Kim, Su-Hyun;An, Sung-Shim;Kim, Soon-Joo;Bang, Joon-Seok;La, Hyen-Oh
Korean Journal of Clinical Pharmacy
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v.20
no.2
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pp.159-164
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2010
Radiofrequency ablation (RA) is being used to manage atrial fibrillation (AF) with patients failed at the $1^{st}$-line anti-arrhythmic medications. Patients undergoing this procedure are at increased risk of thromboembolism after ablation, and anticoagulation management surrounding the ablation remains controversial. Although no conclusive recommendations can be made, published guidelines and data support therapeutic anticoagulation with warfarin. The purpose of this study was to analyze effectiveness of current therapy and to find factors fluctuate International Normalized Ratio (INR) values in patients undergone RA followed by anticoagulation service (ACS). Retrospective review was conducted utilizing database in a hospital. Among 110 patients under warfarin around ablation between January 2006 to September 2007, 54 patients were selected and allocated into 2 groups: Group A included 47 who discontinued warfarin after ablation, while 7 in B continued the medication. Information on demographics, amount and length of warfarin dosing, INR values and measuring frequencies, and the causing factors on INR fluctuation were abstracted. Differences were analyzed using chi-squared test, Fisher's Exact test, and unpaired Student t-test. Mean amount of warfarin before and after surgery was 4.0 mg, 4.1 mg in Group A and was 5.1 mg, 4.6 mg in Group B, respectively. Average duration of warfarin doing before ablation was 73.7 days in Group A, 129.9 days in B with no significant difference (p = 0.312). The duration time of warfarin on groups after ablation lasted several months. The number of checking INRs was 4.1 and 7.6, respectively. Inter-individual variability of INR fluctuations were $2.1{\pm}0.6$ in Group A and $2.2{\pm}0.7$ in B which were not significantly different (p = 0.062). 164 cases of decreased INR were: 'omission in taking medication, stressfulness and headache, 'increased intake of high vitamin K foods', 'lifestyle change of increased physical activities', and 'increase of food-intakes'. To the contrary, 36 cases of increased INR were: 'reduce of food-intake', 'use of non-prescription drugs', 'reduction in physical activities', and 'excessive restriction on food-intake', consecutively. In conclusion, the study validated therapeutic outcomes of RA patients who we treated with standard guideline and demonstrated 9 factors of INR fluctuations in the patient. A well-trained, pharmacist-monitored anticoagulation service could reduce the risk of adverse effects and prevent complications in patients with AF around RA operation.
Yoo, Young Bin;Kim, Sung-Soon;Kim, Young Kwon;Kim, Sunghyun
Biomedical Science Letters
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v.22
no.4
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pp.174-183
/
2016
In the present study, a serum-based minimum inhibitory concentration (MIC) testing to caspofungin was optimized and evaluated to solve the limitations of the conventional Clinical and Laboratory Standards Institute (CLSI) guideline-based antifungal agent MIC test and the usefulness of this testing for clinical application was determined. A total of 105 Candida albicans clinical isolates were used for measuring MIC to caspofungin. Results showed that growth characteristics were different according to types of serum and the mouse serum was the most suitable for this assay. In order to measure the optimal concentration of mouse serum, 0 to 100% mouse serum were added to the media during fungal culture. The optimal concentration of serum was 50% when consideration of antifungal agent administration and inoculum size, serum components and ease of hyphae separated, and the consideration of the degree of growth. In comparison of the usefulness between the conventional Alamar-modified broth microdilution MIC assay and 50% mouse serum-based MIC testing, the range of $MIC_{80}$ of the Alamar-modified broth microdilution MIC assay was $0.13{\sim}2.0{\mu}g/mL$ (SD ${\pm}0.42{\mu}g/mL$) and that of the 50% mouse serum-based MIC assay was $2.0{\sim}32.0{\mu}g/mL$ (SD ${\pm}9.01{\mu}g/mL$). The range of $MIC_{50}$ of the Alamar-modified broth microdilution MIC assay was $0.13{\sim}2.0{\mu}g/mL$ (SD ${\pm}0.40{\mu}g/mL$) and that of the 50% mouse serum-based MIC assay was $1.0{\sim}16.0{\mu}g/mL$ (SD ${\pm}2.36{\mu}g/mL$). The MICs of 50% mouse serum-based MIC testing was increased by up to 4 to 64 times than Alamar-modified broth microdilution MIC assay. In conclusion, a 50% mouse serum-based MIC assay was more useful for measuring MIC in Candida albicans clinical isolates than conventional colorimetric broth microdilution MIC testing.
Journal of Korean Society of Environmental Engineers
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v.27
no.11
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pp.1193-1197
/
2005
The low frequency noise below 200 Hz, including inaudible infra-sound, is known to affect human physiology ; circulation, respiration, nerve, endocrine, etc. Legislation has been introduced in several countries regarding evaluation guideline and measurement method of low frequency noise. In this work, low frequency characteristics of the Seoul subway transportation system was investigated in terms of the noise level and spectrum in the interior of running passenger car and the subway station. The interior sound pressure level of the passenger car was between 60 and 105 dB in the frequency range of $1{\sim}200\;Hz$ and varied with car speed. The marked sound pressure level peak at 8 Hz, infra-sound, observed for the most of Lines is shown to correspond to the resonance frequency of passenger car. The level of station platform noise was lower than the interior noise of running car because of the lower speed at arriving/departure. The results indicated that the interior noise level of running passenger car was inside the oppressive feeling region, proposed by Ochiai, in the frequency range of $20{\sim}80\;Hz$ which makes a little concern.
Button layout of mobile phone depends on the manufacturer and is going to be characterized in it's own way. So, there is not a standard layout except for numeric part. It is due to the lack of study on physical user interface and methodology to develop a design guideline. This study focuses on suggesting a methodology for development of button layout for mobile phone in term of physical user interface. The methodology of this study starts from scenarios of mobile phone usage. Operational sequences of 4 scenarios for 5 models are gathered based on the user manual. Proximity of each buttons is calculated according to the operational sequence. One of 5 models is selected and benchmarked by evaluating operational path. Considerations and directions are implicated to develop new solution alternatives. After evaluation of them, one of alternatives is suggested as an optimized button layout for mobile phone. This study focuses on an attempt to suggest a methodology of UI development in the matter of physical user interface, and a simple and easy way to be adopted and used at product designer level, compared to existing UI methodology for the expert.
This study aims to understanding the effects of culture on websites with emphasis on the website structure and navigation. The website is inherently‘cultural’because anyone around the world can access to website if he or she is equipped with appropriate equipment. For the importance of cultural role in website, various researches have been conducted to understand the relationship between culture and website. However they tended to focus mainly on phenomenal matters such as color, layout, icon etc. There have been not so many thorough attempts to causal relationships between website and‘thick culture’in depth. The study conducted cross-cultural usability testing of websites between Korea and America. At first, representative I-commerce websites of Korea and America were selected and they were analyzed by the selected frameworks such as layout, display type, element type, and the relationship with homepage and sub-page navigation. The results were used to construct typical prototypes of website for Korea and America for experiment. Two websites were used for cross-cultural usability testing though specially-developed remote testing. 20 users from each country participated in the usability testing. The result shows that Korean users peformed better usability testing for Korean style structure of website while American counterparts showed better performances in American style of websites. Other various significant findings were revealed.
Kim Cheon-Woo;Kim Ji-Yean;Maeng Sung-Jun;Park Jong-Kil;Hwang Tae-Won
Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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v.4
no.3
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pp.227-234
/
2006
Two candidate glasses, AG8W1 and DG-2, have been developed for vitrifying the mixture of low activity resin, zeolite and Dry Active Waste(DAW), and DAW solely, respectively. In order to evaluate the chemical durability of the glasses, two different leaching tests, Product Consistency Test(PCT) and Vapor Hydration Test(VHT), have been performed. As the results of PCT performed from 7 to 120 days, the leach rates of B, Na, Si and Li in the glasses were much lower than those of the benchmark glass(SRL-EA). As the result of VHT peformed for 7 days, the leach rates were 2 and $10g/m^2/day$ for AG8W1 and DG-2, respectively, The results of VHT met the regulatory guideline( $<50g/m^2/day$) for the low activity glasses of Hanford in the USA. Consequently, two candidate glasses to be used at a commercial operation in the future showed that their chemical durability is satisfactory according to the results of two leaching tests.
Park, Yeon-Ki;Park, Kyeong-Hoon;Kim, Byung-Seok;Kyung, Kee-Sung;Shin, Jin-Sup;Oh, Byung-Youl
The Korean Journal of Pesticide Science
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v.4
no.4
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pp.56-60
/
2000
A study was performed to determine the maintenance conditions of the earthworm, Lumbricus rubellus, for the acute toxicity test. To fine out climatic and soil conditions, the earthworms were maintained in artificial soil consisting of sand, clay mineral and peat at different levels of conditions for 14 days. Lumbricus rubellus led to an increase of biomass at temperature $22{\pm}2^{\circ}C$, soil pH $7.0{\pm}1$ and moisture 40%. And four fungicides were tested for acute toxicities to Lumbricus rubellus, according to the optimum condition. The test earthworms were exposed to each pesticide with various concentration gradients. After 14 days, the number of surviving earthworms and their weight alteration during the test period was determined. The 14-day $LC_{50}$ values for the Lumbricus rubellus, of carbendazim, benomyl, thiophanate-methyl and thiabendazole were determined to be 59, 53, 64 and 36 mg/ kg soil dry weight, respectively.
Human epidermal growth factor receptor (HER) status is an important prognostic factor in breast cancer. There is no globally accepted method for determining its status, and which method is most precise is still a matter of debate. We here analyzed HER2 mRNA expression by quantitative reverse transcription-PCR (qRT-PCR) and HER2 DNA amplification using multiplex ligation-dependent probe amplification (MLPA). In parallel, we performed a routine evaluation of HER2 protein by immunohistochemistry (IHC). To assess the accuracy of the RT-PCR and MLPA techniques, a combination of IHC and fluorescence in situ hybridization (FISH) was used, substituting FISH when the results of IHC were ambiguous (2+) and for those IHC results that disagreed with MLPA and qRT-PCR, this approach being termed IHC-FISH. The IHC results for four samples were not compatible with the MLPA and qRT-PCR results; the MLPA and qRT-PCR results for these samples were confirmed by FISH. The correlations between IHC-FISH and qRT-PCR or MLPA were 0.945 and 0.973, respectively. The ASCO/CAP guideline IHC/FISH correlation with MLPA was (0.827) and with RT-PCR was (0.854). The correlations between the IHC results (0, 1+ as negative, and 3+ as positive) and qRT-PCR and MLPA techniques were 0.743 and 0.831, respectively. Given the shortcomings of IHC analysis and greater correlations between MLPA, qRT-PCR, and FISH methods than IHC analysis alone with each of these three methods, we propose that MLPA and real-time PCR are good alternatives to IHC. However a suitable cut-off point for qRTPCR is a prerequisite for determining the exact status of HER2.
After warming-up exercise for 20 minutes, Isokinetic measurement of trunk strength for flexor and extensor was done by using Cybex 6000 TEF Unit on 91 healthy male white workers from 22years old to 49 years old, and compared each other. 20 repetitions of trunk extension-flexion were done at $120^{\circ}$/sec angular velocity. After resting for 1 minutes, Four repetitions at two different angular velocities($60^{\circ}$/sec, $120^{\circ}$/sec) were done with 30 seconds of resting interval between each angular velocity. The purpose of this study is to obtain the isokinetic normative strength values for trunk extensors and flexors, and is to know the correlation between age, height, weight of subjects and data from isokinetic trunk strength measurement, and is to provide a guideline for exercise program of male white collar workers The collected data were analyzed by ANOVA, Duncan's Multiple Range Test, and Pearson correlation coefficiency in PC-SAS program. The results obtained were as follow; 1. There is significant positive-correlation with the statistic value between weight and peak torque of trunk muscles at two different angular velocities($60^{\circ}$/sec, $120^{\circ}$/sec)(p<01), between height and peak torque of trunk muscles at two different angular velocities($60^{\circ}$/sec, $120^{\circ}$/sec) except peak torque of trunk flexor at $60^{\circ}$/sec(p<01). 2. There is nagitive-correlation between age and peak torque of trunk muscles at two different angular velocities($60^{\circ}$/sec, $120^{\circ}$/sec), there is significant differences with statistic value between age and peak torque of trunk extensor at $120^{\circ}$/sec(p<.01). 3. Mean peak torque and mean peak torque % by body weight of trunk extensor is 1.1 times higher values than trunk flexor at $60^{\circ}$/sec. 4. There is the increase in peak torque angle of trunk flexor with increasing of age, and the decrease in peak torque angle of trunk flexor with increasing of age at two different angular velocities($60^{\circ}$/sec, $120^{\circ}$/sec). there is significant differences with statistic value in peak torque angle of trunk flexor at $120^{\circ}$/sec(p<.01). 5. There is significant decrease in endurance ratio of trunk extensor with increasing of age at $120^{\circ}$/sec(p<.01). In conclusion, peak torque of trunk extensor is 1.1 times higher values than trunk flexor in healthy male white collar workers.
The purposes of the study are to introduce and apply an activity that can help improve student-initiated learning on the TOEIC Speaking Test (TOEICST) performance and to see students' attitude toward the activity. Twenty-eight university students in Chungcheong province engaged in learning based on this activity. In the present study, the activity proposed by McCormick and Vercellotti (2013) and Stillwell, Curabba, Alexander, Kidd, Kim, Stone, & Wyle (2010) was modified and adapted[14][19]. The outline of the Task Recording Activity (TRA) consisted of three steps: preparation step, Task Recording Activity step, and evaluation step. As data collection of the study, a survey and students' journal were utilized and qualitatively analyzed. The results showed that student-initiated learning activity could be applied positively not only in communicative lessons, but in TOEICST specific lessons as well. Additionally, participants showed positive attitudes toward self-transcription and self-correction. Some implications of the study are that the TRA can be applied to generate autonomous learners studying for the TOEIC Speaking Test, that the guideline for different proficiency can be developed to help them improve their self-reflection, and that students need to have an active attitude to lead their own learning.
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