• Title/Summary/Keyword: PFP

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Endoscopic radiofrequency Stretta therapy reduces proton pump inhibitor dependency and the need for anti-reflux surgery for refractory gastroesophageal reflux disease

  • Abraham Joel;Alakh Konjengbam;Yirupaiahgari Viswanath;Georgios Kourounis;Emily Hammond;Helen Frank;Shivani Kuttuva;Simon Mbarushimana;Hena Hidayat;Srivishnu Thulasiraman
    • Clinical Endoscopy
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    • v.57 no.1
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    • pp.58-64
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    • 2024
  • Background/Aims: Radiofrequency treatment of the gastroesophageal junction using the Stretta procedure for treating gastroesophageal reflux disease (GERD) is observed to improve the symptoms and proton pump inhibitor (PPI) dependence and reduce the need for anti-reflux operations. As one of the largest studies in Europe, we evaluated the clinical outcomes of Stretta in patients with medically refractory GERD. Methods: A tertiary UK center evaluated all patients with refractory GERD who underwent Stretta between 2014 and 2022. Patients and primary care professionals were contacted to obtain information regarding the initiation of PPI and reintervention after Stretta. Results: Of the 195 patients (median age, 55 years; 116 women [59.5%]) who underwent Stretta, PPI-free period (PFP) data were available for 144 (73.8%) patients. Overall, 66 patients (45.8%) did not receive PPI after a median follow-up of 55 months. Six patients (3.1%) underwent further interventions. The median PFP after Stretta was 41 months. There was a significant negative correlation between PFP and age (p=0.007), with no differences between sexes (p=0.96). Patients younger than 55 years of age had a longer PFP than their older counterparts (p=0.005). Younger males had a significantly longer PFP than older males (p=0.021). However, this was not observed in the female cohort (p=0.09) or between the younger men and women (p=0.66). Conclusions: Our findings suggest that Stretta is a safe and feasible option for treating refractory GERD, especially in younger patients. It prevents further anti-reflux interventions in most patients and increases the lead-time to surgery in patients with refractory GERD.

Grain Yield and Nitrogen Use Efficiency due to Long-Term Fertilization in Paddy Rice (동일비료(同一肥料) 장기운용(長期連用)에 따른 벼의 수량과 질소이용효율(窒素利用效率))

  • Yun, Eul-Soo;Choe, Zhin-Ryong;Jung, Yeun-Tae;Park, Kyeong-Bae;Lee, Jae-Saeng
    • Korean Journal of Soil Science and Fertilizer
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    • v.32 no.2
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    • pp.109-114
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    • 1999
  • This study was carried out to obtain some information on the sustainability of paddy rice through the long-term variation of nitrogen use efficiency. The experiment was conducted during 30-year with the same amount of N, P, K and compost at Milyang, southern part of Korea. The results were as follows. Grain yield was increased significantly in the plots of compost incorporation only. However, yield productivity was decreased slightly in the plots with nil and unbalanced fertilization. The effects of rice straw compost on grain yield was not clear at the early crop years but was shown slightly at the late period of the experimental. The grain yield in the plots of compost incorporation at 30th crop year was come to about 80% of NPK plots. The amount of nitrogen uptaken by rice plant was the highest as $167kg\;ha^{-1}$ in NPK plus compost incorporation. Recovery efficiency)($RE_N$) was higher as 0.48~0.74 in compost incorporation plots than in other plots of balanced and unbalanced application. Average agronomic efficiency($AE-N$) and partial factor productivity from N fertilizer applied($PFP_N$) during 30 crop years in NPK plots was 12.8 kg/kg N and 37.7 kg/kg N, respectively, and difference of $AE-N$ and $PFP_N$ shown as indigenous soil nitrogen supply(INS) was higher as 28.4 kg/kg N in NPK + compost plot than NPK plot and was widened at the late period of experiment.

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Protective Thin Films on PAN Fiber for Water Resistant Modification by Plasma Polymerization (PAN직물의 내수성개질을 위한 보호성 플라즈마중합박막제조)

  • Seo, Eun Deock;Kang, Young Reep;Kim, Jung Dal
    • Textile Coloration and Finishing
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    • v.7 no.2
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    • pp.55-62
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    • 1995
  • Plasma polymerization of Perfiuoropropene(PFP) and n-Hexane was carried out in a tubular type reactor by means of 13.56MHz radio frequency generator at the fixed RF discharge power of 25W and at the pressures of 100mTorr, 140mTorr and 200mTorr. The thin films were deposited on PAN fabrics in order to improve the dimemsional stability of woven states in hot water laundry. IR spectroscopy was used for the analysis of the structures of the thin films deposited and SEM for examination of surfaces of the fabrics. the PAN fabrics, which were coated by thin films at several experimental conditions, were immersed in boiling water for 2 hours and then the dimension stability of woven states were evaluated. In spite of very thin films, the results of surface modification were satisfactory. In general the performace of thin films by PFP was superior to that of n-Hexane.

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Crystal structures of human DJ-1 and Escherichia coli Hsp31 that share an evolutionarily conserved domain

  • Cha, Sun-Shin
    • Proceedings of the Korean Biophysical Society Conference
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    • 2003.06a
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    • pp.33-33
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    • 2003
  • Human DJ-1 and Escherichia coli Hsp31 belong to ThiJ/PfpI family whose members contain a conserved domain. DJ-1 is associated with autosomal recessive early-onset parkinsonism and Hsp31 is a molecular chaperone. Structural comparisons between DJ-1, Hsp31, and an archeal protease, a member of ThiJ/PfpI family, lead to the identification of the chaperons activity of DJ-1 and the proteolytic activity of Hsp31. Moreover, the comparisons provide insights into how the functional diversity is realized in proteins that share an evolutionarily conserved domain. On the basis of the chaperons activity, the possible role of DJ-1 in the pathogenesis of Parkinson's disease is discussed.

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Static Characteristic of Polyester Fiber by LT-Plasma Polymerization (저온플라즈마중합 처리한 폴리에스터 섬유의 대전특성)

  • 서은덕;강영립;박찬언
    • Textile Coloration and Finishing
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    • v.4 no.4
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    • pp.110-116
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    • 1992
  • For the modification of PET surface, Perfluoropropene and Methyl alcohol were LT-plasma polymerized on the PET fabrics as thin films by means of 13.56 MHz radio frequency generator. The surface properties of PET fabrics were modified from hydrophobic to hydrophilic by application of the postplasma reaction of thin films. The evidence of the modification was identified by observation of the presence of hydroxy group in IR spectrum and the evaluation of degree of hydrophilicity was performed by measuring frictional static voltage of PET fabric with cotton fabric. For the case of modification by PFP, the result performed at the condition of 25 W, 70 m torr has shown to be effective, and for MeOH, result performed at the condition of 25 W, 100 m torr effective. The effect of hydrophilic surface modification of MeOH plasma polymer was superior to that of PFP-plasma polymer.

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A Clinical Study of Collaboration between Western and Korean Medicine for the Treatment of Peripheral Facial Palsy in a Korean Medicine Hospital

  • Kim, Jaewon;Kim, Yongsuk
    • Journal of Acupuncture Research
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    • v.37 no.3
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    • pp.161-166
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    • 2020
  • Background: The purpose of this study was to investigate the characteristics and direction of treatment for peripheral facial palsy (PFP) based on medical collaboration between Western and Korean medicine departments. Methods: There were 195 outpatients with PFP identified retrospectively by examining electronic medical records. These patients were treated with Korean and Western medicine from January 1st, 2018 to December 31st, 2018 at the Kyung Hee University hospital. Records were analyzed according to the patients' demographic characteristics and clinical features of the collaborative combined treatment. Results: According to the collaborative treatment pathway, the number of patients consulted from Western medicine departments was more than consulted from Korean department for the first time. The time taken by the Western medicine departments to consult with the patients at the Korean center for the first time was 14.9 days from the onset of symptoms. Acupuncture was the most frequently used Korean medicine treatment. The total treatment period for Korean medicine sessions and intervals were 91.9 days, 23 times and 3.6 days, respectively. When the Korean medicine center consulted with Western medicine departments, the time taken until the first consultation was 8.5 days from the onset of symptoms. Medication was the most used treatment, prescribed after 3.1 days. The most frequently used clinical test was an electromyogram, and this was performed after 20.5 days. The total treatment period, sessions and intervals were 21.2 days, 2.8 times and 5 days, respectively. Conclusion: The clinical status of collaborative treatment for PFP was determined including the timing and interval of consultation according to treatments.

Application of Flory-Treszczanowicz-Benson model and Prigogine-Flory-Patterson theory to Excess Molar Volume of Binary Mixtures of Ethanol with Diisopropyl Ether, Cyclohexane and Alkanes (C6-C9)

  • Kashyap, Pinki;Rani, Manju;Tiwari, Dinesh Pratap;Park, So-Jin
    • Korean Chemical Engineering Research
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    • v.58 no.2
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    • pp.257-265
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    • 2020
  • Densities (ρ) for binary mixtures of ethanol (1) + diisopropyl ether (DIPE) or cyclohexane or alkane (C6-C9) (2) were measured at 298.15 K, 308.15 K and 318.15 K. The excess molar volume (VEm) of binary mixtures was calculated using ρ data and correlated with Redlich-Kister polynomial equation. The VEm values for binary mixtures of ethanol (1) + cyclohexane or n-alkane (C6-C9) (2) were positive, whereas for ethanol (1) + DIPE (2) these were negative. The magnitude of VEm values follows the order: cyclohexane > n-nonane > n-octane > n-heptane > n-hexane > DIPE. The VEm values have been interpreted qualitatively and also quantitatively in terms of Flory-Treszczanowicz-Benson (FTB) model and Prigogine-Flory-Patterson (PFP) theory. The values VEm predicted using FTB model agree well with experimental VEm values at all mole fractions. But the PFP theory describes well VEm data in ethanol-rich region (x1 > 0.5) for all binary mixtures and is able to predict the sign of VEm vs x1 curve for ethanol-lean region (x1 < 0.5) except for ethanol (1) + nonane (2) mixtures.

Finding the Sources of Korean Salmonella enterica Serovar Enteritidis PT4 Isolates by Pulsed-field Gel Electrophoresis

  • Woo Yong-Ku
    • Journal of Microbiology
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    • v.43 no.5
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    • pp.424-429
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    • 2005
  • In previous studies, it has been reported that both S. enteritidis, the most common serotype, and S. enteritidis Phage Type 4 (SEPT 4) isolates were identified as the most prevalent PT in domestic poultry and also in humans in Korea until 2002. The aim of this study was to analyze the genetic diversity and epidemiological properties of both PT isolates, and also to trace the source of SEPT 4 isolates from domestic poultry and humans by Pulsed-field gel electrophoresis (PFGE). In order to understand the molecular epidemiologic properties of SEPT 4 isolates, which have very similar phenotypic properties to our preliminary investigations (serotyping, phage typing, large plasmids and antibiograms), PFGE analysis with XbaI enzyme was performed on the representative SEPT 4 isolates. Thirty-six SEPT 4 isolates were analyzed and differentiated with 10 pulsed-field profiles (PFP) expressing very high discriminative ability (SID: 0.921). In PFP, SEPT 4 isolates from human patients showed a perfect genetic match with those from broiler chickens and meats. Therefore, this study was able to successfully trace the major source of SEPT 4 isolates and also to determine the usefulness of the PFGE method for genetic analysis of epidemic strains.

Determination of the Homocysteine, Cysteine and Methionine in Human Plasma by Gas Chromatography with Electron Capture Detector (기체크로마토그래피-전자포획검출기를 이용한 혈장 중의 Homocysteine, Cysteine 및 Methionine의 동시 분석법)

  • Myung, Seung-Woon;Chang, Yoon-Jung;Yoo, Eun-Ah;Park, Joon-Ho;Min, Hye-Ki;Kim, Myung-Soo
    • Analytical Science and Technology
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    • v.12 no.5
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    • pp.408-414
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    • 1999
  • A selective and sensitive method for the derivatization of total homocysteine (Hcy) and the related compounds in plasma by gas chromatograph (GC)-electron capture detector (ECD) has been developed. To determine total homocysteine, cysteine (Cys), and methionine (Met) in human plasma using GC-ECD, analytes were reduced and converted into their N(O,S)-ethylearbonyl pentafluoropropyl (PFP) ester by derivatization with ethyl chloroformate and pentafluoropropyl alcohol (PFP-OH) in plasma. The best derivatizing agent N(O,S)-ethyl carbonyl PFP ester, was chosen by comparing the sensitivity of derivatized analysis in GC-ECD. The derivatized analytes in plasma were extracted by chloroform, and subsequently back-extracted with hexane and analyzed by GC-ECD. The calibration carves ($R^2$ > 0.990) were linear over the range $5-50{\mu}mol/L$ of Hcy and Met, $40-400{\mu}mol/L$ of Cys spiked in plasma. The detection limit observed by the established method was below $0.5{\mu}mol/L$. This method is highly sensitive and specific in the analysis of Hcy, Cys, and Met. Therefore, we suggest that this method is appropriate in the analysis of trace concentration of Hcy, Cys, and Met in biological fluids.

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