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Factors Affecting Adherence to Pharmacotherapy in Children with Attention-Deficit Hyperactivity Disorder: A Retrospective Study (주의력결핍 과잉행동장애 아동의 약물치료 순응도에 영향을 미치는 요인 : 후향적 연구)

  • Kim, Yoon-Jung;Oh, So-Young;Lee, Ji-Ah;Moon, Su-Jin;Lee, Won-Hae;Bahn, Geon-Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.21 no.3
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    • pp.174-181
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    • 2010
  • Objectives: To identify the factors affecting long-term adherence to methylphenidate treatment in children with attention-deficit hyperactivity disorder (ADHD). Methods: A retrospective medical record review of 239 ADHD patients (mean age $9.3{\pm}2.6$ years, range 6.0-17.4 years) who had visited the child and adolescent psychiatry clinic at a university hospital, in Seoul, Korea from March 2005 to February 2008. Subjects were diagnosed as ADHD based on the criteria set forth in the Diagnostic and Statistical Manual of Mental Disorders 4th edition, text revision version (DSM-IV-TR) and underwent neuropsychological tests including the continuous performance test (CPT). Treatment discontinuation was defined as the last prescription date when the medication possession rate (MPR) became less than 0.80. Subjects were divided into three groups and labeled as Group I, non-adherence without pharmacotherapy, Group II, non-adherence with short-term pharmacotherapy, and Group III, adherence with long-term pharmacotherapy. Results: Ninety (37.7%) patients were grouped as non-adherent (Groups I+II) and 149 (62.3%) as adherent (Group III). The adherence group exhibited lower intelligence, higher symptom severity, and a higher number of comorbid psychiatric disorders than controls. The use of stimulants was significantly associated with long-term adherence to treatment. Additionally, the duration of interval between the date of the first visit and the date of the first prescription was positively associated with long-term adherence. Conclusion: About two-thirds of patients diagnosed as ADHD adhered to the treatment six months after the first visit. With respect to patient evaluation and the development of treatment strategies, factors affecting early drop-out and longer follow-up must be considered.

Properties of Non-Sintered Cement Mortar using Alkali and Sulfate Mixed Stimulants Accroding to Curing Method (양생방법에 따른 알칼리 및 황산염 복합자극제를 사용한 비소성 시멘트 모르타르의 특성)

  • Park, Sung-Joon;Kim, Ji-Hoon;Hyung, Won-Gil
    • Journal of the Korea Concrete Institute
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    • v.27 no.3
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    • pp.237-244
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    • 2015
  • Entering the 20th century since the industrial revolution, the cement has been widely used in the field of construction and civil engineering due to the remarkable development of construction industry. However, result from that development, each kind of industrial by-products and waste and the carbon dioxide generated in the process of cement production cause air pollution and environmental damage so earth is getting sick now slowly. Therefore, we have to recognize importance about this. It means that the time taking specific and long-term measures have come. In this research paper, as substitution of the cement generating environmental pollution, we investigate the hydration reaction of non-Sintered Cement mortar mixed with GBFS, active stimulant of alkaline and sulphate series by using SEM and XRD, mechanical and chemical properties according to the curing method. As a result of this experiment, NSC realized outstanding strength for water curing and steam curing. It means that it has a good possibility as substitution of cement. From now on, it can be used for structure satisfying specific standard. We expect to find a substitution of outstanding cement by progressing continuous research making the best use of pros and cons according to the curing method.

Hydration and Insulation Characteristics of a Ground Granulated Blast Furnace Slag Based Non-Sintered Cement Using Circulating Fluidized Bed Combustion Ash as a Activator (순환유동층 애시를 자극제로 사용한 고로슬래그 미분말 기반 비소성 시멘트의 수화 및 단열 특성)

  • Lee, Seung-Heun;Lee, Gang-Hyuk;Yoo, Dong-Woo;Ha, Ju-Hyung;Cho, Yun-Gu
    • Journal of the Korea Concrete Institute
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    • v.27 no.3
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    • pp.245-252
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    • 2015
  • As people have more interest in environment-friendly structures recently, many researchers are actively researching non-sintered cement in Korea and other countries. Non-sintered cement shows various characteristics of its reaction products and hardeners, depending on the kind of alkali activators. Thus, this study manufactures ground granulated blast furnace slag based non-sintered cement binder by using circulating fluidized bed combustion ash, which is a kind of industrial byproduct, as a stimulant, and investigated its hardening characteristics and hydration, depending on the rate of circulating fluidized bed combustion ash. Besides, this study investigated its insulation property according to the weight lightening of non-sintered cement. As a result, ettringite and C-S-H were mainly formed in the hydration, and it was possible to manufacture a non-sintered cement hardener over 50 MPa. Lastly, it was possible to manufacture a non-sintered cement hardener in a thermal conductivity level of $0.127W/m{\cdot}K$ when the compressive strength was 10 MPa for weight lightening.

Effect of the Foliar Application of Amino Acid Mixture on the Growth of Melon Seedlings (아미노산 엽면 시비가 멜론 묘의 생육에 미치는 영향)

  • 김영식;김혜진
    • Journal of Bio-Environment Control
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    • v.11 no.2
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    • pp.74-80
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    • 2002
  • The effect of the foliar application of amino acid mixture on the growth of melon (Cucumis melo L.) seedlings was investigated. The amino acid treatments were initiated at the first (Ll) or second (L2) fully expanded leaf stage. The concentrations of amino acid mixture used were 0,10, 20, and 30 mg . L$^{-1}$ . At Ll stage, the fresh and dry weights of shoot were high in the amino acid treatments. Plant height was the highest in 30 mg . L$^{-1}$ at the third sampling of Ll. At L2 stage, shoot fresh weight was the greatest when the concentration of amino acid mixture was 30 mg.L$^{-1}$ at the third sampling. Plant height was the highest in 30 mg L$^{-1}$ at the second and third samplings. At the third sampling of Ll stage the amino acid mixture affected leaf length and leaf width of the first true leaf. At the third sampling of L2 stage leaf length was not significantly dirtferent between treatments, while leaf width was greater in amino acid treatments. At the second and third samplings of Ll stage the amino acid mixture had effect on leaf length and leaf width of the second true leafs which were not significantly different between treatments at L2 stage. Leaf length and leaf width of the third true leaf were affected by amino acid treatments. In conclusion, when the first true leaf expanded\ulcorner three foliar applications of 20-30 mg . L$^{-1}$ amino acid mixture can stimulate the growth of melon seedlings. If the amino acid mixture is sprayed at the second true leaf stage, two foliar applications of 30 mg . L$^{-1}$ amino acid mixture can improve the growth of melon seedlings.

Down-regulation of TNF-$\alpha$ and IL-6 by Higenamine is Responsible for Reduction of Infarct Size and Myocardial Ischemic Injury in the Rat

  • Lee, Young-Soo;Kang, Young-Jin;Lee, Bog-Kyu;Ko, Young-Shim;Park, Min-Kyu;Seo, Han-Geuk;Yun-Choi, Hye-Sook;Chang, Ki-Churl
    • Biomolecules & Therapeutics
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    • v.9 no.3
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    • pp.167-175
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    • 2001
  • Recent studies have shown that cytokines are capable of modulating cardiovascular function and that some drugs used in the treatment of heart failure variably modulate the production of cytokines. Hige- namine, a positive inotropic isoquinoline alkaloid, has been used traditionally as cardiac stimulant, and reported to reduce nitric oxide (NO) and inducible nitric oxide synthase (iNOS) expression in LPS- and/or cytokine-activated cells in vitro and in vivo. Therefore, we investigated whether higenamine modulates the production of proinflammatory cytokines in myocardial infarction. In addition, effects of higenamine on antioxidant action and antioxidant enzyme expression (MnSOD) were studied. Myocardial infarction (MI) was confirmed by measuring left ventricular (LV) pressure after occlusion of the left anterior descending coronary artery (LAD) for 5 weeks in rats. Treatment of higenamine (10 mg/kg/day) reduced infarct size about 35 %, which accompanied by reduction of production TNF-$\alpha$, IL-6, but not IFN-${\gamma}$ and IL-1$\beta$ in the myocardium. The expression of TNF-$\alpha$ mRNA in infracted myocardium was significantly reduced by higenamine. Although iNOS mRNA was not detected, nitrotyrosine staining was significantly increased in myocardium of Ml compared to higenamine-treated one, Indicating that peroxynitrite-induced damage is evident in MI. Cytochrome c oxidation by peroxynitrite was concentration-dependently reduced by higenamine, an effect which was almost compatible to glutathion. Higenamine treatment did not affect the expression of MnSOD mRNA in myocardial tissues in MI. Taken together, higenamine may be beneficial in oxidative stress conditions such as ischemic-reperfusion injury and MI due to antioxidant action as well as modulation of cytokines.

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Recent Trend in Measurement Techniques of Emotion Science (감성과학을 위한 측정기법의 최근 연구 동향)

  • Jung, Hyo-Il;Park, Tae-Sun;Lee, Bae-Hwan;Yun, Sung-Hyun;Lee, Woo-Young;Kim, Wang-Bae
    • Science of Emotion and Sensibility
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    • v.13 no.1
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    • pp.235-242
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    • 2010
  • Emotion science is one of the rapidly expanding engineering/scientific disciplines which has a major impact on human society. Such growing interests in emotion science and engineering owe the recent trend that various academic fields are being merged. In this paper we review the recent techniques in the measuring the emotion related elements and applications which include animal model system to investigate the neural network and behaviour, artificial nose/neuronal chip for in-depth understanding of sensing the outer stimuli, metabolic controlling using emotional stimulant such as sounds. In particular, microfabrication techniques made it possible to construct nano/micron scale sensing parts/chips to accommodate the olfactory cells and neuron cells and gave us a new opportunities to investigate the emotion precisely. Recent developments in the measurement techniques will be able to help combine the social sciences and natural sciences, and consequently expand the scope of studies.

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Regulatory Role of Cyclic Nucleotides in Non-Adrenergic Non-Cholinergic Relaxation of Lower Esophageal Sphincter from Dogs (개 하부식도괄약근의 비아드레날린성, 비콜린성 이완반응에 있어서 Cyclic Nucleotide의 역할)

  • Kim Young-Tae;Rhim Byung-Yong
    • The Korean Journal of Physiology and Pharmacology
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    • v.1 no.3
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    • pp.303-313
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    • 1997
  • The role of the lower esophageal sphincter(LES) is characterized by the ability to maintain tone and to relax allowing the passage of a bolus. It is known that LES relaxation during swallowing may be induced by the cessation of the tonic neural excitation and the activation of non-adrenergic, non-cholinergic(NANC) inhibitory neurons. Furthermore, it is generally accepted that the relaxation of the smooth muscle is mediated primarily by the elaboration of adenosine 3',5'-cyclic monophosphate(cyclic AMP) and guanosine 3',5'-cyclic mono-phosphate(cyclic GMP) via activation of adenylate cyclase and guanylate cyclase, respectively. It is thus possible that cyclic nucleotides might be a second messenger involved in neural stimulation-induced relaxation of LES, although a relationship between relaxation and changes in cyclic nucleotides after neural stimulation has not been established. The present study was performed to define the participation of cyclic nucleotides in the relaxation of LES of dog in response to neural stimulation. Electrical field stimulation(EFS) caused relaxation of the canine isolated LES strips in a frequency-dependent manner, which was eliminated by pretreatment with tetrodotoxin$(1{\mu}M)$, but not by atropine$(100{\mu}M)$, guanethidine$(100{\mu}M)$ and indomethacin$(10{\mu}M)$. The nitric oxide synthase inhibitors, $N^G-nitro-L-arginine$, $N^G-nitro-L-arginine$ methyl ester and $N^G-monomethyl-L-arginine$ inhibited EFS-induced relaxation. Additions of sodium nitroprusside, a nitrovasodilator and forskolin, a direct adenylate cyclase stimulant, caused a dose-dependent relaxation of LES smooth muscle. Effects of sodium nitroprusside and forskolin were selectively blocked by the corresponding inhibitors, methylene blue for guanylate cyclase and N-ethylmaleimide(NEM) for adenylate cyclase, respectively. Dibutyryl cyclic AMP and dibutyryl cyclic GMP caused a concentration-dependent relaxation of the LES smooth muscle tone, which was not blocked by NEM or methylene blue, respectively. However, both NEM and methylene blue caused significant antagonism of the relaxation in LES tone in response to EFS. EFS increased the tissue cyclic GMP content by 124%, whereas it did not affect the tissue level of cyclic AMP. Based on these results, it is suggested that one of the components of canine LES smooth muscle relaxation in response to neural stimulation is mediated by an increase of cyclic GMP via the activation of guanylate cyclase. Additionally, an activation of cyclic AMP generation system was, in part, involved in the EFS-induced relaxation.

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Inhibitory effect of Koreinsis chinensis leaves extract on proinflammatory responses in lipopolysaccharide-induced Raw 264.7 cells (Lipopolysaccharide로 유도된 Raw 264.7 cell에서 잣 잎(Koreinsis chinensis L.) 추출물의 Pro-inflammatory 억제 효과)

  • Cho, Young-Je
    • Journal of Applied Biological Chemistry
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    • v.60 no.3
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    • pp.191-198
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    • 2017
  • Hyaluronidase inhibitory activity as inflammatory factor of Koreinsis chinensis leaf ethanol extract was showed higher inhibitory activity than water extract. 29.5% inhibitory activity was shown at concentration of $200{\mu}g/mL$ phenolics. Lipopolysaccharide (LPS)-stimulated Raw 264.7 cells were treated with different concentrations ($5-25{\mu}g/mL$) of Koreinsis chinensis leaf extract and the amount of nitric oxide (NO) was determined; LPS-treated cells produced 3 times more NO than non-LPS treated cells. Moreover, the NO production in cells treated with Koreinsis chinensis leaf extract showed inhibitory effect in a concentration-dependent manner. Due to the stimulant-induced NO production is regulated by the inducible nitric oxide synthase (iNOS), we determined the iNOS protein level to elucidate the mechanism by which the NO production was inhibited. It was reduced by 40% with a Koreinsis chinensis leaf extract concentration of $25{\mu}g/mL$ and identified iNOS inhibition in dose-dependent manner. The prostaglandin $E_2$ production in cells treated with Koreinsis chinensis leaf extract was reduced by 26.2% at concentration of $25{\mu}g/mL$. The protein expression of cyclooxygenase-2 in LPS-treated Raw 264.7 cells was inhibited by 64% at $25{\mu}g/mL$ of Koreinsis chinensis leaf extract. Koreinsis chinensis leaf extract had a concentration-dependent inhibitory effect on the production of tumor necrosis factor-${\alpha}$ and interleukin-6 as pro-inflammatory cytokine in LPS-treated Raw 264.7 cells at $25{\mu}g/mL$ of Koreinsis chinensis leaf extract. Their levels were decreased by 61.7 and 62% respectively.

Effect of Red ginseng extract on immune function of Israeli carp, Cyprinus carpio. (홍삼추출물이 이스라엘잉어의 면역반응에 미치는 영향)

  • Choi, Min-Soon;Park, Sung-Woo;Park, Kwan-Ha
    • Journal of fish pathology
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    • v.18 no.3
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    • pp.277-285
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    • 2005
  • Israeli carps were intraperitoneally injected with an aqueous extract of red ginseng (RG) at five different concentrations (0, 1, 10, 25 and 50 mg/kg of body weight). The fish were sacrificed after 3 days and measured the neutrophil activity and plasma components. The activity of lysozyme, Ht, TIC and NBT reduction were significantly enhanced in the concentrations of more than 10 mg/kg. Further attempts were made to measure the effects of RG on leucocyte function at five different concentrations (1-100 ${\mu}g/m{\ell}$), in vitro. The proliferation of lymphocytes co-incubated with phytohaemagglutin (PHA) and concanavalin A (Con A) was significantly increased at 10 ${\mu}g/m{\ell}$ concentration, but suppressed at the highest concentration (100 ${\mu}g/m{\ell}$). RG alone or with lipopolysaccharide (LPS) had no effect on proliferation at any concentrations tested. Migration and reactive oxygen intermediates (ROI) production of leucocytes were enhanced in all concentration higher than 10 ${\mu}g/m{\ell}$. These results suggest that the RG activates the leucocyte function and may be able to be used as a stimulant of fish innate defences.

Effect of Acupuncture(PC6) on Behavior, Dopamine Release in the Nucleus Accumbens in Rats Sensitized to Morphine (몰핀에 민감화된 흰쥐의 내관부위 자침이 행동과 측핵의 도파민 유리에 미치는 효과)

  • Kim, Sang-Ho;Lyu, Seung-Jun;Kim, Tae-Heon;Kang, Hyung-Won;Lyu, Yeoung-Su
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.4
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    • pp.982-992
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    • 2005
  • Acupuncture as a therapeutic intervention is widely used for the treatment of many functional disorders such as substance abuse and mental dysfunction. Clinical trials are currently underway to determine the effectiveness of acupuncture in the treatment of drug addiction. Yet, there are still many unanswered questions about the basic mechanism of acupuncture. Studies have shown that both the psychomotor stimulant effects and rewarding properties of addictive drugs, including morphine, are sensitized by repeated drug administration and raised the possibility that both of these effects may De linked to the same or closely overlapping the mesolimbic dopamine systems. Neiguan (PC6) point on the pericardium channel which is associated with the brain and its mental function, has been used to treat mental, psychosomatic disorders and gastroenterological disorders. The present study was designed to investigate the effect of acupuncture on repeated morphine-induced changes in extracellular dopamine levels using in vivo microdialysis and to measure the effect of acupuncture on repeated morphine-induced behavioral changes. Male Sprague-Dawley rats were treated twice a day for three days with increasing doses of morphine (10, 20 and 40 mg/kg, s.c.) or with saline. After 15 days of withdrawal, rats were challenged with morphine hydrochloride (5 mg/kg, s.c.). Acupuncture was applied at bilateral Neiguan (PC6) points for 1min after the morphine challenge. Results showed that acupuncture at the specific acupoint PC6, but not at control points (tail and HE8) significantly decreased both dopamine release, behavior induced by a systemic morphine challenge or a single s.c. morphine injection in the morphine-repeated animals. These results suggest that reduction in sensitization may be one mechanism whereby acupuncture alleviates morphine craving in addicts. Moreover, in a more general sense these results suggest that acupuncture can be used as a therapeutic intervention for correcting reversible malfunction of the body by direction of brain pathway and thus acupuncture can contribute to the biochemical balance in the central nervous system by regulating neurotransmitters.