• Title/Summary/Keyword: Donor management

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Donor Selection, Management, and Procurement for Lung Transplantation

  • Yu, Woo Sik;Son, JeongA
    • Journal of Chest Surgery
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    • v.55 no.4
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    • pp.277-282
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    • 2022
  • Lung transplantation is a life-saving procedure in patients with end-stage lung disease. However, it inherently depends on the availability of donor organs. The selection of suitable lungs for transplantation, management of donors to minimize further injury and improve organ function, and safe procurement remain critical for successful transplantation. In this review, we provide an update on the current understanding of donor selection, management, and lung procurement.

Pre and Post Operative management of Living Kidney donor - Focus on bioethical aspect - (생체신 공여자의 수술전후 관리에 대한 연구 -윤리적인 측면을 중심으로-)

  • Kim Myung-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.2 no.2
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    • pp.139-154
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    • 1995
  • The purpose of this study was presented basic data for management of living kidney donor to make bioethical decision. The research subjects were the documents and progress notes of Doctor's and Nurses in medical records related to kidney donation and nephrectomy of 20 kidney donors who received nephretomy at 4 general hospitals in Pusan. The result of this study, a desirable documents to help the living kidney donor might include following : 1st, identification of the donor and the guardian. 2nd, confirmation of the intension of kidney donor which is based on humanity or not and 3rd, a written oath about Nephrectomy. Especially it is more desirable to participate of paramedical personnels such as the religious, the social workers, the counsellors, and etc when assess the motivation of kidney donor and to use of a formulated visual educational materials about renal angiography and nephrectomy which required written consent of kidney donor. Further more, the donor should be educated sufficiently about the kidney itself and procedure for nephrectomy-the anatomical position of kidney, the function of the kidney, the operative maneaver, pre and post operative complication, the prevention of the complication, the possiblity of rejection phenomenon and loss of the transplanted kidney etc. In conclusion, medical team members for kidney transplantation must suggest not only physical problem but also psychological problem And the educated donor ought to have enough time before a making decision and all these process should be recorded in medical records

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A Study on the Donor Development to utilize Internet Marketing (인터넷마케팅을 활용한 후원자 개발에 관한 연구)

  • Choi, Jeong-Gui
    • Management & Information Systems Review
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    • v.21
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    • pp.169-187
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    • 2007
  • Today, the principle of competition is being applied to Non-profit sector also. It is necessary for relevant persons in charge to learn the knowledge and technique about marketing technique endlessly in connection with the development of donor out of the development of social welfare resource which is being embossed as main pending problem at the point of time when the role of private sector about welfare service increased and the criterion of competition and evaluation among institutions was introduced. Especially, as for the application of marketing technique to utilize internet to have big marketing potential, the efforts for the realization and application of positive marketing to be suitable for the real situation of each institution is necessary in connection with the donor development of social welfare institution. In this study tried to examine the charge of method to develop donor which is based on the development of information technique and the popularization of internet from the viewpoint of internet marketing and suggest the basic data about the present situation of donor marketing to use the effective scheme for internet marketing.

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An Exploratory Study on Donor Location Strategies in Data Fusion

  • Kim, Jonathan S.;Cho, Sung-Bin
    • Management Science and Financial Engineering
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    • v.14 no.2
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    • pp.1-12
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    • 2008
  • This study explores several donor location strategies and discusses experiment results, which contributes to the saving of time and effort required in designing data fusion processes. In particular, three concepts are introduced. The Mahalanobis distance is applied to locate the nearest neighbors more effectively; which incorporates the covariance structure of attributes. The ideal point helps reduce the dimensionality problem that arises in conjoint-type experiments. The correspondence analysis is used to derive the coordinates from non-metric attributes. The Monte Carlo simulation results show that the proposed donor location strategies provide better fusion performance, compared to the currently-in-use methods.

Effect of ODA on the Donor's Economy: Localization and Technological Innovation Efforts of Recipient Country and the Sectoral Differentials of Effects

  • Kim, Junmo;Kwon, Hyuk-Dong;Kwon, Youngkwan
    • Asian Journal of Innovation and Policy
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    • v.4 no.1
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    • pp.1-18
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    • 2015
  • Most research on Official Development Assistance (ODA) targeted the recipients, but this study examines the effect of ODA on the donor's exports to the recipient. To do this, a panel analysis was carried out with ODA and macroeconomic data on the United States and 33 other countries from 1999 to 2009. The results are summarized as follows: (1) The economic influence on the donor varies with the recipient's localization effort. (2) High-tech exports to the recipient are independent of ODA. (3) In medium-to-low-technology areas, ODA has a positive effect on exports to the recipient with low absorption efforts. (4) Both High-tech and LM-tech product exports decreases with the technological innovation efforts of recipients with high absorption efforts, while High-tech product exports only increases with that of recipients with low absorption efforts. These results indicate that a strategic approach for ODA program is more effective and useful to the donor's economy.

A systematic review of the scalp donor site for split-thickness skin grafting

  • Oh, Suk Joon
    • Archives of Plastic Surgery
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    • v.47 no.6
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    • pp.528-534
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    • 2020
  • Split-thickness skin grafting (STSG) is the gold standard for coverage of acute burns and reconstructive wounds. However, the choice of the donor site for STSG varies among surgeons, and the scalp represents a relatively under-utilized donor site. Understanding the validity of potential risks will assist in optimizing wound management. A comprehensive literature search was conducted of the PubMed database to identify studies evaluating scalp skin grafting in human subjects published between January 1, 1964 and December 31, 2019. Data were collected on early and late complications at the scalp donor site. In total, 27 articles comparing scalp donor site complications were included. The selected studies included analyses of acute burn patients only (21 of 27 articles), mean total body surface area (20 of 27), age distribution (22 of 27), sex (12 of 27), ethnicity (5 of 27), tumescent technique (21 of 27), depth setting of the dermatome (24 of 27), number of harvests (20 of 27), mean days of epithelization (18 of 27), and early and late complications (27 of 27). The total rate of early complications was 3.82% (117 of 3,062 patients). The total rate of late complications was 5.19% (159 of 3,062 patients). The literature on scalp skin grafting has not yet identified an ideal surgical technique for preventing donor site complications. Although scalp skin grafting provided superior outcomes with fewer donor site complications, there continues to be a lack of standardization. The use of scalp donor sites for STSG can prevent early and late complications if proper surgical planning, procedures, and postoperative care are performed.

Donor-Site Morbidity after Partial Second Toe Pulp Free Flap for Fingertip Reconstruction

  • Kim, Hyung Su;Lee, Dong Chul;Kim, Jin Soo;Roh, Si Young;Lee, Kyung Jin;Yang, Jae Won;Ki, Sae Hwi;Harijan, Aram
    • Archives of Plastic Surgery
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    • v.43 no.1
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    • pp.66-70
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    • 2016
  • Background In this study, we characterize the morbidity at the donor-site of partial second toe pulp free flaps in terms of wound management as well as long-term outcomes. Methods A single-institutional retrospective review was performed for patients who had undergone partial second toe pulp free flap transfer to the fingertip. Patient charts were reviewed for infection, skin necrosis, wound dehiscence, and hematoma for the donor site. Additionally, a questionnaire survey was given to patients who had a follow-up of longer than 1 year to characterize long-term postoperative pain and appearance. Results The review identified a total of 246 cases. Early wound complications were significant for wound dehiscence (n=8) and hematoma (n=5) for a wound complication rate of 5.3%. The questionnaire was distributed to 109 patients, and 54 patients completed the survey. Out of these 54 patients, 15 patients continued to have donor-site pain (28%) at a mean follow-up period of 32.4 months. However, the pain intensity was relatively low in the range between 2 to 5, on a 0-10 scale. None of these patients felt this donor-site pain interfered significantly with daily activity, nor did any patient require pain medications of any type. Donor-site appearance was satisfactory to most patients. Conclusions The partial second toe pulp flap was associated with low rates of wound complications and favorable long-term outcomes. Given the functional and aesthetic gain in the recipient finger, donor-site morbidities appear acceptable in this patient population. This study can be helpful in counseling patients regarding donor-site morbidity during the informed consent process.

Morbidity of the Foot as a Free-Flap Donor Site (유리 피판 공여부로서 족부의 이병률)

  • Lee, Kwang-Suk;Wie, Dae-Gon;Han, Sang-Won
    • Archives of Reconstructive Microsurgery
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    • v.6 no.1
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    • pp.39-46
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    • 1997
  • The methods of clinical applications of the foot as a free-flap donor site includes microvascular toe-to-finger transfer, free neurovascular flap transfer, first web space flap transfer, and osteocutaneous free flap transfer. We have evaluated the results of treatment for 35 patients to be undergone a microvascular reconstructive procedure with the foot as a donor site from January 1982 to June 1996. The performed operations were 16 cases of thumb reconstruction with wrap around procedure, 3 cases of tenocutaneous flap transfer, 10 cases of dorsalis pedis flap transfer, 2 cases of first web space free flap and 4 cases of toe-to-finger transfer. The follow up study was 69 months in average. Regarding to the various donor sites, morbidity was divided into five different categories: Cosmesis, Functional loss, Sensory loss, Wound complication, and Pain. According to the results of examination(35 patients), the results was excellent(25), good(9), fair(1), and poor(0). Among the categories, morbidity was higher at cosmesis. The patients under 50 years were better outcome. Among the operative methods from the foot as a donor site, thumb reconstruction with wrap around procedure showed poorest outcomes. So, We conclude that the foot as a free flap donor site is a good source for the microvascular reconstructive surgery. But, Preoperative donor site evaluation, adequate operative technique and post operative management are essential to decrease the morbidity of donor site.

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Effects of Electron Acceptor and Electron Donor on Biodegradation of $CCl_4$by Biofilms (Electron Donor 및 Electron Acceptor의 농도가 생물활성대형성 및 유해폐기물 처리에 미치는 영향)

  • Bae, Woo-Keun;Bruce E. Rittmann
    • Environmental Analysis Health and Toxicology
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    • v.6 no.3_4
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    • pp.149-154
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    • 1991
  • Biodegradation of carbon tetrachloride (CTC) in denitrifying and aerobic columns was investigated under various conditions of electron-acceptor and electron-donor availability. CTC removal increased when the electron-acceptor (nitrate) injection was stopped in the denitrifying column; however, CTC remova1 decreased when electron donor (acetate) was deleted in the denitrifying and the aerobic column. Small fractions of the CTC removed appeared as chloroform, indicating that reductive dechlorination of CTC was occurring. The results from the denitrifying column support the hypothesis that CTC behaves as an electron acceptor that competes for the pool of available electrons inside the bacterial cells.

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Feasibility of TRPM8 Agonist Agent for Management of Skin Graft Donor Site (화상 재건을 위한 식피술 공여부의 반흔 관리에 있어 TRPM8 Agonist 제재의 유용성)

  • Choi, Jangyoun;Jung, Ee Room;Cho, Jin Tae;Seo, Bommie Florence;Choi, Jong Yun;Kwon, Ho;Jung, Sung-No
    • Journal of the Korean Burn Society
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    • v.22 no.2
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    • pp.30-33
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    • 2019
  • Purpose: Wound healing and scar management of donor site after skin graft should not be overlooked. Patients continue to complain of dryness, itching sensation. Such discomfort can cause irritation to the patients and lead to delayed healing or secondary infection. Thus, the author predicted Eucalyptus Oil, which acts on Transient Receptor Potential Melastatin 8 would be effective in regulating scar by reducing itching sensation in donor site when combining conventional silicone materials. Methods: The study was performed on 30 patients who underwent split thickness skin graft with lateral thigh as donor site between January 2017 and August 2018. First, primary evaluation of fully epithelized donor site scar three weeks after surgery was conducted. Control group (n=15) applied silicone gel (Kelo-cote, USA) solely two times a day. study group (n=15) applied Eucalyptus oil, combined with silicone gel. After 3 months of follow up, donor scar was evaluated using Vancouver scar scale and VAS scores of subjective patient reports regarding pain and itching sensation. Results: It was confirmed that both groups showed stable scar improvement comparing scar quality for 3 months. After 3 months, scar quality in study group showed superiority in pigmentation, pliability and pruritus compared to control group. Conclusion: Application of Eucalyptus Oil combined with conventional silicone gel is favorable to scar management and may give additional benefit of alleviating pruritis symptoms.