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The Analysis of Registration Status of Interventional Clinical Trials for Children and Adolescents with Chronic Cough - Focused on WHO ICTRP - (소아 청소년 만성기침 환자를 대상으로 한 중재 임상시험 등록 현황 분석 - WHO ICTRP를 중심으로 -)

  • Jeong Yoon Kyoung;Choi Seo Yeon;Bang Miran;Lee Jun-Hwan;Lee Boram;Chang Gyu Tae
    • The Journal of Pediatrics of Korean Medicine
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    • v.37 no.3
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    • pp.75-93
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    • 2023
  • Objectives We aimed to analyze the registration status of interventional clinical trials in children and adolescents with chronic cough. Methods All interventional clinical trials registered up to 3 July, 2023 on the international clinical trial registry platform (ICTRP) of the World Health Organization (WHO) were analyzed. Information was extracted including study design, interventions, inclusion and exclusion criteria, and outcome indicators. Results A total of 18 interventional clinical trials were analyzed. For study design, multicentre trials, randomized allocation, parallel group design and phase 4 trials were the most frequently reported. Blinding was used in 44.4% and informed consents were obtained from 61.1%. For intervention, drugs were used in 61.1%, using placebo control group in 27.8%. Quality of life questionnaires were most frequently reported in 50% as the primary outcome, and adverse events were the most as the secondary outcome. In most cases, the assessment timepoints were after two weeks. Conclusions Based on the characteristics of clinical trial design analyzed in this study, it is necessary to design traditional Korean medicine clinical trials with improved quality and accuracy of information.

Assessment of RELAP5/MOD2 with LOFT L2-5 LBLOCA Test (LOFT L2-5 대형 냉각제상실사고 모사실험에 대한 RELAP5/ MOD2 코드 평가)

  • Bang, Y.S.;Lee, S.Y.;Kim, H.J.;Kim, S.H.
    • Nuclear Engineering and Technology
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    • v.21 no.4
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    • pp.259-266
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    • 1989
  • An improved version of RELAP5/MOD2 Cycle 36.04 code is assessed for LOFI LBLOCA Test L2-5. Minor modifications to the original version have been done to avoic reflood related errors. Based on the modified version, one base case and two cases for sensitivity study on downcomer and core channel modelling are calculated. The calculation results are compared with the experimental data for primary system pressure, break mass How rate and cladding temperature at hot spot According to the comparison, it is found that the hydraulic system behaviors are well predicted, excessive core cooling exist in blowdown phase for a single core channel and a combined downcomer case, and a better result can be obtained for a two core channel case.

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A three-region movable-boundary helical coil once-through steam generator model for dynamic simulation and controller design

  • Shifa Wu;Zehua Li;Pengfei Wang;G.H. Su;Jiashuang Wan
    • Nuclear Engineering and Technology
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    • v.55 no.2
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    • pp.460-474
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    • 2023
  • A simple but accurate mathematical model is crucial for dynamic simulations and controller design of helical coil once-through steam generator (OTSG). This paper presents a three-region movable boundary dynamic model of the helical coil OTSG. Based on the secondary side fluid conditions, the OTSG is divided into subcooled region (two control volumes), two-phase region (two control volumes) and superheated region (three control volumes) with movable boiling boundaries between each region. The nonlinear dynamic model is derived based on mass, energy and momentum conservation equations. And the linear model is obtained by using the transfer function and state space transformation, which is a 37-order model of five input and three output. Validations are made under full-power steady-state condition and four transient conditions. Results show good agreements among the nonlinear model, linear model and the RELAP5 model, with acceptable errors. This model can be applied to dynamic simulations and controller design of helical coil OTSG with constant primary-side flow rate.

Modeling the long-term vegetation dynamics of a backbarrier salt marsh in the Danish Wadden Sea

  • Daehyun Kim
    • Journal of Ecology and Environment
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    • v.47 no.2
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    • pp.49-62
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    • 2023
  • Background: Over the past three decades, gradual eustatic sea-level rise has been considered a primary exogenous factor in the increased frequency of flooding and biological changes in several salt marshes. Under this paradigm, the potential importance of short-term events, such as ocean storminess, in coastal hydrology and ecology is underrepresented in the literature. In this study, a simulation was developed to evaluate the influence of wind waves driven by atmospheric oscillations on sedimentary and vegetation dynamics at the Skallingen salt marsh in southwestern Denmark. The model was built based on long-term data of mean sea level, sediment accretion, and plant species composition collected at the Skallingen salt marsh from 1933-2006. In the model, the submergence frequency (number yr-1) was estimated as a combined function of wind-driven high water level (HWL) events (> 80 cm Danish Ordnance Datum) affected by the North Atlantic Oscillation (NAO) and changes in surface elevation (cm yr-1). Vegetation dynamics were represented as transitions between successional stages controlled by flooding effects. Two types of simulations were performed: (1) baseline modeling, which assumed no effect of wind-driven sea-level change, and (2) experimental modeling, which considered both normal tidal activity and wind-driven sea-level change. Results: Experimental modeling successfully represented the patterns of vegetation change observed in the field. It realistically simulated a retarded or retrogressive successional state dominated by early- to mid-successional species, despite a continuous increase in surface elevation at Skallingen. This situation is believed to be caused by an increase in extreme HWL events that cannot occur without meteorological ocean storms. In contrast, baseline modeling showed progressive succession towards the predominance of late-successional species, which was not the then-current state in the marsh. Conclusions: These findings support the hypothesis that variations in the NAO index toward its positive phase have increased storminess and wind tides on the North Sea surface (especially since the 1980s). This led to an increased frequency and duration of submergence and delayed ecological succession. Researchers should therefore employ a multitemporal perspective, recognizing the importance of short-term sea-level changes nested within long-term gradual trends.

Observation of Mitotic Chromosome behavior according to Different Treatment Methods of DNA Methylation Inhibitor

  • Seong-Wook Kang;Ji-Yoon Han;Seong-Woo Cho
    • Proceedings of the Korean Society of Crop Science Conference
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    • 2022.10a
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    • pp.221-221
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    • 2022
  • Chromosome breakage occurred by DNA methylation inhibitor. Zebularine is known as DNA methylation inhibitor and suitable for water solubility among different DNA methylation inhibitors as 5-Azacytidine and 5-aza-2'-deoxycytidine. We used zebularine as mutagen according to different methods by roots absorption and seed imbibition. After zebularine treatment, DNA methylation inhibitor, we observed mitotic chromosome behavior what is different according to two different treatment methods. First, seed imbibition treatment in 1,000 μM of zebularine solution for 72 hours in dark conditions. The second treatment to seedlings of Keumkang was also treated in 1,000 μM of zebularine solution for 72 hours after germination. Root and shoot showed different elongations in each treatment. Root absorption treatment(3.01±0.48, 2.00±0.26) showed the shortest elongation in root and shoot than control(8.16±0.61, 4.03±0.48) and seed imbibition treatment(4.33±0.80, 2.48±0.36). It can be explained root tip meristematic cell activity was damaged by DNA methylation inhibitor. Primary root tips were collected in DW for 24 hours at low temperature(0℃) and fixed in fixation solution for 3 days to chromosome observation in mitosis. Mitotic index, chromosome structure and chromosome aberration were observed by phase-contrast microscope. Mitotic index of the control(0.29) showed twice mitotic cells as the treated groups(imbibition 0.15, absorption 0.14). Observation of chromosomes showed some short chromosomes and loosen chromosomes affected by zebularine. It is considered because of zebularine damage DNA in mitosis. We observed "gap by chromosome breakage" in chromosomes that have loose parts between centromere and telomere. It seems demethylation of zebularine occurs chromosome breakage.

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Classification of Vibration Signals for Different Types of Failures in Electric Propulsion Motors for Ships Using Data from Small-Scale Apparatus (소형 모사 장비의 데이터를 이용한 선박용 전기 추진 모터의 고장 유형별 진동 신호의 분류)

  • Seung-Yeol Yoo;Jun-Gyo Jang;Min-Sung Jeon;Jae-Chul Lee;Dong-Hoon Kang;Soon-Sup Lee
    • Journal of the Society of Naval Architects of Korea
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    • v.60 no.6
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    • pp.441-449
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    • 2023
  • With the enforcement of environmental regulations by the International Maritime Organization, the market for eco-friendly ships is expanding, and ships using electric propulsion devices are emerging as a promising solution. Many studies have been conducted to predict the failure of ships, but most of them are mainly research on the main diesel engine of ships. As the ship's propulsion method changes, new data is needed to predict the failure of electric propulsion ships. In this paper aims to analyze the failure characteristics of the electric propulsion system in consideration of the difference in the type of failure between the internal diesel engine and the electric propulsion system. The ship's propulsion unit assumed a DC motor and a signal pattern for normal conditions and general failure modes, but the failure record of the electric propulsion device operated on the actual ship was not available, so it generated a failure signal for small electric motor equipment to identify the failure signal. Assuming unbalance, misalignment, and bearing failure, which are the primary failure modes of the ship's electric motor, a failure signal was generated using a "rotator vibration data generator," and the frequency band, size, and phase difference of the measured vibration signal were analyzed to analyze the characteristics of each failure condition. Finally, the characteristics of each failure condition were identified so that the signals according to the failure type could be classified.

A Randomized Comparative Study of Unani Formulations in Abnormal Uterine Bleeding due to Endometrial Hyperplasia

  • Abothu Suhasini;Wasia Naveed;Arshiya sultana;Shahzadi Sultana
    • CELLMED
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    • v.13 no.14
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    • pp.19.1-19.16
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    • 2023
  • Objectives: To compare the efficacy of polyherbal Unani formulations in heavy menstrual bleeding due to endometrial hyperplasia. Methodology: A prospective, randomized comparative trial was conducted at Govt. Nizamia Tibbi College. Group A (n=20) received Itrifal Aftimoon 5g orally BID from menstruation day 3 to day 21 plus suprapubic Marham Dakhilyun application and per vaginally Marham Dakhilyun (5g) and Roghan Gul (10ml) application from menstruation day 5 to day 14. Group B (n=20) received Gulnar Farsi (2g), Phitakri Biryan (0.25g), Dammul Aqwain (0.25g), and Geru (2g), 2.5g powder orally BID, menstruation day 3 for 20 days plus Douche Bargh Sambhalu then Ḥamūl of Safuf Mazu (2g), Kalijiri (2g) and Roghan Gul (10ml) from menstruation day 3 to day 12 for 3 consecutive cycles. The primary outcome was pelvic ultrasound findings of endometrial thickness. The secondary outcome measures were improvement in haemoglobin percentage, change in menstrual flow and menstrual pattern. The level of significance was 5%. Results and conclusion: The intragroup comparison showed that the mean endometrial thickness at baseline and after treatment in groups A and B was extremely significantly different (P<0.0001). The intragroup comparison showed the mean haemoglobin percent at baseline and after treatment in group, A was significantly different (P<0.0001). After treatment, 50% and 60% of participants had normal duration and menstrual blood loss after treatment from baseline in Groups A and B respectively. However, further, phase II and III randomized standard controlled trials in larger samples are recommended to assess the efficacy of these group medicines.

The Analysis of Registration Status of Herbal Medicine and Medication Interventional Clinical Trials for Simple Obesity in Children and Adolescents -Focused on WHO ICTRP- (소아청소년 단순 비만에 대한 한약 및 약물 중재 임상시험 등록 현황 분석 - WHO ICTRP를 중심으로 -)

  • Jeong Yoon Kyoung;Choi Seo Yeon;Bang Miran;Lee Boram;Chang Gyu Tae
    • The Journal of Pediatrics of Korean Medicine
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    • v.38 no.1
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    • pp.55-77
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    • 2024
  • Objectives This study aimed to analyze the registration status and characteristics of clinical trials on herbal medicine (HM) and medication interventions for simple obesity in children and adolescents. Methods All interventional clinical trials registered in the International Clinical Trials Registry Platform of the World Health Organization until December 12, 2024, were collected. The study design, interventions, inclusion and exclusion criteria, and outcome measures were extracted. Results A total of 24 clinical trials (23 medications and 1 HM) were analyzed. The most common study designs were single-center, randomized controlled, parallel, and phase 2. Placebo controls were used in 87.5% of the studies, blinding was used in 79.1%, and quadruple blinding was the most common. Informed consent was obtained from 70.8% of the participants. Among the oral medications (66.6%), metformin was the most common (25%). Among the non-oral medications (29.1%), exenatide (Bydureon) was the most common intervention (42.8%). Body mass index was the most commonly reported primary outcome measure (79.1%), with most assessments performed at 6 months. Conclusions Based on the characteristics of the medication interventional clinical trial design analyzed in this study, additional high-quality multicenter traditional Korean medicine trials need to be designed in the future.

Novel dental anesthetic and associated devices: a scoping review

  • Kyung Hyuk Min;Zac Morse
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.24 no.3
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    • pp.161-171
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    • 2024
  • The efficient management of pain and discomfort is essential for successful dental treatment and patient compliance. Dental professionals are commonly evaluated for their ability to perform treatment with minimal patient discomfort. Despite advancements in traditional local dental anesthesia techniques, the pain and discomfort associated with injections remain a concern. This scoping review aims to provide a comprehensive overview of the literature on novel dental anesthetics and associated devices designed to alleviate pain and discomfort during dental procedures. The Joanna Briggs Institute and the Preferred Reporting Items for Systematic reviews and Meta-Analyses Extension for Scoping Reviews guidelines were used to prepare the review. Six databases and two sources of gray literature were searched. This review analyzed 107 sources from 1994 to 2023. Local anesthesia devices were grouped into computer-controlled local anesthetic delivery (CCLAD) systems, intraosseous anesthesia (IOA), vibratory stimulation devices, and electronic dental anesthesia (EDA). CCLAD systems, particularly the Wand and Single-Tooth Anesthesia, have been the most researched, with mixed results regarding their effectiveness in reducing pain during needle insertion compared to traditional syringes. However, CCLAD systems often demonstrated efficacy in reducing pain during anesthetic deposition, especially during palatal injections. Limited studies on IOA devices have reported effective pain alleviation. Vibrating devices have shown inconsistent results in terms of pain reduction, with some studies suggesting their primary benefit is during needle insertion rather than during the administration phase. EDA devices are effective in reducing discomfort but have found limited applicability. These findings suggest that the CCLAD systems reduce injection pain and discomfort. However, the evidence for other devices is limited and inconsistent. The development and research of innovative technologies for reducing dental pain and anxiety provides opportunities for interdisciplinary collaboration and improved patient care in dental practice.

Preparation and Performance of Aluminosilicate Fibrous Porous Ceramics Via Vacuum Suction Filtration

  • Qingqing Wang;Shaofeng Zhu;Zhenfan Chen;Tong Zhang
    • Korean Journal of Materials Research
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    • v.34 no.1
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    • pp.12-20
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    • 2024
  • This study successfully prepared high-porosity aluminosilicate fibrous porous ceramics through vacuum suction filtration using aluminosilicate fiber as the primary raw material and glass powder as binder, with the appropriate incorporation of glass fiber. The effects of the composition of raw materials and sintering process on the structure and properties of the material were studied. The results show that when the content of glass powder reached 20 wt% and the samples were sintered at the temperature of 1,000 ℃, strong bonds were formed between the binder phase and fibers, resulting in a compressive strength of 0.63 MPa. When the sintering temperatures were increased from 1,000 ℃ to 1,200, the open porosity of the samples decreased from 89.08 % to 82.38 %, while the linear shrinkage increased from 1.13 % to 10.17 %. Meanwhile, during the sintering process, a large amount of cristobalite and mullite were precipitated from the aluminosilicate fibers, which reduced the performance of the aluminosilicate fibers and hindered the comprehensive improvement in sample performance. Based on these conditions, after adding 30 wt% glass fiber and being sintered at 1,000 ℃, the sample exhibited higher compressive strength (1.34 MPa), higher open porosity (89.13 %), and lower linear shrinkage (5.26 %). The aluminosilicate fibrous porous ceramic samples exhibited excellent permeability performance due to their high porosity and interconnected three-dimensional pore structures. When the samples were filtered at a flow rate of 150 mL/min, the measured pressure drop and permeability were 0.56 KPa and 0.77 × 10-6 m2 respectively.