• 제목/요약/키워드: tertiary treatment level

검색결과 45건 처리시간 0.026초

Efforts to obtain better rice seedlings performance under nontidal swamp land agro-ecosystem in south Sumatra, Indonesia

  • Suwignyo, Rujito A.;Sakagami, J.;Ehara, H.;Sulaiman, F.;Hasmeda, M.
    • 한국작물학회:학술대회논문집
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    • 한국작물학회 2017년도 9th Asian Crop Science Association conference
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    • pp.50-50
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    • 2017
  • Swampland is a potential alternative land to be used in various agricultural production activities in Indonesia, because Indonesia have 33.41 million hectares of swamp land that consists of 13.28 million hectares nontidal swamp and million hectares 20.13 tidal swamp. In the province of South Sumatra, because of unpredictable water level in the field before planting, farmers have been doing agronomic adaptation method through the delay time of transplanting and forced to apply more than one the nursery practice with the combination of a floating nursery method and a dry-bed nursery method. This study was aimed to (1) evaluate the seedling growth and tillering pattern of several popular Indonesian rice varieties, and (2) look for alternative technologies to get a better rice seedlings under two nursery methods in the nontidal swamp land. In the first experiment, the seedling growth characteristics of five rice varieties (Ciherang, Inpara 5, Inpara 9, Inpari 29, and Inpari 30) was evaluated by two methods of nursery, i.e. floating nursery and dry-bed nursery. In the second experiment, rice variety of Inpari 30 was treated with Zn seed priming and foliar fertilizer of 2,300 ppm N at the nursery stage. Those treatments were combined with the time of seedling under floating and dry-bed nursery. The results of the first experiment showed that of the five varieties tested, dry-bed nursery method showed better seedling growth than floating nursery. This was indicated by high leaf number, tiller number, tillers pattern, shoot-root ratio and relative growth rate. Ciherang and Inpari 30 showed high tiller number, and they had produced tertiary tiller in the sixth week of observation. Moreover, shorter period of floating and dry-bed nursery in combination with the treatment of Zn seed priming and spraying seedling with foliar fertilizer N could improve the growth of seedlings.

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Quality of Life in Malaysian Colorectal Cancer Patients : A Preliminary Result

  • Natrah, M.S.;Ezat, Sharifa W.P.;Syed, M.A.;Rizal, A.M. Mohd;Saperi, S.
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권3호
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    • pp.957-962
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    • 2012
  • Objective: Rapidly increasing colorectal cancer (CRC) incidence in Malaysia and the introduction of cutting edge new treatments, which prolong survival, mean that treatment outcome measures meed to be evaluated, including consideration of patient's quality of life (QoL) assessment. There are limited data on QoL in CRC patients, especially in Malaysia. Therefore, this study was performed focusing on cancer stages and age groups. Methods: The cross sectional study was conducted from June to September 2011 at three public tertiary hospitals with the EORTC QLQ C-30 questionnaire in addition to face to face interview and review of medical records of 100 respondents. Results: The mean age was 57.3 (SD 11.9) years with 56.0% are males and 44.0% females, 62% of Malay ethnicity, 30% Chinese, 7% Indian and 1% Sikh. Majority were educated up to secondary level (42%) and 90% respondents had CRC stages III and IV. Mean global health status (GHS) score was 79.1 (SD 21.4). Mean scores for functional status (physical, emotional, role, cognitive, social) rangeds between 79.5 (SD 26.6) to 92.2 (SD 13.7). Mean symptom scores (fatigue, pain, nausea/vomiting, constipation, diarrhea, insomnia, dyspnoea, loss of appetite) ranged between 4.00 (SD 8.58) to 20.7 (SD 30.6). Respondents role function significantly deteriorates with increasing stage of the disease (p=0.044). Females had worse symptoms of pain (p=0.022), fatigue (p=0.031) and dyspnoea (p=0.031). Mean insomnia (p=0.006) and diarrhea (p=0.024) demonstrated significant differences between age groups. Conclusion: QOL in CRC patients in this study was comparable to that in other studies done in developed countries. Pain, fatigue and dyspnoea are worse among female CRC patients. Given that functions deteriorates with advanced stage of the disease at diagnosis, a systematic screening programme to detect cases as early as possible is essential nationwide.

Opportunistic Screening for Cervical Cancer in a Tertiary Hospital in Karnataka, India

  • Kulkarni, Padmaja Ramesh;Rani, Hephzibah;Vimalambike, Manjunath Gubbanna;Ravishankar, Sunila
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권9호
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    • pp.5101-5105
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    • 2013
  • The incidence and mortality of cervical cancer remains high in India even after sixty years of introduction of the Pap smear (cervical cytology) which is an effective means of identifying preinvasive lesions of carcinoma cervix. The morbidity and mortality due to cervical cancer has come down drastically in countries with well established screening programmes at national level. This study aims at screening women for cervical cancer opportunistically during their visit to hospital and to study various types of neoplastic and non-neoplastic lesions of the cervix by cervical smear study (Pap smear study). In the present study, a total of 350 cervical smears were studied. The age of patients ranged from 19 years to 80 years with mean age being 37.5 years. Out of 350 cases, the diagnosis of neoplasia was given in 43 cases and 258 cases were diagnosed as inflammatory smears. Forty-cases were normal and 9 cases were inadequate to evaluate. Forty-three patients who were found to have neoplastic lesions on cytology were referred for further investigations like colposcopy and biopsy to confirm the diagnosis and avail proper treatment. Limitation of the present study was small sample size as all female patients aged between 20 and 60 years visiting hospital were not included in the screening, other screening tests like VIA (visual inspection with acetic acid test) and HPV DNA (human papilloma virus) tests were not done. Until the time centrally organised screening programmes for cervical cancer are established in India, arrangements should be made for hospital based opportunistic screening for all women attending hospital. The cost effectiveness of different screening tests for cervical cancer should be evaluated.

중압 자외선과 과산화수소 공정을 이용한 하수 3차 처리수중 총유기탄소와 미량오염물질 제거 (Removal of Total Organic Carbon and Micropollutants in Tertiary Treated Sewage by Medium Pressure UV/H2O2)

  • 이재엽;김일호
    • 한국물환경학회지
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    • 제36권4호
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    • pp.314-321
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    • 2020
  • This study evaluated the applicability of UV-AOP process using medium-pressure UV lamp and H2O2 to remove TOC and emerging micropollutants in the effluent from a sewage treatment plant. The UV lamp with higher output(1.6~8.0 kW) showed slightly higher amount of power in removing TOC of 1 mg/L(0.09 kWh/mg/L~0.11 kWh/mg/L), however it was found that there was no significant difference for each cases. In addition, under the condition that the H2O2 concentration is sufficient, as the power consumption of the UV lamp increases, the unit TOC removal concentration per unit H2O2 decomposition concentration also increases, resulting in effective removal of TOC. The removal rate of 7 new trace contaminants, such as antibiotics by the UV-AOP tested, was at least 89.4%, and the ability to remove the emerging micro pollutants in the process was very effective. But, it was judged that it could not be excluded that the probablity of transforming to oxidated by-product in the case of a low TOC removal efficiency. Depending on the operating conditions of the UV and H2O2 processes, a higher BOD concentration is found in the treated water than in the influent, and it is necessary to review the UV power and proper injection conditions of H2O2 to maintain the BOD concentration increase below a certain level.

Cervicofacial infection in a Nigerian tertiary health institution: a retrospective analysis of 77 cases

  • Fomete, Benjamin;Agbara, Rowland;Osunde, Daniel Otasowie;Ononiwu, Charles N
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제41권6호
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    • pp.293-298
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    • 2015
  • Objectives: Infection involving the orbit, zygomatic space, lateral pharyngeal space, or hemifacial and oral floor phlegmon is referred to as cervicofacial infection (CFI). When diagnosis and/or adequate treatment are delayed, these infections can be life-threatening. Most cases are the result of odontogenic infections. We highlight our experiences in the management of this life-threatening condition. Materials and Methods: This was a retrospective study of patients who presented with CFI from December 2005 to June 2012 at the Oral and Maxillofacial Surgery Clinic or the Accident and Emergency Unit of Ahmadu Bello University Teaching Hospital (Zaria, Nigeria). The medical records of all patients who presented with either localized or diffuse infection of the maxillofacial soft tissue spaces were retrospectively collected. Data collected was analyzed using SPSS version 13.0 and are expressed as descriptive and inferential statistics. Results: Of the 77 patients, 49 patients (63.6%) were males, a male to female ratio of 1:7.5. The ages ranged from two years to 75 years with a mean of $35.0{\pm}19.3$ years, although most patients were older than 40 years. The duration of symptoms prior to presentation ranged from 6 to 60 days, with a mean of $11.0{\pm}9.4$ days. More than 90% of the patients presented to the clinic within the first 10 days. The most commonly involved anatomical space was the submandibular space (n=29, 37.7%), followed by hemifacial space (n=22, 28.6%) and buccal space (n=7, 9.1%). Ludwig angina accounted for about 7.8% of the cases. Conclusion: CFI most commonly involves the submandibular space, typically affects individuals with a low level of education, and is influenced by traditional medical practices. Despite improved health care delivery, CFI remains a significant problem in developing countries.

한국 보건진료원 제도의 시작 (Beginnings of the Community Health Practitioner (CHP) System in Republic of Korea)

  • 이꽃메
    • 한국농촌간호학회지
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    • 제4권1호
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    • pp.31-40
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    • 2009
  • Purpose: This research was done do identify and analyze the beginnings of the community health practitioner system in the Republic of Korea (ROK) around 1980. Method: Primary sources were collected and analyzed, mainly newspapers around 1980, the act for health service for rural areas, and other relative publications. Results: The government of the ROK was trying to solve the problem of doctorless villages and regarded the introduction of primary health care (PHC) services using registered nurses (RNs) to be an economic solution to this problem. The Korean Nurses' Association presented 'a plan for community health service' to the government party and medical association in 1976. In this plan, RNs would provide primary care at the sub-county (myun) level, and hospital would provide secondary care. The Korean Public Health Development Research Center was awarded the project 'RNs and nurse aids as CHP for primary care service and their training'. In 1977, 25 RNs began to work as PHC in 3 areas, and interim findings showed that RNs were very capable of doing PHC. The Ministry of Health and Welfare announced long term plans for health and welfare administration including a tertiary health care delivery system. RNs after training were posted to rural areas with no medical services to do medical treatment for mild cases. The Act for health services for rural areas was enacted on December 31, 1980. Enforcement Ordinance and Enforcement Regulations were enacted in 1981. In 1981, 257 CHP were selected, trained, and deployed. In 1983, the president of the ROK announced continuation of the CHP system for residents of medically vulnerable areas. The number of CHP increased from 257 in 1981 to 2038 in 1989.

Clinical and molecular characterization of Korean children with infantile and late-onset Pompe disease: 10 years of experience with enzyme replacement therapy at a single center

  • Kim, Min-Sun;Song, Ari;Im, Minji;Huh, June;Kang, I-Seok;Song, Jinyoung;Yang, Aram;Kim, Jinsup;Kwon, Eun-Kyung;Choi, Eu-Jin;Han, Sun-Ju;Park, Hyung-Doo;Cho, Sung Yoon;Jin, Dong-Kyu
    • Clinical and Experimental Pediatrics
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    • 제62권6호
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    • pp.224-234
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    • 2019
  • Purpose: Pompe disease (PD) is an autosomal recessive disorder caused by a deficiency of acid alpha-glucosidase resulting from pathogenic GAA variants. This study describes the clinical features, genotypes, changes before and after enzyme replacement therapy (ERT), and long-term outcomes in patients with infantile-onset PD (IOPD) and late-onset PD (LOPD) at a tertiary medical center. Methods: The medical records of 5 Korean patients (2 male, 3 female patients) diagnosed with PD between 2002 and 2013 at Samsung Medical Center in Seoul, Republic of Korea were retrospectively reviewed for data, including clinical and genetic characteristics at diagnosis and clinical course after ERT. Results: Common initial symptoms included hypotonia, cyanosis, and tachycardia in patients with IOPD and limb girdle weakness in patients with LOPD. Electrocardiography at diagnosis revealed hypertrophic cardiomyopathy in all patients with IOPD who showed a stable disease course during a median follow-up period of 10 years. Patients with LOPD showed improved hepatomegaly and liver transaminase level after ERT. Conclusion: As ERT is effective for treatment of PD, early identification of this disease is very important. Thus, patients with IOPD should be considered candidates for clinical trials of new drugs in the future.

효율적인 의료전달체계 확보를 위한 요인 분석 (Analysis of Factors that will Ensure Effective Health Care Delivery System)

  • 이현실;김미선;오진용;이승윤;정동진;이태로
    • 디지털융복합연구
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    • 제10권6호
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    • pp.303-310
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    • 2012
  • 본 연구는 의료수요자(환자)들을 대상으로 의료기관별 역할 인지, 낯선 질환 발병 시 이용 의료기관, 질병의 경 중증 인식 등에 관한 분석을 통하여 효율적인 의료전달체계를 위한 요인들을 파악하였다. 서울 소재 일반인 400명을 대상으로 2011년 4월 25일부터 5월 18일까지 14일간 자기기입방식(self-administration)을 통한 설문조사를 실시하였다. 성별, 연령, 교육수준 별로 차이가 있는지 분석했고, 분석방법은 빈도분석, 카이제곱검정, t-test를 실시하였다. 의료기관별 역활 인지 및 낯선 질병 발병 시 방문하는 의료기관에 관한 분석결과는 둘 다 성별에 따라 유의한 차이가 없는 것으로 나타났지만, 연령과 교육정도에 대한 검증결과는 유의한 차이를 보였다. 질병의 경 중증에 대한 인식을 분석한 결과는 경증은 성별과 연령에서 유의한 차이가 있었고, 중증은 연령과 교육정도에서 매우 유의한 차이가 있는 것으로 나타났다. 지속가능하고 효과적인 의료체계의 확보를 위해 1차 의료기관의 활성화 및 의료기관별 기능과 경 중증 질병 분류 기준에 대한 맞춤형 교육과 홍보가 필요하다.

응급실 기반 자살 시도자 사후 관리사업의 등록률에 영향을 미치는 인자 (The Factors Affecting the Registration Rates for Emergency Department Based Post-suicidal Care Program)

  • 이준철;강형구;김창선;오재훈;임태호;안동현;이정임;박민희;김경희
    • 대한임상독성학회지
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    • 제13권1호
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    • pp.25-32
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    • 2015
  • Purpose: The aim of this study was to investigate the independent factors associated with the registration rate for the community-based post suicidal care program in the emergency department (ED). Methods: This prospective observational study was conducted between March and December 2013 at the academic ED at the tertiary urban hospital. During the study period, the pre-designed registry was recorded. The variables examined included the following: patients' demographic data (Sex, age, address, type of insurance, marital status, level of education, and history of previous psychiatric disease), suicide-related data (suicidal methods, combined drink of alcohol and number of previous attempts), and management-related data (disposition at ED, physician's training level, etc.). Univariated and multivariated logistic regression analyses were performed for identification of factors affecting the registration rate for the community-based post suicidal care program. Results: A total of 163 suicides were included during the study period. Of these, 33 (20.2%) patients were registered in the post-suicide care program. Factors including a patient's address (OR: 14.92, 95% CI: 3.606-61.711), immediate intervention by psychiatric healthcare center (OR: 5.05, CI: 1.688-15.134), admissions in hospital (OR: 3.69, CI: 1.286-10.605), and history of previous psychiatric disease (OR: 3.52, CI: 1.216-10.201) showed significant association with registration for the program. Conclusion: The community-based post-suicidal care program, which is available 24 hours a day, should be operated in each district in order to increase the registration rate. Emergency physicians should actively consider the inpatient treatment program for suicidal patients and strongly recommend registration to the program, particularly for patients without previous history of psychiatric disease.

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카바메이트 중독 후 발생한 급성췌장염 (Acute Pancreatitis after Carbamate Poisoning)

  • 박요섭;김용원;오세현;차용성;차경철;김오현;이강현;황성오;김현
    • 대한임상독성학회지
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    • 제12권2호
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    • pp.77-84
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    • 2014
  • Purpose: Carbamate insecticides are potent cholinesterase inhibitors capable of causing severe cholinergic toxicity. Use of carbamate rather than organophosphate insecticides has been increasing. Compared with organophosphate poisoning, relatively few studies have investigated carbamate-associated acute pancreatitis. We investigated general characteristics and pancreatitis of carbamate poisoning and the predictors, among those readily assessed in the emergency department. Methods: We performed a retrospective review of consecutive patients, aged over 18 years, who were admitted between January 2008 and April 2012 to an emergency department (ED) of an academic tertiary care center for treatment of carbamate poisoning. Patients who exhibited poisoning by any other material, except alcohol, were excluded. After application of exclusion criteria, patients were divided according to carbamate-induced pancreatitis and non-pancreatitis groups. Results: A total of 41 patients were included in this study. Among these 41 patients, the prevalence of acute pancreatitis was 36.6% (15 patients). Initial blood chemistry tests showed a statistically higher glucose level in the pancreatitis group, compared with the non-pancreatitis group (222, IQR 189-284 vs. 137, IQR 122-175 mg/dL, P<0.05). Regarding clinical courses and outcomes, a significantly higher proportion of patients developed pneumonia [10 (66.7%) vs. 6 (23.1%), P<0.05] and had a longer hospital stay (7 days, IQR 6-12 vs. 5 days, IQR 2-11, P<0.05), but no difference in mortality, in the pancreatitis group vs. the non-pancreatitis group. In multivariate analysis, the initial glucose was showing significant association with the presentation of carbamate-induced acute pancreatitis (odds ratio 1.018, 95% confidence interval 1.001-1.035, P<0.05). Conclusion: Carbamate-induced acute pancreatitis is common, but not fatal. Initial serum glucose level is associated with acute pancreatitis.

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