• Title/Summary/Keyword: COMMUNITY TRANSPLANTATION

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Umbilical Cord Blood Transplantation

  • Ahn, Hyo Seop;Shin, Hee Young
    • IMMUNE NETWORK
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    • v.3 no.2
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    • pp.83-88
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    • 2003
  • The number of umbilical cord blood transplantation is increasing worldwide as it has expanded the ability of the transplantaion community to meet the growing needs of their patients. Clinical data over the last decade show promising results in transplantation using both related as well as unrelated cord bloods. Cord blood banks are essential for the clinical use for transplantation and are now established around the world with the major efforts to standardize banking in collection, processing and distribution of cord blood for providing the highest quality stem cells for the patients. In Korea, Medipost, Histostem and some regional cord blood banks were established some years ago and collected thousands of cord blood for public but it had some limitations and was not expanded as the cord blood transplantation was not covered by medical insurance. Recently with the change in the policy of medical insurance to cover the cord blood transplantation, several venture companies are showing great interests in cord blood banking and trying to establish private cord blood banks in Korea. This review article discusses the current status of cord blood transplantaion and also the clincial use of stem cells from cord blood.

The Relationship between the Period of Engraftment and the Nutritional Status in Patients Undergoing Allogenic Bone Marrow Transplantation for Acute Myelogenous Leukemia (동종 골수이식을 받은 급성 골수성 백혈병 환자의 영양상태와 생착일수에 관한 연구)

  • 홍정임;장은재
    • Korean Journal of Community Nutrition
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    • v.7 no.4
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    • pp.578-584
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    • 2002
  • This study was designed to investigate the association between the period of engraftment and the nutritional status of patient s undergoing bone marrow transplantation for acute myelogenous leukemia (AML). Nutritional status was evaluated by body mass index (BMI), percentage of ideal body weight (PIBW), percentage of weight loss, and serum albumin, total protein (T protein), hemoglobin (HGB) and hematocrit (HCT) levels on the day prior to transplantation and on the day of bone marrow transplantation. The periods of engraftment were determined by absolute neutrophil counts (ANC) above $500/mm^3$ from the day of bone marrow transplantation. The study subjects were 80 patients (55 males, 25 females) with acute myelogenous leukemia admitted to the University Hospital in Seoul. The result of this study is as follows : Tie nutritional status values of the majority of patients on the day prior to transplantation were in the normal range except for HGB and HCT ; however, during hospitalization, all of the levels of the nutritional status values were significantly decreased. The periods of engraftment of the abnormal group according to their BMI, PIBW, HGB and HCT levels on the day of bone marrow transplantation showed no difference when compared to the normal group. However, the periods of engraftment of the abnormal group, according to the percentage of weight loss, albumin, and T protein levels were significantly decreased when compared to the normal group. Therefore, the nutritional status of patients at the time of transplant had a noticeable influence on the periods of engraftment. Our results suggested that nutritional status is a critical factor of engraftment in BMT during pre-transplant and post-transplant. Futhermore, we recommend that the process of nutritional preparation for the transplant should initiate immediately after the transplant decision has been made.

Transplantation Method of Damage Ecosystem Associated with Development of the Borrow Pits (토취장 개발에 따른 훼손생태계 이식방안 연구)

  • Lee, Soo-Dong;Kang, Hyun-Kyung
    • Korean Journal of Environment and Ecology
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    • v.26 no.3
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    • pp.394-405
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    • 2012
  • The aim of this study was to propose methods to transplant for the ecosystem damage borrow pits. The research site is Junggun-dong Gwangyang-si Jeollanam-do. The total area of the site is approximately $199,026m^2$, but the area damaged by exploitation of soil and rocks is about $84,200m^2$. This signals the transplanting method to solve the problems of ecological destruction. The research will focus on the areas either which are evaluated as damaged or in which the development is inevitable. Therefore, this study will investigate the vegetation structure and their evolution, topological and soil character, and annual ring structure; in the end, the study will propose compensating and restoring options. This study proposed the selection of trees and their planting methods by using the models of the community transplantation(Quercus mongolica trees) and the tree transplantation(Pinus thunbergii trees). The study set out plans that will attempt to restore the Quercus mongolica forests and 89 Quercus mongolica trees of the canopy layer trees, 153 middle layer trees, and 661 shrubs are suitable. The tree transplantation utilized the existing Pinus thunbergii trees. The number of transplantation is 2,648. The total area of the transplantation topsoil is calculated to be $15,353m^3$. These study results must be contributed to reduce a damaged ecosystems and compensated damaged ecosystems for solving the problem of damaged borrow pits.

Strategies for Minimizing Forest Disturbance During the Construction of Power Transmission Towers (송전선로 건설에 따른 산림훼손의 최소화 관리방안)

  • 이동근;강현경
    • Journal of the Korean Institute of Landscape Architecture
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    • v.30 no.6
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    • pp.66-78
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    • 2003
  • The purpose of this study was to minimize the forest disturbance around an entry road of a power transmission tower construction site between Taean and Sinsesan, Chungnam. The main study field was classified into existing materials and a GIS, remote sensing analysis, and a field examination. This information was used to identify the most suitable entry road using a degree of green naturality map, eco-naturality map, actual vegetation map, and a forest state map as the existing materials. Also, the study used an normalized difference vegetation index, altitude and slope map in order to make the evaluation materials which used an remote sensing image, and GIS. This data was used to choose an optimum area, and diagnosed the current condition of the vegetation with a field survey of the area. It analyzed vegetation structure, species diversity, the age of trees in a field examination. Subsequently, we proposed four area types based on the analysis results--preservation area, transplantation area, restoration area and development area. As a result, the preservation area was categorized into 8 grades, according to the degree of green naturality, large area of breast diameter at Pinus densiflora community, competition area of Pinus densiflora and Quercus spp. and Quercus spp. community of over 20 years old. A transplantation area established 46 optimum areas according to the GIS analysis and vegetation investigation results. Vegetation restoration plan for disturbance area should be made based on ecological value of existing vegetation to worthwhile area as Quercus spp. mixing forest proposed. The development area selected a ecological worthless place as an artificial forest where Pinus densiflora and Pinus thunbergii growth is poor. This research results suggest that restoration of vegetation will be possible in the real world. Also, ecological restoration guidelines will be made through building and analyzing data base and routine monitoring of transplantation and restoration area.

Long Term Outcomes after Pediatric Liver Transplantation

  • Yazigi, Nada A.
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.16 no.4
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    • pp.207-218
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    • 2013
  • Long term outcomes after liver transplantation are major determinants of quality of life and of the value of this heroic treatment. As short term outcomes are excellent, our community is turning to take a harder look at long term outcomes. The purpose of this paper is to review these outcomes, and highlight proposed treatments, as well as pressing topics needing to be studied. A systemic review of the English literature was carried in PubMed, covering all papers addressing long term outcomes in pediatric liver transplant from 2000-2013. Late outcomes after pediatric liver transplant affect the liver graft in the form of chronic liver dysfunction. The causes include rejection particularly humoral rejection, but also de novo autoimmune hepatitis, and recurrent disease. The metabolic syndrome is a major factor in long term cardiovascular complication risk. Secondary infections, kidney dysfunction and malignancy remain a reality of those patients. There is growing evidence of late cognitive and executive function delays affecting daily life productivity as well as likely adherence. Finally, despite a good health status, quality of life measures are comparable to those of children with chronic diseases. Long term outcomes are the new frontier in pediatric liver transplantation. Much is needed to improve graft survival, but also to avoid systemic morbidities from long term immunosuppression. Quality of life is a new inclusive measure that will require interventions and innovative approaches respectful not only on the patients but also of their social circle.

Soil Environment Analysis and Habitat of Halophyte for Restoration in the Salt Marshes of Southern and Western Coasts of Korea (한국 서.남해안 염습지 복원을 위한 염생식물의 생육지와 토양환경 분석)

  • Lee, Jeom-Sook;Ilm, Byung-Sun;Myeong, Hyen-Ho;Park, Jung-Won;Kim, Ha-Song
    • Korean Journal of Plant Resources
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    • v.22 no.1
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    • pp.102-110
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    • 2009
  • This study examined the halophyte community and soil analysis according to habitat in representative 18 salt marshes of southern and western coasts of Korea from July 2006 to April 2008 and suggested basic materials for vegetational restoration of these aras. First, the survey area was classified into coastal and estuarine marshes. Then, the coastal marshes were classified into clay marsh, sand gravel marsh, and sand marsh, and the esturarine marshes, into salt swamp and estuary marsh. Major plant communities according to habitat pattern were Phragmites communis, Carex scabrifolia, and Suaeda japonica community in the clay marsh; Phragmites communis, Zoysia sinica, Carex scabrifolia, Salicornia herbacea, Artemisia fukudo, Suaeda martima community in the sand gravel marsh; Elymus mollis, Carex kobomugi, and Vitex rotundifolia community in the sand mars; Phragmites communis, Zoysia sinica, Suaeda martima, and Carex scabrifolia community in the salt swamp, and Suaeda japonica, Phragmites communis, Carex scabrifolia, and Suaeda asparagoides community in the estuary marsh. The soil environment of halophyte community area showed a difference to soil and halophyte community according to habitat characteristics of halophyte. Thus, to restore salt mashes in the coast area, it is advantageous for the stable settlement, germination, and growth of halophyte to grasp physical and physicochemical characteristics of habitat soil in the salt marshes, to select halophyte suitable to these habitat conditions, and to expand gradually in the natural vegetation area after transplantation.

Microbial Modulation in Inflammatory Bowel Diseases

  • Jongwook Yu;Jae Hee Cheon
    • IMMUNE NETWORK
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    • v.22 no.6
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    • pp.44.1-44.28
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    • 2022
  • Gut dysbiosis is one of prominent features in inflammatory bowel diseases (IBDs) which are of an unknown etiology. Although the cause-and-effect relationship between IBD and gut dysbiosis remains to be elucidated, one area of research has focused on the management of IBD by modulating and correcting gut dysbiosis. The use of antibiotics, probiotics either with or without prebiotics, and fecal microbiota transplantation from healthy donors are representative methods for modulating the intestinal microbiota ecosystem. The gut microbiota is not a simple assembly of bacteria, fungi, and viruses, but a complex organ-like community system composed of numerous kinds of microorganisms. Thus, studies on specific changes in the gut microbiota depending on which treatment option is applied are very limited. Here, we review previous studies on microbial modulation as a therapeutic option for IBD and its significance in the pathogenesis of IBD.

Ecological Restoration Plan for a Small Scale Public Construction Area - A Case Study on Ilsan Water Treatment Plant, Goyang-Si - (소규모 공공시설 개발 사업지의 생태적 복원 연구 - 고양시 일산정수장 조성예정지를 사례로 -)

  • Lee, soo-Dong;Kang, Hyun-Kyung
    • Journal of the Korean Institute of Landscape Architecture
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    • v.35 no.6
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    • pp.48-63
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    • 2008
  • This research is to apply suitable natural ecosystem evaluation criteria in order to develop the ecosystem conservation, restoration and ways to build substitute habitats as a compensation plan for damaged soundly natural ecosystems in small-scale projects such as resource recovery facility, filtration, etc. The environmental ecology evaluation i.e. generally based on their actual vegetation, community structure, wildlife, water system survey were measured the primary plans for reflecting unique natural environment level of site. As a result, it is necessary to conserve the land in fallow type of wetland, good conservative condition of deciduous forest, wetlanded watercourse for amphibia and reptiles crossing. However, the plan of filtration plant was destroyed wetland(sound ecosystem), natural forest, asian toad spawning area. According to the result of it schemed to build alternative wetland and spawning area, plan to healthy ecosystem and surface soil transplantation as compensation plan. The alternative wetland and spawning area are not only created a various water levels like depth of water is $0{\sim}30cm,\;30{\sim}60cm$, more than 1.5m but also it leads to asian toad spawning and wildlife inhabitant. Moreover, the ecosystem and surface soil transplantation be applied to use the Quercus acutissima forest resources(114 upper trees, 71 canopy trees, 401 shrubs) and surface soil$(5,072m^3)$ in ecology creation sets.

The efficacy of GABAergic precursor cells transplantation in alleviating neuropathic pain in animal models: a systematic review and meta-analysis

  • Askarian-Amiri, Shaghayegh;Maleki, Solmaz Nasseri;Alavi, Seyedeh Niloufar Rafiei;Neishaboori, Arian Madani;Toloui, Amirmohammad;Gubari, Mohammed I.M.;Sarveazad, Arash;Hosseini, Mostafa;Yousefifard, Mahmoud
    • The Korean Journal of Pain
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    • v.35 no.1
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    • pp.43-58
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    • 2022
  • Background: Current therapies are quite unsuccessful in the management of neuropathic pain. Therefore, considering the inhibitory characteristics of GABA mediators, the present systematic review and meta-analysis aimed to determine the efficacy of GABAergic neural precursor cells on neuropathic pain management. Methods: Search was conducted on Medline, Embase, Scopus, and Web of Science databases. A search strategy was designed based on the keywords related to GABAergic cells combined with neuropathic pain. The outcomes were allodynia and hyperalgesia. The results were reported as a pooled standardized mean difference (SMD) with a 95% confidence interval (95% CI). Results: Data of 13 studies were analyzed in the present meta-analysis. The results showed that administration of GABAergic cells improved allodynia (SMD = 1.79; 95% CI: 0.87, 271; P < 0.001) and hyperalgesia (SMD = 1.29; 95% CI: 0.26, 2.32; P = 0.019). Moreover, the analyses demonstrated that the efficacy of GABAergic cells in the management of allodynia and hyperalgesia is only observed in rats. Also, only genetically modified cells are effective in improving both of allodynia, and hyperalgesia. Conclusions: A moderate level of pre-clinical evidence showed that transplantation of genetically-modified GABAergic cells is effective in the management of neuropathic pain. However, it seems that the transplantation efficacy of these cells is only statistically significant in improving pain symptoms in rats. Hence, caution should be exercised regarding the generalizability and the translation of the findings from rats and mice studies to large animal studies and clinical trials.

Implication of Self-thinning in Salix Communities on Riverine Wetland Restoration

  • Kim, Jae-Geun;Nam, Jong-Min;Han, Mie-Hie
    • Journal of Ecology and Environment
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    • v.30 no.3
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    • pp.251-255
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    • 2007
  • Self-thinning was measured in Salix communities on Bam Island in Seoul at various age stages. $D^2H$ was used to estimate tree biomass, where D is stem diameter at breast height or 10 cm height for plants with height <1.5 m, and H is height. A log-log plot of density versus $D^2H$ and correlation analysis indicated a significant relationship between density and biomass with equation 'log $D^2H$ = -1.27 log N + 7.06'. This indicates that self-thinning affects biomass in the Salix community with -1.27 as the thinning coefficient. If we assume a thinning exponent -3/2, then the allometric coefficient of the equation, log w = a log $D^2H$ + b, is 1.18. This is much higher than that for any other species studied in Korea. There were statistically significant relationships between age and density and between age and basal area and these relationships suggest guidelines for transplantation of willows and for the assessment of Salix community restoration projects in riverine wetlands based on standard density, basal area, and age. The results of this study may also increase understanding of succession processes in Salix community restoration in riverine wetlands.