• 제목/요약/키워드: Follow-up monitoring

검색결과 255건 처리시간 0.028초

Hybrid Imaging in Oncology

  • Fatima, Nosheen;uz Zaman, Maseeh;Gnanasegaran, Gopinath;Zaman, Unaiza;Shahid, Wajeeha;Zaman, Areeba;Tahseen, Rabia
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제16권14호
    • /
    • pp.5599-5605
    • /
    • 2015
  • In oncology various imaging modalities play a crucial role in diagnosis, staging, restaging, treatment monitoring and follow up of various cancers. Stand-alone morphological imaging like computerized tomography (CT) and magnetic resonance imaging (MRI) provide a high magnitude of anatomical details about the tumor but are relatively dumb about tumor physiology. Stand-alone functional imaging like positron emission tomography (PET) and single photon emission tomography (SPECT) are rich in functional information but provide little insight into tumor morphology. Introduction of first hybrid modality PET/CT is the one of the most successful stories of current century which has revolutionized patient care in oncology due to its high diagnostic accuracy. Spurred on by this success, more hybrid imaging modalities like SPECT/CT and PET/MR were introduced. It is the time to explore the potential applications of the existing hybrid modalities, developing and implementing standardized imaging protocols and train users in nuclear medicine and radiology. In this review we discuss three existing hybrid modalities with emphasis on their technical aspects and clinical applications in oncology.

Multiple Primary Malignancies - A Retrospective Analysis at a Single Center in Turkey

  • Arpaci, Erkan;Tokluoglu, Saadet;Yetigyigit, Tarkan;Alkis, Necati
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제14권2호
    • /
    • pp.769-773
    • /
    • 2013
  • Background: A literature review on 1,104,269 cancer patients concluded that the prevalence of multiple primary malignancies (MPM) is between 0.73% and 11.7%. MPMs seem to have higher incidence than that influenced by hazard only. The purpose of this study was to investigate clinically useful information for effective screening for synchronous and metachronous second primary cancers and to identify a potential surveillance protocol. Materials and Methods: Using statistical and epidemiological indicators we evaluated the patients with MPMs (double locations) admitted to Dr. Abdurrahman Yurtarslan Ankara Oncology Education and Research Hospital between 1981 and 2010. Results: Out of the 130 cases, 24 (18.4%) were synchronous while 106 cases (81.6%) were metachronous tumours. Mean interval time from first to second primary cancers was 4.65 years (0-27 years). The most frequent malignant associations were breast-breast, breast-endometrium and breast-ovary. Both primary and secondary tumors tended to be in an advanced stage explained by the low compliance of the patients to follow-up. Conclusions: The possibility that MPMs exist must always be considered during pretreatment evaluation. Screening procedures are especially useful for the early detection of associated tumors, whereas careful monitoring of patients treated for primary cancer and a good communication between patients and medical care teams should ensure early detection of secondary tumors, and subsequent appropriate management.

원칩형 PLC를 이용한 방재용 자동화시스템 개발에 관한 연구 (A Study on Development of Disaster Prevention Automation System for by using One-chip Type PLC)

  • 곽동걸;정도영;오성지;김수창;박영직
    • 전력전자학회:학술대회논문집
    • /
    • 전력전자학회 2010년도 하계학술대회 논문집
    • /
    • pp.107-108
    • /
    • 2010
  • Uncertainty and insecurity is a serious issue in all aspects of our society today as the change in environmental and societal conditions became more apparent than ever before through various disasters. Thus, it is now an important point in time for the government and responsible firms to implement an innovative scientific disaster management method that can lead to establishing a more secure and stable future. Therefore, authors have developed ubiquitous- based disaster prevention automation system(DPAS). The system would follow up after sensors detecting fires, thefts, torrents, floods, and infrastructural leaks. It prevents disasters in advance by utilizing a wireless communications net or ethernet to conduct real-time monitoring from a remote place. The system also has an advantage as it is designed in a compact size that applies a precision-focused programmable logic controller(PLC) of one-chip type.

  • PDF

입원 환자의 영양상태에 따른 TPN(Total Parenteral Nutrition) 공급 현황 및 TPN 공급 효과 비교 (The Effect of Total Parenteral Nutrition on Hospitalized Patients according to Nutritional Status)

  • 배제헌;김순경
    • 대한지역사회영양학회지
    • /
    • 제8권4호
    • /
    • pp.574-583
    • /
    • 2003
  • The purpose of this study was to investigate the anthropometry, biochemical parameters and electrolytes concentrations of the Total Parenteral Nutrition (TPN) patients according to their nutritional status at the time of admission. Thirty-three patients in the Intensive Care Unit at S University Hospital were the subjects of this study. Their nutritional status was classified as At-risk I (Mild PCM, n = 13), At - risk II (Moderate PCM, n = 9) and At-risk III (Marasmus + kwashiorkor + severe PCM, n = 11) . Anthropometeric, biochemical and dietary assessments were performed. The Patients intake of calories (75.02%) and protein (53.15%) was insufficient compare with Korean RDA requirements. The body weight and the Body Mass Index (BMI) in the At-risk III group were significantly lower than in the other groups. The percentage of body weight loss and change of body weight (kg) were significantly higher than in the other groups. The subjects were malnourished as indicated by nutritional related parameters such as serum total protein, albumin, total lymphocyte count (TLC), hemoglobin and hematocrit. Serum total protein, albumin and TLC levels were lower at the time of admission before TPN administration. But after TPN administration, they increased. The electrolyte concentrations did not show any differences following TPN administration. The nutritional status of the patients could be affect by the duration of TPN administration and the number of days of the patients hospitalization. The patients who require nutritional support need the continuous follow-up care and monitoring by a nutritional support team. (Korean J Community Nutrition 8(4) : 574-583, 2003)

Concomitant Right Ventricular Outflow Tract Cryoablation during Pulmonary Valve Replacement in a Patient with Tetralogy of Fallot

  • Shin, Hong Ju;Song, Seunghwan;Shin, Yu Rim;Park, Han Ki;Park, Young Hwan
    • Journal of Chest Surgery
    • /
    • 제50권1호
    • /
    • pp.41-43
    • /
    • 2017
  • A 38-year-old female patient with a history of tetralogy of Fallot repair at 10 years of age underwent pulmonary valve replacement with a mechanical prosthesis, tricuspid annuloplasty, and right ventricular outflow tract cryoablation due to pulmonary regurgitation, tricuspid regurgitation, and multiple premature ventricular contractions with sustained ventricular tachycardia. After surgery, she had an uneventful postoperative course with arrhythmia monitoring. She was discharged without incident, and a follow-up Holter examination showed a decrease in the number of ventricular ectopic beats from 702 to 41.

임해매립지 녹화를 위한 토양의 물리·화학적 특성 분석 - 율촌제1산업단지를 중심으로 - (The Analysis of Physical and Chemistry Properties on the Reclaimed Area for Replantation - A Case Study on the YOULCHON 1'st Industrial Complex -)

  • 전형순
    • 한국환경복원기술학회지
    • /
    • 제14권6호
    • /
    • pp.87-95
    • /
    • 2011
  • This study investigates Youl Chon Industrial Complex 1 by dividing into three regions : the drainage site, the area inside the complex, and the seaside. Then each region was subdivided into three areas resulting in a total of nine areas for soil sampling and analysis. After analyzing the physical and chemical properties of the soil, all nine area's pH and EC readings indicated that the soil condition is not suitable for vegetation growth (according to the previous study, the pH level was 5.8 and EC was 2.0dS/m). Therefore, for Youl Chon Industrial Complex 1 to become green, the neutralization and reduction of pH and EC level is needed; first, vegetation through dredging soil, and second, introduction of halophytes is suggested. This study finds out that vertical changes in physical and chemical properties of soils in reclaimed sites are very variable and the result depends on surrounding environments, so it suggested the basic data for building vegetation or reclaimed sites. However, the additional study aiming at various reclaimed sites is required as this study was conducted only to limited areas, and this study has left monitoring analysis as the follow-up task to check the relations between a plant community and soils.

소아 복부둔상에 의한 간장손상의 치료 (Management of Liver Injuries Following Blunt Abdominal Trauma in Children)

  • 박진영;장수일
    • Advances in pediatric surgery
    • /
    • 제3권1호
    • /
    • pp.32-40
    • /
    • 1997
  • A clinical review was done of 31 children with blunt liver injury who were admitted to the Department of Surgery, Kyungpook National University Hospital between 1981 and 1990. Seventeen of the 31 children required laparotomy(11 primary repairs, 4 lobectomies, 2 segmentectomies). There were two deaths after laparotomy, one due to associated severe head injury and another due to multiorgan failure. The remaining 14 children, who were hemodynamically stable after initial resuscitation and who did not have signs of other associated intraabdominal injuries, were managed by nonoperative treatment. Patients were observed in a pediatric intensive care unit for at least 48 hours with repeated abdominal clinical evaluations, laboratory studies, and monitoring of vital signs. The hospital courses in all cases were uneventful and there were no late complication. A follow-up computed tomography of 7 patients showed resolution of the injury in all. The authors believe that, for children with blunt liver injuries, nonoperative management is safe and appropriate if carried out under careful continuous surgical observation in a pediatric intensive care unit.

  • PDF

Long-Term Follow Up of Refractory Myotonia Associated with Hyperadrenocorticism in a Maltese Dog

  • Nam, Sookin;Kang, Byeong-Teck;Song, Kun-ho;Seo, Kyoung-won
    • 한국임상수의학회지
    • /
    • 제37권5호
    • /
    • pp.273-277
    • /
    • 2020
  • A 12-year-old, female Maltese was referred with uncontrolled hyperadrenocorticism (HAC). Despite well management of HAC through treatment with trilostane and serial monitoring with ACTH stimulation tests for over three years, stiffness of the neck and limbs progressively worsened over time. Neurological test was performed, which showed no abnormalities of cranial nerves. Proprioception was delayed but the cause appeared to be due to stiffness of limb muscles. Muscle tone had increased over time and stiffness had worsened to the extent where it made walking difficult. MRI scans showed no orthopedic or spinal diseases, and pituitary microadenoma was confirmed with pituitary gland measurement of 6 × 6.4 × 4.5 mm (H × W × L). Electromyography presented random discharges with fluctuating amplitude and frequency, which were consistent with myotonic discharges. There were no improvements of myotonic signs despite treatment for HAC with trilostane. Supplementation of L-carnitine and coenzyme Q-10 to mitigate muscle stiffness, following diazepam and methocarbamol to help with muscle rigidity, failed to show any positive effect and the dog died a sudden death, 1,182 days after the initial visit.

유망영역 탐지를 위한 키워드 매핑의 동태적 분석 : 그래핀 사례연구 (Analysis on the Dynamics of Keyword Mapping for Detecting Emerging Technologies : A Case Study on Graphene)

  • 안세정;김도현;권오진;배영철;이준영
    • 한국전자통신학회논문지
    • /
    • 제7권6호
    • /
    • pp.1393-1401
    • /
    • 2012
  • 본 연구에서는 2008년 MIT의 10대 유망기술로 선정되고, 2009년 KISTEP의 미래유망 10대 기술로 선정된 바 있는 그래핀을 사례로 하여, 선정된 유망기술아이템에 대한 지속적 모니터링의 중요성을 실증적으로 보여준다. 이를 위해 그래핀 분야의 주요 키워드들을 활용하여 해당 연구영역을 매핑하고, 이를 활용하여 해당기술의 성장, 전이, 분화과정을 분석하였다. 특히, 그래핀 연구분야 내에서 바이오센서 클러스터의 변화를 추적하고, 유망성을 예측하였다.

Preservation of Facial Nerve Function Repaired by Using Fibrin Glue-Coated Collagen Fleece for a Totally Transected Facial Nerve during Vestibular Schwannoma Surgery

  • Choi, Kyung-Sik;Kim, Min-Su;Jang, Sung-Ho;Kim, Oh-Lyong
    • Journal of Korean Neurosurgical Society
    • /
    • 제55권4호
    • /
    • pp.208-211
    • /
    • 2014
  • Recently, the increasing rates of facial nerve preservation after vestibular schwannoma (VS) surgery have been achieved. However, the management of a partially or completely damaged facial nerve remains an important issue. The authors report a patient who was had a good recovery after a facial nerve reconstruction using fibrin glue-coated collagen fleece for a totally transected facial nerve during VS surgery. And, we verifed the anatomical preservation and functional outcome of the facial nerve with postoperative diffusion tensor (DT) imaging facial nerve tractography, electroneurography (ENoG) and House-Brackmann (HB) grade. DT imaging tractography at the 3rd postoperative day revealed preservation of facial nerve. And facial nerve degeneration ratio was 94.1% at 7th postoperative day ENoG. At postoperative 3 months and 1 year follow-up examination with DT imaging facial nerve tractography and ENoG, good results for facial nerve function were observed.