• Title/Summary/Keyword: ACR

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Comparative Effectiveness of Biologic DMARDs in Rheumatoid Arthritis Patients with Inadequate Response to conventional DMARDs: Using a Bayesian Network Meta-analysis (Conventional DMARDs 치료에 실패한 류마티스 관절염 환자에서 Biologic DMARDs의 임상적 효과 비교: 베이지안 네트워크 메타분석)

  • Park, Sun-Kyeong;Kim, Hye-Lin;Lee, Min-Young;Kim, Anna;Lee, Eui-Kyung
    • Korean Journal of Clinical Pharmacy
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    • v.25 no.1
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    • pp.9-17
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    • 2015
  • Background: Biologic disease-modifying antirheumatic drugs (bDMARDs) extend the treatment choices for rheumatoid arthritis patients with insufficient response or intolerance to conventional DMARDs (cDMARDs). These agents have considerable efficacy compared with conventional DMARDs, but only a few head-to-head comparisons among these agents have been performed. The objective of this systematic review and network meta-analysis (NMA) was to compare the relative efficacy of Certolizumab with conventional DMARD to licensed bDMARD with cDMARD therapy for patients who failed to prior cDMARD treatment under the condition of the reimbursement coverage criteria in Korea. Methods: A systematic review was conducted using MEDLINE and Cochrane library. Key endpoints were the American College of Rheumatology (ACR) responses of 20/50/70 at six months. Bayesian outcomes were calculated as median of treatment effect, probability of the best, Odds Ratio (OR) and probability that OR was greater than one. Results: Compared with other bDMARDs, Certolizumab were associated with higher or comparable ACR response rates; in ACR20, the OR (probability of OR>1) was 2.08 (92.6%) for Adalimumab, 1.86 (85.7%) for Etanercept, 1.89 (79.5%) for Golimumab, 2.36 (92.1%) for Infliximab, 1.79 (87.0%) for Abatacept, 1.74 (80.8%) for Rituximab and 1.82 (86.8%) for Tocilizaumab. In ACR50 and ACR70, the ORs did not present significant differences. Conclusion: Certolizaumab with cDMARD was more effective or comparable than other bDMARDs in patients who failed prior cDMARD treatment.

Performance improvement of ER switch congestion control algorithm for ABR service in ATM network (ATM망에서 ABR 서비스를 위한 ER 스위치 폭주 제어 알고리즘의 성능 개선)

  • 김운하;박성곤;조용환
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.22 no.9
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    • pp.1890-1906
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    • 1997
  • A new ER feedback switch control algorithm, called EMRCA(Explicit Max-min Rate Control Algorithm), to control the ABR services traffic in the ATM networks, is proposed in this thesis. This scheme was interpreted the ACR variation residing on between a transient state and a stable state using the two thresholds that is the $TH_{high}$ and $TH_{low}$ in the queue to detect switch nodes congestion, and decreased the difference of minimum and maximum ACR all active connection to enhance the line bandwidth utilization. The proiposed scheme used a minimum and maximum rate of all active connections to select the connection whose the congestion rate inveoked, and uses a congestion detection mechanixm to prevent some potential cogestion by regulating selected contection.s The EMRCA scheme showed ACR variation more stable that the EPRCA scheme, also reduced buffer size of the switch, and achieved higher link utilization than the EPRCA scheme.

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Comparative Analysis of Cartesian Trajectory and MultiVane Trajectory Using ACR Phantom in MRI : Using Image Intensity Uniformity Test and Low-contrast Object Detectability Test (ACR 팬텀을 이용한 Cartesian Trajectory와 MultiVane Trajectory의 비교분석 : 영상강도 균질성과 저대조도 검체 검출률 test를 사용하여)

  • Nam, Soon-Kwon;Choi, Joon-Ho
    • Journal of radiological science and technology
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    • v.42 no.1
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    • pp.39-46
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    • 2019
  • This study conducted a comparative analysis of differences between cartesian trajectory in a linear rectangular coordinate system and MultiVane trajectory in a nonlinear rectangular coordinate system axial T1 and axial T2 images using an American College of Radiology(ACR) phantom. The phantom was placed at the center of the head coil and the top-to-bottom and left-to-right levels were adjusted by using a level. The experiment was performed according to the Phantom Test Guidance provided by the ACR, and sagittal localizer images were obtained. As shown in Figure 2, slices # 1 and # 11 were scanned after placing them at the center of a $45^{\circ}$ wedge shape, and a total of 11 slices were obtained. According to the evaluation results, the image intensity uniformity(IIU) was 93.34% for the cartesian trajectory, and 93.19% for the MultiVane trajectory, both of which fall under the normal range in the axial T1 image. The IIU for the cartesian trajectory was 0.15% higher than that for the MultiVane trajectory. In axial T2, the IIU was 96.44% for the cartesian trajectory, and 95.97% for the MultiVane trajectory, which fall under the normal range. The IIU for the cartesian trajectory was by 0.47% higher than that for the MultiVane trajectory. As a result, the cartesian technique was superior to the MultiVane technique in terms of the high-contrast spatial resolution, image intensity uniformity, and low-contrast object detectability.

Curing Behavior by Rotation Rheometer of Acrylic High-Solid Coatings (아크릴계 하이솔리드 도료의 Rotation Rheometer에 의한 경화거동 연구)

  • Yang, In-Mo;Jung, Choong-Ho;Kim, Tae-Ok;Park, Hong-Soo;Park, Eun-Kyung
    • Journal of the Korean Applied Science and Technology
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    • v.18 no.1
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    • pp.40-48
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    • 2001
  • Curing reaction was carried out with the acrylic resin (ACR) [n-butyl acrylate/atyrene/2-hydroxyethyl methacrylate/acetoacetoxyethyl methacrylate (AAEM)] synthesized before and a curing agent, hexamethoxymethylmelamine (HMMM). With rotational rheometer, the effect of catalysts on curing rate of acrylic resin/melamine was examined. Among the four catalysts used, p-toluene sulfonic acid showed the highest reactivity, and the optimum amount of catalyst was 0.5 phr. It was observed that in the ACR/HMMM curing reaction, gelation point was lowered with the increasing the amount of AAEM and HMMM in the ACR.

Prevalence and Molecular Characterization of Quinolone Antibiotic Resistance in Escherichia coli Isolates from Raw Bulk Milk in Gyeonggi-do (원유시료에서 분리한 대장균의 퀴놀론 항생제 내성 기전)

  • Kang, Sowon;Lee, Sangjin;Choi, Sungsook
    • Korean Journal of Microbiology
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    • v.50 no.3
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    • pp.185-190
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    • 2014
  • The aim of this study was to investigate the prevalence of quinolone resistant E. coli from raw bulk milk and to characterize the resistance determinants. In this study, the gyrA, gyrB, parC, and parE quinolone resistance determining regions (QRDR) were sequenced from quinolone resistant E. coli isolates. Also, the presence of plasmid-mediated quinolone resistance (PMQR) and the expression of efflux pump genes based on quantitative real-time PCR (qRT-PCR) were investigated. Of the 487 coliform bacteria, 9 strains showed nalidixic acid resistance, and 6 of the 9 nalidixic acid resistant isolates were also ciprofloxacin resistant. These 9 strains had a single mutation at codon 83 (S83L) in gyrA, 2 of them had double mutations at codon 83 and 87 (S83L and D87N) in gyrA and 3 of the 9 isolates had single mutations at codon 80 (S80I) in parC. None of the 9 isolates harbored PMQR determinants. Compared with wild-type E. coli ATCC 25922, an over-expression of the acrB gene (2.15-5.74 fold), encoding the pump component of the AcrAB-TolC efflux pump was observed in 4 of 6 ciprofloxacin resistant isolates. This study identified the quinolone resistance mechanism of E. coli isolated from raw milk samples in Gyeonggi-do.

Effects of Acanthopanacis Cortex Roots 50% Ethyl Alcohol Extracts on the Cerebral Hemodynamics and Cytokine Production in Cerebral Ischemic Rats (오갈피나무 뿌리 50% 에탄올 추출물이 항허혈에 미치는 실험적 효과)

  • Yun, Young-Dae;Choi, Chan-Hun;Baek, Jin-Ung;Kim, Hyung-Woo;Youn, Dae-Hwan;Kim, Kyung-Yoon;Nam, Ki-Won;Kim, Gye-Teup;Jeong, Hyun-Woo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.21 no.4
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    • pp.891-897
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    • 2007
  • This experimental Study was designed to investigate the mechanism of Acanthopanacis Cortex Roots(ACR) 50% ethyl alcohol extract on the improvement of regional cerebral blood flow and cytokines production in cerebral ischemic rats. And was designed to investigate whether ACR inhibits lactate dehydrogenase(LDH) activity in neuronal cells The results were as follows; ACR significantly inhibited LDH activity in neuronal cells. These results suggest that ACR prevents the neuronal death. rCBF was significantly and stably increased by ACR(10 mg/kg, i.p.) during the period of cerebral reperfusion, which contrasted with the findings of rapid and marked increase in control group. In cytokine production of serum by drawing from femoral arterial blood at 1 hr after middle cerebral arterial occlusion, experimental group was significantly decreased $IL-1{\beta}$ and $TNF-{\alpha}$ production, and significantly increased IL-10 production compared with control group. In cytokine production of serum by drawing from femoral arterial blood at 1 hr after reperfusion, experimental group was significantly decreased $IL-1{\beta}$ and $TNF-{\alpha}$ production, and significantly increased IL-10 production compared with control group. According to above results, the author suggest that ACR had an anti-ischemic effect through the improvement of cerebral hemodynamics, and inhibitive effect on the brain damage by inhibited $IL-1{\beta}$ and $TNF-{\alpha}$ production, and accelerated IL-10 production.

Relationship between Albuminuria and Uric Acid to High-Density Lipoprotein Cholesterol Ratio in Korean Adults (대한민국 성인에서 알부민뇨와 요산 대 고밀도 지단백 콜레스테롤 비율의 관련성)

  • Hyun YOON
    • Korean Journal of Clinical Laboratory Science
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    • v.55 no.3
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    • pp.167-173
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    • 2023
  • This study assesses the urine microalbumin to urine creatinine ratio (uACR) with uric acid and the association with the high-density lipoprotein cholesterol (UA/HDL-C) ratio in Korean adults. Data from the 2019 Korean National Health and Nutrition Examination Survey was procured and included 5,845 adults aged 20 years or older. Several key findings were obtained in the present study. After adjusting for the related variables (age, gender, hypertension, obesity, type 2 diabetes mellitus, and chronic kidney disease), the uACR was found to be positively associated with the quartiles of the UA/HDL-C ratio (P=0.002). Moreover, after adjusting for related variables, the odds ratio (OR) of albuminuria (uACR≥30.0 mg/g) was not significant in quartile 2 (Q2) (OR, 1.015; 95% confidence interval [CI], 0.757~1.361) and Q3 (OR, 1.090; 95% CI, 0.811~1.465) but was significantly higher in Q4 (OR, 1.416; 95% CI, 1.044~1.921) as compared to Q1 of the UA/HDL-C ratio. We conclude that since the UA/HDL-C ratio is positively associated with albuminuria in Korean adults, an increased UA/HDL-C ratio could be applied as a useful measure to assess albuminuria in Korean adults.

Realization of a detector-based Candela scale traceable to the absolute cryogenic radiometer (절대 극저온 복사계에 소급된 검출기 기반 칸델라 눈금의 실현)

  • 박승남;이동훈;김용완;정영붕;이인원
    • Proceedings of the Optical Society of Korea Conference
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    • 2003.07a
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    • pp.280-281
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    • 2003
  • 광도 측정의 기본단위인 칸델라 눈금을 확립하는 방법에는 흑체에서 방출되는 분광복사휘도를 기준으로 사용하는 광원 기반 방법과 극저온 절대 복사계(absolute cryogenic radiometer; ACR)로 부터 출발하여 실현하는 검출기 기반의 두 가지 방법이 사용된다. ACR를 사용하면서 검출기 기반 칸델라 눈금의 불확도가 흑체의 온도 측정 불확도로부터 전파되는 불확도 보다 휠씬 작기 때문에 각국의 국가 측정 표준 대표기관에서 검출기 기반 칸텔라 눈금을 실현하고, 교정이나 측정 서비스를 제공하고 있다. (중략)

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The Effect of Graston Technique and Chuna manual therapy combined with Korean Medical Treatment for fibromyalgia: A Case Report

  • Kim, Myung Kwan;Kim, Hyun Ji;Kim, Hye Su;Jeong, Jeong Gyo;Jeon, Ju Hyun
    • Journal of Acupuncture Research
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    • v.34 no.3
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    • pp.121-130
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    • 2017
  • Objectives : The purpose of this study was to report the clinical effects of the Graston Technique and Chuna manual therapy, combined with Korean Medical Treatment for fibromyalgia. Methods : We treated a patient diagnosed with fibromyalgia. We used acupuncture, the Graston Technique, Chuna manual therapy, pharmacopuncture, herbal medicine, moxibustion and physical therapy. Outcomes were evaluated using the American College of Rheumatology Preliminary Diagnostic Criteria (ACR), the Fibromyalgia Impact Questionnaire (FIQ), and the Numeric Rating Scale (NRS). Results : The widespread pain index (WPI) scale score of the ACR decreased from 12 to 9, and the symptom severity scale (SS) score of the ACR decreased from 8 to 6. The FIQ score decreased from 63.69 to 50.15. On the NRS, lower back pain & lower limb pain decreased from 6 to 2; neck pain from 6 to 3; muscle tenderness & morning stiffness from 6 to 4; fatigue from 6 to 3; urticaria from 6 to 2. Conclusion : This case study suggests that the Graston Technique and Chuna manual therapy combined with Korean Medical Treatment may be effective treatments for fibromyalgia. However, further studies are needed.

Effects of Non-saponin Red Ginseng Components on the Function of Brain Cells

  • Sohn, Eun-Hwa;Do, Hang;Kang, Nam-Sung;Jang, Seon-A;Park, Sul-Kyung;Lee, Hye-Rim;Rhee, Dong-Kwon;Pyo, Suhk-Neung
    • Journal of Ginseng Research
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    • v.32 no.1
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    • pp.62-66
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    • 2008
  • Non-saponin gingseng fraction components (NSRG) have been known to have a variety of biological activity. However, the effects of these components on the function of brain cell have not been characterized in detail. In this study, we investigated the preventive effect of non-saponin red ginseng components on acrylamide (ACR)-induced suppression of neural cell adhesion molecule (NCAM), which is highly expressed in neuronal cells. The data showed that NSRG blocked the suppression of NCAM expression by ACR in neuroblastoma cells (SK-N-SH). In addition, NSRG significantly increased NCAM expression in ACR-nontreated neuroblastoma cells. NSRG treatment resulted in the increase of cell proliferation in a concentration-dependent manner. We also examined whether NSRG could modulate the NO production of astrocytes. When glioma cells (C6) were treated with various concentrations of NSRG (100-300 ug/ml) in the presence or absence of $IFN-{\gamma}$ for 24 hours, NO production was suppressed in $IFN-{\gamma}-$stimulated C6 cells. Taken together, these results demonstrate that treatment of brain cells with NSRG results in the enhancement of proliferation, the suppression of NO production and the protective effect on NCAM expression impaired by ACR. Thus, the present data suggest that NSRG has proliferative and neuroprotective effects and these effects could be useful in neuronal diseases.