• 제목/요약/키워드: TM-S

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토모치료기 CatcherTM Couch의 유용성에 대한 고찰 (Study of the CatcherTM Couch's Usefulness)

  • 엄기천;이충환;전수동;송흥권;백금문
    • 대한방사선치료학회지
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    • 제31권2호
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    • pp.65-74
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    • 2019
  • 목 적: 최근 Radixact® X9에서는 치료테이블의 처짐을 방지하는 CatcherTM가 추가되었다. 본 연구에서는 정확한 선량전달을 위한 토모테라피의 메가볼트 전산화단층촬영(MVCT) 영상유도방사선치료 시 Tomo-HDA®의 General Couch와 Radixact® X9의 CatcerTM Couch의 치료테이블 처짐 정도를 팬텀을 이용하여 정량적으로 비교하고 그 유용성을 평가하고자 한다. 대상 및 방법: 팬텀연구를 위해 란도팬텀을 이용하였으며, 치료부위에 따른 변화를 위해 두경부와 골반부에 중심점을 설정하였다. 또한, 무게에 따른 변화를 위해 자체 제작한 저용융점납합금을 이용하였다. 납합금의 무게를 점차 증가시켜(A: 15kg, A+B: 30kg, A+B+C: 45kg) MVCT 영상을 획득하였으며, 수직오차 및 회전(Pitch)오차를 측정하였다. 환자연구를 위해 본원에서 토모테라피를 이용하여 방사선치료를 받은 120명의 환자를 선정하였다. Tomo-HDA®과 Radixact® X9에서 각각 60명씩 치료를 받았으며, 치료부위는 두경부와 골반부로 30명씩 분류하여 선정하였다. 환자연구 방법으로는 치료 첫 날 획득한 MVCT 영상의 척추를 기준으로 수직오차 및 회전(Pitch) 오차를 측정하여 평균값을 산출하였다. 결 과: 팬텀연구 결과 Tomo-HDA®의 General Couch에서는 무게가 증가함에 따라 두경부와 골반부 모두 수직 및 회전(Pitch)오차가 비례하여 증가하였고, 두경부에서 최대 7.52mm, 0.38°, 골반부에서 최대 11.94mm, 0.92° 발생하였다. Radixact® X9의 CatcherTM Couch에서는 0.02~0.1mm, 0~0.04°의 오차범위가 발생하는 것을 확인할 수 있었다. 환자연구 결과 Radixact® X9의 CatcherTM Couch에서 두경부 4.79mm, 0.33°, 골반부 7.66mm, 0.22° 더 낮게 측정되었다. 결 론: 팬텀연구 결과 Tomo-HDA®의 General Couch에서는 무게가 증가함에 따라 수직오차 및 회전(Pitch) 오차가 비례하여 증가하였으며, 특히 두경부보다는 골반부에서 더 많이 증가하였다. 하지만, 본 연구의 목적인 Radixact® X9의 CatcherTM Couch에서는 무게와 부위라는 변수상관 없이 일정한 오차가 발생하였다. 결론적으로 CatcherTM Couch는 Couch 처짐이라는 Mechanical error를 최소화 할 수 있으며, 두경부보다는 골반부에서 더 유용하게 작용한다는 사실을 알 수 있었다. 토모테라피를 이용한 방사선치료 시 Radixact® X9의 CatcherTM Couch를 사용한다면 토모테라피의 특성상 보정할 수 없는 회전(Pitch)오차를 최소화하는데 기여할 수 있을 것이라고 사료된다.

니세틸 정(아세틸-엘-카르니틴 500 mg)에 대한 뉴로세틸 정의 생물학적 동등성 (Bioequivalence of Neurocetil Tablet to Nicetile Tablet (Acetyl-L-Carnitine 500 mg))

  • 조혜영;김은아;정현철;심영순;임동구;오인준;문재동;이용복
    • Journal of Pharmaceutical Investigation
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    • 제31권1호
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    • pp.49-55
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    • 2001
  • Acetyl-L-carnitine (ALC), an endogenous component of the L-carnitine family, is naturally occurring molecule synthesized from L-carnitine (LC) by carnitine acetyl transferase. ALC has been shown to improve the cognitive performance of patients suffering from dementia of the Alzheimer's type and proposed for treating Alzheimer's disease in pharmacological doses. The purpose of the present study was to evaluate the bioequivalence of two ALC tablets, $Nicetile^{TM}$ (Dong-A pharmaceutical Co., Ltd.) and $Neurocetil^{TM}$ (Kyung-Dong Pharmaceutical Co., Ltd.), according to the guidelines of Korea Food and Drug Administration. Twenty six normal male volunteers, $22.80{\pm}2.76$ year in age and $63.07{\pm}7.98\;kg$ in body weight, were divided into two groups and a randomized $2{\times}2$ cross-over study was employed. After one tablet containing 500 mg of ALC was orally administered, blood was taken at predetermined time intervals and the concentrations of ALC in serum were determined using HPLC with fluorescence detector. Because of the presence of endogenous ALC, the calibration was performed using dialyzed serum. Pharmacokinetic parameters such as $AUC_t$, $C_{max}\;and\;T_{max}$ were calculated and ANOVA was utilized for the statistical analysis of the parameters. The results showed that the differences in $AUC_t$, $C_{max}\;and\;T_{max}$ between two tablets were 2.72%, -0.65% and -8.42%, respectively, when calculated against the $Nicetile^{TM}$ tablet. The powers $(1-{\beta})$ for $AUC_t\;and\;C_{max}$ were 94.87% and 87.17%, respectively. Minimum detectable differences $({\Delta})$ at ${\alpha}=0.05$ and $1-{\beta}=0.8$ were less than 20% (e.g., 15.58% and 19.16% $AUC_t\;C_{max}$, respectively). The 90% confidence intervals were within ${\pm}20%$ (e.g., $-11.84{\sim}6.41$ and $-10.57{\sim}11.88$for $AUC_t\;and\;C_{max}$, respectively). Two parameters met the criteria of KFDA for bioequivalence, indicating that $Neurocetil^{TM}$ tablet is bioequivalent to $Nicetile^{TM}$ tablet.

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용제와 투과촉진제가 Strat-MTM 인공막 및 무모마우스 피부를 통한 티자니딘염산염의 투과 특성에 미치는 영향 (Effects of Vehicles and Enhancers on the Permeation Properties of Tizanidine Hydrochloride through Strat-MMTM Artificial Membrane and Hairless Mouse Skin)

  • 박명신;전인구
    • 약학회지
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    • 제60권1호
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    • pp.36-45
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    • 2016
  • This study was aimed to enhance the percutaneous absorption of tizanidine hydrochloride (TZ) across Strat-M$^{TM}$ artificial membrane and excised hairless mouse skin using various vehicles and chemical permeation enhancers. Solubility studies were performed using hydrophilic and lipophilic vehicles. To initially evaluate vehicle effects on skin permeation, Strat-M$^{TM}$ membrane was adopted using Franz-type diffusion cells loaded with 0.4 mg donor dose. Effects of fatty acids on the permeation of TZ from PG and PGMC were compared, and the effects of various hydrophilic vehicles in the presence of linoleic acid were studied using excised hairless mouse skin specimens. The mean solubility (mg/ml) of TZ in hydrophilic vehicles was higher: water > PG > DMSO > ethanol > PEG 200 > NMP > PEG 300 > PEG 400 > DGME, and solubilities in lipophilic vehicles such as PGMC, PGMC, IPM, Captex 200 and Captex 300 were much less than 1.0 mg/ml. Permeation rates through StratTM membrane from pure vehicles were in the rank order: PGMC ${\geq}$ LBF > DMSO ${\geq}$ NMP ${\geq}$ PGML ${\geq}$ PG ${\geq}$ PEG 200 ${\geq}$ DGME ${\geq}$ EtOH. However, permeation rates of TZ through hairless mouse skin from pure vehicles were very low, although PG showed the highest flux ($1.66{\pm}0.28{\mu}g/cm^2{\cdot}hr$). Therefore, PG was selected in further studies. Addition of enhancers (3 v/v%) into PG markedly increased the flux (${\mu}g/cm^2{\cdot}hr$): oleyl alcohol ($14.9{\pm}3.1$) ${\geq}$ oleic acid ($14.5{\pm}1.6$) ${\geq}$ linoleic acid ($13.7{\pm}1.3$) > capric acid ($4.4{\pm}0.6$) > caprylic acid ($2.1{\pm}0.4$). Among hydrophilic vehicles with linoleic acid, PG and DMSO revealed relatively higher permeation for TZ. Increase of donor dose in PG resulted in dose-dependent permeation fluxes. These results suggest that permeation properties of TZ from nonaqueous solutions are markedly different between Strat-$M^{TM}$ membrane and excised hairless mouse skin, and transdermal delivery of TZ would be feasible with a combination of PG and enhancers.

$Carisolv^{TM}$ 에 의한 우식제거후 Microtensile Bonding Strength에 관한 연구 (AN EXPERIMENTAL STUDY ON THE MICROTENSILE BONDING STRENGTH OF DENTIN TREATED BY $CARISOLV^{TM}$)

  • 백병주;권병우;김재곤;전철완
    • 대한소아치과학회지
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    • 제29권3호
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    • pp.389-396
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    • 2002
  • 이 연구의 목적은 전형적인 우식제거(bur)와 기계화학적으로 제거된 상아질($Carisolv^{TM}$)의 microtensile bonding strength를 비교하는 것이다. 다음과 같은 결합 system이 사용되었다; AB: All Bond 2(3M, USA), PB: Prime & Bond 2.1(Dentsply, DE), AQ: AQ Bond(sun medical, Japan). 교합면 우식증을 가지고 있는 42개의 사람 대구치를 6개 그룹으로 나누었다. 각각의 그룹은 다음과 같이 나누었다; $Carisolv^{TM}$를 적용한 그룹 A, B, C와 bur를 사용한 그룹 D, E, F, A와 D 그룹에서는 AB가 상아질 결합제로 사용하였고, 그룹 B, E는 PB를 그룹 C, F는 AQ를 사용하였다. 그 후 와동은 복합레진(Z-100)으로 충전하였다. 각각의 시편을 0.7 mm 두께로 자르고 0.7 mm의 넓이로 다시 잘랐다. Microtensile bonding strength test는 $0.5\;mm/min^{-1}$의 crosshead에서 시행하여 파절면을 scanning electron microscope(JSM-6400, Jeol, Japan)로 관찰하여 다음과 같은 결과를 얻었다. 1. $Carisolv^{TM}$로 우식을 제거했을 때 Microtensile bonding strength는 bur를 사용한 것에 비해서 75.8-80%로 감소하였다(p<0.05). 2. $Carisolv^{TM}$로 우식을 제거했을 때 Microtensile bonding strength가 감소된 정도는 상아질 결합제의 종류에 따라 각 군별로 차이가 없었다(p<0.05). 3. $Carisolv^{TM}$로 우식을 제거했을 때 All bonds는 32.6 MPa, Prime & bond는 30.1 Mpa, AQ bond는 21.2 Mpa이었다. 4. Bur와 $Carisolv^{TM}$로 우식제거시 AQ bond는 All bond와 Prime & bond 2.1보다 유의하게 낮은 결합강도를 가졌다(p<0.01).

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휴대용 방광기능 검사 장치에 대한 연구 (Study for portable bladder function monitoring system)

  • 김거식;이상옥;이갑성;이태현;김길호;김형준;장춘환;윤성일;김종훈;채희창;송철규
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2005년도 학술대회 논문집 정보 및 제어부문
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    • pp.379-381
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    • 2005
  • Urodynamics describes a collection of tests designed to evaluate lower urinary tract function and can be performed using retrograde filling of the bladder within a room. In this study, we designed and calibrated the potable urodynamics monitoring system using DSP chip (TMS320VC33, Texas InstrumentTM, U.S.) and obtained signals of bladder(Pves) and bladder neck pressure(Pneck) and EMG using calibration kit (DPT9022K0122, MedtronicsTM, U.s,). This system monitor spontaneous urination during daily life and can make patients more comportable.

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개방형 GIS 표준에 따른 오브젝트 웹 시스템 설계 (A Design of Open GIS Compliant Object Web)

  • 박기호;정재곤
    • 한국공간정보시스템학회 논문지
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    • 제1권2호
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    • pp.47-62
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    • 1999
  • 지금까지 지리공간 데이터에 대한 접근과 처리에 있어서 상호운용성 보장을 위해 $OpenGIS^{TM}$ 명세에 준하는 다양한 프로토타입 시스템들이 설계되어 왔다. 그러나, 오브젝트 웹 GIS의 관점에서 보았을 때 실질적인 상호운용성을 보장할 수 있는 운영 시스템이 되기까지는 많은 걸림돌들이 존재한다. 특히, 새로운 아키텍쳐 설계에 있어 핵심 기반 기술 중의 하나라고 할 수 있는 매핑 라이브러리의 상호운용성 측면에서 진행되는 연구는 거의 없는 실정이다. 본 논문은 타 $OpenGIS^{TM}$ 기반 데이터 제공자들과 상호운용될 수 있는 매핑 커널인 OpenViews를 개발하는 데 초점을 두고, 이를 기반으로 한 새로운 차원의 개방형 GIS 시스템 설계를 제시한다. 이를 위해 향후 등장하게 될 여러 시스템들을 ORB를 통해 통합하기 위한 기본적 시스템 요구 사항들을 추출하였으며, 특히 심볼 객체를 분산시킬 수 있는 표준 인터페이스를 제시하였다. 개발된 매핑 커널은 확장성과 유연성을 보장할 수 있도록 100% 순수 자바를 기반으로 하였으며, 잘 알려진 디자인 패턴과 UML을 설계 과정에 도입하였다. OpenViews를 내장한 GIS 애플리케이션 서버는 OpenBroker를 이용하는 데이터 제공자와 함께 서블릿과 EJB기반의 웹 전자지도 출판을 쉽고 빠르게 처리할 수 있도록 하는 개방형 GIS 시스템 아키텍쳐의 핵심 구성 요소이다.

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칡한우 정액 동결에 있어서 희석액과 수소의 연령이 정자의 동결성, 체외수정란 발달 및 인공수정 임신율에 미치는 효과 (Effect of Freezing Buffers and Age of Bulls on Freezability of Semen, $In$ $Vitro$ Embryo Development and the Pregnancy Rate after Artificial Insemination of Korean Native Stripped Bull)

  • 박용수;장종식
    • 한국수정란이식학회지
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    • 제27권1호
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    • pp.29-35
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    • 2012
  • The purpose of this study was to examine the effect of growing stages of the Korean Native Striped Bull (KNSB) on the freezability and fertility of frozen-thawed semen. First, we investigated the total motility (TM) and progressive motility (PM) according to the diluent used for semen freezing. Second, we examined the effect of the age of KNSB on semen volume, TM and PM of fresh and frozen-thawed semen. Third, we examined the effect of frozen semen from the different age of KNSB on the $in-vitro$ fertilization rate, and the artificial insemination pregnancy rate. The diluents used in this experiment were Triladyl$^{(R)}$ and Tris-egg yolk extender (EYE). Semen was collected from 5 KNSB in the growing stage (15 months) and 5 adult KNSB (36 months). When Triladyl or Tris-EYE extender was used for semen freezing, there was no difference of the mean TM and the mean PM. However, the mean TM was significantly higher in Bull No. 1885 than Bull No. 4283 ($p$ <0.05). The mean volume of semen collected from the 15-month-old bulls (2.3 ml) was significantly lower ($p$ <0.05) than that from the 36-month-old bulls (5.0 ml). The mean semen concentration was similar for the 15-month-old ($2.1{\times}10^9$ spermatozoa/ml) and 36-month-old ($1.8{\times}10^9$ spermatozoa/ml) bulls. For the 15-month-old and 36-month-old bulls, the mean TM of fresh semen were 93.7% and 88.3%, respectively, and the mean PM were 97.0% and 88.3%, respectively; the 15-month-old bulls showed a particularly high PM ($p$ <0.05). For the 15-month-old and 36-month-old bulls, the mean TM (56.0% and 58.0%, respectively) and the mean PM (64.0% and 70.7%, respectively) of frozen-thawed semen did not differ. The development rates of embryos after $in-vitro$ fertilization and the pregnancy rate after artificial insemination using frozen-thawed semen did not differ according to the bull's age. In summary, semen volume differed according to the bull's age, but semen concentration and survival rate, the $in-vitro$ fertilization rate, and the pregnancy rate did not differ according to the stripe bull's age. Accordingly, semen from bulls in the growing stage can be collected and frozen for the preservation and multiplication of rare livestock.

Structural and Kinetic Characteristics of 1,4-Dioxane-Degrading Bacterial Consortia Containing the Phylum TM7

  • Nam, Ji-Hyun;Ventura, Jey-R S.;Yeom, Ick Tae;Lee, Yongwoo;Jahng, Deokjin
    • Journal of Microbiology and Biotechnology
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    • 제26권11호
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    • pp.1951-1964
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    • 2016
  • 1,4-Dioxane-degrading bacterial consortia were enriched from forest soil (FS) and activated sludge (AS) using a defined medium containing 1,4-dioxane as the sole carbon source. These two enrichments cultures appeared to have inducible tetrahydrofuran/dioxane and propane degradation enzymes. According to qPCR results on the 16S rRNA and soluble di-iron monooxygenase genes, the relative abundances of 1,4-dioxane-degrading bacteria to total bacteria in FS and AS were 29.4% and 57.8%, respectively. For FS, the cell growth yields (Y), maximum specific degradation rate ($V_{max}$), and half-saturation concentration ($K_m$) were 0.58 mg-protein/mg-dioxane, $0.037mg-dioxane/mg-protein{\cdot}h$, and 93.9 mg/l, respectively. For AS, Y, $V_{max}$, and $K_m$ were 0.34 mg-protein/mg-dioxane, $0.078mg-dioxane/mg-protein{\cdot}h$, and 181.3 mg/l, respectively. These kinetics data of FS and AS were similar to previously reported values. Based on bacterial community analysis on 16S rRNA gene sequences of the two enrichment cultures, the FS consortium was identified to contain 38.3% of Mycobacterium and 10.6% of Afipia, similar to previously reported literature. Meanwhile, 49.5% of the AS consortium belonged to the candidate division TM7, which has never been reported to be involved in 1,4-dioxane biodegradation. However, recent studies suggested that TM7 bacteria were associated with degradation of non-biodegradable and hazardous materials. Therefore, our results showed that previously unknown 1,4-dioxane-degrading bacteria might play an important role in enriched AS. Although the metabolic capability and ecophysiological significance of the predominant TM7 bacteria in AS enrichment culture remain unclear, our data reveal hidden characteristics of the TM7 phylum and provide a perspective for studying this previously uncultured phylotype.

An Alternative Approach to the Traditional Mixotrophic Cultures of Haematococcus pluvialis Flotow (Chlorophyceae)

  • Goksan, Tolga;Ak, lknur;Gokpinar, Sevket
    • Journal of Microbiology and Biotechnology
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    • 제20권9호
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    • pp.1276-1282
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    • 2010
  • In traditional mixotrophic cultures of microalgae, all the inorganic nutrients and organic carbon sources are supplied in the medium before inoculation. In this study, however, an alternative approach was adopted in Haematococcus pluvialis Flotow, a microalga capable of growing mixotrophically on sodium acetate (Na-Ac). First, the cells were grown under 75 ${\mu}Mol$ photons $m^{-2}s^{-1}$ phototrophically without Na-Ac until the stationary phase and then exposed to five different light regimes by the addition of Na-Ac (e.g., dark, 20, 40, 75, and 150 ${\mu}Mol$ photons $m^{-2}s^{-1}$). Dry weight (DW), pigments, and especially cell number in alternative mixotrophy (AM) were higher than traditional mixotrophy (TM). Cell number in AM almost doubled up from 21.7 to $42.9{\times}10^4$ cells/ml during 5-day exposure to Na-Ac, whereas the increase was only 1.2-fold in TM. Maximum cell density was reached in 75 ${\mu}Mol$ photons $m^{-2}s^{-1}$ among the light intensities tested. We propose that Na-Ac in TM of H. pluvialis can not be utilized as efficiently as in AM. With this respect, AM has several advantages against TM such as a much higher cell density in a batch culture period and minimized risk of contamination owing to the shorter exposure of cells to organic carbon sources. In consequence, this method may be used for other strains of the species, and even for the other microalgal species able to grow mixotrophically.

Simulator-based training method in gastrointestinal endoscopy training and currently available simulators

  • Yuri Kim;Jeong Hoon Lee;Gin Hyug Lee;Ga Hee Kim;Gunn Huh;Seung Wook Hong;Hwoon-Yong Jung
    • Clinical Endoscopy
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    • 제56권1호
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    • pp.1-13
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    • 2023
  • The apprenticeship-based training method (ABTM) is highly effective for gastrointestinal (GI) endoscopic training. However, the conventional ABTM has significant issues. Although many supplementary training methods (TMs) have been developed and utilized, they cannot entirely replace the ABTM, which remains the major TM strategy. Currently, new TM construction is crucial and necessary due to financial constraints, difficulty of obtaining sufficient training time due to patient safety-related regulations, and catastrophic damage caused by disasters such as the coronavirus disease 2019 pandemic. The simulator-based TM (SBTM) is widely accepted as an alternative to the ABTM, owing to the SBTM's advantages. Since the 1960s, many GI endoscopy training simulators have been developed and numerous studies have been published on their effectiveness. While previous studies have focused on the simulator's validity, this review focused on the accessibility of simulators that were introduced by the end of 2021. Although the current SBTM is effective in GI endoscopic education, extensive improvements are needed to replace the ABTM. Incorporating simulator-incorporated TMs into an improved ABTM is an attempt to overcome the incompleteness of the current SBTM. Until a new simulator is developed to replace the ABTM, it is desirable to operate a simulator-integrated and well-coordinated TM that is suitable for each country and institution.