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Treatment of Refractory Chylous Ascites with an Innovative Peritoneovenous Shunt: Temporary Usage of a Continuous Renal Replacement System: A Case Report

  • Park, Jiyoun;Lee, Jae Jun;Lee, Jung Hee;Shim, Young Mog
    • Journal of Chest Surgery
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    • v.55 no.1
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    • pp.81-84
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    • 2022
  • Esophagectomy and esophageal reconstruction are commonly chosen as surgical options for esophageal cancer. However, prolonged untreated chyle leakage is associated with a poor prognosis. We report the case of a patient with refractory chylous ascites. To limit the ongoing fluid loss, we utilized the chylous ascites as an additional fluid source in a renal replacement therapy system. A continuous renal replacement therapy (CRRT) drainage system was modified to drain both the chylous ascites and venous blood. The ascites drainage rate was determined empirically and regulated by a dial-flow extension set. The CRRT mode was set to continuous venovenous hemodiafiltration and maintained for 7 days. After the patient was weaned from CRRT, ascites did not reaccumulate, and the patient's general condition improved dramatically. No infections related to the system occurred. This procedure temporarily alleviates symptoms and provides more time for alternative treatment strategies.

The role of NUMB/NUMB isoforms in cancer stem cells

  • Choi, Hye Yeon;Seok, Jaekwon;Kang, Geun-Ho;Lim, Kyung Min;Cho, Ssang-Goo
    • BMB Reports
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    • v.54 no.7
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    • pp.335-343
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    • 2021
  • Cancer stem cells (CSCs) are a subpopulation of cancer that can self-renew and differentiate into large tumor masses. Evidence accumulated to date shows that CSCs affect tumor proliferation, recurrence, and resistance to chemotherapy. Recent studies have shown that, like stem cells, CSCs maintain cells with self-renewal capacity by means of asymmetric division and promote cell proliferation by means of symmetric division. This cell division is regulated by fate determinants, such as the NUMB protein, which recently has also been confirmed as a tumor suppressor. Loss of NUMB expression leads to uncontrolled proliferation and amplification of the CSC pool, which promotes the Notch signaling pathway and reduces the expression of the p53 protein. NUMB genes are alternatively spliced to produce six functionally distinct isoforms. An interesting recent discovery is that the protein NUMB isoform produced by alternative splicing of NUMB plays an important role in promoting carcinogenesis. In this review, we summarize the known functions of NUMB and NUMB isoforms related to the proliferation and generation of CSCs.

Development of Modular Control System Based on Closed-Loop Control for Wind Farms

  • Ji, Hyunho;Kim, Taehyoung;Lim, Jeongtaek;Ham, Kyung Sun
    • Journal of Internet Computing and Services
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    • v.22 no.6
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    • pp.17-24
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    • 2021
  • The use of renewable energy sources for power generation has been steadily increasing. Power generation using renewable energy has the advantage of not generating carbon but has the disadvantage of high volatility depending on the weather. This volatility makes stable power supply difficult. Curtailment is occurring to address volatility. Various facilities are operated together to solve the loss caused by the curtailment. The existing SCADA must be modified for turbine control reflecting the conditions of various facilities. However, since it is difficult to modify SCADA, a modular control system is required. In this study, we propose Modular Control System Based on Closed-Loop Control for Wind Farms. Since the control logic can be changed without modifying SCADA, it is easy to respond to changes. The developed modular control system was evaluated as a lab test and confirmed to operate smoothly. Through future research, the experiment will be conducted by applying a modular control system to the actual wind farm.

DEMO: Deep MR Parametric Mapping with Unsupervised Multi-Tasking Framework

  • Cheng, Jing;Liu, Yuanyuan;Zhu, Yanjie;Liang, Dong
    • Investigative Magnetic Resonance Imaging
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    • v.25 no.4
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    • pp.300-312
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    • 2021
  • Compressed sensing (CS) has been investigated in magnetic resonance (MR) parametric mapping to reduce scan time. However, the relatively long reconstruction time restricts its widespread applications in the clinic. Recently, deep learning-based methods have shown great potential in accelerating reconstruction time and improving imaging quality in fast MR imaging, although their adaptation to parametric mapping is still in an early stage. In this paper, we proposed a novel deep learning-based framework DEMO for fast and robust MR parametric mapping. Different from current deep learning-based methods, DEMO trains the network in an unsupervised way, which is more practical given that it is difficult to acquire large fully sampled training data of parametric-weighted images. Specifically, a CS-based loss function is used in DEMO to avoid the necessity of using fully sampled k-space data as the label, thus making it an unsupervised learning approach. DEMO reconstructs parametric weighted images and generates a parametric map simultaneously by unrolling an interaction approach in conventional fast MR parametric mapping, which enables multi-tasking learning. Experimental results showed promising performance of the proposed DEMO framework in quantitative MR T1ρ mapping.

A Case of Amyotrophic Lateral Sclerosis (근 위축성 측삭 경화증 환자 1례 보고)

  • Kim, Tae-jung;Moon, A-ji;Lee, Seoung-geun;Lee, Key-sang
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.13 no.1
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    • pp.77-85
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    • 2012
  • Amyotrophic lateral sclerosis(ALS) is a progressive disorder that causes degeneration of motor neurons of the brain and spinal cord. It is characterized by loss of motor neurons leading to muscle weakness, and sensation and mental function stay intact during the course of the disease. Diagnostic tests include magnetic response imaging(MRI), electromyogram(EMG), muscle biopsy, and blood tests. In order to a definitive diagnosis of ALS, damage must be evident in both upper and lower motor neurons. When three limbs are sufficiently affected, the diagnosis is ALS. There is no cure for ALS. We experienced one case of ALS, the patients was diagnosed as ALS by EMG and symptoms. We diagnosed her as ShinEumHur(SEH) and treated by Choakwiyeum(左歸飮). We report the change of her symptoms through oriental medical treatment.

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A study on the evaluation of structural stability of masonry cultural heritage based on the characteristics of the back-fill material and the stiffness of the ground (뒤채움재의 물성과 지반의 강성에 따른 석축 문화재의 구조 안정성 평가 연구)

  • Lee, Ga-Yoon;Lee, Sung-Min;Kim, Jae Young;Lee, Kihak
    • Journal of Korean Association for Spatial Structures
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    • v.24 no.2
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    • pp.53-63
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    • 2024
  • The cultural heritage of fortresses is often exposed to external elements, leading to significant damage from stone weathering and natural disasters. However, due to the nature of cultural heritage, dismantling and restoration are often impractical. Therefore, the stability of fortress cultural heritage was evaluated through non-destructive testing. The durability of masonry cultural heritages is greatly influenced by the physical characteristics of the back-fille material. Dynamic characteristics were assessed, and endoscopy was used to inspect internal fillings. Additionally, a finite element analysis model was developed considering the surrounding ground through elastic wave exploration. The analysis showed that the loss of internal fillings in the target cultural heritage site could lead to further deformation in the future, emphasizing the need for careful observation.

Permanent Mycoplasma Removal Removel from Tissue Culture Cells: A Genetic Approach

  • Motr, Gabriele;Preininger, Alexandra;Himmelspach, Michele;Plaimauer, Barbara;Arbesser, Christine;York, Heinz;Dorner, Friedrich;Schlokat, Use
    • Biotechnology and Bioprocess Engineering:BBE
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    • v.5 no.2
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    • pp.84-91
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    • 2000
  • Mycopasma contamination of tissue culture cells easily evades detection and, thus, represents a continous therat to cell biologists. In case where infected cell can not simply be replaced, attempts have to be made to eradicate mycoplacma from the tissue culture cells. A variety of anti-microbial agents have been shown to be toxic to mycoplasma strains ; however, cell associated mycoplasma are often protected from antibiotics at concentrations shown to be effective in vitro. Antibiotic concentrations high enough to be lethal to cell as sociated mycoplasmas frequently are also detrimentrations to the host cells, while moderately increased antibiotic levels tolerated by the host cells often lead to only temporary growth suppression and/or to the emergence of mycoplasma strains resistanct even to high concentrations of the antibiotis applied. Hare, a genetic approach for the elimination of mycoplasma from tissue culture cells that overcomes thens limitations is described. By expression of a selection marker conferring resistance to an otherwise toxic agent, Acholeplasma laidlawii infected BHK-21 cells used as the model system were enabled to temporarily tolerate antibiotic concentrations high enough to be lethal to cell associated mycopalsma while leaving the host cells unharmed. Upon successful mycoplasma eradicated, cultvation of the cured host cells in the absence of the selective agent yielded revertant cell clones that had regained susceptibillity to the toxic agent. Cressation of the selection marker expression was shown to result from the loss of the selection marker DNA, which is a consequence of the fact that the stable and permanent integration of foreign DNA in eucaryotic cell chrosomes is highly inefficient. Thus, the cells were cured from mycoplasma yet remained biochemically unaltered.

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Studies on Fabrication of Novel Micromachined SIR. Bandpass Filter Using DAMLs (DAML 구조를 이용한 새로운 형태의 SIR대역 통과 여파기의 설계 및 제작)

  • Baek Tae-Jong;Ko Baek-Seok;Kim Sung-Chan;Lim Byeong-Ok;An Dan;Kim Soon=Koo;Shin Dong-Hoon;Rhee Jin-Koo
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.16 no.7 s.98
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    • pp.760-767
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    • 2005
  • In this paper, we proposed a new type SIR bandpass filter using DAMLs. This filter is consisted of 2 layers with MEMS resonator layer and CPW feed line. DAMLs ring resonator is elevated with $10{\mu}m$ height from GaAs substrate. Using MEMS processing, we are able to realize SIR bandpass filter easily. Furthermore it is useful to integrate on conventional MMICs because it has CPW interfaces and ring resonator is isolated from substrate by air-gap. We optimized and measured the results that $S_{21}$ attenuation at rejected band is over 15 dB, insertion loss is inside the limit of 3 dB, and relative bandwidth is about $10\%$ at 60 GHz.

CGMMV Resistant Watermelon Stock

  • Sung Jegal;Jeon, Bo-Young;Her, Nam-Han;Lee, Jang-Ha;Min Jung;Ryu, Ki-Hyun;Han, Sang-Lyul;Shin, Yoon-Sup;Yang, Seung-Gyun
    • Proceedings of the Korean Society of Plant Pathology Conference
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    • 2003.10a
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    • pp.73.1-73
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    • 2003
  • In order to cultivate watermelon on farm, grafting of the watermelon seedling to the watermelon stock is necessary because the watermelon root is less viable than the root of watermelon stock. Recently, commercially important watermelon varieties further require a resistant stock against especially CGMMV to control the heavy loss of the total yield of watermelon by CGMMV infection. Therefore, we have set out a project to develop a CGNEMV-resistant watermelon stock. We have successfully transformed dozens of watermelon stocks (gongdae) during last two years especially using a cDNA encoding the coat protein of CGMMV (cucumber green mottle mosaic virus). Recently we have tested levels of resistance of those watermelon stocks against CGMMV infection. For CGMMV inoculation, the leaves of one month old gongdae (T1) were rubbed by carborundum mixed with the CGMMV. A total of 140 plants (T1) were exposed to the CGMMV and we found that ten plants were completely resistant to virus infection. This is the first report that by genetic engineering a cucubitaceae crop resistant to CGMMV infection is ever developed. Further information will be provided in the poster.

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The Analysis of Vitamin C Concentration in Organs of $Gulo^{-/-}$ Mice Upon Vitamin C Withdrawal

  • Kim, Hye-Min;Bae, Se-Yeon;Yu, Yeon-Sil;Kim, Ye-Jin;Kim, Hang-Rae;Hwang, Young-Il;Kang, Jae-Seung;Lee, Wang-Jae
    • IMMUNE NETWORK
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    • v.12 no.1
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    • pp.18-26
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    • 2012
  • Background: Vitamin C is an essential nutrient for maintaining human life. Vitamin C insufficiency in the plasma is closely related with the development of scurvy. However, in vivo kinetics of vitamin C regarding its storage and consumption is still largely unknown. Methods: We used $Gulo^{-/-}$ mice, which cannot synthesize vitamin C like human. Vitamin C level in plasma and organs from $Gulo^{-/-}$ mice was examined, and it compared with the level of wild-type mice during 5 weeks. Results: The significant weight loss of $Gulo^{-/-}$ mice was shown at 3 weeks after vitamin C withdrawal. However, there was no differences between wild-type and vitamin C-supplemented $Gulo^{-/-}$ mice (3.3 g/L in drinking water). The concentration of vitamin C in plasma and organs was significantly decreased at 1 week after vitamin C withdrawal. Vitamin C is preferentially deposited in adrenal gland, lymph node, lung, and brain. There were no significant changes in the numbers and CD4/CD8 ratio of splenocytes in $Gulo^{-/-}$ mice with vitamin C withdrawal for 4 weeks. And the architecture of spleen in $Gulo^{-/-}$ mice was disrupted at 5 weeks after vitamin C withdrawal. Conclusion: The vitamin C level of $Gulo^{-/-}$ mice was considerably decreased from 1 week after vitamin C withdrawal. Vitamin C is preferentially stored in some organs such as brain, adrenal gland and lung.