disaster prevention function.

Edible Culture Media from Cereals and Soybeans for Pre-cultivation of Lactic Acid Bacteria (곡류 및 두류를 이용한 젖산균 전배양용 식용 배지의 제조)

  • Park, So-Lim;Park, Sunhyun;Jang, Jieun;Yang, Hye-Jung;Moon, Sung-Won;Lee, Myung-Ki
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.42 no.6
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    • pp.991-995
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    • 2013
  • This study was conducted to develop an edible culture media with various types of cereals and soybeans for the pre-cultivation of lactic acid bacteria (LAB). To manufacture the edible culture media, LAB enrichment media were prepared using cereals such as brown rice (including germinated brown rice, glutinous brown rice, and germinated glutinous brown rice), yellow soybeans (including yellow soybeans, hulled yellow soybeans, germinated yellow soybeans, hulled and germinated yellow soybeans), and black soybeans (black soybeans, hulled black soybeans, germinated black soybeans, hulled and germinated black soybeans). Seven species of LAB were used in the experiment: Lactobacillus (Lb.) farciminis, Lb. homohiochii, Lb. pentosus, Lb. plantarum, Leuconostoc (Leu.) paramesenteroides, Leu. citreum, and Leu. lactis. For edible culture media from cereals, the average viable cell count of the seven starter cultures was 7.6~8.0 log CFU/mL, while that of the MRS culture medium, a synthetic medium, was 9.2 log CFU/mL; thus proliferation was lower by about 1~2 log CFU/mL in starter cultures from cereals compared to the synthetic medium. In the case of the edible culture media from soybeans, most bacteria showed higher proliferation in the hulled and germinated soybean media. In particular, Lb. plantarum showed the highest cell count at 10.08 log CFU/mL. In the case of edible culture media from black soybeans, the proliferation rate was higher in the hulled and germinated black soybean medium. Lb. homohiochii showed the highest proliferation in the hulled and germinated black soybean medium at 9.90 log CFU/mL. All results show that edible culture media using cereals and soybeans are generally good for LAB. Especially, hulled and germinated black soybeans are optimal for the pre-cultivation of LAB medium.

Effects of Quality Characteristics and Antioxidant Activities of Dry Noodles with Added Sorghum Flour by Characteristics of Endosperm (배유특성이 다른 수수가루 첨가가 건면의 품질특성 및 항산화활성에 미치는 영향)

  • Ko, Jee Yeon;Woo, Koan Sik;Kim, Jung In;Song, Seuk Bo;Lee, Jae Saeng;Kim, Hyun Young;Jung, Tae Wook;Kim, Ki Young;Kwak, Do Yeon;Oh, In Seok
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.42 no.8
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    • pp.1227-1235
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    • 2013
  • This study was conducted in order to investigate the quality characteristics and antioxidant activities of dry noodles with addition of sorghum (Sorghum bicolor L. Moench) flour from glutinous and non-glutinous varieties. The sorghum varieties used in this study were glutinous 'Hwaggumchal' and non-glutinous 'Donganme', and the contents added to noodles were 'Hwaggumchal' 5%, 'Hwaggumchal' 10%, 'Donganme' 5%, and 'Donganme' 10%. The turbidity of soup of cooked noodles was increased by addition of sorghum flour. The cooking loss of 'Hwaggumchal' flour added noodles (HFN) was greater than that of 'Donganme' flour added noodles (DFN), reflecting endosperm characteristics. Phenolic compounds such as polyphenol, flavonoid, and tannin contents and antioxidant activity of sorghum flour added noodles were increased in proportion to the amounts of added sorghum flour. In the added varieties, DFN showed greater amounts of phenolic compounds and higher levels of DPPH and ABTS radical scavenging activities than HFN. The DPPH and ABTS radical scavenging activities of 5~10% DFN were increased by 4.6~6.2 fold and 10.5~13.4 fold, respectively, compared to non-added noodles. Regarding cooking effects, DPPH and ABTS radical scavenging activities of sorghum flour added noodles were increased by 10.9~11.2% after cooking. In sensory evaluation, color and appearance value were highest in HFN, and no differences in taste and overall acceptability were observed among treatments.

Effect of 5 Week Long High-Fat Diet on Energy Metabolic Substrate Utilization and Energy Content Evaluation of Dietary Fat (5주간의 고지방식이 섭취시 흰쥐의 에너지 대사 기질 이용과 식이지방에너지 평가에 관한 연구)

  • Hwang, Hye-Jung;Kim, Ji-Su;Suh, Hea-Jung;Lim, Ki-Won
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.41 no.8
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    • pp.1094-1099
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    • 2012
  • This study investigated the effect of a long-term high-fat diet on energy metabolic substrate utilization in resting rats in order to revalue source fat energy efficiency during a high-fat diet and its effect on energy expenditure and body fat accumulation. Sprague-Dawley male rats at 4 weeks of age were bought from Orient Bio Con. The rats were divided into a control (CON) group and a high-fat diet (HF) group. Rats ate a high-fat diet (w/w 40%, kcal/kcal 64.9%) ad libitum for 5 weeks. Food intake and body weight were measured every day at 09:00 throughout the experimental period. Energy expenditure was measured using an animal energy metabolism chamber after 4 weeks. The final body weight did not change between the CON and HF groups, but caloric intake was significantly higher in the HF group than in the CON group (p<0.05). There was no difference between the groups in oxygen uptake, however carbon dioxide production was significantly higher in the HF group. Also, the respiratory exchange ratio was higher in the HF group. Carbohydrate oxidation was lower in the HF group than in the CON group, but fat oxidation in the HF group was greater. These results mean that energy substrate oxidation at rest is affected by diet composition, especially dietary fat content. Abdominal fat fad weights were significantly higher by 33% in the HF group than in the CON group even though the calorie intake in the HF group was higher by 6%. These results suggested that the dietary fat calorie value might have a higher Atwater value of 9 kcal/g, which mean that dietary fat calorie values could be reconsidered in body weight control scenarios such as which the obese or weight class athletes.

Muscle Stiffness and Elasticity of Masticatory Muscles on Gum Chewing (껌씹기가 저작근의 경도와 탄성도에 미치는 효과)

  • Won, Tae-Hee;Kim, Mee-Eun;Kim, Ki-Suk
    • Journal of Oral Medicine and Pain
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    • v.32 no.4
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    • pp.421-429
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    • 2007
  • Some researchers suggested that tactile sensor system would be useful in evaluating masticatory muscles of TMD patients, but there were few studies on the effects of chewing with time. The aim of this study was to investigate the change of elasticity and stiffness for masseter and temporal muscles of normal subjects before, during and after gum chewing and to obtain the baseline data for further researches on the elasticity and stiffness for masticatory muscles of TMD patients. Stiffness and elasticity of their anterior temporalis and inferior masseter muscle were measured bilaterally by a tactile sensor system. Each subject was instructed to sit on a chair for evaluation of masticatory muscles. Before operating the sensor, the thickest skin area over anterior temporalis and inferior masseter muscles were selected as the points to be pressed by a tactile sensor, and marked with a pen. While the teeth of subjects were lightly contacted, the probe of the tactile sensor was placed perpendicularly over the marked point over the skin, followed by computer-controlled movement including gently pressing straight down on the muscle for a second and retracting. All subjects were instructed to chew gum (Excellent Breath, Taiyo Co., Japan) bilaterally with a velocity of 2 times per second for 40 minutes after the first measurement had been performed for the baseline data of all subjects. The measurements had been repeated during chewing with 10 minutes of interval and continued for 40 minutes with same interval after chewing. Resultantly, the decrease of elasticity and the increase of stiffness in masticatory muscles can be seen significantly within 10 minutes after chewing and those were maintained during chewing without significant change with chewing time. The elasticity of muscles was recovered within 10 minutes after stopping chewing, but the stiffness was recovered more lately than elasticity by about 10 minutes. Based on these results, it can be concluded that elasticity and stiffness of muscles would be good indicators to evaluate the masticatory muscles objectively, when more supported by further researches.

A Case Study for the Determination of Time Distribution of Frequency Based Rainfall (확률강우의 적정시간분포 결정에 관한 연구)

  • Lee, Jeong Ki;Kim, Hung Soo;Kang, In Joo
    • Journal of Wetlands Research
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    • v.6 no.3
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    • pp.71-81
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    • 2004
  • In recent, the heavy rainfall is frequently occurred and the damage tends to be increased. So, more careful hydrologic analysis is required for the designs of the hydraulic or disaster prevention structures. The time distribution of a rainfall is one of the important factors for the estimation of peak flow in hydrologic and hydraulic designs. This study is to suggest a methodology for the estimation of a rainfall time distribution which can reflect the meteorologic and topographical characteristics of Daejeon area. We collect the 34 years' rainfall data recorded in the range of 1969 to 2002 for Daejeon area and we performed the rainfall analysis with the data in between May and October of each year. According to the Huff method, the collected data corresponds to the first quartile which the rainfall is concentrated in the primary stage but the suggested method shows the different rainfall distribution with the Huff method in time. The reason is that the Huff method determines the quartile in each storm event while the suggested one determines it by estimating the dimensionless distribution of rainfall in duration after the accumulation of rainfall in time. The rainfall distributions estimated by two methodologies were applied to the Gabcheon basin in Daejeon area for the estimation of flood flow. Here we use the SCS method for the effective rainfall and unit hydrograph for the flood discharge. As the results, the peak flow for 24-hour of 100-year frequency was estimated as a $3421.20m^3/sec$ by the Huff method and $3493.38m^3/sec$ by the suggested one. We can see the difference of $72.18m^3/sec$ in between two methods and thus we may carefully determine the rainfall time distribution and compute the effective rainfall for the estimation of the peak flow.

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Design and Optimization of Pilot-Scale Bunsen Process in Sulfur-Iodine (SI) Cycle for Hydrogen Production (수소 생산을 위한 Sulfur-Iodine Cycle 분젠반응의 Pilot-Scale 공정 모델 개발 및 공정 최적화)

  • Park, Junkyu;Nam, KiJeon;Heo, SungKu;Lee, Jonggyu;Lee, In-Beum;Yoo, ChangKyoo
    • Korean Chemical Engineering Research
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    • v.58 no.2
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    • pp.235-247
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    • 2020
  • Simulation study and validation on 50 L/hr pilot-scale Bunsen process was carried out in order to investigate thermodynamics parameters, suitable reactor type, separator configuration, and the optimal conditions of reactors and separation. Sulfur-Iodine is thermochemical process using iodine and sulfur compounds for producing hydrogen from decomposition of water as net reaction. Understanding in phase separation and reaction of Bunsen Process is crucial since Bunsen Process acts as an intermediate process among three reactions. Electrolyte Non-Random Two-Liquid model is implemented in simulation as thermodynamic model. The simulation results are validated with the thermodynamic parameters and the 50 L/hr pilot-scale experimental data. The SO2 conversions of PFR and CSTR were compared as varying the temperature and reactor volume in order to investigate suitable type of reactor. Impurities in H2SO4 phase and HIX phase were investigated for 3-phase separator (vapor-liquid-liquid) and two 2-phase separators (vapor-liquid & liquid-liquid) in order to select separation configuration with better performance. The process optimization on reactor and phase separator is carried out to find the operating conditions and feed conditions that can reach the maximum SO2 conversion and the minimum H2SO4 impurities in HIX phase. For reactor optimization, the maximum 98% SO2 conversion was obtained with fixed iodine and water inlet flow rate when the diameter and length of PFR reactor are 0.20 m and 7.6m. Inlet water and iodine flow rate is reduced by 17% and 22% to reach the maximum 10% SO2 conversion with fixed temperature and PFR size (diameter: 3/8", length:3 m). When temperature (121℃) and PFR size (diameter: 0.2, length:7.6 m) are applied to the feed composition optimization, inlet water and iodine flow rate is reduced by 17% and 22% to reach the maximum 10% SO2 conversion.