• Title/Summary/Keyword: SLT

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Trends of Smokeless Tobacco use among Adults (Aged 15-49 Years) in Bangladesh, India and Nepal

  • Sinha, Dhirendra N;Rizwan, SA;Aryal, Krishna K;Karki, Khem B;Zaman, Mostafa M;Gupta, Prakash C
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.15
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    • pp.6561-6568
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    • 2015
  • Background: Smokeless tobacco (SLT) has long been realized as an important component of the fight for global tobacco control. It still remains a major problem in countries like India, Bangladesh and Nepal. The objective of this study was to estimate the trends of SLT use in three countries of the SEARO WHO office. Materials and Methods: We used data from national surveys in three countries (Bangladesh, India and Nepal) to estimate trends in prevalence of current SLT use. All available nationally representative data sources were used. Estimates were weighted, age standardized and given along with 95% confidence intervals. Significance of linear trend in prevalence over time was tested using the Cochrane-Armitage test for trend. A p value of less than 0.05 was considered statistically significant. Results: We identified three surveys for Bangladesh, three for India and four for Nepal that met the selection criteria (such as Demographic and Health Surveys, WHO-STEPwise approach to Surveillance and Global Adult Tobacco Surveys). A significantly increasing trend was noticed in the prevalence of current SLT use among Bangladeshi men (20.2% to 23%, p=0.03). In India, a similar significantly increasing trend was seen among men (27.1% to 33.4%, p<0.001) and women (10.1% to 15.7%, p<0.001). In Nepal, there was a no significant trend among both men (39.1% to 31.6%, p=0.11) and women (5.6% to 4.7%, p=0.49). Conclusions: In the study countries SLT use has remained at alarmingly high levels. Usage trends do not show any signs of decline in spite of control efforts. Tobacco control measures should focus more on controlling SLT use.

Hypokalemia as a risk factor for prolonged QT interval and arrhythmia in inherited salt-losing tubulopathy

  • Seong Ryeong Kang;Yo Han Ahn;Hee Gyung Kang;Naye Choi
    • Childhood Kidney Diseases
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    • v.27 no.2
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    • pp.105-110
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    • 2023
  • Purpose: To analyze electrocardiograms (ECGs) of patients with a salt-losing tubulopathy (SLT) and to determine the frequency and risk factors for long QT and arrhythmia. Methods: A total of 203 patients aged <19 years with SLT, specifically Bartter syndrome and Gitelman syndrome, who had a 12-lead ECG were included in this retrospective study. We analyzed the presence of an arrhythmia or prolonged corrected QT (QTc) on ECGs obtained for these patients. Demographic and laboratory data were compared between patients with abnormal and normal ECG findings. Results: Out of the 203 SLT patients, 38 (18.7%) underwent electrocardiography and 10 (40.0%) of 25 patients with inherited SLT had abnormal ECG findings, including prolonged QTc and arrhythmias. The abnormal ECG group had significantly lower serum potassium levels than the normal group (median [interquartile range]: 2.50 mmol/L [2.20-2.83] vs. 2.90 mmol/L [2.70-3.30], P=0.036), whereas other serum chemistry values did not show significant differences. The cutoff level for a significant difference in QTc interval was serum potassium level <2.50 mmol/L. One cardiac event occurred in a 13-year-old boy, who developed paroxysmal supraventricular tachycardia and underwent cardiac ablation. No sudden cardiac deaths occurred in this cohort. Conclusions: The incidence of ECG abnormalities in patients with inherited SLT was 40.0%, whereas the ECG screening rate was relatively low (18.7%). Therefore, we recommend ECG screening in patients with inherited SLT, especially in those with serum potassium level <2.50 mmol/L.

Detection of Enterohemorrhagic Escherichia coli O157:H7 Strains Using Multiplex Polymerase Chain Reaction (Multiplex PCR을 이용한 장출혈성 대장균 O157:H7의 검출)

  • 엄용빈;김종배
    • Biomedical Science Letters
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    • v.4 no.1
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    • pp.43-56
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    • 1998
  • A multiplex PCR method was designed by employing primers specific for the eaeA gene, conserved sequences of Shiga-like toxins (SLT-I.II), and the 60-MDa plasmid of enterohemorrhagic E. coli (EHEC) O157:H7 strain. A set of six synthetic oligonucleotide primers derived from sequences of the SLT-I.II, eaeA, and 60-MDa plasmid genes of E. coli O157:H7 were used in a multiplex PCR amplification procedure to detect these genes in the same enteric pathogens. In two enterohemorrhagic E. coli O157:H7 (ATCC 35150, ATCC 43894) reference strains, PCR products of 317bps (eaeA), 228bps (SLT-I.II), and 167bps (60-MDa plasmid) were successfully amplified simultaneously in a single reaction. However, the specific PCR products were not amplified in control strains of other enteric bacteria. The sensitivity of the multiplex PCR assay for detection of the SLT-I.II, eaeA, and 60-MDa plasmid genes of E. coli O157:H7 was found to be 2.5$\times$10$^{6}$ of bacteria in diarrheal stool to amplify all three bands. The multiplex PCR technology will allow large-scale screening of many clinical specimens or contaminated foods, and will be a very useful method for the detection of a wide range of microorganisms present in the environment, including EHEC O157:H7 in various types of specimens. The multiplex PCR assay has the potential to be used as a specific and rapid method for clinical diagnosis of disease caused by EHEC O157:H7.

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Use of Smoke-less Tobacco Amongst the Staff of Tertiary Care Hospitals in the Largest City of Pakistan

  • Valliani, Arif;Ahmed, Bilawal;Nanji, Kashmira;Valliani, Salimah;Zulfiqar, Beenish;Fakih, Misbah;Mehdi, Mehwish;Khan, Anam;Sheikh, Sana Arshad;Fatima, Nida;Ahmad, Sobia;Farah, Fariya;Saleem, Shaheera;Ather, Sana;Majid, Syed Khubaib;Hashmi, Syed Salman;Arjan, Sunil
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.5
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    • pp.2315-2317
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    • 2012
  • Background: Use of smoke-less tobacco (SLT) is very common in South and South-East Asian countries. It is significantly associated with various types of cancers. The objectives of this study were to assess the proportion of hospital staff that use SLT, and to identify the factors associated with its use and their practices. Methods: In a cross-sectional study, 560 staff of two tertiary care hospitals were interviewed in the year 2009. Nurses, ward boys and technicians were counted as a paramedic staff while drivers, peons, security guards and housekeeping staff were labeled as non-paramedic staff. SLT use was considered as usage of any of the following: betel quid (paan) with or without tobacco, betel nuts with or without tobacco (gutkha) and snuff (naswar). Results: About half (48.6%) of the hospital staff were using at least one type of SLT. Factors found to be statistically significant with SLT were being a male (OR=2.5; 95% CI=1.8-3.7); having no/fewer years of education (OR=1.7; 95% CI=1.2-2.4) and working as non-paramedic staff (OR=2.6; 95% CI=1.8-3.8). Majority of SLT users were using it on regular basis, for > 5 years and keeping the tobacco products in the oral cavity for >30 minutes. About half of the users started due to peer pressure and had tried to quit this habit but failed. Conclusion: In this study, about half of the study participants were using SLT in different forms. We suggest educational and behavioral interventions for control of SLT usage.

Epidemiological analysis of Escherichia coli O157 : H7 by pulsed-field gel electrophoresis and multiplex polymerase chain reaction

  • Jung, Byeong-yeal;Jung, Suk-chan;Cho, Dong-hee;Kim, Jong-yeom;Kim, Bong-hwan
    • Korean Journal of Veterinary Research
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    • v.39 no.2
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    • pp.338-342
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    • 1999
  • Twenty three strains of Escherichia (E) coli O157 : H7 isolated from Korea, Japan, USA were analyzed by pulsed-field gel electrophoresis (PFGE) of XbaI-digested chromosomal DNA and multiplex polymerase chain reaction. Various PFGE patterns of E. coli O157 : H7 were found on the same farm. Most of the E, coli O157 : H7 strains had shiga-like toxin (slt) II gene only (43.5%) or both slt I and slt II genes(30.4%). eaeA gene was highly conserved in the E. coli O157 : H7. There was no correlation between PFGE and slt gene patterns. The results indicate that various genotypes of E. coli O157 : H7 have spread throughout the country and genomic DNA patterns generated by PFGE are highly specific for different strains and have significant value in epidemiologic investigations of infectious disease outbreaks.

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Cancer Perceptions Among Smokeless Tobacco Users: A Qualitative Study of US Firefighters

  • Jitnarin, Nattinee;Poston, Walker S.C.;Jahnke, Sara A.;Haddock, Christopher K.;Kelley, Hannah N.
    • Safety and Health at Work
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    • v.11 no.3
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    • pp.284-290
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    • 2020
  • Background: Prevalence rates of smokeless tobacco (SLT) use among firefighters are remarkably high and substantially higher than similar occupational groups and the general U.S. population. The purpose of this study was to explore the perspectives of fire service personnel regarding cancer and its associations with tobacco and SLT use. Methods: This descriptive study used a qualitative approach. Key informant interviews were conducted in 39 career firefighters and fire service administration from across the U.S. Discussion were recorded, transcribed verbatim and transferred to NVivo software for narrative analysis. Topics explored included cancer perceptions, attitudes and beliefs, and cultural factors related to SLT use behaviors. Results: Major themes that emerged among fire service personnel included concerns about cancer and its risk factors including firefighting tasks, such as fire overhaul operations, and from their lifestyle behaviors, such as alcohol and tobacco use. Firefighters also suggested a number of reasons for their increased SLT use, such as fire department tobacco-free policy and fire service culture. Conclusion: The current study provides a rich foundation for future research, prevention, and intervention efforts for the fire service and research communities regarding tobacco and SLT use and cancer risk. Additional research on firefighters' cancer beliefs deserves future research in order to improve messaging about the risks of cancer due to firefighting.

A Study on the Prediction of Elastic Modulus in Short Fiber Composite Materials (단섬유 복합재료의 탄성계수 예측에 관한 연구)

  • Kim Hong Gun
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.29 no.2 s.233
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    • pp.318-324
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    • 2005
  • Theoretical efforts are performed to extend the formulation of NSLT(New Shear Lag Theory) for the prediction of the elastic modulus in short fiber composite. The formulation is based on the elastic stress transfer considering the stress concentration effects influenced by elastic modulus ratio between fiber and matrix. The composite modulus, thus far, is calculated by changing the fiber aspect ratio and volume fraction. It is found that the comparison with FEA(Finite Element Analysis) results gives a good agreement with the present theory (NSLT). It is also found that the NSLT is more accurate than the SLT(Shear Lag Theory) in short fiber regime when compared by FEA results. However, The modulus predicted by NSLT becomes similar values that of SLT when the fiber aspect ratio increases. Finally, It is shown that the present model has the capability to predict the composite modulus correctly in elastic regime.

The Design and Implementation of GSA(Grid System Account) for an Effective Analyzation of Enterprise Grid Computing system (Enterprise Grid Computing 시스템의 효율적 분석을 위한 GSA 시스템의 설계와 구현)

  • Chung, Moon-Ki
    • Annual Conference of KIPS
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    • 2007.05a
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    • pp.540-543
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    • 2007
  • 최근의 그리드 컴퓨팅 시스템 환경은 단일 환경에서 작게는 2~4CPU, 많게는 수백 CPU 이상의 시스템으로 구축되고 있고, 더욱이 지역적으로도 멀리 떨어져 있다. 따라서 이를 운용하는 기업에서는 시스템의 사용 현황을 신속하게 분석할 필요가 있다. 그러나 이렇게 혼재된 이 기종 및 컴퓨팅 환경하에서의 각 지역별 시스템 사용현황을 효과적으로 분석 한다는 것은 매우 어려운 일이다. 기존에 사용되어 온 그리드 컴퓨팅 시스템 환경에서의 사용율 관리 방법들은 Queueing 시스템이 가지고 있는 Accounting 분석 명령어로 text 형태의 Accounting raw data 의 결과를 추출하여 가공 처리하므로 데이터 증가 시 반응 속도가 현격하게 느려지는 상황이 발생한다. 또한 원격지 그리드 컴퓨팅 시스템 군의 사용율 분석은 데이터 분석 시 매번 원격지접근 절차를 사용하여 그리드 컴퓨팅 시스템 군에 접근한 후 해당 로컬 시스템 분석을 해야 하고 각 원격지시스템군별로 추출 된 데이터를 통합 관리해야 하는 문제점을 가지고 있다. 따라서 이러한 문제점을 해결하고자 하는 것이 본 논문에서 제안하는 3-tier 구조의 GSA(Grid System Account)이다. 제안한 GSA 는 각 원격지 별 데이터를 객체화하여 Database 에 저장 함으로써 데이터 분석 시 효과적으로 처리할 수 있으며, 다수의 원격지 그리드 컴퓨팅 시스템 군에 대한 복합적인 분석이 필요할 때 효율적으로 대처할 수 있다. 본 논문에서는 GSA 의 설계방법을 제안하고 구현하여 실 성능을 시험함으로써 보다 효율적인 그리드 컴퓨팅 시스템의 사용율 분석 관리가 가능함을 보였다.포는 감수성을 보이지 않았다. 따라서 위의 결과로부터 SLT-I에 감수성을 보이지 않은 Raw264.7세포를 대상으로 Gb3 발현 정도와 SLT-I의 세포독성의 관계를 규명하고자 Gb3의 발현을 증가시킨 후 SLT-I의 세포독성을 재차 평가하였다. 이 결과 $TNF-{\alpha}$의 처리에 의하여 6 hrs에 Gb3의 발현이 정점(43.5%)에 이르렀으며 36 hrs에 정상 수준(25.0%)으로 환원되었다. 그러나, Gb3의 발현이 증가함에도 불구하고 SLT-I의 세포독성에는 변화가 관찰되지 않았다. 따라서, SLT-I에 의한 세포독성은 세포의 종류에 따라서 다르며 또한, Gb3의 발현정도에만 의존적이지는 않을 것으로 생각된다. 이와 같은 결과는 E. coli 0157의 감염증 병인 연구에 있어 SLT-I과 Gb3의 발현의 상관관계에 대한 보다 심도 있는 연구가 필요함을 시사한다.만 분할률, 배반포 형성률 및 배반포의 세포수를 증가시키는 것으로 사료된다.수의 유출입 지점에 온도센서를 부착하여 냉각수의 온도를 측정하고 냉각수의 공급량과 대기의 온도 등을 측정하여 대사열의 발생을 추정할 수 있었다. 동시에 이를 이용하여 유가배양시 기질을 공급하는 공정변수로 사용하였다 [8]. 생물학적인 폐수처리장치인 활성 슬러지법에서 미생물의 활성을 측정하는 방법은 아직 그다지 개발되어있지 않다. 본 연구에서는 슬러지의 주 구성원이 미생물인 점에 착안하여 침전시 슬러지층과 상등액의 온도차를 측정하여 대사열량의 발생량을 측정하고 슬러지의 활성을 측정할 수 있는 방법을 개발하였다.enin과 Rhaponticin의 작용(作用)에 의(依)한 것이며, 이

Comparative Transcriptomic Analysis of MAPK-Mediated Regulation of Sectorization in Cryphonectria parasitica

  • Chun, Jeesun;So, Kum-Kang;Ko, Yo-Han;Kim, Jung-Mi;Kim, Dae-Hyuk
    • Molecules and Cells
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    • v.42 no.4
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    • pp.363-375
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    • 2019
  • Fungal sectorization is a complex trait that is still not fully understood. The unique phenotypic changes in sporadic sectorization in mutants of CpBck1, a mitogen-activated protein kinase kinase kinase (MAPKKK) gene, and CpSlt2, a mitogen-activated protein kinase (MAPK) gene, in the cell wall integrity pathway of the chestnut blight fungus Cryphonectria parasitica have been previously studied. Although several environmental and physiological factors cause this sectoring phenotype, genetic variants can also impact this complex morphogenesis. Therefore, RNA sequencing analysis was employed to identify candidate genes associated with sectorization traits and understand the genetic mechanism of this phenotype. Transcriptomic analysis of CpBck1 and CpSlt2 mutants and their sectored progeny strains revealed a number of differentially expressed genes (DEGs) related to various cellular processes. Approximately 70% of DEGs were common between the wild-type and each of CpBck1 and CpSlt2 mutants, indicating that CpBck1 and CpSlt2 are components of the same MAPK pathway, but each component governs specific sets of genes. Functional description of the DEGs between the parental mutants and their sectored progenies revealed several key pathways, including the biosynthesis of secondary metabolites, translation, amino acid metabolism, and carbohydrate metabolism; among these, pathways for secondary metabolism and translation appeared to be the most common pathway. The results of this comparative study provide a better understanding of the genetic regulation of sector formation and suggest that complex several regulatory pathways result in interplays between secondary metabolites and morphogenesis.