We investigated the radiation exposure caused by DIPS, which is used to identify accurate repositioning and tumor location in pediatric cancer patients proton therapy. To compare and analyze DIPS condition, 50 pediatric cancer patients who underwent proton therapy were selected in Ilsan K cancer-specialized hospital from March 2007 to October 2009. For DIP exposure, 0.09~1.57 mGy is measured in AP and lateral directions and 23.55 mGy is measured in CSI patients. In whole brain patient, the amount of a day DIP exposure dose was 1.13 mGy. During treatment period, who exposed the biggest DIP dose are whole brain patients, 632.71 mGy is exposed. It is 1.13% of prescribed dose, represented dose is adequate because it is not exceeded 2% of recommended dose. Even though the exposed dose is not exceeded more than 2% of prescribed in DIP exposure, we should recognize the radiation damage and genetic influences to pediatric cancer patients, who is much sensitive to radiation and has longer mean residual life time. Therefore, DIPS guideline for pediatric cancer patients should be indicated to minimize the radiation exposure.
Jung, Yun-Joo;Kim, Dae-Kyun;Choi, Youn-Seon;Korean Palliative Medicine Research Group, Korean Palliative Medicine Research Group;Shim, Jae-Yong
Journal of Hospice and Palliative Care
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v.9
no.1
/
pp.35-39
/
2006
A 77-year-old female presented panperitonitis due to advanced gastric ranter during palliative care. In the case of panperitonitis following obstruction or perforation, surgical treatment is vital to avoid fatal sepsis and dehydration. However, the risk of surgery and the residual life of a patient must be carefully considered because of high mortality and complication rate in those patients with advanced disease due to the poor condition. The therapeutic value of aggressive hydration, nasogastric tube insertion, and the use of antibiotics is also questionable. Palliative surgery was not performed on this case, and she passed away peacefully in the presence of family after 4 days of palliative medical care. Here is the appropriate management for this kind of patients we would like to recommend through review of relevant references and long discussions. Firstly, we need to predict survival time using clinical variables. Secondly, considering patient status and risk of surgery, non surgical palliative care such as pain control, transient nasogastric tube insertion, and parenteral hydration is recommended. Minimal use of fluid is desirable to minimize complications such as edema and dyspnea if massive hydration in the beginning of treatment is not proved to be effective. Even though started earlier in the course of disease, discontinuation of antibiotics could be discussed with patients and their caregiver if patient status is not improved.
Kang, Min Jae;Kim, So Hee;Kim, Nam Hee;Lee, Jin-A;Eun, Byung Wook;Choi, Eun Hwa;Lee, Hoan Jong
Pediatric Infection and Vaccine
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v.13
no.2
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pp.180-185
/
2006
Invasive Pseudomonas infections most often occur in the immunocompromised patients and are associated with high mortality rate. Rarely this disease may develop in healthy infants and children. We report two cases of invasive Pseudomonas aeruginosa infections that were diagnosed in otherwise healthy infants. The first case was a previously healthy 5-month-old infant with ecthyma gangrenosum and septicemia. She presented with fever, swelling of left periorbital area and multiple erythronodular skin lesions. Each skin lesion formed a black eschar surrounded by an erythematous areola over time. Cultures of blood, urine and discharge from skin lesions grew P. aeruginosa. On the day of visit, she showed pancytopenia which was normalized after 10 days. The patient responded well to the management with ceftazidime and tobramycin. The other case was a previously healthy 9-month-old infant with community-acquired pneumonia. He was referred from an outside hospital with fever and cough. Chest x-ray revealed pneumonic infiltrations on both lower lungs with pleural effusion on the right side. Cultures of blood and pleural fluid grew P. aeruginosa. Chest CT performed on the ninth day demonstrated pneumatoceles, lung abscess and necrosis of lung parenchyma. He was managed with ceftazidime and amikacin for 50 days. No residual pulmonary complications were noted during the three month follow-up. Laboratory results to evaluate immunologic defects of phagocytic cells, complement components and T- and B-lymphocytes were all within normal range in both patients. It should be kept in mind that Pseudomonas can be, though uncommon, a cause of community-acquired invasive infections in the previously healthy infants.
In the high-Ca limestone zone of the Pungchon Formation of the Lower Chosun Supergroup, cryptocrystalline alterations with reddish brown color occur as fissure-fillings or coatings, which was originated from the upper formation, i. e., the Hwajeol Formation. The precipitates result in degradation and contamination of the high-Ca limestone ore in grade and quality, showing characteristic occurrence and mineral composition typical of suggesting a supergene origin. Chalcedonic quartz, kaolinite, illite, goethite and hematite are constituting a characteristic authigenic mineral assemblage and, in places, smectite is less commonly included in the weathering product. In addition to these authigenic phases, some detrital minerals such as mica and orthoclase constituting relatively coarser grains are also rarely present in the supergene alterations. A rather complex clay facies consisting of kaolinite, illite and smectite in the alterations seems to correspond to the typical clay composition of the reported residual pedogenic soils by limestone weathering. The cryptocrystalline weathering product is partly altered to stilbite, a characteristic hydrothermal zeolite, in places, by the hydrothermal contact of late stage. The time of formation and infiltration of the supergene alterations seems to correspond to the stage just after the epithermal alteration of the Pungchon Limestone, i. e., an early Jurassic age. The supergene alteration, which may imply the stage of uplifting, weathering and erosion of the Chosun Supergroup, appears to have undergone at an oxygen-rich environment in descending water of meteoric origin by means of a chemical leaching and diffusion.
Journal of the Korea Academia-Industrial cooperation Society
/
v.16
no.8
/
pp.5074-5081
/
2015
A method for improving the warpage of the plastic part is a method of removing residual stress of the plastic product. that a non-uniform cooling are appeared in the injection molding process make uniform cooling. this study was developed the Rapid heating and cooling device used peltier module for uniform cooling. Make the Rapid heating and cooling device(RCHD), for Traditional water cooling device(TWCD) method and the Rapid heating and cooling method warpage were compared and were analyzed and the materials used amorphous ABS polymer. various warpage were compared for the process parameters such as packing pressure, packing time, resin temperature, mold temperature, In the amorphous ABS polymer, TWCD method has higher warpage than RCHD method and show the result to be a bit more uniform cooling. The distribution state of the ABS polymer was confirmed Through the Scanning electron microscope. In the TWCD method the distribution state of the polymer be densely distributed, and RCHS method be distributed wider than TWCD method. this is that injection molded parts be seen that cooling was made uniformly, As the temperature of the mold is gradually progress, Particles of the polymer is increased this is that internal stress was reduced.
Composite soil samples from 236 sites representing paddy field, up-land, orchard and plastic film house were examined for organochlorine residues by GLC-ECD. Detection frequencies and residual levels of most persistent organochlorine residues in the soil samples were found to depend on the cropping practices. Highest organochlorine residues were found in orchard soils and followed, in decreasing order, plastic film house, up-land and paddy field soils. ${\alpha}-Endosulfan$, dieldrin, p,p'-DDD and p,p'-DDT were responsible for the observed high organochlorine residues in the orchard soils. ${\alpha}-BHC$ and ${\gamma}-BHC$ were detected in all 236 soil samples. The mean residue levels of both BHC isomers were, however, remained fairly low. Residues of PCNB and ${\alpha}-endosulfan$ in native soils are reported, for the first time, in present work. PCNB was present in up-land plastic film house soils while ${\alpha}-endosulfan$ was found in all agricultural soils studied. High levels of p,p'-DDT and dieldrin were discussed in relation to crops cultivated, amount and duration of the pesticides usage. Need for continued observations on the persistent residue of pesticides in soils, already banned for general use, is emphasized.
Compostable household wastes(mainly food wastes), after waste papers and cardboard being removed, were daily fed into small bins and mixed thoroughly while the air was supplied into the bin. Three small bins were employed: in case I, only recycled compost was composted, after being once fed at the beginning of composting, in case II, compostable household wastes(less than 50 mm) torn roughly by the hands with recycled compost, and in case III, compostable household wastes(less than 2 mm) ground by a kitchen mixer for vegetables with recycled compost. The straight-line was maintained between the wet or the dry residual mass of composting mixture versus composting time date(the coefficient of determination $R^2{\geq}0.98$ for the wet and $R^2{\geq}0.90$ for the dry). The decomposition rate of each composted material was estimated during composting. The total weight reduction rate after 30 days was 67.86% and 66.14% for case II and III, respectively. For case II, the daily weight reduction 6.82% and the daily decomposition rate 8.81% with the composting mixture, but the daily weight reduction rate was 56.43% and the daily decomposition rate 19.26% with only compostable household wastes. For case III, the daily reduction rate was 6.93% and the daily decomposition rate 7.70% with the composting mixture, but the daily weight reduction rate was 53.30% and the daily decomposition rate 22.95% with only compostable household wastes. The physicochemical characteristics of composting mixture did not show much difference between case II and III as was expected.
Abandoned mine deposits are exposed to various physico-chemical geo-environmental hazards and disasters, such as acid mine drainage, water contamination, erosion, and landslides. This paper presents the ring shear characteristics of waste materials. The ring shear box with a rotatable O-ring was used in this study. Three tests were performed: (i) Shear stress-time relationship for given normal stress and shear speed, (ii) shear stress as a function of shear speed, and (iii) shear stress as a function of normal stress. For a given normal stress (50 kPa) and speed (0.1 mm/sec), the materials tested exhibit a strain softening behavior, regardless of drainage condition. The peak and residual shear stresses were determined for each normal stress and shear speed. The shear stress was measured when shear speed is equal to 0.01, 0.1, 1, 10, 50, 100 mm/sec or when normal stress is equal to 20, 40, 60, 80, 100, 150 kPa. From the test results, we found that the shear stress increases with increasing shear speed. The shear stress also increases with increasing normal stress. However, different types of shearing mode were observed in drained and undrained conditions. Under drained condition, particle crushing was observed from the shearing zone to the bottom of lower ring. Under undrained condition, particle crushing was observed only at the shearing zone, which has approximately 1 cm thick. It means that a significant high shear speed under undrained condition can result in increased landslide hazard.
With the synthesis of hyper crosslinked polymer particle (HCPP), having microporous structure with hydroxyl functional group, synthesized via polymerization reaction consists of three stepssuspension polymerization, hyper crosslinking by Friedel-Craft catalysis and hydrolysis reaction, the effects of the ratio of each monomer, hyper crosslinking conditions and $CO_2$ supercritical drying on the variations of surface morphology, pore size & distribution and BET surface area of HCPP have been investigated. It was observed that the formation of surface crack or fracture of HCPP was intimately related with the degree of hyper crosslinking reaction between microphase separated domains. And the value of BET surface area of HCPP increased with the increase of reaction temperature, time and the amounts of solvent used in hyper crosslinking step. Moreover, $CO_2$ supercritical drying was proven to be a very effective method for removing stabilizer, unreacted monomers and oligomers from HCPP but needed to add methanol as a co-solvent for efficient removing of residual catalyst.
Yeast pheromone a-factor is a 13-amino acid peptide hormone that is synthesized as a part of a larger precursor, prepro-$\alpha$-factor, consisting of a signal peptide and a proregion of 64 amino acids. The carboxy-terminal half of the precursor contains four tandem copies of mature $\alpha$-factor. To investigate the molecular basis of intracellular sorting, proteolytic processing, and storage of the peptide hormone, yeast prepro-$\alpha$-factor precursors were heterologously expressed in rat pituitary $GH_3 cells. When cells harboring the precursor were metabolically labeled, a species of approximately 27 kD appeared inside the cells. Digestion with peptide: N-glycosidase F (PNG-F) shifted the molecular mass to a 19 kD, suggesting that the 27 kD protein was the glycosylated form as in yeast cells. The nascent polypeptide is efficiently targeted to the ER in the $GH_3 cells, where it undergoes cleavage of its signal peptide and core glycosylation to generate glycosylated pro-a-factor. To look at the post ER intracellular processing, the pulse-labelled cells were chased up to 2 hrs. The nascent propeptides disappeared from the cells at a half life of 30 min and only 10-25% of the newly synthesized, unprocessed precursors were stored intracellularly after the 2 h chase. However, about 20% of the pulse-labeled pro-$\alpha$-factor precursors were secreted into the medium in the pro-hormone form. With increasing chase time, the intracellular level of propeptide decreased, but the amount of secreted propeptide could not account for the disappearance of intracellular propeptide completely. This disappearance was insensitive to lysosomotropic agents, but was inhibited at $16^{circ}C or 20^{\circ}C$, suggesting that the turnover of the precursors was not occurring in the secretory pathway to trans Golgi network (TGN) or dependent on acidic compartments. From these results, it is concluded that a pan of these heterologous precursors may be processed at its paired dibasic sites by prohormone processing enzymes located in TGN/secretpry vesicles producing small peptides, and that the residual unprocessed precursors may be secreted into the medium rather than degraded intracellularly.
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