• Title/Summary/Keyword: in-migration rate

Search Result 432, Processing Time 0.03 seconds

Comparison of Early Complications after Peritoneal Dialysis Catheter Implantation by Laparoscopic Surgery and Conventional Surgery in Children (소아에서 복막투석도관 삽입시 복강경을 이용한 방법과 기존의 수술법에 따른 초기 합병증 발생의 차이)

  • Jeong, Soo-In;Lee, Hyun-Young;Lee, Cheol-Gu;Seo, Jeong-Meen;Lee, Suk-Koo;Kim, Su-Jin;Kwak, Min-Jung;Jin, Dong-Kyu;Paik, Kyung-Hoon
    • Childhood Kidney Diseases
    • /
    • v.11 no.1
    • /
    • pp.51-58
    • /
    • 2007
  • Purpose : To assess the early complication of laparoscopic peritoneal dialysis catheter implantation in children. Methods : Medical record review was carried out on 21 laparoscopic and 16 conventional peritoneal dialysis catheter implantations which were performed in 31 children under 18 years of age between 2002 and 2006. All medical records were retrospectively analyzed. The patients were followed until 2 months after catheter placement. Patient characteristics and catheterrelated complications, such as significant bleeding, leakage, obstruction, migration, insertion site infection and peritonitis during the first 60 days after implantation were recorded. Results : After conventional operation, dialysate leakage occurred in 2 of 16 cases and all cases improved after conservative management. In 1 case, significant bleeding occurred and re-operation was performed. Three cases of obstruction due to migration were reported, 2 cases underwent reoperation and 1 case improved without intervention. After laparoscopic surgery, outflow obstruction occurred in 1 out of 21 cases, which was caused by adhesion after several reinsertions of the catheter and recurrent peritonitis. No migration was noted after laparoscopic surgery. There was no significant difference in the complication rate between the two groups. Conclusion : Laparoscopic peritoneal dialysis catheter placement is feasible in children of all age groups, with at least equivalent functional results compared to conventional surgery. The additional advantage of laparoscopic catheter insertion is the option to identify and eliminate anatomical risk factors, such as intra-abdominal adhesions, and to perform partial omentectomy without additional incisions.

  • PDF

Operative Treatment of the Clavicular Midshaft Fractures in Adult - A Comparison between Intramedullary Multiple Steinmann Pins Fixation and Reconstruction Plate Fixation - (성인 쇄골 간부 골절의 수술적 치료-골수강내 다발성 Steinmann핀 고정술과 재구성 금속판 고정술과의 비교-)

  • Lee Young Kuk;Gu Hae Seo
    • Clinics in Shoulder and Elbow
    • /
    • v.2 no.1
    • /
    • pp.14-20
    • /
    • 1999
  • Purpose: Despite of the popular use of the reconstruction plate for the fixation of clavicular shaft fractures, some disadventages have been raised such as long period of immobilization, long skin incision, loosening of plate and screws, and increased chance of nonunion due to severe periosteal injury. Thus, the authors have performed intramedullary multiple Steinmann pins fixation that could reduce the disadvantages of plate fixation in order to compare the treatment results between the two groups. Materials & Methods: From 1994. Jan. to 1997. Dec. the department of orthopaedic surgery of the Kwak's hospital treated operatively for 56 cases of the clavicular shaft fractures in adult. 39 cases of them were treated with the plate fixation and 17 cases with the intramedullary multiple Steinmann pins fixation(SP group). Reconstruction plates(Plate group) were used for 26 out of 39 patients treated with plate fixation. Among the Plate group and SP group, each 15 cases were selected by age and sex and compared each other according to the bone union time, union rate, complication, and functional results. The follow-up period was 12 months at the shortest and 48 months at the longest and the average was 16 months. Results: The Plate group showed that the bone union time was 7 weeks and the bone union rate was 93%. The SP group showed 6.5 weeks and 100% respectively. In complication, the Plate group had 1 case of loosening of plate and screws and delayed union; SP group had 1 case of pin migration. The functional results according to Kang's criteria, 87% of the Plate group and 93% of the SP group showed good or excellent. Conclusion : The SP group showed very comparable results in terms of the bone union time, bone union rate, complication, and functional results comparing to the Plate group. The intramedullary multiple Steinmann pins fixation showed several advantages over the reconstruction plate fixation, which were simple operative technique, easy removal of pins, being able to perform immediate postoperative full range of motion exercise. Therefore, the intramedullary multiple Steinmann pins fixation is thought to be one of the useful operative techniques in treatment of the clavicular shaft fractures in adult.

  • PDF

Regional Differentials in Mortality in Korea, 1990-2000 (사망력 수준의 시ㆍ군별 편차 및 그 변화 추이, 1990∼2000)

  • 김두섭;박효준
    • Korea journal of population studies
    • /
    • v.26 no.1
    • /
    • pp.1-30
    • /
    • 2003
  • This paper attempts to explore the effects of ecological and socioeconomic factors on the level of mortality and the changing trends of such effects during the period of 1990∼2000. For this purpose the population census data and micro-data from the vital statistics for years 1990, 1995 and 2000 were used. As indicators of mortality, the crude death rate(CDR), the standardized death rate(SDR) and the longevity rate were calculated for 170 'Si' s and 'Gun's. Using GIS, this paper first presents the mortality and longevity maps for years 1990, 1995 and 2000. Then ANOVA and regression analyses are carried out in an effort to generalize the effects of ecological and socioeconomic factors on the CDR, the SDR and the longevity rate. When the mortality and longevity maps are examined, three indices of mortality are found to be markedly high in the southwest coastal regions of Cholla-Nam-Do. By contrast, Seoul and Pusan metropolitan areas show substantially low level of mortality and longevity in these indices. It is also found that the regional differentials in the SDR and the longevity rate show a trend of becoming smaller after 1990. The research, however, does not find any linear relationship between the SDR and the longevity rate. The causal mechanisms of the two indices are found to be different. The results of the ANOVA and the regression analysis reveal that the locational factors of both mountainous and farming regions tend to increase the CDR and SDR while both coastal and farming regions disclose a tendency of increasing the longevity rate. The level of statistical significance of these analytical results is found to be weaker when socioeconomic factors such as education, income, marital status, availability of medical care, and sanitary conditions of the region are taken into account. The regional differentials in the mortality level seem to have a clear relationship not only with the socioeconomic factors but also with the age structure influenced by the age selectivity of migration during the past 40 years.

Corona Discharge Characteristics and Particle Losses in a Unipolar Corona-needle Charger Obtained through Numerical and Experimental Studies

  • Intra, Panich;Yawootti, Artit;Rattanadecho, Phadungsak
    • Journal of Electrical Engineering and Technology
    • /
    • v.12 no.5
    • /
    • pp.2021-2030
    • /
    • 2017
  • In this paper, the unipolar corona-needle charger was developed and its capabilities were both numerically and experimentally investigated. The experimental corona discharges and particle losses in the charger were obtained at different corona voltage, aerosol flow rate and particle diameter for positive and negative coronas. Inside the charger, the electric field and charge distribution and the transport behavior of the charged particle were predicted by a numerical simulation. The experimental results yielded the highest ion number concentrations of about $1.087{\times}10^{15}ions/m^3$ for a positive corona voltage of about 3.2 kV, and $1.247{\times}10^{16}ions/m^3$ for a negative corona voltage of about 2.9 kV, and the highest $N_it$ product for positive and negative coronas was found to about $7.53{\times}10^{13}$ and $8.65{\times}10^{14}ions/m^3$ s was occurred at the positive and negative corona voltages of about 3.2 and 2.9 kV, respectively, and the flow rate of 0.3 L/min. The highest diffusion loss was found to occur at particles with diameter of 30 nm to be about 62.50 and 19.33 % for the aerosol flow rate of 0.3 and 1.5 L/min, respectively, and the highest electrostatic loss was found to occur at particles with diameters of 75 and 50 nm to be about 86.29 and 72.92 % for positive and negative corona voltages of about 2.9 and 2.5 kV, respectively. The numerical results for the electric field distribution and the charged particles migration inside the charger were used to guide the description of the electric field and the behavior of charged particle trajectories to improve the design and refinement of a unipolar corona-needle charger that otherwise could not be seen from the experimental data.

Characteristics for the Distribution of Elderly Population by Utilizing the Census Data (센서스 데이터를 활용한 고령인구 분포 특성)

  • Nam, Kwang-Woo;Gwon, Il-Hwa
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.14 no.1
    • /
    • pp.464-469
    • /
    • 2013
  • After city of Busan has been entered to the aging society in 2000, the city has the highest aging rate among 7 representative cities in 2011. Moreover, while entire population and number of average household are decreasing, over 65 years old of elderly population is rapidly increasing. So, it is possible to enter the super-aged society, where aging rate would be about 20% after 2020. The purpose of this study is that older housing-related analysis is consisted of dong-unit, and this led microscopic analysis has become necessary. Surveys from 2000 through 2010, census aggregate (output area) unit of spatial analysis was conducted. Take advantages of this, aging population and area, soaring area, high-density areas, such as the region of interest were primary extracted, and microscopic location and spatial distribution patterns were analyzed. Upon analysis, aging population is concentrated in the city and adjacent area, the highlands, and 10 years of increasing rate was more than 30 times in certain aggregate. Regarding the characteristic of these areas, the original city center, Busan, especially concentrated and intensified in aging population. Also, 2000 to 2010, the overall distribution pattern of Busan has identified aging population that is increasingly being distributed. This is the result, which is confronted with previous research result. Entering a super aged-society for the future is accordance with migration of social costs and improve the quality of life of elderly. And this could be the basic information to use the spatial dimension for the corresponding.

Air Pollution Control In Industrialized Cities of the I.R. Iran

  • Ganjidoust, Hossein;Ayatl, Blta
    • Proceedings of the Korean Environmental Sciences Society Conference
    • /
    • 2003.11a
    • /
    • pp.15-18
    • /
    • 2003
  • Recently, some researches related to air pollution problems in large cities of the Islamic Republic of Iran have been done. Famous institutes and research centers in countries like Japan, Sweden and Germany have been in cooperation with Iranian institutes in implementing the results. Due to quick increase in the population because of peoples' migration from countryside to cities, and rate of growth in the early years after the revolution, air pollution was an important problem in I.R.Iran. Therefore, air pollution control is one of the main issues in major cities of I.R. Iran. It is the purpose of this study to investigate the control mechanisms for air pollution problems in the major industrial cities. The necessary action plans that were taken in recent years in some of the cities, which were also suggested to be taken in the other ones, are the other purpose of this study. From the results of studies it was obtained in Iran, lots of researches are important to mention. Amongst the main activities that are done in recent years are: establishing of the meteorological research centers and atmosphere sciences; three applicator meteorological research centers and more than 40 new stations in the country; installation of newest computer systems in metrological information, using of wall map and continuous radio-traffic to announce traffic news; completing of subway construction in Tehran; forbidding of industrial activities in a definite distance away from Tehran and transferring them to suitable places; building of highways and freeways; improving of public transportation and gasifying them; developing of fuels quality and removing lead from them; and gasifying of the heating systems in houses and buildings.

  • PDF

Inflammatory Breast Cancer in Tunisia from 2005 to 2010: Epidemiologic and Anatomoclinical Transitions from Published Data

  • Mejri, N.;Boussen, H.;Labidi, S.;Bouzaiene, H.;Afrit, M.;Benna, F.;Rahal, K.
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.16 no.3
    • /
    • pp.1277-1280
    • /
    • 2015
  • Aim: To report epidemiologic and anatomoclinical transitions of inflammatory breast cancer (IBC) in Tunisia. Materials and Methods: Data including clinico-pathological data for 208 cases of T4d or PEV 3 non-metastatic breast cancer diagnosed between 2005 and 2010 were collected from patient records. Chi2 and Z tests were used to compare variables with two Tunisian historical series and a series about Arab-American patients. Results: Thirty three percent of our patients had their first child before 23 years of age and 56% had their menarche before 12 years, 75% never receiving oral contraception. Obesity was observed in 42% of women and IBC occurred during pregnancy in 13% of cases. Tumor grade was II-III in 90% of cases, HR was negative in 52%, HER2 was over expressed in 31% and invasion of more than 3 axillary nodes occurred in 18% of patients. We observed a pCR rate of 19% after neoadjuvant treatment (anthracyline-taxane used in 79%, trastuzumab in 27% ). Compared to historical Tunisian series (since 1996), IBC epidemiology remained stable in terms of median age, menopausal status and obesity. However we observed a significant decrease in median clinical tumor size and number of positive axillary lymph nodes. Comparison to IBC in Arab-Americans showed a significant difference in terms of median age, menopausal status, positivity of hormonal receptors and educational level. Conclusions: Our assessment of epidemiologic transition showed a reduction of clinco-pathological stage of IBC, keeping the same characteristics as compared to Tunisian historical series over a period of 14 years. Features seem to be different in Arab-American patients, probably related to migration, "occidentalization" of life style and improvement in socio-economic level.

Combined Detection of Serum MiR-221-3p and MiR-122-5p Expression in Diagnosis and Prognosis of Gastric Cancer

  • Zhang, Yan;Huang, Huifeng;Zhang, Yun;Liao, Nansheng
    • Journal of Gastric Cancer
    • /
    • v.19 no.3
    • /
    • pp.315-328
    • /
    • 2019
  • Purpose: To investigate the clinical value of serum miR-221-3p and miR-122-5p expression levels in the diagnosis and prognosis of gastric cancer. Materials and Methods: Serum samples from 141 gastric cancer cases (gastric cancer group), 110 gastric polyps (gastric polyp group), and 75 healthy people (healthy control) were used to detect miR-221-3p and miR-122-5p expression using real-time reverse transcription polymerase chain reaction. Results: Serum miR-221-3p expression was significantly higher in the gastric cancer group than in the gastric polyp group, and it was significantly lower than that before operation. The miR-221-3p expression was significantly higher in the death group than in the survival group. The proliferation and migration ability significantly increased and the apoptosis rate significantly decreased by miR-221-3p transfection in gastric cancer cells. In contrast, the function of miR-122-5p in gastric cancer cells was opposite of miR-221-3p. Serum miR-221-3p expression was negatively correlated with that of miR-122-5p in gastric cancer. Serum miR-221-3p and miR-122-5p expressions were significantly correlated with the degree of differentiation, tumor, node, metastasis stage, lymph node metastasis, and invasion depth. miR-221-3p and miR-122-5p expression levels were independent prognostic factors for postoperative gastric cancer. In the diagnosis and predicting prognosis of gastric cancer, receiver operating characteristic analysis revealed that the area under curve of combined detection of serum miR-221-3p and miR-122-5p expression had a greater diagnostic effect than either single maker. Conclusions: The miR-221-3p and miR-122-5p are involved in the development of gastric cancer, and they have important clinical values in gastric cancer diagnosis and prognosis.

Deposition Characteristic of InNx Films by Reactive DC Magnetron Sputtering (반응성 직류 스퍼터법에 의한 질화 인듐 박막의 제막 특성)

  • 송풍근;류봉기;김광호
    • Journal of the Korean Ceramic Society
    • /
    • v.40 no.8
    • /
    • pp.739-745
    • /
    • 2003
  • In $N_{x}$ films were deposited on soda-lime glass without substrate heating by reactive dc magnetron sputtering using indium (In) metal target. Depositions were carried out under various total gas pressures ( $P_{tot}$) of mixture gases (Ar+$N_2$ or He+$N_2$). He gas was introduced to $N_2$ gas in order to enhance the reactivity of nitrogen on film surface by the "penning ionization". Plasma impedance decreased greatly when 20% or more introduced the $N_2$ gas. This is due to the In $N_{x}$ layers formed on target surface because a secondary electron emission rate of InN is small compared with In metal. XRD patterns of the films revealed that <001> preferred oriented polycrystalline In $N_{x}$ films, where the crystallinity of the films was improved with decrease of $P_{tot}$ and with increase of $N_2$ flow ratio. The improvement of the crystallinity and stoichimetry of the In $N_{x}$ films were considered to be caused by an increase in the activated nitrogen radicals and also by an increase in the kinetic energy of sputtered In atoms arriving at growing film surface, which should enhance the chemical reaction and surface migration on the growing film surface, respectively. Furthermore, the films deposited using mixture gases of He+$N_2$ showed higher crystallinity compared with the film deposited by the mixture gases of Ar+$N_2$.$.EX>.

Study of ecological investigation and disease occuring possibility natural monument wintering-birds in Gangwon-do (강원도에 집단 도래하는 천연기념물 겨울철새의 생태조사 및 질병발생 가능성에 관한 연구)

  • Kim, Jong-Taek;Kim, Hyeon-Cheol;Pak, In-Chul;Cheong, Ki-Soo;Jang, Hwan
    • Korean Journal of Veterinary Service
    • /
    • v.30 no.3
    • /
    • pp.445-457
    • /
    • 2007
  • This report studied the individual number, their favorite habitat, and change pattern of family and group number in Cheolwon Basin, starting in the early Oct. 2004 until late March. 2005 to investigate the ecological features of the Red-crowned Crane and the White-naped Crane. The Cranes arrived Cheolwon Basin in mid-October until next mid-March, and passed the winter in mid-November until next late-February The most visiting number amounted to 550 individuals and, that period was the most frosting mid-January to mid-February. The White-naped Crane visited Cheolwon Basin in autumn, the early winter and spring. Approximately, the wintering-number is 550 individuals, also, the mid-March was the peak-period of arrival and, the number amounted to 2,162 individuals. The cranes chose the farming area around mountains as their wintering habitat and were less likely to choose the farming area around lake as habitat. The Red-crowned Crane and the White-naped Crane showed the different periodical pattern in familial and group numbers. In case of the crane, the familial pattern was stable, but varied in grouping number, and this pattern was similar to the variation of overall individual number. And, also, the most grouping number was shown in the most freezing period of wintering period. The White-naped Crane showed the similar pattern of the Red-crowned Crane that is, stable family number and varying group number, this pattern affected the total number of entire individuals. Grouping number increased in migration period. Parasite infection rate is G japonensis 35.0%, G vipio 38.7%.