• Title/Summary/Keyword: Deficiencies

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Adverse event reports of tonifying herbal medicine products (보익제 계통 한약제제의 부작용 보고 분석 연구)

  • Yujin Choi;Jee-youn Jung;Hyeun-kyoo Shin
    • The Journal of Korean Medicine
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    • v.45 no.3
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    • pp.54-64
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    • 2024
  • Objectives: Tonifying herbal medicines are used to nourish and balance the body's qi, blood, yin, and yang, targeting deficiencies. They are the second most frequently used category by consumers visiting Korean medicine clinics, following prescriptions for back pain. This study aimed to analyze the adverse events associated with herbal medicine products classified as tonics through a national pharmacovigilance database. Methods: We investigated 11 types of tonifying herbal medicine products (466 product codes) in the Korea Adverse Event Reporting System (KAERS) database from 2012 to 2021. Extracted adverse event reports were analyzed based on information of reports, patient demographics, classification of adverse events, reported herbal medicine products, and causality assessment results. Results: A total of 31 individual case safety reports were identified, covering 33 adverse events. The annual number of reports has increased over the study period. Most reports were filed by physicians and pharmacists, with the majority of patients being adults or elderly. Gastrointestinal disorders were the most frequently reported adverse events, accounting for 48.5% of cases. Of the 33 adverse events, 93.9% were classified as non-serious, while 6.1% were classified as serious. The most frequently reported herbal medicine products were Bojungikgi-tang, Yukmijihwang-tang, and Palmijihwang-tang. Conclusions: Although the study found that adverse events associated with tonifying herbal medicine products are generally not serious, it highlights the importance of systematic monitoring and reporting. The findings underscore the need for improved adverse event reporting systems within traditional Korean medicine to ensure patient safety and guide future research.

Insulin-like growth factor가 소장 점막 세포 증식에 미치는 영향

  • 윤정한
    • Proceedings of the Korean Nutrition Society Conference
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    • 1995.11b
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    • pp.11-34
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    • 1995
  • Growth hormone (GH) plays a key role in regulating postnatal growth and can stimulate growth of animals by acting directly on specific receptors on the plasma membrane of tissues or indirectly through stimulating insulin-like growth factor (IGF)-I synthesis and secretion by the liver and other tissues. IGF-I and IGF-Ⅱ are polypeptides with structural similarity with proinsulin that stimulate cell proliferation by endocrine, paracrine and autocrine mechanisms. The initial event in the metabolic action of IGFs on target cells appears to be their binding to specific receptors on the plasma membrane. Current evidence indicates that the mitogenic actions of both IGFs are mediated primarily by binding to the type I IGF receptors, and that IGF action is also mediated by interactions with IGF-binding proteins (IGFBPs). Six distinct IGFBPs have been identified that are characterized by cell-specific interaction, transcriptional and post-translational regulation by many different effectors, and the ability to either potentiate or inhibit IGF actions. Nutritional deficiencies can have their devastating consequence during growth. Although IGF-I is the major mediator of GH's action on somatic growth, nutritional status of an organism is a critical regulator of IGF-I and IGFBPs. Various nutrient deficiencies result in decreased serum IGF-I levels and altered IGFBP levels, but the blood levels of GH are generally unchanged or elevated in malnutrition. Effects of protein, energy, vitamin C and D, and zinc on serum IGF and IGFBP levels and tissue mRNA levels were reviewed in the text. Multiple factors are involved in the regulation of intestinal epithelial cell growth and differentiation. Among these factors the nutritional status of individuals is the most important. The intestinal epithelium is an important site for mitogenic action of the IGFs in vivo, with exogenous IGF-I stimulating mucosal hyperplasia. Therefore, the IGF system appears to provide and important mechanism linking nutrition and the proliferation of intestinal epithelial cells. In order to study the detailed mechanisms by which intestinal mucosa is regulated, we have utilized IEC-6 cells, an intestinal epithelial cell line and Caco-2 cells, a human colon adenocarcinoma cell line. Like intestinal crypt cells analyzed in vivo or freshly isolated intestinal epithelial cells, IEC-6 cells and Caco-2 cells possess abundant quatities of both type Ⅰ and type Ⅱ IGF receptors. Exogenous IGFs stimulate, whereas addition of IGFBP-2 inhibits IEC-6 cell proliferation. To investigate whether endogenously secreted IGFBP-2 inhibit proliferation, IEC-6 cells were transfected with a full-length rat IGFBP-2 cDNA anti-sense expression construct. IEC-6 cells transfected with anti-sense IGFBP-2 protein in medium. These cells grew at a rate faster than the control cells indicating that endogenous IGFBP-2 inhibits proliferation of IEC-6 cells, probably by sequestering IGFs. IEC-6 cells express many characteristics of enterocyte, but do not undergo differentiation. On the other hand, Caco-2 cells undergo a spontaneous enterocyte differentiation. On the other hand, Caco-2 cells undergo a spontaneous enterocyte differentiation after reaching confluency. We have demonstrated that Caco-2 cells produce IGF-Ⅱ, IGFBP-2, IGFBP-3, and an as yet unidentified 31,000 Mr IGFBP, and that both mRNA and peptide secretion of IGFBP-2 and IGFBP-3 increased, but IGFBP-4 mRNA and protein secretion decreased after the cells reached confluency. These changes occurred in parallel to and were coincident with differentiation of the cells, as measured by expression of sucrase-isomaltase. In addition, Caco-2 cell clones forced to overexpress IGFBP-4 by transfection with a rat IGFBP-4 cDNA construct exhibited a significantly slower growth rate under serum-free conditions and had increased expression of sucrase-isomaltase compared with vector control cells. These results indicate that IGFBP-4 inhibits proliferation and stimulates differentiation of Caco-2 cells, probably by inhibiting the mitogenic actions of IGFs.

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The Assessment for Nutrient Intakes of Korean Patients with Heart Failure (우리나라 일부 심부전 환자의 영양소 섭취량 평가 연구)

  • Lee, Hye-Ran;Kang, Bo-Rum;Chung, Hye-Kyung;Do, Hyun-Joo;Shim, Jee-Seon;Bae, Soon-Hwa;Kang, Seok-Min;Shin, Min-Jeong
    • Journal of Nutrition and Health
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    • v.43 no.3
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    • pp.224-232
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    • 2010
  • The prevalence of heart failure (HF) is increasing globally and growing evidence has shown that dietary factors play an important role in preventing and improving prognosis of HF. However, little data on nutrient intake in Korean HF patients which are available to develop dietary guidelines for HF. The aims of this study were to estimate nutrient intake in 78 HF patients and evaluate whether the estimated nutrient intake is appropriate compared to dietary reference intake for Koreans. Data are presented as the ratio of actual intake and estimated average requirement (EAR) for each nutrient. The result showed that the average nutrient intakes including total energy and protein met EAR in total patients. However, the deficiencies in mineral and vitamin intakes were found. Moreover, the proportion of subjects with lower intake than EAR was substantial. The results showed that the proportion of male HF patients with inferior intakes to EAR in calcium, potassium (compared to adequate intake: AI), folate and vitamin $B_{12}$ were 38%, 79%, 38%, and 65%, respectively. Also, the proportion of female HF patients with inferior intakes to EAR in calcium, potassium (compared to AI), folate and vitamin $B_{12}$ were 35%, 88%, 38% and 40%, respectively. In particular, the elderly with HF ($\geq$ 70 yrs, n = 28) showed more serious deficiencies in calcium, potassium (compared to AI), folate and vitamin $B_{12}$. In summary, the intakes of potassium, calcium, folate, and vitamin B12 were not sufficient to meet EAR in HF patients. Furthermore, the proportions of subjects with lower intake than EAR in these nutrients were substantial, raising the possibility that these micronutrients may be involved in the pathogenesis of HF. Practical dietary guideline for HF patients is needed to improve prognosis of HF.

Effects of Systematic Variation Application of Fe, Mn, Cu, and Zn on the Growth, Root/Nodule, and Flowering of Orchardgrass and White Clover (Fe, Mn, Cu 및 Zn의 Systematic Variation 시비가 Orchardgrass 및 White clover의 생육, 뿌리/근류 및 개화에 미치는 영향)

  • 정연규
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.24 no.2
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    • pp.105-114
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    • 2004
  • This pot experiment was. conducted to investigate the effects of systematic variation application of Fe, Mn, Cu, and Zn on forage performance of orchardgrass and white clover. The treatments of systematic variation were 0/100, 25/75, 50/50, 75/25, and 100/0% in the Fe/Cu(trial-1), Mn/Zn(trial-2), and Fe + Cu/Mn + Zn(trial-3), respectively. The treatments of Fe/Mn/Cu/Zn(trial-4) were composed of 70% in main element and 10% in other 3 elements, respectively. 1. In general, the unbalanced applications of Fe and Mn resulted in the Mn and Fe deficiencies(chlorosis) on white clover, respectively, because of the antagonism between Fe and Mn. In white clover, the traits of growth, root/nodule, and flowering, which were influenced by the systematic variation of Fe, Mn, Cu, and Zn, were closely correlated to each other. In the Fe/Cu trial, the 0/100 and 25/75 induced a Fe-deficiency on white clover, and the 0/100 also showed poor root growth and flowering. In addition, the 50/50 and 75/25 showed an early flowering of white clover. 2. In the Mn/Zn trial, the 0/100 induced a severe Mn-deficiency(chlorosis) on white clover. The 25/75 and 50/50, however, diminished the chlorosis symptom. The 75/25 and 100/0 showed generally good root growth and flowering of white clover. 3. In the Fe + Cu/Mn + Zn trial, the 0/100 induced a Fe-deficiency, and the 100/0 induced a Mn-deficiency on white clover, which were correlated to the poor root growth and flowering. The 75/25 showed good root growth and flowering of white clover. 1be flowering of white clover tended to be more influenced by the Fe + Cu than by the Mn + Cu ratios. 4. In the Fe/Mn/Cu/Zn trial, the Fe and Mn deficiencies on white clover, which were influenced by the Mn and Fe treatments, also occurred. The Cu and Zn-deficiency symptoms, however, were not recognized. General differences have been showed in the numbers of flowers as following orders; Zn > Cu > Mn > Fe - 70% treatments.

Development Process and Methods of Audit and Certification Toolkit for Trustworthy Digital Records Management Agency (신뢰성 있는 전자기록관리기관 감사인증도구 개발에 관한 연구)

  • Rieh, Hae-young;Kim, Ik-han;Yim, Jin-Hee;Shim, Sungbo;Jo, YoonSun;Kim, Hyojin;Woo, Hyunmin
    • The Korean Journal of Archival Studies
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    • no.25
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    • pp.3-46
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    • 2010
  • Digital records management is one whole system in which many social and technical elements are interacting. To maintain the trustworthiness, the repository needs periodical audit and certification. Thus, individual electronic records management agency needs toolkit that can be used to self-evaluate their trustworthiness continuously, and self-assess their atmosphere and system to recognize deficiencies. The purpose of this study is development of self-certification toolkit for repositories, which synthesized and analysed such four international standard and best practices as OAIS Reference Model(ISO 14721), TRAC, DRAMBORA, and the assessment report conducted and published by TNA/UKDA, as well as MoRe2 and current national laws and standards. As this paper describes and demonstrate the development process and the framework of this self-certification toolkit, other electronic records management agencies could follow the process and develop their own toolkit reflecting their situation, and utilize the self-assessment results in-house. As a result of this research, 12 areas for assessment were set, which include (organizational) operation management, classification system and master data management, acquisition, registration and description, storage and preservation, disposal, services, providing finding aids, system management, access control and security, monitoring/audit trail/statistics, and risk management. In each 12 area, the process map or functional charts were drawn and business functions were analyzed, and 54 'evaluation criteria', consisted of main business functional unit in each area were drawn. Under each 'evaluation criteria', 208 'specific evaluation criteria', which supposed to be implementable, measurable, and provable for self-evaluation in each area, were drawn. The audit and certification toolkit developed by this research could be used by digital repositories to conduct periodical self-assessment of the organization, which would be used to supplement any found deficiencies and be used to reflect the organizational development strategy.

EXPERIMENTAL SIMULATION OF A DIRECT VESSEL INJECTION LINE BREAK OF THE APR1400 WITH THE ATLAS

  • Choi, Ki-Yong;Park, Hyun-Sik;Cho, Seok;Kang, Kyoung-Ho;Choi, Nan-Hyun;Kim, Dae-Hun;Park, Choon-Kyung;Kim, Yeon-Sik;Baek, Won-Pil
    • Nuclear Engineering and Technology
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    • v.41 no.5
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    • pp.655-676
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    • 2009
  • The first-ever integral effect test for simulating a guillotine break of a DVI (Direct Vessel Injection) line of the APR1400 was carried out with the ATLAS (Advanced Thermal-hydraulic Test Loop for Accident Simulation) from the same prototypic pressure and temperature conditions as those of the APR1400. The major thermal hydraulic behaviors during a DVI line break accident were identified and investigated experimentally. A method for estimating the break flow based on a balance between the change in RCS inventory and the injection flow is proposed to overcome a direct break low measurement deficiency. A post-test calculation was performed with a best-estimate safety analysis code MARS 3.1 to examine its prediction capability and to identify any code deficiencies for the thermal hydraulic phenomena occurring during the DVI line break accidents. On the whole, the prediction of the MARS code shows a good agreement with the measured data. However, the code predicted a higher core level than did the data just before a loop seal clearing occurs, leading to no increase in the peak cladding temperature. The code also produced a more rapid decrease in the downcomer water level than was predicted by the data. These observable disagreements are thought to be caused by uncertainties in predicting countercurrent flow or condensation phenomena in a downcomer region. The present integral effect test data will be used to support the present conservative safety analysis methodology and to develop a new best-estimate safety analysis methodology for DVI line break accidents of the APR1400.

A study on the policy about regulation improvement for vitalization of technology based startup (벤처·업 활성화를 위한 규제개선 추진방안의 효과성 분석)

  • Sim, Yong-ho;Gil, Wun-gyu;Kim, Seo-kyun
    • Journal of Internet Computing and Services
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    • v.16 no.4
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    • pp.121-130
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    • 2015
  • Technology based start-up is actively encouraged for job creation and economic performance in Korea. The Korean government has implemented a variety of policy for regulatory improvement to vitalize technology based start-up. In order to maximize the effectiveness of the policy for regulatory improvement should be actively reflect the opinions of policy beneficiaries. In this study, The importance of "The progress plan for regulation improvement about vitalization of start-up(25 contents)" published by the government was analyzed using AHP method. The object of study is the beneficiary of the policy(CEO of ICT sector). Analysis showed that the 25 contents were classified into four(1 - expectation of effect, 2 - urgency of system enforcement, 3 - complement of deficiencies, 4 - after careful consideration). This study has a academic significance to quantitative analysis about importance of policy for regulatory improvement. Also, It can be utilized when policy making and practice about technology based start-up.

A Survey on Anthropometric and Nutritional Status of children in Three Different Kinds of Kindergartens in Cheonan (천안 지역의 3 종류의 유아원 유아들의 신체 발육과 영양 실태)

  • Park, Seon-Min;Choe, Hyeon-Sun;O, Eun-Ju
    • Journal of the Korean Dietetic Association
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    • v.3 no.2
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    • pp.112-122
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    • 1997
  • According to economical status, malnutrition and overnutrition coexist among preschool children in Korea. Malnutrition have been a serious problem for children in some of rural. Many children have deficiencies of some nutrients such as riboflavin A, and simultaneously they have overcaloric intakes with empty calorie foods. Preschool children have nutritional problems which can affect the growth and development. To investigate whether nutritional intakes can influence on the growth or not, nutritional intakes and anthropometric measurements were determined for infants aged 4~6 years old in three different kinds of preschools. Daily nutrient intakes were calculated by the combination of a direct measurement and 24 hour recall, and the diet consumption patterns were determined by diet quality index. Overall growth of infants in Cheonan area was under the normal growth in Korea. Preschool children in orphanage consumed almost all nutrients much less than the recommended daily allowances, on the other hands, children in private preschool had over-intakes of nutrients when it is compared with the daily requirements. However, the scores of the diet quality index were similar in three preschools since children in private preschool consumed more fat and junk food than those in orphanage. The weight and height of preschool children in orphanage was lower than those in private preschools. This was due to the lower consumption of the important nutrients in infants in orphanage. The consumption of all nutrients except fat did not show any correlation with height or weight. The quality index of fat, cholesterol, grains and protein intakes was higher in children in private preschool than in orphanage. In conclusions, 1)the private preschool children had worse nutrient intake patterns. Better consumption of vitamin $B_2$, calcium and grains were, bigger height and chest circumferences children obtained. 2)Since most of energy intake of preschool children came from junk foods, they needed to consume more supplementation of vitamins and minerals, which is necessary for normal growth. 3)It is desirable for the children to cut down junk foods and empty calorie foods.

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Occupational Balance and Time Use Satisfaction of Adolescents With Disabilities (장애 청소년의 작업 균형과 시간 사용 만족감에 관한 연구)

  • Bak, Ah-Ream;Cha, Tae-Hyun
    • The Journal of Korean Academy of Sensory Integration
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    • v.18 no.1
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    • pp.44-55
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    • 2020
  • Objective : This study used the data of the National Statistical Office to analyze the time use of disabled youth and their self-satisfaction with it by their type of occupation. Methods : Using raw data extracted from Statistics Korea, 84 disabled youth from 10 to 24 years old were re-classified into six occupational areas based on Occupational Therapy Practice Framework (OTPF)-3. The occupational types were classified according to the time use by individuals based on data from Statistics Korea. Finally, according to the type of occupation, self-satisfaction with the use of time was identified. Results : The total amount of time spent by disabled youths was the largest in the rest and sleep categories, followed by daily living, education, leisure, social participation, and play. The analysis of occupational types showed that the groups were turned around (10.71% of participants), high activity group (50.00%), low activity (28.57%), and balanced (10.71%). There were significant differences between types in the first five of the aforementioned categories. There was no significant difference in the lack of time use, but there was a significant difference among their satisfaction with their use of time. The balanced type (21.53%) reported the most satisfaction. inadequacy Conclusion : The purpose of the project was to provide the raw data of intervention activities that can improve the quality of life and health of disabled youth. By analyzing their time use and occupations, deficiencies in time management and their satisfaction with their use of time can be noted.

A Method to Specify and Verify Requirements for Safety Critical System (안전 필수 시스템을 위한 요구사항 명세 및 검증 방법)

  • Lim, Hye Sun;Lee, Seok-Won
    • Journal of KIISE
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    • v.44 no.9
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    • pp.893-907
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    • 2017
  • In safety-critical systems, software defects may have serious consequences. Therefore, defects should be considered during the requirements specification process, which is the first step of a software development lifecycle. Stakeholder requirements that are usually written in natural language are difficult to derived, and there may also be defects due to ambiguity and inaccuracy. To address these issues, we propose a requirement specification method using a standardized Boilerplate and a GSN Model. The Boilerplate is a semi-standard language that follows a predefined format. Due to its ability to provide a consistent representation of the requirements, boilerplate helps stakeholders avoid ambiguities about what they mean and to define the exact meaning of the requirement. Meanwhile, GSN is recognized notation to prepare a Safety Case to prove to authorities that a system is safe. It can be expressed as a functional goal, e.g., Safety Evidence, etc. The proposed study allows an analyst to easily identify a fault from the early stage of the software development lifecycle. The Boilerplate and GSN Model are designed to specify the requirements of safety critical systems and to prove safety conformity through a connection with Safety Evidence. In addition, the proposed approach is also useful to develop secure software by correcting deficiencies in the requirements found during this process.