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Usability Evaluation through Gonad Shielding Production of Pediatric Patients by Gender and Age Rating (소아 환자의 성별과 연령별 생식선 차폐체 제작을 통한 유용성 평가)

  • CHOI, Sung-Hyun;PARK, Jung-Eun;Dong, Kyung-Rae;Chung, Woon-Kwan;Ju, Yong-Jin;Yang, Nam-Hee
    • Journal of Radiation Industry
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    • v.9 no.2
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    • pp.69-75
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    • 2015
  • Purpose: The gonad shielding is used to minimize the impact of the exposure to gonads when Abdomen, Pevis and Hip X-ray inspections are conducted on radiation impressionable pediatric patients. By the way, the gonad is palpable difficult and impossible to check visually because it's a sensitive area, so tests are conducted with the approximate location of shielding, thereby appearing problems of not shielding gonads accurately. Accordingly, this study produced shields by age and gender of pediatric patients and studied the method of positioning shields with ASIS as a reference point without palpable sensitive areas, and tried to evaluate its usability. Materials and methods: The study surveyed 30 pediatric patients by gender and age, who came and got inspected in Department of Radiology, our hospital from February 2012 to January 2014 and obtained the value of tolerance by measuring the average size of the pelvis using the distance measurement function of Infinitt Piview with the images stored in the PACS and producing shields by age and gender of pediatric patients and specifying the areas at random for the comparative analysis of pre- and post-using. It calculated the technology statistics($mean{\pm}SD$) with the value of tolerance measured the length using SPSS 12.0 statistical program. Results: As for boys, differences in the tolerance range of pre- and post-using shields were 2.69 mm in case of 1 year old, 2.58 mm in 2 years, 2.37 mm in 3 years, 2.815 mm in 4~5 years, 2.043 mm in 7~10 years, and as for girls, 1.92 mm in 1~2 years, 1.75 mm in 3~4 years, 2.52 mm in 5~6 years and 1.93 mm in 7~10. After analyzing the pre- and post-using shields for all of boys and girls, there were statistically significant differences(P<0.050). Conclusions: It is considered that we can minimize the exposure to gonads and get a better video for diagnosis in testing high biological impressionable pediatric, if we use shields correctly with ASIS as a reference point considering its shape and size by age and gender in Abdomen, Pevis and Hip X-ray inspections.

Stem cell-secreted 14,15-epoxyeicosatrienoic acid rescues cholesterol homeostasis and autophagic flux in Niemann-Pick-type C disease

  • Kang, Insung;Lee, Byung-Chul;Lee, Jin Young;Kim, Jae-Jun;Sung, Eun-Ah;Lee, Seung Eun;Shin, Nari;Choi, Soon Won;Seo, Yoojin;Kim, Hyung-Sik;Kang, Kyung-Sun
    • Experimental and Molecular Medicine
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    • v.50 no.11
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    • pp.8.1-8.14
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    • 2018
  • We previously demonstrated that the direct transplantation of human umbilical cord blood-derived mesenchymal stem cells (hUCB-MSCs) into the dentate gyrus ameliorated the neurological symptoms of Niemann-Pick type C1 (NPC1)-mutant mice. However, the clinical presentation of NPC1-mutant mice was not fully understood with a molecular mechanism. Here, we found 14,15-epoxyeicosatrienoic acid (14,15-EET), a cytochrome P450 (CYP) metabolite, from hUCB-MSCs and the cerebella of NPC1-mutant mice and investigated the functional consequence of this metabolite. Our screening of the CYP2J family indicated a dysregulation in the CYP system in a cerebellar-specific manner. Moreover, in Purkinje cells, CYP2J6 showed an elevated expression level compared to that of astrocytes, granule cells, and microglia. In this regard, we found that one CYP metabolite, 14,15-EET, acts as a key mediator in ameliorating cholesterol accumulation. In confirming this hypothesis, 14,15-EET treatment reduced the accumulation of cholesterol in human NPC1 patient-derived fibroblasts in vitro by suppressing cholesterol synthesis and ameliorating the impaired autophagic flux. We show that the reduced activity within the CYP system in the cerebellum could cause the neurological symptoms of NPC1 patients, as 14,15-EET treatment significantly rescued cholesterol accumulation and impaired autophagy. We also provide evidence that the intranasal administration of hUCB-MSCs is a highly promising alternative to traumatic surgical transplantation for NPC1 patients.

Estimating the urinary sodium excretion in patients with chronic kidney disease is not useful in monitoring the effects of a low-salt diet

  • Kim, Se-Yun;Lee, Yu Ho;Kim, Yang-Gyun;Moon, Ju-Young;Chin, Ho Jun;Kim, Sejoong;Kim, Dong Ki;Kim, Suhnggwon;Park, Jung Hwan;Shin, Sung Joon;Choi, Bum Soon;Lim, Chun Soo;Lee, Minjung;Lee, Sang-ho
    • Kidney Research and Clinical Practice
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    • v.37 no.4
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    • pp.373-383
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    • 2018
  • Background: Several epidemiologic studies have suggested that the urine sodium excretion (USE) can be estimated in lieu of performing 24-hour urine collection. However, this method has not been verified in patients with chronic kidney disease (CKD) or in an interventional study. The purpose of this study was to evaluate the usefulness of estimating USE in a prospective low-salt diet education cohort (ESPECIAL). Methods: A new formula was developed on the basis of morning fasting urine samples from 228 CKD patients in the ESPECIAL cohort. This formula was compared to the previous four formulas in the prediction of 24-hour USE after treatment with olmesartan and low-salt diet education. Results: Most previously reported formulas had low predictability of the measured USE based on the ESPECIAL cohort. Only the Tanaka formula showed a small but significant bias (9.8 mEq/day, P < 0.05) with a low correlation (r = 0.34). In contrast, a new formula showed improved bias (-0.1 mEq/day) and correlation (r = 0.569) at baseline. This formula demonstrated no significant bias (-1.2 mEq/day) with the same correlation (r = 0.571) after 8 weeks of treatment with olmesartan. Intensive low-salt diet education elicited a significant decrease in the measured USE. However, none of the formulas predicted this change in the measured urine sodium after diet adjustment. Conclusion: We developed a more reliable formula for estimating the USE in CKD patients. Although estimating USE is applicable in an interventional study, it may be unsuitable for estimating the change of individual sodium intake in a low-salt intervention study.

Efficacy of First-Line Targeted Therapy in Real-World Korean Patients with Metastatic Renal Cell Carcinoma: Focus on Sunitinib and Pazopanib

  • Kim, Myung Soo;Chung, Ho Seok;Hwang, Eu Chang;Jung, Seung Il;Kwon, Dong Deuk;Hwang, Jun Eul;Bae, Woo Kyun;Park, Jae Young;Jeong, Chang Wook;Kwak, Cheol;Song, Cheryn;Seo, Seong Il;Byun, Seok-Soo;Hong, Sung-Hoo;Chung, Jinsoo
    • Journal of Korean Medical Science
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    • v.33 no.51
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    • pp.325.1-325.10
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    • 2018
  • Background: To evaluate survival outcomes and prognostic factors for overall survival (OS) in patients with metastatic renal cell carcinoma (mRCC) who received sunitinib (SU) and pazopanib (PZ) as first-line therapy in real-world Korean clinical practice. Methods: Data of 554 patients with mRCC who received SU or PZ at eight institutions between 2012 and 2016 were retrospectively reviewed. Based on the targeted therapy, the patients were divided into SU (n = 293) or PZ (n = 261) groups, and the clinicopathological variables and survival rates of the two groups were compared. A multivariable Cox proportional hazard model was used to determine the prognostic factors for OS. Results: The median follow-up was 16.4 months (interquartile range, 8.3-31.3). Patients in the PZ group were older, and no significant difference was observed in the performance status (PS) between the two groups. In the SU group, the dose reduction rate was higher and the incidence of grade 3 toxicity was more frequent. The objective response rates were comparable between the two groups (SU, 32.1% vs. PZ, 36.4%). OS did not differ significantly between the two groups (SU, 36.5 months vs. PZ, 40.2 months; log-rank, P = 0.955). Body mass index, Eastern Cooperative Oncology Group PS > 2, synchronous metastasis, poor Heng risk criteria, and liver and bone metastases were associated with a shorter OS. Conclusion: Our real-world data of Korean patients with mRCC suggested that SU and PZ had similar efficacies as first-line therapy for mRCC. However, PZ was better tolerated than SU in Korean patients.

Selection of Salt Tolerant Rapeseed (Brassica napus L.) Mutant Lines Induced by Irradiation of Proton Ion Beams and Gamma Ray (양성자 및 감마선처리에 의한 유채 내염성 변이계통 선발)

  • Kim, Jun-Su;Eun, Jong-Seon;Han, Seung-Jin
    • Journal of Radiation Industry
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    • v.5 no.3
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    • pp.211-220
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    • 2011
  • This study was carried out to develop salt tolerant varities of rapeseed (Brassica napus L.) which can be grown in the high salty reclaimed land. The seeds of three varieties 'Naehan', 'Tammi', and 'Halla' were treated by proton ion beams and gamma rays with 0 to 2,000 Gy. For the selection of salt tolerant lines, emergence and survival rate, and growth characteristics of $M_2$ to $M_4$ generations were investigated in the Saemangeum reclaimed fields with the different salt concentrations. The lines with potential salt tolerance were selected in the $M_4$ generation and tested indoor for their growth characteristics. There was no significant changes in the soil pH for $M_4$ generation during growth period. However, soil EC was higher in early spring than sowing period (mid October). In $M_4$ generation test, the seeds of original and selected line showed high rates of emergence and survival, as determined one month after sowing. After wintering, however, the original varieties showed the significant reduction in the survival rate, while the selected lines showed a higher survival rate and good growth, leading to the completion of their life cycle. Consequently we selected 9 lines from $M_4$ generation with better performance in growth and yield. Soil EC was $2.8{\sim}4.3dS{\cdot}m^{-1}$ during $M_4$ generation growth period. The laboratory test of the lines selected from $M_4$ generation was made for their salt tolerance potential. The selected lines showed higher chlorophyll and proline contents than the original varieties. There was also no significant difference in the emergence rate of seed between the original and selected varieties. In 200 mM natural sea salt, the $N{\gamma}600-21-1-641$ line derived from 'Naehan' was the highest in growth rate, leaf chlorophyll and proline contents. $T{\gamma}800-20-2-461$ line derived from 'Tammi' didn't show significant difference in growth rate compared to original variety in 200 mM and withered in 250 mM like other lines as time passed. $H{\gamma}200-7-1-740$ line showed similar growth and chlorophyll content compared to its original variety.

The Effects of Co-cultivation Medium and Culture Conditions on Rice Transformation Efficiency (공동배양과정의 배지조성과 배양조건이 벼 형질전환효율에 미치는 영향)

  • Kim, Yul-Ho;Park, Hyang-Mi;Choi, Man-Soo;Yun, Hong-Tai;Choi, Im-Soo;Shin, Dong-Bum;Kim, Chung-Kon;Lee, Jang-Yong
    • Korean Journal of Breeding Science
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    • v.41 no.3
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    • pp.252-260
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    • 2009
  • Rice is the most important cereal crop not only in supplying the basic staple food for more than half of the world's population but also as a model plant for functional genomic studies of monocotyledons. Although rice transformation method using A. tumefaciens has already been widely used to generate transgenic plants, the transformation rate is still low in most Korean elite cultivars. We made several modifications of the standard protocol especially in the co-cultivation step to improve the efficiency of the rice transformation. The co-culture medium was modified by the addition of three antioxidant compounds (10.5 mg/L L-cysteine, 1 mM sodium thiosulfate, 1 mM dithiothreitol) and of Agrobacterium growth-inhibiting agent (5 mg/L silver nitrate). Co-cultivation temperature ($23.5^{\circ}C$ for 1 day, $26.5^{\circ}C$ for 6 days) and duration (7 days) were also changed. The plasmid of pMJC-GB-GUS carrying the GUS reporter gene and the bar gene as the selectable marker was used to evaluate the efficiency of the transformation. After co-cultivation, a high level of GUS gene expression was observed in calli treated with the modified method. It is likely that those newly added compounds helped to minimize the damage due to oxidative bursts during plant cell-Agrobacterium interaction and to prevent necrosis of rice cells. And the transformation rate under the modified method was also remarkably increased approximately 8-fold in Heungnambyeo and 2-fold in Ilmibyeo as compared to the corresponding standard method. Furthermore, we could produce the transgenic plants stably from Ilpumbyeo which is a high-quality rice but its transformation rate is extremely low. Transformation and the copy number of transgenes were confirmed by PCR, bar strip and Southern blot analysis. The improved method would attribute reducing the effort and the time required to produce a large number of transgenic rice plants.

Obesity Prevalence in Pediatric Headaches (소아청소년 두통 환자에서 비만 유병률)

  • Han, A-Luem;Shin, Chan Ok;Cho, Kyoung Soon;Bin, Joong Hyun;Jung, Min Ho;Suh, Byung-Kyu
    • Journal of the Korean Child Neurology Society
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    • v.26 no.4
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    • pp.263-268
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    • 2018
  • Purpose: Obesity and headache are two highly prevalent diseases both in childhood and adolescent. In this study, we assessed the prevalence of obesity in pediatric headaches patients in a single institution in Korea, and differences according to age, sex, headache type, frequency, intensity, and disability. Methods: We retrospectively reviewed the medical records of 340 subjects (6-18 years of age) who visited the Pediatric Headache Clinic of Bucheon St. Mary's Hospital during the period from January 2015 through March 2018. Data on age, sex, height and weight, as well as headache type, frequency, intensity and disability, were collected. Body Mass Index (BMI) percentile was calculated based on the 2017 Korean Children Adolescence Growth Chart. Results: 17.6% of the pediatric headache patients were obese. The prevalence of obesity in male patients was higher than females (Male 23.8% VS Female 11.6%, P=0.002). There were no significant differences in obesity rate according to age, headache type, frequency, intensity, and disability. Conclusion: The prevalence of obesity in the pediatric headache population was 17.6% which is higher than 10.1% in general population (Korea National Health and Nutrition Examination Survey, KNHANES, 2013).

The effects of perceived neighborhood disorder on problem behavior among adolescents -The mediating effects of parent-child stress- (인지된 동네 무질서가 청소년의 문제행동에 미치는 영향 -청소년의 부모관계 스트레스의 매개효과-)

  • Jung, Sun Hee;Yoo, Joan P.
    • Journal of the Korean Society of Child Welfare
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    • no.56
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    • pp.1-32
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    • 2016
  • The present study examined the mediating effects of parent-child stress on the relationship between perceived neighborhood disorder and problem behaviors. The research hypotheses were based on Pearlin's(1999) stress process model and findings from previous literature. The data from the $4^{th}$-wave of the Korea Youth Panel Survey (KYPS; a panel survey of $8^{th}$-grade students) were analyzed to identify the relationships between the study variables. The sample included 2,301 adolescents (16 to 18 years old). Findings showed that parent-child stress partially mediated the relationship between perceived neighborhood disorder and problem behaviors in adolescents. As adolescents perceived more neighborhood disorder, they were more likely to experience anxiety/depression and aggression. In addition, greater neighborhood disorder were found to be associated with the higher levels of the parent-child stress. Furthermore, when controlling for perceived neighborhood disorder, the higher levels of the parent-child stress were found to be associated with the higher levels of anxiety/depression and aggression. The Sobel test and bootstrapping results showed that parent-child stress partially mediates the relationship between perceived neighborhood disorder and anxiety/depression, as well as the relationship between perceived neighborhood disorder and aggression. Based on the results, we discussed social welfare implications of the study findings to prevent adolescent problem behavior as well as the limitations of the study.

Implementation and Evaluation of ECG Authentication System Using Wearable Device (웨어러블 디바이스를 활용한 ECG 인증 시스템 구현 및 평가)

  • Heo, Jae-Wook;Jin, Sun-Woo;Jun, Moon-Seog
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.10
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    • pp.1-6
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    • 2019
  • As mobile technologies such as Internet of Things (IoT)-based smart homes and financial technologies (FinTech) are developed, authentication by smart devices is used everywhere. As a result, presence-based biometric authentication using smart devices has become a new mainstream in knowledge-based authentication methods like the existing passwords. The electrocardiogram (ECG) is less prone to forgery, and high-level personal identification is its unique feature from among various biometric authentication methods, such as the pulse, fingerprints, the face, and the iris. Biometric authentication using an ECG is receiving a great deal of attention due to its uses in healthcare and FinTech. In this study, we implemented an ECG authentication system that allows users to easily measure and authenticate their ECG waveforms using a miniaturized wearable device, rather than a large and expensive measurement device. The implemented ECG authentication system identifies ECG features through P-Q-R-S-T feature point identification, and was user-certified under the proposed authentication protocols. Finally, assessment of measurements in a majority of adult males showed a relatively low false acceptance rate of 1.73%, and a low false rejection rate of 4.14%, in a stable normal state. In a high-activity state, the false acceptance rate was 13.72%, and the false rejection rate was 21.68%. In a high-heart rate state, the false acceptance rate was 10.48%, and the false rejection rate was 11.21%.

A Study on Recycling Plan for the Dehydrated Sludge of Water Treatment Plant (탈수 처리된 정수장 슬러지의 재활용 방안 연구)

  • Chung Youn-In;Chang Yong-Chai;Choi Byoung-Il
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.12 no.2 s.25
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    • pp.107-113
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    • 2006
  • Water treatment plant sludge occurred in sedimentation and inverse wash process is generally disposed by ocean dumping or reclamation after dehydration processing using mechanical or natural dry method. Recently, ocean dumping of sludge is limited actually by London Convention. Physical, chemical, and geotechnical characteristics of water treatment plant sludge were analyzed by experiments. The possibilities for recycling of the dehydration sludges as materials for covering sanitary landfill were examined. Experiments performed with sludges mixed with general soil to improved the sludge properties are the hydrometer analysis, the liquid and plastic limit test, the specific gravity test, the compaction test, and the unconfined compression test. The value of ${\gamma}_{dmax}$ is increased and OMC(Optimum Moisture Content) is lessened with mixed sludge. The value of maximum compressive strength and friction angle are increased and the cohesion is decreased with mixed sludge. The ratio between sludge and soil in mixed sludge was 3:7 and the strength of mixed sludge showed $3.6kg/cm^2$. These results satisfy the regulation of U.S. E.P.A regarding materials for covering sanitary landfill.

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