• 제목/요약/키워드: Dosage adjustment

검색결과 37건 처리시간 0.02초

응집침전 및 부상분리에 의한 돈사폐수의 고액분리에 관한 연구 (A Study on Solid-liquid Separation of Swine Wastewater Using Coagulation and Dissolved Air Flotation)

  • 김종오;정성욱
    • 유기물자원화
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    • 제12권2호
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    • pp.101-109
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    • 2004
  • 본 연구는 응집 및 부상분리를 이용하여 돈사폐수의 고액분리 특성을 조사하였다. 응집은 jar-tester를 이용하여 응집제 종류 및 주입량에 대해, DAF를 이용한 부상분리에서는 돈사폐수 원수 자체에 대한 부상조건과 pH만을 조정한 원수, 그리고 응집제를 주입한 후 부상을 통한 고액분리 특성을 실험적으로 연구하였다. 돈사폐수를 무기응집제 만으로 응집침전 처리하는 경우 $FeCl_3$ > PAC > Alum 순으로 응집침전효과가 나타났으며, 적정 응집제 주입량은 각각 $1,000mg/{\ell}$, $1,500mg/{\ell}$, $1,500mg/{\ell}$으로 나타났다. 고분자응집제 만으로 응집침전 처리하는 경우 양이온 응집제만이 유효한 응집침전 효과가 나타났으며 적정 응집제 주입량은 $200mg/{\ell}$로 나타났다. 무기응집제와 고분자응집제를 혼합 적용한 경우 각 무기응집제를 $500mg/{\ell}$ 투여한 후 양이온 고분자응집제 주입 농도를 달리하여 응집침전효과를 고찰한 결과 무기응집제의 처리 효율은 $FeCl_3$ > Alum > PAC순으로 나타났으며, 적정 양이온 응집제 주입농도는 $25mg/{\ell}$, $25mg/{\ell}$, $100mg/{\ell}$로 나타났다. DAF를 이용한 부상분리 실험에서 응집처리를 하지 않은 원수와 pH만을 조정한 원수에서의 실험결과를 종합하여 순환비 400%, 압력 4 atm, pH 3이하에서 DAF의 적정 운전 조건이 나타남을 알 수 있었다. 그러나 응집처리를 하지 않은 돈사폐수 원수를 대상으로 DAF를 적정하게 운전하기는 곤란한 것으로 판단되었으며, 또한 무기응집제로만 응집처리한 후 부상분리를 실시하였을 경우 floc의 강도가 약해 floc의 깨짐 현상이 나타나 부상분리가 이루어지지 않았다. 한편 무기응집제와 고분자응집제를 혼합하여 응집처리한 후 부상분리를 실시하는 경우 효과적인 부상분리가 이루어졌으며, Alum $500mg/{\ell}$를 기준으로 양이온 고분자응집제 주입농도가 $50mg/{\ell}$에서 가장 양호한 처리 결과를 나타내었다.

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Effect of Cimetidine on the Transport of Quinolone Antibiotics in Caco-2 Cell monolayers

  • Kim, Seon-Hwa;Jung, Seo-Jeong;Um, So-Young;Na, Mi-Ae;Choi, Min-Jin;Chung, Myeon-Woo;Oh, Hye-Young
    • Biomolecules & Therapeutics
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    • 제15권2호
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    • pp.102-107
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    • 2007
  • Cimetidine, a substrate for P-glycoprotein (P-gp), is a well known drug interacting with a variety of drugs and results in alteration of pharmacokinetic parameters by concomitant administration. The aim of present study was to investigate whether cimetidine affects the transport of various quinolone antibiotics in human colorectal cancer cell line (Caco-2) system which has been typically used to investigate drug transport via P-gp. The apparent permeability coefficients (P$_{app}$) value of 9 quinolone antibiotics in the co-treatment with cimetidine was examined. Apical to basolateral (AP-to-BL) transport of fleroxacin in the co-treatment with cimetidine was increased to 1.5-fold (p<0.01) compared with that of fleroxacin alone, whereas basolateral to apical (BL-to-AP) transport of fleroxacin was decreased to 0.83-fold significantly (p<0.05). Ofloxacin was decreased to 0.8-fold (p<0.01) and 0.72-fold (p<0.01) significantly in AP-to-BL and BL-to-AP direction, respectively by cimetidine cotreatment. The P$_{app}$ values of gatifloxacin, moxifloxacin, ciprofloxacin and rufloxacin also were changed by cimetidine. These results have a potential that cimetidine influences on the pharmacokinetics of quinolone antibiotics. It suggests that careful drug monitoring and dosage adjustment may be necessary during the co-administration of quinolone antibiotics with cimetidine.

Results of Protocol-based Perioperative Management in Off-Pump Coronary Artery Bypass Grafting for Patients with Non-dialysis-dependent Chronic Kidney Disease

  • Kim, Jeong-Won;Sim, Hyung Tae;Yoo, Jae Suk;Kim, Dong Jin;Cho, Kwang Ree
    • Journal of Chest Surgery
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    • 제49권6호
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    • pp.427-434
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    • 2016
  • Background: Recent studies have demonstrated the benefits of off-pump coronary bypass grafting over the on-pump technique in patients with chronic kidney disease (CKD). To further reduce the risk of acute kidney injury and the need for renal replacement therapy, even in patients undergoing off-pump coronary artery bypass grafting, we adopted protocol-based perioperative management for patients with CKD. Methods: From December 2012 to March 2015, 265 patients underwent isolated off-pump coronary artery bypass grafting. To analyze renal function in a stable condition, we excluded 12 dialysis-dependent end stage renal failure and 10 emergency or urgent cases. Among the remaining 243 patients, 208 patients had normal kidney function (normal group), and 35 patients had CKD (CKD group). Minimizing contrast exposure, ensuring adequate hydration, using strict drug dosage adjustment, and optimizing hemodynamic status were key elements of the protocol for the CKD group. Results: The risk of acute kidney injury was about ${\times}3$ higher in the CKD group than in the normal group (p=0.01). Estimated glomerular filtration rates and serum creatinine levels deteriorated until the third postoperative day in the CKD group. However, by adopting protocol-based perioperative management, this transient renal dysfunction recovered to preoperative levels by the fifth postoperative day without requiring renal replacement therapy in all cases. Conclusion: Off-pump coronary bypass surgery combined with this protocol-based perioperative management strategy in patients with non-dialysis-dependent CKD could mostly be performed without renal replacement therapy.

UV-OXIDATIVE TREATMENT OF BIO-REFRACTORY ORGANIC HALOGENS IN LEACHATE: Comparison Between UV/O3, UV/H2O2, and UV/H2O2/O3 Processes

  • Qureshi, Tahir Imran;Kim, Young-Ju
    • Environmental Engineering Research
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    • 제11권2호
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    • pp.84-90
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    • 2006
  • UV-catalytic oxidation technique was applied for the treatment of bio-refractory character of the leachate, which is generally present in the form of adsorbable organic halogens (AOX). Destruction of AOX was likely to be governed by pH adjustment, quantitative measurement of oxidants, and the selection of oxidation model type. Peroxide induced degradation ($UV/H_2O_2$) facilitated the chemical oxidation of organic halides in acidic medium, however, the system showed least AOX removal efficiency than the other two systems. Increased dosage of hydrogen peroxide (from 0.5 time to 1.0 time concentration) even did not contribute to a significant increase in the removal rate of AOX. In ozone induced degradation system ($UV/O_3$), alkaline medium (pH 10) favored the removal of AOX and the removal rate was found 11% higher than the rate at pH 3. Since efficiency of the $UV/O_3$ increases with the increase of pH, therefore, more OH-radicals were available for the destruction of organic halides. UV-light with the combination of both ozone and hydrogen peroxide ($UV/H_2O_2$ 0.5 time/$O_3$ 25 mg/min) showed the highest removal rate of AOX and the removal efficiency was found 26% higher than the removal efficiency of $UV/O_3$. The system $UV/H2O_2/O_3$ got the economic preference over the other two systems since lower dose of hydrogen peroxide and relatively shorter reaction time were found enough to get the highest AOX removal rate.

Pharmacokinetics of Tolbutamide After Oral Administration to Rabbits with Folate-Induced Renal Failure

  • Choi, Jun-Shik;Shin, Sang-Chul
    • Archives of Pharmacal Research
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    • 제26권11호
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    • pp.979-983
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    • 2003
  • The pharmacokinetic of tolbutamide was studied after the oral administration to normal rabbits or rabbits with mild to medium folate-induced renal failure. The plasma concentrations of tolbutamide were significantly elevated (p<0.05) during 9 to 24 h in rabbits with mild or medium folate-induced renal failure. Consequently, the area under the plasma concentration-time curves (AUC) was significantly higher in mild (p<0.05) and medium (p<0.01) folate-induced renal failure rabbits (i.e., 2906 $\mu$g/mL$.$h for mild renal failure and 4074 $\mu$g/mL$.$h for moderate renal failure) than that in normal rabbits (i.e., 2295 $\mu$g/mL$.$h). The cumulative urinary excretion of tolbutamide was significantly depressed (p<0.05) in medium folate-induced renal failure rabbits (i.e., 3.3 mg) compared with that in normal rabbits (i.e., 5.9 mg). The elimination rate constant (Kel) of tolbutamide was significantly decreased in medium renal failure rabbits (i.e., 0.027 $h^{-1}$) than that in normal rabbits (i.e., 0.044 $h^{-1}$ ); As a result, the terminal half-life of tolbutamide in medium folate-induced renal failure rabbits (i.e., 25.5 h) was significantly longer (p<0.01) than that in normal rabbits (i.e., 15.7 h). The change in pharmacokinetic parameters is consistent with the hypothesis that the alteration is mediated by the depressed metabolic elimination of the drug by the induction of renal failure. Therefore, these observations indicated that the dosage adjustment may be necessary for tolbutamide in patients with renal insufficiency.

Preparation of Controlled Release Spheronized Beads by a Simple Extrusion and Modified Spheronization Process

  • Lee, Si-Beum;Kim, Min-Soo;Jun, Seoung-Wook;Park, Jeong-Sook;Hwang, Sung-Joo
    • Archives of Pharmacal Research
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    • 제28권5호
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    • pp.619-625
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    • 2005
  • Beads loaded with the water-soluble drug, phenylpropanolamine HCl (PPA), were prepared using an extruder and double arm counter-rotating roller modified from a traditional pill machine. The mean diameter of the cylindrical rod-like extrudate from the ram extruder was 3 mm; that of the uncoated bead after cutting and spheronization by the modified double arm counter-rotating roller was 3.26~3.28 mm. Although the surface of the beads was moderately rough and irregular, some exhibited hump-shaped protrusions, the sphericity was acceptable (roundness 1.15) and adequate for the subsequent coating process. An increase in mean diameter of the coated beads and improvements in friability and sphericity were observed in proportion to the amount of coating material applied (ethylcellulose or Eudragit?? RS 100). It was also found that the release rate of PPA from the coated beads could be controlled by the amount and type of coating materials applied or with the incorporation of Eudragit ?? RS 100 into the core matrix. Further modifications to the double arm counter-rotating roller, including adjustment of the rotation speed and distance between the rollers, would yield smaller uncoated beads with improved roundness and surface roughness. In conclusion , the present method could be potentially applied to prepare controlled release drug delivery beads or pellet dosage forms.

암환자의 치료범위를 벗어난 INR 원인 분석 (Causes for Non-therapeutic INRs in Cancer Patients: Single Center Analysis)

  • 박은;이혜숙;김향숙;아영미;이병구;이주연
    • 한국임상약학회지
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    • 제23권3호
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    • pp.232-238
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    • 2013
  • Background: Although thromboembolism is common and one of the major causes of mortality in cancer patients, maintaining therapeutic anticoagulation effect with warfarin is challenging. This study aimed to determine the prevalence and the causes of non-therapeutic INR (International Normalized Ratio) in cancer patients. Methods: Medical and pharmacy records for cancer patients managed by the pharmacist-run anticoagulation service (ACS) between May, 2010 and April, 2011 at Seoul National University Hospital were retrospectively reviewed. The causes of non-therapeutic INR were identified and compared with the results from a former study with mechanical heart valve patients. Results: A total of 335 cancer patients and 6,737 patient-visits were analyzed producing 68% (n=4,590) of non-therapeutic INR readings. Eighty-five percent of the non-therapeutic INR readings were categorized as sub-therapeutic. Frequent causes linked to non-therapeutic INR included inadequate dosage adjustment (21.8%), changes in health status (11.8%), dietary changes (8.1%), and drug interactions (4.2%). More than half of the non-therapeutic INR values had no known etiology. As causes for non-therapeutic INR, changes in health status (p<0.0001), adverse reactions (p<0.0001), and dietary changes (p=0.017) were statistically more frequent in cancer patients than in patients with mechanical heart valves. Furthermore, exposure to sub-therapeutic INR were more prevalent in cancer patients than in patients with mechanical heart valve (p<0.0001). Conclusions: This study shows that there is a tendency to keep the level of INR low and that health status change, dietary change, and drug interactions are found to be frequent causes for non-therapeutic INR in cancer patients.

마그네사이트 광석(鑛石)의 염산용해(鹽酸熔解) 특성(特性) 및 불순물(不純物) 제거 (Dissolution Characteristics of Magnesite Ore in Hydrochloric Acid Solution and Removal of Impurity)

  • 엄형춘;박형규;김철주;김성돈;윤호성
    • 자원리싸이클링
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    • 제18권6호
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    • pp.38-45
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    • 2009
  • 마그네사이트 광석의 염산용해 특성 및 불순물 제거에 대한 연구를 수행하였다. 마그네사이트의 용해율은 용해온도가 증가할수록, 광석 입도가 감소할수록 증가하였다. 최적 용해조건은 용해시간 2시간, 용해온도 $80^{\circ}C$, 광석입도 $100\;{\mu}m$ 였으며, 최적 용해조건에서 98%의 Mg를 용해할 수 있었다. Si, Al 성분들은 대부분 용해잔사에 존재하므로 용해 후 여과를 통하여 상당량 제거가 가능하였으며, 용해된 불순물들은 용액의 pH 조절을 통하여 금속 수산화물로 석출시켰다. 또한 석출된 금속 수산화물을 응집, 침강시키기 위하여 고분자 응집제를 사용하였으며, 최적 응집제 주입 조건은 비이온계 고분자 응집제 1 mg/100 ml이었다.

Subcutaneous progesterone versus vaginal progesterone for luteal phase support in in vitro fertilization: A retrospective analysis from daily clinical practice

  • Schutt, Marcel;Nguyen, The Duy;Kalff-Suske, Martha;Wagner, Uwe;Macharey, Georg;Ziller, Volker
    • Clinical and Experimental Reproductive Medicine
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    • 제48권3호
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    • pp.262-267
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    • 2021
  • Objective: Progesterone application for luteal phase support is a well-established concept in in vitro fertilization (IVF) treatment. Water-soluble subcutaneous progesterone injections have shown pregnancy rates equivalent to those observed in patients receiving vaginal administration in randomized controlled trials. Our study aimed to investigate whether the results from those pivotal trials could be reproduced in daily clinical practice in an unselected patient population. Methods: In this retrospective cohort study in non-standardized daily clinical practice, we compared 273 IVF cycles from 195 women undergoing IVF at our center for luteal phase support with vaginal administration of 200 mg of micronized progesterone three times daily or subcutaneous injection of 25 mg of progesterone per day. Results: Various patient characteristics including age, weight, height, number of oocytes, and body mass index were similar between both groups. We observed no significant differences in the clinical pregnancy rate (CPR) per treatment cycle between the subcutaneous (39.9%) and vaginal group (36.5%) (p=0.630). Covariate analysis showed significant correlations of the number of transferred embryos and the total dosage of stimulation medication with the CPR. However, after adjustment of the CPR for these covariates using a regression model, no significant difference was observed between the two groups (odds ratio, 0.956; 95% confidence interval, 0.512-1.786; p=0.888). Conclusion: In agreement with randomized controlled trials in study populations with strict selection criteria, our study determined that subcutaneous progesterone was equally effective as vaginally applied progesterone in daily clinical practice in an unselected patient population.

Structural Adjustment of In-Situ Surface-Modified Silica Matting Agent and Its Effect on Coating Performance

  • Xu, Qingna;Ji, Tongchao;Tian, Qingfeng;Su, Yuhang;Niu, Liyong;Li, Xiaohong;Zhang, Zhijun
    • Nano
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    • 제13권12호
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    • pp.1850137.1-1850137.9
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    • 2018
  • A series of silica surface-capped with hexamethyldisilazane (denoted as $H-SiO_2$) were prepared by liquid-phase in-situ surface-modification method. The as-obtained $H-SiO_2$ was incorporated into acrylic amino (AA) baking paint to obtain AA/$H-SiO_2$ composite extinction paints and/or coatings. $N_2$ adsorption-desorption tests were conducted to determine the specific surface area as well as pore size and pore volume of $H-SiO_2$. Moreover, the effects of $H-SiO_2$ matting agents on the physical properties of AA paint as well as the gloss and transmittance of AA-based composite extinction coatings were investigated. Results show that $H-SiO_2$ matting agents possess a large specific surface area and pore volume than previously reported silica obtained by liquid-phase method. Besides, they have better dispersibility in AA baking paint than the unmodified silica. Particularly, $H-SiO_2$ with a silica particle size of $6.7{\mu}m$ and the dosage of 4% (mass fraction) provides an extinction rate of 95.2% and a transmittance of 79.3% for the AA-based composite extinction coating, showing advantages over OK520, a conventional silica matting agent. Along with the increase in the silica particle size, $H-SiO_2$ matting agents cause a certain degree of increase in the viscosity of AA paint as well as a noticeable decrease in the gloss of the AA-based composite extinction coating, but they have insignificant effects on the hardness and adhesion to substrate of the AA-based composite coatings. This means that $H-SiO_2$ matting agents could be well applicable to preparing low-viscosity and low-gloss AA-based matte coatings.