• Title/Summary/Keyword: Self-Survival

Search Result 217, Processing Time 0.025 seconds

Postoperative Clinical Outcomes of Colonic Stent Placement as Bridge-to-surgery vs. Emergency Surgery in Left-sided Malignant Colonic Obstruction

  • Choe, Eun Ju;Lee, Yong Kang;Jeon, Han Ho;Choi, Jong Won;Park, Byung Kyu;Won, Sun Young;Seo, Jeong Hun;Lee, Chun Kyon;Cho, Yong Suk
    • Journal of Digestive Cancer Reports
    • /
    • v.9 no.2
    • /
    • pp.43-49
    • /
    • 2021
  • Background/Aims: Colonic stenting as a bridge to elective surgery is an alternative for emergency surgery in patients with acute malignant colonic obstruction. However, since its benefits are uncertain, we aimed to establish whether it has better clinical outcomes. Methods: The patients with acute malignant left-sided colon obstruction enrolled from January 2009 to December 2018 in National Health Insurance Service Ilsan Hospital. The patients were enrolled to undergo colonic stenting as a bridge to elective surgery or emergency surgery. The following oncological outcomes were assessed: incidence of complete remission, disease progression, local recurrence, and systemic recurrence. Results: Out of 40 patients, 33 received self-expanding metallic stent (SEMS) as a bridge-to-surgery, and 7 underwent emergency surgery. More stoma was made in case of emergency surgery with statistical significance (p < 0.001). There were no significant differences in complete remission rate in curable left-sided malignant colonic obstruction between SEMS as a bridge-to-surgery and emergency surgery. Complete remission was achieved for 3 patients (42.9%) in the non-stent group and 27 patients (81.8%) in the stent group. There was no statistically significant difference in oncologic outcomes between the two groups (p = 0.069). According to multi-variate analysis, advanced TNM stage, Adjuvant chemotherapy, and SEMS bridge-to-surgery were significantly associated with disease-free survival. Disease-free survival rate differed significantly between the two groups (p = 0.024). Conclusions: SEMS as a bridge-to-surgery might be an effective strategy and reduce stoma formation in acute malignant left-sided colon obstruction.

Qualitative Case Study on Psychosocial Resources of North Korean Female Defectors Living in South Korea (북한이탈여성들의 심리사회적자원에 관한 질적사례연구)

  • Jun, Joo Ram
    • Journal of Family Relations
    • /
    • v.20 no.4
    • /
    • pp.47-72
    • /
    • 2016
  • According to the survey by the Ministry of Unification, 28,133 live in South Korea as of september 2015 and the number has been steadily increased. It is interesting to note that the majority of defectors were women. Statistics say that the total of women defectors was 1,138 in 2002 and consisted of 55.5%. But the number increased to 2,706 in 2011 and consisted of 70.5%(Wikipedia, 2015). Most of them have trauma, because they experienced terrible events like prostitution, sexual abuse, domestic violence, etc. while they were living in South Korea. They had to get over a lot of challenges they never expected. They had to do whatever they need to do for their survival in South Korea as well as in North Korea. Objectives: This study focuses on identifying the psychosocial resources available for them in order to help them out living here. Method: For this purpose, this study conducted unstructured in-depth interviews with four women defectors from North Korea. Their age bracket is between the ages of 50 and 58 and they have stayed over five years in South Korea. They were recommended by social welfare workers, who had dealt with them over 20 years. For the reliability of this study, the three methods were performed such as three-month close relationship, three-person triangular verification, and diversification of resources-the field notes and observation notes. Results: As a result of this study, the resources may be labeled into three main clusters of themes such as 1) Self-Preservation - 'Self-Love', 'Family-Attachment', 'Share the Goods', 'Live in Harmony', 'Avoidance of conflict'; 2) Self-Conquest - 'Endurance', 'Earnestness and Effort', 'My own Activities', 'Chat', 'Put Down', 'Appreciation and Optimism'; 3) Self-Presence Awareness - 'I was a Precious Daughter', 'I am Mother'. Also there are thirteen sub categories to be considered. Conclusions: This study focuses on identifying how women defectors have used or can use the psychosocial resources available for them, rather than what they have struggled with. It is meaningful to identify in a positive light that this study provides how they have adjusted to a totally different context for their survival and what psychosocial resources they have used. This study can give an idea about how they may receive proper and practical help from the government programs in order to become better used to new living circumstances in South Korea. As well, this study can provide meaningful criteria and guidance with family life educators for women defectors and social workers working in counseling and social welfare areas. This study contributes to better understanding about how they are using these psychosocial resources.

A Study on the Motif of 'Book Travel' in Korean Web Novel -Focused on Romance Fantasy Genre (한국 웹소설의 '책빙의물'의 특성 연구 -로맨스판타지 장르를 중심으로)

  • Ahn, Sang-Won
    • Journal of Popular Narrative
    • /
    • v.26 no.3
    • /
    • pp.87-120
    • /
    • 2020
  • The study noted the characteristics of the web novel's 'Book Travel' motif, which reflects the characteristics of popular culture content, which is free to use familiar genre grammar or code. The imagination of the main character entering the work he read in the real world is a reinterpretation of the existing genre grammar of the web novel, and studying the motif is meaningful in reviewing the intertext of the genre. This motif, summarized as 'Book Travel' differs from other genres in the romance fantasy genre, which can also be used to reveal the gender characteristics of the genre. The study noted that the 'Book Travel' motif was born from an interactive interpretation of existing narratives, thus having a affinity with dimensional shift, regression, and alternative historical objects, and referring to the writing norms of Fanfiction. Through this, it was predicted that the re-combination of existing narratives and interference between genres would continue in the future. Next, the original move in the romance fantasy genre was seen as quite conservative and revealing the logic of self-improvement even though people around him became the main characters and overthrew the narrative. The characters should use their knowledge of the future of the real world to fight in a world of survival where destruction has been predicted. The appearance of an ethical and self-help subject is interesting, but on the other hand, I could look at conservatism in that romance is a way of survival and achievement of characters. The research is meaningful in that it reviewed the characteristics of the original transfer motif, which started fairly quickly in the romance fantasy genre, and reviewed its appearance background and characteristics. There was a limit to the collection of physical works and limited platform. The above limits are intended to be supplemented by further reviewing and supplementing later works.

Strength and Healing Performance of the Mortar using Bacterial Pellet as a Self-Healing Material (박테리아 펠렛을 자기치유 소재로 사용한 모르타르의 강도 및 치유성능)

  • Jang, Indong;Son, Dasom;Ryu, Young-ung;Park, Woojun;Yi, Chongku
    • Journal of the Korean Recycled Construction Resources Institute
    • /
    • v.8 no.1
    • /
    • pp.112-119
    • /
    • 2020
  • In this study, cellulose-based bacterial pellets was used for the self-healing concrete manufacturing. The pellet is composed of complex cultured bacterial spore powder, methyl cellulose, two kinds of PVA nutrients and water, and is extruded through a hydraulic press to have a shape of 2mm in diameter to 3 to 4mm in length. Cellulose pellets expand at neutral pH, release bacteria and nutrients, and do not react in a basic environment, increasing the long-term survival rate of bacteria in cement mortar. In addition, pellet self-healing performance of pellet mortar was significantly higher than that of control mortar. Cellulose-based pellets are a new type of bacterial carrier system that will help develop self-healing concrete in the future by improving and optimizing pellets.

SQUAMOUS CELL CARCINOMA WITH APLASTIC ANEMIA PATIENT (재생불량성 빈혈 환자의 편평상피세포암)

  • Lee, Kye-Young;Lee, Ju-Hyun;Min, Kyong-In;Kim, Chul-Whan
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.27 no.1
    • /
    • pp.65-68
    • /
    • 2001
  • The major manifestations of aplastic anemia are characterized by persistent bone marrow aplasia and peripheral pancytopenia due to defective stem cells in which differentiation is not curtailed or preferential elimination of stem cells with self-renewal capacity, which results in serious complications such as bleeding and infection. Recent advances in the therapeutic modalities, such as bone marrow transplantation and immunosuppressive therapy, and in supportive measures as component transfusion and infection control with better quality of antibiotics resulted in an improved survival and subsequently increased possibility of complications which need surgical intervention. Considering the fact that surgery may not only control complications, but offers the opportunity to give effective therapy for aplastic anemia and therefore improves chances for survival, it is strongly suggested that active surgical intervention should be performed. We report a case of patient with aplastic anemia who had been performed surgical intervention of partial maxillectomy for the squamous cell carcinoma on maxilla without serious complications during perioperative and postoperative period.

  • PDF

A within-subject comparison of short implants in the posterior region: retrospective study of up to 10 years

  • Segalla, Douglas Blum;Villarinho, Eduardo Aydos;Correia, Andre Ricardo Maia;Vigo, Alvaro;Shinkai, Rosemary Sadami Arai
    • The Journal of Advanced Prosthodontics
    • /
    • v.13 no.3
    • /
    • pp.172-179
    • /
    • 2021
  • Purpose. This intra-patient retrospective study of up to 10 years evaluated the clinical success and risk factors of 6- and 8-mm long implants and their respective prostheses. Materials and Methods. The sample consisted of patients treated at a Military Polyclinic dental service, who received both 6- and 8-mm long tissue level implants in the posterior region of the same arch. Data were collected from the dental charts, clinical and radiographic exams, self-report of sleep bruxism, measurement of maximum occlusal force, and clinical crown-to-implant (C/I) ratio. Data were analyzed by descriptive and inferential statistics with univariate and hierarchical multivariate models, at the 0.05 significance level. Results. The 30 patients (27 women) had 85 implants and 83 prostheses. Two implants were lost before prosthesis installation (implant survival: 97.6%). Ten events of prosthetic complication (screw tightening loss) occurred in five patients (success rate: 87.9%) in a single moment. Only the variable C/I ratio had a significant effect for repairable prosthesis complication (P<.05). Conclusion. The results suggest that 6- and 8-mm long implants have similar long-term clinical success for implants and prostheses.

Wireless Mobile Sensor Networks with Cognitive Radio Based FPGA for Disaster Management

  • Ananthachari, G.A. Preethi
    • Journal of Information Processing Systems
    • /
    • v.17 no.6
    • /
    • pp.1097-1114
    • /
    • 2021
  • The primary objective of this work was to discover a solution for the survival of people in an emergency flood. The geographical information was obtained from remote sensing techniques. Through helpline numbers, people who are in need request support. Although, it cannot be ensured that all the people will acquire the facility. A proper link is required to communicate with people who are at risk in affected areas. Mobile sensor networks with field-programmable gate array (FPGA) self-configurable radios were deployed in damaged areas for communication. Ad-hoc networks do not have a centralized structure. All the mobile nodes deploy a temporary structure and they act as a base station. The mobile nodes are involved in searching the spectrum for channel utilization for better communication. FPGA-based techniques ensure seamless communication for the survivors. Timely help will increase the survival rate. The received signal strength is a vital factor for communication. Cognitive radio ensures channel utilization in an effective manner which results in better signal strength reception. Frequency band selection was carried out with the help of the GRA-MADM method. In this study, an analysis of signal strength for different mobile sensor nodes was performed. FPGA-based implementation showed enhanced outcomes compared to software-based algorithms.

Cutting Propagation and Seedling Growth Effect According to Fertilizer Application of Elsholtzia minima Nakai (좀향유의 삽목 증식 및 시비에 따른 유묘의 생장 효과)

  • Kim, Tae-Keun;Kim, Hyoun-Chol;Song, Jin-Young;Lee, Hee-Seon;Ko, Seok-Hyung;Lee, You-mi;Song, Chang-Khil
    • Korean Journal of Plant Resources
    • /
    • v.28 no.2
    • /
    • pp.243-252
    • /
    • 2015
  • This study was performed to establish a production system for in situ and ex situ conservation of Elsholtzia minima Nakai, an endemic plant grown in Jeju Island. Moreover, this study aimed to identify root-growth characteristics according to the use of pre-treatment agents and seedling growth effect according to fertilizer application. The mean temperature was similar in greenhouse and vinyl-moist chamber, but air humidity was higher in vinyl-moist chamber than in greenhouse. After stem planting of Elsholtzia minima Nakai, initial root growth was observed after 10 days in greenhouse and after 7 days in vinyl-moist chamber. Root growth rate was more rapid in vinyl-moist chamber. Moreover, survival rate, root growth rate and root number was slightly higher in vinyl-moist chamber than in greenhouse, indicating that vinyl-moist chamber is more effective in plant growth. When pre-treatment agents were used to remove root growth-inhibiting substances, a higher root growth rate of more than 95% was found in pre-treatment groups, excluding the group treated with AgNO3 at 77.5%. Thus, Elsholtzia minima Nakai is thought to have less root growth inhibitors. In the analysis of nitrogen application rate and Osmocote application by seedling container, a difference was found in survival rate and growth according to application rate and container conditions. When Osmocote, a slow release fertilizer, was applied to the soil surface around each culture container, survival rate and the growth of aerial and root parts were most favorable. Thus, Osmocote fertilizer is thought to be desirable for seedling propagation of Elsholtzia minima Nakai.

Biological Function of Carcinoembryonic Antigen-Related Cell Adhesion Molecule 6 for the Enhancement of Adipose-Derived Stem Cell Survival against Oxidative Stress (지방유래 줄기세포의 생존능 향상을 위한 CEACAM 6의 생물학적 기능에 대한 연구)

  • Koh, Eun-Young;You, Ji-Eun;Jung, Se-Hwa;Kim, Pyung-Hwan
    • Korean Journal of Clinical Laboratory Science
    • /
    • v.51 no.4
    • /
    • pp.475-483
    • /
    • 2019
  • The use of stem cells in cell-based therapy has attracted extensive interest in the field of regenerative medicine, and it has been applied to numerous incurable diseases due to the inherent abilities of self-renewal and differentiation. However, there still exist some severe obstacles, such as requirement of cell expansion before the treatment, and low survival at the treated site. To overcome these disadvantages of stem cells, we used the carcinoembryonic antigen-related cell adhesion molecule 6 (CEACAM 6) gene, which functions to increase cell-cell interaction as well as anti-apoptosis. We first confirmed whether CEACAM 6 is expressed in various cell lines at the protein level (including in stem cells), followed by evaluating and selecting the optimal transfection conditions into stem cells. The CEACAM 6 gene was transfected into stem cells to prolong cell survival and preserve from damage by oxidative stress. After confirming the CEACAM 6 expression in transfected stem cells, the cell survival was assessed under oxidative condition by exposing to hydrogen peroxide (H2O2) to mimic the chronic environment-induced cellular damage. CEACAM 6 expressing stem cells show increased cell viability compared to the non-CEACAM 6 expressing cells. We propose that the application of the CEACAM 6 gene is a potential option, capable of expanding and enhancing the therapeutic effects of stem cells.

The Effect of Transformational Leadership of Hotel Managers on Self-Efficacy, Organizational Commitment, and Job Performance (호텔 관리자의 변혁적 리더십, 자기효능감, 조직몰입, 직무성과 간의 관계 연구)

  • Seo, Ye-Jung;Han, Jin-Soo
    • Journal of Korea Entertainment Industry Association
    • /
    • v.13 no.6
    • /
    • pp.33-44
    • /
    • 2019
  • In this rapidly changing era of infinite competition, many companies highlight the importance of internal resources to secure competitiveness. Especially in the service industry, because hotel employees provide service face-to-face with customers, their attitude at the moment of truth directly affects the customers satisfaction and consequently it is directly related to the survival and development of organization. The purpose of this study is to investigate the effect of transformational leadership of hotel managers on self-efficacy, organizational commitment, and job performance. This research aims to provide theoretical and practical implications through the exercise of manager's leadership in the hotel industry. As a result of the analysis, transformational leadership, self-efficacy, and organizational commitment have partially significant positive(+) effect on job performance. Thus, hotel managers should present a strong vision, establish the sense of target and show a careful and persistent interest on individuals to derive voluntary participation and creativity.