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        스테로이드 단독치료 후 호전된 경화성 복막염

        윤수인 ( Yun Su In ),김혜영 ( Kim Hye Yeong ),김민옥 ( Kim Min Og ),김학의 ( Kim Hag Ui ),문기원 ( Mun Gi Won ),한정호 ( Han Jeong Ho ),한지숙 ( Han Ji Sug ),채희복 ( Chae Hui Bog ),권순길 ( Kwon Sun Gil ),배일현 ( Bae Il Hyeon ) 대한신장학회 2004 Kidney Research and Clinical Practice Vol.23 No.1

        Sclerosing peritonitis is a rare but fatal complication of peritoneal dialysis (PD). Management of sclerosing peritonitis includes cessation of PD, total parenteral nutrition, and surgery. Recently, a few reports have indicated immunosuppression might be beneficial in sclerosing peritonitis. In these reports, all of patients had the combination therapy of steroid and immunosuppressant. A 37-year old man develped sclerosing peritonitis 3 months after switching from PD to hemodialysis because of uncontrolled peritonitis. An abdominal computed tomography (CT) scan demonstrated massive ascites with multilocuated fluid collection and extensive enhancement of the peritoneum. A peritoneal biopsy showed proliferation of fibrous collagenous tissue with infiltration of lymphocytes. We started corticosteroid for one month. A follow-up CT scan showed complete resolution with absence of peritoneum thickness and fluid collection 16 months after corticosteroid therapy. The paient currently remains free of symptoms in an outpatient hemodialysis unit. To our knowledge, this is the first case of sclerosing peritonitis successully treated with corticosteroid therapy alone in Korea. (Korean J Nephrol 2004;23(1):169-173)

      • KCI등재

        MIEX(R)를 이용한 수처리 효능 평가

        김상구 ( Kim Sang Gu ),손희종 ( Son Hui Jong ),노재순 ( No Jae Sun ),최동훈 ( Choe Dong Hun ),배석 ( Bae Seog Mun ),기원 ( Kwon Gi Won ),신판세 ( Sin Pan Se ),김원경 ( Kim Won Gyeong ) 한국수처리학회 2003 한국수처리학회지 Vol.11 No.3

        N/A The performance of a novel magnetic ion exchange resin supplied by its manufacturer Orica Australia(M1EX? DOC Resin) in terms of the removal of dissolved organic carbon(DOC). reduction in disinfection by-product formation potential, and effects on the removal of turbidity has been investigated. Two water samples(Maeri and prepared raw waters) were first treated with MIEX? at various doses and contact times, followed by conventional coagulation. Measurements of DOC. UV-254. THMFP, HAAFP and turbidity were made at each stage. In addition, readings of anions, including Br- were also obtained. For comparison, conventional coagulation/sedimentation alone was carried out using fixed levels of coagulant of 60㎎/L for Maeri water, and 100 ㎎/l for prepared water respectively. The UV-254 and DOC removals by MIEX? treatment were shown to be superior to cuagulation, ie better by 11-40% and 20-26% for Maeri and prepared raw water respectively. Further coagulation of the 10 mL/L MIEX? treated waters to control turbidity increased the DOC removal by -16%. As MIEX? dose and contact time increased, the additional DOC removal by coagulation showed corresponding decreases. The DOC removal efficiencies by MIEX? treatment alone were 71% and 82% with Maeri and prepared raw waters respectively. while the corresponding figures achieved by coagulation alone were 48% and 49% respectively. The combination of MIEX? and coagulation(main1y to achieve treatment standard for turbidity) in series yielded DOC removal efficiencies of 83% and 88% for the two waters. The reduction in THMFP by MIEX? treatment was better than that achieved by coagulation by 20-49%. More significantly, MIEX? treatment delivered a reduction of HAAFP which was 50% better than that delivered by coagulation. However, the combination of MIEX? and coagulation, when compared with MIEX? treatment alone, showed only marginal improvements in THMFP and HAAFP. indicating that as a pre-treatment method, MIEX? was particularly effective in removing DBP precursors. MIEX? treatment significantly reduced the dose of coagulant which would be needed for turbidity control. In order to reduce the turbidity from 18(Maeri water) and 27 NTU(prepared raw water) to ( 2 NTU, MIEX? pre-treated water samples only required coagulant doses which were up to 80% less than those involved when coagulation alone was used. However. after MIEX? pre-treatment, low alkalinity waters(1ess than 20 ㎎/L) only showed a slight decrease in turbidity. Most anions in water decreased with MIEX? dose and contact time with Br- showing a reduction of up to 70% while Cl- showing a slight increase due to the effect of resin regeneration. This research showed that for Maeri water(5 ㎎/L DOC and 30 NTU), the pre-treatment with MIEX? dose of 10-16 mL/L and a contact time of 30 minutes yielded optimum results for DOC and DBP control. Coagulant dosage for turbidity control in this case decreased by as much as 20-30 ㎎/L(80%).

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