• 한국전자통신학회논문지
• /
• 제7권5호
• /
• pp.1213-1219
• /
• 2012

우리나라가 점차 고령화 사회로 진입할 것으로 예상됨에 따라서 장기적인 투약대상자 역시 증가할 것으로 예상되고 있다. 특히 결핵의 경우 우리나라가 OECD 가입 국가 중 사망률에서 1위를 차지하고 있으며 이로 인한 사회적 비용 역시 매우 높은 형편이다. 이런 문제점을 해결하기 위해서는 환자에 대한 철저한 복약관리가 필요하지만 직접 복약관리 방식은 비용 등의 현실적인 어려움이 있는 것이 사실이다. 최근 이를 극복하기 위해서 IT 기술기반의 직접 복약 관리의 개념이 도입된 바 있고 본 논문에서는 스마트 약상자를 이용한 직접 복약 관리 시스템을 제안하고 이의 구현을 위해서 필수적인 역할을 담당하는 스마트 약상자의 요구 사항을 도출한다.

• 보건세계
• /
• 제59권3호
• /
• pp.8-12
• /
• 2012

- DOT하 결핵환자 치료 성공율을 90% 이상 달성 ${\rightarrow}$ 치료 완료후 2년이내 균양성 재발율을 3% 미만으로 달성 - 질병관리본부와 결핵연구원, 보건소 및 민간 병의원에서 치료받고 있는 결핵환자에 대한 WHO의 결핵조기퇴치 기본 전략인 직접복약확인체계(DOTS, Directly observed treatment short course)시범사업 본격 실시

• 한국전자통신학회논문지
• /
• 제10권5호
• /
• pp.571-578
• /
• 2015

장기 투약이 필요한 만성질환자에 대해서는 직접복약관리가 가장 확실한 방법임에도 불구하고 인적, 경제적 비용으로 인하여 실제 적용하는 것은 쉽지 않은 일이다. 이에 대한 대안으로 등장한 IT기술 기반의 스마트 복약관리 및 모니터링 시스템은 이의 구현을 위해서 특별한 장치의 도움을 요구한다. 본 논문에서는 이 장치의 역할을 수행하기 위해서 개발된 스마트 약상자를 여러 환자가 공유하기 위한 인증 절차를 제안한다. 본 논문에서 제안하는 인증 절차를 통해서 스마트 약상자가 장기 투약이 필요한 환자로 하여금 올바르게 약을 복용하도록 하여 완치율을 높이는 데 기여할 수 있을 것으로 기대된다.

• 대한예방의학회:학술대회논문집
• /
• 대한예방의학회 2002년도 제54차 추계 학술대회 연제집
• /
• pp.533-533
• /
• 2002

• 통합자연과학논문집
• /
• 제3권2호
• /
• pp.96-102
• /
• 2010

It is still controversial where the improved stability of n-octadecyltriethoxysilane self-assembled monolayer (OTE SAM) on plasma-pretreated mica surface exactly originates from. To date, it has been well known that the extensive cross-polymerization between silane headgroups is a crucial factor for the outstanding mechanical strength of the monolayer. However, this study directly observed that the stability comes not only from the cross-links but also, far more importantly, from the direct chemical bonds between silane headgroups and mica surface. To observe this phenomenon, n-octadecyltrichlorosilane monolayers were self-assembled on both untreated and plasma treated mica surfaces, and their adhesion properties at various stress conditions and force profiles in pure water were investigated and compared through the use of the surface forces apparatus technique. It revealed that, in pure water, there is a substantial difference of stability between untreated and plasma treated cases and the plasma treated surface is mechanically much more stable. In particular, the protrusion behavior of the monolayer during contact repetition experiment was always observed in the untreated case, but never in the plasma treated case. It directly demonstrates that the extensive chemical bonds indeed exist between silane head-groups and plasma treated mica surface and dramatically improve the mechanical stability of the OTE monolayer-coated mica substrate.

• Membrane and Water Treatment
• /
• 제8권2호
• /
• pp.125-136
• /
• 2017

Reverse osmosis technology is being used on large scale for treatment of ground water, brackish water, wastewater and sea water. The most challenging issue in RO process is carbonate scaling which is directly linked with the efficiency and economy. Considering the natural phenomena of carbonate scaling different adaptations have been made to control scaling on the surface of RO membrane including acid dosage and antiscalant addition. As carbonate scaling is directly related with pH level of feed water, present study describes an experimental approach to reduce scaling on RO membrane by lowering the feed water pH by purging $CO_2$. In this comparative study four different conditions including control process (without any scale inhibitor), with dosage of antiscalant, with purging of $CO_2$ and with co addition of antiscalant and $CO_2$ in a feed stream line; it was established that $CO_2$ is a better appliance to reduce carbonate scaling on the membrane surface by reduce pH of feed stream. It was also observed that $CO_2$ and antiscalant mutually function better for scale control.

• Archives of Pharmacal Research
• /
• 제17권1호
• /
• pp.11-16
• /
• 1994

Cis-dichlorodiammineplatinum(II)(cisplatin) is one of the most effective antitumor agents currently available for cancer therapy. However, its clinical use has been limited by its severe side effects, especially nephrotoxicity. To evaluate the effect or radical scavengers on cisplatin nephrotoxicity in rats, cisplatin and Vitamin C were given intraperitoneally. Remarkable protective effects of Vitamin C against nephrotoxicity of cisplatin were observed when Vitamin C was administered to rats 1hr before cisplatin injection. hepatotoxicity induced by combination treament of cisplatin and Vitamin C was evaluated by measuring serum glutamic pyruvate transmainase(sGPT) and serum glutamic oxalate transminase(sGOT). Combination treatment did not affect the levels of sGPT and sGOT, and any combination treatment did not induce metallothionein biosynthesis in kidny, Vitamin C which has radical scavenging effect induce metallothionein biosynthesis in kidney. Vitamin C which has radical scavenging effect directly reduced nephrotoxicity of cisplatin in vivo. Thus, it seems that free radical is the cause of cisplatin nepthrotoxicity. Also, combination treatment did not reduce anticancer activity of cisplatin. The present results indicate that Vitamin C, when it is given with cisplatin, may provide protection against cisplatin nephrotoxicity without reducing anticancer activity.

• Biomolecules & Therapeutics
• /
• 제2권2호
• /
• pp.103-107
• /
• 1994

Cisplatin is one of the most effective antitumor agents currently available for cancer therapy. However, its clinical use has been limited by its severe side effects, especially nephrotoxicity. Therefore, brazilin, which has a radical scavenging effect, was given intraperitoneally to evaluate the effect on cisplatin nephrotoxicity in rats. Remarkable protective effects against nephrotoxicity of cisplatin were observed when brazilin was administered to rats simultaneously with cisplatin. Hepatotoxicity induced by combination treatment of cisplatin and brazilin was evaluated by measuring serum glutamic pyruvate transaminase and serum glutamic oxalate transaminase. Combination treatment did not affect the levels of sGPT and SGOT, and any combination treatment did not induce metallothionein in kidney. Brazilin which has radical scavenging effect directly reduced nephrotoxicity of wisplatin in vivo. Thus, it seems that nephrotoxicity of cisplatin was caused by free radicals. The present results Indicate that brazilin, when it is given with cisplatin, may provide protection against cisplatin nephrotoxicity in rats.

• 환경위생공학
• /
• 제19권3호
• /
• pp.1-12
• /
• 2004

This study was conducted to evaluate the variation characteristics of influent and effluent quality from sewage treatment facilities using activated sludge processes and to assess the impact caused by discharge of treated sewage on the receiving water Monthly data of five water quality items (BOD, COD, SS, T-N, T-P) were used to understand the water quality at three sewage treatment plants in Seoul for five years from 1999 to 2003. Concentration differences of water quality parameters were observed between upstream and downstream site at the sewage treatment plant outfall to investigate the impact of discharge in Tan stream and Han river basin. 1. Due to the effect of continuous improvement in sewer system, the concentrations of influent went on increasing generally. 2. Effluent concentrations of BOD, COD and SS showed the trend of a little decreasing, but the trend of increasing in T-N and T-P. 3. In Tan stream basin, the impact of sewage treatment plant discharge was not observed directly, because concentration of discharge was lower than stream water's. But discharges from sewage treatment plants affected water quality at downstream site in Han river, concentration of T-P especially.

• Archives of Reconstructive Microsurgery
• /
• 제9권1호
• /
• pp.49-55
• /
• 2000

Nonunion and avascular necrosis are well-recognized complications of severe ankle injury especially aftrer talar neck fracture. The treatment of avascular necrosis is controversial and methods of treatment are limited. Many modalities have been introduced for the treatment of avascular necrosis of talus. The prolonged non-weight bearing for 2~3 years is not practical but also is occasionally complicated by late segmental collapse. Operative treatment includes tibiotalar arthrodesis and talectomy with tibiocalcaneal arthrodesis, but arthrodesis in patients with talar avascular necrosis is technically demanding and cause stiff, immobile foot and relatively high failure rate was reported. It is desirable to preserve their original joint if possible. Vascularized fibular grafting has been reported as a joint preserving treatment option for osteonecrosis of the hip but has not been described for the ankle. The authors applied free vascularized fibular grafts for 3 cases of avascular necrosis of talus. We observed evidences of revascularization of necrotic talar body and progression of fracture healing and obtained satisfactory results at mean 8 months of follow-up. Vascularized fibular grafting is one of the better alternatives for treating avascular necrosis of talus. It is expected that vascularized fibular grafting can prevent the necrotic talar dome from progressing to collapse and promote directly restored vascularization and new bone formation.