1
|
Vijayananthan A, Bhurani D, Sapra H, Yasuda H, Kim JY, Hoerauf K, Mifflin N, Hong SK, Sheng WH, Terasaka Y. Asia-Pacific guidelines for standardization of appropriate selection, placement, and management of vascular access devices. J Vasc Access 2023:11297298221150664. [PMID: 36688479 DOI: 10.1177/11297298221150664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023] Open
Abstract
Vascular access devices (VADs) are common and essential in the healthcare setting. However, several factors influence VAD selection and management. Wide variations in VAD practices and the degree of VAD awareness are noted across Asia-Pacific (APAC) countries. An international panel was convened that applied the ASA 2020 method to develop standard criteria for use of VADs in the APAC region. After a literature search, scenarios related to VAD use, care, and maintenance were developed according to the patient population, indication for insertion, and duration of use. These scenarios were rated on a scale of 1-5 (1 being strongly disagreed and 5 strongly agreed) by 11 expert members. A total of 48 clinical scenarios were developed: 23 in hospitalized patients, 3 in critical patients, 4 in cancer settings, 7 pertinent to VAD placement, and 11 for VAD maintenance. The multidisciplinary panel generated several recommendations for the use, care, and management of VADs across general hospitalized patients with or without difficult venous access, critically ill patients, patients with malignancy, patients with different stages of chronic kidney disease (CKD) with or without dialysis, and in other special populations through evidence-based standards. These recommendations may help in achieving uniformity in practice patterns and improving the quality of VAD care and quality of life of patients in APAC region.
Collapse
Affiliation(s)
| | - Dinesh Bhurani
- Rajiv Gandhi Cancer Institute & Research Centre Sector 5, West Delhi, New Delhi, DL, India
| | - Harsh Sapra
- The Medicity Hospital, Gurgaon, Haryana, India
| | - Hideto Yasuda
- Department of Emergency and Critical care Medicine, Jichi Medical University Saitama Medical Center, Kyoto, Japan
| | - Jang Yong Kim
- Division of Vascular and Transplant Surgery, Department of Surgery, School of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Klaus Hoerauf
- VP Global Medical Affairs, Becton, Dickinson and Company, New York City Metropolitan Area, USA
| | - Nicholas Mifflin
- Clinical Nurse Consultant Central Venous Access & Parenteral Nutrition Liverpool Hospital, Liverpool, NSW, Australia, Adjunct Fellow School of Nursing & Midwifery Western Sydney University, Blacktown, NSW, Australia
| | - Suk Kyung Hong
- University of Ulsan College of Medicine: Songpa-gu, Seoul, Korea
| | - Wang-Huei Sheng
- Department of Internal Medicine, National Taiwan University Hospital, Taipei City
| | - Yusuke Terasaka
- Director of Emergency Department, Kyoto Katsura Hospital, Kyoto City, Kyoto Prefecture, Japan
| |
Collapse
|
2
|
Hirouchi J, Terasaka Y, Hirao S, Moriizumi J, Yamazawa H. Effect on radioactivity concentration estimation of radon progenies with NaI(Tl) pulse height distribution from considering geometric structure around detector and infiltration of radionuclides. Radiat Prot Dosimetry 2015; 167:206-209. [PMID: 25935009 DOI: 10.1093/rpd/ncv245] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The surface radioactivity concentrations of the radon progenies, (214)Pb and (214)Bi, were estimated from NaI(Tl) pulse height distributions during rain. The improvement in estimation errors caused by considering geometric structures around measuring points and infiltration of radionuclides was discussed. The surface radioactivity concentrations were determined by comparing the count rates at the full-energy peak ranges between observation and calculation with the electron-photon transport code EGS5. It was shown that the concentrations can be underestimated by about 30 % unless the obstacles around the detector or infiltration of radionuclides are considered in gamma ray transfer calculations at measuring points, where there are many tall obstacles, or the ground is covered with unpaved areas.
Collapse
Affiliation(s)
- J Hirouchi
- Department of Energy Engineering and Science, Graduate School of Engineering, Nagoya University, Furo-cho, Chikusa-ku, Nagoya 464-8603, Japan
| | - Y Terasaka
- Department of Energy Engineering and Science, Graduate School of Engineering, Nagoya University, Furo-cho, Chikusa-ku, Nagoya 464-8603, Japan
| | - S Hirao
- Department of Energy Engineering and Science, Graduate School of Engineering, Nagoya University, Furo-cho, Chikusa-ku, Nagoya 464-8603, Japan
| | - J Moriizumi
- Department of Energy Engineering and Science, Graduate School of Engineering, Nagoya University, Furo-cho, Chikusa-ku, Nagoya 464-8603, Japan
| | - H Yamazawa
- Department of Energy Engineering and Science, Graduate School of Engineering, Nagoya University, Furo-cho, Chikusa-ku, Nagoya 464-8603, Japan
| |
Collapse
|
3
|
Norii T, Crandall C, Terasaka Y. 270 Efficacy of Resuscitative Endovascular Balloon Occlusion of the Aorta for Treatment in Severe Penetrating Trauma Patients. Ann Emerg Med 2014. [DOI: 10.1016/j.annemergmed.2014.07.297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
|
4
|
Hikosaka Y, Aoto T, Ito K, Terasaka Y, Hirayama R, Miyoshi E. Threshold photoelectron spectroscopy on inner-valence ionic states of NO. J Chem Phys 2008; 128:044320. [PMID: 18247962 DOI: 10.1063/1.2827463] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
The NO(+) states lying in the ionization region of 20-40 eV have been investigated by high-resolution threshold photoelectron spectroscopy and a configuration interaction calculation. Substantial agreement between the structures on the present experimental and theoretical spectra in the 21-27 eV range enables us to assign the relevant inner-valence ionic states unambiguously. The dissociation products from the ion states are measured with threshold photoelectron-photoion coincidence spectroscopy, and the dissociation processes are discussed with reference to the potential energy curves calculated. Sharp peaks are observed in the ionization region of 27.5-35 eV, which are allocated to ionic Rydberg states converging to NO(2+).
Collapse
Affiliation(s)
- Y Hikosaka
- UVSOR Facility, Institute for Molecular Science, Okazaki 444-8585, Japan.
| | | | | | | | | | | |
Collapse
|
5
|
Kawazu S, Okumura T, Hirogari Y, Miyahara T, Terasaka Y, Hida M, Terada Y, Kamio T, Fujisaki K. A polymorphism observed in the experimentally successful peptide vaccine sequence derived from Theileria sergenti piroplasm major surface antigen (p33). J Vet Med Sci 1997; 59:829-31. [PMID: 9342711 DOI: 10.1292/jvms.59.829] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
A polymorphism in the experimentally successful peptide vaccine sequence (EVVWKEKKEVKDLDA, amino acids 134-148) derived from the 33 kDa piroplasm major surface antigen (p33) of Theileria sergenti was examined. The vaccine sequences obtained by PCR amplification and sequencing of the p33 gene from a total of 15 parasite-infected cattle blood samples collected from 4 prefectures through Hokkaido to Kumamoto revealed the two major sequences (Ikeda and Chitose stock types) either of which was identified in all samples. Since the peptide vaccine develops the parasite species- or stock-specific immunity in the animals, an application of the two major peptide sequences as cocktailed vaccine should be evaluated for a practical use of this strategy to controlling T. sergenti infection in Japan.
Collapse
MESH Headings
- Amino Acid Sequence
- Animals
- Antigens, Protozoan/analysis
- Antigens, Protozoan/genetics
- Antigens, Protozoan/immunology
- Antigens, Surface/analysis
- Antigens, Surface/genetics
- Antigens, Surface/immunology
- Base Sequence
- Cattle
- Cattle Diseases/epidemiology
- Cattle Diseases/prevention & control
- DNA, Protozoan/analysis
- DNA, Protozoan/chemistry
- DNA, Protozoan/genetics
- Genetic Variation
- Japan/epidemiology
- Molecular Sequence Data
- Polymerase Chain Reaction/methods
- Polymerase Chain Reaction/veterinary
- Polymorphism, Genetic
- Protozoan Vaccines/analysis
- Protozoan Vaccines/genetics
- Protozoan Vaccines/therapeutic use
- Sequence Alignment
- Theileria/genetics
- Theileria/immunology
- Theileriasis/epidemiology
- Theileriasis/prevention & control
Collapse
Affiliation(s)
- S Kawazu
- National Institute of Animal Health, Ibaraki, Japan
| | | | | | | | | | | | | | | | | |
Collapse
|