• 제목/요약/키워드: Early Assessment

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Radiation Induced Lung Injury: Prediction, Assessment and Management

  • Giridhar, Prashanth;Mallick, Supriya;Rath, Goura Kishore;Julka, Pramod Kumar
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권7호
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    • pp.2613-2617
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    • 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
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    • 한국지반공학회 2007년 가을학술발표회
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    • pp.558-569
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    • 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.

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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
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    • 제33권2호
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    • pp.203-222
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    • 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
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    • 제36권1호
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    • pp.53-63
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    • 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
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    • 한국철도학회 2007년도 추계학술대회 논문집
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    • pp.1522-1528
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    • 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.

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

  • 하승희;설아영;배소영
    • 말소리와 음성과학
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    • 제6권4호
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    • pp.161-169
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    • 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.

몽유병과 야경증 (Sleepwalking and Sleep Terrors)

  • 박영우
    • 수면정신생리
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    • 제2권1호
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    • pp.13-22
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    • 1995
  • To provide the physician with adequate information to diagnose and treat sleepwalking and sleep terrors, the author reviewed clinical features, epidemiology, causative and precipitating factors, polysomnography, diagnosis, differential diagnosis, and treatment for these disorders. Sleepwalking and sleep terrors have been defined as disorders of arousal that occur early in the night and have their onset during stage 3 or 4 sleep. In both disorders, patients are difficult to arouse, and complete amnesia or minimal recall of the episode is frequent. Genetic, developmental, and psychological factors have been identified as causes of both sleepwalking and sleep terrors. Sleepwalking and sleep terrors typically begin in childhood or early adolescence and are usually outgrown by the end of adolescence. When sleepwalking or sleep terrors have a post-pubertal onset or continue to adulthood, psychopathology is a more significant causative factors. The behavior that occur from deep slow-wave sleep can be painful or dangerous to the individual and/or disturbing to those close to that individual. The assessment of patients suspected of having these conditions requires a thorough medical and sleep history. The most important consideration in managing patients with sleepwalking or sleep terrors episodes is protection from injury.

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MicroRNAs May Serve as Emerging Molecular Biomarkers for Diagnosis and Prognostic Assessment or as Targets for Therapy in Gastric Cancer

  • Mu, Yong-Ping;Sun, Wen-Jie;Lu, Chuan-Wen;Su, Xiu-Lan
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권12호
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    • pp.4813-4820
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    • 2015
  • Gastric cancer (GC) is one of the most common cancers, with high incidences in East Asia countries. Most GC patients have been reported with low early diagnosis rate and show extremely poor prognosis. Therefore, it is necessary to develop novel and more sensitive biomarkers to improve early diagnosis and therapy in order to provide longer survival and better quality of life for gastric cancer patients. MicroRNAs (miRNAs) play crucial roles in GC development and progression. miRNAs have emerged as a novel molecular biomarker for cancer diagnosis, prognosis and therapy with surprising stability in tissues, serum or other body fluids. This review summarizes major advances in our current knowledge about potential miRNA biomarkers for GC that have been reported in the past two years.

Incidence Data for Breast Cancer among Yemeni Female Patients with Palpable Breast Lumps

  • Alsanabani, Jamila Ali;Gilan, Waleed;Al Saadi, Azzan
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권1호
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    • pp.191-194
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    • 2015
  • Purpose: To estimate the incidence of breast cancer in Yemeni female patients presenting with a breast mass. Materials and Methods: This retrospective study was carried out with 595 female patients with palpable breast lumps, attending to Alkuwait university hospital, Sana'a, Yemen. Triple assessment, including breast examination, mammography and biopsy (FNAC, core needle, or excision), for all patients were performed. Results: The incidences of benign and malignant lesions was calculated. Some 160 (26.9%) of 595 patients had malignancies; 213 (35.8%) were fibroadenomas; 12 (2.0%) were fibrocystic change; 143 (24.03%) were inflammatory lesions (including mastitis and ductectasia); 62 (10.4%) were simple cysts, while 5 (0.8%) were phyllodes tumors. The mean age of patients with malignant lumps was 44.3 years. Conclusions: Among Yemeni female patients with palpable breast lumps, the rate of breast cancer is high, with occurrence at an earlier age than in Western countries. Improving breast cancer awareness programs and increasing breast cancer screening centers inb different areas of Yemen are needed to establish early diagnosis and offer early and optimal treatment.

둔상에 의한 외상성 췌장 손상의 임상적 고찰 (Experience with Blunt Pancreatic Trauma at Eulji University Hospital)

  • 양승현;문윤수;권오상;이민구
    • Journal of Trauma and Injury
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    • 제25권4호
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    • pp.261-266
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    • 2012
  • Purpose: Traumatic pancreatic injury is not common in abdominal trauma injury. However, the morbidity and the mortality rates of patients with pancreatic injury, which are related with difficulties of initial assessment, establishment of diagnosis, and treatment are relatively high. The aim of this study is to review our institution's experience and suggest a diagnosis and therapeutic algorithm for use in cases involving traumatic pancreatic injury. Methods: Eighteen(18) patients with blunt pancreatic injury from January, 2004 to October 2012 were included in this study. We analyzed treatment and diagnosis method, other organ injury, treatment interval, hospital stay and complications retrospectively. Results: Nine patients were treated with conservative medication and another nine patients were treated surgically. Complications occurred in nine patients, and one patient died due to intraventricular hemorrhage and subdural hemorrhage with multiple organ failure. Delayed surgery was performed in three cases. The early and delayed surgery groups showed difference in hospital stay and intensive care unit stay. Delayed surgery was associated with a longer hospital stay (p=0.007) than immediate surgery. Conclusion: In blunt pancreatic trauma, proper early diagnosis and prompt treatment are recommended necessity. Based on this review of our experience, we also suggest the adoption of our institution's algorithm for cases involving traumatic pancreatic injury.