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외래의료 민감 질환으로 응급실을 내원한 환자의 특성 분석: 의료전달체계 중심으로 (Analysis of the Characteristics of Ambulatory Care Sensitive Conditions in Patients Visiting the Emergency Departments: Focused on Health-care Delivery System)

  • 허영진;김지연;이명화;이성민;오미라
    • 융합정보논문지
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    • 제10권10호
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    • pp.253-258
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    • 2020
  • 본 연구는 외래의료 민감 질환(Ambulatory Care Sensitive Conditions, ACSCs)으로 응급실에 내원한 환자들의 특성을 연령(성인 19-64세, 노인 65세 이상)으로 구분하여 그 차이를 비교 분석하였다. 2018년 1월 1일부터 12월 31일까지의 국가응급진료정보망 자료를 이용하여 응급의료기관 종별과 ACSCs의 비율, 응급실 재실시간, 입원일수, 입원율을 살펴보았다. 응급의료기관 종별에서는 지역응급의료센터의 비율이 높았고(P<0.001), ACSCs의 질환 비율에서 성인은 위장염 31.7%와 노인은 폐렴 48.2%로 높게 나타났다(P<0.001). 응급실 재실시간은 울혈성심부전과 당뇨를 제외한 모든 질환에서 노인이 길게 나타났고(P<0.001), 입원일수는 ACSCs 모든 질환에서 노인이 유의하게 길게 나타났으며(P<0.05), 입원율은 당뇨를 제외한 모든 질환에서 노인의 비율이 유의하게 높았다(P<0.01). 이와 같이 ACSCs로 인한 응급실 이용을 파악하여 외래 중심으로 치료를 유도할 수 있도록 의료정책을 강화해야 할 것이다.

오메프라졸복합체 함유 직장좌제의 특성비교 (A Comparative Study on the Pharmaceutical Properties of Rectal Suppository containing Omeprazole Complexes)

  • 황성주;박성배;이계주
    • Journal of Pharmaceutical Investigation
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    • 제25권3호
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    • pp.227-237
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    • 1995
  • Omeprazole(OMP) complexes such as inclusion complexes of OMP with $hydroxypropyl-{\beta}-cyclodextrin$(HPCD) and ${\beta}-cyclodextrin({\beta}-CD)$, OMP-cholestyramine(CHL) and OMP-ethylenediamine(OMP-ED) were prepared, respectively. The partition coefficients in Witepsol H-15 /pH 7.4 phosphate buffer solution of OMP complexes$(OMP-HPCD;\;3.69{\pm}0.26,\;OMP-{\beta}-CD;\;4.08{\pm}0.21,\;OMP-CHL;\;4.36{\pm}0.25\;and\;omeprazole\;sodium(OMP-Na);\;3.64{\pm}0.37)$ were higher than that of OMP $(2.66{\pm}0.47)$. OMP was not completely dissolved until even 3 hrs, but all the OMP complexes studied were released about 100% in 20 min. The rectal suppositories containing OMP or each above OMP complex were prepared using Witepsol H-15 base, and their dissolution and stability were examined, and pharmacokinetic study were investigated after their rectal administrations to the rabbits. While the suppository containing OMP was released only less than 60% in 150 min, $OMP-{\beta}-CD$, OMP-CHL, OMP-Na and OMP-ED suppositories were all released about 65% in 20 min. Especially, OMP-HPCD suppository released OMP about 70% in 10 min. All the additives such as sodium laurylsulfate, eglumine, arginine and PVP increased drug release from OMP-HPCD suppository to some extent. The decomposition rate constants of OMP in the suppositories were $9.117{\times}10^{-3}\;day^{-l}$ for OMP suppository, $2.121{\times}10^{-2}$ for OMP-HPCD, $1.607{\times}10^{-2}$ for $OMP-{\beta}-CD$, $9.26{\times}10^{-3}$ for OMP-Na, $6.769{\times}10^{-3}$ for OMP-CHL and $5.58{\times}10^{-3}\;day^{-l}$ for OMP-ED suppository, respectively. Additives such as arginine, eglumine and ED had some stabilizing effect for OMP-HPCD, OMP-CHL and OMP-Na suppositories, respectively. After 6 month-storage at $30^{\circ}C$, 75% RH, OMP-CHL suppository was most stable. The values of Tmax for OMP-HPCD and OMP-Na suppositories were $11.7{\pm}2.36\;and\;11.4{\pm}2.56\;min$, respectively. The values of Cmax for OMP-HPCD and OMP-CHL suppository were $2.31\;{\mu}g/ml\;(p<0.01)\;and\;1.89\;{\mu}g/ml\;p<0.01)$, respectively. The values of AUC for OMP and $OMP-{\beta}-CD$ suppository were $61.9{\pm}25.79\;and\;68.6{\pm}29.48\;{\mu}g\;{\cdot}\;min/ml$, and the corresponding values for OMP-HPCD and OMP-CHL were $106.1{\pm}43.16\;(p<0.05)\;and\;127.3{\pm}42.52\;{\mu}g\;{\cdot}\;min/ml(p<0.01)$, respectively. The above results indicate the OMP-HPCD and OMP-CHL suppositories have the excellent bioavailabilties in vivo study.

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Antihypertensive Effect of Amlodipine Adipate, a Novel Salt of Amlodipine, in Hypertensive Rat Models

  • Lee, Byung-Ho;Seo, Ho-Won;Chae, Myeong-Yun;Yeon, Kyu-Jeong
    • Biomolecules & Therapeutics
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    • 제12권1호
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    • pp.19-24
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    • 2004
  • The vascular relaxant effect of amlodipine adipate, a new salt of amlodipine, was evaluate in isolated rat aorta, and compared with that of amlodipine besylate. Furthermore, antihypertensive effects were measured in hypertensive rat models, such as spontaneously hypertensive rats (SHR) and rena1 hypertensive rats (RHR). Amlodipine adipate concentration-dependently inhibited $Ca^{2+}$-induced contraction of rat aorta with a very slow onset of action (reached its maximum at 3.5 h;$IC_{50}$: 3.76 nM), having a pattern and a potency similar to those of amlodipine besylate ($IC_{50}$: 4.01 nM). In SHR and RHR, orally administered amlodipine adipate produced a dosedependent and long-lasting (>10-24 h) antihypertensive effect ($ED_{20}$: 2.48 and 1.57 mg/kg, respectively), with a pattern and a potency similar to those of amlodipine besylate ($ED_{20}$: 2.50 and 1.99 mg/kg in SHR and RHR, respectively). These results suggest that amlodipine adipate is a potent and long-lasting antihypertensive agent and that its antihypertensive effect is not significantly different to that of amlodipine besylate.

In Search for a Common Pathway for Health Issues in Men - the Sign of a Holmesian Deduction

  • Aoun, Fouad;Chemaly, Anthony Kallas;Albisinni, Simone;Zanaty, Marc;Roumeguere, Thierry
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권1호
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    • pp.1-13
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    • 2016
  • The evidence for the existence of a common pathway for health issues in men is presented in this review. Several epidemiological studies have shown that conditions like cardiovascular diseases (CVD), metabolic syndrome, diabetes, lower urinary tract symptom (LUTS), erectile dysfunction (ED), prostate cancer, hypogonadism, depression and suicide can be associated as risk factors for each other. Thus, the risk of CVD is significantly increased in men with metabolic syndrome, ED, hypogonadism, prostate cancer and/or LUTS. In addition, the above mentioned conditions are more prevalent in atherosclerotic patients. In addition, growing evidence indicates that low androgen levels can cause metabolic syndrome. In addition, obesity, dyslipidaemia and diabetes can further reduce androgen levels potentiating their adverse effect. Low testosterone levels are also associated with a higher incidence of aggressive prostate cancer on biopsy and on definitive pathology, and lower probability of abiraterone response in the metastatic setting. Several recent studies point towards diffuse endothelial dysfunction and dysregulated pro-inflammatory state as the biological link between all these disorders. Our current hypothesis is that oxidative stress caused by these dysfunctions explains the pathogenesis of each of these conditions.

Electrodialysis with a channeled stack for high strength cadmium removal from wastewater

  • Kyung Jin, Min;Hyo Jin, An;Ah Hyun, Lee;Hyun-Gon, Shin;Ki Young, Park
    • Membrane and Water Treatment
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    • 제14권1호
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    • pp.47-54
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    • 2023
  • In this study, high concentrations of cadmium-containing wastewater were treated by electrodialysis (ED) with a channel stack. The limiting current density (LCD), cadmium removal efficiency, and current efficiency were investigated under each experimental condition according to the Reynolds number (Re), membrane area, and pH. With the increase in the film area to 111, 333, 555, and 777 cm2 at Re (109.1), LCDs decreased to 408.11, 44.45, 35.32, and 13.64 A/m2, respectively. The highest cadmium removal efficiency (99.6%) and current efficiency were obtained for the membrane area of 111 and 777 cm2, respectively. Under changing Re in the pH range of 1 to 4, Re and LCD were proportional under the same pH condition, and pH and LCD tended to be inversely proportional under the same Re condition. Cadmium removal rate was the best at the pH range 3 - 4. It has been found that ED with channeled stacks can be successfully applied to treat wastewater containing high concentrations of cadmium.

배합사료 종류가 넙치 Paralichthys olivaceus 치어의 성장 및 체성분에 미치는 영향 (Effects of Various Diets on Growth and Body Composition of Juvenile Olive Flounder, Paralichthys olivaceus)

  • 이해영;유해균
    • 한국어류학회지
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    • 제28권3호
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    • pp.200-206
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    • 2016
  • 최초체중 (IBW) 29.1 g 넙치 치어를 1종 실험사료 (ED)와 5종 국내 외 상품사료 (CD)로 7주간 사육한 결과 최종체중 (FBW), 증체율 (WG), 사료효율 (FE) 및 전어체 (WB)의 일반 성분 중 수분 및 지질에서는 유의적인 차이가 나타났지만, 생존율 및 WB의 일반성분 중 단백질 및 회분에서는 차이를 나타내지 않았다. 넙치 치어는 사육실험 후에는 먹이 종류에 따라 FBW가 57.7~73.6 g, WG도 93~160%로 실험구간에 유의적인 성장 차이를 나타내었다. FE는 71~121%이었으며 성장과 유사한 경향을 나타내었다. IMCD구에서 73.6 g으로 가장 높은 FBW를 나타내었으며, 다음으로 DCCD구, DECD구 및 IOCD구에서 70.0, 68.4 및 67.8 g이었다. IHCD구에서 61.7 g으로 CD구 중에서는 가장 낮았으며 모든 실험구 중 ED구도 57.7 g로 FBW에서도 가장 낮게 유의적인 차이를 나타내었다. 중간 정도의 단백질 및 지질을 함유한 국외산 M제품 (단백질 55.9%, 지질 12.7% 및 회분 15.5%)에서 가장 높은 성장, FE 및 WB 수분 함량과 가장 낮은 WB 지질 함량을 나타내었다. 하지만, 다양한 먹이인 배합사료 6종류에 따라 넙치 치어의 생존율 및 WB 의 일반성분 중 단백질 및 회분 함량에서는 차이가 없는 것으로 나타났다.

In Vitro Sensitivity to Metalaxyl of Phytophthora parasitica var. nicotianae Isolates from Burley Tobacco in Korea

  • Kang, Yue-Gyu
    • The Plant Pathology Journal
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    • 제16권4호
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    • pp.222-226
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    • 2000
  • In disease surveys from 1986 ti 1998, disease incidence of tobacco black shank was gradually increased in burley tobacco from 1996. To study the causes of the disease occurrence, one hundred and fourteen isolates of Phytophthora parasitica var. nicotianae (Ppn) were collected from burley tobacco-growing areas in the southern part of Korea during 1996-1997, and tested in vitro for meatlaxyl sensitivity which was determined by measuring the mycelial growth on corn meal agar (CMA) amended with metalaxyl. Of the tested isolates, 78.1% showed sensitive to metalaxyl, having $\textrm{ED}_{50}$ values less than 1.0 $\mu\textrm{g}/$\textrm{ml}, while 1.7% was resistant weth $\textrm{ED}_{50}$ greater than 100 $\mu\textrm{g}/$\textrm{ml}. Ppn isolates from three provinces, Chungnam, Chonbuk and Chonnam showed similar distributions of metalaxyl sensitivity. Metalaxyl-resistant isolates were not significantly different from metalaxyl-sensitive ones in mycelial growth rate, chlamydospore formation capacity and size of the spore, and pathogenicity on tobacco plant (cv. Burley 21). These results suggest that the metalaxyl-resistant Ppn in burley tobacco may be one of the major factors to cause the higher occurrence of the tobacco black shank in the burley tobacco-growing area.

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An Acetophenone Derivative, Clavatol, and a Benzodiazepine Alkaloid, Circumdatin A, from the Marine-Derived Fungus Cladosporium

  • Yang, Guohua;Nenkep, Viviane N.;Siwe, Xavier N.;Leutou, Alain S.;Feng, Zhile;Zhang, Dahai;Choi, Hong-Dae;Kang, Jung-Sook;Son, Byeng-Wha
    • Natural Product Sciences
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    • 제15권3호
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    • pp.130-133
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    • 2009
  • The crude extract of the mycelium of Cladosporium was found to exhibit antimicrobial activity against the Staphylococcus aureus, methicillin-resistant S. aureus, and multidrug-resistant S. aureus. Bioassayguided fractionation of an organic extract led to the isolation of an acetophenone derivative, clavatol (2',4'-dihydroxy-3',5'-dimethylacetophenone) (1), and a benzodiazepine alkaloid, circumdatin A (2). Compound 1 showed moderate antibacterial activity against S. aureus, methicillin-resistant S. aureus, and multidrug-resistant S. aureus with minimum inhibitory concentration (MIC) values of 62.5, 62.5, 31.0 $\mu$g/mL, respectively, but compound 2 was inactive. Compounds 1 and 2 exhibited UV-A protection activity with ED$_{50}$ values of 227.0 and 82.0 $\mu$M, respectively, indicating that they were more potent than the positive control, oxybenzone (ED$_{50}$ 350 $\mu$M), a common sunscreen agent.

Synthesis and Primary Screening for Growth Inhibitors of L1210 Cells of Cholesteryl p-[3-(2-chloroethyl)-3-nitrosoureido] Phenylthioacetate

  • Kim, Jack-C.;Kim, Min-Sook;Lee, Hyeon-Kyuy
    • Archives of Pharmacal Research
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    • 제6권2호
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    • pp.115-121
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    • 1983
  • Cholesteryl p-[3-(2-chloroethyl_-3-nitrosoureido] phenylthioaccetate (2) was synthesized : an intermediate, p-[3(2-chloroethyl_-3-nitrosoureido] phenylthioacetic acid (1) is a congener of an antitumor chlorambucil which both the -CH$_{2}$CH$_{2}$-linkage and -N(CH$_{2}$CH$_{2}$Cl)$_{2}$ group of chlorambucil molecule is doubly modified into the respective -S-linkage and -NH-CO-NNO-CH$_{2}$CH$_{2}$CL group. The attackment of cholesterol moiety as a carrier group to p-[3-(2-chloroethyl-3nitrosoureido] phenylthioacetic acid was accomplished through the esterification of cholesterol with p-[3-(2-chloroethyl-3-nitrosoureido] phenylthioacetyl chloride which was obtained from the treatment of p-[3-(2-chloroethyl)-3-nitrosourei-do] phenylthioaceticacid with SOCL$_{2}$, p-[3-(2-chloroethyl)ureido]]-phenythioacetic acid was nitrosated with NaNO$_{2}$ IN 98-100% HCOOH to give exclusively p-[3-(2-chloroethyl_-3-nitrosoureido] phenylthioacetic acid. Antitumor evaluation of compounds, 1 and 2 on L 1210 leukemia did show significant activity (ED$_{40}$ : 1.14.mu./ml and 8.4.mu.g/ml, repectively). Further studies were subjected..

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$SiO_2$ 첨가에 따른 알루미네이트 유리의 굴절률 분산 특성 (Refractive Index Dispersion of Aluminate Glasses on the Addition of $SiO_2$)

  • 원종원;정용선;오근호
    • 한국세라믹학회지
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    • 제34권7호
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    • pp.693-698
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    • 1997
  • The refractive index and dispersion in the (100-x)(0.6CaO.0.4Al2O3).xSiO2(x=0~30) glasses were investigated. As the amount of SiO2 increased, the refractive index decreased. The change of refractive index was attributed to the change of the molar refraction rather than the molar volume. When the amount of SiO2 was smaller than 20 mol%, the average electronic transition energy gaps(E0) and the electronic oscillator strengths(Ed) were about 10.9($\pm$0.1) nd 18($\pm$0.5)eV, respectively. However E0 and Ed of the glass (CAS30) with 30 mol% SiO2 increased to 12.63 and 19.89eV, respectively. The similar results was observed in the variation of Abbe Number. Abbe number of the glass in the range of 0~20 mol% SiO2 was about 46 and that of CAS30 increased to 60. The zero-material dispersion wavelength({{{{ lambda }}0) of pure calcium aluminate glass was 1.8 ${\mu}{\textrm}{m}$. As the amount of SiO2 increased, the zero-material dispersion wavelength shifted to a shorter wavelength. {{{{ lambda }}0 of CAS30 was 1.5 ${\mu}{\textrm}{m}$, that is currently using for the optical telecommunication system.

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