• Title/Summary/Keyword: Area under the curve (AUC)

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Effects of various cone-beam computed tomography settings on the detection of recurrent caries under restorations in extracted primary teeth

  • Kamburoglu, Kivanc;Sonmez, Gul;Berktas, Zeynep Serap;Kurt, Hakan;Ozen, Dogukan
    • Imaging Science in Dentistry
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    • v.47 no.2
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    • pp.109-115
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    • 2017
  • Purpose: The aim of this study was to assess the ex vivo diagnostic ability of 9 different cone-beam computed tomography (CBCT) settings in the detection of recurrent caries under amalgam restorations in primary teeth. Materials and Methods: Fifty-two primary teeth were used. Twenty-six teeth had dentine caries and 26 teeth did not have dentine caries. Black class II cavities were prepared and restored with amalgam. In the 26 carious teeth, recurrent caries were left under restorations. The other 26 intact teeth that did not have caries served as controls. Teeth were imaged using a $100{\times}90-mm$ field of view and a 0.2-mm voxel size with 9 different CBCT settings. Four observers assessed the images using a 5-point scale. Kappa values were calculated to assess observer agreement. CBCT settings were compared with the gold standard using a receiver operating characteristic analysis. The area under the curve (AUC) values for each setting were compared using the chi-square test, with a significance level of ${\alpha}=.05$. Results: Intraobserver kappa values ranged from 0.366 to 0.664 for observer 1, from 0.311 to 0.447 for observer 2, from 0.597 to 1.000 for observer 3, and from 0.869 to 1 for observer 4. Furthermore, interobserver kappa values among the observers ranged from 0.133 to 0.814 for the first reading and from 0.197 to 0.805 for the second reading. The highest AUC values were found for setting 5 (0.5916) and setting 3 (0.5886), and were not found to be statistically significant(P>.05). Conclusion: Variations in tube voltage and tube current did not affect the detection of recurrent caries under amalgam restorations in primary teeth.

Effects of Morin on the Bioavailability of Doxorubicin for Oral Delivery in Rats

  • Son, Hong-Mook;Choi, Jun-Shik
    • Journal of Pharmaceutical Investigation
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    • v.39 no.4
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    • pp.243-248
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    • 2009
  • The purpose of this study was to investigate the effects of morin, an antioxidant, on the bioavailability of doxorubicin (DOX) in rats. Thus, DOX was administered intravenously (10 mg/kg) or orally (50 mg/kg) with or without oral morin (0.5, 3 and 10 mg/kg). In the presence of morin, the total area under the plasma concentration-time curve (AUC) of DOX was significantly greater than that of the control. In the presence of 3 and 10 mg/kg of morin, the peak concentration $C_{MAX}$) was significantly higher than that of the control. Consequently, the absolute bioavailability (AB) of DOX in the presence of morin was 3.7-8.3%, which was significantly enhanced compared with those of the control group (2.7%). The relative bioavailability (RB) of DOX was 1.36 to 3.02 times higher than those of the control group. Compared to the intravenous control, the presence of morin increased the AUC of DOX, but was not significantly affected. The enhanced bioavailability of oral DOX by oral morin may be due to the inhibition of both P-glycoprotein (P-gp) and cytochrome P450 (CYP) 3A in the intestine and/or liver by morin. This result may suggest that the development of oral DOX combination with morin is feasible, which is more convenient than the i.v. dosage forms. The present study raised the awareness about the potential drug interactions by concomitant use of DOX with morin.

Pharmacokinetic Interaction Between Diltiazem and Naringenin in Rabbits (나린제닌과 딜티아젬과의 약물동태학적 상호작용)

  • Seol, Hyo-Chan;Choi, Jun-Shik
    • Korean Journal of Clinical Pharmacy
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    • v.16 no.1
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    • pp.57-62
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    • 2006
  • The purpose of this study was to investigate the effect of naringenin, one of flavonoids, on the pharmacokinetics and bioavailability of diltiazem (15 mg/kg) after oral administration of diltiazem with or without naringenin (2.0, 10 and 20 mg/kg) in rabbits. Coadministration of naringenin increased the absorption rate constant $(K_a)$, the area under the plasma concentration-time curve (AUC) and peak concentration $(C_{max})$ of diltiazem compared to the control group, but only significantly (p<0.05) by 10mg/kg of naringenin coadministration. The absolute bioavailability (AB%) of diltiazem by coadministration ranges from 7.8% to 10.3%, increased more than control (7.2%), and relative bioavailability (RB%) of diltiazem is increased from 1.08- to 1.43-fold. Coadministration caused on significant changes in the terminal half-lives $(t_{1/2})$ and the time to reach the peak concentration $(T_{max})$ of diltiazem. On the other hand, coadministration of naringenin increased the AUC desacetyldiltiazem, significantly at the dose of 10mg/kg. But the metabolite ratio (MR) was decreased, significantly at 10mg/kg of naringenin. Based on these results, we can make a conclusion that the increased bioavailability and the significant changes of these pharmacokinetic parameters might be due to naringenin, which possess the potency to inhibit the metabolizing enzyme (CYP3A4) in the liver and intestinal mucosa, and also inhibit the P-glycoprotein efflux pump in the intestinal mucosa.

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Comparative Analysis of the Accuracy of Severity Scoring Systems for the Prediction of Healthcare Outcomes of Intensive Care Unit Patients (중환자실 환자의 건강결과 예측을 위한 중증도 평가도구의 정확도 비교분석)

  • Seong, Ji-Suk;So, HeeYoung
    • Journal of Korean Critical Care Nursing
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    • v.8 no.1
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    • pp.71-79
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    • 2015
  • Purpose: The purpose of this study was to compare the applicability of the Charlson Comorbidity Index (CCI) and Acute Physiology, Age, Chronic Health Evaluation III (APACHE III) to the prediction of the healthcare outcomes of intensive care unit (ICU) patients. Methods: This research was performed with 136 adult patients (age>18 years) who were admitted to the ICU between May and June 2012. Data were measured using the CCI score with a comorbidity index of 19 and the APACHE III score on the standard of the worst result with vital signs and laboratory results. Discrimination was evaluated using receiver operating characteristic (ROC) curves and area under an ROC curve (AUC). Calibration was performed using logistic regression. Results: The overall mortality was 25.7%. The mean CCI and APACHE III scores for survivors were found to be significantly lower than those of non-survivors. The AUC was 0.835 for the APACHE III score and remained high, at 0.688, for the CCI score. The rate of concordance according to the CCI and the APACHE III score was 69.1%. Conclusion: The route of admission, days in ICU, CCI, and APACHE III score are associated with an increased mortality risk in ICU patients.

Effect of Clarithromycin on the Pharmacokinetics of Ambroxol in Rats

  • Lee, Chong-Ki;Choi, Jun-Shik
    • Journal of Pharmaceutical Investigation
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    • v.36 no.3
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    • pp.157-160
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    • 2006
  • This study investigated the effect of clarithromycin on the pharmacokinetics of ambroxol in rats. The pharmacokinetic parameters of ambroxol in rats were determined after the oral administration of ambroxol (12 mg/kg) in the presence or absence of clarithromycin (5 or 10 mg/kg). Compared with the control (given ambroxol alone), coadministration of clarithromycin significantly (p<0.05 at 5 mg/kg; p<0.01 at 10 mg/kg) increased the area under the plasma concentration-time curve (AUC), peak plasma concentrations $(C_{max})$ and absorption rate constant $(K_a)$ of ambroxol. Clarithromycin increased the AUC of ambroxol in a dose dependent manner within the dose range of 5 to 10 mg/kg. The absolute bioavailability (AB%) of ambroxol in the presence of clarithromycin was significantly higher than that of the control (p<0.05 at 5 mg/kg; p<0.01 at 10 mg/kg), and the relative bioavailability (RB%) of ambroxol with clarithromycin was increased by 1.32-to 1.71-fold. However, there were no significant changes in time to reach peak concentration $(T_{max})$ and terminal half-life $(T_{1/2})$ of ambroxol in the presence of clarithromycin. Coadministration of clarithromycin enhanced the bioavailability of ambroxol, which may be due to the inhibition of intestinal and hepatic metabolism of ambroxol by CYP 3A4. Further studies for the potential drug interaction are necessary since ambroxol is often administrated concomitantly with clarithromycin in humans.

The Effect of Circadian Rhythm on the Gentamicin Pharmacokinetics in Rabbits (가토에서 생체리듬이 겐타마이신의 약물동태에 미치는 영향)

  • Ko, Jae Won;Baek, Chae Sun;Choi, Jun Shik
    • Korean Journal of Clinical Pharmacy
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    • v.10 no.3
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    • pp.125-129
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    • 2000
  • The effect of circadian rhythm on gentamicin pharmacokinetics was studied in rabbits who took a single intravenous 2 mg/kg dose of gentamicin at 09:00 in the morning (a.m.) and 22:00 in the evening (p.m.). A significant circadian rhythm of pharmacokinetic parameters as a function of time of day was noted in rabbits, showing lower total body clearance $CL_t$ and higher serum area under the curve (AUC) when given in the evening. The half-life $t_{1/2}$ was shorter in the morning $(3.88\pm0.62h)$ when compared to the evening $(4.76\pm0.75\;h)$. The AUC was greater in the evening $(25.92\pm3.49\;{\mu}g/ml{\cdot}hr)$ than that in the morning $(22.42\pm3.42\;{\mu}g/ml{\cdot}hr)$, most likely because the CLt was significantly higher when gentamicin was given in the morning $(0.18\pm0.28\;ml/hr)$ versus in the evening $(0.15\pm0.26\;ml/hr)$. The $t_{1/2}$ of gentamicin in the evening was increased significantly(p<0.05) compared to those of gentamicin in the morning. It is reasonable to consider individual circadian rhythm for effective dosage regimen of gentamicin in clinical chronotherapeutics.

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Link Prediction Algorithm for Signed Social Networks Based on Local and Global Tightness

  • Liu, Miao-Miao;Hu, Qing-Cui;Guo, Jing-Feng;Chen, Jing
    • Journal of Information Processing Systems
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    • v.17 no.2
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    • pp.213-226
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    • 2021
  • Given that most of the link prediction algorithms for signed social networks can only complete sign prediction, a novel algorithm is proposed aiming to achieve both link prediction and sign prediction in signed networks. Based on the structural balance theory, the local link tightness and global link tightness are defined respectively by using the structural information of paths with the step size of 2 and 3 between the two nodes. Then the total similarity of the node pair can be obtained by combining them. Its absolute value measures the possibility of the two nodes to establish a link, and its sign is the sign prediction result of the predicted link. The effectiveness and correctness of the proposed algorithm are verified on six typical datasets. Comparison and analysis are also carried out with the classical prediction algorithms in signed networks such as CN-Predict, ICN-Predict, and PSNBS (prediction in signed networks based on balance and similarity) using the evaluation indexes like area under the curve (AUC), Precision, improved AUC', improved Accuracy', and so on. Results show that the proposed algorithm achieves good performance in both link prediction and sign prediction, and its accuracy is higher than other algorithms. Moreover, it can achieve a good balance between prediction accuracy and computational complexity.

Development of the Korean Peninsula-Korean Aviation Turbulence Guidance (KP-KTG) System Using the Local Data Assimilation and Prediction System (LDAPS) of the Korea Meteorological Administration (KMA) (기상청 고해상도 지역예보모델을 이용한 한반도 영역 한국형 항공난류 예측시스템(한반도-KTG) 개발)

  • Lee, Dan-Bi;Chun, Hye-Yeong
    • Atmosphere
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    • v.25 no.2
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    • pp.367-374
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    • 2015
  • Korean Peninsula has high potential for occurrence of aviation turbulence. A Korean aviation Turbulence Guidance (KTG) system focused on the Korean Peninsula, named Korean-Peninsula KTG (KP-KTG) system, is developed using the high resolution (horizontal grid spacing of 1.5 km) Local Data Assimilation and Prediction System (LDAPS) of the Korea Meteorological Administration (KMA). The KP-KTG system is constructed first by selection of 15 best diagnostics of aviation turbulence using the method of probability of detection (POD) with pilot reports (PIREPs) and the LDAPS analysis data. The 15 best diagnostics are combined into an ensemble KTG predictor, named KP-KTG, with their weighting scores computed by the values of area under curve (AUC) of each diagnostics. The performance of the KP-KTG, represented by AUC, is larger than 0.84 in the recent two years (June 2012~May 2014), which is very good considering relatively small number of PIREPs. The KP-KTG can provide localized turbulence forecasting in Korean Peninsula, and its skill score is as good as that of the operational-KTG conducting in East Asia.

Comparison of the Pediatric Balance Scale and Fullerton Advanced Balance Scale for Predicting Falls in Children With Cerebral Palsy

  • Kim, Gyoung-mo
    • Physical Therapy Korea
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    • v.23 no.4
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    • pp.63-70
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    • 2016
  • Background: The Pediatric Balance Scale (PBS) and the Fullerton Advanced Balance (FAB) scale were used to assess balance function in patients with balance problem. These multidimensional clinical balance scales provide information about potential risk factors for falls. Objects: The purpose of this study was to investigate and compare the predictive properties of the PBS and FAB scales relative to fall risk in children with cerebral palsy (CP) using a receiver operating characteristic analysis. Methods: In total, 49 children with CP (boy=21, girl=28) who were diagnosed with level 1 or 2 according to the Gross Motor Function Classification System participated in this study. The PBS and FAB were performed, and verified cut-off score, sensitivity, specificity, and the area of under the curve (AUC). Results: In this study, the PBS scale was as a predictive measure of fall risk, but the FAB was not significant in children with CP. A cut-off score of 45.5 points provided optimal sensitivity of .90 and specificity of .69 on the PBS, and a cut-off score of 21.5 points provided optimal sensitivity of .90 and specificity of .62 on the FAB. Both scales showed moderately accurate of AUC with .79 and .76, respectively. Conclusion: The PBS is a useful screening tool for predicting fall risk in children with cerebral palsy, and those who score 45.5 or lower indicate a high risk for falls and are in need of balance intervention.

Decreased oral bioavailability of cyclosporin A at second administration in human

  • Lee, Young-Joo;Chung, Suk-Jae;Shim, Chang-Koo;Lee, Min-Wha
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1997.04a
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    • pp.117-117
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    • 1997
  • Sandimmune Neoral$\^$(R)/ and Neoplanta$\^$(R)/ capsules were administered to twenty four healthy Korean male subjects at a cyclosporin A (CsA) dose of 175 mg in a 2 ${\times}$ 2 crossover investigation with a two-week wash-out phase. Concentrations of CsA in blood were measured by RIA method for over a period of 48 h. Result : The two formulations were found bioequivalent, but analysis of variance (ANOVA) indicated that there is a significant (p<0.01) period effect in AUC$\_$0-LAST/ (area under the blood concentration above assay limit of quantification-time curve) and C$\_$MAX/ (maximum blood concentration) between the administrations. Paired t-test revealed 6 and 9% decreases in AUC$\_$0-LAST/ and C$\_$MAX/, respectively at the second administration. This period effect on the pharmacokinetics of CsA may be relevant for the patients who need consecutive administration of the drug. A number of mechanisms, such as induction of the enzymes responsible for metabolism of the drug in the gut wall and/or liver and modulation of P-glycoprotein upon the consecutive dosing, appear consistent with the change, and needs experimental proof.

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