• Title/Summary/Keyword: at risk LD

Search Result 20, Processing Time 0.024 seconds

Left lobe living donor liver transplantation using the resection and partial liver segment 2-3 transplantation with delayed total hepatectomy (RAPID) procedure in cirrhotic patients: First case report in Korea

  • Jongman Kim;Jinsoo Rhu;Eunjin Lee;Youngju Ryu;Sunghyo An;Sung Jun Jo;Namkee Oh;Seungwook Han;Sunghae Park;Gyu-Seong Choi
    • Annals of Hepato-Biliary-Pancreatic Surgery
    • /
    • v.28 no.3
    • /
    • pp.388-392
    • /
    • 2024
  • In liver transplantation, the primary concern is to ensure an adequate future liver remnant (FLR) volume for the donor, while selecting a graft of sufficient size for the recipient. The living donor-resection and partial liver segment 2-3 transplantation with delayed total hepatectomy (LD-RAPID) procedure offers a potential solution to expand the donor pool for living donor liver transplantation (LDLT). We report the first case involving a cirrhotic patient with autoimmune hepatitis and hepatocellular carcinoma, who underwent left lobe LDLT using the LD-RAPID procedure. The living liver donor (LLD) underwent a laparoscopic left hepatectomy, including middle hepatic vein. The resection on the recipient side was an extended left hepatectomy, including the middle hepatic vein orifice and caudate lobe. At postoperative day 7, a computed tomography scan showed hypertrophy of the left graft from 320 g to 465 mL (i.e., a 45.3% increase in graft volume body weight ratio from 0.60% to 0.77%). After a 7-day interval, the diseased right lobe was removed in the second stage surgery. The LD-RAPID procedure using left lobe graft allows for the use of a small liver graft or small FLR volume in LLD in LDLT, which expands the donor pool to minimize the risk to LLD by enabling the donation of a smaller liver portion.

Assessment of Semi-Quantitative Health Risks of Exposure to Harmful Chemical Agents in the Context of Carcinogenesis in the Latex Glove Manufacturing Industry

  • Yari, Saeed;Asadi, Ayda Fallah;Varmazyar, Sakineh
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.17 no.sup3
    • /
    • pp.205-211
    • /
    • 2016
  • Excessive exposure to chemicals in the workplace can cause poisoning and various diseases. Thus, for the protection of labor, it is necessary to examine the exposure of people to chemicals and risks from these materials. The purpose of this study is to evaluate semi-quantitative health risks of exposure to harmful chemical agents in the context of carcinogenesis in a latex glove manufacturing industry. In this cross-sectional study, semi-quantitative risk assessment methods provided by the Department of Occupational Health of Singapore were used and index of LD50, carcinogenesis (ACGIH and IARC) and corrosion capacity were applied to calculate the hazard rate and the biggest index was placed as the basis of risk. To calculate the exposure rate, two exposure index methods and the actual level of exposure were employed. After identifying risks, group H (high) and E (very high) classified as high-risk were considered. Of the total of 271 only 39 (15%) were at a high risk level and 3% were very high (E). These risks only was relevant to 7 materials with only sulfuric acid placed in group E and 6 other materials in group H, including nitric acid (48.3%), chromic acid (6.9%), hydrochloric acid (10.3%), ammonia (3.4%), potassium hydroxide (20.7%) and chlorine (10.3%). Overall, the average hazard rate level was estimated to be 4 and average exposure rate to be 3.5. Health risks identified in this study showed that the manufacturing industry for latex gloves has a high level of risk because of carcinogens, acids and strong alkalisand dangerous drugs. Also according to the average level of risk impact, it is better that the safety design strategy for latex gloves production industry be placed on the agenda.

Effects of Rearing Density Stress on Malformation and Stress and Immune Related Gene Expression of Juvenile Olive Flounder Paralichthys olivaceus (자어기 넙치(Paralichthys olivaceus)의 사육 밀도에 따른 기형 발생과 스트레스 및 면역 유전자 발현 분석)

  • Sanghyun Lee;Jong-Won Park;Minhwan Jeong;Hyo Sun Jung;Julan Kim;Woo-Jin Kim;Jeong-Ho Lee;Dain Lee
    • Korean Journal of Fisheries and Aquatic Sciences
    • /
    • v.56 no.4
    • /
    • pp.380-387
    • /
    • 2023
  • Stocking density is associated with Paralichthys olivaceus growth; thus, fish should be rapidly reared at high densities for commercial reasons. Studies have reported that high stocking density retards growth; however, few have investigated the malformations caused by stocking density stress. This study compared the growth and malformation rates of P. olivaceus at different densities and stress- and immune-related gene expression between malformed and normal fish. Forty days post-hatching, fish (total length, 1.49±0.02 cm) were reared at 800 (low density; LD), 1500 (medium density; MD), and 4000 (high density; HD) fish/m2, and the growth rate was measured weekly. On day 30, RNA was extracted from the kidneys, and the expression of stress-, immune-, and malformation-related genes was analyzed using qRT-PCR. The malformation rate in the HD groups was approximately three times higher (62%) than that in the LD and MD groups (approximately 20%), and growth was lower regarding length and weight. The stress-related (HSP70 and GPX) and immune-related (PIR and IgM) genes showed higher mRNA expression in the HD group and malformed fish than in the LD group and normal fish. However, TLR3 showed the opposite results. In summary, high stocking density suppressed growth and increased malformation risk in P. olivaceus.

Efficient Power Reduction Technique of LiDAR Sensor for Controlling Detection Accuracy Based on Vehicle Speed (차량 속도 기반 정확도 제어를 통한 차량용 LiDAR 센서의 효율적 전력 절감 기법)

  • Lee, Sanghoon;Lee, Dongkyu;Choi, Pyung;Park, Daejin
    • IEMEK Journal of Embedded Systems and Applications
    • /
    • v.15 no.5
    • /
    • pp.215-225
    • /
    • 2020
  • Light detection and ranging (LiDAR) sensors detect the distance of the surrounding environment and objects. Conventional LiDAR sensors require a certain amount of a power because they detect objects by transmitting lasers at a regular interval depending on a constant resolution. The constant power consumption from operating multiple LiDAR sensors is detrimental to autonomous and electric vehicles using battery power. In this paper, we propose two algorithms that improve the inefficient power consumption during the constant operation of LiDAR sensors. LiDAR sensors with algorithms efficiently reduce the power consumption in two ways: (a) controlling the resolution to vary the laser transmission period (TP) of a laser diode (LD) depending on the vehicle's speed and (b) reducing the static power consumption using a sleep mode depending on the surrounding environment. A proposed LiDAR sensor with a resolution control algorithm reduces the power consumption of the LD by 6.92% to 32.43% depending on the vehicle's speed, compared to the maximum number of laser transmissions (Nx·max). The sleep mode with a surrounding environment-sensing algorithm reduces the power consumption by 61.09%. The proposed LiDAR sensor has a risk factor for 4-cycles that does not detect objects in the sleep mode, but we consider it to be negligible because it immediately switches to an active mode when a change in surrounding conditions occurs. The proposed LiDAR sensor was tested on a commercial processor chip with the algorithm controlling the resolution according to the vehicle's speed and the surrounding environment.

Initial Risk Assessment of Disodium Disulphite in OECD High Production Volume Chemical Program

  • Sanghwan Song;Park, Yoonho;Park, Hye-Youn;Kwon, Min-Jeoung;Koo, Hyun-Ju;Jeon, Seong-Hwan;Na, Jin-Gyun;Park, Kwangsik
    • Toxicological Research
    • /
    • v.18 no.1
    • /
    • pp.23-29
    • /
    • 2002
  • Disodium disulphite, the HPV chemical, was assigned to Korea in order to implement OECD SIDS program in 1999. It was produced about 3,200 ton/year in 1998. This report evaluates the toxic potency of disodium disulphite based on the environmental and mammalian effects as well as human exposure. Oral $LD_{50}$ in rats is 1,540 mg/kg b.w. and effects was observed to the stomach, liver and the GI track that was filled with blood. For repeated dose toxicity, the predominant effect was the induction of stomach lesion due to local irritation. The no observed adverse effect lever for local (stomach irritation) was about 217 mg/kg bw/day. There is no evidence that disodium disulphite is genotoxic in vivo. No reproductive or developmental toxicty of disodium disulphite was observed for the period up to 2 yr and over three generation. In humans, urticaria and asthma with itching, edema, rhinitis, and nasal congestion were reported. Disodium disulphite is unlikely to induce respiratory sensitization but may enhance symptom of asthma in sensitive individuals. This chemical would be mainly transported to water compartment when released to environmental compartments since it is highly water soluble (470 g/l at 20). Low K oc (2.447) indicates disodium disulphite is so mobile in soil that it may not stay in the terrestrial compartment. The chemical has been tested in a limited number of aquatic species. hem acute toxicity test to fish, 96 hr-$LC_{50}$ was > 100 mg/1. For algae, 72 hr-$XC_{50}$ was 48.1 mg/1. For daphnid, the acute toxicity value of 48 hr-$EC_{50}$ was 88.76 mg/1, and chronic value of 21day-NOEC was > 10 mg/1. Therefore, PNEC of 0.1 mg/l for the aquatic organism was obtained from the chronic value of daphnid using the assessment factor of 100. Based on these data the disodium disulphite was recommended as low priority for further post-SIDS work in OECD.

Association of Common Vitamin D Receptor Gene Variations with Fracture Risk and Bone Mineral Density in Postmenopausal Korean Population

  • Hwang, Joo-Yeon;Lee, Seung Hun;Kim, Ghi-Su;Koh, Jung-Min;Go, Min-Jin;Kim, Tae-Ho;Hong, Jung-Min;Park, Eui-Kyun;Kim, Shin-Yoon;Lee, Jong-Young
    • Genomics & Informatics
    • /
    • v.7 no.1
    • /
    • pp.13-19
    • /
    • 2009
  • Osteoporosis is characterized by impaired osteogenesis. BMD is a major determinant of bone strength. The role of the VDR gene in predisposition to primary osteoporosis has been recognized. However, population-based case-control studies have been reported controversial results for known candidate genes in an ethnically distinct group. To determine the genetic effects of VDR variants on osteoporosis and BMD, we directly sequenced the VDR gene in 24 unrelated Korean individuals and identified eighteen sequence variants. We investigated the potential involvement of eight SNPs in osteoporosis in postmenopausal women (n = 729). Two SNPs (LD) in intron 2, -5294G>C (rs2238135) and -4817G>A (rs17882443) showed the evidence of association with enhanced BMD of the femoral neck ($p_{additive}$=0.031 for rs2238135; $p_{additive}$=0.017 and $p_{dominant}$= 0.019 for 17882443). Moreover, VDR -4817G>A was significantly associated with protective effect on all fracture risk ($p_{recessive}$=0.035, OR=0.2, 95% CI=$0.05{\sim}0.89$), and tended to be higher BMD values at various proximal femur sites. Therefore, we suggest that the -4817G>A may be useful genetic marker for vitamin D-related metabolism and may have an important role in the increased BMD of the proximal femur in postmenopausal Korean women.

Risk Assessment of Fipronil on Honeybee (Apis mellifera) (Fipronil의 꿀벌 (Apis mellifera)에 대한 위해성 평가)

  • Kim, Byung-Seok;Yang, Yu-Jung;Park, Yeon-Ki;Jeong, Mi-Hye;You, Are-Sun;Park, Kyung-Hun;Ahn, Young-Joon
    • The Korean Journal of Pesticide Science
    • /
    • v.13 no.1
    • /
    • pp.39-44
    • /
    • 2009
  • This study was conducted to evaluate the actual risk of fipronil on worker honey bees (Apis mellifera L.) through acute contact toxicity test, acute oral toxicity test, toxicity of residues on foliage test, and small scale field test. The $48h-LD_{50s}$ of fipronil SC on honeybee were $0.005{\mu}g$ a.i./bee in acute contact toxicity test and $0.004{\mu}g$ a.i./bee in acute oral toxicity test, respectively. In toxicity of residues on foliage test, fipronil showed over 90% of mortality during 28days after treatment at recommended application rate. The $DT_{50}$ of dislodgeable foliar residue was 9 days. Finally, In small scale field test, fipronil showed similar toxicity in the residues on foliage test. It was concluded that fipronil has very high acute toxicity and long residual toxicity to honeybee. Therefore, fipronil is highly toxic to bees exposed to direct treatment or residues on blooming crops or weeds. Do not apply this product or allow it to drift to blooming crops or weeds if bees are visiting the treatment area. To protect honeybee and wild pollinators from outdoor use of fipronil, ultimately it should need to limit for only indoor use to prevent pollinators from unintentionally exposure of fipronil.

Significantly Low Effective Dose from 18FDG PET/CT Scans Using Dose Reducing Strategies: "Lesser is Better"

  • uz Zaman, Maseeh;Fatima, Nosheen;Zaman, Areeba;Zaman, Unaiza;Tahseen, Rabia
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.17 no.7
    • /
    • pp.3465-3468
    • /
    • 2016
  • Background: Fluorodeoxyglucose ($^{18}FDG$) PET/CT imaging has become an important component of the management paradigm in oncology. However, the significant imparted radiation exposure is a matter of growing concern especially in younger populations who have better odds of survival. The aim of this study was to estimate the effective dose received by patients having whole body $^{18}F$-FDG PET/CT scanning as per recent dose reducing guidelines at a tertiary care hospital. Materials and Methods: This prospective study covered 63 patients with different cancers who were referred for PET/CT study for various indications. Patients were prepared as per departmental protocol and 18FDG was injected at 3 MBq/Kg and a low dose, non-enhanced CT protocol (LD-NECT) was used. Diagnostic CT studies of specific regions were subsequently performed if required. Effective dose imparted by 18FDG (internal exposure) was calculated by using multiplying injected dose in MBq with coefficient $1.9{\times}10^{-2}mSv/MBq$ according to ICRP publication 106. Effective dose imparted by CT was calculated by multiplying DLP (mGy.cm) with ICRP conversion coefficient "k" 0.015 [mSv / (mG. cm)]. Results: Mean age of patients was $49{\pm}18$ years with a male to female ratio of 35:28 (56%:44%). Median dose of 18FDG given was 194 MBq (range: 139-293). Median CTDIvol was 3.25 (2.4-6.2) and median DLP was 334.95 (246.70 - 576.70). Estimated median effective dose imparted by $^{18}FDG$ was 3.69 mSv (range: 2.85-5.57). Similarly the estimated median effective dose by low dose (non-diagnostic) CT examination was 4.93 mSv (range: 2.14 -10.49). Median total effective dose by whole body 18FDG PET plus low dose non-diagnostic CT study was 8.85 mSv (range: 5.56-13.00). Conclusions: We conclude that the median effective dose from a whole body 18FDG PET/CT in our patients was significantly low. We suggest adhering to recently published dose reducing strategies, use of ToF scanner with CT dose reducing option to achieve the lower if not the lowest effective dose. This would certainly reduce the risk of second primary malignancy in younger patients with higher odds of cure from first primary cancer.

Long Term Effects of Lamivudine and Adefovir dipivoxil in Chronic Hepatitis B Patients on the Development of Hepatocellular Carcinoma (만성 B형간질환에서 HBV백신 및 항바이러스치료가 간세포암종 발생에 미치는 효과)

  • Lee, Heon-Ju
    • Journal of Yeungnam Medical Science
    • /
    • v.25 no.1
    • /
    • pp.1-18
    • /
    • 2008
  • Although Lamivudine and adefovir dipivoxil are efficacious drugs for preventing hepatocellular carcinoma (HCC) in chronic hepatitis B patients, their efficacy is far from completely satisfactory. The risk of liver cirrhosis and HCC begins to increase at an HBV DNA level of $10^4$ copies/ml. Even with latent or past HBV infection, episomal covalently closed circular DNA(cccDNA) plays a key rolein the persistence, relapse and resistance of HBV in its natural course or during therapy. The annual incidence of HCC in YUMC is 1.8% and 4.7% patients/year in the antiviral treatment and control groups, respectively. The ability to achieve a high rate of sustained HBV suppression with low risk of drug resistance is the ultimate goal in the treatment of chronic HBV infection. The efficacy of universal immunization with striking reductions in the prevalence of HBV in localized countries needs to be spread worldwide. With hepatitis B immunization and effective antiviral therapy, global control of HBV infection and HBV-related complications, including HCC, are possible by the end of the first half of the $21^{st}$ century.

  • PDF

Toxicity of Persistent Organic Pollutants, PAHs and TBT, in Zooplankton and Influence on Their Viability (동물플랑크톤에 대한 지속성 유기오염물질 PAHs와 TBT의 독성 및 생존능력에 미치는 영향)

  • Jang, Poong-Guk;Shin, Kyung-Soon;Jang, Min-Chul;Park, Dong-Won;Jang, Man
    • Korean Journal of Environmental Biology
    • /
    • v.22
    • /
    • pp.1-10
    • /
    • 2004
  • We conducted three experiments to estimate the toxicity of POPs (persistent organic pollutants) on two copepod species (Acartia erythraea and A. omorii) and Artemia sp.; (1) 48 h-LC$_{50}$ of A. omorii with the five PAHs [polycyelic aromatic hydrocarbons anthracene, benzo〔a〕pyrene, fluoranthene, phenanthrene, pyrene〕 which were often detected in the Gwangyang Bay, (2) toxicity of benzo〔a〕pyrene and TBT on Artemia in different temperatures (1$0^{\circ}C$, 15$^{\circ}C$, 2$0^{\circ}C$), (3) effects of benzo〔a〕pyrene and TBT on egg Production rate, hatching rate and fecal Pellet Production of two copepod species (A. erythraea and A. omorii) fed on Heterocapsa triquetra (dinoflagellate) exposed in benzo〔a〕pyrene. Toxic chemicals which were most effective to A. omorii were flueranthene (48 h-LC$_{50}$ 19.20 $\mu\textrm{g}$ L$^{-1}$ ) and benzo〔a〕pyrene (48 h-LC$_{50}$ 29.89 $\mu\textrm{g}$ L$^{-1}$ ). The toxi- city of chemicals to Artemia increased when temperature increased. The toxicity of TBT was about 100 times higher than that of benzo〔a〕pyrene at 15$^{\circ}C$. Food materials (Heterocapsa triquetra) exposed in benzo〔a〕pyrene, affected negatively the rate of egg production, hatching rate and the fecal pellet production of the copepods at the high concentration. It is suggested that an increase in the concentration of benzo〔a〕pyrene might offset the production of copepods in marine ecosystems. This study suggests that copepods may be used as n indicator for early warning of the risk of POPs in marine ecosystems.