Forte, Antonio Jorge;Boczar, Daniel;Kassis, Salam;Huayllani, Maria T.;McLaughlin, Sarah A.
Archives of Plastic Surgery
/
v.47
no.4
/
pp.305-309
/
2020
Breast cancer treatment-related lymphedema (BCRL) is a common comorbidity in breast cancer survivors. Although magnetic resonance imaging (MRI) is widely used to evaluate therapeutic response of patients with various medical conditions, it is not routinely used to evaluate lymphedema patients. We conducted a systematic review of the literature to identify studies on the use of MRI to evaluate therapy for BCRL. We hypothesized that MRI could provide information otherwise not possible through other examinations. On October 21, 2019, we conducted a systematic review on the PubMed/MEDLINE and Scopus databases, without time frame or language limitations, to identify studies on the use of MRI to evaluate therapy for BCRL. We excluded studies that investigated other applications of MRI, such as lymphedema diagnosis and surgical planning. Of 63 potential articles identified with the search, three case series fulfilled the eligibility criteria. In total, 53 patients with BCRL were included and quantitatively evaluated with MRI before and after manual lymphatic drainage. Authors used MRI or MR lymphagiography to investigate factors such as lymphatic vessel cross-sectional area, tissue water relaxation time (T2), and chemical exchange saturation transfer. The only study that compared MRI measurement with standard examinations reported that MRI added information to the therapy evaluation. MRI seems to be a promising tool for quantitative measurement of therapeutic response in patients with BCRL. However, the identified studies focused on only manual lymphatic drainage and were limited by the small numbers of patients. More studies are necessary to shed light on the topic.
Ha, Na-Sun;Choi, Jung;Lee, Yong-Mi;Im, Mee-Young;Lee, Kyu-Eun;Kil, Suk-Young;Kho, Myung-Suk
Journal of Korean Academy of Nursing Administration
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v.8
no.1
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pp.31-44
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2002
The main purpose of this study was to identify the effect of stress management program on the perceived stress, stress response, ways of coping of nurses.The data were collected from September 22 to December 21, 1997. The subjects were 45 emergency nurses of three university hospital located in seoul ; 25 assigned for the experimental group and 20 for the control group.The stress management program was composed of cognitive training, behavioral training and progressive muscle relaxation. The subjects of the experimental group carried out the 15-minute progressive muscle relaxation according to recorded-tape once a day for 6 weeks. The cognitive and the behavioral training were conducted by the investigator for 5~8 subjects at a time for 9 series, at an interval of 4~5days.The instruments used in the study was the perceived stress scale developed by Levenstein et al.(1993), Symptoms of stress Inventory(1991), and ways of coping scale developed by Lazarus & Folkman(1984).The data were analyzed by SAS program, using descriptive statistics, χ2-test, t-test, paired t-test.The results were as follows :1. The perceived stress of experimental group was lower than that of the control group. However, no significant difference between the two groups was revealed.2. The stress response of experimental group was reduced after stress management program and the stress response of control group was reduced after stress management program. but no significant difference between the two groups was revealed.3. The problem oriented coping of the experimental group was higher than that of the control group, however no significant difference between the two groups was revealed.4. The emotional oriented coping of the experimental group was lower than that of the control group, however no significant difference between the two groups was revealed.
Korean Journal of Air-Conditioning and Refrigeration Engineering
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v.6
no.4
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pp.365-379
/
1994
Pool boiling experiments were carried out to study the effect of electric field on nucleate boiling heat transfer. CFC-11 and its alternative HCFC-123 were used as working fluids. Boiling on both single tube and a bundle of five tubes was investigated. Heat flux varied from 5 to $25kW/m^2$ while the applied voltage changed from 0 to 1kV. The results showed that at low heat flux where boiling was not present or very weak, electric field-induced forced convection helped increase the heat transfer coefficients of CFC-11 and HCFC-123 significantly(4-15 times increase). However, at higher heat flux, nucleate boiling of CFC-11 which is a highly dielectric fluid, was not affected significantly by the application of electric field. In contrast to CFC-11, even at high heat flux, nucleate boiling of CFC-11 which has a relatively larger electric conductivity than CFC-11, was vigorously increased up to 2-4 times. The additional power required to apply the electric field was 1-2% of the total power consumption by the heater. The increase in overall heat transfer coefficient of evaporators with HCFC -123 was about 40%, suggesting a considerable reduction in evaporator size with EHD technique.
Journal of the Korea institute for structural maintenance and inspection
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v.6
no.2
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pp.183-194
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2002
A general procedure to evaluate the sensitivity of design variables to stresses and strains in PSC flexural members is proposed. To accomplish the purpose of this study, long-term losses including creep, shrinkage, and PS steel relaxation are formulated based on the equilibrium states of the deformed sectional geometry. Thereby, the formulation follows the basic steps which consider the fundamental formulas adopted by CEB-FIP, ACI, and KCI rather than the age adjusted effective modulus concept. Twenty-one design variable including the material and geometrical properties of concrete, nonprestressing steel and prestressing steel, and the geometry of the cross section are considered in the sensitivity analysis. The gradients of the stresses and strains needed for the sensitivity assessment are calculated in a closed format. The derived formulation is applied to the T-type section PSC beam with prestressing and nonprestressing steels for the sensitivity analysis. The analytically calculated sensitivity results are compared with those numerically calculated to ensure the validity of the proposed procedure.
There have been many efforts to use anionic hydrogels as oral protein delivery carriers due to their pH-responsive swelling behavior. The dynamic swelling behavior of poly(methacrylic acid-co-methacryloxyethyl glucoside) [P(MAA-co-MEG)] hydrogels was investigated to determine the mechanism of water transport through these anionic hydrogels. The exponential relation $M_t/M_{\infty}=kt^n$ was used to calculate the exponent, n, describing the Fickian or non-Fickian behavior of swelling polymer networks. The mechanism of water transport through these gels was significantly affected by the pH of the swelling medium. The mechanism of water transport became more relaxation-controlled in the swelling medium of pH 7.0 that was higher than the $pK_a$ of the gels. Experimental results of time-dependent swelling behavior of the gels were analyzed with several mathematical models. Using ATR-FTIR spectroscopy, the effect of ionization of the carboxylic acid groups in the polymer networks on the water transport mechanism was investigated.
Kang-ze, Yuan;Wan-kui, Ni;Xiang-fei, Lu;Hai-man, Wang
Geomechanics and Engineering
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v.31
no.5
/
pp.519-527
/
2022
Shear failure in soil is the primary cause of most geotechnical structure failures or instability. Soil water content is a significant factor affecting soil shear strength. In this study, the shear strength of samples with different water contents was tested. The shear strength, cohesion, and internal friction angle decreased with increasing water content. Based on the variation of cohesion and internal friction angle, the water content zone was divided into a high-water content zone and low-water content zone with a threshold water content of 15.05%. Cohesion and internal friction angle have a good linear relationship with water content in both zones. Environmental Scanning Electron Microscopy (ESEM) test presented that the aggregates size of the compacted loess gradually increases with increasing water content. Meanwhile, the clay in the compacted loess forms a matric that envelops around the surface of the aggregates and fills the inter-aggregates pores. A quantitative analysis of bound water and free water under different water contents using a nuclear magnetic resonance (NMR) test was carried out. The threshold water content between bound water and free water was slightly below the plastic limit, which is consistent with the results of shear strength parameters. Combined with the T2 distributions obtained by NMR, one can define a T2 relaxation time of 1.58 ms as the boundary point for bound water distribution without free water. Finally, the effects of bound water and free water on shear strength parameters were analyzed using linear regression analysis.
Hong, Ran Seon;Hwang, Kyung Hwa;Kim, Suncheun;Cho, Hwang Eui;Lee, Hun Joo;Hong, Jin Tae;Moon, Dong Cheul
Journal of the Korean Magnetic Resonance Society
/
v.17
no.2
/
pp.98-104
/
2013
The ERETIC (Electronic REference To access In vivo Concentrations)2 method is a new qNMR experimental technique to measure analytes based on the signal of the reference compound without additional hardware equipment. In this study, ERETIC2 method was validated, and we sought to identify whether it would be possible to apply this method to a specific compound analysis of metabolites in plant. The $90^{\circ}$ pulse value (P1) and spin-lattice relaxation time ($T_1$) of each compound were measured for ERETIC2. The $9^1H$ of 3-(trimethylsilyl) propionic-2,2,3,3-$d_4$ acid (TSP) was used as a reference peak for ERETIC 2, and then, a suitable solvent and pulse sequence for each compound were selected. Under the NOESY-presat sequence, the relative accuracy error for quantitative analyses of primary metabolites was within the range of 5%, with the exception of glucose, which showed ${\geq}$ 55% error due to saturation. It showed excellent results for the quantification of glucose by using a $30^{\circ}$ pulse sequence, which did not suppress the water peak. In addition, the quantitative accuracy for secondary metabolites was extremely accurate, with an error ${\leq}$5% when considering the purity of the standard sample. The ERETIC2 method showed outstanding linearity, precision, and accuracy.
Journal of the Korean Institute of Landscape Architecture
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v.34
no.6
s.119
/
pp.39-53
/
2007
Unlike conventional roof landscaping, where various kinds of plants and structures are employed, a grass roof is a roof on which herbaceous plants are grown in planting medium and which is not accessed or maintained, mainly because it doesn't have sufficient load capacity to support a regular roof garden. They are mostly built on existing roofs, whether flat slab or gabled. Planting on roofs has numerous advantages, such as creating a biotope, purifying urban air, adding moisture to the atmosphere, storing rain water, preventing flash floods, reducing energy use for heating and air conditioning, enhancing the urban landscape and providing relaxation to the city dwellers, not to mention the alleviation of global warming by absorbing $CO_2$. In addition to the general merits of roof planting, the grass roof has its own unique qualities. Only herbaceous species are planted on the roof, resulting in light weight which allows roofs of existing buildings to be planted without structural reinforcement. The species chosen are mostly short, tough perennials that don't need to be maintained. These conditions provide an ideal situation where massive planting can be done in urban areas where roofs are often the only and definitely the largest space available to be planted. If roofs are planted on a massive scale they can play a significant role in alleviating global warming, heat island effects and energy shortages. Despite the advantages of grass roofs, there are some problems. The most significant problem is the invasion of neighboring plants. They may be brought in with the planting medium, by birds or by wind. These plants have little aesthetic value comparing to the chosen species and are usually taller. Eventually they dominate and prevail over the original species. The intended planting design disappears and the roof comes to look wild. Since the primary value of a grass roof is ecological, a change in attitude towards what constitutes beauty on the roofscape is necessary. Instead of keeping the roof neat through constant maintenance, people must learn that the wild grass with bird's nests on their roof is more beautiful as it is.
The study on the atomic structure of iron-bearing silicate glasses has significant geological implications for both diverse igneous processes on Earth surface and ultra-low velocity zones at the core-mantle boundary. Here, we report experimental results on the effect of iron content on the atomic structure in iron-bearing alkali silicate glasses ($Na_2O-Fe_2O_3-SiO_2$ glasses, up to 16.07 wt% $Fe_2O_3$) using $^{29}Si$ and $^{17}O$ solid-state NMR spectroscopy. $^{29}Si$ spin-lattice ($T_1$) relaxation time for the glasses decreases with increasing iron content due to an enhanced interaction between nuclear spin and unpaired electron in iron. $^{29}Si$ MAS NMR spectra for the glasses show a decrease in signal intensity and an increase in peak width with increasing iron content. However, the heterogeneous peak broa-dening in $^{29}Si$ MAS NMR spectra suggests the heterogeneous distribution of $Q^n$ species around iron in iron-bearing silicate glasses. While nonbridging oxygen ($Na-O-Si$) and bridging oxygen (Si-O-Si) peaks are partially resolved in $^{17}O$ MAS NMR spectrum for iron-free silicate glass, it is difficult to distinguish the oxygen clusters in iron-bearing silicate glass. The Lorentzian peak shape for $^{29}Si$ and $^{17}O$ MAS NMR spectra may reflect life-time broadening due to spin-electron interaction. These results demonstrate that solid-state NMR can be an effective probe of the detailed structure in iron-bearing silicate glasses.
Lee, Sun Joo;Lee, Sang Yong;Kang, Kyung Pyo;Kim, Won;Park, Sung Kwang
Investigative Magnetic Resonance Imaging
/
v.17
no.3
/
pp.181-191
/
2013
Purpose : To evaluate the usefulness of in vivo magnetic resonance (MR) imaging for tracking intravenously injected superparamagnetic iron oxide (SPIO)-labeled human umbilical vein endothelial cells (HUVECs) in an acute renal failure (ARF) rat model. Materials and Methods: HUVECs were labeled with SPIO and poly-L-lysine (PLL) complex. Relaxation rates at 1.5-T MR, cell viability, and labeling stability were assessed. HUVECs were injected into the tail vein of ARF rats (labeled cells in 10 rats, unlabeled cells in 2 rats). Follow-up serial $T2^*$-weighted gradient-echo MR imaging was performed at 1, 3, 5 and 7 days after injection, and the MR findings were compared with histologic findings. Results: There was an average of $98.4{\pm}2.4%$ Prussian blue stain-positive cells after labeling with SPIOPLL complex. Relaxation rates ($R2^*$) of all cultured HUVECs at day 3 and 5 were not markedly decreased compared with that at day 1. The stability of SPIO in HUVECs was maintained during the proliferation of HUVECs in culture media. In the presence of left unilateral renal artery ischemia, $T2^*$-weighted MR imaging performed 1 day after the intravenous injection of labeled HUVECs revealed a significant signal intensity (SI) loss exclusively in the left renal outer medulla regions, but not in the right kidney. The MR imaging findings at days 3, 5 and 7 after intravenous injection of HUVECs showed a SI loss in the outer medulla regions of the ischemically injured kidney, but the SI progressively recovered with time and the right kidney did not have a significant change in SI in the same period. Upon histologic analysis, the SI loss on MR images was correspondent to the presence of Prussian blue stained cells, primarily in the renal outer medulla. Conclusion: MR imaging appears to be useful for in vivo monitoring of intravenously injected SPIO-labeled HUVECs in an ischemically injured rat kidney.
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