• 제목/요약/키워드: Better Treating

검색결과 340건 처리시간 0.028초

Determination and Variation of Core Bacterial Community in a Two-Stage Full-Scale Anaerobic Reactor Treating High-Strength Pharmaceutical Wastewater

  • Ma, Haijun;Ye, Lin;Hu, Haidong;Zhang, Lulu;Ding, Lili;Ren, Hongqiang
    • Journal of Microbiology and Biotechnology
    • /
    • 제27권10호
    • /
    • pp.1808-1819
    • /
    • 2017
  • Knowledge on the functional characteristics and temporal variation of anaerobic bacterial populations is important for better understanding of the microbial process of two-stage anaerobic reactors. However, owing to the high diversity of anaerobic bacteria, close attention should be prioritized to the frequently abundant bacteria that were defined as core bacteria and putatively functionally important. In this study, using MiSeq sequencing technology, the core bacterial community of 98 operational taxonomic units (OTUs) was determined in a two-stage upflow blanket filter reactor treating pharmaceutical wastewater. The core bacterial community accounted for 61.66% of the total sequences and accurately predicted the sample location in the principal coordinates analysis scatter plot as the total bacterial OTUs did. The core bacterial community in the first-stage (FS) and second-stage (SS) reactors were generally distinct, in that the FS core bacterial community was indicated to be more related to a higher-level fermentation process, and the SS core bacterial community contained more microbes in syntrophic cooperation with methanogens. Moreover, the different responses of the FS and SS core bacterial communities to the temperature shock and influent disturbance caused by solid contamination were fully investigated. Co-occurring analysis at the Order level implied that Bacteroidales, Selenomonadales, Anaerolineales, Syneristales, and Thermotogales might play key roles in anaerobic digestion due to their high abundance and tight correlation with other microbes. These findings advance our knowledge about the core bacterial community and its temporal variability for future comparative research and improvement of the two-stage anaerobic system operation.

소아 알레르기 비염의 진단과 치료 (Allergic rhinitis in children : diagnosis and treatment)

  • 나영호
    • Clinical and Experimental Pediatrics
    • /
    • 제49권6호
    • /
    • pp.593-601
    • /
    • 2006
  • Allergic rhinitis is a common disease of childhood characterized by nasal, throat, and ocular itching, rhinorrhea, sneezing, nasal congestion. Those affected with allergic rhinitis often suffer from associated inflammatory conditions of the mucosa, such as allergic conjunctivitis, rhinosinusitis, asthma, otitis media with effusion, and other atopic conditions, such as eczema and food allergies. Allergic rhinitis must be diagnosed and treated properly to prevent complications and impaired quality of life. Despite a high prevalence, allergic rhinitis isoften undiagnosed and inadequately treated, especially in the pediatric population. The first step in treatment is environmental control when appropriate. It may be difficult to eliminate all offending allergens effectively to reduce symptoms, so medications are often required. Many different classes of medications are now available, and they have been shown to be effective and safe in a large number of well-designed, clinical trials. Antihistamines are effective in treating immediate symptoms of sneezing, pruritus, watery eyes, and rhinorrhea. Second generation antihistamines are the preferred antihistamines because of their superior side effect profile. Thus, decongestants are commonly used with oral antihistamines. Intranasal corticosteroids are the most effective therapy for allergic rhinitis. Leukotriene modifier may be as effective as antihistamines in treating allergic rhinitis symptoms. Cromolyn sodium is an option for mild disease when used prophylactically, and ipratropium bromide is effective when rhinorrhea is the predominant symptom. When avoidance measures and medications are not effective, specific immunotherapy is an effective alternative. Only immunotherapy results in sustained changes in the immune system. Because of improved understanding of the pathogenesis, new and better therapies may be forthcoming. The effective treatment of allergic rhinitis in children will reduce symptoms and will improve overall health and quality of life, making a happier, healthier child.

Skoog씨 변법을 이용한 액취증의 치료 (The Treatment of Osmidrosis Axillae by Use of Modified Skoog's Method)

  • 임영민;최종우;김기호
    • Archives of Plastic Surgery
    • /
    • 제32권2호
    • /
    • pp.245-249
    • /
    • 2005
  • Various surgical procedures have been described for treating osmidrosis axillare. Elimination of the apocrine glands is prime goal. Optimal operative procedure is characterized as follows: minimal axillary scar(which has cosmetic merits), less complications such as hematoma and seroma, short and less painful recuperating period, minimal damage to the skin and low recurrence rate. Three types of incision technique in subdermal shaving method have beeb commoly used. First, single incision method has an advantage of minimal scarring but more recurrence due to incomplete removal of apocrine glands may occur. Second, double incision technique(Bipedicled flap) has advantages of complete excision, low recurrence rate and relatively minimal scarring, but it could cause frequent necrosis of skin and folding of skin flap. Skoog's method is the third method, which makes four flaps by offset cruciate incisions. It is a better technique in aspect of complete excision of apocrine glands and low recurrence rate but has disadvantages such as development of hypertrophic scar or scar contracture in the line that lies perpendicular to natural axillary skin crease. We used a modified procedure which has shorter length in vertical and transverse incision compared with the classic Skoog's method. We dissected further subcutaneous tissue through the diamond-shaped incision and utilize wide operation field that provide adequate excision of subdermal tissue and proper hemostasis. Between 1999 and 2004, we operated 160 osmidrosis axillare in 80 patients in this technique. Most patients obtained satisfactory result with very low complications. Hematoma or seroma 3.1% Infection 0.6% Partial wound disruption 10% Recurrence 1.2%. Modified Skoog's method for treating osmidrosis axillae could be a optimal technique providing wide operation field for adequate excision of apocrine glands and proper hemostasis and leaving relatively inconspicuous scar and low incidence of scar contracture.

Active control of a nonlinear and hysteretic building structure with time delay

  • Liu, Kun;Chen, Long-Xiang;Cai, Guo-Ping
    • Structural Engineering and Mechanics
    • /
    • 제40권3호
    • /
    • pp.431-451
    • /
    • 2011
  • Time delay inevitably exists in active control systems, and it may cause the degradation of control efficiency or instability of the systems. So time delay needs to be compensated in control design in order to eliminate its negative effect on control efficiency. Today time delay in linear systems has been more studied and some treating methods had been worked out. However, there are few treating methods for time delay in nonlinear systems. In this paper, an active controller for a nonlinear and hysteretic building structure with time delay is studied. The nonlinear and hysteretic behavior of the system is illustrated by the Bouc-Wen model. By specific transformation and augmentation of state parameters, the motion equation of the system with explicit time delay is transformed into the standard state space representation without any explicit time delay. Then the fourth-order Runge-Kutta method and instantaneous optimal control method are applied to the controller design with time delay. Finally, numerical simulations and comparisons of an eight-story building using the proposed time-delay controller are carried out. Simulation results indicate that the control performance will deteriorate if time delay is not taken into account in the control design. The simulations also prove the proposed time delay controller in this paper can not only effectively compensate time delay to get better control effectiveness, but also work well with both small and large time delay problems.

Clinical Observation and Therapeutic Evaluation of Rh-endostatin Combined with DP Regimen in Treating Patients with Advanced Esophageal Cancer

  • Deng, Wen-Ying;Song, Tao;Li, Ning;Luo, Su-Xia;Li, Xiang
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제15권16호
    • /
    • pp.6565-6570
    • /
    • 2014
  • Objective: To observe the curative effects of rh-endostatin combined with DP regimen in treating patients with advanced esophageal cancer and analyze the correlation of CT perfusion (CTP) parameters and the expression of vascular endothelial growth factor (VEGF). Methods: Twenty patients with esophageal cancer confirmed pathologically were randomly divided into combined treatment (rh-endostatin+DP regimen) group and single chemotherapy group, 10 patients in each group, respectively. All patients were given conventional CT examination and CTP imaging for primary tumor. The level of VEGF, the size of tumor and CTP parameters (BF, BV, PS and MTT) before treatment and after 2 cycles of treatment were determined for the comparison and the correlation between CTP parameters and VEGF expression was analyzed. Results: the therapeutic effect of rh-endostatin+DP regimen group was superior to single chemotherapy group. VEGF level after treatment in rh-endostatin+DP regimen group was obviously lower than single chemotherapy group (P<0.01). The expression of VEGF had positive correlation with BF and BV but negative correlation with MTT. Compared with treatment before for rh-endostatin+DP regimen group, BF, BV and PS decreased while MTT increased after treatment (P<0.05). However, there were no significant differences between treatment before and after treatment in single chemotherapy (P>0.05). Conclusions: Rh-endostatin can down-regulate the expression of VEGF in esophageal cancer, change the state of hypertransfusion and high permeability of tumor vessels and had the better curative effect and slighter adverse reactions when combined with chemotherapy.

Human Recombinant Endostatin Combined with Cisplatin Based Doublets in Treating Patients with Advanced NSCLC and Evaluation by CT Perfusion Imaging

  • Zhang, Feng-Lin;Gao, Er-Yun;Shu, Rong-Bao;Wang, Hui;Zhang, Yan;Sun, Peng;Li, Min;Tang, Wei;Jiang, Bang-Qin;Chen, Shuang-Qi;Cui, Fang-Bo
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제16권15호
    • /
    • pp.6765-6768
    • /
    • 2015
  • Aims: To study the effectiveness of human recombinant endostatin injection (Endostar(R)) combined with cisplatin doublets in treating advanced non-small cell lung cancer (NSCLC), and to evaluate outcome by CT perfusion imaging. Methods: From April 2011 to September 2014, 76 patients with advanced NSCLC who were treated with platinum-based doublets were divided into group A (36 patients) and group B (40 patients). Endostar(R) 15mg/day was administered 4 days before chemotherapy and combined with chemotherapy from day 5 in group A, and combined with chemotherapy from the first day in Group B. Endostar(R) in the two groups was injected intravenously for 14 days. Results: Treatment effectiveness in the two groups differed with statistical significance (p<0.05). Effectiveness evaluated by CT perfusion imaging, BF, BV, MTT and PS also demonstrated significant differences (all p<0.05). Adverse reactions in the two groups did not significantly vary (p> 0.05). Conclusions: The response rate with Endostar(R) administered 4 days before chemotherapy and combined with chemotherapy from day 5 in group A was better than Endostar(R) combined with chemotherapy from the first day, and CT perfusion imaging could be a reasonable method for evaluation of patient outcomes.

Efficacy and Safety of Laser Surgery and Transurethral Resection of the Prostate for Treating Benign Prostate Hyperplasia: a Network Meta-analysis

  • Wang, Li;Yu, Qiu-Yan;Liu, Yan;Zhu, Zhen-Li;Huang, Yuan-Wei;Li, Ke
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제17권9호
    • /
    • pp.4281-4288
    • /
    • 2016
  • Background: Traditional meta-analyses or systematic reviews of randomized controlled trials (RCTs) have been used to compare laser surgeries and transurethral resection of the prostate (TURP) for benign prostate hyperplasia (BHP), but they cannot provide a hierarchy regarding efficacy and safety of treatment. Objective: We therefore performed a network meta-analysis (NMA) to compare and create hierarchies for efficacy and safety of TUPR and laser surgeries for BPH. Materials and Methods: We searched for reports of RCTs published up to April 25, 2015. After methodological quality assessment and data extraction, we performed an NMA to compare TURP and laser surgeries for BPH. Results: We ranked the treatments of TURP and laser surgeries for BPH. For IPSS at 6 months, holmium laser resection of the prostate (HoLRP) ranked the first-best and at 12 months, holmium laser enucleation of the prostate (HoLEP). For Qmax at 6 and 12 months, HoLEP ranked the first-best; for operative time it was TURP; for cathedral removal time, diode laser enucleation of the prostate (DiLEP) ranked the first-best. Conclusions: Although TURP is considered the gold standard for treating BPH, it is not better in terms of efficacy and safety compared with the laser surgery. Our NMA created hierarchies for the 9 types of surgery in terms of efficacy and safety, which should help clinicians choose the best approach for the individual patient.

초등학생 요충 감염증에 대한 집단 치료 양식 (Chemotherapeutic trial to control enterobiasis in schoolchildren)

  • 양용상;김선용
    • Parasites, Hosts and Diseases
    • /
    • 제35권4호
    • /
    • pp.265-270
    • /
    • 1997
  • 초등학생 요충의 집단 검사와 치료시 진단 방법의 한계로 인하여 다음과 같은 점을 고려하여야 한다 즉. 항문 주위 도말법 양성인 어린이와 같은 반의 어린이를 동시에 치료할 필요가 있는가\ulcorner 양성인 어린이의 가족을 동시에 치료할 필요가 있는가\ulcorner 일년에 한 번 검사 후 투약하는 것보다 검사 후 양성자는 치료를 6개월 후 한 번 더 반복하는 것이 나은가\ulcorner 이런 질문에 답하기 위하여 양성자만 치료. 전 급우와 양성자 가족 동시 치료. 양성자와 양성자 가족 동시치료 이 세 가지를 한 번만 치료하는 것과 6개월 후에 반복하는 것으로 학생 집단을 나누어 일년 후 추적 검사하여 결과를 비교하였다. 그 결과. 모든 대상자를 양성자의 가족과 동시에 치료하는 것이 일년 후 양성률의 감소에 가장 효과적임을 알 수 있었다. 또한 요충 치료에서 감염자의 유입과 더불어 가족 감염이 매우 중요한 재감염의 요인임을 다시 한 번 확인할 수 있었다. 그러나 양성률이 30% 미만으로 낮은 집단에서는 양성자만 치료하는 것도 일년 뒤의 집단의 양성률을 낮추는 데 기여함을 알 수 있 었다. 앞으로 대상 양성률이 낮을 때의 상황에 대한 조사가 더 필요하다.

  • PDF

인삼 재배 시 토직모 생산에 적합한 유기물 선발 (Selection of Suitable Organic Matter for To-jik Nursery in Panax ginseng C.A. Meyer)

  • 김동원;김희준;박종숙;김대향;정성수;류정
    • 한국약용작물학회지
    • /
    • 제18권2호
    • /
    • pp.74-78
    • /
    • 2010
  • This experiment was carried out to select suitable organic matter in To-jik nursery (self soil nursery) for complement To-jik nursery's defects that are deterioration of raw material by poor quality of seed ginseng and reduction of the quantity in seed ginseng production. Organic matter used were Yacto, rice bean, defatted rice bran, soybean cake and their mixture. As follows, bulk density in soil physical property by treating organic composts was the greatest in soybean cake and the next was followed by mix, Yacto, defatted rice bran, and rice bran treatment in order. Soil pore space ratio was totally the opposite; that was rice bran the first and followed by defatted rice bran, Yacto, mix and soybean cake treatment. The incidence rate of damping off by treating organic composts was 1.5% in both soybean cake and mix while the others was 1.0%. Emergence time was the same among treatment on April 16 and Emergence rate was the highest at 73% in Yacto. There was no significant differences among treatment in the growth of aboveground part but it was a little better in defatted rice bran treatment. In Yacto treatment, the growth of underground part, total root number per kan, rate of first grade ginseng seedling, and rate of usable ginseng seedling etc. were entirely higher but there was little differences. Using defatted rice bran was slightly lower in productivity compared to Yacto, but the possibility was high as a alternative for Yacto in a view of managing cost down.

긴장성 두통의 추나치료에 대한 임상 고찰: Pubmed와 국내문헌 중심으로 (A Review of Chuna Manual Therapy for Tension Type Headache: Focusing on Pubmed and Korean Literature)

  • 김주용;김보현;김혜빈;육태한;김종욱
    • 척추신경추나의학회지
    • /
    • 제11권1호
    • /
    • pp.1-10
    • /
    • 2016
  • Objectives : The purpose of this study was to review the effectiveness of Chuna manual therapy for the treatment of tension type headache(TTH). Methods : All processes were independently carried out by three investigators. Literature search was performed in 3 databases(pubmed, OASIS, NDSL) from their inception to May 2016. Searched reports was twice excluded for title, abstract and body. And then, data extract and analysis was done before assessing risk of bias by Cochrane Handbook. Results : 11 RCT were included. Generally, Fascia Chuna therapy and Chuna spine & joint manipulation therapy were used for TTH. Except for 1 report, Chuna manual therapy was shown to be effective in treating TTH. In assessing risk of bias, because of the characteristic of intervention, blinding of participants was high risk of bias in most reports. Conclusions : Chuna manual therapy was shown to be effective in treating TTH. In korea, better designed trials with high quality is needed from now on.

  • PDF