• Title/Summary/Keyword: Treatment support

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Optimizing Nutrition Support in Cancer Care

  • Menon, Kavitha Chandrasekhara
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.6
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    • pp.2933-2934
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    • 2014
  • Involvement of a multidisciplinary team in cancer care may have added benefits over the existing system of patient management. A paradigm shift in the current patient management would allow more focus on nutritional support, in addition to clinical care. Malnutrition, a common problem in cancer patients, needs special attention from the early days of cancer care to improve quality of life and treatment outcomes. Patient management teams with trained oncology dietitians may provide quality personalized nutritional care to cancer patients.

미생물 고정화 담체의 물리적 특성

  • 박영식;구기우
    • Journal of Environmental Science International
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    • v.7 no.3
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    • pp.269-274
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    • 1998
  • In order to develop of support medla for bloom reactor, physicochemical properties and attachability of surface of activated carbon, clay mineral, non-clay mineral, and waste mold sand were enamined. Measured physicochemical properties of materials were surface roughness, mean particle size, surface area, hydrophobicity, and surface charge. At a tested materials, activated carbon was the best attachable material and microorganisms were attached $20.1{\times}10^7CFU/cm^2$ at surface, compared with diatomaceous earth which were attached of $9.2{\times}10^7CFU/cm^2$ in our research, surface area and hydrophobicity show- ed more Influence than any other factor on attachment of microorganisms.

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암환자가 지각하는 가족지지가 암환자의 삶의 질에 미치는 영향

  • Mun, Do-Ho;Lee, Mun-Suk;Kim, Hyeon-Jin;Jeong, Hye-Min;Park, U-Jeong;Sin, Hye-Jin;Jeon, Hwa-Yeon;Choe, Hwa-Suk
    • Korean Journal of Hospice Care
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    • v.5 no.1
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    • pp.1-13
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    • 2005
  • Purpose:The purpose of this study was to find the ways to improve a quality of life of cancer patients through the family support by analyzing the correlation between quality of life and family support that cancer patients perceived. Methods: The questionnaires for this study were collected from 43 cancer patients who were admitted in general hospitals at Gyounggido from July 2004 to August 2004. The questionnaire was composed of total 60 items, which were general characteristics of 18 items, family support of 11 items and quality of life of 31 items. Kang's(1984) scale of family support and Tae's(2000) scale of quality of life were used. The data were analyzed with SPSS WIN 10.0 program using frequency, mean±SD, t-test, ANOVA and Pearson's correlation analysis. Results: Forty three cancer patients answered the questionnaire. Twenty three patients was a male and 20 a female. Mean scale of family support according to general characteristics was 3.87±0.71. Mean scale of quality of life according to general characteristics was 5.89±1.08 and relatively high. The better degree of education, the higher quality of life significantly and the less physical discomfort, the higher quality of life significantly. The quality of life when the patient burdens the spouse with treatment cost was significantly higher. A correlation between degree of family support and quality of life was r=0.488 and the higher family support that cancer patients perceived, the higher quality of life significantly(p<0.001). Conclusion: The higher family support that cancer patients perceived, the higer quality of life significantly. We suggest concrete and systemic program for family support.

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Assessment and Methods of Nutritional Support during Atropinization in Organophosphate and Carbamate Poisoning Cases (아트로핀으로 치료하는 유기인계와 카바메이트 중독 환자의 영양지원 평가와 방법)

  • Park, Jong-uk;Min, Young-gi;Choi, Sangcheon;Ko, Dong-wan;Park, Eun Jung
    • Journal of The Korean Society of Clinical Toxicology
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    • v.18 no.2
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    • pp.123-129
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    • 2020
  • Purpose: Atropine is an antidote used to relieve muscarinic symptoms in patients with organophosphate and carbamate poisoning. Nutritional support via the enteral nutrition (EN) route might be associated with improved clinical outcomes in critically ill patients. This study examined the administration of nutritional support in patients undergoing atropinization, including methods of supply, outcomes, and complications. Methods: A retrospective observational study was conducted in a tertiary care teaching hospital from 2010 to 2018. Forty-five patients, who were administered with atropine and on mechanical ventilation (MV) due to organophosphate or carbamate poisoning, were enrolled. Results: Nutritional support was initiated on the third day of hospitalization. Thirty-three patients (73.3%) were initially supported using parenteral nutrition (PN). During atropinization, 32 patients (71.1%) received nutritional support via EN (9) or PN (23). There was no obvious reason for not starting EN during atropinization (61.1%). Pneumonia was observed in both patient groups on EN and PN (p=0.049). Patients without nutritional support had a shorter MV duration (p=0.034) than patients with nutritional support. The methods of nutritional support during atropinization did not show differences in the number of hospital days (p=0.711), MV duration (p=0.933), duration of ICU stay (p=0.850), or recovery at discharge (p=0.197). Conclusion: Most patients undergoing atropinization were administered PN without obvious reasons to preclude EN. Nutritional support was not correlated with the treatment outcomes or pneumonia. From these results, it might be possible to choose EN in patients undergoing atropinization, but further studies will be necessary.

Cytomegalovirus Myocarditis Required Extracorporeal Membrane Oxygenation Support Followed by Ganciclovir Treatment in Infant

  • Kim, Bong Jun;Jung, Jo Won;Shin, Yu Rim;Park, Han Ki;Park, Young Hwan;Shin, Hong Ju
    • Journal of Chest Surgery
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    • v.49 no.3
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    • pp.199-202
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    • 2016
  • A 7-month-old girl with no medical history was treated with mechanical circulatory support due to myocarditis. Her cardiac contractility did not improve despite more than one week of extracorporeal membrane oxygenation treatment. Thus, we planned a heart transplant. However, a high level of cytomegalovirus was found in blood laboratory results by quantitative polymerase chain reaction. The patient's heart contractility recovered to normal range four days after ganciclovir treatment. She was discharged with slightly decreased cardiac contractility with a left ventricular ejection fraction of 45%.

Life Experience of Inpatients with Recurrent Breast Cancer (입원 치료중인 유방암 재발 환자의 삶의 경험)

  • Kim, Young-Ju
    • Journal of Korean Academy of Nursing
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    • v.41 no.2
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    • pp.214-224
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    • 2011
  • Purpose: Understanding daily life experiences of patients admitted to hospital with recurrent breast cancer. Methods: The grounded theory method was used for this study. Results: Consistent comparative analysis was used throughout the study to obtain the results. Results showed that inpatients with recurrent breast cancer experience 'a co-existence of life suffering and fear of death'. The causal condition of this result was determined to be 'patient's response to cancer recurrence (acceptance/despair)', including contextual conditions such as, 'previous experience with cancer treatment', 'patient's current physical condition', and 'treatment methods for recurrent cancer'. Intervening conditions, such as 'a strong will to live', 'family support', 'moral support providers', and action/interaction strategies were found to provide patients with 'a strength to live'. Shown in these results, inpatients with recurrent breast cancer were seen to have a simultaneous 'hope for life and fear of death'. Conclusion: When providing nursing services to inpatients with recurrent breast cancer, people must recognize there is a notable difference between individual patients' contextual conditions and interactive strategies. Henceforth, proper cognitive nursing must be provided which encourages patients to maintain a strong will to overcome the many hardships of treatment as well as physical nursing, such as management of side effects caused by chemotherapy.

ENGINEERING A BIOARTIFICIAL LIVER DEVICE

  • Park, Jae-Sung;Yarmush, Martin L.;Tilles, Arno W.
    • Proceedings of the KSME Conference
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    • 2008.11a
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    • pp.1419-1426
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    • 2008
  • Fulminant hepatic failure is a clinical syndrome associated with a high mortality rate. Orthotopic liver transplantation is the only clinically proven effective treatment for patients with end-stage liver disease who do not respond to medical management. A major limitation of this treatment modality is the scarcity of donor organs available, resulting in patients dying while waiting for a donor liver. An extracorporeal bioartificial liver (BAL) device containing viable hepatocytes has the potential to provide temporary hepatic support to liver failure patients, serving as a bridge to transplantation while awaiting a suitable donor. In some patients, providing temporary hepatic support may be sufficient to allow adequate regeneration of the host liver, thereby eliminating the need for a liver transplant. Although the BAL device is a promising technology for the treatment of liver failure, there are several technical challenges that must be overcome in order to develop systems with sufficient processing capacity and of manageable size. In this overview, the authors describe the critical issues involved in developing a BAL device. They also discuss their experiences in hepatocyte culture optimization within the context of a microchannel flat-plate BAL device.

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Dental Occlusion and Relationship to TMD and Systemic Symptoms (III) -Chirodontics, Dental Distress Syndrome(DDS), Quadrant Theorem- (교합이 악구강계 및 전신에 미치는 영향 (III) -카이로돈틱과 치아 스트레스 원인 증후군 및 Quadrant Theorem을 중심으로-)

  • Park, Eun-Jin;Choi, Byeong-Gap;Bae, Hanna Eun-Kyong
    • Journal of Dental Rehabilitation and Applied Science
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    • v.26 no.2
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    • pp.89-95
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    • 2010
  • This is the third series of article on dental occlusion and relationship to TMD and systemic symptoms. In this part of the series, it will overview the theory, treatment methods, criteria, their limitation of Chirodontics, Dental Distress Syndrome (DDS) and quadrant theorem(QT). Chirodontics has its root on Chiropractic and to maintain the 'healthy status' of TMJ with stable occlusion via dental treatment. Dental distress syndrome on the other hand believes that all the TMD has originated from reduced or collapse of posterior support and incorrect posterior vertical support had caused imbalance of the head and neck structure which eventually affect the whole body symptoms. The analysis and treatment is planned using quadrant theorem where the position of head, rotatory pivot point and occlusal plane is analyzed.

Machine learning-based analysis and prediction model on the strengthening mechanism of biopolymer-based soil treatment

  • Haejin Lee;Jaemin Lee;Seunghwa Ryu;Ilhan Chang
    • Geomechanics and Engineering
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    • v.36 no.4
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    • pp.381-390
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    • 2024
  • The introduction of bio-based materials has been recommended in the geotechnical engineering field to reduce environmental pollutants such as heavy metals and greenhouse gases. However, bio-treated soil methods face limitations in field application due to short research periods and insufficient verification of engineering performance, especially when compared to conventional materials like cement. Therefore, this study aimed to develop a machine learning model for predicting the unconfined compressive strength, a representative soil property, of biopolymer-based soil treatment (BPST). Four machine learning algorithms were compared to determine a suitable model, including linear regression (LR), support vector regression (SVR), random forest (RF), and neural network (NN). Except for LR, the SVR, RF, and NN algorithms exhibited high predictive performance with an R2 value of 0.98 or higher. The permutation feature importance technique was used to identify the main factors affecting the strength enhancement of BPST. The results indicated that the unconfined compressive strength of BPST is affected by mean particle size, followed by biopolymer content and water content. With a reliable prediction model, the proposed model can present guidelines prior to laboratory testing and field application, thereby saving a significant amount of time and money.

Hydrophilic Modification of Polypropylene Hollow Fiber Membrane by Dip Coating, UV Irradiation and Plasma Treatment

  • Kim Hyun-Il;Kim Jin Ho;Kim Sung Soo
    • Korean Membrane Journal
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    • v.7 no.1
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    • pp.19-27
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    • 2005
  • PP hollow fiber membrane was hydrophilized by EVOH dip coating followed by low temperature plasma treatment and UV irradiation. EVOH coating attained high water flux without any prewetting but its stability did not guaranteed at high water permeation rate. At high water permeation rate, water flux declined gradually due to swelling and delamination of the EVOH coating layer causing pore blocking effect. However, plasma treatment reduces the swelling, which suppress delamination of the EVOH coating layer from PP support result in relieving the flux decline. Also, UV irradiation helped the crosslinking of the EVOH coating layer to enhance the performance at low water permeation rate. FT-IR and ESCA analyses reveal that EVOH dip coating performed homogeneously through not only membrane surface but also matrix. Thermogram of EVOH film modified plasma treatment and W irradiation show that crosslinking density of EVOH layer increased. Chemical modification by plasma treatment and UV irradiation stabilized the hydrophilic coating layer to increase the critical flux of the submerged membrane.