• Journal of Trauma and Injury
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• 제37권3호
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• pp.209-213
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• 2024

Purpose: Trauma patients are at an elevated risk of developing venous thromboembolism (VTE), with the subsequent mortality in patients requiring intensive care unit admission ranging from 25% to 38%. There remains significant variability in clinical practice related to VTE prophylaxis in trauma patients due to the frequent presence of contraindications impacting the timing and consistency of application. This study aimed to assess the effectiveness of the current practice of chemical VTE prophylaxis in trauma patients at a single Australian center. Methods: A prospective review was conducted on patients admitted to the ACT Trauma Service (Canberra, Australia) from July to November 2022. The included patients were 18 years or older, without a direct contraindication to anticoagulation, who received chemical VTE prophylaxis with low-molecular-weight heparin (enoxaparin) for at least three doses and underwent subsequent testing of anti-factor Xa (aFXa) levels. Results: During the study period, 187 patients were admitted, of whom 63 were included in the study. Of these, 47 patients achieved therapeutic levels of anticoagulation as determined by their aFXa levels, while 16 were subtherapeutic. The only statistically significant difference between the two groups was in weight, with patients in the subtherapeutic group weighing an average of 91.9 kg compared to 79.1 kg in the therapeutic group (P<0.05). Conclusions: A fixed-dose enoxaparin regimen was utilized, with limited individualization based on patient factors, such as injuries, comorbidities, and other biological factors. Sixteen patients (25%) had subtherapeutic VTE prophylaxis, as measured by aFXa levels. Higher weight was significantly correlated with inadequate VTE prophylaxis dosing. While age, sex, and smoking status might play important roles in clinical decision-making, weight-based dosing of low-molecular-weight heparin may be more effective in achieving adequate VTE prophylaxis.

• Biotechnology and Bioprocess Engineering:BBE
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• 제9권2호
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• pp.86-92
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• 2004

In this paper miniaturized disposable micro/nanofluidic components applicable to bio chip, chemical analyzer and biomedical monitoring system, such as blood analysis, micro dosing system and cell experiment, etc are reported. This system includes various microfluidic components including a micropump, micromixer, DNA purification chip and single-cell assay chip. For low voltage and low power operation, a surface tension-driven micropump is presented, as well as a micromixer, which was implemented using MEMS technology, for efficient liquid mixing is also introduced. As bio-reactors, DNA purification and single-cell assay devices, for the extraction of pure DNA from liquid mixture or blood and for cellular engineering or high-throughput screening, respectively, are presented.

• 한국응용약물학회:학술대회논문집
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• 한국응용약물학회 2006년도 Proceedings of The Convention
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• pp.51-66
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• 2006

The field of cytochrome P450 pharmacogenomics has progressed rapidly during the past 25 years. Recently, conjugating enzymes including sulfotransferase, acetyltransferase, glucuronosyltransferase and glutathione transferase have been also extensively studied. All the major human drug-metabolizing P450 enzymes and some conjugating enzymes have been identified and cloned, and the major gene variants that cause inter-individual variability in drug response and are related to adverse drug reactions have been identified. This information now provides the basis for the use of predictive pharmacogenomics to yield drug therapies that are more efficient and safer. Today, we understand which drugs warrant dosing based on pharmacogenomics to improve drug treatment. It is anticipated that genotyping could be used to personalize drug treatment for vast numbers of subjects, decreasing the cost of drug treatment and increasing the efficacy of drugs and health in general. It is assumed that such personalized P450 gene-based treatment which is so-called tailor(order)-made drug therapy would be relevant for 10-20% of all drug therapy in the future.

• 한국진공학회:학술대회논문집
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• 한국진공학회 2012년도 제43회 하계 정기 학술대회 초록집
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• pp.395-395
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• 2012

We fabricate organic-inorganic hybrid thin film for the purpose of encapsulation by molecular layer deposition (MLD) using Trimethylaluminium (TMA) and Adipoyl Chloride (AC). Ellipsometry was employed to verify self limiting reaction of ALD. Linear relationship between number of cycle and thickness was obtained. We found that desirable organic thin film fabrication is possible by MLD surface reaction in nanoscale. Purging was carried out after dosing of each precursor to form monolayer in each sequence. We also confirmed roughness of the organic thin film by atomic force microscopy. We deposit TMA and AC at $70^{\circ}C$ and that 1.78A root mean square was obtained which indicates that uniform organic thin film was formed. We confirmed precursor's functional group by IR spectrum. We calculated WVTR of organic-inorganic hybrid super-lattice epitaxial layer using Ca test. WVTR indicates superlattice film can be possibly use as encapsulation in flexible devices.

• Childhood Kidney Diseases
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• 제21권1호
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• pp.26-30
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• 2017

Newborn infants with huge and highly vascular sacrococcygeal teratoma (SCT) are frequently subjected to renal hypoperfusion secondary to high-output cardiac failure. Any underlying renal dysfunction is a significant risk factor for the development of contrast-induced nephropathy (CIN). However, reports on CIN in infants are rare. I report here a case of a premature infant born at 28 weeks and 3 days of gestation with a huge SCT who survived preoperative embolization and surgical resection but presented with persistent non-oliguric renal failure that was suggestive of CIN. During radiological intervention, a contrast medium had been administered at about 10 times the manufacturer-recommended dose for pediatric patients. Despite hemodynamic stabilization and normalization of urine output immediately following surgery, the patient's serum creatinine and cystatin-C levels did not return to baseline until 4 months after birth. No signs of reflux nephropathy were observed in follow-up imaging studies. Dosing guidelines for the use of a contrast medium in radiological interventions should be provided for infants or young patients.

• 콘크리트학회지
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• 제10권2호
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• pp.155-165
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• 1998

굳지 않은 콘크리트의 슬럼프손실을 저감시키기 위한 목적으로 고로슬래그 미분말 및 플라이애쉬의 혼합비율과 혼화제의 첨가방법을 변화시킨 콘크리트의 믹싱후 경과시간에 따른 슬럼프 변화에 대하여 고찰하였다. 연구결과 보통포틀랜드시멘트에 고로슬래그 비분말 또는 플라이애쉬를 혼합한 콘크리트가 혼화재를 혼합하지 않은 콘크리트보다 슬럼프손실을 줄일 수 있었으며, 고로슬래그 미분말과 플라이애쉬를 각각 50 및 5%를 혼합한 3성분계 콘크리트의 경우 슬럼프손실을 저감시키는데 유효하였다. 또한 혼화제의 일부를 15분후 분할하여 후첨가하는 혼합방법이 굳지않은 콘크리트의 슬럼프손실을 저감시키는데 가장 큰 효과가 있다. 한편 혼화재를 혼합한 3성분계 보통강도용 및 고강도용 콘크리트의 재령 28일까지의 압축강도는 혼화재를 혼합하지 않은 콘크리트보다 작았으나 재령 91일 압축강도는 31% 및 15%정도 크게 증가하였다.

• 한국임상약학회지
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• 제11권2호
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• pp.57-61
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• 2001

The effect of circadian rhythm on the pharmacokinetics of acebutolol was studied in rabbits administered intravenous 5 mg/kg dose of acebutolol at 09:00 in the morning (a.m) and 22:00 in the evening (p.m). A significant effect of circadian rhythm of pbarmacokinetic parameters as a function of time of day was noted in rabbits, showing lower total body clearance (CLt), higher plasma concentration and the area under the plasma concentration time curve (AUC) when acebutolol was given in the evening. The plasma concentration of acebutolol was increased significantly (p<0.05) at 12-24 hr after dosing in the evening. The AUC was greater in the evening $(111\%)$ than that in the morning and $CL_t$, was higher when acebutolol was given in the morning ($1.12\pm0.24$ ml/hr) versus in the evening ($1.01\pm0.22$ ml/hr), but those were not significant. Therefore, It is reasonable to consider individual circadian rhythm for effective dosage regimen of acebutolol in clinical chronotherapeutics.

• 한국화재소방학회논문지
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• 제14권2호
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• pp.14-20
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• 2000

건물화재시에 연기에 의한 피난자의 위험을 감소시키고 소방대의 구조활동을 원활히 하기 위하여 건물 외부의 공기를 이용, 건물내부의 일부를 가압하는 가압방연시스템이 이용되고 있다. 본 연구에서는 건물의 가압방연시스템을 설계하기 위하여 건물의 각 요소, 방, 로비, 계단실, 급기샤프트 등을 연결하는 유로를 구성하여 각 요소에서의 압력손실과 유량을 계산할 수 있는 컴퓨터 프로그램을 개발하였다. 본 프로그램을 이용하여 가압용 송풍기의 적절한 용량선정과 송풍기의 용량 최적화를 위한 방안을 강구하였다.

• 한국콘크리트학회:학술대회논문집
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• 한국콘크리트학회 1998년도 가을 학술발표회 논문집(I)
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• pp.93-98
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• 1998

Fluidity retention of concrete used high range water reducing AE agent(HWAE) is varied according to type, dosage amount and dosing method of HWAE. The type and substitution ratio of mineral admixture also have influence on the fluidity retention of concrete using HWAE. For the purpose of improving the fluidity retention in concrete used HWAE, 3 types of HWAE and ground granulated blast furnace slag(SG) are applied in cement-based composites such as cement paste, mortar and concrete respectively. According to using the HWAE of naphthalene sulfonates and SG, the fluidity retention of mortar and concerete is improving the fluidity retention and strength of concrete regardless of type of HWAE.

• 한국정보처리학회:학술대회논문집
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• 한국정보처리학회 2001년도 추계학술발표논문집 (하)
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• pp.1549-1552
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• 2001

무선통신 단말기의 발전과 함께 이를 활용할 수 있는 방법론에 대한 논의도 활발해지고 있으며, 이중 가장 주목받고 있는 것이 이동 통신 단말기를 이용한 무선인터넷 서비스이다. 이러한 서비스의 기반이 되는 것이 무선 인터넷 프로토콜인 WAP(Wireless Application Protocol)이다. 현재의 셀룰러망을 이용한 통신은 비교적 낮은 전송률을 가지고 있어, 대용량의 데이터들을 포함하는 WWW 문서 및 대량의 무선 마크업 언어(WML: Wireless Markup Language) 문서를 전송하기에는 너무 느린 단점을 가지고 있다. 이에 대한 대안으로 본 논문에서는 WAP 포럼 내에서 제정한 프로토콜에 변환기능을 추가한 Gateway를 설계 및 구현하였다.