• 제목/요약/키워드: Recommended Treatment Order

검색결과 226건 처리시간 0.03초

국내 하수처리장 활성 슬러지의 침전특성에 관한 연구 (Characterization of Activated Sludge Settlings in Korea)

  • 이환구;김영철;최의소
    • 한국물환경학회지
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    • 제25권6호
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    • pp.964-971
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    • 2009
  • In this paper, activated sludge settling was characterized based on field trip and zone settling tests. Plants used for this study include 5 conventional activated sludge processes and 3 A2O type treatment processes. The treatment capacities are in the range from 12,000 to $250,000m^3$/day. Total number of zone settling tests were 188 set and SVI values representing settling characteristics were from 100 to 300 mL/g. It was found out that zone settling velocity of these examined plant sludges can be approximated by mean values calculated by Keinath and Daigger/Roper models. Based on these three models, solid flux analysis were carried out in order to compare design criteria ($3.96{\sim}6.04kg/m^2-hr$) recommended by Korea Sewage Facility Design Guideline with two models used in USA. The results show that design criteria are only applicable for normal condition in settling characteristics (below SVI 100 mL/g). Solid flux analysis of surveyed plants indicates that most of the plants are operated underload conditions except several plants experiencing poor sludge settling problem. Most of the plants are operated under high sludge blanket depths (SBD).

Laxative Choice and Treatment Outcomes in Childhood Constipation: Clinical Data in a Longitudinal Retrospective Study

  • Chanpong, Atchariya;Osatakul, Seksit
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제21권2호
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    • pp.101-110
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    • 2018
  • Purpose: Functional constipation (FC) is a common gastrointestinal (GI) problem affecting children's well-being and quality of life. Although polyethylene glycol (PEG) is recommended as the first line therapy, it is not always applicable in lower socioeconomic populations. Hence, this study aimed to compare clinical courses of FC in children treated with different medications in order to identify prognostic factors related to treatment outcomes. Methods: We reviewed the medical records of patients aged ${\leq}15$ years diagnosed with FC according to the Rome IV criteria from 2007 to 2015 at the GI clinic, Songklanagarind Hospital. Baseline characteristic, medical history, and treatment outcomes were collected at first and subsequent visits. Results: Exactly104 patients (median age at diagnosis, 2.8 years) were diagnosed with FC. The number of follow-up visits per patient ranged from 1 to 35. The median duration of follow-up was 18.0 months (range, 6.0-84.2 months). PEG was given to 21% of patients. During the follow up period, 76% of patients experienced first recovery with a median time to recovery of 9.8 months. There were no significant differences in time until first recovery and relapse between patients who received and those who did not receive PEG (p=0.99 and 0.06, respectively). Age >6 years, normal defecation frequency, no history of cow's milk protein allergy, and use of laxatives were associated with successful outcomes. Conclusion: Treatment outcomes between patients who had and never had PEG demonstrated no significant difference in our study. Hence, current practices in laxative prescriptive patterns may be effective.

국내 폐자동차 처리시스템에 대한 전과정평가 (Life Cycle Assessment on the End-of-Life Vehicle Treatment System in Korea)

  • 홍석진;정기모;홍존희;윤주호;허탁
    • 한국자동차공학회논문집
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    • 제13권6호
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    • pp.105-112
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    • 2005
  • This study aims at evaluating the environmental impacts stemmed from the End-of-Life Vehicle(ELV) treatment systems in Korea, using Life Cycle Assessment(LCA) method. In this study, both environmental burden from the ELV dismantling process & recycling processes and environmental benefit which were derived from the avoided environmental impacts by substituting recycled materials for virgin materials were considered. First of all, the key issues which were defined as the environmental aspects that account for more than $1\%$ out of the total environmental impacts were identified from the Life Cycle Impact Assessment(LCIA). $CO_2$, crude oil, natural gas, coal, etc. were found out to be the key issue parameters. From the LCI Analysis and LCIA studies, it was shown that the significant environmental aspects were related with the recycling process of ferro scrap, the shredding process of compressed car bodies and the dismantling process of end-of-life engines. In particular, the recycling process of ferro scrap has the most significant effects on the environmental impacts of the ELV treatment systems. Based on these results, it is recommended to improve the recycling process of ferro scrap in order to make the ELV treatment systems more environmentally sound.

Post HCV Infection Due to MX Gene Stimulation Produced Post Treatment with Imported and Locally Produced Egyptian Biosimilar IFN

  • Mohamed, Shereen H;Mahmoud, Nora F;Mohamed, Aly F;Kotb, Nahla S
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권14호
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    • pp.5635-5641
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    • 2015
  • Background: Cirrhosis is regarded as a possible end stage of many liver diseases, including viral infection. It occurs when healthy liver tissue becomes damaged and is replaced by scar tissue and finally may lead to hepatocellular carcinoma. Interferons (IFNs)are two general categories, type I and II. Type I includes one beta interferon and over 20 different alpha interferons. Alpha interferons are very similar in how they work, interacting with other proteins on cells like receptors. The main objective of this study was to compare Mx gene productivity post different cell line treatment with imported and Egyptian biosimilar locally produced IFNs, as well as the efficacy of those tested IFNs. Also, an assessment was made of sensitivity of different cell lines as alternatives to that recommended for evaluation of antiviral activity. Materials and Methods: Different cell lines (Vero, MDBK and Wish) were employed to evaluate cytotoxicity using the MTT assay. Antiviral activity was evaluated compared with standard IFN against VSV, Indiana strain -156, on tested rh-IFNs (imported; innovated and Egyptian biosimilar locally produced IFNs) in the pre-treated cell lines previously mentioned. The virus was propagated in the Wish cell line as recommended. Finally we estimated up-regulation of the Mx gene as a biomarker. Results: Data recorded revealed that test IFNs were safe in test cell lines. Viability was around 100%. Locally tested interferon did not realize the international potency limits, while the imported one was accepted compared with the standard IFN. These results were the same either using infectivity titer reduction assay or crystal violet staining of residual non- infected cells. Mx protein production was cell type related and confirmed by the detected Mx gene expressed in imported and locally produced IFN pre-treated cell lines. The expression of the gene was arranged in the order of Vero> wish > MDBK for the imported IFN, while for the Egyptian biosimillar locally produced one it was MDBK> Vero> wish. With regard to the antiviral activity there was a significant difference of imported IFN potency compared with the locally produced IFN (P<0.05), the IFN potential (antiviral activity) was not cell line related and showed non-significant difference for each separate product. Conclusions: Vero cells can be used as an alternative cell line for evaluation of IFN potency in case of unavailable USP recommended cell lines. Alternative potency evaluation assay could be used and proved significant difference in IFN potency in case of local and imported agents. Evaluation of antiviral activity could be used in parallel to viral infectivity reduction assay for better accuracy. Mx gene can be used as a marker for IFN potential.

재래산양에서 주혈미생물의 감염실태 및 실험적 치료시험 (Prevalence of blood parasites infection and experimental treatment in Korean native goats)

  • 허부홍;전창권;이희문;김용수;김윤태;이정원;최승옥;안병목;송희종
    • 한국동물위생학회지
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    • 제18권3호
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    • pp.42-52
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    • 1995
  • Anaplasmosis is most important tick-borne rickettsial diseases of domestic ruminant. with Anaptasma spp. as their respective causal agents. In order to the survey prevalence of anaplasmosis in Korean native goats, we examined the Giemsa's blood filrms from 552 grazing and 188 nongrazing-goats in Chonbuk area Namwon, Imsil and Sunchang. The conclusive diagnosis was made by observing the characteristic marginal or central bodies in the red blood cells. The infection rate of grazine and nongrazing-goats with Anaplasma spp. was 71.7% and 8.5%, respectively. In order to study about the therapeutic effects of drug for 40 grazing-oats infected with Anaptasma spp. in mountain-area, Berenil(diminazene acetate) was jntramuscularly injected (0.5㎖ /10kg B.W.). After 1 month, we don't detected the parasite in the blood films from 33 goats(82.5%), but no change of significant hematological values(PCV, ESR, WBC, RBC, MCH, MCHC, PLT, MPV, PDW and HB) was observed. These results indicated that the infection rate of Anaplasma spp. was higher on glazing than nongrazing-goats and Berenil as an antianaplasmal drug is recommended.

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제 2형 당뇨병 환자에서 사상체질에 따른 경구 혈당강하요법의 치료 반응성 및 사용 패턴 평가 (The Difference of Efficacy for Oral Hypoglysemic Pharmacotherapy Based on Sasang Constitutional Medicine Among Type II Diabetes Mellitus Patients in Korea)

  • 김지연;이명구;김정태;임성실
    • 약학회지
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    • 제58권1호
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    • pp.71-79
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    • 2014
  • Although Korean patients with type 2 diabetes mellitus (T2DM) are generally treated by western medicine, many of them strongly believe in the traditional oriental Sasang constitutional classification and depend on it for food, health supplements, and oriental medicines decision making. Sasang constitutional classification is a part of traditional Korean medicine that divides people into four constitutional types (Tae-Yang: TY, Tae-Eum: TE, So-Yang: SY, and So-Eum: SE), which differ in inherited characteristics such as appearance, personality traits, susceptibility to diseases, and drug responses. It is recommended for T2DM patients to control their blood glucose very well from early stages with drugs and diet. However, many T2DM patients respond differently to their drugs, even though they receive the same medicine. Therefore, the present study investigated whether Sasang constitutional type can explain the therapeutic differences between oral hypoglycemic agents (OHAs) therapy (mono, dual and triple drug therapy). Patients of 618 with T2DM diagnosis and Sasang constitutional type known who received both western and oriental medicine treatment in a hospital between April 2006 and April 2013 retrospectively studied. HbA1c (%) and blood glucose (mg/dl) levels before OHAs therapy and 3 month after were collected for metformin (MET) or sulfonylurea (SU) monotherapy, MET+SU dual therapy, MET+except SU (where was either alpha-glucosidase inhibitor, dipeptidyl peptidase-4 inhibitor, meglitinide or thiazolidinedione) dual therapy, and triple therapy, according to Sasang constitutional type. For statistical analysis, ANOVA was used and paired t-test by SPSS 19.0 where P values less than 0.05 were considered statistically significant. Pattern was similar levels of HbA1c and blood glucose and which was decreased in order of mono, MET+SU dual, MET+except SU dual and triple therapy. In all patients comparison, for the So-yang (SY) constitutional type, either monotherapy was less effective; for Te-eum (TE) type, MET+SU dual therapy was less effective while MET+except SU dual therapy was more effective and the triple therapy was less effective; and for So-eum (SE) type, the triple therapy was more effective. For the management of TE type it is recommended to use drugs except SU when dual therapy is needed, restrict triple therapy and consider dual and insulin therapy; for SY type it is recommended to follow current guidelines; and for SE type it is advisable to skip dual therapy and start the triple therapy early. Finally, the therapeutic response to OHAs is different among Korean T2DM patients with different Sasang constitutional types. Taken together, the choice of effective OHAs therapy for each type is necessary in order to minimize the poor control of blood glucose level, the risk of complications, and the costs from a failure of therapy.

금은화(金銀花)추출물의 마우스 단회 경구투여 독성실험 (Mouse Single Oral Dose Toxicity Test of Lonicerae Flos Aqueous Extracts)

  • 유효정;박미연;최해윤;김종대
    • 대한한방내과학회지
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    • 제31권3호
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    • pp.539-553
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    • 2010
  • Objectives : The object of this study was to obtain accurate information (single oral dose toxicity) of Lonicerae Flos (LF; Dried flower bud parts of Lonicera japonica Thunb (Caprifoliaceae)), which has traditionally been used in Korean medicine for treating various inflammatory diseases. Methods : In order to observe the 50% lethal dose (LD 50), approximate lethal dosage (ALD) and target organs, test articles were once orally administered to female and male ICR mice at dose levels of 2,000, 1,000, 500 and 0 (control) mg/kg (body weight.). The mortality and changes on body weight, clinical signs and gross observation were monitored for 14 days after single oral treatment of LF aqueous extracts with organ weights and histopathological observations of 12 types of principle organs. Results : 1. After single oral treatment of LF aqueous extracts, we could not find any mortality and toxicological evidences up to 2,000 mg/kg treated group, the limited dosages in rodents at body and organ weights, clinical signs, gross and histopathological observations. 2. Slight diarrhea was detected in most mice treated with 2,000 mg/kg of LF aqueous extracts and male mice of LF aqueous extracts 1,000 mg/kg within 2 days after end of treatment, respectively. Conclusion : The results obtained in this study suggest that the LD 50 and ALD of LF aqueous extracts in both female and male mice after single oral treatment were considered as over 2,000 mg/kg because no mortalities were detected up to 2000 mg/kg, the highest dose recommended by KFDA and OECD. However, we also observed the possibility of digestive disorders like diarrhea when over 1,000 mg/kg of LF aqueous extracts were administered in the present study.

다발성 관절염 실험동물 모델에서 저출력 GaAsAl 레이저 자극에 의한 소염효과 (The anti-inflammatory effect of low power GaAsAl laser stimulation on the polyarthritis of rats)

  • 장문경;심규리;최영덕
    • 대한물리치료과학회지
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    • 제9권2호
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    • pp.99-109
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    • 2002
  • We designed the experiments to elucidate the anti-inflammatory effect of low power laser stimulation on acupoint or non-acupoint using arthrogenic solution induced poly arthritis animal model. In order to achieve the experimental purpose, change in body weight paw edema, pathological changes in inflammed pint and the serum interlukin-6 level were measured after arthritis induction in acupoint later stimulated group, non acupoint laser stimulated group and non treated control animal. The results were summerized as follows: 1. The consistent increase in body weight was observed in the normal animal during whole experimental period, while the induction of arthritis significantly suppressed increase in body weight from the 15 day after arthritis induction. Especially, non treated animal group showed more suppressive effect on increase in body weight as compared to that of low power laser stimulated groups (P<0.05). 2. Low power laser stimulation on acupoint (Zusanli) significantly inhibited edema in the left side paw from the 12th day after arthritis induction as compared to that of non treated animals. This suppressive effect on paw edema was maintained until the end of experiment. 3. Laser treatment on acupoint dramatically suppressed the radiological change (i.e. new bone proliferation and soft tissue swelling) caused by arthritis as compared to that of non treated group animals. 4. Low power laser treatment reduced the increase in serum interlukin-6 caused by arthritis induction to levels observed in the normal animals. In conclusion, the results of the present study demonstrated that low power laser stimulation on acupoint has potent anti-inflammatory effect on arthritis. Thus it is recommended that low power laser be used for long term treatment of arthritis induced inflammation. However, further study is necessary to clarify the possible side effect of laser treatment depending upon intensity and duration of stimulation.

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골격성 III 급 부정교합을 가진 환자의 보철수복을 통한 기능 및 심미적 회복 (A Case Report of Prosthetic Rehabilitation for Skeletal Class III Malocclusion Patient)

  • 손미경;정재헌
    • 구강회복응용과학지
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    • 제26권3호
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    • pp.349-357
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    • 2010
  • 골격성 III급 부정교합을 가진 환자에서의 보철 치료는 환자의 전신적요인과 기타 구강내, 외적인 요인을 고려하여 정확한 치료 계획하에 시행되어야 한다. 성인에 있어서 III급 악골관계는 외과적 수술과 교정치료가 선행된 후 보철수복이 진행되도록 계획하는 경우가 일반적이지만 환자의 전신적 요인 등으로 인하여 수술이 불가능한 경우가 있을 수 있다. 이러한 경우에서는 보철로 인한 저작기능의 회복시 좀 더 안정적으로 교합을 유지, 지속할 수 있는 치료가 필요하다. 본 증례에서는 전신질환으로 인하여 수술이 불가한 III급 악골관계를 가진 환자에서 고정성 보철 수복을 통하여 경제적, 시간적으로 효율적이고 기능과 심미를 충족시키는 임상적 결과를 얻었기에 보고하고자 한다.

경부 결핵성 림프절염의 임상양상과 치료 (Clinical Manifestations and Therapy of Tuberculous Cervical Lymphadenitis)

  • 김상현;황동조;문준환;김정수
    • 대한기관식도과학회지
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    • 제5권1호
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    • pp.7-13
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    • 1999
  • Background and Objective: The tuberculous lymphadenitis of neck is one of the most common extra-pulmonary tuberculosis in Korea. Although the incidence of pulmonary tuberculo-sis has decreased recently, that of cervical tuberculous lymphadenitis has not decreased. In spite of great efforts and diversity of study, the exact criterias of diagnosis and optimal therapeutic methods of cervical tuberculous lymphadenitis have been the subject of much debate and still remain unclear. So we intend to enucleate clinical manifestations and suggest the optimal therapeutic manners. Material : The 483 cases, diagnosed as cervical tuberculous lymphadenitis by fine needle aspiration biopsy during the past 10 years from Jan. 1987 to Dec. 1996 Method : Retrospective study Results 1) The overall rate of tuberculous cervical lymphadenitis was 23.4% of neck mass. 2) Incidence ratio of male to female was 1:2.7 3) The frequent location of tuberculous lymphadenitis was posterior cervical area, supraclavicular area, jugular chain in order. 4) The response rate of medical treatment in tuberculous cervical lymphadenitis was 84.9%. 5) The duration of medical treatment in remissioned group was 18.6 months in average. 6) Surgical intervention was needed in 15.1%. 7) The duration of post operative medical treatment was 18.4 months in average. Conclusion : Tuberculous cervical lymphadenitis is prevalent in women, age of 20-40 years and mainly involve posterior cervical area. Fine needle aspiration biopsy is a very useful method for early detection of cervical tuberculous lymphadenitis. After diagnosis is made, anti-tuberculosis medication is recommended for more than 18 months. Unless the size of neck mass is decreases inspite of the thorough anti-tuberculosis medication for more than 1 month or if complication like as abscess or fistula occurs, surgery is needed with post operative medical treatment for more than 12 months.

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