• 한국임상약학회지
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• 제11권2호
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• pp.49-56
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• 2001

Acetyl-L-carnitine (ALC), an endogenous component of the L-carnitine family, is a naturally existing molecule synthesized from L-carnitine (LC) by carnitine acetyl transferase. ALC has been shown to improve the cognitive performance of patients suffering from dementia of the Alzheimer's type and proposed for treating Alzheimer's disease in pharmacological doses. The purpose of the present study was to evaluate the bioefuivalence of two ALC tablets, $Nicetile^{TM} (Dong-A Pharmaceutical Co.) and $L-Cartin^{TM}$ (Kuhn Il Pharmaceutical Co.), according to the guidelines of Korea Food and Drug Administration (KFDA). The ALC release from the two ALC tablets in vitro was tested using KP VII Apparatus II method in various dissolution media (pH 1.2, 6.0 and 6.8). Twenty six normal male volunteers, $24.46\pm3.67$ years in age and $64.45\pm5.54$ kg in body weight, were divided into two groups and a randomized $2\times2$cross-over study was employed. After one tablet containing 500 mg of ALC was orally administered, blood was taken at predetermined time intervals and the concentrations of ALC in serum were determined using HPLC with fluorescence detector. Because of the presence of endogenous ALC, the calibration was performed using dialyzed serum. The dissolution profiles of the two ALC tablets were similar in all the dissolution media. The pharmacokinetic parameters such as $AUC_t,\;C_{max}\;and\;T_{max}$ were calculated and ANOVA was utilized for the statistical analysis of the parameters. The results showed that the differences in $AUC_t,\;C_{max}\;and\;T_{max}$ between two tablets were $0.35\%,\;0.93\%\;and\;2.34\%$ respectively, when calculated against the $Nicetile^{TM} tablet. The powers $(1-\beta)\;for\;AUC_t$ , and Cmax were $98.72\%\;and\;85.48\%$, respectively. Minimum detectable differences $(\Delta)\;at\;\alpha=0.05\;and\;1-\beta=0.8$ were less than $20\%,\;(e.g.,\;13.21\%\;and\;18.42\%\;for\;AUC_t,\;and\;C_{max}$ respectively). The $90\%$ confidence intervals were within $\pm20\%\;(e.g.,\;-7.38\sim8.09\;and\;-9.86\sim11.72\;for\;AUC_t,\;and\;C_{max}$, respectively). These two parameters met the criteria of KFDA for bioequivalence, indicating that $L-Cartin^{TM}$ tablet is bioequivalent to $Nicetile^{TM} tablet.

• Toxicological Research
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• 제20권3호
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• pp.251-261
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• 2004

A large number of chemical pollutants including phthalates, alkylphenolic compounds and organochlorine pesticides have the ability to disrupt endocrine function in animals, and alter cog-nitive function. Because hormone mediated events play an important role in central nervous system development and function, the changes in cognitive function seem to be mediated by the endocrine-like action of these chemicals. The present study therefore was designed to investigate effect of bisphenol A (BPA), an endocrine disrupting chemical on neuro-behavial patterns, and expression of estrogen receptors and tyrosine hydroxylase, a limiting enzyme of dopamine synthesis pathway. BPA was treated orally for 3 weeks into 3 week old mice, and then the neuro-behavial patterns (stereo-type behaviors such as jumping rearing and forepaw tremor, climbing behavior, tail flick, rotarod and locomotor activity), and the expression of estrogen receptors and tyrosine hydroxylase were deter-mined every 3 week for 9 weeks. During the treatment of BPA, the food uptake and body weight increase were not significantly changed. BPA resulted in the increased stereotype behaviors (jump-ing, rearing and forepaw tremor) 6 or 9 weeks after treatment. The time response to tail flick and locomotor activity were decreased by the treatment of BPA, whereas the time for rotarod was increased by the treatment of BPA. The expression of estrogen receptor alpha and beta was increased in the brain and pituitary gland. Maximum expression was found in the brain after 9 week of 100 mg/kg BPA treatment and in the pituitary gland after 6 week of 100 mg/kg BPA treatment. Tyrosine hydroxylase was increased in dose and time dependent manners in the brain but no change was found in the pituitary gland. The present data show that exposure of BPA in the young mice could alter expression of estrogen receptors and dopamine synthesis pathway, thereby modulate neuro-behavial patterns (increase of stereotype behaviors but decrease locomotor activity).

• Journal of Pharmaceutical Investigation
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• 제31권1호
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• pp.49-55
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• 2001

Acetyl-L-carnitine (ALC), an endogenous component of the L-carnitine family, is naturally occurring molecule synthesized from L-carnitine (LC) by carnitine acetyl transferase. ALC has been shown to improve the cognitive performance of patients suffering from dementia of the Alzheimer's type and proposed for treating Alzheimer's disease in pharmacological doses. The purpose of the present study was to evaluate the bioequivalence of two ALC tablets, $Nicetile^{TM}$ (Dong-A pharmaceutical Co., Ltd.) and $Neurocetil^{TM}$ (Kyung-Dong Pharmaceutical Co., Ltd.), according to the guidelines of Korea Food and Drug Administration. Twenty six normal male volunteers, $22.80{\pm}2.76$ year in age and $63.07{\pm}7.98\;kg$ in body weight, were divided into two groups and a randomized $2{\times}2$ cross-over study was employed. After one tablet containing 500 mg of ALC was orally administered, blood was taken at predetermined time intervals and the concentrations of ALC in serum were determined using HPLC with fluorescence detector. Because of the presence of endogenous ALC, the calibration was performed using dialyzed serum. Pharmacokinetic parameters such as $AUC_t$, $C_{max}\;and\;T_{max}$ were calculated and ANOVA was utilized for the statistical analysis of the parameters. The results showed that the differences in $AUC_t$, $C_{max}\;and\;T_{max}$ between two tablets were 2.72%, -0.65% and -8.42%, respectively, when calculated against the $Nicetile^{TM}$ tablet. The powers $(1-{\beta})$ for $AUC_t\;and\;C_{max}$ were 94.87% and 87.17%, respectively. Minimum detectable differences $({\Delta})$ at ${\alpha}=0.05$ and $1-{\beta}=0.8$ were less than 20% (e.g., 15.58% and 19.16% $AUC_t\;C_{max}$, respectively). The 90% confidence intervals were within ${\pm}20%$ (e.g., $-11.84{\sim}6.41$ and $-10.57{\sim}11.88$for $AUC_t\;and\;C_{max}$, respectively). Two parameters met the criteria of KFDA for bioequivalence, indicating that $Neurocetil^{TM}$ tablet is bioequivalent to $Nicetile^{TM}$ tablet.

• Perspectives in Nursing Science
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• 제1권1호
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• pp.85-102
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• 2004

Purpose: The purpose of this study was to identify the trend of nursing research by analyzing doctoral dissertations of nursing college at Seoul National University. Method: The doctoral dissertations used in this study were 69 thesis from 1989 to 2001. The methodological characteristics, theory, philosophy and world view in these thesis were explored. Key words were classified according to metaparadigm and were compared with MeSH term. Result: There were 54 dissertations of quantitative research and 12 dissertations of qualitative research. Most of subjects of the thesis were patients with 20~65 years old. The written consent to participate in research was not described in great part of thesis. As to measurement, questionnaire was most frequent used. In independent variables cognitive nursing interventions were used frequently. Psychosocial variables as a dependent variable were used mainly. In theory level of research, situation-producing research was performed. In type of nursing knowledge according to Caper many dissertations studied about empirical knowledge. More than half of doctoral dissertations used borrowed theory from nursing related disciplines. Most of studies were done within empirical positivism and organic viewpoint. Key words related to the concept of environment among four metaparadigm has been insufficiently studied. English key words in doctoral thesis were out of accordance largely with MeSH term English. Conclusion: These results show that it is necessary to develop the nursing theory for nursing knowledge body.

• 정보처리학회논문지:컴퓨터 및 통신 시스템
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• 제12권5호
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• pp.171-180
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• 2023

우리나라 3대 수면 질환으로는 코골이, 수면무호흡증, 불면증이 있다. 수면 부족은 만병의 근원이며 수면 부족으로 인한 질병은 심혈관계 질환, 인지장애, 비만, 당뇨, 대장염, 전립선암에 이르기까지 다양하게 나타난다. 수면 관리 중요성을 인식한 정부도 2018년 7월부터 수면다원검사를 국민건강보험 혜택을 적용해서 작은 부담으로 검사를 받아볼 수 있도록 하고 있다. 그럼에도 불구하고 불면증 환자는 시간적·공간적·경제적 부담감을 해소하고 일상생활 속에서 수면의 질을 관리할 필요가 있다. 이러한 문제를 해결하기 위해서 본 논문에서는 병원이 아닌 일상생활 속에서 수면관리에 활용할 수 있는 안대형 생체신호 측정기기를 개발하였다. 측정기기에서는 6개 생체신호(안구동작, 뒤척임, 체온, 산소포화도, 심박수, 오디오)를 측정할 수 있다. 사용되는 센서로는 안구동작, 뒤척임은 자이로스코프센서(MPU9250, InvenSense, 미국)가 사용되었다. 센서값 입력 범위는 258~460°/sec 단위로 조정되며, 입력 범위값 내에서 작동상태를 확인하였다. 체온, 산소포화도, 심박수는 센서(MAX30102, Analog Devices, 미국)를 사용하였다. 체온은 30~45℃ 작동상태를 확인했으며, 산소포화도 사용범위는 미사용상태는 0%이고 사용상태는 20~90%의 작동상태를 확인하였다. 심박수의 범위는 40~180 bpm에서 작동상태를 확인하였다. 오디오 신호는 센서(AMM2742-T-R, PUIaudio, 미국)를 통해서 생체신호를 측정하며 감도는 -42±1 dB이며 주파수 범위는 20~20 kHz에서의 작동상태를 확인하였다. 시스템 구성은 생체신호 측정기기와 데이터수집 장치로 PC 및 모바일 애플리케이션으로 구성되었다. 측정된 데이터는 모바일과 PC로 수집되며 수집된 데이터는 수면의 단계를 판단하고 수면 유도와 수면장애에 대한 사전 선별기능을 진행할 수 있는 기초자료로 사용될 수 있다. 앞으로 간편하게 가정에서 불면증 환자들에게 수면의 질을 측정할 수 있게 되어 불면증 환자들의 치료에 도움이 될 것으로 예상한다.

• 생명과학회지
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• 제28권5호
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• pp.621-626
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• 2018

최근 의공학과 의학기술의 발달로 인간의 수명이 늘어나고 있으며, 이제는 수명에 대한 관심보다는 건강한 노후에 대한 관심에 초점을 맞추어 항노화 산업과 의과학 및 스포츠 과학이 발달하고 있다. 노화의 자연스런운 과정동안 노인들은 면역기능과 생리학적인 기능이 소실되고, 제2형 당뇨병, 고혈압, 골다공증, 골관절염, 심혈관 질환 및 인지감소 등을 경험하게 된다 하지만 규칙적인 운동을 참여할 때 건강한 노후를 맞이할 수 있다. 하지만 이제까지 노인들에게 규칙적인 운동활동의 참여가 건강체력, 정신건강, 인지기능 및 면역력의 변화를 확인하는 연구가 부족한 것으로 여겨진다. 따라서 본 연구는 노인에게서 일상생활도 관리 및 규칙적인 운동활동의 참여가 건강한 노후와 면역력유지에 미치는 효과를 분석하고자 한다. 본 연구를 수행하기 위하여 최근 20여년간 국내,외 이 분야에서 수행된 최신 연구결과들은 펍메드 데이터 베이스를 활용하여 비교 및 분석하고자 한다. 본 연구결과 레저활동을 포함하는 규칙적인 운동활동은 노인의 근육량과 골밀도를 증진시키고, 아울러 당뇨병, 고혈압, 동맥경화, 관절염 등과 같은 성인병을 예방하며, 아울러 인지기능 증가에 따른 치매의 예방과 치료 뿐만 아니라 면역력의 증진을 통한 만성질환과 암의 예방에도 필수적인 것으로 사료된다. 특히 노인에게는 요가나 필라테스를 기반으로 하는 수행하기 쉬운 운동이 좋으며, 흥미있고 자주 할 수 있는 운동이 권장된다. 체력이 전반적으로 약하기 때문에 무리한 운동은 오히려 심혈관계의 부담, 항상성의 교란, 및 면역저하를 동반할 수 있으므로, 레저스포츠 활동, 근력운동을 포함하는 저항운동, 및 일상생활도 증가를 통한 체력증진, 충분한 휴식, 최적의 영양관리가 필요하며 추후 건강한 노인에 최적화된 스포츠 장비, 영양소 섭취와 스포츠 음료 등의 계발에 관한 연구가 이루어져야 할 것이다.