• 제목/요약/키워드: Early Assessment

검색결과 1,149건 처리시간 0.028초

Extracorporeal Life Support in Organ Transplant Donors

  • Chang, Wonho
    • Journal of Chest Surgery
    • /
    • 제51권5호
    • /
    • pp.328-332
    • /
    • 2018
  • Background: Extracorporeal life support (ECLS) can be applied in brain-dead donors for organ perfusion before donation, thereby expanding the donor pool. The aim of this study was to examine the benefits and early clinical outcomes of ECLS for organ preservation. Methods: Between June 2012 and April 2017, 9 patients received ECLS with therapeutic intent or for organ preservation. The following data were collected: demographics, purpose and duration of ECLS, cause of death, dose of vasoactive drugs, and need for temporary dialysis before organ retrieval. The early clinical outcomes of recipients were studied, as well as survival and graft function at 1 month. Results: ECLS was initiated for extracorporeal cardiopulmonary resuscitation in 5 patients. The other patients needed ECLS due to hemodynamic deterioration during the assessment of brain death. We successfully retrieved 18 kidneys, 7 livers, and 1 heart from 9 donors. All organs were transplanted and none were discarded. Only 1 case of delayed kidney graft function was noted, and all 26 recipients were discharged without any significant complications. Conclusion: The benefits of protecting the vital organs of donors is significant, and ECLS for organ preservation can be widely used in the transplantation field.

한국 중부지역 청동기시대 전기 유적의 광 여기 루미네선스를 이용한 연대측정 (Optically stimulated luminescence dating of heated materials from the early Bronze age in central Korea)

  • 김명진;홍덕균
    • 보존과학회지
    • /
    • 제16권
    • /
    • pp.5-14
    • /
    • 2004
  • 루미네선스 연대측정법은 자연계에 일반적으로 존재하는 석영과 장석 같은 무기결정 내에 축적된 루미네선스가 주위 환경방사능과 상관관계에 있어 축적된 루미네선스를 자연선량계로 이용할 수 있음을 전제로 한다. 이 연구에서는 청동기시대 전기 유적인 충남 아산 명암리 유적과 충북 진천 사양리 유적에서 발굴된 토기와 화덕자리 시료를 광 여기 루미네선스 연대측정법으로 연대를 계산하였고 그 결과들을 고고학적인 견해와 비교하였다. 산출된 연대는 고고학적 연대와 잘 일치하였다. 그러므로 광 여기 루미네선스 연대측정법은 앞으로 고고학 유물의 연대측정에 크게 기여할 것으로 판단된다.

  • PDF

유방암 수술 후 조기 환자를 위한 타이치(Tai Chi) 운동 프로그램의 적용 효과 (Effects of a TaiChi Program for Early Mastectomy Patients)

  • 엄애용
    • 여성건강간호학회지
    • /
    • 제13권1호
    • /
    • pp.43-50
    • /
    • 2007
  • Purpose: There is a need to apply the Tai Chi program to help early mastectomy patients improve their upper limb functions and for the emotional state as well. Method: Participants were recruited at breast cancer centers of two general hospitals from February 17 to April 25, 2005. Twenty-five subjects in the experimental group and 23 subjects in the control group participated for 12 weeks. The Tai chi program consisted of breast cancer self management education and a Tai Chi exercise program. Range of motion of the shoulder joint was determined by the Uni-level inclinometer, and functional assessment of the shoulder was evaluated with the tool. Data was analyzed by SPSS 11. Results: The experimental group had significantly increased shoulder range of motion, especially in external rotation, upper limb function and emotional state compared with the control group after program for 12 weeks. Conclusion: This program makes it possible to be independent and have a positive everyday life. In addition, it can help keep a healthy lifestyle in mastectomy women.

  • PDF

Roles of PTEN (Phosphatase and Tensin Homolog) in Gastric Cancer Development and Progression

  • Xu, Wen-Ting;Yang, Zhen;Lu, Nong-Hua
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제15권1호
    • /
    • pp.17-24
    • /
    • 2014
  • Gastric cancer is highly invasive, aggressively malignant, and amongst the most prevalent of all forms of cancer. Despite improved management strategies, early stage diagnosis of gastric cancer and accurate prognostic assessment is still lacking. Several recent reports have indicated that the pathogenesis of gastric cancer involves complex molecular mechanisms and multiple genetic and epigenetic alterations in oncogenes and tumor suppressor genes. Functional inactivation of the tumor suppressor protein PTEN (Phosphatase and Tensin Homolog) has been detected in multiple cases of gastric cancer, and already shown to be closely linked to the development, progression and prognosis of the disease. Inactivation of PTEN can be attributed to gene mutation, loss of heterozygosity, promoter hypermethylation, microRNA- mediated regulation of gene expression, and post-translational phosphorylation. PTEN is also involved in mechanisms regulating tumor resistance to chemotherapy. This review provides a comprehensive analysis of PTEN and its roles in gastric cancer, and emphasizes its potential benefits in early diagnosis and gene therapy-based treatment strategies.

Radiation Induced Lung Injury: Prediction, Assessment and Management

  • Giridhar, Prashanth;Mallick, Supriya;Rath, Goura Kishore;Julka, Pramod Kumar
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제16권7호
    • /
    • pp.2613-2617
    • /
    • 2015
  • Radiation induced lung injury has long been considered a treatment limiting factor for patients requiring thoracic radiation. This radiation induced lung injury happens early as well as late. Radiation induced lung injury can occur in two phases viz. early (< 6 months) when it is called radiation pneumonitis and late (>6 months) when it is called radiation induced lung fibrosis. There are multiple factors that can be patient, disease or treatment related that predict the incidence and severity of radiation pneumonitis. Radiation induced damage to the type I pneumocytes is the triggering factor to initiate such reactions. Over the years, radiation therapy has witnessed a paradigm shift in radiation planning and delivery and successfully reduced the incidence of lung injury. Radiation pneumonitis is usually a diagnosis of exclusion. Steroids, ACE inhibitors and pentoxyphylline constitute the cornerstone of therapy. Radiation induced lung fibrosis is another challenging aspect. The pathophysiology of radiation fibrosis includes continuing inflammation and microvascular changes due to pro-angiogenic and profibrogenic stimuli resembling those in adult bronchiectasis. General supportive management, mobilization of airway secretions, anti-inflammatory therapy and management of acute exacerbations remains the treatment option. Radiation induced lung injury is an inevitable accompaniment of thoracic radiation.

Feasibility Study on the Landfill Monitoring and Leakage Detection System

  • Park, Jun-Boum;Kwon, Ki-Bum;Oh, Myoung-Hak;Mishra, Anil Kumar
    • 한국지반공학회:학술대회논문집
    • /
    • 한국지반공학회 2007년 가을학술발표회
    • /
    • pp.558-569
    • /
    • 2007
  • It is important to obtain real-time data from long-term monitoring of landfills and develop leachate leakage detection system for the integrated management of landfills. A novel real time monitoring system and early leakage detection system was suggested in this study. The suggested monitoring system is composed of two parts; (1) a set of moisture sensors which monitor the areas surrounding the landfill, and (2) a set of moisture and temperature sensors which monitor the landfill inside. For the assessment for landfills stabilization, real-time monitoring system was evaluated in dry and wet cell of pilot-site. In addition, the grid-net electrical conductivity measurement system was also suggested as early leakage detection system. In this study, the field applicability of suggested systems was evaluated through pilot-scale field tests. The results of pilot-scale field model tests indicate that the grid-net electrical conductivity measurement method can be applicable to the detection of landfill leachate at the initial stage of intrusion, and thus has a potential for monitoring leachate leakage at waste landfills.

  • PDF

유아의 수학학습능력 및 수학학습잠재력에 영향을 미치는 제 변인에 관한 연구 (A Study on Teaching-Learning Methods according to Personal Variables in the Dynamic Assessment of Young Children's Mathematical Learning Abilities)

  • 황해익;조은래
    • 아동학회지
    • /
    • 제33권2호
    • /
    • pp.203-222
    • /
    • 2012
  • The purpose of this study was to examine the factors influencing their mathematical learning abilities and mathematical learning potential in an attempt to assist their learning at the preschool level. The findings of the study were as follows : First. the female children performed at a much higher level than their male counterparts in terms of mathematical learning ability and mathematical learning potential training. The young children generally improved in their mathematical learning abilities and mathematical learning potential with age. Second, it was found that the participants had higher levels of both mathematical learning ability and mathematical learning potential when their mathematical attitudes and learning motivation were better. Third, there were significant differences in terms training-test and transfer-test scores between the 4 groups based on their relative levels of mathematical abilities and attitudes.

악성 림프종에서 FDG PET의 역할 (The Role of FDG PET in Malignant Lymphoma)

  • 윤미진
    • 대한핵의학회지
    • /
    • 제36권1호
    • /
    • pp.53-63
    • /
    • 2002
  • FDG PET is a functional imaging modality whose ability to detect lesions is directly based on a change of the glycolytic metabolism of targeted tissues, may be advantageous over other techniques. Combined with excellent image qualify, high spatial resolution, and whole body imaging capability, it has become popular as a new approach in the evaluation of patients with various malignancies. Initial staging of nodal and extranodal lymphoma using FDG PET has been proven to be at least equal or superior to conventional imaging modalities. For the assessment of treatment responsiveness, FDG PET has a major impact on the management of patients in differentiating residual lymphoma from treatment related benign changes. Residual FDG uptake after the completion of chemotherapy is a good predictor of early relapse. However, it seems that the absence of FDG uptake in tumor mass may not exclude minimal residual disease causing later relapse. In the early evaluation of treatment response only after a few cycles of chemotherapy, FDG PET may have a promising role in identifying non-responders who could benefit from a different treatment strategy. At present, FDG PET appears to be the cost-effective, diagnostic modality of choice in the management of lymphoma patients. The role of FDG PET based-systems in terms of affecting long-term prognosis and survival benefit should be further elucidated in future prospective studios.

전력케이블 열화 감시방안에 관한 연구 (A Study on Monitoring Means of Insulation deterioration of Electric Power Cable)

  • 한학수;민경윤;유기선
    • 한국철도학회:학술대회논문집
    • /
    • 한국철도학회 2007년도 추계학술대회 논문집
    • /
    • pp.1522-1528
    • /
    • 2007
  • Electric Power cable is the apparatus that receives electric power from the Korea Electric Power Corporation and supplies electric power to electric train and annex facilities of each railway station. With substantial ripple effect during power blackout accidents, such power blackout accidents must be coped with by discriminating the status of insulation deterioration of electric power cable in advance. Discrimination of insulation deterioration of the electric power cable is normally executed while the power is disconnected and it is very difficult to discover, at early stage, the insulation deterioration of the power cable in operational state since the duration of inspection is limited. This research aims to consider method of diagnosing the insulation deterioration of electric power cable in On-Line state rather than diagnosis in Off-Line state in order to secure reliability of power supply by reducing duration of power blackout (accidental blackout and blackout during works) and by seeking reduction in equipment and manpower used in diagnosis of deterioration through prevention of the accident itself prior to occurrence through early restoration of accident due to insulation deterioration of the electric power cable and assessment of performance of the cable under operation.

  • PDF

일반 영유아의 초기 발성 발달 연구 (Vocal Development of Typically Developing Infants)

  • 하승희;설아영;배소영
    • 말소리와 음성과학
    • /
    • 제6권4호
    • /
    • pp.161-169
    • /
    • 2014
  • This study investigated changes in the prelinguistic vocal production of typically developing infants aged 5-20 months based on Stark Assessment of Early Vocal Development-Revised (SAEVD-R). Fifty-eight typically developing infants participated in the study, and they were divided into four age groups, 5-8 months, 9-12 months, 13-16 months, and 17-20 months of age. Vocalization samples were collected from infants' play activities and were classified into 5 levels and 23 types using SAEVD-R. The results revealed that the four age groups showed significant differences in production proportion of vocalization levels. Level 1, 2, 4, and 5 vocalizations exhibited significantly different across the four age groups. Level 3 was predominantly produced across every age group. Therefore, the vocalization level was not significantly different across the four age groups. Especially, vowels in Level 3 vocalization predominantly produced across all ages during a long period. Also, significant increases in the proportion of Levels 4 and 5 occurred after 9 months, which suggested that the production of cannonical syllables is a key indicator of advancement in prelinguistic vocal development. The results have clinical implication in early identification and speech-language intervention for young children with speech delays or at risk.