• Title/Summary/Keyword: Post-evaluation

Search Result 2,281, Processing Time 0.028 seconds

Surgical Treatment of Idiopathic Chylothorax in Infant -1 case report- (영아에서 발생한 특발성 유미흉)

  • 강두영;이창영;김도형;임승균;이두연
    • Journal of Chest Surgery
    • /
    • v.37 no.5
    • /
    • pp.456-459
    • /
    • 2004
  • A 16 month old male infant was found with slip down state in a bath room without evidence of trauma to whole body. The infant was treated with several thoracentesis and closed drainage due to persistent right pleural effusion at other hospital and transferred to our hospital for further evaluation and treatment at July 2003. The pleural effusion was confirmed as chylothorax by chemical analysis. He was treated with parenteral feeding for 21 days. Because the amount of chest tube drainage was about 110∼210 cc/day, and could not be decreased with conservative treatment. patients underwent ligation of thoracic duct. Post-operative course was uneventful except post-op. empyema thoracis, The open drainage tube was removed at post operative 30 days, The patient was in very good condition with complete cure until post-operative 3 months.

Balance Evaluation after Reconstruction of Medial Patellar Luxation in Small-Sized Dogs with Wii Balance Board

  • Lee, Shinho;Lee, Joo-Myoung;Park, Hyunjung;Cha, Yuri;Cheong, Jongtae
    • Journal of Veterinary Clinics
    • /
    • v.36 no.6
    • /
    • pp.301-305
    • /
    • 2019
  • Wii® balance board (WBB, Nintendo, Japan) is a device that can measure and record the center of pressure path length (CPPL) and 95% confidence ellipse area (Area 95) in relation to body sway. For evaluating measure of improvement after reconstruction of medial patellar luxation (MPL) in small sized dogs, A total of 6 dogs with limping and lameness gait attributed to Grade II, III or IV MPL were evaluated. Dogs were measured for difference of extension and flexion range of motion in the stifle (dROM), muscle mass, lameness, willingness to bear weight on the affected limb while standing, and willingness to lift the contralateral limb scores, CPPL and Area 95 of WBB on pre-surgery, post-surgery 4, 8 weeks. CPPL was significantly different on pre-surgery compared with post-surgery 8 weeks (p < 0.05). Except for CPPL, measured variables were significantly different on pre-surgery compared with post-surgery 4 and post-surgery 8 weeks (p < 0.01).

An Performance Evaluation of Post-installed Anchor according to the Effective Embedment Length (유효묻힘깊이에 따른 후설치앵커의 인발성능평가)

  • Hur, Moo-Won;Chae, Kyoung-Hun;An, Yeong Seung;Hur, Moo-Won
    • Journal of the Korean Institute of Educational Facilities
    • /
    • v.26 no.4
    • /
    • pp.19-25
    • /
    • 2019
  • Concrete wedge anchor is one of structural components to transfer load of an object attached to a primary structure. Recently, as retrofitting concrete structure is becoming a main issue, mechanical capacity of the anchor should be secured enough. In spite of the structural safety of Cast-in-place anchor, Post-installed anchor is more widely used with ease of placement or change of construction method. However, the post-installed anchors domestically produced have excessive coefficient of variation over 15% of ultimate tensile strength, which yields deteriorated quality in tensile strength. In this research, tensile strength test of anchors, which have improved sleeve and header and produced by a domestic company, was conducted for two variables, concrete strength and effective embedment depth. As a result, enough coefficients of variations were secured in all specimens. Also, in comparison to foreign products, the domestic ones have equal or higher performance.

Flexural Response of Negative Moment Region of Hybrid Prestressed Precast Concrete (HPPC) System (하이브리드 프리스트레스트 프리캐스트 콘크리트 구조시스템의 부모멘트 영역 휨거동)

  • Choi, Seung-Ho;Hwang, Jin-Ha;Heo, InWook;Kim, Kang Su;Woo, Woon-Taek
    • Journal of the Architectural Institute of Korea Structure & Construction
    • /
    • v.34 no.10
    • /
    • pp.3-10
    • /
    • 2018
  • Hybrid Prestressed Precast Concrete System (HPPC system) is a newly developed frame system that can improve the performance of precast concrete (PC) joints by post-tensioning. In particular, the details proposed in this study can reduce the lifting weight of the PC members and eliminate problems caused by cracks in the joints that occur under service loads. This study performed an evaluation on the negative moment performance of full-scaled HPPC girders. The test specimens were cast with or without slabs, with bonded or unbonded tendons, and had different post-tensioned lengths in tensile section. The test results showed that the specimens with slabs had significantly higher stiffness and strength than those without slabs. There were no differences in the flexural behavior between those with bonded or unbonded tendons, and between those with short or long post-tensioned lengths in the negative moment region.

A novel excisional wound pain model for evaluation of analgesics in rats

  • Parra, Sergio;Thanawala, Vaidehi J.;Rege, Ajay;Giles, Heather
    • The Korean Journal of Pain
    • /
    • v.34 no.2
    • /
    • pp.165-175
    • /
    • 2021
  • Background: Management of pain from open wounds is a growing unmet healthcare need. However, the models available to study pain from wounds or to develop analgesics for the patients suffering from them have primarily relied on incisional models. Here, we present the first characterized and validated model of open wound pain. Methods: Unilateral full-skin excisional punch biopsy wounds on rat hind paws were evaluated for evoked pain using withdrawal responses to mechanical and thermal stimulation, and spontaneous pain was measured using hind paw weight distribution and guarding behavior. Evaluations were done before wounding (baseline) and 2-96 hours post-wounding. The model was validated by testing the effects of buprenorphine and carprofen. Results: Pain responses to all tests increased within 2 hours post-wounding and were sustained for at least 4 days. Buprenorphine caused a reversal of all four pain responses at 1 and 4 hours post-treatment compared to 0.9% saline (P < 0.001). Carprofen decreased the pain response to thermal stimulation at 1 (P ≤ 0.049) and 4 hours (P < 0.011) post-treatment compared to 0.9% saline, but not to mechanical stimulation. Conclusions: This is the first well-characterized and validated model of pain from open wounds and will allow study of the pathophysiology of pain in open wounds and the development of wound-specific analgesics.

Outcomes of Gastrectomy for Gastric Cancer in Patients Aged >80 Years: A Systematic Literature Review and Meta-Analysis

  • Zelalem Chimdesa Merga ;Ji Sung Lee ;Chung-Sik Gong
    • Journal of Gastric Cancer
    • /
    • v.23 no.3
    • /
    • pp.428-450
    • /
    • 2023
  • This meta-analysis examined the surgical management of older patients (>80 years) with gastric cancer, who were often excluded from randomized controlled trials. We analyzed 23 retrospective cohort studies involving 18,372 patients and found that older patients had a higher in-hospital mortality rate (relative risk [RR], 3.23; 95% confidence interval [CI], 1.46-7.17; P<0.01) and more post-operative complications (RR, 1.36; 95% CI, 1.19-1.56; P<0.01) than did younger patients. However, the surgical complications were similar between the two groups. Older patients were more likely to undergo less extensive lymph node dissection and longer hospital stays. Although older patients had statistically significant post-operative medical complications, they were not deprived of surgery for gastric cancer. The comorbidities and potential risks of post-operative complications should be carefully evaluated in older patients, highlighting the importance of careful patient selection. Overall, this meta-analysis provides recommendations for the surgical management of older patients with gastric cancer. Careful patient selection and evaluation of comorbidities should be performed to minimize the risk of post-operative complications in older patients, while recognizing that they should not be deprived of surgery for gastric cancer.

Evaluation & Development of Strengthening Method by External Post-tension (외부 포스트텐션 보강공법의 개발 및 평가)

  • Lim, Jae-Hyung;Moon, Jeong-Ho
    • Journal of the Korea institute for structural maintenance and inspection
    • /
    • v.12 no.5
    • /
    • pp.91-100
    • /
    • 2008
  • A technique strengthened to the reinforced concrete members using the external post- tensioned method offers the advantages in speed and simplicity of installation over other, established, strengthening techniques. But this technique has many unreasonable facts. This paper are analyzed an unreasonable facts of the previous external post-tension technique. The purpose of this paper proposed Bow system as the new technique strengthened to the reinforced concrete members. The Bow system which is better technique than the previous technique was introduced with the experimental/analytical data.

Chronological Changes of C-Reactive Protein Levels Following Uncomplicated, Two-Staged, Bilateral Deep Brain Stimulation

  • Kim, Jae-hun;Ha, Sang-woo;Choi, Jin-gyu;Son, Byung-chul
    • Journal of Korean Neurosurgical Society
    • /
    • v.58 no.4
    • /
    • pp.368-372
    • /
    • 2015
  • Objective : The occurrence of acute cerebral infection following deep brain stimulation (DBS) is currently being reported with elevation of C-reactive protein (CRP) level. The aim of the present study was to establish normal range of the magnitude and time-course of CRP increases following routine DBS procedures in the absence of clinical and laboratory signs of infection. Methods : A retrospective evaluation of serial changes of plasma CRP levels in 46 patients undergoing bilateral, two-staged DBS was performed. Because DBS was performed as a two-staged procedure involving; implantation of lead and internal pulse generator (IPG), CRP was measured preoperatively and postoperatively every 2 days until normalization of CRP (post-lead implantation day 2 and 4, post-IPG implantation day 2, 4, and 6). Results : Compared with preoperative CRP levels ($0.12{\pm}0.17mg/dL$, n=46), mean CRP levels were significantly elevated after lead insertion day 2 and 4 ($1.68{\pm}1.83mg/dL$, n=46 and $0.76{\pm}0.38mg/dL$, n=16, respectively, p<0.001). The mean CRP levels at post-lead implantation day 2 were further elevated at post-IPG implantation day 2 ($3.41{\pm}2.56mg/dL$, n=46, respectively, p<0.01). This elevation in post-IPG day 2 rapidly declined in day 4 ($1.24{\pm}1.29mg/dL$, n=46, p<0.05) and normalized to preoperative value at day 6 ($0.42{\pm}0.33mg/dL$, n=46, p>0.05). Mean CRP levels after IPG implantation were significantly higher in patients whose IPGs were implanted at post-lead day 3 than those at post-lead day 5-6 ($3.99{\pm}2.80mg/dL$, n=30, and $2.31{\pm}1.56mg/dL$, n=16, respectively, p<0.05). However, there was no difference in post-IPG day 2 and 4 between them (p>0.05). Conclusion : The mean postoperative CRP levels were highest on post-IPG insertion day 2 and decreased rapidly, returning to the normal range on post-IPG implantation day 6. The duration of post-lead implantation period influenced the magnitude of CRP elevation at post-IPG insertion day 2. Information about the normal response of CRP following DBS could help to avoid unnecessary diagnostic and therapeutic efforts.

Effect of Sensory Integration Therapy Combined with Eye Tracker on Sensory Processing and Visual Perception of Children with Developmental Disabilities (아이트래커를 병행한 감각통합치료가 발달장애아동의 감각처리 및 시지각에 미치는 영향)

  • Kwon, So-Hyun;Ahn, Si-Nae
    • The Journal of Korean Academy of Sensory Integration
    • /
    • v.21 no.3
    • /
    • pp.39-53
    • /
    • 2023
  • Objective : The purpose was the effect of sensory integration therapy combined with an eye tracker on the sensory processing and visual perception of children with developmental disabilities. Methods : It was a single-subject study with a multiple baseline design between subjects, and the intervention applied sensory integration therapy combined with an eye tracker. Visual-motor speed and saccadic eye movements were assessed at each session of baseline and intervention periods. As pre- and post-evaluation, sensory profile, Korean-Developmental Test of Visual Perception and Trail Making Test were conducted. The results of each session evaluation and pre- and post-evaluation researched the effectiveness of the intervention through visual analysis and trend line analysis. Results : As a result of the evaluation for each session, the slope of the trend line for all children in visual-motor speed and saccadic eye movement increased sharply during the intervention compared to the baseline. As a result of the pre- and post-evaluation, the sensory processing of movement, body position, and visual changed from more than that of peers to a level similar to that of peers. In visual perception, all children's ability of Visual Closure increased. As a result of Trail Making Test conducted to confirm the improvement of children's visual tracking and visual-motor abilities, all children showed a decrease in performance time after the test compared to before. Conclusion : It was confirmed that sensory integration therapy combined with an eye tracker for developmental disabilities has effect on sensory processing and visual perception. It is expected to play an important role clinically as it can stimulate children's interest and motivation in line with recent technological improvements and the spread of smart devices.

Performance Evaluation of WAN Storage Migration Scheme for Cloud Computing Environment (클라우드 컴퓨팅 환경을 위한 WAN 스토리지 이주 기법 성능평가)

  • Chang, Jun-Hyub;Lee, Won-Joo;Jeon, Chang-Ho
    • Journal of the Korea Society of Computer and Information
    • /
    • v.17 no.5
    • /
    • pp.1-7
    • /
    • 2012
  • In this paper, we design and implement the simulator for WAN storage replication model performance evaluation in cloud computing environment. Each cloud of simulator is composed of virtual machine emulator and storage emulator. The virtual machine emulator is composed of read/write ratio module, the read/write sequence combination module, and the read/write request module. The storage emulator is composed of storage management module, data transfer module, read/write operations module, and overhead processing module. Using the simulator, we evaluate performance of migration scheme, pre-copy and the post-copy, considering about read/write ratio, network delay, and network bandwidth. Through simulation, we have confirmed that the average migration time of pre-copy was decreased proportional to the read operation. However, average migration time of post-copy was on the increase. Also, the average migration time of post-copy was increased proportional to the network delay. However, average migration time of pre-copy was shown uniformly. Therefore, we show that pre-copy model more effective to reduce the average migration time than the post-copy model. The average migration time of pre-copy and post-copy were not affected by the change of network bandwidth. Therefore, these results show that selects the storage replication model to be, the network bandwidth know not being the important element.