• Title/Summary/Keyword: MAD4

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

  • Lee, Kun-Woo;Park, Kyu-Nam;Lee, Mi-Jin
    • Journal of The Korean Society of Clinical Toxicology
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    • v.4 no.2
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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
    • Korean Journal of Clinical Laboratory Science
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    • v.43 no.2
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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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An Adaptive Bit-reduced Mean Absolute Difference Criterion for Block-Matching Algorithm and Its VlSI Implementation (블럭 정합 알고리즘을 위한 적응적 비트 축소 MAD 정합 기준과 VLSI 구현)

  • Oh, Hwang-Seok;Baek, Yun-Ju;Lee, Heung-Kyu
    • Journal of KIISE:Software and Applications
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    • v.27 no.5
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    • pp.543-550
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    • 2000
  • An adaptive bit-reduced mean absolute difference (ABRMAD) is presented as a criterion for the block-matching algorithm (BMA) to reduce the complexity of the VLSI Implementation and to improve the processing time. The ABRMAD uses the lower pixel resolution of the significant bits instead of full resolution pixel values to estimate the motion vector (MV) by examining the pixels Ina block. Simulation results show that the 4-bit ABRMAD has competitive mean square error (MSE)results and a half less hardware complexity than the MAD criterion, It has also better characteristics in terms of both MSE performance and hardware complexity than the Minimax criterion and has better MSE performance than the difference pixel counting(DPC), binary block-matching with edge-map(BBME), and bit-plane matching(BPM) with the same number of bits.

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

  • Kim, Sung Ho;Seo, Dong Woo;Ryoo, Seung Mok;Kim, Won Young;Oh, Bum Jin;Lim, Kyoung Soo;Sohn, Chang Hwan
    • Journal of The Korean Society of Clinical Toxicology
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    • v.11 no.2
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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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A Study on the Metadata Authority Description Schema for the Interoperability of Authority Data (MADS를 기반으로 한 전거데이터 상호운용성에 관한 연구)

  • Lee, Hyewon
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.23 no.4
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    • pp.25-44
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    • 2012
  • This study analyzed the current condition of authority control, introduced the MADS(Metadata Authority Description Schema) for authority data. MADS supports encoding an authority description for a agent(person, organization), event, term(topic, temporal entity, genre, geographic entity, hierarchical geographic entity, occupation) and defines main elements, subelements, and attributes using the XML schema language. Lastly, using the MADS's characteristics, this study proposed the effective use plans of interoperability of authority data.

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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    • v.55 no.6
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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.

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

  • Rhee, Byung-Chul;Lee, Zong-Liong;Lee, Duk-Soo;Kim, Yil
    • Journal of Environmental Health Sciences
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    • v.22 no.1
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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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Social Safty Measures against Creutzfedt-jakob's and Mad Cow Disease (광우병과 크로이츠펠트 야콥병의 사회안전위협에 대한 안전대책)

  • Kim, Doo-Hyun;Kim, Jung-Hyun
    • Korean Security Journal
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    • no.4
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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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The Optimal Mean-Variance Portfolio Formulation by Mathematical Planning (Mean-Variance 수리 계획을 이용한 최적 포트폴리오 투자안 도출)

  • Kim, Tai-Young
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.32 no.4
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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.

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

  • Lee, Jun-Youp;Hur, Yun-Kyung;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • v.33 no.4
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    • pp.305-316
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    • 2008
  • The mandibular advancement device(MAD) has been used to help manage snoring and obstructive sleep apnea. The aims of this study were to specify the demographic and clinical characteristics of the patients receiving long-term treatment with MAD and to quantify the compliance with and side effects of the use of the device. Of 103 patients who were treated with MAD for at least one full year after delivery date, 49 were able to be contacted with telephone and complete follow-up questionnaires were obtainable. They were telephoned to determine whether they were still using the device. If not, they were asked when and why they stopped using it. Patients were also asked how much effectiveness of the MAD in decreasing snoring and how much they and their bed-partners were satisfied with the MAD therapy. The initial respiratory disturbance indices and pre-treatment snoring frequency and intensity were obtained from the medical records of initial visit. All the data were compared between users and nonusers. The results were as follows: 1. Of 49 patients 25 are still using the device, but 24 stopped using it. Among nonusers nobody stopped wearing the device within first 1 month, but 37.5% of nonusers stopped wearing it in the following 6 months, and another 4.2% before the end of the first year. 2. The one-year compliance of the MAD therapy was 79.59%. 3. There were no significant differences in mean age, mean body mass index, and gender distribution between users group and nonusers group. 4. There was no significant difference in mean respiratory disturbance index at initial visit between users group and nonusers group. 5. There was no significant difference in pre-treatment snoring frequency and intensity between users group and nonusers group. 6. The degree of decrease in snoring with use of MAD was significantly higher in the users when compared to nonusers. 7. Patient's overall satisfaction with treatment outcome was significantly higher in the users when compared to nonusers. 8. Bed partner's satisfaction with treatment outcome tended to be higher in the users when compared to nonusers. 9. The most frequent reasons why patients discontinued wearing the MAD were: jaw pain(25%), dental pain(20.83%), broken appliance(20.83%), hassle using(16.67%), lost weight(8.3%), dental work(8.3%), no or little effect(4.17%), sleep disturbance(4.27).