• Title/Summary/Keyword: 간이식

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Current Status of Pediatric Liver Transplantation (소아 간이식의 현재)

  • Kim, Kyung-Mo
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.10 no.1
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    • pp.1-10
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    • 2007
  • Outcome of liver transplantation for children with end liver disease has been improved markedly during last two decades. Improvement of immunosuppressive agent and its strategy to use in children, development of innovative surgical technique, and better understanding of the course of liver transplantation attributed to better outcome of pediatric liver transplantation. Therefore this review article will focus on the problems which can occur during pre- and post-transplantation period, current strategy to use immunosuppressive agent for the better understanding of pediatrician who is not involved in transplantation but takes care of the children pre- and postoperatively.

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활어 수송을 위한 기초연구 2. 조피볼락(Sebastes schlegeli)의 산소소비율에 미치는 수온의 영향

  • 전중균;김완수;김병기;명정구;김유희;이수형;김영명;김종만
    • Proceedings of the Korean Society of Fisheries Technology Conference
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    • 2000.05a
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    • pp.312-313
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    • 2000
  • 활어 수송은 목적에 따라 크게 소비용 성어의 수송과 생산용 종묘의 수송으로 나눌 수 있으며 육상·해상·항공 수단을 이용하여 운반되는데, 우리 나라에서는 대부분 간이식 산소공급장치를 장착한 활어 차량을 이용하지만 활어 수송량에 비해 물이 지나치게 많아 비효율적이다. 게다가 수송 중 어류 상호간의 마찰, 대사노폐물의 축적에 따른 수중 암모니아 독성의 증가, 이산화탄소 농도의 증가로 인한 체액의 산혈증(acidosis) 등으로 폐사하는 경우도 있다. (중략)

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A Case of Hyperacute Liver Failure from Mushroom Intoxication in a Child Treated with Penicillin (페니실린으로 완치한 버섯 중독에 의한 소아 급성 간부전 1예)

  • Kwak, Byung-Ok;Bae, Sun-Hwan
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.11 no.2
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    • pp.210-213
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    • 2008
  • Hyperacute liver failure from mushroom intoxication in children is rare and has a low survival rate. We report a case of hyperacute liver failure from mushroom intoxication in a 29-month-old boy. The patient ingested a mushroom about three days prior to presentation. He was admitted to the hospital with vomiting, abdominal pain, seizures, and hematemesis. During the hospitalization the patient developed hepatic encephalopathy (stage IV-a), and a coagulopathy. He recovered fully with specific medication, Penicillin GK and N-acetylcysteine.

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Introduction to a CAE Development Based on Simplified Grillage Model for Ship Docking Analysis (선박 도킹 시 간이화된 격자 모델을 사용한 효과적인 CAE 시스템 개발 사례)

  • Kim, Seong-Chan;Yu, Cheol-Ho;Lee, Jang-Hyeon;Lee, Gyeong-Seok
    • Computational Structural Engineering
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    • v.22 no.4
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    • pp.89-94
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    • 2009
  • 최근에 선박의 도킹해석은 3차원 전선 구조 해석을 통해 수행되어 왔으나 도킹해석 모델을 구성하는데 많은 시간과 노력이 필요하였다. 전선구조해석 모벨을 만들기 위해 필요한 선박구조 도면이 완성되기 전인 초기 설계단계에서 도킹시 반목배치를 조기에 확정하고, 구조 안정성을 확보하기 위한 노력이 요구되어 왔기 때문에 간이화된 도킹 해석 프로그램을 개발하게 되었다. 2차원 격자구조를 이용한 도킹해석기법을 통해 얻은 반목에서의 지지력이 3차원 전선해석모델을 사용하여 얻은 반목에서의 반력 결과와 비교해 타당한 결과를 보여 주고 있음을 확인하였다. 간이화된 도킹용 해석 프로그램을 개발하였으며, 다음과 같은 기능을 갖추어 사용자가 쉽게 격자 구조 모델을 생생하고 해석을 수행할 수 있도록 구성하였다. 향후 각 요소의 단면 특성치를 자동으로 산정하는 기능이 추가되어야 한다. 그리고 부유식 도크(Floating dock)에서의 도킹해석은 본 개발의 대상이 된 건식 도크(Dry dock)에서의 경우와 다른 고려사항이 추가되어야 하기 때문에 향후 추가적인 연구와 개발을 통해 새로운 기능으로 포함될 것이다.

Analysis of Hydraulic Lift Force of a Fuel Assembly (핵연료 집합체에 대한 수력적 양력의 해석)

  • Sim, Yoon-Sub;Oh, Dong-Seok;Hong, Soung-Dug;Kwon, Hyuk-Sung
    • Nuclear Engineering and Technology
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    • v.22 no.2
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    • pp.95-100
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    • 1990
  • The exact expression for the 1151 force on a fuel assembly in a reactor core is derived in terms of calculable hydraulic parameters. The relation for the lift force. pressure drop, buoyancy force, viscous force. and fuel assembly weight is discussed. Based on the derived exact expression. error analysis is made for a simple expression applying COBRA IV-i to a typical PWR fuel assembly. The error analysis revealed that the error of the simple expression consists of four terms and the overall error depends on the flow rate change direction, and its magnitude is about 1%.

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Experiences of Pregnancy and Childbirth in Women after Liver Transplantation (간이식 여성의 임신과 출산 경험)

  • Ha, Hea Seon;Lim, Kyung-Choon;Hong, Jung Ja;Kim, In Ok;Jeon, Mi Kyeong;Jeong, Jae Sim;Lee, Soon Haeng;Son, Haeng Mi;Yi, Myungsun;Lee, Sung Gyu
    • Korean Journal of Adult Nursing
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    • v.25 no.6
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    • pp.690-700
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    • 2013
  • Purpose: Liver transplantation (LT) is the best treatment for patients with end-stage liver disease and most patients with LT return to their normal life. However, pregnancy and childbirth for women with LT are less common, mainly because it is considered to be dangerous for their health. The purpose of this study was to describe how Korean women after LT experience their pregnancy and childbirth. Methods: This study was designed to explore the experiences of pregnancy and childbirth of women with LT. Data were collected by individual in-depth interviews with four women who were pregnant and gave birth following LT in 2009. All interviews were audio-taped and transcribed verbatim. The transcribed data were analyzed using qualitative content analysis. Results: Four themes emerged as a result of analysis: recovery of lost feminity and marriage; fulfilling roles through pregnancy; life-risking pregnancy; and perfect family achieved by childbirth. These themes describe in detail about challenges and concerns the women with LT faced for their pregnancy and childbirth as well as many emotionally touching experiences. Conclusion: The results of this study would support health professionals to be better prepared to help women with LT for pregnancy and childbirth by providing in-depth and insightful information.

Current Interventions to Improve Adherence to Immunosuppressants in Liver Transplant Recipients: a Systematic Review (간이식 환자의 면역억제제 복용이행 관련 중재에 관한 체계적 문헌고찰)

  • Kim, So Hee;Lee, Young Joo;Lee, Sun Young;Chu, Sang Hui
    • Journal of Korean Biological Nursing Science
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    • v.18 no.1
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    • pp.17-26
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    • 2016
  • Purpose: Adherence to immunosuppressants is the key to prevent organ rejection in organ transplant recipients. The purpose of this study was to investigate current interventions to improve adherence to immunosuppressants in liver transplant recipients. Methods: A systemic literature search was done using PubMed, Embase, Cochrane Library, CINAHL and four Korean databases to identify experimental studies reported in English or Korean up to and including 2015. We identified eight intervention studies on the adherence to immunosuppressants in liver transplant recipients independently reviewed by two reviewers. The quality and risk of bias of the selected studies were assessed. Results: Education, conversion of regimen, and text messaging were identified as intervention techniques to improve adherence. We found positive results in three out of four studies implementing educational strategies, but the results were not sufficient to draw a definite conclusion. Conversion from a twice-daily tacrolimus-based regimen to a once-daily tacrolimus extended-release formula was used in three adult-only studies and its effectiveness was confirmed. One study showed that improved adherence and outcomes were effected by using text messaging with pediatric patients. Conclusion: Future research is needed to facilitate interventions to improve adherence to immunosuppressants in various ages of patients including pediatric/adolescent liver transplant recipients.

Validity of Ultrasonography in the Diagnosis of Non-alcoholic Fatty Liver Disease in Living Liver Donors (생체 간이식 공여자에서 비알코올성 지방간 질환의 진단에 있어서 초음파검사의 타당도 연구)

  • Kim, Yon-Min;Han, Dong-Kyoon
    • The Journal of the Korea Contents Association
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    • v.11 no.10
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    • pp.342-348
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    • 2011
  • The study aimed to compare the validity between the abdominal ultrasonographic(US) grading system of fatty liver and histologic grading system of fatty liver in living liver donor candidates. As the fatty liver is defined as pathologic total fat >10%, US validity was sensitivity 64.6%, specificity 68%, positive predictive value 76.8%, negative predictive value 54%. As the strict data handling on US grading normal, mild fatty liver are negative, moderate fatty liver is positive, US validity was sensitivity 26.8%, specificity 100%, positive predictive value 100%, negative predictive value 45.5%. ROC curve analysis according to different cut off value of liver-to-kidney brightness ratio was Area under ROC curve=0.859(95% CI=0.795~0.922, state variable= total fat 10%). There were statistically significant difference( p<0.001). Ultrasonography for the fatty diagnosis showed a high validity to predict the result of histology grade of fatty liver.

Uncertainty and Factors Affecting Organ Donation in Living Liver Donors (생체 간이식 공여자의 불확실성과 간 공여 영향 요인)

  • Chon Hee Ok;Park Ho Ran;Park Jin Hee
    • Journal of Korean Public Health Nursing
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    • v.19 no.1
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    • pp.129-138
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    • 2005
  • As the patients who need to undergo liver transplant operation continues to grow. the number of livers that are donated can not keep pace with the demand. With the development of surgery skills, the necessity for operations from living donors is increasing. Nevertheless, satisfactory research has been conducted on the factors which generally affect the living donors. In this article. therefore. researchers focused on the factors which generally affect the donating liver donor in order to design a plan for recommending liver donation from living donors. The subjects were 91 living liver donors in C university hospital from October 1. 2000 to December 31. 2003. The results on the uncertainty of living donor, by test sheet. were analyzed with SAS program. The final results were as follows: 1. The uncertainty of the living donors was 51.54 marks per full credit 100. 2. The factor with the greatest effect on donation was the possibility of survival of the donor, followed by the admission period. marriage status and age. In recommending the living donation, the rate of donor survival after the operation was 5.2 times higher than death, 5.2 times higher when the admission period was under 20 days. 5.0 times higher when married. and 27.3 times higher when the family-related donation was very active at the age of 20s than in the 50s. These results suggest that all medical staffs should care for living donors with more interest and activity to give them the least complaints in admission and the lowest possibilities for complication. To enhance the survival rate and improve the surgical success rate. on-going monitoring should include regular health-checks. and continual efforts and education should be made to care for the health condition of the living donors after donation.

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