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항응고제/항혈소판제와 프로톤펌프억제제 병용의 경제성 평가에 대한 체계적 문헌고찰
이연우(Yeon-Woo Lee),권순홍(Sun-Hong Kwon),김나현(Na-Hyun Kim),이의경(Eui-Kyung Lee) 대한약학회 2022 약학회지 Vol.66 No.5
Anticoagulants/antiplatelets are effective in preventing cardiovascular diseases (CVDs). However, as an adverse effect, the risk of upper gastrointestinal bleeding (UGIB) leads to additional costs due to increased treatment and decreased quality of life. Accordingly, the administration of proton pump inhibitors (PPI) is recommended to prevent UGIB. We conducted a systematic review of economic evaluations of PPI co-therapy for patients taking long-term anticoagulants/ antiplatelets to prevent CVDs to examine the cost effectiveness of PPI co-therapy. We searched literature from PubMed and EMBASE with keywords including types of economic evaluations and active ingredients of anticoagulants and antiplatelets on 13/07/2022. Two independent reviewers conducted a systematic review. As a result, six economic evaluation studies were identified. All studies compared PPI co-therapy with low-dose aspirin to prevent CVDs. We confirmed the cost-effectiveness of PPI co-therapy with the respective incremental cost-effectiveness ratio (ICER) in each base case. In the sensitivity analyses, the PPI cost and adherence influenced the ICER the most. The quality of reporting, which was assessed using the Consolidated Health Economic Evaluation Reporting Standards checklist, was 87-96%. In the present study, we found that PPI co-therapy was cost-effective and tended to improve the patient’s life years and quality-adjusted life years. These results can be used as evidence for further economic evaluation studies to verify the costeffectiveness of anticoagulants/antiplatelets and PPI co-therapy.
Abietane Diterpenes and Prenylated C6-C3 Compound from the Stems of Illicium cambodianum
Yeon Woo Jung(정연우),Ji Eun Lee(이지은),Han Na Cha(차한나),Won Sik Jeong(정원식),Jung A Lee(이정아),Eun Kyung Ahn(안은경),Jae Shin Kang(강재신),Won Hee Kim(김원희),Chun Whan Choi(최춘환),Seong Su Hong(홍성수) 한국약용작물학회 2020 한국약용작물학회 학술대회논문집 Vol.2020 No.1
HIPS 복합재의 전기적 및 마모 특성에 미치는 다중벽 탄소나노튜브의 영향
정연우(Yeon-Woo Jeong),김경식(Kyung-Shik Kim),이현우(Hyun-Woo Lee),정만우(Man-Woo Jeong),이재혁(Jae-Hyeok Lee),김재현(Jae-Hyun Kim),이학주(Hak-Joo Lee),김광섭(Kwang-Seop Kim) 한국트라이볼로지학회 2015 한국윤활학회지(윤활학회지) Vol.31 No.3
Carbon nanotubes (CNTs) are widely used in polymer composites as filler materials to enhance various characteristics of the composites because of their remarkable mechanical, electrical, and thermal properties. In this study, we investigate the effects of MWCNTs on the electrical and wear characteristics of high-impact polystyrene (HIPS) composites, and compare the results with the effects of carbon black (CB). The HIPS composites are classified as Bare-HIPS, MWCNT-HIPS composites containing 2, 3, 4, and 5 wt% MWCNTs, and CB-HIPS containing 17 wt% CB. Electrical characteristics are evaluated by measuring the surface resistance using a 4-point probe. Wear characteristics are evaluated using the reciprocating wear test, and a chrome steel ball with a curvature of 6.3 mm is used as the counterpart. The results show that the addition of MWCNTs or CB can improve the electrical and wear characteristics of HIPS composites. In the case of MWCNT-HIPS composites, surface resistance, friction coefficient, and specific wear rate decrease as the concentrations of MWCNTs increase. Moreover, the addition of MWCNTs is more effective in improving the electrical and wear characteristics of HIPS composites compared to the addition of CB. To fabricate the HIPS composite with appropriate electrical and wear characteristics, more than 4 wt% MWCNTs is added to HIPS.
자연 유산에서 드물게 관찰된 Jumping translocation 2례
이연우(Yeon Woo Lee),이봄이(Bom Yi Lee),박주연(Ju Yeon Park),최은영(Eun Young Choi),오아름(Ah Rum Oh),이신영(Shin Young Lee),류현미(Hyun Mee Ryu),강인수(Inn Soo Kang),양광문(Kwang Moon Yang),박소연(So Yeon Park) 대한의학유전학회 2010 대한의학유전학회지 Vol.7 No.1
Jumping translocation (JT)은 여러 세포주에서 하나의 공여 염색체가 둘 이상의 수여 염색체와 염색체 재배열을 보이는 염색체의 구조적 이상으로 종양 세포인 림프성 혈액암에서 빈번하게 관찰되는 획득성(acquired) JT에 비해 체질성(con-stitutional) JT는 매우 드물게 보고되고 있다. 본 증례에서는 자연 유산된 수태산물에서 관찰된 체질성 JT 2례를 보고하고자 한다. 증례 1은 임신 7주 유산아 조직의 세포유전학적 검사에서 핵형분석 결과는 46,XY,add(18)(p11.1)[61]/45,XY,der(18;21)(q10;q10)[32]/46,XY,-18,+mar[16]/46,XY,i(18)(q10)[9]/45,XY,der(15;18)(q10;q10)[6]/46,XY,+1,dic(1;18)(p22;p11.1)[2]/45,XY,der(13;18)(q10;q10)[1]/46,XY[32]로 관찰되었다. 공여 염색체는 18번이고 수여 염색체는 1, 13, 15, 18, 21번이었다. 증례 2는 임신 6주째 자연 유산된 유산아 조직으로부터 세포 유전학적 검사를 실시한 결과, 핵형은 46,XY,der(22)t(9;22)(q12;q13)[22]/46,XY,der(22)t(1;22)(q21;q13)[13]/46,XY,add(22)(q13)[5]/46,XY[23]고 관찰되었다. 공여 염색체는 22번이고 수여 염색체는 1, 9번이었다. 2례 모두 de novo였고 acrocentric 염색체를 수반하였으며 절단점은 대부분 중심절과 중심절 주위, 말단체에 존재하였다. 본 증례는 매우 드물게 관찰되는 체질성 JT로서 임신 초기 세포 분열 단계에서 발생했고 다양한 세포주에서 나타난 비정상 핵형으로 인해 정상적인 배발달이 이루어지지 못하여 자연 유산된 것으로 생각된다. Jumping translocations (JT) are chromosomal rearrangements involving one donor chromosome and several recipient chromosomes. While JTs are frequently observed as acquired chromosomal abnormalities in hematologic malignancies, constitutional JTs are only rarely reported. We report two cases of constitutional JT in chorionic villi derived from the products of conception. The karyotype of the first case was 46,XY,add(18)(p11.1)[61]/45,XY,der(18;21)(q10;q10)[32]/46,XY,-18,+mar[16]/46,XY,i(18)(q10)[9]/45,XY,der(15;18)(q10;q10)[6]/46,XY,+1,dic(1;18)(p22;p11.1)[2]/45,XY,der(13;18)(q10;q10)[1]/46,XY[32]. The donor was a chromosome 18. The recipient chromosomes were chromosomes 1, 13, 15, 18 and 21. In the second case, the karyotype was 46,XY,der(22)t(9;22)(q12;q13)[22]/46,XY,der(22)t(1;22)(q21;q13)[13]/46,XY,add(22)(q13)[5]/46,XY[23]. The donor was a chromosome 22 and recipients were chromosomes 1 and 9. Both cases were de novo. The breakpoints of chromosomes were mostly in centromeric regions, pericentromeric regions, or telomeric regions. Normal cell lines were observed in both cases. This report supports the prior findings that the unstable nature of JT, resulting in chromosomal imbalance, most likely contributed to these early miscarriages.