• Title/Summary/Keyword: Temporary Transplant

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Analysis and Improvement of Soil Physical and Chemical Properties for Transplantation of Damaged Trees (훼손 수목의 이식을 위한 토양의 물리·화학적 특성 분석과 개선 방안)

  • Hyesu, Kim;Jungho, Kim;Yoonjung, Moon;Seonmi, Lee
    • Journal of Environmental Impact Assessment
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    • v.31 no.6
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    • pp.423-437
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    • 2022
  • Parts of damaged trees are being transplanted in accordance with the Environmental Impact Assessment Manual. Problems such as death or poor growth are constantly being addressed in the process of transplanting trees from the forest they originally inhabited to temporary and final transplant sites. The purpose of this study is to analyze the differences in soil properties in the surrounding forest, the temporary transplant site, and the construction site and to suggest methods for improving the soil to make it suitable for the growth of transplanted trees. For 10 development projects, 2 soil samples were sampled from the surrounding forest, temporary transplant site, and construction site. A total of 60 soil samples were analyzed for physical and chemical properties. Among the physical properties such as coefficient of permeability, available moisture, and hardness, and chemical properties such as acidity, organic matter content, total nitrogen, and available P showed significant differences among groups. The soil of the construction site is harder than the surrounding forest because of construction equipments, the coefficient of permeability is higherthan the surrounding forest because of high sand content, and the available moisture was low. It does not retain the moisture necessary for plants in the soil and drains immediately. It is necessary to implement tillage to improve the physical properties and structure of the soil. In addition, it is necessary to cover the surface with wood chips or fallen leaves after adding mature organic matter to improve the physical and chemical properties of the soil together.

Intrathoracic Kaposi's Sarcoma in Renal Transplant Recipient proven by Open Lung Biospsy -A Case Report- (개흉폐생검으로 확진된 신장이식 후 발생한 흉강내 Kaposi육종 -1례 보고-)

  • 성기익;김영태;성숙환;김주현
    • Journal of Chest Surgery
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    • v.33 no.4
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    • pp.338-341
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    • 2000
  • Renal transplant recipients who received immunosuporessive agent are in high risk of development Kaposi's sarcoma. In Korea a few report of Kaposi's sarcoma has been pubilshed but any report of intrathoracic Kaposi's sarcoma provedn by open lung biopsy has not been pulbilshed until now. We report a case of intrathoracic Kaposi's sarcoma developed in a 25 year old Korean man, who had been operated renal transplantation due to end stage renal disease and received cyclosporine and prednisolone as immunosuppessive agent, without any other organ involvment and was proven by open lung biopsy. Although discontinuation of immunosuppressive agent, temporary symptomatic and radilolgic improvement were observed, he died 11 days later after open lung biopsy because of intractable resiratory failure.

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ENGINEERING A BIOARTIFICIAL LIVER DEVICE

  • Park, Jae-Sung;Yarmush, Martin L.;Tilles, Arno W.
    • Proceedings of the KSME Conference
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    • 2008.11a
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    • pp.1419-1426
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    • 2008
  • Fulminant hepatic failure is a clinical syndrome associated with a high mortality rate. Orthotopic liver transplantation is the only clinically proven effective treatment for patients with end-stage liver disease who do not respond to medical management. A major limitation of this treatment modality is the scarcity of donor organs available, resulting in patients dying while waiting for a donor liver. An extracorporeal bioartificial liver (BAL) device containing viable hepatocytes has the potential to provide temporary hepatic support to liver failure patients, serving as a bridge to transplantation while awaiting a suitable donor. In some patients, providing temporary hepatic support may be sufficient to allow adequate regeneration of the host liver, thereby eliminating the need for a liver transplant. Although the BAL device is a promising technology for the treatment of liver failure, there are several technical challenges that must be overcome in order to develop systems with sufficient processing capacity and of manageable size. In this overview, the authors describe the critical issues involved in developing a BAL device. They also discuss their experiences in hepatocyte culture optimization within the context of a microchannel flat-plate BAL device.

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Outcome of Extracorporeal Ventricular Assist Device for Cardiogenic Shock as a Bridge to Transplantation

  • Kim, Hyo-Hyun;Shin, Jung-Hoon;Kim, Jung-Hwan;Youn, Young-Nam
    • Journal of Chest Surgery
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    • v.53 no.6
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    • pp.368-374
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    • 2020
  • Background: The extracorporeal ventricular assist device (e-VAD) system is designed for left ventricular support using a permanent life support console. This study aimed to determine the impact of temporary e-VAD implantation bridging on posttransplant outcomes. Methods: We reviewed the clinical records of 6 patients with the Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) profile 1, awaiting heart transplantation, who were provided with temporary e-VAD from 2018 to 2019. The circuit comprised a single centrifugal pump without an oxygenator. The e-VAD inflow cannula was inserted into the apex of the left ventricle, and the outflow cannula was positioned in the ascending aorta. The median follow-up duration was 8.4±6.9 months. Results: After e-VAD implantation, lactate dehydrogenase levels significantly decreased, and Sequential Organ Failure Assessment scores significantly improved. Bedside rehabilitation was possible in 5 patients. After a mean e-VAD support duration of 14.5±17.3 days, all patients were successfully bridged to transplantation. After transplantation, 5 patients survived for at least 6 months. Conclusion: e-VAD may reverse end-organ dysfunction and improve outcomes in INTERMACS I heart transplant patients.

Extracorporeal Life Support in Organ Transplant Donors

  • Chang, Wonho
    • Journal of Chest Surgery
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    • v.51 no.5
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    • pp.328-332
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    • 2018
  • Background: Extracorporeal life support (ECLS) can be applied in brain-dead donors for organ perfusion before donation, thereby expanding the donor pool. The aim of this study was to examine the benefits and early clinical outcomes of ECLS for organ preservation. Methods: Between June 2012 and April 2017, 9 patients received ECLS with therapeutic intent or for organ preservation. The following data were collected: demographics, purpose and duration of ECLS, cause of death, dose of vasoactive drugs, and need for temporary dialysis before organ retrieval. The early clinical outcomes of recipients were studied, as well as survival and graft function at 1 month. Results: ECLS was initiated for extracorporeal cardiopulmonary resuscitation in 5 patients. The other patients needed ECLS due to hemodynamic deterioration during the assessment of brain death. We successfully retrieved 18 kidneys, 7 livers, and 1 heart from 9 donors. All organs were transplanted and none were discarded. Only 1 case of delayed kidney graft function was noted, and all 26 recipients were discharged without any significant complications. Conclusion: The benefits of protecting the vital organs of donors is significant, and ECLS for organ preservation can be widely used in the transplantation field.

Exploring Planting Strategies through Monitoring of a Greenspace Established in the Riparian Zone - The Case of an Implementation Site in Gapyeong County - (수변구역 조성 녹지의 모니터링을 통한 식재방안 모색 - 가평군 시공지를 대상으로 -)

  • Jo, Hyun-Kil;Park, Hye-Mi
    • Journal of Environmental Science International
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    • v.25 no.12
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    • pp.1689-1699
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    • 2016
  • The growth conditions of planted trees, invasion of nuisance herbaceous species, competition between species, and effects of erosion control were monitored over five years in a riparian greenspace in Gapyeong County that was established through multilayered and grouped ecological planting. Of 156 trees planted in the upper and middle layers, 5.8% died. This tree death was attributed to poor drainage or aeration in the rooting zone from the clay-added root ball and too deep planting as well as a small-sized root ball and scanty fine roots. Of all the trees, 21.6% grew poorly due to transplant stress in the first year after planting, but they started to grow vigorously in the third year. This good growth was largely associated with soil improvement before planting, selection of appropriate tree species based on growth ground, and control of dryness and invasive climbing plants through surface mulching and multilayered/grouped planting. Mixed planting of fast-growing species as temporary trees was desirable for accelerating planting effect and increasing planting density. Thinning of fast-growing trees was required in the fifth year after planting to avoid considerable competition with target species. To reduce the invasion of herbaceous and climbing plants that oppress normal growth of planted trees, higher density planting of trees (crown opening of about 15%), woodchip mulching to a 10-cm depth, and edge planting 2 m wide were more effective than lower density planting (crown opening of 70%), no surface mulching, and no edge planting, respectively. This reduction effect was especially great during the first three years after planting. Nuisance herbaceous plants rarely invaded higher density planting with woodchip mulching over the five years. Higher density planting or woodchip mulching also showed much greater erosion control through rainfall interception and buffering than lower density planting with no mulching did. Based on these results, desirable planting and management strategies are suggested to improve the functions of riparian greenspaces.

Application of satellite remote sensing-based vegetation index for evaluation of transplanted tree status (이식수목의 현황 평가를 위한 위성영상 기반 원격탐사 식생지수 적용 연구)

  • Mi Na Choi;Do-Hun Lee;Moon-Jeong Jang;Dong Ju Kim;Sun Mi Lee;Yoon Jung Moon;Yong Sung Kwon
    • Korean Journal of Environmental Biology
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    • v.41 no.1
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    • pp.18-30
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    • 2023
  • Forest destruction is an inevitable result of the development processes. According to the environmental impact assessment, over 10% of the destroyed trees need to be recycled and transplanted to minimize the impact of forest destruction. However, the rate of successful transplantation is low, leading to a high rate of tree death. This is attributable to a lack of consideration for environmental factors when choosing a temporary site for transplantation and inadequate management. To monitor transplanted trees, a field survey is essential; however, the spatio-temporal aspect is limited. This study evaluated the applicability of remote sensing for the effective monitoring of transplanted trees. Vegetation indices based on satellite remote sensing were derived to detect time-series changes in the status of the transplanted trees at three temporary transplantation sites. The mortality rate and vitality of transplanted trees before and after the transplant have a similar tendency to the changes in the vegetation indicators. The findings of this study showed that vegetation indices increased after transplantation of trees and decreased as the death rate increased and vitality decreased over time. This study presents a method for assessing newly transplanted trees using satellite images. The approach of utilizing satellite photos and the vegetation index is expected to detect changes in trees that have been transplanted across the country and help to manage tree transplantation for the environmental impact assessment.

A Case of Pulmonary Tuberculosis with Delayed Diagnosis Due to the Temporary Clinical Improvement After Use of Levofloxacin and Amikacin Under the Impression of Community Acquired Pneumonia (폐렴을 의심하여 Levofloxacin과 Amikacin을 사용 후 일시적 호전을 보여 진단이 늦어진 폐결핵 1예)

  • Lee, Hee Seok;Kang, Young Ae;Oh, Jin Young;Lee, Jae Ho;Yoo, Chul Gyu;Lee, Choon-Taek;Kim, Young Whan;Han, Sung Koo;Shim, Young-Soo;Yim, Jae-Joon
    • Tuberculosis and Respiratory Diseases
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    • v.55 no.4
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    • pp.395-401
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    • 2003
  • Fluoroquinolone is one of the first-line antibiotics recommended for treating community-acquired pneumonia. However, using fluroquinolones for presumptive community-acquired pneumonia can delay the diagnosis and the treatment of pulmonary tuberculosis because of its strong activity against mycobacteria. Here, we report a case of a 54-year-old female taking immunosuppressants after a renal transplant whose diagnosis of pulmonary tuberculosis was delayed as a result of the use of levofloxacin and amikacin under the original impression of community-acquired pneumonia. This case suggests that clinicians should consider the possibility of pulmonary tuberculosis in the case of a partial response of the pneumonia to flouroquinolones and/or aminoglycosides.

Stakeholder Perception on the Transplanting Damaged Trees (훼손 수목 이식에 대한 이해관계자 인식 연구)

  • Moon, Yoonjung;Park, Hongjun;Cha, Jaegyu;Na, Jinjoo;Lee, Seonmi
    • Journal of Environmental Impact Assessment
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    • v.30 no.6
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    • pp.361-379
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    • 2021
  • About 10% of trees damaged by the development projects are to be transplanted when conducting the Environmental Impact Assessment. However, various problems have been raised during transplantation. In this study, we confirm the stakeholder's perceptions of the problems that occur during transplantation. The survey was conducted from October 9 to 25, 2020. Among the stakeholder groups, 36 respondents participated in the consulting institute group, 44 from the review institute group, and 83 from the developer·agency group (total of 163). All three groups responded that it was necessary to transplant some of the damaged trees even if the development charge increased because the damage caused by the development project was serious. The most serious problem was 'high mortality'. The response rate was high that all three groups should plant the same species with the same quantity as an alternative method in case of withering. In order to reduce the mortality rate, small-sized trees were transplanted and transplanted trees were expanded to include planted species and landscape trees. In addition, the number of transplanted trees was high in response to calculating the transplantratio to the number of native tree damaged. The percentage of respondents who said that it was necessary to allocate a separate manager was also high. The results will be used as basic data to improve problems that occur during transplantation of damaged trees.