• Title/Summary/Keyword: PPI

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Comparison of Histamine 2 Receptor Antagonists and Proton Pump Inhibitors on Infectious Complications in Critically Ill Patients (중환자에서 스트레스성 궤양 예방 약물에 따른 감염성 합병증 발생률 비교)

  • Park, Sun young;Choi, Jae Hee;Youn, Young Ju;Rhie, Sandy Jeong
    • Korean Journal of Clinical Pharmacy
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    • v.26 no.1
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    • pp.46-52
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    • 2016
  • Background: The use of acid suppressive agents became a standard therapy in an intensive care unit (ICU) to prevent stress related gastrointestinal mucosal damage. However, the risk of infectious diseases has been concerned. Objective: The study was to determine the differences between histamine 2 receptor antagonists (H2RA) and proton pump inhibitors (PPI) in incidence of nosocomial pneumonia and pseudomembranous colitis (PMC) by Clostridium difficile with patients in ICU. Methods: This is a retrospective comparative study including patients admitted to the ICU who were at least 18 years of age and stayed for more than 48hrs from August 1, 2014 to January 31, 2015. The propensity score analysis and propensity matched multivariable logistic regression were used in analyzing data to control for confounders. Results: A total of 155 patients were assessed. H2RA were prescribed in 110 (53.9%) and PPI were in 45 (22.1%). Nosocomial pneumonia developed in 37 (23.9%); 25 (22.7%) were on H2RA and 12 (26.7%) were on PPI. The unadjusted incidence of nosocomial pneumonia was slightly higher in the patients with PPI (odds ratio (OR) 1.24; 95% confidence interval (CI): 0.54-2.71) compared to them with H2A. After adjusting with propensity score, the adjusted OR with PPI was 1.35 (95% CI: 0.44-4.11). The propensity score matched analyses showed similar results. Conclusion: The uses of PPI and H2RA as a stress ulcer prophylaxis agent showed similarity in the incidence of nosocomial pneumonia and PMC.

Growth and characterization of periodically polarity-inverted ZnO structures grown on Cr-compound buffer layers

  • Park, J.S.;Goto, T.;Hong, S.K.;Chang, J.H.;Yoon, E.;Yao, T.
    • Proceedings of the Korean Vacuum Society Conference
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    • 2010.08a
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    • pp.259-259
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    • 2010
  • Periodically polarity inverted (PPI) ZnO structures on (0001) Al2O3 substrates are demonstrated by plasmas assisted molecular beam epitaxy. The patterning and re-growth methods are used to realize the PPI ZnO by employing the polarity controlling method. For the in-situ polarity controlling of ZnO films, Cr-compound buffer layers are used.[1, 2] The region with the CrN intermediate layer and the region with the Cr2O3 and Al2O3 substrate were used to grow the Zn- and O-polar ZnO films, respectively. The growth behaviors with anisotropic properties of PPI ZnO heterostructures are investigated. The periodical polarity inversion is evaluated by contrast images of piezo-response microscopy. Structural and optical interface properties of PPI ZnO are investigated by the transmission electron microcopy (TEM) and micro photoluminescence ($\mu$-PL). The inversion domain boundaries (IDBs) between the Zn and the O-polar ZnO regions were clearly observed by TEM. Moreover, the investigation of spatially resolved local photoluminescence characteristics of PPI ZnO revealed stronger excitonic emission at the interfacial region with the IDBs compared to the Zn-polar or the O-polar ZnO region. The possible mechanisms will be discussed with the consideration of the atomic configuration, carrier life time, and geometrical effects. The successful realization of PPI structures with nanometer scale period indicates the possibility for the application to the photonic band-gap structures or waveguide fabrication. The details of application and results will be discussed.

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Treatment Result of Proton Pump Inhibitor, Steroid Inhaler and Botulinum Tonxin Injection for Contact Granuloma (양성자펌프억제제, 스테로이드흡입제, 보툴리늄톡신 주사를 이용한 접촉성 육아종의 치료 결과)

  • Park, Hyoung Min;Oh, Na Rae;Baek, Min Kwan;Kim, Dong Young;Woo, Joo Hyun
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.28 no.1
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    • pp.32-37
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    • 2017
  • Background and Objectives : This study evaluated the efficacy of combination therapy of proton pump inhibitor (PPI) and steroid inhaler (SI), with or without botulinum toxin injection (BTX) for contact granuloma. Subjects and Methods : Fourteen contact granuloma patients were enrolled in this study. Combination therapy of PPI and SI were used for the first line treatment. When combination therapy was not effective, BTX was performed as the second method. Treatment results were recorded as responsible or non-responsible. Farwell grade, size, history of voice abuse, gender, and reflux finding score (RFS) were compared between responsible group and non-responsible group. Results : Initial response rate was 28.6% after treatment of PPI and SI. BTX was performed on three un-responsible patients. After BTX injection, three patients had complete remission of granuloma. Final response rate was 50.0%. Un-responsible group had significantly higher RFS than responsible group. Conclusion : The efficacy of PPI and SI was limited for contact granuloma in this study. Botulium toxin injection was recommended in early phase when PPI and SI did not effective for contact granuloma. Prospective studies evaluating the effects of PPI and SI are warranted.

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High Resolution System on Glass Displays

  • Okumura, Fujio
    • 한국정보디스플레이학회:학술대회논문집
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    • 2004.08a
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    • pp.119-123
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    • 2004
  • This paper describes low temperature poly-Si (LTPS) TFT system on glass (SOG) technology developed in NEC. High resolution SOG-LCDs such as a 230 ppi reflective type LCD, a 2.5", 333 ppi 2D/3D autostereoscopic LCD, and a 2.1" single voltage driven full integration LCD for mobile applications and a 0.9", XGA light valve for projectors are reviewed from the perspective of the high resolution technologies

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Physical Properties of Reticulated Polyurethane Foams and the Enhancement of Microbial Adhesion through their Surface Treatments (망상 폴리우레탄 폼의 물성 및 표면처리를 통한 미생물 고정화 특성의 향상)

  • 김시욱;장영미;명성운;최호석
    • KSBB Journal
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    • v.18 no.5
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    • pp.412-417
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    • 2003
  • We first investigated basic characteristics of reticulated polyurethane (PU) foams as microbial carriers. In general, the specific surface area of PU foams increases with respect to decreasing pore sizes. However, the number of microbes adhered on the unit surface of reticulated PU foams decreases with respect to decreasing pore sizes. Thus, as a result of totally considering all effects such as apparent density, hydrolysis rate, and adhesion, we can know that PU foams with 45 PPI is the most appropriate microbial carrier. In this study, we can also investigate the effect of various physico-chemical surface treatments on the adhesion of microbes on the surface of PU foams. We used a chitosan treatment, a PEI (Polyethylene Imine) treatment, a xanthane treatment and a plasma treatment. As a result of comparing all surface treatments, the plasma surface treatment was the best.

Analysis of High-Resolution Manometry Results in LPRD Patients Who Do Not Response to PPI Medication (양자펌프 억제제에 반응을 보이지 않은 인후두 역류질환 환자에서 고해상도 식도 내압검사의 분석)

  • Lee, Chang-Hee;Lee, Hyun-Sub;Jin, Sung-Min;Lee, Sang-Hyuk
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.23 no.1
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    • pp.43-47
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    • 2012
  • Background and Objectives : Laryngopharyngeal reflux disease (LPRD) originates from regurgitation of gastric contents to the laryngopharynx, and it is relatively common disease in otolaryngology. Proton-pump inhibitor (PPI) medication is frequently using treatment method in present time, but controversies exist regarding treatment for it. High-resolution manometry (HRM) system is a newly developed device that using 36 channels and pressure topography plotting program, checking the function and status of esophagus. The aim of this study was to evaluate clinical usefulness of HRM in LPRD patients who do not response to PPI medication. Materials and Method : From July 2009 to July 2010, a total of 99 patients who were suspected LPRD according to symptoms (Reflux Symptom Index >13) and laryngoscopic findings (Reflux Finding Score >7) were retrospectively enrolled in this study. Patients were consisted of 31 men and 68 women, the mean age was 51.8 years, the mean BMI was 22.46. Patients have taken PPI medication for 2 months, after medication, they performed HRM. Comparative analysis was performed with results of the difference in symptoms. Results : In 99 patients, 37 patients (37.4%) show not improvement of LPRD symptoms after PPI medication. Among them, 18 patients (48.6%) showed abnormal findings that were classified as Peristaltic dysfunction (38.9%), Diffuse esophageal spasm (11.1%), Relaxation impairment of LES (11.1%), Achalasia (5.6%), Hypotensive LES (11.1%), Relaxation impairment of UES (11.1%), Nutcracker esophagus (5.6%), Decreased resting pressure (5.6%). Other 62 patients (62.6%) show improvement of LPRD symptoms, 23 patients (37.1%) showed abnormal findings. Most common finding was Peristaltic dysfunction (43.4%) More prevalent abnormal findings of HRM were found in patients who revealed no response to PPI medication (48.6% vs. 37.1%), but it does not reach the statistical significance. Conclusion : Although statistical significances is not showed, the difference observed in the frequency of HRM abnormal finding between response and no response for PPI medication. It has been estimated that HRM may be used to determine differential diagnosis in patients with LPRD. Further studies in lager population containing normal controls will be needed to prove clinical usefulness.

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Analysis of High-Resolution Manometry Results in LPRD Patients who do not Response to PPI Medication (양자펌프 억제제에 반응을 보이지 않은 인후두 역류질환 환자에서 고해상도 식도 내압검사의 분석)

  • Lee, Chang-Hee;Lee, Hyun-Sub;Jin, Sung-Min;Lee, Sang-Hyuk
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.22 no.2
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    • pp.151-155
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    • 2011
  • Background and Objectives : Laryngopharyngeal reflux disease (LPRD) originates from regurgitation of gastric contents to the laryngopharynx, and it is relatively common disease in otolaryngology. Proton-pump inhibitor (PPI) medication is frequently using treatment method in present time, but controversies exist regarding treatment for it. High-resolution manometry (HRM) system is a newly developed device that using 36 channels and pressure topography plotting program, checking the function and status of esophagus. The aim of this study was to evaluate clinical usefulness of HRM in LPRD patients who do not response to PPI medication. Subjects and Method : From July 2009 to July 2010, a total of 99 patients who were suspected LPRD according to symptoms (Reflux Symptom Index >13) and laryngoscopic findings (Reflux Finding Score >7) were retrospectively enrolled in this study. Patients were consisted of 31 men and 68 women, the mean age was 51.8 years, the mean BMI was 22.46. Patients have taken PPI medication for 2 months, after medication, they performed HRM. Comparative analysis was performed with results of the difference in symptoms. Results : In 99 patients, 37 patients (37.4%) show not improvement of LPRD symptoms after PPI medication. Among them, 18 patients (48.6%) showed abnormal findings that were classified as Peristaltic dysfunction (38.9%), Diffuse esophageal spasm (11.1%), Relaxation impairment of LES (11.1%), Achalasia (5.6%), Hypotensive LES (11.1%), Relaxation impairment of UES (11.1%), Nutcracker esophagus (5.6%), Decreased resting pressure (5.6%). Other 62 patients (62.6%) show improvement of LPRD symptoms, 23 patients (37.1%) showed abnormal findings. Most common finding was Peristaltic dysfunction (43.4%) More prevalent abnormal findings of HRM were found in patients who revealed no response to PPI medication (48.6% vs. 37.1%), but it does not reach the statistical significance. Conclusion : Although statistical significances is not showed, the difference observed in the frequency of HRM abnormal finding between response and no response for PPI medication. It has been estimated that HRM may be used to determine differential diagnosis in patients with LPRD. Further studies in lager population containing normal controls will be needed to prove clinical usefulness.

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주기적으로 극성이 반전된 ZnO 구조의 형성 및 응용

  • Park, Jin-Seop;Hong, Sun-Gu;Jang, Ji-Ho;Ha, Jun-Seok;Yao, Takafumi
    • Proceedings of the Materials Research Society of Korea Conference
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    • 2011.05a
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    • pp.24-24
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    • 2011
  • ZnO 직접 천이형의 와이드밴드갭 화합물 반도체로써 높은 엑시톤 결합 에너지를 가짐으로 해서 광전자나 광학디바이스로의 넓은 응용범위를 갖고 있다. 최근들어 ZnO의 비선형 광학 특성이 보고 됨으로써 새로운 광학 재료로서의 연구도 기대되고 있다. 본연구에서는 새로운 주기적 반전 구조를 제안함으로 해서 극성을 가지는 화합물 반도체의 비선형 광학 디바이스로의 응용 범위를 넓히고자 한다. ZnO는 Wurtzite 구조를 가짐으로 해서 성장 방향으로 Zn-극성 및 O-극성을 가지게 된다. 이런 자연 발생적인 극성에 의해 물리적, 화학적, 광학적 특성들이 바뀌게 됨으로, 극성의 제어는 재료의 특성을 극대화 시키기 위해 아주 중요한 항목이 되어 있습니다. 본 연구에서는 손쉽고 재현성이 확보되는 방법으로써, CrN 와 Cr2O 3의 완충층을 제안하여 ZnO 극성의 제어를 이루었고, 제안된 극성 제어 방식을 이용하여 주기적으로 Zn-극성과 O-극성이 배열된 구조(PPI 구조)를 형성 하였다. 패터닝과 재성장 방법을 통해서 다양한 구조와 사이즈의 1D, 2D PPI ZnO를 제작하는데 성공하였다. 주기적인 반전구조의 제작을 확인하기 위해 PRM(piezo response miscosocpy)이라는 방법을 통하여 주기적 극성 선택성을 확인하였으며, TEM과 PL 분석법을 통하여 구조적 광학적 특성을 분석하였다. 새롭게 제안된 극성 제어 방식을 이용하여 제작된 PPI 구조를 이용하여 비선형 광학소자로의 응용성을 확인하였다. 본발표에서는 PPI ZnO 구조의 형성방법, 분석 및 응용에 대한 제안과 결과가 논의될 것이다.

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Clinical Case Report of PPI-refractory Gastro-Esophageal Reflux Disease (GERD) with Korean Medicine Treatment - A Focus on Evaluation of the Abdominal Examination (한의 복합치료로 호전된 불응성 위식도역류질환 (PPI-refractory GERD) 환자 1례 - 복진소견 평가를 중심으로 -)

  • Lee, Jae-hong;Cho, Soo-ho;Ko, Seok-jae;Park, Jae-woo
    • The Journal of Internal Korean Medicine
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    • v.38 no.5
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    • pp.727-735
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    • 2017
  • This case report describes a 60-year-old man who had reflux symptoms despite treatment with proton pump inhibitors (PPIs). Korean traditional medicine, including a herbal prescription, acupuncture, and moxibustion was administered to the patient during his 19 days of hospitalization. The visual analogue scale (VAS), gastrointestinal scale (GIS), and gastrointestinal symptom rating scale (GSRS) scores were assessed on the dates of admission and discharge. An abdominal examination, which is one of the Korean medicine diagnostic tools, was performed every day to evaluate the treatment progress. During the treatment, the improvement of symptoms was clinically correlated with abdominal examination outcomes. We suggest that administration of traditional Korean Medicine on PPI-refractory GERD patients could be effective and we recommend utilization of the abdominal examination as an assessment tool for Korean Medicine treatment.

Development of Radar Data Use Program (레이더자료 활용 프로그램 개발)

  • Han, Myoung Sun;Lee, Dong-Ryul
    • Proceedings of the Korea Water Resources Association Conference
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    • 2016.05a
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    • pp.233-233
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    • 2016
  • 현재 한국건설기술연구원에서 X-밴드 이중편파레이더를 운영하고 있으며, 이 결과 NetCDF 파일형식의 레이더 관측자료가 생성되고 있다. 레이더 자료포맷인 Netcdf 자료의 경우 레이더 관측과정에서 발생한 결과를 극좌표 형식으로 저장하고 있어 이를 분석이나 시스템에 적용하여 활용하기 위해서는 격자좌표로 변환하는 것이 필요하고, 또한 다양한 자료 변환 및 추출작업을 텍스트 기반으로 하기 위해 다양한 사전 작업이 필요하여 일반사용자가 사용하는데 어려운 상황이다. 그래서 이를 쉽게 수행할 수 있도록 JAVA를 이용하여 윈도우 기반으로 사용할 수 있는 프로그램(KICTRadar4WIN) 프로그램을 개발하였다. KICTRadar4WIN 프로그램의 경우 레이더 자료 품질관리, 레이더 자료 관리, 레이더 자료 추출, 레이더 자료 표출의 4가지 기능을 포함하고 있다. ${\bullet}$ 레이더 자료 품질관리 - 원시자료에 QC 기준을 입력하여 QC된 레이더자료를 생성 ${\bullet}$ 레이더 자료관리 - CAPPI 자료생성 : 관측된 PPI 및 RHI 자료를 이용하여, CAPPI 자료를 생성 - QPE 자료생성 : CAPPI 자료를 이용하여 QPE 자료를 생 - QPE 자료보정 : 지점우량을 이용한 G/R비를 산정하여 QPE 보정자료를 생성 ${\bullet}$ 레이더 자료 추출 - 격자자료 추출 : PPI, CAPPI, QPE 자료를 TEXT 자료로 변환하여 저장 - 지점자료 추출 : 입력된 지점좌표 중심으로 선택한 범위의 평균값을 TEXT 파일로 저장 - 면적자료 추출 : 입력된 면적자료의 평균값을 추출하여 TEXT파일로 저장 ${\bullet}$ 레이더 자료 표출 - 영상표출 : PPI, CAPPI, QPE 관측변수 자료를 그림파일 생성 - KMZ 자료생성 : PPI, CAPPI, QPE 자료를 KMZ 파일 생성

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