• Title/Summary/Keyword: His-51

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A Case of Vivax Malaria Complicated by Adult Respiratory Distress Syndrome and Successful Management with Extracorporeal Membrane Oxygenation

  • Lee, Hyun-Jung;Baek, Ji-Hyeon;Chae, Myoung-Hun;Joo, Hoyeon;Lee, Jin-Soo;Chung, Moon-Hyun;Park, Yun-Kyu;Kim, Joung-Teak
    • Parasites, Hosts and Diseases
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    • v.51 no.5
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    • pp.551-555
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    • 2013
  • Complicated malaria is mainly caused by Plasmodium falciparum, but, increasingly, Plasmodium vivax is also being reported as a cause. Since the reemergence of indigenous vivax malaria in 1993, cases of severe malaria have been steadily reported in Korea. Herein, we report a case of vivax malaria complicated by adult respiratory distress syndrome (ARDS) that was successfully managed with extracorporeal membrane oxygenation (ECMO). A 59-year-old man presented at our hospital with fever and abdominal pain, which had persisted for 10 days. On admission, the patient had impaired consciousness, shock, hypoxia and haziness in both lungs, jaundice, thrombocytopenia and disseminated intravascular coagulation, metabolic acidosis, and acute kidney injury. A peripheral blood smear and a rapid diagnostic test verified P. vivax mono-infection. Ten hours after admission, hypoxia became more severe, despite providing maximal ventilatory support. The administration of antimalarial agents, ECMO, and continuous venovenous hemofiltration resulted in an improvement of his vital signs and laboratory findings. He was discharged from the hospital 7 weeks later, without any sequelae.

Protective and Anti-Pathology Effects of Sm Fructose-1,6-Bisphosphate Aldolase-Based DNA Vaccine against Schistosoma mansoni by Changing Route of Injection

  • Saber, Mohamed;Diab, Tarek;Hammam, Olft;Karim, Amr;Medhat, Amina;Khela, Mamdouh;El-Dabaa, Ehab
    • Parasites, Hosts and Diseases
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    • v.51 no.2
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    • pp.155-163
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    • 2013
  • This study aimed to evaluate the efficacy of fructose-1,6-bis phosphate aldolase (SMALDO) DNA vaccination against Schistosoma mansoni infection using different routes of injection. The SMALDO has been cloned into the eukaryotic expression vector pcDNA3.1/V5-His TOPO-TA and was used in injecting Swiss albino mice intramuscularly (IM), subcutaneously (SC), or intraperitoneally (IP) ($50{\mu}g/mouse$). Mice vaccinated with non-recombinant pcDNA3.1 served as controls. Each group was immunized 4 times at weeks 0, 2, 4, and 6. Two weeks after the last booster dose, all mice groups were infected with 80 S. mansoni cercariae via tail immersion. At week 8 post-infection, animals were sacrificed for assessment of parasitological and histopathological parameters. High anti-SMALDO IgG antibody titers were detected in sera of all vaccinated groups (P<0.01) compared to the control group. Both the IP and SC vaccination routes resulted in a significant reduction in worm burden (46.2% and 28.9%, respectively, P<0.01). This was accompanied by a significant reduction in hepatic and intestinal egg counts (41.7% and 40.2%, respectively, P<0.01) in the IP group only. The number of dead eggs was significantly increased in both IP and IM groups (P<0.01). IP vaccination recorded the highest significant reduction in granuloma number and diameter (54.7% and 29.2%, respectively, P<0.01) and significant increase in dead miracidia (P<0.01). In conclusion, changing the injection route of SMALDO DNA vaccination significantly influenced the efficacy of vaccination. SMALDO DNA vaccination via IP route could be a promising protective and antipathology vaccine candidate against S. mansoni infection.

Proposal of a Monitoring System to Determine the Possibility of Contact with Confirmed Infectious Diseases Using K-means Clustering Algorithm and Deep Learning Based Crowd Counting (K-평균 군집화 알고리즘 및 딥러닝 기반 군중 집계를 이용한 전염병 확진자 접촉 가능성 여부 판단 모니터링 시스템 제안)

  • Lee, Dongsu;ASHIQUZZAMAN, AKM;Kim, Yeonggwang;Sin, Hye-Ju;Kim, Jinsul
    • Smart Media Journal
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    • v.9 no.3
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    • pp.122-129
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    • 2020
  • The possibility that an asymptotic coronavirus-19 infected person around the world is not aware of his infection and can spread it to people around him is still a very important issue in that the public is not free from anxiety and fear over the spread of the epidemic. In this paper, the K-means clustering algorithm and deep learning-based crowd aggregation were proposed to determine the possibility of contact with confirmed cases of infectious diseases. As a result of 300 iterations of all input learning images, the PSNR value was 21.51, and the final MAE value for the entire data set was 67.984. This means the average absolute error between observations and the average absolute error of fewer than 4,000 people in each CCTV scene, including the calculation of the distance and infection rate from the confirmed patient and the surrounding persons, the net group of potential patient movements, and the prediction of the infection rate.

A case of restless legs syndrome in a child presenting with growing pains (성장통으로 발견된 하지 불안 증후군 1예)

  • Kim, Dong Soon;Shin, Hong Beom;Ahn, Young Min
    • Clinical and Experimental Pediatrics
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    • v.51 no.11
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    • pp.1222-1227
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    • 2008
  • Restless legs syndrome (RLS) is a common neurological sleep disorder in adults characterized by the following diagnostic criteria: an urge to move that is usually associated with unpleasant sensations and symptoms that are worse at rest, relieved by movement, and most severe at night. The definite diagnosis of RLS in children is stricter and consists of self-description of leg discomfort or the presence of 2 of 3 supportive criteria combined with 4 essential criteria for diagnosis in adults. RLS in childhood has often been misdiagnosed as growing pains or a part of normal development. As a result, physicians have often missed the chance for proper management. We diagnosed a case of RLS in a 5-year-old boy presenting with growing pains, whose mother was found to have had RLS since childhood. We confirmed RLS by using a polysomnograph, in which the indices of periodic limb movement syndrome (PLMS) and periodic limb movement during wakefulness (PLMW) were recorded to be compatible with RLS criteria. The patient's ferritin level was low normal, and his symptoms improved after taking iron supplements.

A Study on Visual Literacy for Picture Books: Implications for Librarians Providing Reader's Advisory Services (그림책의 시각적 문식성에 관한 연구 - 사서의 독서지원서비스를 위한 -)

  • Min, Kyeong-Rok
    • Journal of the Korean Society for Library and Information Science
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    • v.51 no.2
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    • pp.23-48
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    • 2017
  • Picture books, as a genre, are characterized by conveyance of ideas through linguistic texts, visual texts, and the complementary interactions between them. The writer of a picture book develops and delivers his or her ideas with textual contents written in a unique style, while the artist conveys the writer's ideas through pictures where things, objects, and figures are imbued with various emotions. Understanding a picture in a picture book requires an understanding of both the structure shown on the surface and the underlying structure that adapts and visualizes the philosophy and ideas of the writer. In light of the discussion above, this study proposes a method to help librarians improve their understanding of visual literacy for picture books, as visual literacy is required for the provision of readers' advisory services regarding picture books. This method, which is based on behavioral psychologist Rudolf Arnheim's theory of visual thinking, is expected to help librarians write picture book reviews or other secondary materials.

An Empirical Study on the Truncated Arbitration System in China (중국의 결원중재제도에 관한 실증적 연구)

  • Ha, Hyun-Soo
    • Journal of Arbitration Studies
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    • v.31 no.4
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    • pp.51-70
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    • 2021
  • Chinese courts seem to be indifferent or ignorant of truncated arbitration. In other words, the Chinese court canceled the arbitration award made by truncated arbitration except for the Pingdingsan Case among the four arbitration cases related to the domestic arbitration award reviewed in this paper on the ground that it violated the composition of the arbitral tribunal or the arbitration procedure. A Chinese court has canceled the arbitration award by judging only based on the composition of the arbitral tribunal and the legal process of the violation of the arbitration procedure not by determining whether the domestic arbitration award made by the truncated arbitration meets the conditions for the application of truncated arbitration as stipulated in the Arbitration Rules. Moreover, it seems that the Chinese court made a serious error in the application of the relevant regulations in the Pingdingsan Case, which ruled that the truncated arbitration did not violate the legal process. In this case, the Chinese court admitted truncated arbitration under logic process that it was not necessary to wait until the final hearing to apply the truncated arbitraion because one arbitrator was absent before the final hearing, but the truncated arbitrator had already formed his/her opinion before the absence. However, in the case of Marshall Investment Corporation, a case related to foreign arbitration, the Chinese court rejected the approval and execution of the truncated arbitration award by strictly applying the laws and timing of the truncated arbitration. Since only one case has been identified in the main text, it is difficult to make a definitive judgment, but considering these cases, it seems to be that the Chinese courts apply different standards to domestic and foreign arbitration awards to determine the legality of truncated arbitration.

Phase Image Analysis in Conduction Disturbance Patients (심실내 전도장애 환자에서의 $^{99m}Tc$-RBC Gated Blood-Pool Scintigraphy을 통한 Phase Image Analysis)

  • Kwak, Byeng-Su;Choi, Si-Wan;Kang, Seung-Sik;Park, Ki-Nam;Lee, Kang-Wook;Jeon, Eun-Seok;Park, Chong-Hun
    • The Korean Journal of Nuclear Medicine
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    • v.28 no.1
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    • pp.44-51
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    • 1994
  • It is known that the normal His-Purkinje system provides for nearly synchronous activation of right (RV) and left (LV) ventricles. When His-Purkinje conduction is abnormal, the resulting sequence of ventricular contraction must be correspondingly abnormal. These abnormal mechanical consequences were difficult to demonstrate because of the complexity and the rapidity of it's events. To determine the relationship of the phase changes and the abnormalities of ventricular conduction, we performed phase image analysis of $^{99m}Tc$-RBC gated blood pool scintigrams in patients with intraventricular conduction disturbances (24 complete left bundle branch block (C-LBBB), 15 complete right bundle branch block (C-RBBB), 13 Wolff-Parkinson-White syndrome (WPW), 10 controls). The results were as follows; 1) The ejection fraction (EF), peak ejection rate (PER), and peak filling rate (PFR) of LV in gated blood pool scintigraphy (GBPS) were significantly lower in patients with C-LBBB than in controls ($44.4{\pm}13.9%$ vs $69.9{\pm}4.2%,\;2.48{\pm}0.98$ vs $3.51{\pm}0.62,\;1.76{\pm}0.71$ vs $3.38{\pm}0.92$, respectively, p<0.05). 2) In the phase angle analysis of LV, Standard deviation (SD), width of half maximum of phase angle (FWHM), and range of phase angle were significantly increased in patients with C-LBBB than in controls ($20.6{\pm}18.1$ vs $8.6{\pm}1.8,\;22.5{\pm}9.2$ vs $16.0{\pm}3.9,\;95.7{\pm}31.7$ vs $51.3{\pm}5.4$, respectively, p<0.05). 3) There was no significant difference in EF, PER, PFR between patients with the Wolff-parkinson-White syndrome and controls. 4) Standard deviation and range of phase angle were significantly higher in patients with WPW syndrome than in controls ($10.6{\pm}2.6$ vs $8.6{\pm}1.8$, p<0.05, $69.8{\pm}11.7$ vs $51.3{\pm}5.4$, p<0.001, respectively), however, there was no difference between the two groups in full width of half maximum. 5) Phase image analysis revealed relatively uniform phase across the both ventricles in patients with normal conduction, but markedly delayed phase in the left ventricle of patients with LBBB. 6) In 13 cases of WPW syndrome, the site of preexcitation could be localized in 10 cases (77%) by phase image analysis. Therefore, it can be concluded that phase image analysis can provide an accurate noninvasive method to detect the mechanical consequences of a wide variety of abnormal electrical activation in ventricles.

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A Case of Measles Pneumonia Complicated by Subcutaneous Emphysema and Pneumomediastinum in an 18-year-old Patient (피하기종과 종격기종을 동반한 홍역성 폐렴 1예)

  • Park, Jae-Hyeong;Lee, Yun-Jung;Kang, Ho-Hyung;Kim, Sun-Jong;Koh, Y.S.;Lim, C.M.
    • Tuberculosis and Respiratory Diseases
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    • v.51 no.3
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    • pp.275-280
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    • 2001
  • Background : A 18 year-old man presented with dyspnea and a swelling of the neck. On physical examination, maculopapular rashes were noted on the face and the whole body and crepitus was noted at the thorax and upper arms. His chest X -ray showed bilateral interstitial infiltrates of the lung, pneumomediastinum and subcutaneous emphysema. On serologic examination, measles IgM was positive. Under the diagnosis of measles pneumonia, the patient was treated with oral ribavirin, which resulted in a complete resolution of the pneumomediastinum, subcutaneous emphysema, pneumonic infiltrate, and subjective symptoms of dyspnea and swelling of the neck in 7 days. Here we report this case with a brief review of the relevant literature.

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A Study on Initial FMS Design Problem considering Machine Selection, Loading and Layout (기계선택, 작업할당, 기계배치를 고려한 FMS의 초기설계에 대한 연구)

  • Ro, In-Kyu;Lee, Bum-Jin
    • Journal of Korean Institute of Industrial Engineers
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    • v.20 no.4
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    • pp.51-63
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    • 1994
  • Many themes have been studied for FMS problems. But most researches have focused on specific themes; Machine selection, Loading, Routing, Machine layout, etc. So many decision makers who want to introduce FMS to his factory, have many problems, because they do not know either what size of FMS should be introduced or what amount of money should be invested. The objective of this research is to help the decision makers who want to introduce FMS. This research consists of three major part, first, Machine selection, second, Loading, and third, Machine Layout. In the first part of the research, machines are selected with minimum cost satisfying the given demand of each part. In the second part, each operations with its required tools are allocated to those machines. In the third part the locations of each selected machines are determined. And dissimilarity coefficients between each pair of machines are calculated as the measure of distance. With above three steps, we have selected machines, allocated operations to those machines, and the layout configuration of those machines. And for each three steps, Mixed Integer Programming models are formulated. In order to solve the large problems and reduce the computer execution time, three heuristic algorithms are developed for the three mixed integer programming models.

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Cloning and Characterization of an Esterase from Xanthomonas oryzae pv. oryzae

  • Kang, Han-Chul;Kim, Jong-Bum;Lee, Hak-Sun;Cho, Kang-Jin
    • Journal of Applied Biological Chemistry
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    • v.51 no.3
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    • pp.95-101
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    • 2008
  • The gene encoding a putative esterase of Xanthomonas oryzae pv. oryzae was cloned using PCR technique. The gene was expressed with His6 tag in E. coli. One-step purification of the recombinant esterase with Ni-NTA resin resulted in one band by SDS-PAGE analysis. The purified enzyme showed a molecular weight of 30 kDa, as expected, therefore the enzyme was a mononer. The enzyme was the most active toward p-nitrophenyl (p-NP) acetate and p-NP-butyrate to a lesser extent. However, the enzyme could not hydrolyze p-NP-myristate, palmitate, and stearate. Therefore, the enzyme is considered as an esterase, very different from lipase. The purified esterase had optimal pH at around 8.0 and was stable in a broad range of pH values. The optimal temperature ranged from 30 to $40^{\circ}C$, and the residual activity observed after heat treatment at $55^{\circ}C$ for 20 min was 72 % of the initial activity. The activity was inhibited by the presence of copper and cobalt ions.