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항암화학요법 중 호중구감소증이 발생한 저위험군 발열 환자들을 대상으로 한 경구 항균제 요법의 임상적 유용성 및 안정성에 대한 연구
김연숙,이혁,기현균,김춘관,김신우,김성민,백경란,김원석,윤성수,이홍기,강원기,박찬형,박근칠,송재훈 대한화학요법학회 2000 대한화학요법학회지 Vol.18 No.1
목적 : 항암화학요법 중 호중구감소증을 동반한 발열이 발생하는 암환자들을 치료하기 위한 다양한 항균제와 여러 가지 방법들이 시도되고 있는 가운데, 합병증과 사망률의 발생가능성이 적은 저위험군 환자들을 대상으로 초기 72시간동안 정주 항균제를 투여한 이후 경구 항균제로 전환하는 요법의 유용성과 안정성을 평가해보고자 본 연구를 시행하였다. 방법 : 1998년 2월부터 1999년 9월까지 본원에서 항암화학요법 중 호중구감소증과 발열이 발생한 환자들 가운데 기저 암질환이 고형암이거나 림프종이고, 입원당시 패혈증의 증후가 없으며 입원 72시간이내에 해열되고 백혈구수치가 증가 추세인 환자들을 대상으로 하여 72시간 동안 정주 항균제를 투여한 이후 경우 ciprofloxacin 750㎎을 하루 2회씩 투여하여 총 4일간 투여하였다. 모든 환자들은 열이 떨어지고 호중구감소증이 회복될 때까지 입원하도록 하였다. 결과 : 총 38명 환자의 40예가 등록이 되었고, 환자들의 기저암 질환은 고형함이 72.5%, 림프종이 27.5%였다. 입원당시 평균 호중구치수는 156/㎕였고, 호중구수치가 100/㎕미만인 경우는 65%였으며, 호중구감소증이 지속된 기간의 평균은 2.4일이었다. 40예 중 39예가 항균제의 변형이나 추가 없이 호중구감소증과 발열로부터 회복이 되어 97.5%의 성공율(95% 신뢰구간: 86.8-99.9%)을 보였다. 부작용으로 피부발진이 있었던 경우가 한 예 있었는데, 증상이 경하여 경구 항균제를 지속할 수 있었다. 심와부의 동통으로 복용을 지속할 수 없어서 대상에서 제외된 예가 또 한 예 있었다. 결론 : 항암요법 중 호중구감소증과 발열을 동반한 환자들 가운데 저위험군 환자들에서 항균제 72시간정주 이후 경구 항균제로의 전환요법은 효과적이고도 안전한 치료방법이라고 할 수 있다. Background : Oral antibiotic therapy following empirical intravenous antibiotics may be effective and safe for febrile neutropenic patients with lowrisk for complications. Methods : We conducted a prospective clinical trial of oral antibiotic therapy in the patients with neutropenia and fever during chemotherapy for cancer. Underlying malignancies were solid tumor or lymphoma with short duration of neurtropenia and the patients had no evidence of clinically or microbiologically documented infections. Oral ciprofloxacin was given to the patients who lacked signs of sepsis on admission, had a rising tendency of neutrophil count (ANC >100 /㎕ ) at 72 hours, and were afebrile at 72 hours. All patients were hospitalized until neutropenia and fever resolved. Results : A total of 40 episodes of 38 patients were enrolled from February 1998 to September 1999. The mean neutrophil counts on admission were 156/㎕ and the mean duration of neutropenia was 2.4 days. The episodes which had neutrophil count below 100 /㎕ were 26 (65%). Treatment was successful in 39 of 40 episodes (97.5% : 95 % confidence interval, 86.8% to 99.9%). Adverse reactions of oral ciprofloxacin were skin rash and epigastric soreness in two cases, respectively. There were no deaths during the study. Conclusions : For low-risk febrile patients with neutropenia during cancer chemotherapy, switch therapy to oral ciprofloxacin at 72 hours following intravenous broad-spectrum antibiotics is effective and safe,
Hong, Sungmin,Min, Kyung-Deok,Nam, Byeong-Uk,Park, O Ok The Royal Society of Chemistry 2016 Green Chemistry Vol.18 No.19
<P>The goal of this study was to develop ecofriendly bioplastics, which could be applicable in beverage packaging, by synthesizing furan-based co-polyesters and incorporating them into bottles. The furan-based co-polyesters were synthesized by a two-step melt polycondensation reaction using ethylene glycol (EG), 1,4-cyclohexanedimethanol (CHDM), and dimethyl furan dicarboxylate (DM-FDCA). The incorporation of CHDM into the main chain of polymers has been found to increase the chain mobility due to its ring-conformational transition, and it also affects the co-polyesters. The co-polyesters show not only high elongations at break, but also improved Izod impact strengths compared to that of pure poly(ethylene furanoate) (PEF). Despite these characteristics, however, the molecular weights of the co-polyesters were not sufficient for manufacturing purposes. Thus, some samples were further reacted in the solid state by solid state polymerization (SSP) to generate higher-molecular-weight polymers. The crystallization kinetics of the co-polyesters prepared were analyzed to determine the reaction parameters, and the sample whose intrinsic viscosity was greater than 1.0 dL g(-1) was successfully processed into bottles. The bottles prepared had higher O-2-barrier properties and lower acetaldehyde contents than those of commercially available PET bottles. The results obtained so far show that furan-based co-polyesters can be used for food-packaging applications.</P>
SNAIL: an IP-based wireless sensor network approach to the internet of things
Sungmin Hong,Daeyoung Kim,Minkeun Ha,Sungho Bae,Sang Jun Park,Wooyoung Jung,Jae-Eon Kim IEEE 2010 IEEE wireless communications Vol.17 No.6
<P>Recent technological progress has been materializing the Internet of Things (IoT), which is breathing new computational and communicational capability into anything in everyday life. An important step toward the IoT would be to facilitate suitable wireless sensor network technologies based on a verified standard protocol, the Internet Protocol, to support the network of things. An increase in research efforts has led to maturity in this field, yet there seem to be gaps to be filled because of the focus on how to adapt the IP to the space of things. This article introduces the Sensor Networks for an All-IP World (SNAIL) approach to the IoT. The proposed architecture includes a complete IP adaptation method. It also includes four significant network protocols: mobility, web enablement, time synchronization, and security. The feasibility and interoperability of the proposed approach is confirmed by the implementation of SNAIL platforms and tests on a testbed built in the Korea Advanced Research Network.</P>
Sungmin Hong,Wook Lee,Han Ho Song,Seongwon Kang 한국전산유체공학회 2014 한국전산유체공학회 학술대회논문집 Vol.2014 No.10
Large eddy simulations (LES) of a turbulent diffusion flame with a hybrid fuel of methane and hydrogen are carried out to investigate the effects of various operating conditions on the flame shape fuel consumption rate, and pollutants formation. A parametric study is performed by using methane/hydrogen ratios, background pressures and temperatures, where the pressure and temperature are elevated to the level that can be found at the end of compression stroke in an internal combustion engine. A flamelet-progress variable approach (FPVA) and a dynamic subgrid scale (SGS) model are used to for LES. The statistics of flow fields and chemical compositions reasonably agree with previous experiments and simulations in the standard temperature and pressure. In this condition, the parametric study results also show consistent with previous studies. It is found that the effects of added hydrogen are consistent for most of the chemical species in all the tested background conditions, while there are some discrepancies in the flow fields of some species such as OH, NO, CO at higher pressure and temperature conditions, as compared to those in the standard conditions. Finally, the effect of hydrogen addition on flame stability in different background conditions is investigated by the pressure fluctuations.