• Title/Summary/Keyword: Long Baseline

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Study Design and Outcomes of Korean Obstructive Lung Disease (KOLD) Cohort Study

  • Park, Tai Sun;Lee, Jae Seung;Seo, Joon Beom;Hong, Yoonki;Yoo, Jung-Wan;Kang, Byung Ju;Lee, Sei Won;Oh, Yeon-Mok;Lee, Sang-Do
    • Tuberculosis and Respiratory Diseases
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    • v.76 no.4
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    • pp.169-174
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    • 2014
  • Background: The Korean Obstructive Lung Disease (KOLD) Cohort Study is a prospective longitudinal study of patients with chronic obstructive pulmonary disease (COPD), asthma, or other unclassified obstructive lung diseases. It was designed to develop new classification models and biomarkers that predict clinically relevant outcomes for patients with obstructive lung diseases. Methods: Patients over 18 years old who have chronic respiratory symptoms and airflow limitations or bronchial hyper-responsiveness were enrolled at 17 centers in South Korea. After a baseline visit, the subjects were followed up every 3 months for various assessments. Results: From June 2005 to October 2013, a total of 477 subjects (433 [91%] males; 381 [80%] diagnosed with COPD) were enrolled. Analyses of the KOLD Cohort Study identified distinct phenotypes in patients with COPD, and predictors of therapeutic responses and exacerbations as well as the factors related to pulmonary hypertension in COPD. In addition, several genotypes were associated with radiological phenotypes and therapeutic responses among Korean COPD patients. Conclusion: The KOLD Cohort Study is one of the leading long-term prospective longitudinal studies investigating heterogeneity of the COPD and is expected to provide new insights for pathogenesis and the long-term progression of COPD.

Eating habits, obesity related behaviors, and effects of Danhak exercise in elderly Koreans

  • Ha, Ae-Wha;Kim, Jong-Hyun;Shin, Dong-Joo;Choi, Dal-Woong;Park, Soo-Jin;Kang, Nam-E;Kim, Young-Soon
    • Nutrition Research and Practice
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    • v.4 no.4
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    • pp.295-302
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    • 2010
  • The aims of this study were to evaluate obesity-related dietary behaviors and to determine long-term exercise effects on obesity and blood lipid profiles in elderly Korean subjects. A total of 120 subjects, aged 60-75 yr, were recruited, and obesity-related dietary behaviors were determined. An exercise intervention was conducted with 35 qualified elderly females for 6 months, and body composition and blood lipids were measured 6 times at 4 week intervals. At baseline, mean BMI ($kg/m^2$) was 24.8 for males and 23.1 for females. The females had better eating habits than the males and were more concerned with reading nutrition labels on food products (P < 0.001); they also preferred convenience foods less than the male subjects (P < 0.05). Obese individuals were more likely than overweight or normal weight individuals to misperceive their weight (P < 0.001). Those with a high BMI responded feeling more depressed (P < 0.01), lacking self-confidence (P < 0.01), and feeling isolated (P < 0.01) as well as having more difficulty doing outdoor activities (P < 0.01). After exercise, body fat (%) and WHR were significantly reduced (P < 0.05), while body weight and BMI were also decreased without statistical significance. Total cholesterol and blood HDL were significantly improved (207.1 mg/dl vs. 182.6 mg/dl, HDL: 45.6 mg/dl vs. 50.6 mg/dl, P < 0.05). Other benefits obtained from exercise were improvements in self-confidence (26.4%), movement (22.6%), stress-relief (18.9%), and depression (13.2%). In conclusion, elderly females had better eating habits and were more concerned with nutrition information and healthy diets compared to elderly males. However, misperceptions of weight and obesity-related stress tended to be very high in females who were overweight and obese, which can be a barrier to maintain normal weight. Long-term Danhak practice, a traditional Korean exercise, was effective at reducing body fat (%) and abdominal obesity, and improved lipid profiles, self-confidence, and stress.

Leukoaraiosis on Magnetic Resonance Imaging Is Related to Long-Term Poor Functional Outcome after Thrombolysis in Acute Ischemic Stroke

  • Choi, Jae-Hyung;Bae, Hyo-Jin;Cha, Jae-Kwan
    • Journal of Korean Neurosurgical Society
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    • v.50 no.2
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    • pp.75-80
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    • 2011
  • Objective : Leukoaraiosis (LA) has been suggested to be related to the poor outcome or the occurrence of symptomatic intracerebral hemorrhage (sICH) after acute ischemic stroke. We retrospectively investigated the influences of LA on long-term outcome and the occurrence of sICH after thrombolysis in acute ischemic stroke (AIS). Methods : In this study, we recruited 164 patients with AIS and magnetic resonance image (MRI)-detected thrombolysis. The presence and extent of LA were assessed using the Fazekas grading system. The National Institutes of Health Stroke Scale score was used to assess the baseline measure of neurologic severity, and the modified Rankin Scale score assessment was used up to 1 year after thrombolysis. Results : Of 164 subjects, 56 (34.2%) showed LA on MRI. Compared to the 108 patients without LA, the patients with LA were of much older age (p<0.01), had a higher prevalence of hypertension (p<0.01), and had a much poorer outcome at 90 days (p=0.05) and 1 yr (p=0.01) after thrombolysis. There were no significant differences in sICH between patients with and without LA on MRI. In univariate analysis for the occurrence of poor outcome at 90 days after thrombolysis, the size of ischemic lesion on diffusion weighted images (DWI), [odds ratio (OR), 1.03; 95% confidence interval (95% CI), 1.01-1.04; p<0.01], recanalization (OR, 0.03; 95% CI, 0.01-0.10; p<0.01), sICH (OR, 12.2; 95% CI, 1.54-95.8), neurologic severity (OR, 1.17; 95% CI, 1.09-1.25; p<0.01), blood glucose level (OR, 1.01; 95% CI, 1.00-1.02; p=0.03), and the presence of LA on MRI (OR, 2.01; 95% CI, 1.04-3.01; p=0.04) were statistically significant. In multivariate analysis, neurologic severity (OR, 1.14; 95% CI, 1.04-1.24; p<0.01), recanalization (OR, 0.03; 95% CI, 0.01-0.11; p<0.01), lesion size on DWI (OR, 1.02; 95% CI, 1.01-1.03; p=0.02), serum glucose level (OR, 1.01; 95% CI; 1.01-1.02; p=0.03), and the presence of LA on MRI (OR, 3.2; 95% CI, 1.22-8.48; p<0.01) showed statistically significant differences. These trends persisted up to 1 yr after thrombolysis. Conclusion : In this study, we demonstrated that the presence of LA on MRI might be related to poor outcome after use of intravenous tissue plasminogen activator in AIS.

Proliferation, Apoptosis, and Telomerase Activity in Human Cord Blood CD34+ Cells Cultured with Combinations of Various Cytokines

  • Ahn, Myung-Ju;Lee, Hye-Sook;Jang, Mi-Yune;Choi, Jung-Hye;Lee, Young-Yeul;Park, Hyung-Bae;Lee, Yong-Sung
    • Journal of Microbiology and Biotechnology
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    • v.13 no.3
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    • pp.422-428
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    • 2003
  • Umbilical cord blood (UCB), a rich source of hematopoietic stem/progenitor cells, has been proposed as an alternative to bone marrow and peripheral blood for transplantation treatment. Ex vivo expansion of cord blood stem cells could make the use of cord blood transplant feasible even for adult patients. However, the optimal cytokine cocktail for expansion of stem cells is yet to be established. This study compares proliferation, apoptosis, and telomerase activities in human cord blood stem cells cultured ex vivo with FLT3 ligand (FL)/thrombopoietin (TPO) or FL/TPO/stem cell factor (SCF), with a view to determine optimal combination of cytokines. CD34+ cells were cultured in DMEM containing either FL (50 ng/ml) and TPO (10 ng/ml) (FT group) or FL (50 ng/ml), TPO (10 ng/ml) and SCF (50 ng/ml) (FTS group). The cell proliferation rate was ten times higher in the FTS group. Although cells cultured with the two different combinations of cytokines were maintained for a long term (up to 8 weeks), a large number of cells underwent differentiation during this period. Cells cultured in FTS displayed lower levels of apoptosis compared to those of the FT group during the Initial 7 days of culture. The CD34+ fraction in both groups was markedly decreased to $21-30\%$ , and only $5-6\%$ was detected at 14 days of culture. Telomerase activity detected in human CD34+ cord blood at low levels was upregulated during the early phase of culture and decreased to baseline levels in the later phase. The telomerase activity of cord blood cultured in FT was lower than that of the FTS group. Our results suggest that, on adding stem cell factors to the FT cytokines, cultured CD34+ cord blood cells display a greater degree of cell proliferation and decreased apoptosis. However, during CD34+ cord blood cell culture, a Barge number of cells undergo differentiation, indicating that more potent novel cytokines or new culture conditioning methods should be developed to maintain their ability to engraft and sustain long-term hematopoiesis.

Immunological Aspects of Contemporary Exercise (운동과 면역반응에 대한 고찰)

  • Kwak, Yi-Sub;Kim, Chul-Woo;Paik, Young-Ho
    • Journal of Life Science
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    • v.17 no.8 s.88
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    • pp.1166-1171
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    • 2007
  • Exercise is the strongest stress to which the body is ever exposed. The body responds to this stress through a set of physiological changes in its metabolic, hormonal, and immunological systems. In this study, responses of the immune system to the long-term aerobic and anaerobic exercises have been investigated. Regular moderate exercise is associated with a reduced incidence of infection compared with a sedentary groups. Aerobic training increases the heart rate and enhances the body's intake of oxygen long enough to benefit the condition of the body. In recent years, the importance of exercise in everyday life has been rapidly increasing. Moderate exercise appears to stimulate the immune system. And also, Exercise elicits an increase in the numbers of circulating lymphocytes and lymphocyte subsets (including NK cells) which is followed by a decrease in the numbers of cells during recovery from exercise. However, prolonged bouts of strenuous exercise cause a temporary depression of various aspects of immune functions (e.g. lymphocyte proliferation, monocyte antigen presentation, open window periods, exercise induced asthma, exercise induced anaphylaxis) that usually lasts 2-24 hr after exercise depending on the intensity and duration of the exercise bout. Exercise-induced bronchoconstriction (EIB) was defined as a decrease of at least 15% in pre exercise forced expiratory volume in one second at any time point after exercise. This includes elevation of cortisol and cathecholamines in plasma. On the other hand, highly trained athletes exhibit a chronic mild hypercortisolism at baseline that maybe an adaptive change to chronic exercise. And, Consuming carbohydrate during prolonged strenuous exercise attenuates rises in stress hormones and appears to limit the degree of exercise-induced immune depression. Recent evidence suggests that antioxidant vitamin supplementation may also reduce exercise stress and impairment of leukocyte functions.

An Economic Feasibility Study of AR CDM project in North Korea (북한 지역을 대상으로 한 조림 CDM 사업의 경제적 타당성 연구)

  • Han, Ki Joo;Youn, Yeo-Chang
    • Journal of Korean Society of Forest Science
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    • v.96 no.3
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    • pp.235-244
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    • 2007
  • Potentials of AR CDM project in North Korea are assessed and feasible land area for AR CDM project is estimated. According to our estimation, There could be 515,000 hectares of forest lands deforested before 1990 in North Korea and 8,854 hectares at the regional level of Gae-sung City, which are eligible for AR CDM project, based on researches of satellite image analyses conducted from 1980's to 1990's. A baseline scenario assumed 44.73 tones of carbon stored in soil per hectare with no vegetation above ground remained during the project period following the default value of IPCC's Good Practice Guidance for LULUCF considering soil structure, climate and land use of the project area. The scenario also assumes that black rocust (Robinia pseudoacacia) is planted and the CDM project is implemented for 20 years. The costs for producing greenhouse gases CER (certified emission reduction) credits include costs of tree planting and forest management, and costs of project negotiation and transactions for issuing the credits. It is estimated that 376 tones of carbon dioxide per hectare can be accumulated and 503 temporary CER credits per hectare and 265 long-term CER credits per hectare could be produced during the project period. It is estimated to cost US$ 4.04 and US$ 7.67 to provide one unit of temporary credit and long-term credit, respectively. These values can be regarded as the cost of conferring emission commitment of a country or a private entity. However, it is not clear which option is better economically because the replacement periods are different in these two cases.

Health-Related Quality of Life of Patients with Intermediate Hepatocellular Carcinoma after Liver Resection or Transcatheter Arterial Chemoembolization

  • Xie, ZR;Luo, YL;Xiao, FM;Liu, Q;Ma, Y
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.10
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    • pp.4451-4456
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    • 2015
  • Background: The aim of our present study was to compare quality of life (QoL) between intermediate-stage (BCLC-B) HCC patients who had undergone either liver resection or transcatheter arterial chemoembolization (TACE). Materials and Methods: A total of 102 intermediate-stage HCC patients participated in our study, including 58 who had undergone liver resection and 44 who had undergone TACE. Baseline demographic characteristics, tumor characteristics, and long-term outcomes, such as tumor recurrence, were compared and analyzed. QoL was assessed using the Short Form (SF)-36 health survey questionnaire with the mental and physical component scales (SF-36 MCS and PCS). This questionnaire was filled out at HCC diagnosis and 1, 3, 6, 12, 24 months after surgery. Results: For the preoperative QoL evaluation, the 8 domains related to QoL were comparable between the two groups. The PCS and MCS scores were significantly decreased in both the TACE and resection groups at1 month after surgery, and this decrease was greater in the resection group. These scores were significantly lower in the resection group compared with the TACE group (P<0.05). However, these differences disappeared at 3 and 6 months following surgery. One year after surgery, the resection group showed much higher PCS scores than the TACE patients (P=0.018), and at 2 years after surgery, the PCS and MCS scores for the resection group were significantly higher than those for the TACE group (P<0.05). Eleven patients (19.0%) in the resection group and 17 (38.6%) in the TACE group suffered HCC recurrence (P<0.05). Univariate and multivariate analyses indicated that tumor recurrence (HR=1.211, 95%CI: 1.086-1.415, P=0.012) was a significant risk factor for poorpostoperative QoL in the HCC patients.Conclusions: Due to its effects on reducing HCC recurrence and improving long-term QoL, liver resection should be the first choice for the treatment of patients with intermediate-stage HCC.

A Study on the Noise Reduction Method for Data Transmission of VLBI Data Processing System (VLBI 자료처리 시스템의 데이터 전송에서 잡음방지에 관한 연구)

  • Son, Do-Sun;Oh, Se-Jin;Yeom, Jae-Hwan;Roh, Duk-Gyoo;Jung, Jin-Seung;Oh, Chung-Sik
    • Journal of the Institute of Convergence Signal Processing
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    • v.12 no.4
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    • pp.333-340
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    • 2011
  • KJJVC(Korea-Japan Joint VLBI Correlator) was installed at the KJCC(Korea-Japan Correlation Center) and has been operated by KASI(Korea Astronomy and Space Science Institute) from 2009. KJNC is able to correlate the VLBI observed data through KVN(Korean VLBI Network), VERA(VLBI Exploration of Radio Astrometry), and JVN(Japanese VLBI Network) and its joint network array. And it is used exclusively as computer in order to process the observed data for the scientific purpose KJJVC used the VSI(VLBI Standard Interface) as the VLBI international standard at the data input-output specification between each component. Especially, for correlating the observed data, the data is transmitted with 1024Mbps speed between Mark5B high-speed playback and RVDB(Raw VLBI Data Buffer). The EMI(Electromagnetic lnterference), which is occurred by data transmission with high-speed, cause the data loss and the loss occurrence is frequently often for long transmission cable. Finally it will be caused the data recognition error by decreasing the voltage level of digital data signal. In this paper, in order to minimize the data loss by measuring the EMI noise level in transmission of the VSI specification, the 3 methods such as 1) RC filtering method, 2) lmpedance matching using Microstrip line, and 3) Signal buffering method using Differential line driver, were proposed. To verify the effectiveness of each proposed method, the performance evaluation was conducted by implementing and simulations for each method. Each proposed method was effectively confirmed as the high-speed data transmission of the VSI specification.

Generation of High Resolution Scenarios for Climate Change Impacts on Water Resources (II): Runoff Scenarios on Each Sub-basins (수자원에 대한 기후변화 영향평가를 위한 고해상도 시나리오 생산(II): 유역별 유출시나리오 구축)

  • Jung, Il-Won;Bae, Deg-Hyo;Im, Eun-Soon
    • Journal of Korea Water Resources Association
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    • v.40 no.3
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    • pp.205-214
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    • 2007
  • The objective of this study is to generate the regional scale runoff scenarios by using IPCC SRES A2 climate change scenario for analyzing the spatial variation of water resources in Korea. The PRMS model was adopted to simulate long-term stream discharge. To estimate the PRMS model parameters on each sub-basin, the streamflow data at 6 dam sites and Rosenbrock's scheme are used for model parameter calibration and those parameters are translated to ungauged catchments by regionalization method. The other 3 dam sites are selected for the verification of the adequateness of regionalized model parameters in ungagued catchments. The statistical results show that the simulated flows by using regionalized parameters well agree with observed ones. The generated runoff scenarios by climate change are compared with observed data on 4 dam sites for the reference period. The consequences show that the selection of climate station for generating climate scenario affects the reliability of climate scenario at sub-basin. The comparison results of the stream flows between the 30-year baseline period (1971-2000) and future 90-year (2001-2030, 2031-2060, 2061-2090) show that the long-term mean annual runoff in the Han River has increasing trend, while the Nakdong, the Gum, the Youngsan and the Sumjin Rivers have decreasing trend.

Design and development of VSI Optical Adapter for high speed transmission of VLBI observation data (VLBI 관측데이터 초고속 전송을 위한 VSI 광변환 송수신 장치의 설계 및 개발)

  • Oh, Se-Jin;Roh, Duk-Gyoo;Yeom, Jae-Hwan;Jung, Jin-Seung;Jung, Dong-Kyu;Oh, Chung-Sik;Ozeki, Kensuke;Onuki, Hirofumi;Harada, Keniichi
    • Journal of the Institute of Convergence Signal Processing
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    • v.14 no.4
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    • pp.261-269
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    • 2013
  • This paper describes the design and development of VSI (VLBI standard interface) optical adapter for transmitting VLBI(Very long baseline interferometry) observation data with optical signal. VSI cable comprised of 80-line is being used for observed data transmission with maximum length of 5-meter between playbacks (Mark5B, VERA2000) and raw VLBI data buffer (RVDB), RVDB and VLBI correlation subsystem (VCS) in Daejeon correlator. It has a plan to conduct the data processing for 16-stations and introduce the 14 RVDB systems in near future. And data loss frequently occurred because of trouble of VSI cable MDR80 connector. By considering the data loss by connector error of VSI cable, RVDB system extension plan, effective space usage and long distance data transmission(e-VLBI), the VSI optical adapter was proposed and developed for effectively transmitting and receiving VLBI data through optical signal. In order to confirming the performance of developed VSI optical adapter, the experiments for data transmission was conducted between playback and RVDB system, and confirmed that data transmission was clearly done without any data loss.