• Title/Summary/Keyword: Continuous treatment

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Treatment of Refractory Chylous Ascites with an Innovative Peritoneovenous Shunt: Temporary Usage of a Continuous Renal Replacement System: A Case Report

  • Park, Jiyoun;Lee, Jae Jun;Lee, Jung Hee;Shim, Young Mog
    • Journal of Chest Surgery
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    • v.55 no.1
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    • pp.81-84
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    • 2022
  • Esophagectomy and esophageal reconstruction are commonly chosen as surgical options for esophageal cancer. However, prolonged untreated chyle leakage is associated with a poor prognosis. We report the case of a patient with refractory chylous ascites. To limit the ongoing fluid loss, we utilized the chylous ascites as an additional fluid source in a renal replacement therapy system. A continuous renal replacement therapy (CRRT) drainage system was modified to drain both the chylous ascites and venous blood. The ascites drainage rate was determined empirically and regulated by a dial-flow extension set. The CRRT mode was set to continuous venovenous hemodiafiltration and maintained for 7 days. After the patient was weaned from CRRT, ascites did not reaccumulate, and the patient's general condition improved dramatically. No infections related to the system occurred. This procedure temporarily alleviates symptoms and provides more time for alternative treatment strategies.

Effect of Aging Treatment on the Microstructure and Mechanical Properties of Mg-6Al-xZn (x : 1.5, 2.5) Alloys Fabricated by Squeeze Casting (용탕단조된 Mg-6Al-xZn (x=1.5, 2.5) 합금(合金)의 미세조직 및 기계적 성질에 미치는 시효의 영향)

  • Kim, Soon Ho
    • Journal of the Korean Society for Heat Treatment
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    • v.12 no.1
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    • pp.1-8
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    • 1999
  • This study has investigated the effect of aging treatment on the microstructure and mechanical properties of Mg-6Al-xZn(x = 1.5, 2.5) alloys fabricated by the squeeze casting process. The microstructures of as-squeeze cast were composed of pro-eutectic ${\alpha}$, super saturated ${\alpha}$ and ${\beta}(Mg_{17}Al_{12})$ compound. Aged at both $200^{\circ}C$ and $240^{\circ}C$, Mg-6Al-xZn alloys showed the peak hardness due to the formation of ${\beta}(Mg_{17}Al_{12})$ precipitates. The discontinuous precipitates of the lamella type are predominant at $200^{\circ}C$ aging treatment, while the finely dispersed continuous precipitates were dominant at $240^{\circ}C$ aging treatment. Mg-6Al-xZn alloys fabricated by the squeeze casting process had the better combination of tensile strength and elongation compared to the conventionally cast alloys. As zinc contents increased, the tensile strength was increased by the solid solution strengthening effect of zinc.

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Optimum Operation of a PVDF-type Hollow Fiber Membrane Bioreactor for Continuous Sewage Treatment

  • Shin, Choon-Hwan
    • Journal of Environmental Science International
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    • v.19 no.11
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    • pp.1315-1322
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    • 2010
  • A membrane bioreactor (MBR) was designed using polyvinylidene fluoride(PVDF)-type hollow fiber membrane modules with a treatment capacity of 10 ton/day. A pilot plant was installed in a sewage treatment plant and was operated with an intermittent aeration method which avoids any concentration gradient of suspended solids (SS) in the MBR. For continuous operation, the pilot plant was first tested with influent (mixed liquor suspended solid:MLSS of 1000-2000 mg/L) of aeration tanks in the sewage treatment plant. The MBR was pre-treated with washing water, 10% ethanol solution, 5% NaOCl solution and finally washing water, one after another. To demonstrate the effect of the MBR on sewage treatment, compared with conventional activated sludge processes, we investigated the relationships among permeate amount (LMH), change in operation conditions, influent MLSS level and sludge production. It was found that the optimum aeration rate and suction pressure were $0.3\;m^3$/min and 30~31 cmHg, respectively. Under stable conditions in aeration, suction pressure, influent flow rate and drainage, the SS removal efficiency was more than 99.99% even when the MLSS loading rate changes. Compared with conventional activated sludge processes, the MBR was more effective in cost reduction by 27% based on permeate amount and by 51.5% on sludge production.

A Phase II Study on Continuous Infusional Paclitaxel and 5-Fu as First-line Chemotherapy for Patients with Advanced Esophageal Cancer

  • Gu, Ming;Li, Su-Yi;Huang, Xin-En;Lin, Yan;Cheng, Hong-Yan;Liu, Lin
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.11
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    • pp.5587-5591
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    • 2012
  • Objective: This study was performed to evaluated the efficacy and safety of continuous infusional paclitaxel and 5-Fu as first-line chemotherapy in patients with advanced esophageal squamous cell cancer (ESCC). Methods: A total of 22 patients with advanced esophageal squamous cell cancer with no indications for surgery and radiation therapy, or recurrent patients were enrolled from October 2008 to November 2010. All were treated with PTX 20 $mg/m^2$ was administered through a 16 hours continuous intravenous infusion on days 1 to 3, 8 and 9. DDP 3.75 $mg/m^2$ was given on days 1 to 4 and 8 to 11, continuous infusional 5-FU over 24-hours on days 1 to 5 and 8 to 12 at a dose of 375 $mg/m^2$, and folacin 60 mg orally synchronized with 5-Fu. The treatment was repeated every 21 days for at least two cycles. Results: 22 cases of all enrolled patients could be evaluated for the effect of treatment: 2 cases were CR, 9 cases PR, 5 cases SD and 2 cases PD, giving an overall response rate of 68.2%(15/22). The median time to progression was 7.0 months. The adverse reactions related to chemotherapy were tolerable; the most common toxic effects were marrow depression, alopecia, and fatigue. Conclusion: Low-dose continuous infusional PTX over 16-hours and 5-fu over 24-hours is a promising regimen with good tolerability in treating patients with advanced esophageal squamous cell cancer.

Aerobic Treatment of Pigment Wastewater using Ceramic Support Carrier (세라믹 담체를 이용한 안료폐수의 호기성처리)

  • Park, Yeong-Sik;An, Gap-Hwan
    • Journal of Environmental Science International
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    • v.10 no.4
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    • pp.281-286
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    • 2001
  • Wastewater from the pigment industry has high levels of organics and is known as hardly biodegradable. The objective of this study is to evaluate the applicability of aerobic fixed-bed boifilm reactor packed with ceramic support carrier for the pigment wastewater treatment. Orange 2(widely used azo pigment) adsorption experiment onto biofilm and activated sludge, and continuous treatment experiments were performed. In batch adsorption experiment, maximum adsorption quantity of biofilm was at least two times higher than that of activated sludge. In continuous experiment using aerobic fixed-bed biodilm reactor, the influent concentration of COD and Orange 2 were 75~500mg/${\ell}$(0.45~3.00kg COD/$m^3.day), 5~50mg/$\ell$(0.03~0.30kg Orange 2/$m^3$.day), respectively. At a COD loading rate 2.5kg COD/$m^3$.day and Orange 2 loading rate of 0.18kg Orange 2/$m^3$.day, removal efficiency of COD and Orange 2 were over 95%, 97%, respectively.

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Retrospect on Refractories in Water Treatment (기존 정수처리방법으로 제거가 어려운 유기물에 대한 실험적 연구)

  • 우달식;남상호
    • Journal of Environmental Health Sciences
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    • v.21 no.4
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    • pp.17-23
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    • 1995
  • As a basic experiment to develope biological pretreatment proces~ in water treatment, the experiments on biodegradability and isothermal adsorption of activated carbon were performed on refractories such as humic acid, $NH_3-N$, phenol and ABS which caused the problems in drinking water treatment. Also, the treatabilities on humic acid were examined in the continuous flow type reactors. The removal efficiencies of humic acid, $NH_3-N$, phenol and ABS in the biodegradable experiments for 5 days were 20.1%, 73.4%, 91.7% and 97.5%, respectively. In the isothermal adsorption test of refractories on activated carbon to be used as a media in the continuous flow type reactors, ABS and phenol are adsorbed easily, but humic acid and $NH_3-N$ are difficult to be done. The removal efficiencies of humic acid in granular activated carbon(GAC) reactor were about 7-8% higher than in biological activated carbon(BAC) reactor. The removal efficiencies of humic acid in biological fluidized bed(BFB) reactor were about 30% in GAC media, but were almost zero in sea sand media.

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A Study on the Prediction of Plate Temperature in Indirectly-Fired Continuous Heat Treatment Furnace (간접 가열방식의 연속식 열처리로내 판(Plate) 온도해석에 관한 연구)

  • Kim Young-Deuk;Kang Deok-Hong;Kim Woo-Seung
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.30 no.6 s.249
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    • pp.514-522
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    • 2006
  • This study has been performed to predict the transient thermal behavior of the plate in indirectly-fired continuous heat treatment furnace. The temperature profiles in the plate are determined solving the transient one-dimensional heat conduction equations. To verify the validity of the present numerical results, the present results obtained from the transient analysis are compared with those of experiments. Extensive parametric investigations are performed to examine the effects of the emissivities of the plate and refractory, plate thickness and velocity, as well as the gas temperature, on the thermal behavior of the plate.

Investigating Wastewater Flow Characteristics - O and M Treatment Basins of A City - (처리분구별 하수발생 특성 조사 - A시 O, M 처리분구 -)

  • Hwang, Byung-Gi
    • Journal of Korean Society of Water and Wastewater
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    • v.19 no.3
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    • pp.348-356
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    • 2005
  • Water quality sampling surveys and continuous measurement of flow were conducted to identify wastewater flow characteristics for representative catchment of O and M treatment basins in A city. For HS-1 station representing commercial area, wastewater flow rises in the beginning of office-working hours, moves up and down within narrow range, and lasts till office-leaving hour, and falls gradually reflecting worker's returning home. However, in HS-2 station representing residential area, wastewater flow has two peaks, which are before office-going hour and after office-leaving hour. In residential area, the flow rate of weekends is higher than that of weekdays because it reflects population, being not contributed to generate wastewater during the working hours of weekdays, stay home and produce wastewater for weekends period. To determine the priority for rehabilitation of sewer system, infiltration rate was computed by dividing infiltration flow by mean diameter and total length of sewer, and HS-1 station ranked the first.

AUTOTRANSPLANTATION OF IMPACTED MAXILLARY ANTERIOR TEETH (CASE REPORTS) (매복된 상악 전치부의 자가이식 치험례)

  • Kim, Ju-Mi;WhangBo, Min;Eum, Jong-Hyuk;Seo, Soo-Jeong;Kim, Shin;Rhee, Ae-Ryon;Kim, Joo-Young
    • Journal of the korean academy of Pediatric Dentistry
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    • v.21 no.2
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    • pp.561-569
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    • 1994
  • The autotransplantation procedure were performed for the cases with impacted maxillary anterior teeth, which were thought unrealistic by the treatment with surgical exposure and orthodontic traction into the arches. The results were as follow : 1. As the treatment with autotransplantation is the last resort, the case indicated should be selected cautiously by adequate case analysis. 2. In order to reduce postoperative complication, damages to periodontal ligaments and adjacent bony structures should be minimized by conservative surgical procedures. 3. After autotransplantation procedures, postoperative endodonic treatment and continuous follow-up check with clinical and radiographic examination should be followed. Although the autotransplantation procedure is not the treatment of choice in most cases, it was thought to be a good alternative in certain cases when orthodontic treatment is unrealistic with continuous study to overcome the handicaps.

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Study on the Improvement of Dietary Life of Cancer Patients during Treatment by Nutrition Counseling (암 치료 시 영양상담을 통한 식생활 개선에 관한 연구)

  • Hong, Keeyoun;Choi, Yunjin;Yan, Wanqin;Lim, Hyunsook;Chyun, Jonghee
    • Korean Journal of Community Nutrition
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    • v.21 no.1
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    • pp.93-101
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    • 2016
  • Objectives: This study investigated the improvement of food habits and eating behavior of cancer patients during treatment through the continuous nutrition counseling and monitoring. Methods: Thirty cancer patients during treatment were participated in this study, and the first nutrition counseling and the first and second monitoring were conducted after 2-3 week intervals. Results: As a result of the nutrition counseling and monitoring, all patients improved to a great extent to consume 3 meals a day. The frequency of having breakfast was significantly increased with the nutrition counseling and continuous monitoring as well. The meal fixed quantity was stabilized and the eating speed slowed down as more nutrition counseling were done. The snack intakes of patients did not show any significant difference after the nutrition counseling but showed a slight decline after the monitoring. The frequencies of eating out and a late-night meal significantly decreased after the monitoring. The intakes of fish, meat, vegetables, milk and fruits needed for a well-balanced diet significantly increased as more nutrition counseling were done. The intakes of processed food were significantly decreased after the nutrition counseling and the intakes of fast food were significantly decreased as more nutrition counseling were done. The water intake of patients also significantly increased. In the eating behavior related to health, the frequency of drinking alcohol significantly decreased after nutrition counseling consultation and no patients had dietary supplements after the first monitoring. Conclusions: These results suggested that continuous nutrition counseling is effective in improving eating habits of cancer patients.