• Title/Summary/Keyword: Hospital play

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Somatostatin Receptors 3, 4 and 5 Play Important Roles in Gallbladder Cancer

  • Guo, Run-Sheng;Shi, Pei-Dong;Zhou, Jie;Chen, Yue-Yu
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.7
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    • pp.4071-4075
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    • 2013
  • Expression changes of somatostatin receptor subtypes (SSTRs) including SSTR1, SSTR2, SSTR3, SSTR4 and SSTR5 in the development of gallbladder cancer were assessed with attention to relationships with clinical pathological characteristics. SSTRs in 29 gallbladder cancer and 25 normal gallbladder tissue specimens were examined by immunohistochemical staining. Differences between SSTRs expressions and clinical pathological parameters were analyzed by chi-square test. The five subtypes of SSTR were all expressed in gallbladder cancer tissues and SSTR3 presented the highest expression. SSTR5 expression was increased significantly in gallbladder cancer (P<0.05) compared with that in normal gallbladder tissue. SSTR3 expression in highly and moderately differentiated gallbladder cancer was significantly higher than that in poorly differentiated lesions (P<0.05). SSTR4 expression was lower in gallbladder cancer with lymph node metastasis than that in gallbladder cancer without lymph node metastasis (P<0.05). Therfore, these results indicated that SSRT5, SSTR3 and SSTR4 may play important roles in the formation and development of gallbladder cancer.

Superficial and Deep Skin Preparation with Povidone-Iodine for Ventriculoperitoneal Shunt Surgery : A Technical Note

  • Craven, Claudia L.;Thompson, Simon D.;Toma, Ahmed K.;Watkins, Laurence D.
    • Journal of Korean Neurosurgical Society
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    • v.62 no.1
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    • pp.123-129
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    • 2019
  • Objective : Ventriculoperitoneal (VP) shunt surgery is a common and effective treatment for hydrocephalus and cerebrospinal fluid disorders. Infection remains a major cause of morbidity and mortality after a VP shunt. There is evidence that a deep skin flora microbiome may have a role to play in post-operative infections. In this technical note, we present a skin preparation technique that addresses the issue of the skin flora beyond the initial incision. Methods : The patient is initially prepped, as standard, with. a single layer of 2% CHG+70% isopropyl alcohol. The novel stage is the 'double incision' whereby an initial superficial incision receives a further application of povidone-iodine prior to completing the full depth incision. Results : Of the 84 shunts inserted using the double-incision method (September 2015 to September 2016), only one developed a shunt infection. Conclusion : The double incision approach to skin preparation is a unique operative stage in VP shunt surgery that may have a role to play in reducing acute shunt infection.

Effects of Therapeutic Play Program on the Pre-operative Anxiety of the Preschooler (치료적 놀이 프로그램이 학령전 아동의 수술 전 불안에 미치는 효과)

  • Kim, Jong-Sun
    • Korean Parent-Child Health Journal
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    • v.12 no.2
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    • pp.119-130
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    • 2009
  • Purpose: This study was designed to examine the effects of Therapeutic Play Program on the pre-operative anxiety of the preschoolers. The design of this study is a quasi experimental study of non-equivalent control group pre-test/post-test design. Method: The subjects of this study were the hospitalized preschoolers receiving an operation in C University Hospital. These totalled 60 and were divided into a 30-person-control-group and a 30-person-experimental-group. The data was collected from June 1 to October 5, 2002. The Experimental treatment was carried out according to Therapeutic Play Program developed by Researcher. The instruments used in this study were the observational records for Hospitalized preschooler's Anxiety behavior response, pulse rate, and respiration rate of the preschooler's. The collected data were analyzed with real numbers, percentage, t-test, and $X^2$-test, using SPSS WIN 11.0 program. Result: Hypothesis, "The experimental group provided with a Therapeutic Play Program would show a lower score of the pre-operative anxiety behavior(t=13.79, p=.00), pre-operative pulse(t=4.50, p=.00) and pre-operative respiration rate(t=4.29, p=.00) response than when the control group was not provided", was supported. Conclusion: Therapeutic Play Program is determined to be useful for reducing Pre-operative anxiety of the preschoolers.

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An Effect of Beach Ball Play for Depression, Powerlessness, Self-Esteem, Activity of Daily living in Stroke patients (비치볼놀이가 뇌졸중환자의 우울, 무력감, 자아존중감, 일상생활동작 수행에 미치는 효과)

  • Woo, Gyung-Mye;Lee, Myung-Hwa
    • The Korean Journal of Rehabilitation Nursing
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    • v.1 no.1
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    • pp.15-25
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    • 1998
  • The purposes of this study was to determine the effect of beach ball play in stroke patients, and to define the strategy to promote their depression, powerlessness, self-esteem, activity of daily living. The experimental design was designed non-equivalent control group, non-synchroniged design. The study method had been done by investigating the experimental group and control group through the questionnaire on 57 patients who had been in patient department in D University hospital in Pusan from January 5th 1998 to the end of February 28th, 1998. Beach ball play was carried out experimental group once per day for 10 minute's for two weeks period from Jan 1998 to Feb 1998. Data was collected before and after the experimenation. Collected data was analyzed by means of frequency, percentage, chi-square test, mean, S.D, t-test with SPSS/PC. The results were summarized as follows : 1. The 1st hypothesis : "The experimental group which received the beach ball play should be higher in depression than the control group" was supported(t=3.11, p=.003). 2. The 2nd hypothesis : "The experimental group which received the beach hall play should be higher in powerlessness than the control group" was supported(t=3.32, p=.002). 3. The 3rd hypothesis : "The experimental group which received the beach ball play should be higher in self-esteem than the control group" was not supported(t=-1.90, p=.064). 4. The 4th hypothesis : "The experimental group which received the beach ball play should be higher in activity of daily living than the control group" was not supported(t=-.47, p=.637). In conclusion, the patients who received beach ball play showed the increase in the degree of depression and powerlessness of stroke patients. So the beach ball play had been judged the nursing intervention to improve their emotional problem in stroke patients.

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Expression and Prognostic Implications of FOXO3a and Ki67 in Lung Adenocarcinomas

  • Liu, Hong-Bin;Gao, Xiang-Xiang;Zhang, Qing;Liu, Jian;Cui, Yuan;Zhu, Yan;Liu, Yi-Fei
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.4
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    • pp.1443-1448
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    • 2015
  • To investigate the significance of FOXO3a and Ki67 in human lung adenocarcinomas. Envision immunohistochemical staining and Western blotting were used to examine the protein expression of FOXO3a in 127 cases of human lung adenocarcinoma specimens. The positive rate in lung adenocarcinoma (55.9%) was lower than that in normal tissues (80%). We found that the expression of FOXO3a was closely related with the degree of differentiation, TNM staging, lymph node metastasis and survival. In addition, significant differences in the different pathological types of lung adenocarcinoma cases (P<0.01). The FOXO3a positive rate of the acini as the main type (APA) (86.7%) and the lepidic as the main type (LPA) (82.4%) was higher than the solid as the main type (SPA) (50.0%), the papilla as the main type (PPA) (42.9%) and the micropapilla as the main type (MPA) (9.4%). Moreover, the expression of FOXO3a was negatively related with Ki67 expression. Our results suggested that the expression of FOXO3a is closely correlated with the aggressiveness of lung adenocarcinoma. It was indicated that disregulation of FOXO3a might play key roles in the occurrence and development of lung a denocarcinoma and joint detection of the two markers might play an important role in diagnosing tumors.

Role of Emergency Medical Technician(EMT) in Hospital (병원내 응급구조사의 역할 - 분당제생병원 응급구조사의 근무경험을 중심으로 -)

  • Kim, Sun Man;Jung, Mi Sung
    • The Korean Journal of Emergency Medical Services
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    • v.4 no.1
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    • pp.31-34
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    • 2000
  • The real Emergency Medical Service (EMS) was introduced into Korea in the 1990s, but the role of the EMT in hospital has not been establish. This report is based on our experience for the purpose of introducing the role of the EMT in hospital. 1) EMT assisted a doctor in emergency department. 2) EMT served as a member of CPCR team in hospital during last 3 years. The survival rate of CPCR in hospital was higher than other result in Korea. 3) EMT performed his duties as a keeper of hemodynamically unstable or severely injured patients very well. 4) EMT transferred patients with safety. 5) EMT ran with rapid triage. We think that EMT will play an important role in hospital from now on.

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Identification of Genes and MicroRNAs Involved in Ovarian Carcinogenesis

  • Wan, Shu-Mei;Lv, Fang;Guan, Ting
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.8
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    • pp.3997-4000
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    • 2012
  • MicroRNAs (miRNAs) play roles in the clinic, both as diagnostic and therapeutic tools. The identification of relevant microRNAs is critically required for ovarian cancer because of the prevalence of late diagnosis and poor treatment options currently. To identify miRNAs involved in the development or progression of ovarian cancer, we analyzed gene expression profiles downloaded from Gene Expression Omnibus. Comparison of expression patterns between carcinomas and the corresponding normal ovarian tissues enabled us to identify 508 genes that were commonly up-regulated and 1331 genes that were down-regulated in the cancer specimens. Function annotation of these genes showed that most of the up-regulated genes were related to cell cycling, and most of the down-regulated genes were associated with the immune response. When these differentially expressed genes were mapped to MiRTarBase, we obtained a total of 18 key miRNAs which may play important regulatory roles in ovarian cancer. Investigation of these genes and microRNAs should help to disclose the molecular mechanisms of ovarian carcinogenesis and facilitate development of new approaches to therapeutic intervention.

Involvement of Selective Alpha-2 Adrenoreceptor in Sympathetically Maintained Pain

  • Park, Chan-Hong;Yong, An;Lee, Sang-Ho
    • Journal of Korean Neurosurgical Society
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    • v.47 no.6
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    • pp.420-423
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    • 2010
  • Objective : Peripheral nerve injury often leads to neuropathic pain, which is characterized by burning pain, allodynia, and hyperalgesia. The role of the sympathetic nervous system in neuropathic pain is a complex and controversial issue. It is generally accepted that the alpha adrenoreceptor (AR) in sympathetic nerve system plays a significant role in the maintenance of pain. Among alpha adrenoreceptor, alpha-1 receptors play a major role in the sympathetic mediated pain. The primary goal of this study is to test the hypothesis that sympathetically maintained pain involves peripheral alpha-2 receptors in human. Methods : The study was a randomized, prospective, double-blinded, crossover study involving twenty patients. The treatments were : Yohimbine (30 mg mixed in 500 mL normal saline), and Phentolamine (1 mg/kg in 500 mL normal saline) in 500 mL normal saline at 70 mL/hr initially then titrated. The patients underwent infusions on three different appointments, at least one month apart. Thus, all patients received all 2 treatments. Pain measurement was by visual analogue scale, neuropathic pain questionnaire, and McGill pain questionnaire. Results : There were significant decreases in the visual analogue scale, neuropathic score, McGill pain score of yohimnine, and phentolamine. Conclusion : We conclude that alpha-2 adrenoreceptor, along with alpha-2 adrenoreceptor, may be play role in sympathetically maintained pain in human.

Simvastatin as a Modulator of Tissue Remodeling through Inhibition of Matrix Metalloproteinase (MMP) Release from Human Lung Fibroblasts

  • Ra, Ji-Eun;Lee, Ji-Kyoung;Kim, Hui-Jung
    • Tuberculosis and Respiratory Diseases
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    • v.71 no.3
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    • pp.172-179
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    • 2011
  • Background: Statins can regulate the production of pro-inflammatory cytokines and inhibit MMP production or activation in a variety of types of cells. This study evaluated whether statins would inhibit MMP release from human lung fibroblasts, which play a major role in remodeling processes. Methods: This study, using an in-vitro model (three-dimensional collagen gel contraction system), evaluated the effect of cytokines (tumor necrosis factor-${\alpha}$, TNF-a and interleukin-$1{\beta}$, IL-1b) on the MMP release and MMP activation from human lung fibroblasts. Collagen degradation induced by cytokines and neutrophil elastase (NE) was evaluated by quantifying hydroxyproline. Results: In three-dimensional collagen gel cultures (3D cultures) where cytokines (TNF-a and IL-1b) can induce the production of MMPs by fibroblasts, it was found that simvastatin inhibited MMP release. In 3D cultures, cytokines together with NE induced collagen degradation and can lead to activation of the MMP, which was inhibited by simvastatin. Conclusion: Simvastatin may play a role in regulating human lung fibroblast functions in repair and remodeling processes by inhibiting MMP release and the conversion from the latent to the active form of MMP.