• 제목/요약/키워드: MAD4

검색결과 99건 처리시간 0.026초

석청 섭취 후 고아밀라아제혈증이 합병된 1례 (A Case Report of Saliva-type Hyperamylasemia in Mad Honey Poisoning)

  • 이건우;박규남;이미진
    • 대한임상독성학회지
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    • 제4권2호
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    • pp.166-169
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    • 2006
  • Poisonings caused by 'mad honey' are known to occur in response to grayanotoxins, which bind to sodium channels in the cell membrane, increasing membrane sodium permeability and preventing inactivation. Mild symptoms of mad honey intoxication are dizziness, weakness, hypersalivation, nausea, vomiting, and paresthesia. Severe intoxication, however, leads to serious cardiac manifestations such as atrioventricular block, dose-dependent hypotension, bradycardia, and respiratory depression. Atropine and vasoactive drugs improve symptoms of both bradycardia and respiratory rate depression. We report an unusual case of saliva-type hyperamylasemia in a mad honey poisoning patient who developed clinically significant bradycardia. She recovered fully within 3 days following atropine administration and medical treatment.

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Treatment Outcomes of Mandibular Advancement Devices in Obstructive Sleep Apnea Patients

  • Kim, Cheon-Sik;Lee, Yong-Seok;Cho, Cheon-Ung;Kim, Dae-Sik
    • 대한임상검사과학회지
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    • 제43권2호
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    • pp.82-88
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    • 2011
  • Mandibular advancement devices (MAD) are therapeutic options for obstructive sleep apnea (OSA). The aim of study was to investigate treatment outcomes of before and after insertion of MAD in OSA patients. We retrospectively selected a total of 13 patients who were diagnosed with OSA syndrome. All sleep-related parameters including apnea-hypopnea index (AHI), oxygen desaturation index (ODI), wake after sleep onset (WASO), total arousal were measured by before and after MAD. The use of MAD proves to be efficient in reducing snoring, apnea-hypopne index ($17.2{\pm}14.6$ vs $20.9{\pm}14.6$), WASO ($27.4{\pm}28.8$ vs $47.9{\pm}43.6$), oxygen desaturation index ($9.0{\pm}11.6$ vs $16.4{\pm}11.7$), stage N3 ($54.8{\pm}45.2$ vs $36.6{\pm}22.0$), REM sleep times ($73.3{\pm}19.4$ vs $66.0{\pm}31.0$) and increases sleep efficiency ($92.6{\pm}6.6$ vs $87.2{\pm}11.2$). The decreases in apnea index based on a reduction in the overall and supine AHI values after MAD therapy were significantly greater for the positional OSA than nonpositional OSA patients. The use of MAD proves to be efficient in snoring, WASO, sleep efficiency, reduced AHI and associated with good compliance of patients.

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블럭 정합 알고리즘을 위한 적응적 비트 축소 MAD 정합 기준과 VLSI 구현 (An Adaptive Bit-reduced Mean Absolute Difference Criterion for Block-Matching Algorithm and Its VlSI Implementation)

  • 오황석;백윤주;이흥규
    • 한국정보과학회논문지:소프트웨어및응용
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    • 제27권5호
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    • pp.543-550
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    • 2000
  • 블럭 정합 알고리즘의 VLSI 구현시 복잡도를 줄이고, 수행 속도를 높이기 위하여 새로운 정합 기준인 적응적 비트 축소 MAD(adaptive bit-reduced mean absolute difference:ABRMAD)를 제안한다. ABRMAD는 기존의 MAD에서 화소의 모든 비트를 비교하는 대신, 화소를 구성하는 중요한 비트만을 고려하여 축소된 화소 값을 비교하여 움직임 벡터를 찾는다. 실험을 통하여, 제안한 정합 기준은 기존의 MAD 정합 기준에 비하여 낮은 하드웨어 복잡도를 가지면서 MSE(mean square error) 측면에서 유사한 성능을 가짐을 보인다. 또한 기존의 비트 수 축소형 정합 기준인 DPC(difference pixel counting), BBME(binary-matching with edge-map), 그리고 BPM(bit-plane matching)과 비교하여 같은 수의 비트를 사용하였을 경우 좋은 MSE 성능을 가짐을 보인다.

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히말라야산 석청 복용 후 발생한 심장독성 환자들의 임상적 특성 분석 (Clinical Analysis of Patients with Cardiotoxicity Caused by Himalayan Mad Honey)

  • 김성호;서동우;유승목;김원영;오범진;임경수;손창환
    • 대한임상독성학회지
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    • 제11권2호
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    • pp.119-126
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    • 2013
  • Purpose: The aim of this study was to evaluate the clinical characteristics and outcome of patients who presented to the emergency department (ED) with cardiotoxicity caused by ingestion of Himalayan mad honey. Methods: Medical records of 12 patients who presented to the ED from January 1, 2005 to December 31, 2012 with cardiotoxicity caused by ingestion of Himalayan mad honey were retrospectively reviewed. Results: The mean age of patients was 54.5 years and 58.3% were men. The median amount of mad honey ingested was 30.0 cc, and the mean time from ingestion to onset of symptoms was 39.4 minutes. All patients had hypotension and bradycardia upon arrival in the ED. The initial electrocardiogram showed sinus bradycardia in seven patients, junctional bradycardia in four patients, and atrial fibrillation with slow ventricular response in one patient. Four patients were treated with intravenous normal saline solution only. Eight patients were treated with intravenous normal saline solution and atropine sulfate in a dose ranging from 0.5 to 2.0 mg. Blood pressure and pulse rate returned to normal limits within 24 hours in all patients. Conclusion: Our study showed that all patients with cardiotoxicity caused by ingestion of Himalayan mad honey had severe hypotension, bradycardia, and bradyarrythmias, including sinus bradycardia and junctional bradycardia and all patients responded well to conservative treatment, including intravenous normal saline solution and intravenous atropine sulfate.

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MADS를 기반으로 한 전거데이터 상호운용성에 관한 연구 (A Study on the Metadata Authority Description Schema for the Interoperability of Authority Data)

  • 이혜원
    • 한국비블리아학회지
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    • 제23권4호
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    • pp.25-44
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    • 2012
  • 본 연구에서는 현재의 전거제어 현황을 살펴보고 도서관 전거데이터 공유와 활용을 위한 메타데이터 전거기술 스키마(Metadata Authority Description Schema: MADS)를 소개하였다. 또한 에이전트(사람, 조직), 사건, 용어(토픽, 장르, 지리 등)에 관한 전거데이터 XML 스키마인 MADS의 특성과 그 활용방안을 확인하였다. 마지막으로 본 연구에서는 MADS를 기반으로 한 전거데이터 상호운용성을 살펴보고자 하였다.

Prevalence and Predictors of Complementary Feeding Practices Among Children Aged 6-23 Months in Indonesia

  • Siti, Nurokhmah;Lucinda, Middleton;Aryono, Hendarto
    • Journal of Preventive Medicine and Public Health
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    • 제55권6호
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    • pp.549-558
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    • 2022
  • Objectives: Poor complementary feeding practices have consistently contributed to the burden of child undernutrition in Indonesia. This study aimed to estimate the prevalence and predictors of the time of the introduction of solid, semi-solid, and soft foods (ISSSF), minimum dietary diversity (MDD), minimum meal frequency (MMF), and minimum acceptable diet (MAD). Methods: We analyzed 4804 last-born infants aged 6-23 months from the 2017 Indonesia Demographic and Health Survey, which employed multistage cluster random sampling. The outcomes were calculated based on the 2021 World Health Organization/United Nations Children's Fund guidelines. The predictors of the 4 complementary feeding indicators were assessed using multivariate Poisson regression with robust variance adjusting for potential confounders and study design. Results: The prevalence of ISSSF, MDD, MMF, and MAD was 86.1%, 54.3%, 71.8%, and 37.6%, respectively, with younger children less likely to meet 3 out of the 4 outcomes. Parental education, the presence of a birth attendant, and maternal media consumption were among the predictors of MDD and MAD. Children from families with higher income were more likely to meet MDD than those from low-income households (adjusted prevalence ratio [aPR], 1.16; 95% confidence interval [CI], 1.05 to 1.28). Living in an urban area was positively associated with MMF (aPR, 1.09; 95% CI, 1.04 to 1.15) and MAD (aPR, 1.12; 95% CI 1.02 to 1.24). In eastern regions, the prevalence of children achieving MDD and MAD was lower than in those living in Java and Bali. Conclusions: It is crucial that more attention and efforts are made to improve the recommended practices throughout Indonesia, since the prevalence of adequate complementary feeding practices remains low.

물리 Tyrosinase의 활성도에 미치는 영향 (Drinking Wateres Effects on Tyrosinase Activities)

  • 이병철;이종용;이덕수;김일
    • 한국환경보건학회지
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    • 제22권1호
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    • pp.1-4
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    • 1996
  • I have conducted two testings to find out which water is better for drinking water. First, I made 20 mM L-DOPA solutions by solving L-DOPA (3,4-Dihydroxyphenylalanine) in tap water, Waters' mineral water and reverse osmotic water. Then I measured activities after adding Tyrosinase (purifide enzyme, step 3), which was extracted from Salanum melongena(mad apple), in each L-DOPA solution. Second, I solved 0.1, 0.5 and 0.9% salt in each 20 mM L-DOPA distilled water to measure activity of each salt solution. The results of the testings are as follows: 1. 10 minutes after adding Salanum melongena(mad apple) tyrosinase in each L-DOPA solution, activity of Waters' mineral water was 0.867 tap water 0.777 and reverse osmotic water 0.742. 2. Activity of Waters' mineral water was higher than that of tap water by 10.4% and higher then reverse osmotic by 14.4%. 3. Activity of Waters' mineral water was much higher than that of 0.9% salt water by 41.8%. 4. The optimum pH of Salanum melongena (mad apple) tyrosinase is 9.0. Most enzymes working in the human metabolism are alkaline and body fluids' pH also alkaline. In conclusion, an alkaline water is believed better than an acidic water for drinking.

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광우병과 크로이츠펠트 야콥병의 사회안전위협에 대한 안전대책 (Social Safty Measures against Creutzfedt-jakob's and Mad Cow Disease)

  • 김두현;김정현
    • 시큐리티연구
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    • 제4호
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    • pp.29-46
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    • 2001
  • This research is based on the protection of the social safty with the preventive measures against Creutzfedt-jakob's and Mad cow Disease which has been drawn an attention of the public. It also has Known as an epidemic with rapid transmission an severe conteminaton to hurt the health through beef. In this work, some fruitful suggestions have been made to prevent and to minimize the harms Creutzfedt-jakob's and Mad Cow Disease : 1) We should Pay attention to the prior preventive measures by detecting the modes and the causes of the contemination lute route ; 2) there should be a step to inoculate the cattles to provide non-conteminated fresh feed for cows ; and 3) a health official should be alert to prevent the rapid transmission to the public by breaking the infected route of it.

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Mean-Variance 수리 계획을 이용한 최적 포트폴리오 투자안 도출 (The Optimal Mean-Variance Portfolio Formulation by Mathematical Planning)

  • 김태영
    • 산업경영시스템학회지
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    • 제32권4호
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    • pp.63-71
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    • 2009
  • The traditional portfolio optimization problem is to find an investment plan for securities with reasonable trade-off between the rate of return and the risk. The seminal work in this field is the mean-variance model by Markowitz, which is a quadratic programming problem. Since it is now computationally practical to solve the model, a number of alternative models to overcome this complexity have been proposed. In this paper, among the alternatives, we focus on the Mean Absolute Deviation (MAD) model. More specifically, we developed an algorithm to obtain an optimal portfolio from the MAD model. We showed mathematically that the algorithm can solve the problem to optimality. We tested it using the real data from the Korean Stock Market. The results coincide with our expectation that the method can solve a variety of problems in a reasonable computational time.

코골이 치료용 구강장치의 지속적 사용에 영향을 주는 요인의 분석 (Variables Affecting Long-Term Compliance of Oral Appliance for Snoring)

  • 이준엽;허윤경;최재갑
    • Journal of Oral Medicine and Pain
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    • 제33권4호
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    • pp.305-316
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    • 2008
  • 본 연구의 목적은 하악전방이동장치요법으로 코골이와 수면무호흡증에 대한 치료를 시작한 후 1년이 경과한 한국인 환자들을 대상으로 하악전방이동장치의 지속적 사용 여부, 사용 빈도, 사용 중단 시까지의 사용 기간, 부작용 발생 여부, 그리고 장치사용의 중단 원인 등을 조사하여 하악전방이동장치의 장기적 사용에 영향을 주는 요인을 분석하는 것이다. 경북대학교병원 구강내과에서 코골이와 수면무호흡증을 주소로 내원한 환자들 중에 수면다원검사를 받고 하악전방이동장치요법을 시술받은 후 1년 이상 경과한 환자 103명 중에 전화를 통한 설문조사가 가능했던 49명의 환자를 대상으로 의무기록 조사 및 설문조사를 실하였다. 이들 중 현재까지 장치를 사용하고 있는 환자는 25명이었으며 사용을 중단한 환자는 24명이었다. 이들을 각각 계속사용군과 사용중단군으로 분류하여 두 군 사이에 초진 시의 연령, 성별분포, 체질량지수, 호흡장애지수, 구강장치요법을 시행하기 전의 코골이 빈도와 강도, 구강장치요법 시행 후의 코골이 감소 정도, 본인과 동침자의 구강장치요법에 대한 만족정도 등을 비교하였으며, 사용중단군에 대해서는 중단 사유를 물어봄으로서 다음과 같은 결론을 얻었다. 1. 계속사용군과 사용중단군 사이에 치료 시작 시점의 연령, 성별분포, 체질량지수, 호흡장애지수의 유의한 차이는 없었다. 2. 계속사용군과 사용중단군 사이에 치료 시작 전 코골이 빈도와 강도에서 유의한 차이가 없었다. 3. 계속사용군이 사용중단군에 비해 코골이의 개선정도가 높았다. 4. 계속사용군이 사용중단군에 비해 구강장치요법에 대한 만족도가 높았다. 5. 계속사용군이 사용중단군에 비해 동침자의 구강장치요법에 대한 만족도가 높은 경향을 보였다. 6. 구강장치 사용을 중단하게 된 사유 중에는 턱의 통증(25%), 치아 통증(20%), 장치 파손(20%) 등이 많았으나, 효과가 없어서 사용을 중단한 경우는 4.2%에 불과하였다. 7. 전체 조사대상자의 1년 사용자비율(1년 순응도)은 79.59%로 나타났다.