• Title/Summary/Keyword: Normal values

Search Result 3,094, Processing Time 0.031 seconds

Acute Kidney Injury after Dose-Titration of Liraglutide in an Obese Patient (비만 환자에서 리라글루티드 증량 과정에서 발생한 급성 신손상)

  • Lee, Hee Jin;Park, Hye Soon
    • Archives of Obesity and Metabolism
    • /
    • v.1 no.2
    • /
    • pp.78-82
    • /
    • 2022
  • Liraglutide (SaxendaR) is prescribed to induce and sustain weight loss in obese patients. The starting dose of liraglutide is 0.6 mg/day for 1 week, which is increased by 0.6 mg/day every week until the full maintenance dose of 3 mg/day is achieved. Such dose titration is needed to prevent side effects, which primarily include gastrointestinal problems such as nausea, diarrhea, constipation, vomiting, dyspepsia, and abdominal pain. A 35-year-old, reportedly healthy obese man receiving liraglutide treatment for obesity visited the emergency room complaining of generalized weakness and dizziness accompanied by repeated diarrhea and vomiting. He reported over 20 episodes of diarrhea starting the day after liraglutide dose escalation from 1.2 mg/day to 1.8 mg/day. Laboratory findings suggested pre-renal acute kidney injury, including serum creatinine 4.77 mg/dl, blood urea nitrogen (BUN) 37 mg/dl, estimated glomerular filtration rate (eGFR) 15 ml/min/1.73 m2, and Fractional excretion of sodium 0.08. After volume repletion therapy, his renal function recovered to a normal range with laboratory values of creatinine 1.08 mg/dl, BUN 14 mg/dl, and eGFR 88 ml/min/1.73 m2. This case emphasizes the need for caution when prescribing glucagon-like peptide-1 receptor agonists, including liraglutide, given the risk of serious renal impairments induced by volume depletion and dehydration through severe-grade diarrhea and vomiting.

Treatment of Dizziness with Polycythemia Vera by Korean Medicine: Case Report (한방치료로 호전된 진성적혈구증가증으로 환자의 현훈 치험 1례)

  • Kim, Na-yeon;Yoon, Mi-jung;Cho, Na-kyung;Choi, Hong-sic;Kim, Seung-mo;Kim, Kyung-soon
    • The Journal of Internal Korean Medicine
    • /
    • v.41 no.6
    • /
    • pp.1265-1273
    • /
    • 2020
  • Objectives: Patients with polycythemia vera can experience many symptoms, including dizziness, headache, and fatigue, caused by a high red blood cell mass and blood viscosity. Some symptoms persist even after appropriate treatment. The purpose of this study was to examine the effect of Korean medicine on dizziness following polycythemia vera treatment. Methods: A patient diagnosed with polycythemia vera was treated with Korean medicine, including pharmacopuncture, acupuncture, and herbal medicine. We used a numeral rating scale (NRS) and the Dizziness Handicap Inventory (DHI) to observe the effects of the treatment. Results: After treatment, the hematocrit and hemoglobin increased to within normal range, and the NRS scores for dizziness and fatigue, subjective discomfort, and DHI scores decreased compared with the preadmission values. Conclusions: This report shows that Korean medicine helped to relieve dizziness in a patient with polycythemia vera. However, we need further studies to establish treatment regimens for polycythemia vera symptoms.

Silver Colloidal Effects on Excited-State Structure and Intramolecular Charge Transfer of p-N,N-dimethylaminobenzoic Acid Aqueous Cyclodextrin Solutions

  • Choe, Jeong Gwan;Kim, Yang Hui;Yun, Min Jung;Lee, Seung Jun;Kim, Gwan;Jeong, Sae Chae
    • Bulletin of the Korean Chemical Society
    • /
    • v.22 no.2
    • /
    • pp.219-227
    • /
    • 2001
  • The silver colloidal effects on the excited-state structure and intramolecular charge transfer (ICT) of p-N,N-dimethylaminobenzoic acid (DMABA) in aqueous cyclodextrin (CD) solutions have been investigated by UV-VIS absorption, steady-state and time-resolved fluorescence, and transient Raman spectroscopy. As the concentration of silver colloids increases, the ratio of the ICT emission to the normal emission (Ia /Ib) of DMABA in the aqueous $\alpha-CD$ solutions are greatly decreased while the Ia /Ib values in the aqueous B-CD solutions are significantly enhanced. It is also noteworthy that the ICT emission maxima are red-shifted by 15-40 nm upon addition of silver colloids, implying that DMABA encapsulated in $\alpha-CD$ or B-CD cavity is exposed to more polar environment. The transient resonance Raman spectra of DMABA in silver colloidal solutions demonstrate that DMABA in the excited-state is desorbed from silver colloidal surfaces as demonstrated by the disappearance of νs (CO2-)(1380 cm-1 ) with appearance of ν(C-OH)(1280 cm -1) band, respectively. Thus, in the aqueous B-CD solutions the carboxylic acid group of DMABA in the excited-state can be readily hydrogen-bonded with the secondary hydroxyl group of B-CD while in aqueous and $\alpha-CD$ solutions the carboxylic acid group of DMABA has the hydrogen-bonding interaction with water. Consequently, in the aqueous B-CD solutions the enhancement of the Ia /Ia value arises from the intermolecular hydrogen-bonding interaction between DMABA and the secondary hydroxyl group of B-CD as well as the lower polarity of the rim of the B-CD cavity compared to bulk water. This is also supported by the increase of the association constant for DMABA/ B-CD complex in the presence of silver colloids.

An Algorithm For Reducing Round Bound of Parallel Exponentiation (병렬 지수승에서 라운드 수 축소를 위한 알고리즘)

  • 김윤정
    • Journal of the Korea Institute of Information Security & Cryptology
    • /
    • v.14 no.1
    • /
    • pp.113-119
    • /
    • 2004
  • Exponentiation is widely used in practical applications related with cryptography, and as the discrete log is easily solved in case of a low exponent n, a large exponent n is needed for a more secure system. However. since the time complexity for exponentiation algorithm increases in proportion to the n figure, the development of an exponentiation algorithm that can quickly process the results is becoming a crucial problem. In this paper, we propose a parallel exponentiation algorithm which can reduce the number of rounds with a fixed number of processors, where the field elements are in GF($2^m$), and also analyzed the round bound of the proposed algorithm. The proposed method uses window method which divides the exponent in a particular bit length and make idle processors in window value computation phase to multiply some terms of windows where the values are already computed. By this way. the proposed method has improved round bound.

DPA-Resistant Low-Area Design of AES S-Box Inversion (일차 차분 전력 분석에 안전한 저면적 AES S-Box 역원기 설계)

  • Kim, Hee-Seok;Han, Dong-Guk;Kim, Tae-Hyun;Hong, Seok-Hie
    • Journal of the Korea Institute of Information Security & Cryptology
    • /
    • v.19 no.4
    • /
    • pp.21-28
    • /
    • 2009
  • In the recent years, power attacks were widely investigated, and so various countermeasures have been proposed, In the case of block ciphers, masking methods that blind the intermediate values in the algorithm computations(encryption, decryption, and key-schedule) are well-known among these countermeasures. But the cost of non-linear part is extremely high in the masking method of block cipher, and so the inversion of S-box is the most significant part in the case of AES. This fact make various countermeasures be proposed for reducing the cost of masking inversion and Zakeri's method using normal bases over the composite field is known to be most efficient algorithm among these masking method. We rearrange the masking inversion operation over the composite field and so can find duplicated multiplications. Because of these duplicated multiplications, our method can reduce about 10.5% gates in comparison with Zakeri's method.

Experimental and numerical studies on the shear connectors in steel-concrete composite beams at fire and post fire exposures

  • Mirza, Olivia;Shil, Sukanta Kumer;Rashed, M.G.;Wilkins, Kathryn
    • Steel and Composite Structures
    • /
    • v.39 no.5
    • /
    • pp.529-542
    • /
    • 2021
  • Shear connectors are required to build composite (concrete and steel) beams. They are placed at the interface of concrete and steel to transfer shear and normal forces between two structural components. Such composite beams are sensitive to provide structural integrity when exposed to fire as they loss strength, stiffness, and ductility at elevated temperature. The present study is designed to investigate the shear resistance and the failure modes of the headed stud shear connectors at fire exposure and post-fire exposure. The study includes ordinary concrete and concrete with carbon nanotubes (CNTs) to build composite (concrete-steel) beams with structural steel. Experimental push tests were conducted on composite beams at ambient and elevated temperatures, such as 200, 400 & 600℃. Moreover, push tests were performed on the composite beams after being exposed to 200, 400 & 600℃. Push test results illustrated the reduction of ultimate shear capacity and stiffness of headed stud shear connectors as the temperature increased. Although similar values of ultimate shear were obtained for the headed stud connectors in both ordinary and CNT concrete, the CNT modified concrete reduced the concrete spalling and cracking compared to ordinary concrete and was observed to be effective at temperatures greater than 400℃. All specimens showed a lower shear resistance at fire exposures compared to the corresponding post-fire exposures. Moreover, numerical simulation by Finite Element (FE) analyses were carried out at ambient temperature and at fire conditions. The FE analysis results show a good agreement with the experimental results. In the experimental studies, failure of all specimens occurred due to shear failure of headed stud, which was later validated by FE analyses using ABAQUS.

Design of Air Vehicle Test Equipment for Inspecting On-board Equipment in UAV (무인항공기 탑재장비 점검을 위한 통합 점검 장치 설계)

  • Go, Eun-kyoung;Kwon, Sang-Eun;Song, Yong-Ha
    • Journal of the Korea Institute of Information and Communication Engineering
    • /
    • v.25 no.1
    • /
    • pp.108-114
    • /
    • 2021
  • AVTE(Air Vehicle Test Equipment) is a device to check status of on-board aircraft equipment before and after flight for performing successful UAV(Unmanned Aerial Vehicle) missions. This paper describes software design and test sequence of the AVTE for enabling easy-manual check by the operator and convenient automatic check of on-board electric equipment respectively. The proposed AVTE inspects BIT(Built-In Test) results of on-board LRUs(Line Replacement Units) including avionics and sensor sub-system devices. Also, it monitors all the LRU status and check the normality of aircraft equipment by means of setting specific values of the LRUs and confirming the expected test results. The AVTE prints the test results as a form of report to easily check the normal conditions of the aircraft equipment and operates automatically without operator interaction, thus being thought to effectively reduce workload of the operator.

Novel Differential Fault Attack Using Function-Skipping on AES (함수 생략 오류를 이용하는 AES에 대한 신규 차분 오류 공격)

  • Kim, Ju-Hwan;Lee, JongHyeok;Han, Dong-Guk
    • Journal of the Korea Institute of Information Security & Cryptology
    • /
    • v.30 no.6
    • /
    • pp.1263-1270
    • /
    • 2020
  • The differential fault attacks (DFA) are cryptoanalysis methods that reveal the secret key utilizing differences between the normal and faulty ciphertexts, which occurred when artificial faults are injected into an encryption device. The conventional DFA methods use faults to falsify intermediate values. Meanwhile, we propose the novel DFA method that uses a fault to skip a function. The proposed method has a very low attack complexity that reveals the secret key using one fault injected ciphertext within seconds. Also, we proposed a method that filters out ciphertexts where the injected faults did not occur the function-skipping. It makes our method realistic. To demonstrate the proposed method, we performed fault injection on the Riscure's Piñata board. As a result, the proposed method can filter out and reveal the secret key within seconds on a real device.

Quality Characteristics of White Pan Bread Added with Wheat Sprout Powder by Enzyme and Lactic Acid Bacteria Pretreatment (효소와 유산균으로 전처리한 밀싹분말을 첨가한 식빵의 품질 특성)

  • Zhu, RuiYu;Park, Young-Min;Oh, Jong Chul;Lim, Seung-Yong;Yu, Hyeon-Hee
    • The Korean Journal of Food And Nutrition
    • /
    • v.33 no.6
    • /
    • pp.599-613
    • /
    • 2020
  • The purpose of this study was to evaluate the quality characteristics of white pan bread added with wheat sprout powder without treatment (WP) and wheat sprout powder with only enzyme treatment (WPE), only lactic acid bacteria treatment (WPL) and enzyme and lactic acid bacteria treatment (WPE&L). The three different powder concentration levels of 1%, 3%, and 5% were added to flour to produce the white pan bread. The bread volume and specific volume of the WPE&L group were the highest among all the addition groups. The bread weight, a-value, and b-value of the WP group was highest among all the addition groups, but the bread baking loss and the L-value of the WP group was the lowest among all the addition groups. The texture measurements indicated that the hardness, gumminess, and chewiness values of the bread were the highest in the WP group. The sensory evaluation test showed that bread in the WPE&L group with 3% wheat sprout powder was the best among all the samples studied. Based on our findings, we suggest that the enzyme and lactic acid bacteria pretreated wheat sprout powder is an effective ingredient for improving the overall quality of white pan bread.

Heart Rate Variability Analysis According to Clinical Characteristics in Patients with Burning Mouth Syndrome (구강작열감증후군 환자의 임상 특징에 따른 심박변이도 분석)

  • Lee, Hyun-Jin;Ha, Na-yeon;Ko, Seok-Jae;Park, Jae-Woo;Kim, Jin-sung
    • The Journal of Internal Korean Medicine
    • /
    • v.43 no.1
    • /
    • pp.53-67
    • /
    • 2022
  • Objectives: This study aimed to identify the characteristics of the heart rate variability (HRV) index in patients with burning mouth syndrome (BMS) and to evaluate the predictive value of HRV for Korean medical treatment responsiveness to tongue pain in BMS. Methods: Among BMS patients who visited the Oral Diseases Clinic of Kyung Hee University Korean Medicine Hospital from January 1, 2018, to May 31, 2021, we reviewed the clinical records of 217 women aged 50 years and over. HRV and unstimulated saliva flow rate (USFR) measurements were carried out, and all patients were asked to indicate their degree of tongue pain using the visual analog scale (VAS). The subjects were classified into subgroups according to the presence or absence of hyposalivation and VAS improvement, and each subgroup was compared using the HRV index. Logistic regression analysis was conducted to confirm whether cause-effect relationships were present between statistically significant values. Results: BMS patients had lower LF and HF than healthy people. Subgroup analysis demonstrated that there were some statistically significant differences in the HRV index according to salivation rate and degree of pain. In addition, as the LF/HF ratio increased, the pain improvement rate decreased after treatment. Conclusion: The autonomic nerve activity of BMS patients was lower than that of healthy people; however, autonomic balance was not impaired. In addition, tongue pain in BMS patients responded more favorably to Korean medical treatment when patients fell within a normal range of the LF/HF ratio, suggesting that autonomic imbalance could be used as one of the predictable factors in clinical practice.