• Title/Summary/Keyword: A2/AD

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Association of Type 2 Diabetes Mellitus With Perivascular Spaces and Cerebral Amyloid Angiopathy in Alzheimer's Disease: Insights From MRI Imaging

  • Ozlem Bizpinar Munis
    • Dementia and Neurocognitive Disorders
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    • v.22 no.3
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    • pp.87-99
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    • 2023
  • Background and Purpose: According to the amyloid cascade hypothesis, fibrillary amyloid-beta load in the brain causes Alzheimer's disease (AD) with toxic effects. Recently, perivascular spaces (PVSs), fluid-filled cavities around small penetrating arterioles and venules in the brain, and the glymphatic system relationship with type 2 diabetes mellitus (DM2) and AD has been an important research topic from a physiopathological point of view. There are two types of PVSs that are associated with sporadic atherosclerosis and cerebral amyloid angiopathy. In this study, we evaluated the relationship between the number and localization of enlarged PVSs in AD. Methods: A total of 254 patients with AD and 125 healthy controls were included in this study All the patients were evaluated with neurological and cognitive examinations and magnetic resonance imaging (MRI). PVSs on MRI were graded by recording their number and location. The study was a retrospective study. Results: In our study, the number of white matter convexity-central semiovale localized PVSs was higher in patients than in the control group. In addition, the number of PVSs in this localization score was higher in patients with DM2. Cerebral PVS counts were higher in patients with AD than in the control group. Conclusions: These results suggest the important role of cerebral amyloid angiopathy, one of the vascular risk factors, and the glymphatic system in the pathogenesis of AD. In addition, the results of our study suggest that the evaluation of PVSs levels, especially at the (centrum semiovale), using imaging studies in AD is a potential diagnostic option.

p38 MAPK Inhibitor NJK14047 Suppresses CDNB-Induced Atopic Dermatitis-Like Symptoms in BALB/c Mice

  • Lee, Ju-Hyun;Son, Seung-Hwan;Kim, Nam-Jung;Im, Dong-Soon
    • Biomolecules & Therapeutics
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    • v.30 no.6
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    • pp.501-509
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    • 2022
  • Atopic dermatitis (AD) is a chronic inflammatory skin disorder. Suppression of MAPKs and NF-κB is implicated as a vital mechanism of action of several traditional Chinese medicines for AD therapy. Although overexpression of MAPK mRNA in the skin tissue has been shown in the AD model, the roles of each MAPK in AD pathogenesis have rarely been studied. This study examined the effect of NJK14047, an inhibitor of p38 MAPKs, on AD-like skin lesions induced in BALB/c mice by sensitization and challenges with 1-chloro-2,4-dinitrobenzene (CDNB) on dorsal skin and ears, respectively. After induction of AD, NJK14047 (2.5 mg/kg) or dexamethasone (10 mg/kg) was administrated for 3 weeks via intraperitoneal injection. Following its administration, NJK14047 suppressed CDNB-induced AD-like symptoms such as skin hypertrophy and suppressed mast cell infiltration into the skin lesions. It also reduced CDNB-induced increase in TH2 cytokine (IL-13) and TH1 cytokines (interferon-γ and IL-12A) levels but did not decrease serum IgE level. Furthermore, NJK14047 blocked CDNB-induced lymph node enlargement. These results suggest that NJK14047, a p38 MAPK inhibitor, might be an optimal therapeutic option with unique modes of action for AD treatment.

An Empirical Study for Model Development Concerning Advance Directive (사전의료지시서(Advance Directives) 모형 개발을 위한 실증 연구)

  • Hong, Seongae
    • 한국노년학
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    • v.30 no.4
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    • pp.1197-1211
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    • 2010
  • This research was concucted to present a model of advance directives(AD) when a patient, who is in consciousness, shows a preference for an end of life care as an act of preparing for an uncertain situation that may arise in the forseeable future. The subjects of the research are 383 doctors/nurese and adults, who live in six cities and provinces, to investigate the status of AD, attitude regarding a meaningless life-prolonging treatment, and moreover, an understanding of and a preference for AD. The research was done by the well-structured questionnaire. Also, SPSS 14.0 is used to analyse the collected data, focused on frequency analysis, avearage and standard deviation, X2 test. As the results of the study, the most of the surveyed doctors/nurese knew DNR orders and AD and a few of them used DNR orders and AD practically. Also, the result shows that there is a negative conception of meaningless life-prolonging treatment among the responents, in addition, most of them agreed upon the idea of introducing AD to Korea, filling it out and making it legally effective. As a method of making AD out, the respondents wanted to use a form that mixed living will with an Power of Attorney in a document. Also, considering the appropriate time, respondents prefered when they are diagnosed with terminal illness. At the moment, the introductory model for AD, which is suitable for the Korean culture and current situation is presented based on the result of this research. In the future, other researches should deal with specific measures that can lead to a social consensus to adopt AD in Korea.

A Study on Delayed ACK Scheme for TCP Traffic in Ad-hoc Network (Ad-hoc 네트워크에서 지연 ACK를 이용한 TCP성능 향상에 관한 연구)

  • Park Kwang-Chae;Na Dong-Geon
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.10 no.9
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    • pp.1654-1662
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    • 2006
  • An ad hoc network is multi-hop network composed of radio links. and the transmission quality of a radio link is more unstable than that of a wired circuit. Packet loss thus occurs frequently in an ad hoc network, and the consequent connection failure results in a severe deterioration of TCP performance. TCP performance also deteriorates because of the collision of data packets and ACK packets in the radio channel. In this paper we study to improve the performance of the Mobile Ad-hoc network by using Delayed ACK algorithm with our proposed ODA(Ordering-Delayed ACK) method. The proposed ODA algorithm increases the number of the data packets orderly at the receiver side which is going to be applied for the Mobile Ad-hoc network. We accomplished a computer simulation using NS-2. From the simulation results, we find the proposed ODA algorithm obviously enlarge the channel capacity and improve the network performance at the situation of multi-hop of ad-hoc network than the existing Delayed ACK algorithm.

Trustworthy authentication and key management for NSDR ad-hoc network (안정적인 동적 복합 ad-hoc 네트워크와 이에 대한 신뢰성 있는 키 인증과 키 관리)

  • Rhee, Chung Sei
    • Convergence Security Journal
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    • v.12 no.4
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    • pp.49-55
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    • 2012
  • In this paper, we consider the limit of the previous works for ad-hoc network, then propose a dynamic routing scheme which employs a 2-tier hierarchical structure. We adopt the advantages of proactive and reactive routing scheme for efficient network management. We define this method as NSDR(New Secure Dynamic Routing) scheme. We also propose a trustworthy authentication and key management for the proposed ad-hoc network. We currently study the possibility that ad-hoc networks can provide a service such as key management and authentication for the next generation mobile network.

Chemically Aged Asian Dust Particles Proven by Traditional Spot Test and the Most Advanced micro-PIXE

  • Ma, Chang-Jin;Tohno, Susumu;Kang, Gong-Unn
    • Asian Journal of Atmospheric Environment
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    • v.10 no.2
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    • pp.114-123
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    • 2016
  • A change in chemical compositions of Asian dust (AD) particles can dramatically alter their optical properties, cloud-forming properties, and health effects. The present study was undertaken to evaluate this aging of AD particles by means of two complementary methods (i.e., the traditional spot test and the most advanced micro-PIXE analytical technique) for single particle analysis. Size-classified particles were sampled at the rural peninsula of Korea (Byunsan, 35.37N; 126.27E) during AD event and non-AD period in 2004. Sulfate was principally enriched on the particles in the size range of $7.65-10.85{\mu}m$ collected during AD event. The average number fraction of coarse particles ($>2.05{\mu}m$) containing chloride was 16.2% during AD event. Relatively low particles containing nitrate compared to those containing sulfate and chloride were found in AD event. Micro-PIXE elemental maps indicated that a large number of AD particles were internally mixed with man-made zinc. The highest peaks of EC and OC concentrations were appeared at $0.01-0.43{\mu}m$ particle aerodynamic diameter. High EC concentration in $PM_1$ was might be caused by the Saemangeum Seawall Project that was being conducted during our field measurement.

Cytotoxicity of Dichloromethane Extracts of Asian Dust

  • Park, Eun-Jung;Kim, Dae-Seon;Yu, Seong-Do;Park, Kwang-Sik
    • Journal of Environmental Health Sciences
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    • v.36 no.4
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    • pp.271-278
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    • 2010
  • The appearance of Asian Dust (AD) originating from China and Mongolia during spring each year is a meteorological phenomenon periodically observed in extensive regions of East Asia. According to a previous epidemiological study, AD has adverse effects on both human beings and ecosystems. In this study, we collected total suspension particles (TSP) in the AD period and Non-AD (NAD) period. We extracted organic components from TSP using dichloromethane (DCM), and the polyaromatic hydrocarbons (PAHs) were analyzed. The DCM extracts contained PAHs such as benzo(b)fluoranthene, benzo[g,h,i]perylene, benzo(k)fluoranthene, benzo(a)pyrene, and pyrene. No significant difference was observed in cytotoxicity of the DCM extracts from AD versus NAD when tested on the human bronchial epithelial cells, BEAS-2B. e also examined the toxic mechanisms of AD extracts in cultured BEAS-2B cells and RAW264.7 cells, and in BEAS-2B cells observed increased levels of reactive oxygen species (ROS), decreased glutathione (GSH), and induced caspase-3 activity. Increased expression of oxidative stress-related and inflammation- related genes were also observed in BEAS-2B cells, while nitric oxide (NO) levels were increased in RAW264.7 cells. Taken together, the results suggest that in these cultured cells, AD may induce cytotoxicity through oxidative stress and pro-inflammatory signals.

Chemical Transformation of Individual Asian Dust Particles Estimated by the Novel Double Detector System of Micro-PIXE

  • Ma, Chang-Jin
    • Asian Journal of Atmospheric Environment
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    • v.4 no.2
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    • pp.106-114
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    • 2010
  • By the application of novel double detector system of micro-PIXE that can detect light elements (Z<14), we made an attempt to provide a thorough discussion on the aging processes of Asian dust (hereafter called "AD") particle by reaction with sea-slat. The elemental spectra and maps obtained from the microbeam radiation of micro-PIXE to individual AD particles were useful for fractionating AD particles into both internally and externally mixed particles. A spatial distribution of elements in a minute domain of single particle obtained by scanning the microbeam irradiation enabled us not only to estimate the chemical mixing state of individual AD particles but also to presume their aging processes in both ambient air and cloud. By calculating the normalized micro-PIXE net count of elements, it was possible to classify individual AD particles into three distinct groups (i.e., (1) Aging type 1: AD particle coated by the gaseous Cl evaporated by the reaction between artificial acids and sea salt; (2) Aging type 2: AD particle mixed with sea salt but no additional reaction with artificial acids; and (3) Non-aged type) A relatively high transformation rate (63.3-75.9%) was shown in large particles (greater than $5.1\;{\mu}m$ in diameter).

Death Anxiety and Dignified Death Attitudes of Pre-Elderly Who Opt for Signing Advance Directives (예비노인의 사전연명의료의향서 작성 여부에 따른 죽음불안과 품위있는 죽음태도의 차이)

  • Yang, So Myung;Hwang, Eun Hee
    • Journal of Korean Public Health Nursing
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    • v.34 no.2
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    • pp.251-262
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    • 2020
  • Purpose: This study attempts to provide basic data for establishing and implementing an advanced directive (AD) system that helps identify dignified death attitudes and reduces death anxiety of the preliminary, through preparation of an AD. Methods: Data were collected from 135 preliminary elderly aged 55 to 64 years, recruited from health centers and welfare facilities. All data were analyzed using SPSS 22.0. Results: Overall scores of the participants were 2.26±0.64 for death anxiety scale, and 3.16±0.44 for dignified death attitude. Scores of individuals who prepared an AD were determined to be 2.19±0.64 for death anxiety, and 3.34±0.44 for dignity of death. The difference in scores obtained for dignified death attitude was significantly higher for the group that signed an AD, as compared to the group with no AD (F=14.81, p<0.001). Conclusions: Results of this study reveal that preliminary elderly who sign an AD have a higher dignified death attitude score as compared to subjects who do not sign an AD. Additionally, the former group of participants desire a dignified end to their life. This indicates a necessity to promote public campaigns for ADs, and to develop educational programs that assist the elderly to prepare for a dignified death and make autonomous decisions.

Comparison of Maternal Food Intakes during Pregnancy in Children with and without Atopic Dermatitis (어머니의 임신기 동안 식품섭취와 영유아의 아토피피부염 유무와의 관계)

  • Lee, Heejin;Ahn, Kangmo;Han, Youngshin;Chung, Sang-Jin
    • Journal of the Korean Dietetic Association
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    • v.18 no.2
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    • pp.141-154
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    • 2012
  • The prevalence of atopic dermatitis (AD), chronic cutaneous disease, has increased rapidly worldwide. Since AD is the most common disease affecting infants, maternal food intake during pregnancy as well as lactation is important. The purpose of this research was to examine the difference in maternal food intake during pregnancy between mothers having children with or without AD. One hundred forty-eight mothers with children aged under 2 years with AD (AD group, n=74) or without AD (non-AD group, n=74) were included in the study. Diet during pregnancy was examined using a food frequency questionnaire. There were no differences in the status of mothers' food consumption during pregnancy between the AD and non-AD groups. Mothers in the AD group consumed significantly less white fish (P<0.05), carrot & pumpkin (P<0.01), walnut & pine nut (P<0.05), mandarin & orange (P<0.05), and peach (P<0.05) than those in the non-AD group. As food frequencies were categorized according to <1/month, 1~3/month, 1~6/week, and 1~3/day, lower consumption of carrot & pumpkin (Odds Ratio (OR)=6.67, 95% Confidence Interval (CI)=1.98~22.44), tomato (OR=5.11, 95% CI=1.62~16.08), mandarin & orange (OR=8.64, 95% CI=1.59~46.81), and walnut & pine nut (OR=3.85, 95% CI=1.26~11.77) increased the risk of childhood AD. According to the results, maternal food intakes during pregnancy were significantly different between the AD and non-AD groups. Therefore, further studies are necessary to examine the causal relationship between maternal food intake and prevalence of AD in children.