• Title/Summary/Keyword: Transplant time

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Clinical Outcomes of Lung Transplantation: Experience at Asan Medical Center

  • Jeong, Yong Ho;Choi, Sehoon;Park, Seung-Il;Kim, Dong Kwan;Asan Medical Center Lung Transplantation Team
    • Journal of Chest Surgery
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    • v.51 no.1
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    • pp.22-28
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    • 2018
  • Background: Lung transplantation is a life-saving procedure in patients with end-stage lung disease, and is increasingly performed in Korea. Methods: We retrospectively evaluated the outcomes of patients who received a lung transplant at Asan Medical Center between January 2008 and December 2016. Thirteen of 54 patients experienced multiorgan transplantation; the remaining 41 who received only lung grafts were included. Results: The mean age of the lung transplant recipients was 44.6 years; 27 were men and 14 were women. The most frequent reasons were idiopathic interstitial pneumonia (21 of 41 patients, 51.2%), interstitial lung disease (9 of 41, 22.0%), and bronchiolitis obliterans after bone marrow transplantation (7 of 41, 17.1%). The median waiting time was 47 days, and many patients received preoperative intensive care (27 of 41, 65.9%), ventilator support (26 of 41, 63.4%), or extracorporeal life support (19 of 41, 46.3%). All 41 patients received bilateral lung grafts. Ten deaths occurred (24.3%), including 5 cases of early mortality (12.2%) and 5 cases of late mortality (12.2%). The 1-, 3-, and 5-year survival rates were 78.9%, 74.2%, and 69.3%, respectively. Conclusion: Despite a high percentage of patients who required preoperative intensive care, the transplantation outcomes were acceptable.

Population Pharmacokinetics of Cyclosporine after Hematopoietic Stem Cell Transplantation in Pediatric Patients (조혈모세포 이식을 받은 소아 환자에서 cyclosporine의 집단 약동학 분석)

  • Cho, So Yeon;Kang, Wonku;Yee, Jeong;Kim, Jae Youn;An, Sook Hee;Gwak, Hye Sun
    • Korean Journal of Clinical Pharmacy
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    • v.28 no.1
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    • pp.24-29
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    • 2018
  • Background: Cyclosporine is an immunosuppressive agent used to treat and prevent graft versus host reaction (GVHR)-a complication associated with stem cell transplantation. This study aimed to develop a population pharmacokinetic model of cyclosporine and investigate factors affecting cyclosporine clearance in pediatric hematopoietic stem cell transplant patients. Methods: A total of 650 cyclosporine concentrations recorded in 65 patients who underwent hematopoietic stem cell transplantation were used. Data including age, sex, weight, height, body surface area (BSA), type of disease, chemotherapy before stem cell transplantation, type of donor, serum creatinine levels, total bilirubin concentration, hematocrit value, and type of concomitant anti-fungal agents and methylprednisolone used were retrospectively collected. Data related to cyclosporine dosage, administration time, and blood concentration were also collected. All data were analyzed using the non-linear mixed effect model; a two-compartment model with first-order elimination was used. Results: The population pharmacokinetic model of cyclosporine using the NONMEM program was as follows: $CL(L/h)=5.9{\times}(BSA/1.2)^{0.9}$, V2 (L) = 54.5, Q (L/h) = 3.5, V3 (L) = 1080.0, $k_a(h^{-1})=0.000377$. BSA was selected as a covariate of cyclosporine clearance, which increased with an increase in BSA. Conclusion: A population pharmacokinetic model for Korean pediatric hematopoietic stem cell transplant patients was developed, and the important factor affecting cyclosporine clearance was found to be BSA. The model might contribute to the development of the most appropriate dosing regimen for cyclosporine. Further studies on population pharmacokinetics should be carried out, prospectively targeting pediatric patients.

Changes in Transpiration Rates and Growth of Cucumber and Tomato Scions and Rootstocks Grown Under Different Light Intensity Conditions in a Closed Transplant Production System (식물공장형육묘시스템 내 광량에 따른 오이와 토마토 접수 및 대목의 증발산량 및 생육 변화)

  • Park, Seon Woo;An, Sewoong;Kwack, Yurina
    • Journal of Bio-Environment Control
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    • v.29 no.4
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    • pp.399-405
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    • 2020
  • Recently, it is difficult to produce uniform scions and rootstocks with high quality in a greenhouse due to weather extremes. The closed transplant production system is useful for producing scions and rootstocks with desirable morphological characteristics by environment control regardless of weather outside. In this study, we investigated transpiration rates and growth of cucumber and tomato scions and rootstocks grown under different light intensity conditions for precise irrigation control in a closed transplant production system. Hanging system to measure continuously the weight of plug tray consisting of seedlings and substrate with load-cell was installed in each growing bed. Using this system, we confirmed initial wilting point of cucumber and tomato seedlings, and conducted subirrigation when moisture content of substrate was not below 50%. The irrigation time of cucumber scions and rootstocks were 7 and 6 days after sowing, respectively. In tomato scions and rootstocks grown under PPF (photosynthetic photon flux) 300 μmol·m-2·s-1, the irrigation time were 5, 8, 11, and 13 days after sowing. Increasing light intensity increased transpiration rates and differences of transpiration rates by light intensity was higher in tomato seedlings. The growth of cucumber and tomato seedlings was promoted by increasing light intensity, especially, hypocotyl elongation and stem thickening was affected by light intensity. Cumulative transpiration rate of plug tray in cucumber and tomato seedlings was increased by increasing light intensity, and daily transpiration rate per seedling was regressed by 1st-order linear equation with high correlation coefficient. Estimation of transpiration rates by weighing continuously plug tray of vegetable seedlings can be useful to control more accurately irrigation schedule in a closed transplant production system.

Study on the Transplanting Methods of Raising Turf seedling from Seedling Tray; III. Effects of Turf Growth to Transplanting Times (이식시기가 잔디 생장에 미치는 영향)

  • Lee Myoung-Sun;Lim Sang-Cheol
    • Korean Journal of Plant Resources
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    • v.18 no.1
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    • pp.194-197
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    • 2005
  • This experiment was conducted to investigate the effect of turf growth characteristics to different transplanting times. It observed that the turf growth was decreased according to delaying the transplanting time. In respect to the turf growth characteristics, it appeared that there was good for transplanting time to transplant the turf seedling before early July. With sustaining the short day length after early July, it shown that number of branch on stolen, number of nodes and Total length of stolen were apparently decreased. Especially, number of branch on stolon was decreased from 2nd up-growing branch.

Joint Modeling of Death Times and Counts with Covariate (공변량을 포함한 사망시간과 치료횟수의 결합모형의 개발)

  • Park, Hee-Chang;Park, Jin-Pyo
    • Journal of the Korean Data and Information Science Society
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    • v.9 no.2
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    • pp.149-158
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    • 1998
  • In this paper we suggest the joint model of death times and counts with covariates. We assume that the death times follow a Weibull distribution with rate that depends on covariates. For the counts, a Poisson process is assumed with the intensity depending on time and the covariates. We obtain the maximum likelihood estimators of model parameters. This model is applied to data set of patients with breast cancer who received a bone marrow transplant.

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Studies on the Production of Burley Tobacco in Paddy-field. I. Optimum Fertilization and Harvesting Method. (버어리종 논담배 재배에 관한 연구 I. 시비량 및 수확방법에 대하여)

  • 김상범;김용규;추홍구
    • Journal of the Korean Society of Tobacco Science
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    • v.5 no.1
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    • pp.25-33
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    • 1983
  • This study was carried out to investigate the transplanting time, optimum fertilization and harvesting method, chemical contents and physical properties of burley tobacco in paddy field. The results obtained as follows. 1. It is recommendable to transplant after March. 29 to escape the frost injury. By reducing compound fertilizer and whole plant stalk curing, advanced the. last priming date by 5-8 days. 2. Total alkaloid, total nitrogen and phosphorus contents of cured leaf was comparable to those of upland-produce(1 tobacco, but potassium and chloride contents some what high. 3. Filling power and combustibility was also comparable to upland, and filling power was increased by reducing fertilizer and whole plant stalk curing. 4. In the 20o reducing fertilizer-5 Primings volt. the yield was some what decreased, but visual quality and value per 10a were high. 5. The total raw income of tobacco and rice cropping was increased 124~170% than that of rice cropping.

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Human Tumor Xenograft Models for Preclinical Assessment of Anticancer Drug Development

  • Jung, Joohee
    • Toxicological Research
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    • v.30 no.1
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    • pp.1-5
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    • 2014
  • Xenograft models of human cancer play an important role in the screening and evaluation of candidates for new anticancer agents. The models, which are derived from human tumor cell lines and are classified according to the transplant site, such as ectopic xenograft and orthotopic xenograft, are still utilized to evaluate therapeutic efficacy and toxicity. The metastasis model is modified for the evaluation and prediction of cancer progression. Recently, animal models are made from patient-derived tumor tissue. The patient-derived tumor xenograft models with physiological characters similar to those of patients have been established for personalized medicine. In the discovery of anticancer drugs, standard animal models save time and money and provide evidence to support clinical trials. The current strategy for using xenograft models as an informative tool is introduced.

Part-time Work in Netherlands: Facts and Policies (네델란드에서의 파트타임근로의 현황과 정책)

  • Cheon, Byung-You
    • Korean Journal of Labor Studies
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    • v.17 no.1
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    • pp.269-295
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    • 2011
  • This paper is about the part-time work and related polices in Netherland, which increased the employment rate for the past 30 years with part-time job creation. Netherland has been successful in making part-time 'good' jobs. There were many factors which contributed to increaing part-time jobs such as market, institution, policies, and industrial relations. There was virtuous cycle between increase in the supply of female labor power and increase in the demand for part-time worker in the labor market. The policies were reinforced which protect part-time workers, introduced the incentive system which was favorable to part-time wokres, guaranteed the right to select working hours to workers. Particularly, the labor market, institutions and policies were created in the midst of the social dialogue. As the polder model has been persisted for almost 30 years, the switch to full-time work or long working-hour model would not be possible. As the poler model is a very specific model based on the Netherland's own social conditions, it is not easy to copy and transplant in other countries.

Utility of $^{99m}Tc$-MAG3 Perfusion Indices in the Evaluation of Renal Transplant Function During Early Post-transplantation Period (이식 초기 이식신 기능 평가에서 $^{99m}Tc$-MAG3 신관류 지표의 유용성)

  • Kim, Sung-Hoon;Chung, Soo-Kyo
    • The Korean Journal of Nuclear Medicine
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    • v.34 no.6
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    • pp.497-507
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    • 2000
  • Purpose: We have examined the utility of $^{99m}Tc$-MAG3 perfusion indices for assessing renal graft function in early post-transplantation period. Materials and Methods: Our study included 80 renal transplant recipients (48 men and 32 women, mean age: 40.3 years). Diagnosis was based on biopsy, laboratory data and clinical course. Renal scintigraphy (RS) was obtained using 100 MBq of $^{99m}Tc$-MAG3 from 11 days to 23 days of kidney transplantation. We measured 5 indices in whole-kidney (WK) and cortical (C) renograms; Hilson's perfusion index (PI), transplant perfusion index (TP) and transplant function index (TF) as perfusion parameter, and the time to peak activity (Tmax) and the ratio of renal counts at 20 min to that at 3 min (K20/3) as functional parameter. Results: The diagnoses at the day of RS were normal graft (NG) in 44, acute rejection (AR) in 14, acute tubular necrosis (ATN) in 10, and Cyclosporine A nephrotoxicity (CsA) in 12. TP and TF were significantly decreased in AR, ATN and CsA, compared to those in NG. K20/3 of AR and ATN wore significantly greater than that of NG. WK-Tmax of AR was significantly longer than that of NG. K20/3 of AR and C-K20/3 of ATN were significantly prolonged relative to those of CsA. There were no statistically significant perfusion indices among complication groups. Conclusion: TP and TF reflecting microperfusion and initial tubular extraction are reliable in assessing graft function. However, it is required to correlate perfusion indices with functional indices and clinical course in differentiating from one another among complication groups.

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Chemical Analysis of Transplanted Aquatic Mosses and Aquatic Environment during a Fish Kill on the Chungnang River, Seoul, Korea

  • Lee, Joohyoung;Green, Perry-Johnson;Lee, Eun-Ju
    • Animal cells and systems
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    • v.6 no.3
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    • pp.215-219
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    • 2002
  • In mid-April, 2000, hundreds of thousands of fish floated dead on the Chungnang River, one of the small branches of the Han River in Seoul. We examined the causes of the accident in detail, through analysis of monitorinq data from the Han River Monitoring Project, which employed the transplanted aquatic moss, Fontinalis antipyretica. This allowed investigation of another possible cause of the fish kill: release of trace metals into the river from industrial sources during the rainfall event. In addition, we aimed to verify the usefulness of aquatic mosses as bioindicators of the event. Water samples collected 48 h after the fish kill exhibited low pH and high Total-N and Total-p, indicating that acidic compounds rich in nitrogen and phosphorus might be a major contaminant. BOD and COD were also very high. On the whole, the conditions of the river water were degraded at that time. Distinct trends were not observed in the chlorophyll phaeophy-tinization quotient and photosynthesis rate of transplanted mosses. How-ever mosses sampled soon after the accident exhibited the lowest values for those variables (P < 0.01), suggesting that stress factors in the river were diluted out over time. Heavy metals with characteristics of industrial effluents (Cr, Pb, Zn, Fe, Cu, and Cd) increased (p < 0.01), indicating that they were unlikely to be major causes of the accident.