• 제목/요약/키워드: Trough concentration

검색결과 39건 처리시간 0.028초

Monitoring of Mycophenolic Acid Trough Concentration in Kidney Transplant under Cyclosporine Is Beneficial in Reducing Acute Rejection within 1 Year

  • Rhu, Jinsoo;Lee, Kyo Won;Park, Jae Berm;Kim, Sung Joo
    • 대한이식학회지
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    • 제32권4호
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    • pp.75-83
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    • 2018
  • Background: This study was designed to analyze the clinical usefulness of mycophenolic acid trough concentration monitoring in kidney transplantation patients who were maintained with cyclosporine. Methods: The data of patients who underwent mycophenolic acid trough concentration monitoring after their first kidney transplant between November 2006 and August 2013 and were prescribed with cyclosporine, mycophenolate, and methylprednisolone were reviewed retrospectively. Cox analysis was used to analyze the risk factors for acute rejection within 1 year post-transplantation. Results: Among 90 patients, 41 (45.6%) achieved both the target levels of cyclosporine and mycophenolic acid, while three patients (3.3%) failed to achieve the target level of either cyclosporine or mycophenolic acid. Nine patients (10.0%) only achieved the mycophenolic acid target level and 37 patients (41.1%) only achieved the cyclosporine target level. While patients who achieved only the mycophenolic acid target concentration had no statistically increased risk compared to patients who achieved both target levels (hazard ratio [HR], 1.569; 95% confidence interval [CI], 0.316 to 7.778; P=0.581), patients who only achieved the cyclosporine target concentration showed an increased risk of rejection compared to the both achievement group (HR, 4.112; 95% CI, 1.583 to 10.683; P=0.004). Patients who had no achievement in the target levels showed significantly increased rejection risk compared to the patients who achieved both target levels (HR, 17.811; 95% CI, 3.072 to 103.28; P=0.001). Conclusions: Mycophenolic acid trough concentration monitoring combined with cyclosporine trough concentration monitoring is useful for avoiding acute cellular rejection if the first 1 year post-transplantation.

Vancomycin 초기 투여 용량 개선 방안 (Development of Vancomycin Initial Dosage Guidelines to Achieve New Target Ranges)

  • 유재영;김정현;이용원;김은영;손기호
    • 한국임상약학회지
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    • 제20권3호
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    • pp.221-228
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    • 2010
  • In 2009, American Journal of Health-System Pharmacy (AJHP) recommended that targeting vancomycin trough concentrations of 10 mg/L or more because of therapeutic failure and potential risk of developing vancomycin resistance. Therefore, new dosage guidelines that could achieve to these higher target were needed. The aims of this study were to develop dosage guidelines targeting new vancomycin trough concentration and to evaluate the performance of these new guidelines. All data analysis were performed using NONMEM(R). Population pharmacokinetic model was first developed from vancomycin dosage and concentration data collected retrospectively during routine therapeutic drug monitoring in 441 patients, then new vancomycin dosage guidelines were developed by using the model to predict vancomycin trough and peak concentrations in a simulated dataset. The estimates, such as, vancomycin concentration trough level, time to achieve target level, mean error were performed to evaluate and compare difference between conventional dosage and new dosage guidelines. The proposed dosage guidelines were predicted to achieve 43.5% of vancomycin trough level within 10~20 mg/L, which is significantly higher than current guidelines (26.3%). Time to achieve target trough level was 19.4 hours in new guidelines comparing to 93.1 hours in the conventional dosage. Thus, new vancomycin dosage guidelines have been developed to achieve new target trough concentrations earlier and more consistently than conventional guidelines.

송아지 胸線 DNA의 Spermine에 依하여 誘發되는 異例的 吸光度-溫度 樣相에 미치는 Ethidium Bromide의 影響 (Effect of Ethidium Bromide on Anomalous Absorbance-Temperature Profile, of Calf Thymus DNA, induced by Spermine)

  • 이찬용;고동성
    • 대한화학회지
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    • 제29권3호
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    • pp.271-276
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    • 1985
  • 송아지 胸線 DNA가 單分子的 凝縮된(collapsed) 構造를 이루는 spermine 濃度에서 얻어지는 異例的 吸光度-溫度 樣相(anomalous absorbance-temperature profile)의 trough 領域에 이르는 相變移에 對한 cooperativity, enthalpy, 및 相變移 midpoint를 구하여 그 값들을 Tm 領域의 값들과 比較한 結果 그 두 그룹의 값들은 서로 相異하였으며 前者의 값들이 後者의 값들 보다 ethidium bromide에 對하여 더 銳敏하였다. Ethidium bromide 濃度를 增加시킴에 따라서 그 trough의 깊이가 작아져서 終局的으로 없어졌으나 그와 對照的으로 Tm은 實驗的으로 一定하게 維持되었다. 本 硏究結果를 基礎로 하여 DNA 凝縮 메카니즘을 推理하였다.

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황사의 지속시간에 따른 대기 중 농도변동 및 종관기상장 특성 (Characteristics of Concentration Variations and Synoptic Conditions by the Lasting Time of Asian Dust)

  • 김유근;송상근;강재은
    • 한국대기환경학회지
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    • 제20권4호
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    • pp.465-481
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    • 2004
  • We determined Asian dust days by constructing the standard of Asian dust using PM$_{10}$ concentrations ($\geq$150 $\mu\textrm{g}$m$^{-3}$ , 24-hr average) and TOMS aerosol index ($\geq$0.7) for 5 years (1998-2002), and grouped Into long-lasted cases (LLCs, $\geq$4 days) and short-lasted cases (SLCs, $\leq$2 days) concerning the mean lasting time (about 3 days) of Asian dust. Further we performed the specific analyses associated with concentration variations and synoptic conditions by using PM$_{10}$ and TOMS data, weather maps during the dusty cases (LLCs and SLCs). As a result, the LLCs (9 cates) had large variations of PM$_{10}$ concentration as the mean of 131.1$\mu\textrm{g}$m$^{-3}$ and the maximum mean of 379.8$\mu\textrm{g}$m$^{-3}$ , and showed dominant features the continuous passage of deep trough caused by blocking effect and weak trough (56%, 5 cases) over Korea. The SLCs (11 cases) had relatively small variations of PM$_{10}$ concentration as the mean of 133.3$\mu\textrm{g}$m$^{-3}$ and the maximum mean of 247.2$\mu\textrm{g}$m$^{-3}$ , and showed passage of one weak trough (64%, 7 cases) over Korea. Thereafter, the case studies (April 7-13, 2002 of LLC and March 23-24, 2000 of SLC) performed by the simulation of MM5 with meteorological variables of the horizontal wind, potential temperature, isentropic potential vorticity, and helped to better understand the features of synoptic conditions in connection with the concentration variations for each case.

강바닥판 종리브와 횡리브 교차부의 피로거동에 대한 종리브내 다이아프램의 영향 (The Effect of Diaphragm inside Trough Rib on Fatigue Behavior of Trough Rib and Cross Beam Connections in Orthotropic Steel Decks)

  • 최동호;최항용;최준혁
    • 한국강구조학회 논문집
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    • 제12권3호통권46호
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    • pp.239-250
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    • 2000
  • 본 연구에서는 강바닥판의 실물 대형시험체를 제작하여 정적시험 및 피로시험을 실시하였다. 정적 및 영향면 재하시험 결과를 통하여 다이아프램의 유무에 따른 강바닥판 슬릿부의 면내와 면외응력을 검토하였으며, 피로시험결과로부터는 강바닥판의 피로거동, 피로균열의 발생과 진전에 대한 연구를 수행하였다. 다이아프램이 설치된 상세는 설치되지 않은 상세에 비하여 지점조건에 상관없이, 종리브 횡리브 교착부의 종리브측으로는 약 50%의 응력경감효과가 있으나, 횡리브측 하단부에는 오히려 상당히 큰 응력을 야기함을 알 수 있었으며, 피로균열 진전해석결과로부터는 슬릿부의 노치에 의한 초기균열길이가 피로균열성장에 상당한 영향을 끼치고 있음을 알 수 있었다. 측정자료와 FEM 해석을 통하여 공칭응력과 핫스폿응력에 의한 피로강도를 추정한 결과, 다이아프램이 설치되지 않은 상세는 규정된 피로등급에서 안전한 것으로 판단되나 다이아프램이 설치된 상세는 피로등급이하의 거동을 보였다.

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Anomalous Absorbance-Temperature Profile of Calf Thymus DNA in Presence of Spermine

  • Chan-Yong Lee;Hyeong-Won Ryu;Moon-Jip Kim;Thong-Sung Ko
    • Bulletin of the Korean Chemical Society
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    • 제12권3호
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    • pp.262-264
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    • 1991
  • An anomalous absorbance-temperature profile of calf thymus DNA, having a hypochromic trough just before the rise the $T_m$-region phase, occurs at the spermine concentration where the DNA collapses into a compact structure. The trough phase can be eliminated by the addition of ethidium bromide and also by a hydrophobic environment.

강상판(鋼床版) U형(形) 트라프리브 단차용접(段差熔接)이음부(部)의 피로강도(疲勞强度)에 관(關)한 연구(硏究) (A Study on the Fatigue Strength of a Welded Joint with Misalignment of a U-type Trough Rib in a Steel Deck Plate)

  • 이동욱;서원찬
    • 한국강구조학회 논문집
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    • 제8권3호통권28호
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    • pp.13-20
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    • 1996
  • With the adoption of welded joints rather than bolted joints, we investigate the fatigue strength and the fatigue crack initiation of U-type trough rib and welded specimen with misalignment in a steel deck plate. The stress concentration factor of welded specimens with a misalignment is also verified by a finite element method. The main conclusions obtained from this study are as follows Experimental results of full-scaled U-type trough rib models have indicated that fatigue life depends on misalignments of welded joints in steel deck plate ; The more misalignments are, the less the fatigue life is. It has also shown that fatigue crack propagates from the welded root to the bead surface. We have also obtained the same results from both the fatigue test of welded specimens with a misalignment and the stress analysis of a finite element method.

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可逆的 리간드 結合에 의하여 誘發되는 DNA의 응축-풀림 構造變移 : Spermine-DNA 複合體의 異例的 吸光度-溫度 樣相에 미치는 Urea의 影響 (Condensation-Decondensation Structural Transition of DNA Induced by Reversible Ligand Binding : Effect of Urea on Anomalous Absorbance-Temperature Profile of Spermine-DNA Complex)

  • 고동성;이찬용
    • 대한화학회지
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    • 제29권5호
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    • pp.533-538
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    • 1985
  • Spermine에 의하여 誘發되는 凝縮 DNA 構造의 安定化에 있어서 hydrophobic interaction의 重要性을 試驗하기 위하여 spermine-DNA 複合體의 異例的 吸光度-溫度 樣相에 미치는 urea의 效果를 調査하였다. 그 結果 異例的 吸光度-溫度 樣相의 downward peak(trough) 領域에 이르는 相變移에 對한 cooperativity, enthalpy, midpoint의 값들이 Tm 領域의 값들 보다 urea에 敏感한 影響을 받았으며, urea의 濃度 增加에 따라 downward peak가 점차 사라졌다. 이 data는 異例的 吸光度-溫度 樣相을 構成하는 downward peak가 spermine에 의하여 誘發되는 hydrophobic interaction에 의한 凝縮된 tertiary structure의 形成을 나타내고 있다고 불 수 있다.

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야간 지표 고농도 오존에 관한 연구 (The Study on the High Nocturnal Concentration of Ground Level Ozone)

  • 김유근;홍정혜
    • 한국대기환경학회지
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    • 제14권6호
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    • pp.545-554
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    • 1998
  • The diurnal variation of O3 concentration shows two peaks, the first peak at noontime and the secondary peak at night. In order to show why the secondary peak, high nocturnal O3 concentration, occurs without sunlight which is a essential factor of a photochemical response, the O3 concentration, several weather elements and synoptic weather map were used for June∼September at 1995, 1996. The mean concentration of high nocturnal O3 concentration days is higher by 5.4 ppb than that of low nocturnal O3 concentration days. The nocturnal O3 concentration is higher than that of diurnal O3 concentration during high nocturnal O3 concentration days, at July, 1995 and June, 1996. The high nocturnal O3 concentration is related to low air pressure, high cloud cover and high wind speed. The correlation coefficient, r. between nocturnal O3 concentration and wind speed, pressure and cloud cover is 0.387, -0.218, and 0.194, respeftiviely. It is interesting that the O3 concentration increases at Pusan when the typhoon passes by. The same result showed at Taegu when the typhoon FAYE passed by. According to the analysis of nocturnal O3 concentration for June∼September at 1995 and 1996, it seems that the high nocturnal O3 concentration relates to the trough and cyclones passing by Pusan.

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