• Title/Summary/Keyword: duration reduction

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The Effect of Spinal Cord Stimulation in Patients with Complex Regional Pain Syndrome (복합부위통증증후군 환자에서 척수자극술의 효능)

  • Kim, Won Young;Moon, Dong Eon;Choi, Jin Hwan;Park, Chong Min;Han, Seong Min;Kim, Shi Hyeon
    • The Korean Journal of Pain
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    • v.19 no.2
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    • pp.152-158
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    • 2006
  • Background: Complex regional pain syndrome (CRPS) is a painful, disabling disorder for which no proven treatment has been established. The purpose of this investigation was to assess the evidence of the efficacy of spinal cord stimulation (SCS) in the management of pain in CRPS patients. Methods: Between March 2004 and June 2006, 11 patients with CRPS were treated with SCS. The visual analog scale (VAS) score for pain (0⁣-10) and pain disability index (PDI) were obtained in all patients prior to treatment, and 1, 3 and 6 months post-implantation. Results: All 11 patients, 5 men and 6 women, with a median age and duration of CRPS of 44 years and 48.8 months, respectively, successfully received a lead implantation for SCS. The mean VAS pain score prior to the treatment was 85.5 out of 100 mm. After SCS implantation, the mean VAS pain scores were 49.5, 57.0 and 56.0 at 1, 3 and 6 months after the procedure, respectively. The mean pain score for allodynia was decreased by 50%, with a significant reduction of the PDI also observed after the treatment. Conclusions: Our current study suggests that SCS implantation is a safe and effective method in the management of CRPS patients.

Comparison of electrophysiological effects of calcium channel blockers on cardiac repolarization

  • Lee, Hyang-Ae;Hyun, Sung-Ae;Park, Sung-Gurl;Kim, Ki-Suk;Kim, Sung Joon
    • The Korean Journal of Physiology and Pharmacology
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    • v.20 no.1
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    • pp.119-127
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    • 2016
  • Dihydropyridine (DHP) calcium channel blockers (CCBs) have been widely used to treat of several cardiovascular diseases. An excessive shortening of action potential duration (APD) due to the reduction of $Ca^{2+}$ channel current ($I_{Ca}$) might increase the risk of arrhythmia. In this study we investigated the electrophysiological effects of nicardipine (NIC), isradipine (ISR), and amlodipine (AML) on the cardiac APD in rabbit Purkinje fibers, voltage-gated $K^+$ channel currents ($I_{Kr}$, $I_{Ks}$) and voltage-gated $Na^+$ channel current ($I_{Na}$). The concentration-dependent inhibition of $Ca^{2+}$ channel currents ($I_{Ca}$) was examined in rat cardiomyocytes; these CCBs have similar potency on $I_{Ca}$ channel blocking with $IC_{50}$ (the half-maximum inhibiting concentration) values of 0.142, 0.229, and 0.227 nM on NIC, ISR, and AML, respectively. However, ISR shortened both $APD_{50}$ and $APD_{90}$ already at $1{\mu}M$ whereas NIC and AML shortened $APD_{50}$ but not $APD_{90}$ up to $30{\mu}M$. According to ion channel studies, NIC and AML concentration-dependently inhibited $I_{Kr}$ and $I_{Ks}$ while ISR had only partial inhibitory effects (<50% at $30{\mu}M$). Inhibition of $I_{Na}$ was similarly observed in the three CCBs. Since the $I_{Kr}$ and $I_{Ks}$ mainly contribute to cardiac repolarization, their inhibition by NIC and AML could compensate for the AP shortening effects due to the block of $I_{Ca}$.

Research on the Evaluation of Impaired Waterbody using the Flowrate Group at TMDL Unit Watershed in Nakdong River Basin (수질오염총량관리 단위유역 유량그룹별 수체 손상 분석)

  • Hwang, Ha-Sun;Kim, Sang-Soo;Kim, Jin-Lee;Park, Bae-Kyung
    • Journal of Korean Society on Water Environment
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    • v.28 no.6
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    • pp.933-942
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    • 2012
  • The purpose of this study is to evaluate the degree of waterbody impairment according to the flow conditions and present to the appropriate water quality improvement alternatives using observed water quality and flow for Total Maximum Daily Load (TMDL) implementation at 39 unit watersheds the nakdong river basin. Observed water quality data for 7 years are divided into five cumulative flow frequency group and comparing the each observed water quality data and TMDL Target water quality (TWQ) the last evaluate the water quality is impaired group. We found that the cumulative flow frequency group-specific the average excess rate of V group was the highest (32.86%), followed by the IV group (26.04%), group III (23.36%), II group (22.67%), I group (20.70%), the degree of impaired waterbody tended to be inversely proportional to the flow rate. Resulted from cumulative flow frequency group of impaired water quality assessment, 13 unit watersheds are impaired from a group IV and group V affected by point sources. Therefore, improvement of sewage discharge and the initial composition of the riparian buffer zone are needed. Nakbon F, Namkang D and Namkang E within 13 unit watersheds are impaired from group II and III affected by non-point sources. Therefore, application of Best Management Practices (BMPs) is needed for these watersheds. Evaluation of impaired waterbody using Cumulative flow frequency group is able to determine the extent of the judgment to TWQ exceeded by the flow conditions and helps proper setting Standard flow and planning pollutant reduction for TMDL.

Effects of GS-386 on the calcium current in rabbit atrial myocytes (GS-386이 단일 심근 세포의 Ca2+ 전류에 미치는 효과)

  • Park, Choon-ok;Chang, Kyeong-jae;Kim, Yang-mi;Haan, Jae-hee;Hong, Seong-geun
    • Korean Journal of Veterinary Research
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    • v.34 no.1
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    • pp.37-47
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    • 1994
  • The effects of the novel compound GS-386 on the calcium current were investigated in rabbit atrial myocytes. The calcium current was recorded during various depolarizations of 200 ms duration from a holding potential of -40 mV using the whole cell patch clamp technique. The calcium current was activated from -30 mV, reached maximum amplitude at +10 mV and almost disappeared at +50 mV. Superfusion of GS-386 led to a reduction of the calcium current amplitude dose-dependently and $ED_{50}$ was $2.5{\times}10^{-7}M$. But the dependence of the calcium current on the membrane potential was not altered by GS-386. The inactivation of the calcium currents showed single exponential curves in both before and after application of GS-386. The inactivation time constants before and after application of GS-386 were almost the same(35 ms and 32.5 ms). The steady-state inactivation curve of the calcium current was not shifted by GS-386. The calcium currents both before and after application of GS-386 recovered completely in 1 sec and the recovery time constants were about 200 ms in both cases. From the above results it is concluded that the novel compound GS-386 has calcium antagonistic property decreasing the calcium current.

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Analysis of Rainfall-Runoff Characteristics on Impervious Cover Changes using SWMM in an Urbanized Watershed (SWMM을 이용한 도시화유역 불투수율 변화에 따른 강우유출특성 분석)

  • Oh, Dong Geun;Chung, Se Woong;Ryu, In Gu;Kang, Moon Seong
    • Journal of Korean Society on Water Environment
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    • v.26 no.1
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    • pp.61-70
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    • 2010
  • The increase of impervious cover (IC) in a watershed is known as an important factor causing alteration of water cycle, deterioration of water quality and biological communities of urban streams. The study objective was to assess the impact of IC changes on the surface runoff characteristics of Kap Stream basin located in Geum river basin (Korea) using the Storm Water Management Model (SWMM). SWMM was calibrated and verified using the flow data observed at outlet of the watershed with 8 days interval in 2007 and 2008. According to the analysis of Landsat satellite imagery data every 5 years from 1975 to 2000, the IC of the watershed has linearly increased from 4.9% to 10.5% during last 25 years. The validated model was applied to simulate the runoff flow rates from the watershed with different IC rates every five years using the climate forcing data of 2007 and 2008. The simulation results indicated that the increase of IC area in the watershed has resulted in the increase of peak runoff and reduction of travel time during flood events. The flood flow ($Q_{95}$) and normal flow ($Q_{180}$) rates of Kap Stream increased with the IC rate. However, the low flow ($Q_{275}$) and drought flow ($Q_{355}$) rates showed no significant difference. Thus the subsurface flow simulation algorithm of the model needs to be revisited for better assessment of the impact of impervious cover on the long-term runoff process.

Comparison between minimally invasive plate osteosynthesis and the deltopectoral approach with allogenous fibular bone graft in proximal humeral fractures

  • Kim, Joon Yub;Lee, Jinho;Kim, Seong-Hun
    • Clinics in Shoulder and Elbow
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    • v.23 no.3
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    • pp.136-143
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    • 2020
  • Background: The purpose of this study was to investigate the clinical differences between open reduction and plate fixation via a deltopectoral approach with allogenous fibular bone graft and a minimally invasive plate osteosynthesis (MIPO), in Neer's classification two-, threepart proximal humeral fractures. Methods: In this retrospective study, 77 patients with two-, three-part proximal humeral fractures were treated at two different institutions. Clinical and radiological evaluations were performed in 39 patients, who underwent MIPO at one institution (group A), and 38 patients, who underwent a deltopectoral approach with allo-fibular bone graft (group B) at another institution. The results between the groups were compared. Results: The MIPO technique was significantly less time consuming and caused less bleeding than the deltopectoral approach with allo-fibular bone graft (P<0.05). The duration of the fracture union was significantly reduced in group A (14.5±3.4; range, 10-22 weeks) compared to group B (16.4±4.3; range, 12-28) weeks (P<0.05). There were no statistically significant differences between the two groups when evaluating the visual analog scale and Constant scores between the two groups, 1 year postoperatively. In radiological evaluation, there was no difference in radiological outcomes between the two groups. There were no statistically significant differences in malunion between the two groups. Conclusions: The MIPO technique and deltopectoral approach with allo-fibular bone graft for two-, three-part proximal humeral fractures, show similar clinical and radiological results. However, allogenous fibular grafts require longer surgery, cause more bleeding, and result in longer fracture healing time than MIPO technique.

Effects of Mixture of Bupleuri Radix and Lycii Radicis Cortex on the Change of HPA-Axis and Catecholamic System in the Forced Swimming Test (시호(柴胡)와 지골피(地骨皮) 합제(合劑)가 강제수영부하실험에서 HPA Axis와 카테콜라민 시스템에 미치는 영향)

  • Cho, Eun-Ho;Lee, Tae-Hee
    • Herbal Formula Science
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    • v.19 no.1
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    • pp.161-174
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    • 2011
  • Objectives : The effects of Extraction after Mixture of Bupleuri Radix and Lycii Radicis Cortex on the change of the HPA-Axis system and the Catecholamic system was investigated. Methods : After performing the Forced Swimming Test(FST), the expressions of corticotropin releasing factor(CRF), c-Fos in the paraventricular nucleus(PVN), and tyrosine hydroxylase(TH) in the ventral tegmental area(VTA) and locus coeruleus(LC) were measured by immunohistochemical method. Results : The duration of immobility in FST was significantly decreased in A 100(Extraction after Mixture of Bupleuri Radix and Lycii Radicis Cortex, 100mg/kg) and A 400(Extraction after Mixture of Bupleuri Radix and Lycii Radicis Cortex, 400mg/kg)(p<0.001). The expression of CRF in the PVN was shown the tendency to reduce in A100 and A400. The expression of c-Fos in the PVN was shown the tendency to reduce in A100 and A400. The expression of TH in the VTA was shown the tendency to reduce mildly in A100 and A400. The expression of TH in the LC was significantly reduced in A400(p<0.001). And the dose dependent reduction tendency was shown, respectively. Conclusions : According to the results above mentioned, the immobility, c-Fos and CRF expression was reduced at lower dose and was increased at higher dose. Therefore there is contradictory effects on the HPA Axis system in accordance with the dose. But in the effects on the catecholaminergic system, it significantly reduced the expression of TH in the LC. It was validated that the effect on the catecholaminergic system was ruled by Bupleuri Radix rather than Lycii Radicis Cortex via mainly the noradernergic system.

The Effects of Women's Labour Force Participation and Work-Family Reconciliation Support on Fertility (여성취업과 일·가정양립지원이 출산에 미치는 영향)

  • Han, Young-Sun;Lee, Yon-Suk
    • Human Ecology Research
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    • v.53 no.1
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    • pp.49-66
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    • 2015
  • This study analyzes the effects of women's labour force participation and work-family reconciliation support on life-cycle fertility in Korea. The analysis is based on the longitudinal data from Korean Labour and Income Panel Study (KLIPS), which include the available information on life-cycle fertility and employment history. Employing a dynamic model of fertility, we estimated the life-cycle fertility of all the 15-49 years old women considered in this study by using a duration model. The major results of this study were as follows: First, women's labour force participation had a negative effect on the first birth, second birth, and all births (transition to births starting at different parities). Women's employment tended to lengthen the interval between births. Second, the availability of maternal leave had a positive effect on the first birth and all births for working women. Providing maternal leave to working women decreased the opportunity cost of childbearing and in turn, reduced the interbirth interval of women. However, the availability of parental leave had no significant effect on the births of working women. Third, the financial support for childcare had a positive effect on the first birth and all births. The economic support for childcare led to the reduction in the interbirth interval of women by increasing the probability of births. The use of a childcare center for the first child, which substitutes for the time that women needed to take care of their children, classified as time-intensive consumption goods, did not have any effect on the second birth. Fourth, the part-time employment of women had a positive effect on the second birth. A flexible working time schedule tended to decrease the interval between the first and the second births.

A Case Study on the Practical Use of PDA for Panel Survey (패널조사에서 PDA 활용 사례연구)

  • Lee, Sang-Jun
    • Survey Research
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    • v.6 no.1
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    • pp.63-81
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    • 2005
  • A survey method in Korea has being developed rapidly since a survey company was established in 1968. In latest, the CATI, internet survey, Notebook, PDA survey methods are being utilized in accordance with communication development. This article focuses on the practical use and the strength and weakness of the PDA survey solution which employs 'KISS' system designed by KRIVET itself. The survey using PDA has, on the one hand, such strengths as follows : 1) efficient field control, 2) reduction of time for verifying data and generation of proper data 3) shortening survey duration from intial survey to data completion, 4) cutting down survey personnel and cost. On the other hand, survey using PDA has the following weakness: 1) limitation of questionnaire expression, 2) increasing time for survey, 3) communication barrier in some regions.

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Effect of Popcorn, Wolbachia Variant, on Development and Reproduction in Drosophila melanogaster (Wolbachia 변이종 Popcorn이 초파리의 발육과 생식에 미치는 영향)

  • 한상미;민경태;한명세;이상철
    • Korean journal of applied entomology
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    • v.39 no.3
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    • pp.193-197
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    • 2000
  • Wolbachia, vertically transmitted bacterial endosymbionts, is known to induce cytoplasmic incompatibility (CI), parthenogenesis, or feminization in some insect species. The Wolbachia found to exist symbiotically as a non-virulent form in Drosophila melanogaster, however popcorn is a lethal strain of Wolbachia, which causes tissue degeneration and early death of its adult host. Popcorn-infected flies showed the delayed duration of an egg and larvae, and their pupal period and life span reduced. The oviposition and egg-hatching rate of popcorn-infected flies were decreased 15% and 80%, respectiv~ly, compared to those of the normal Wolbachia-infected flies. The pupation and emergence rates of popcorn-infected flies were 67% and 65%, respectively. When popcorn-infected flies were crossed with Wolba-chia-infected flies, and vice versa, both crosses resulted in a significant reduction in egg production, egg¬hatching, pupation, and emergence rate, and their progeny revealed the popcorn syndrome. When popcorn-infected male flies were crossed with uninfected females, popcorn was not detected in their progeny. Popcorn also maternally transmitted in flies, but it did not induce CI and affected on its host life cycle as a virulence.

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