고랭지 사계성 딸기의 양액재배시 묘 생산 및 저장방법

이종남(Jong Nam Lee),이응호(Eung Ho Lee),이준구(Jun Gu Lee),류승열(Seung Yeol Ryu),용영록(Yeoung Rok Yong),박한영(Han Young Pak) (사)한국생물환경조절학회 2005 생물환경조절학회지 Vol.14 No.4

본 실험은 고랭지에서 사계성딸기의 고설벤치식 양액재배시 묘의 생산 및 저장방법에 따른 생육 및 수량을 비교하고자 실시하였다. 처리는 주냉장묘, 노지월동묘, 폿트냉장묘와 1년생묘였다. 정식시 묘의 생육량은 폿트냉장이 가장 많았다. C/N율은 1년생이 19.5로 가장 낮았고, 폿트냉장은 39.2로 가장 높았다. 그러나 첫 수확기의 생육량은 처리 간에 큰 차이를 보이지 않았다. 1년생의 첫 수확시기는 다른 처리에 비해 5~9일 늦었다. 1년생의 평균과중은 12.6g 으로 가장 무거웠다. 상품수량은 폿트냉장이 가장 많았고, 1년생, 주냉장, 노지월동 순으로 많았다. 따라서 고랭지에서 단경기생산을 위한 사계성 딸기의 정식묘는 폿트냉장이 가장 좋았다. The growth and yield of ever-bearing strawberry (Fragaria × ananassa Duch.) 'Pechika' were compared after transplant treatment in the raised hydroponic culture on highlands in summer season. The transplant production methods compared were whole plant refrigerated, outdoor over-wintered, pot-refrigerated, and 1-year-old transplants. Growth increment at planting was the highest in pot-refrigerated transplants. C/N ratio of the pot-refrigerated transplants was 39.2 which was higher than 19.5 of 1-year-old transplants. However, the growth increment up to the first harvest were not different among the treatments. The first harvesting date of 1-year-old transplants was August 14, which was 5-9 days late than in the other treatments. The average fruit weight was highest in the 1-year-old transplants with 12.6 g. Marketable yield was the highest in the pot-refrigerated transplants, followed 1-year-old, plant refrigerated, and outdoor over-wintered transplants. Therefore, the pot-refrigerated transplants are recommended for marketable yield increase in ever-bearing strawberry cultured on highlands.

Utility of a modified components separation for abdominal wall reconstruction in the liver and kidney transplant population

Black, Cara K,Zolper, Elizabeth G,Walters, Elliot T,Wang, Jessica,Martinez, Jesus,Tran, Andrew,Naz, Iram,Kotha, Vikas,Kim, Paul J,Sher, Sarah R,Evans, Karen K Korean Society of Plastic and Reconstructive Surge 2019 Archives of Plastic Surgery Vol.46 No.5

Background Incisional hernia is a common complication following visceral organ transplantation. Transplant patients are at increased risk of primary and recurrent hernias due to chronic immune suppression and large incisions. We conducted a retrospective review of patients with a history of liver or kidney transplantation who underwent hernia repair to analyze outcomes and hernia recurrence. Methods This is a single center, retrospective review of 19 patients who received kidney and/or liver transplantation prior to presenting with an incisional hernia from 2011 to 2017. All hernias were repaired with open component separation technique (CST) with biologic mesh underlay. Results The mean age of patients was $61.0{\pm}8.3years\;old$, with a mean body mass index of $28.4{\pm}4.8kg/m^2$, 15 males (78.9%), and four females (21.1%). There were seven kidney, 11 liver, and one combined liver and kidney transplant patients. The most common comorbidities were hypertension (16 patients, 84.2%), diabetes (9 patients, 47.4%), and tobacco use (8 patients, 42.1%). Complications occurred in six patients (31.6%) including hematoma (1/19), abscess (1/19), seroma (2/19), and hernia recurrence (3/19) at mean follow-up of $28.7{\pm}22.8months$. With the exception of two patients with incomplete follow-up, all patients healed at a median time of 27 days. Conclusions This small, retrospective series of complex open CST in transplant patients shows acceptable rates of long-term hernia recurrence and healing. By using a multidisciplinary approach for abdominal wall reconstruction, we believe that modified open CST with biologic mesh is a safe and effective technique in the transplant population with complex abdominal hernias.

Utility of a modified components separation for abdominal wall reconstruction in the liver and kidney transplant population

Cara K Black,Elizabeth G Zolper,Elliot T Walters,Jessica Wang,Jesus Martinez,Andrew Tran,Iram Naz,Vikas Kotha,Paul J Kim,Sarah R Sher,Karen K. Evans 대한성형외과학회 2019 Archives of Plastic Surgery Vol.46 No.5

Background Incisional hernia is a common complication following visceral organ transplantation. Transplant patients are at increased risk of primary and recurrent hernias due to chronic immune suppression and large incisions. We conducted a retrospective review of patients with a history of liver or kidney transplantation who underwent hernia repair to analyze outcomes and hernia recurrence. Methods This is a single center, retrospective review of 19 patients who received kidney and/or liver transplantation prior to presenting with an incisional hernia from 2011 to 2017. All hernias were repaired with open component separation technique (CST) with biologic mesh underlay. Results The mean age of patients was 61.0±8.3 years old, with a mean body mass index of 28.4±4.8 kg/m2, 15 males (78.9%), and four females (21.1%). There were seven kidney, 11 liver, and one combined liver and kidney transplant patients. The most common comorbidities were hypertension (16 patients, 84.2%), diabetes (9 patients, 47.4%), and tobacco use (8 patients, 42.1%). Complications occurred in six patients (31.6%) including hematoma (1/19), abscess (1/19), seroma (2/19), and hernia recurrence (3/19) at mean follow-up of 28.7±22.8 months. With the exception of two patients with incomplete follow-up, all patients healed at a median time of 27 days. Conclusions This small, retrospective series of complex open CST in transplant patients shows acceptable rates of long-term hernia recurrence and healing. By using a multidisciplinary approach for abdominal wall reconstruction, we believe that modified open CST with biologic mesh is a safe and effective technique in the transplant population with complex abdominal hernias.

한국 췌장이식 수혜자들의 심리사회적 적응

홍정자,임경춘,하희선,김인옥,이순행,전미경,강영아,정재심,이명선,한덕종 대한질적연구학회 2016 대한질적연구학회지 Vol.1 No.-

Purpose: The purpose of this study was to develop a theory describing the experiences of psychosocial adjustment (process) among the recipients of pancreas transplantation in Korea. Methods: Data were collected by individual in-depth interviews with nine recipients of pancreas transplantation during 2010-2011. The data were transcribed and analyzed using grounded theory method to identify psychosocial adjustment process. Results: As a result of constant comparative analysis, "Pursuing ordinary life to free fromrestraints of diabetes" emerged as the core category. Five stages emerged: 1) Temporal liberation and satisfaction; 2) Disappointing with regrets and anger; 3) Facing up to the reality to be thankful; 4) Executing self-initiated management; and 5) Peaceful acceptance of reality as it is. "Excessive expectation" and "social support" are other categories that influenced the process. Conclusion: The results of this study indicate that health professionals need to provide tailored and balanced information to recipients of pancreas transplantation both before and after the transplantation to relieve psychosocial distress after the transplantation.

뇌사자 장기기증의 윤리적 조건과 문화적 과제

문시영 한국기독교사회윤리학회 2007 기독교사회윤리 Vol.13 No.-

Organ donation would be a practice of agape for saving patient's life. It has noble and moral meaning for Christians and others also. It is an ethical alternative to dealing in human organs for organ transplants. But, in Korea, shortage of organ for transplants resulted to be cases of purchasing foreigner's organ, e. g. Chinese. Now, Korean churchs eagerly try to promote promise of organ donation from volunteers. In this context, this paper studied the moral justification and ethical conditions for organ donation. There are two ways to procure human organs for transplants: from living donor and from brain death people. This paper focused on the latter, ‘organ donation from brain death people. Now, there are some principles for donation of human organ including autonomy and informed consent. And the key concept is autonomous agree on ment. But it is difficult to certify for brain death people who agree on organ donation in form of ‘living will’. In this case, the only way to decide of organ donation is, what so called, the ‘presumed consent’ of family. Now, presumed consent has some ethical difficulties for rights of decision maker of those cases. Who can decide properly? And what's the grounds of organ donation of brain death people. Now, this paper recommends shift from presumed consent to living will. In other words, organ donation must be justified by autonomous consent and voluntary devotion for agape. Organ transplants have to do with technology and medical issues. But organ donation is an ethical issue which is morally justifiable under the condition of ethical autonomy. And this study propose a task of transformation of traditional bio-culture to biblical view of life and death for Christian of Korea.

신부전환자의 신장이식 전후 골밀도변화 분석

박형후(Hyong-Hu Park),옥치상(Chi-Sang Ok),박영인(Young-In Park),이진수(Jin-Soo Lee),김창수(Changsoo Kim) 한국콘텐츠학회 2012 한국콘텐츠학회논문지 Vol.12 No.9

골밀도 감소에 의해서 발생되는 골감소증, 골다공증 등은 폐경 후 여성에게 유병률이 높은 질환이며, 골다공증 골절에 따른 사회적 의료비 상승으로 의학적 관심이 급증하고 있다. 신부전환자는 체내에 비타민D 합성 능력이 저하되어 칼슘 흡수가 감소하여 뼈의 섬유화가 발생되고, 골밀도가 감소하는 현상이 나타난다. 따라서 신부전환자는 신장 기능 장애로 그치지 않고, 골다공증과 같은 골밀도 감소에 따른 합병증에 노출되어 있다. 본 연구에서는 치료 중에 있는 신부전환자들의 골밀도 변화를 관찰하였고, 신장이식 전후에서 발견되는 골밀도 변화를 분석하였다. 조사대상은 부산 B종합병원 신장내과 내원환자 중 신부전환자 214명을 신장이식의 유무에 따라 골밀도의 변화를 세대별, 성별로 나누어 분석했다. 분석결과 신장이식 환자군에서는 골밀도가 유지되거나 개선되었지만, 비신장이식 환자군에서는 골밀도가 꾸준히 나빠지는 결과를 보였다. 신부전환자는 신장이식을 받는 것이 최선의 치료책으로 사료되며, 신장이식을 통해서 골밀도의 개선이 가능함을 확인하였다. 이는 추가적으로 예상되는 합병증을 예방하기 위한 자료로도 활용할 수 있다. Disease, such as osteopenia, osteoporosis, etc caused by reduced bone density are common to women after menopause and as the social medical cost increases due to osteoporosis fractures the medical interest in bone density reduction has increased. The bone density reduction is observed even for renal failure patients, due to their decreased ability to synthesize vitamin D which leads to bone fibrosis because of deficiency in calcium absorption. Thus renal failure patients not only suffer from kidney dysfunction, but also are exposed to complications, such as osteoporosis, due to reduced bone density. This research observed the change in bone density of patients receiving renal failure treatment and analyzed the change in bone density before and after kidney transplantations. Subjects were 214 renal failure patients at the department of nephrology Busan B General Hospital. The change in bone density was studied for subjects with and without kidney transplantation according to their age and sex. The research showed improvement or maintenance of bone density for subjects that received kidney transplantation, but showed a tendency of consistent decrease in bone density for subjects without kidney transplantation. Kidney transplantation can be considered as the best cure for renal failure patients, and this researched confirmed that bone density can be improved through kidney transplantation. Thus, this study can also be used as data for preventing complications due to renal failures.

Long Term Outcomes after Pediatric Liver Transplantation

Nada A. Yazigi 대한소아소화기영양학회 2013 Pediatric gastroenterology, hepatology & nutrition Vol.16 No.4

Long term outcomes after liver transplantation are major determinants of quality of life and of the value of this heroic treatment. As short term outcomes are excellent, our community is turning to take a harder look at long term outcomes. The purpose of this paper is to review these outcomes, and highlight proposed treatments, as well as pressing topics needing to be studied. A systemic review of the English literature was carried in PubMed, covering all papers address-ing long term outcomes in pediatric liver transplant from 2000-2013. Late outcomes after pediatric liver transplant affect the liver graft in the form of chronic liver dysfunction. The causes include rejection particularly humoral rejection, but also de novo autoimmune hepatitis, and recurrent disease. The metabolic syndrome is a major factor in long term cardiovascular complication risk. Secondary infections, kidney dysfunction and malignancy remain a reality of those patients. There is growing evidence of late cognitive and executive function delays affecting daily life pro-ductivity as well as likely adherence. Finally, despite a good health status, quality of life measures are comparable to those of children with chronic diseases. Long term outcomes are the new frontier in pediatric liver transplantation. Much is needed to improve graft survival, but also to avoid systemic morbidities from long term immunosuppression. Quality of life is a new inclusive measure that will require interventions and innovative approaches respectful not only on the patients but also of their social circle.

Long Term Outcomes after Pediatric Liver Transplantation

Yazigi, Nada A. The Korean Society of Pediatric Gastroenterology 2013 Pediatric gastroenterology, hepatology & nutrition Vol.16 No.4

Long term outcomes after liver transplantation are major determinants of quality of life and of the value of this heroic treatment. As short term outcomes are excellent, our community is turning to take a harder look at long term outcomes. The purpose of this paper is to review these outcomes, and highlight proposed treatments, as well as pressing topics needing to be studied. A systemic review of the English literature was carried in PubMed, covering all papers addressing long term outcomes in pediatric liver transplant from 2000-2013. Late outcomes after pediatric liver transplant affect the liver graft in the form of chronic liver dysfunction. The causes include rejection particularly humoral rejection, but also de novo autoimmune hepatitis, and recurrent disease. The metabolic syndrome is a major factor in long term cardiovascular complication risk. Secondary infections, kidney dysfunction and malignancy remain a reality of those patients. There is growing evidence of late cognitive and executive function delays affecting daily life productivity as well as likely adherence. Finally, despite a good health status, quality of life measures are comparable to those of children with chronic diseases. Long term outcomes are the new frontier in pediatric liver transplantation. Much is needed to improve graft survival, but also to avoid systemic morbidities from long term immunosuppression. Quality of life is a new inclusive measure that will require interventions and innovative approaches respectful not only on the patients but also of their social circle.

생체 간이식 후에 발생한 비장동맥 스틸증후군의 성공적인 치료 1예

정재홍 순천향대학교 순천향의학연구소 2019 Journal of Soonchunhyang Medical Science Vol.25 No.2

Splenic artery steal syndrome (SASS) after orthotopic liver transplantation (OLT) has been recently described as hepatic artery hypoperfusion secondary to the portal hyperperfusion. It is an uncommon but serious complication of OLT. Left untreated, it leads to postoperative morbidity or graft loss. Herein we report the case of a 52-year-old female who suffered from SASS following living donor liver transplantation. She was diagnosed by angiography and successfully managed by splenic artery embolization. Splenic artery embolization for the treatment of SASS is a safe and effective modality.

조혈모세포이식 환자의 스트레스, 대처 및 우울

김경언(Kim Kyung-Eon),유양숙(Yoo Yang-Sook) 기본간호학회 2006 기본간호학회지 Vol.13 No.3

Purpose: This study was done to identify the level of stress, coping, and depression among hemopoietic stem cell transplantation patients who received care in an outpatient center. Method: Data were collected from 81 patients who underwent hemopoietic stem cell transplantation at C University S Hospital between August 2005 and February 2006. Results: Stress and depression were significantly higher following hemopoietic stem cell transplantation in women, and in patients who were worse off financially or who were in bad health. The highest item of stress was 'economic burden for treatment'. There were significantly higher levels of emotion-focused coping among patients who had a spouse and who received motivation from the doctor. The highest item for problem-focused coping was 'try to look at the bright side of life'. The highest items for emotion-focused coping were to 'have faith that treatment will be finished quickly' and 'believe that your situation will improve'. Stress was significantly correlated with depression among these patients. Conclusion: It is necessary to develop nursing interventions to enhance positive coping and to decrease stress and depression among patients who have a hemopoietic stem cell transplantation.