• Journal of Chest Surgery
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• 제48권4호
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• pp.258-264
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• 2015

Background: This study aimed to evaluate the therapeutic results and safety of pectoralis major muscle turnover flaps in the treatment of mediastinitis after coronary artery bypass grafting (CABG) procedures. Methods: Data regarding 33 patients with post-CABG deep sternal wound infections (DSWIs) who underwent pectoralis major muscle turnover flap procedures in the Emam Reza and Ghaem Hospitals of Mashhad, Iran were reviewed in this study. For each patient, age, sex, hospital stay duration, remission, recurrence, and associated morbidity and mortality were evaluated. Results: Of the 2,447 CABG procedures that were carried out during the time period encompassed by our study, DSWIs occurred in 61 patients (2.5%). Of these 61 patients, 33 patients (nine females [27.3%] and 24 males [72.7%]) with an average age of $63{\pm}4.54$ years underwent pectoralis major muscle turnover flap placement. Symptoms of infection mainly occurred within the first 10 days after surgery (mean, $10.24{\pm}13.62days$). The most common risk factor for DSWIs was obesity (n=16, 48.4%) followed by diabetes mellitus (n=13, 39.4%). Bilateral and unilateral pectoralis major muscle turnover flaps were performed in 20 patients (60.6%) and 13 patients (39.4%), respectively. Complete remission was achieved in 25 patients (75.7%), with no recurrence in the follow-up period. Four patients (12.1%) needed reoperation. The mean hospitalization time was $11.69{\pm}6.516days$. Four patients (12.1%) died during the course of the study: three due to the postoperative complication of respiratory failure and one due to pulmonary thromboembolism. Conclusion: Pectoralis major muscle turnover flaps are an optimal technique in the treatment of post-CABG mediastinitis. In addition to leading to favorable therapeutic results, this flap is associated with minimal morbidity and mortality, as well as a short hospitalization time.

• 대한치과마취과학회지
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• 제12권3호
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• pp.157-163
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• 2012

Background: The major goal of dental management before and after liver transplantation is the prevention of bacteremia from an oral source that could lead to systemic infection. However dental treatment in liver transplant patients have the risk of infection and bleeding. so it is needed special dental consideration. Methods: 42 liver transplant candidates who visited department of Advanced General Dentistry in Yonsei University College of dentistry from March 1, 2010 to February 29, 2012 were selected. The clinical data of those patients were analyzed; coagulation status such as PT, INR, aPTT, platelet count before and 6 months after liver transplantation, dental infectious foci, time interval between dental visit and operation date of liver transplantation. Results: Before liver transplant, the patient's PT and INR was prolonged, and the platelet count was lower than normal range. But 6 months later from liver transplantation, most of the figures turned into a normal range. The dental infection foci were chronic periodontitis, dental caries, chronic apical periodontitis, root rest et al but we did extraction of 6 root rest before liver transplantation and postponed other treatment after liver transplantation due to bleeding and infection risk of patients. Because of insufficient interval between dental visit and operation date, 64.3% of patients could not finish the dental treatment. Conclusions: The patients before liver transplantation have the risk of bleeding. The treatment of those patient should be removal of only factors that can cause dental infections after transplantation and other treatment must be postponed until the stable period of the transplant that patient's condition has improved.

• 대한원격탐사학회지
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• 제37권5_1호
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• pp.927-938
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• 2021

편대 비행하는 저궤도위성에는 비슷한 크기의 비중력 섭동이 일정한 시간 차이를 두고 가해진다. 이러한 시간상관관계를 이용하면 한 개 위성의 가속도계에서 측정된 가속도 값으로 다른 편대비행 저궤도위성의 비중력가속도를 추정할 수 있다. 편대비행 저궤도위성인 GRACE 및 GRACE-FO 위성에서 한 개 위성의 가속도계 데이터를 사용할 수 없는 기간이 존재하는데, 앞서 기술된 시간 이식 기법이 JPL (Jet Propulsion Laboratory)에서 공식적으로 가속도계 데이터 복원 시 사용되고 있다. 본 논문에서는 기존의 시간 이식 기법의 가속도계 추정 정확도를 개선하기 위하여 신경망 (neural network; NN) 모델 기반 편대비행 저궤도위성 가속도계 데이터 추정 방법을 제안하였다. 시간 이식 기법은 위성의 위치 및 우주환경요소 등을 반영할 수 없지만, NN 모델은 이를 모델 입력으로 사용할 수 있으므로 예측 정확도를 높일 수 있다. 1개월간 NN 모델을 사용하여 가속도계 예측 시험을 수행하고 시간 이식 기법과 예측 정확도를 비교하였다. 그 결과 along-track 및 radial 방향에서 NN모델의 가속도계 데이터의 예측 오차는 시간 이식 기법에 비해 각각 55.0%, 40.1% 감소하였다.

• Archives of Plastic Surgery
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• 제46권5호
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• pp.462-469
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• 2019

Background Incisional hernia is a common complication following visceral organ transplantation. Transplant patients are at increased risk of primary and recurrent hernias due to chronic immune suppression and large incisions. We conducted a retrospective review of patients with a history of liver or kidney transplantation who underwent hernia repair to analyze outcomes and hernia recurrence. Methods This is a single center, retrospective review of 19 patients who received kidney and/or liver transplantation prior to presenting with an incisional hernia from 2011 to 2017. All hernias were repaired with open component separation technique (CST) with biologic mesh underlay. Results The mean age of patients was $61.0{\pm}8.3years\;old$, with a mean body mass index of $28.4{\pm}4.8kg/m^2$, 15 males (78.9%), and four females (21.1%). There were seven kidney, 11 liver, and one combined liver and kidney transplant patients. The most common comorbidities were hypertension (16 patients, 84.2%), diabetes (9 patients, 47.4%), and tobacco use (8 patients, 42.1%). Complications occurred in six patients (31.6%) including hematoma (1/19), abscess (1/19), seroma (2/19), and hernia recurrence (3/19) at mean follow-up of $28.7{\pm}22.8months$. With the exception of two patients with incomplete follow-up, all patients healed at a median time of 27 days. Conclusions This small, retrospective series of complex open CST in transplant patients shows acceptable rates of long-term hernia recurrence and healing. By using a multidisciplinary approach for abdominal wall reconstruction, we believe that modified open CST with biologic mesh is a safe and effective technique in the transplant population with complex abdominal hernias.

• IMMUNE NETWORK
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• 제12권2호
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• pp.58-65
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• 2012

Background: A cell line with transfected Wilms' tumor protein 1 (WT1) is has been used for the preclinical evaluation of novel treatment strategies of WT1 immunotherapy for leukemia due to the lack of appropriate murine leukemia cell line with endogenous WT1. However, silencing of the transgene occurs. Regarding the effects of hypomethylating agents (HMAs) on reactivation of silenced genes, HMAs are considered to be immune enhancers. Methods: We treated murine WT1- transfected C1498 (mWT1-C1498) with increasing doses of decitabine (DAC) and azacitidine (AZA) to analyze their effects on transgene reactivation. Results: DAC and AZA decreased the number of viable cells in a dose- or time-dependent manner. Quantification of WT1 mRNA level was analyzed by real-time polymerase chain reaction after mWT1-C1498 treated with increasing dose of HMA. DAC treatment for 48 h induced 1.4-, 14.6-, and 15.5-fold increment of WT1 mRNA level, compared to untreated sample, at 0.1, 1, and $10{\mu}M$, respectively. Further increment of WT1 expression in the presence of 1 and $10{\mu}M$ DAC was evident at 72 h. AZA treatment also induced up-regulation of mRNA, but not to the same degree as with DAC treatment. The correlation between the incremental increases in WT1 mRNA by DAC was confirmed by Western blot and concomitant down-regulation of WT1 promoter methylation was revealed. Conclusion: The in vitro data show that HMA can induce reactivation of WT1 transgene and that DAC is more effective, at least in mWT1-C1498 cells, which suggests that the combination of DAC and mWT1-C1498 can be used for the development of the experimental model of HMA-combined WT1 immunotherapy targeting leukemia.

• Journal of Preventive Medicine and Public Health
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• 제37권1호
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• pp.26-36
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• 2004

Objective : To examine the association between hospital procedure volume and treatment outcomes following allogeneic bone marrow transplantation (allo-BMT). Methods : Out of 1,050 patients who received allo-BMTs between 1998 and 2000 in 21 Korean hospitals, 752 with first allo-BMT and complete data were included in this study. Study subjects were divided into the following three groups according to cumulative hospital experience of all-BMTs during the study period: low (<30 cases), medium (30-49) and high ($\geq$50 cases) volume. Patient outcome was defined as early survival at day 100 and one-year survival. Multiple logistic regression analyses were performed to examine the association between hospital experience and survival at day 100 and one year. Results : When the low volume group was defined as the reference group, the adjusted relative risks (RR) of survival at day 100 for the high volume group were 2.46(95% CI, 1.13-5.36) for all patients, 2.61(1.04-6.57) for those with leukemia, and 2.20(0.47-10.32) for those with aplastic anemia. For one-year survival, adjusted RR for the high volume group were 2.52(1.40-4.51) for all patients, 1.99 (1.01-3.93) for leukemia, and 6.50(1.57-26.80) for aplastic anemia. None of the RR for the medium volume group was statistically significant. Patient factors showing significant relationship with survival were donor-recipient relation, human leukocyte antigen matching status, time from diagnosis to transplant, and disease stage. Conclusions : The study results suggest that the cumulative experience of hospitals in providing allo-BMT is positively associated with patient survival.

• Journal of Korean Biological Nursing Science
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• 제22권2호
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• pp.119-126
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• 2020

Purpose:Weight gain after kidney transplantation is a critical factor that can lead to poor outcomes with cardiovascular complications. Many studies have been conducted to identify predictive markers of future weight changes at the time of transplant. Recently, circulating exosomes and its contents including miRNAs and proteins have attracted attention as potential biomarkers. In this pilot study, we investigated exosomal proteins and weight change after kidney transplant. Methods: Recipients (n = 10) were classified into two groups; weight gainers (n = 5, 9.7 ± 4.4kg) and weight losers (n = 5, -6.4 ± 1.8kg) based on their weight changes at 12-months posttransplant. Based on the exosomal protein profiles obtained by the LC-MS/MS, differentially expressed proteins were identified between the groups. Results: Concentration and the mean size of exosomes significantly increased at 12-months compared to the baseline (p= .009) in the total group. Eleven exosomal proteins were found at the baseline as differentially expressed between the two groups. In the weight gain group, complement proteins including HV169, C3, C4B, and C4A, were significantly upregulated. Conclusion: Our pilot study suggests that exosomal complementary proteins are associated with weight gain after kidney transplantation. Further studies are needed to clarify the role of these exosomal proteins in the underlying mechanisms of weight changes in kidney transplant recipients.

• 원예과학기술지
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• 제32권5호
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• pp.600-606
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• 2014

The objective of this study was to determine the effects of seedling ages of scions and rootstocks for grafting and light intensity during their cultivation in a closed transplant production system on the growth and development of grafted cucumber transplants. Cucumber scions and rootstocks were cultivated under 5 photosynthetic photon flux (PPF) levels: 100, 140, 180, 230, and $280{\mu}mol{\cdot}m^{-2}{\cdot}s^{-1}$ in a closed transplant production system. The scions were grafted onto the rootstocks at 8, 9, 10, 11, and 12 days after sowing (DAS). Hypocotyl length of scions and rootstocks decreased significantly as PPF increased, and an increase in dry weight with increasing PPF was more pronounced in scions. After grafting, cucumber transplants were grown in a greenhouse until 22 DAS and were then transplanted for investigation of their growth and development. Plant height, leaf area, and fresh weight of cucumber transplants grafted at 8, 9, and 10 DAS were greater, but light intensity during cultivation of scions and rootstocks did not significantly affect the early growth of cucumber transplants after grafting. The number of female flowers in grafted cucumber after transplanting was highest when scions and rootstocks were cultivated under PPF 140 and $180{\mu}mol{\cdot}m^{-2}{\cdot}s^{-1}$ and were grafted at 8 DAS. These results indicate that controlling environmental conditions in a closed transplant production system during the production of scions and rootstocks can advance grafting time and promote the growth and development of grafted cucumber transplants.

• 한국작물학회지
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• 제68권4호
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• pp.225-235
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• 2023

벼의 수확기 기준온도 결정에 활용하기 위하여 2020~2021년 포장 조건에서 우리나라 자포니카 벼 품종(오대, 하이아미, 삼광)의 4회 이앙 처리에서 등숙 한계온도를 분석한 결과는 다음과 같다. 1. 이앙차수별 출수기 범위는 2020년에는 1차 8월 27~28일, 2차 9월 14~15일, 3차 9월 23~25일, 4차 9월 28~30일이었으며, 2021년에는 1차 8월 20~23일, 2차 9월 9~15일, 3차 9월 20~22일, 4차 9월 28~30일이었다. 2. 등숙비율, 정조 천립중, 정조중, 완전립 비율 중 등숙 한계온도 분석에 적합한 특성은 등숙비율과 정조중이었다. 3. 등숙비율과 정조중은 2020년 1~2차 이앙과 2021년 1~3차 이앙에서 sigmoid curve 형태의 변화를 나타내었으며, 2020년 3차와 2021년 4차 이앙에서는 일정 시기까지 증가한 이후 정체 또는 감소하는 양상을 보였다. 4. 비선형회귀 분석에서 등숙비율과 정조중이 최고값의 95%에 도달한 시기는 2020년 2차 이앙에서 출수 후 49~62일, 2021년 2차와 3차 이앙에서 각각 출수 후 37~46일과 30~36일이었으며, 2020년 3차와 2021년 4차 이앙에서 등숙특성의 실측 최고값은 출수 후 42일에 나타났다. 5. 비선형회귀 분석에서 등숙 한계온도 분석에 적합한 경우 최고값 대비 95% 시기의 7일 이동 평균기온은 품종과 특성에 따라 2020년 2차 이앙에서 8.4~9.4℃, 2021년 2차와 3차 이앙에서 9.4~10.9℃로 나타났으며, 품종별로 평가한 등숙 한계온도는 7일 이동 평균기온 8.4~8.7℃였다. 6. 2020년 3차와 2021년 4차 이앙에서 등숙비율과 정조중의 증가가 나타난 가장 낮은 7일 평균기온은 품종에 따라 9.4~10.1℃ 범위였으며, 정체 또는 감소가 나타난 가장 높은 온도는 8.7~9.1℃ 범위였다. 7. 종합적으로, 비선형회귀 분석에서 나타난 자포니카 벼의 등숙 한계온도는 품종에 따라 7일 이동 평균기온 기준 8.4~8.7℃로 분석되었으며, 실측 등숙 특성의 변화로 분석한 등숙 한계온도는 이전 7일 평균기온 기준 9.1~9.4℃ 사이로 나타났다. 8. 벼의 수확 한계기 기준 온도는 품종에 따라 등숙 진전이 관찰된 가장 낮은 온도인 이전 7일 평균기온 9.4~10.1℃에서 높은 온도인 10℃ 정도를 적용하는 것이 재배 안전성 측면에서 유리할 것으로 평가되었다.

• 한국융합학회논문지
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• 제11권12호
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• pp.457-467
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• 2020

본 연구는 지속적인 자가간호가 필요한 신장이식 수술환자의 경과 기간에 따른 미충족 요구를 파악하여, 시기에 맞는 통합적인 간호중재 프로그램 개발에 필요한 기초자료를 제공하고자 시도되었다. 연구대상은 신장이식 수술 후 1년까지 입원 및 외래환자 84명으로 구성되었다. 자료수집 기간은 2020년 2월 17일부터 5월 31일까지로, Comprehensive Needs Assessment Tool in Cancer(CNAT)를 신장이식 환자에 맞게 수정·보완, 전문가 타당도 검증을 거쳐 사용하였다. 자료분석은 Chi-square, 독립 t-test, one-way ANOVA, ANCOVA, 사후검정은 Scheffé로 하였다. 연구결과 신장이식 수술 환자의 미충족 요구는 171점 만점 중 총점 평균 68.28(±38.88)점, 하부영역 8개 중 정보 및 교육이 17.92(±8.36)점으로 가장 높았다. 경과 기간에 따른 미충족 요구는 3-6개월에 비해 6개월-1년까지가 유의하게 높았다(F=7.57, p=.001). 이를 토대로 신이식 후 회복이 되어 관심이 줄어들 수 있는 6개월-1년 사이 환자의 미충족 요구는 증가하였으므로 적절한 정보와 도움을 융합하여 제공하는 간호중재 프로그램이 필요하다.