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Influencing factors for Sleep Disturbance in the Intensive Care Unit Patients: A Systematic Review (중환자실 환자의 수면에 영향을 미치는 요인: 체계적 고찰)

  • Cho, Young Shin;Joung, Sunae
    • Journal of Korean Critical Care Nursing
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    • v.16 no.2
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    • pp.1-14
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    • 2023
  • Purpose : Sleep disturbances in patients in the intensive care unit (ICU) are related to health problems after discharge. Therefore, active prevention and management are required. Hence, identification of the factors that affect sleep in patients who are critically ill is necessary. Methods : The PubMed, Cochrane Library, CINAHL, EMBASE, and Web of Science databases were searched. Selection criteria were observational and experimental studies that assessed sleep as an outcome, included adult patients admitted to the ICU, and published between November 2015 and April 2022. Results : A total of 21,136 articles were identified through search engines and manual searches, and 42 articles were selected. From these, 22 influencing factors and 11 interventions were identified. Individual factors included disease severity, age, pain, delirium, comorbidities, alcohol consumption, sex, sleep disturbance before hospitalization, chronic obstructive pulmonary disease (COPD), cardiovascular disease, and high diastolic blood pressure (DBP), low hemoglobin (Hb), and low respiratory rate (RR). Environmental factors included light level, noise level, and temperature. Furthermore, treatment-related factors included use of sedatives, melatonin administration, sleep management guidelines, ventilator application, nursing treatment, and length of ICU stay. Regarding sleep interventions, massage, eye mask and earplugs, quiet time and multicomponent protocols, aromatherapy, acupressure, sounds of the sea, adaptive intervention, circulation lighting, and single occupation in a room were identified. Conclusion : Based on these results, we propose the development and application of various interventions to improve sleep quality in patients who are critically ill.

Analysis of Fish Activity in Relation to Feeding Events Using Infrared Cameras (적외선 카메라를 활용한 급이 유무에 따른 어류 활동성 분석)

  • Roh, Tae Kyoung;Ha, Sang Hyun;Kim, Ki Hwan;Kang, Young Jin;Jeong, Seok Chan
    • The Journal of Information Systems
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    • v.32 no.4
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    • pp.137-147
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    • 2023
  • Purpose The domestic aquaculture industry in South Korea utilizes both formulated feeds and live feeds for the cultivation of fish. While nutrient-rich live feeds, particularly using fry, have been preferred since the past, formulated feeds are gaining attention due to issues related to overfishing and environmental concerns. Formulated feeds are advantageous for storage and supply but require a sustained feeding regimen due to the comparatively slower growth rate compared to live feeds. As the aging population in rural areas leads to a shortage of labor, automated feeding systems are increasingly being adopted in aquaculture facilities. To enhance the efficiency of such systems, it is crucial to quantitatively analyze the behavioral changes in fish based on the presence or absence of feed. Design/methodology/approach In the study, RGB cameras and infrared cameras were used to analyze fish activity according to feeding, and an outline extraction algorithm was applied to analyze the differences resulting from this. Findings Unlike RGB cameras, infrared cameras are more suitable for analyzing underwater fish activity as they convert objects' thermal energy into images. It was observed that Canny, Sobel, and Prewitt filters showed the most distinct identification of fish activity.

Poly(3-hydroxybutyrate) Degradation by Bacillus infantis sp. Isolated from Soil and Identification of phaZ and bdhA Expressing PHB Depolymerase

  • Yubin Jeon;HyeJi Jin;Youjung Kong;Haeng-Geun Cha;Byung Wook Lee;Kyungjae Yu;Byongson Yi;Hee Taek Kim;Jeong Chan Joo;Yung-Hun Yang;Jongbok Lee;Sang-Kyu Jung;See-Hyoung Park;Kyungmoon Park
    • Journal of Microbiology and Biotechnology
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    • v.33 no.8
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    • pp.1076-1083
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    • 2023
  • Poly(3-hydroxybutyrate) (PHB) is a biodegradable and biocompatible bioplastic. Effective PHB degradation in nutrient-poor environments is required for industrial and practical applications of PHB. To screen for PHB-degrading strains, PHB double-layer plates were prepared and three new Bacillus infantis species with PHB-degrading ability were isolated from the soil. In addition, phaZ and bdhA of all isolated B. infantis were confirmed using a Bacillus sp. universal primer set and established polymerase chain reaction conditions. To evaluate the effective PHB degradation ability under nutrient-deficient conditions, PHB film degradation was performed in mineral medium, resulting in a PHB degradation rate of 98.71% for B. infantis PD3, which was confirmed in 5 d. Physical changes in the degraded PHB films were analyzed. The decrease in molecular weight due to biodegradation was confirmed using gel permeation chromatography and surface erosion of the PHB film was observed using scanning electron microscopy. To the best of our knowledge, this is the first study on B. infantis showing its excellent PHB degradation ability and is expected to contribute to PHB commercialization and industrial composting.

Survival Rates of Larval Abalone by Direct Attack of Pfiesteria and Pfiesteria-like Species (피스테리아와 피스테리아 유사종의 전복 유생 섭식 특성과 생존을 연구)

  • Kim, Jae-Seong;Lee, Chang-Won;Lee, Hee-Mahn;Jeong, Hae-Jin
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.14 no.3
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    • pp.189-194
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    • 2009
  • To investigate the difference in the ecological niches between Pfiesteria piscicida and Pfiesteria-like species (Cryptoperidininopsis brodyi and Stoeckeria algicida), we have observed the feeding behavior of three potential predators on abalone larvae and measured the survival rates of abalone larvae as a function of initial predator concentration. When the predators were mixed with abalone larvae, P. piscicida and C. brodyi became active and exhibited attacking behavior on abalone larvae within a few seconds. They could ingest whole soft body of abalone larvae using a peduncle. In contrast, feeding and attacking behavior were not observed from S. algicida. Survival rates in abalone larvae decreased with an increase of the initial concentration of P. piscicida and C. brodyi. These results indicate that Pfiesteria and Pfiesteria-like species displaying the very same shape and size have different ecological niche in the marine food webs, which implies that identification to species level is definitely important to understand and discriminate the ecological roles of them.

Comparison of Various Joint Decompression Techniques in Septic Arthritis of the Hip in Children: A Systematic Review and Meta-Analysis

  • Sitanshu Barik;Vikash Raj;Sant Guru Prasad;Richa;Varun Garg;Vivek Singh
    • Hip & pelvis
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    • v.35 no.2
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    • pp.73-87
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    • 2023
  • The aim of this review is to conduct an analysis of existing literature on outcomes of application of various methods of joint decompression in management of septic arthritis of the hip in children. A search of literature in PubMed, Embase, and Google Scholar was conducted for identification of studies reporting on the outcomes of intervention for septic arthritis of the hip in children. Of the 17 articles selected, four were comparative studies; two of these were randomized controlled trials while the rest were single arm studies. Statistical difference was observed between the proportion of excellent clinical and radiological outcomes in arthrotomy (90%, 95% confidence interval [CI] 81-98%; 89%, 95% CI 80-98%), arthroscopy (95%, 95% CI 91-100%; 95%, 95% CI 90-99%), and arthrocentesis (98%, 95% CI 97-100%; 99%, 95% CI 97-100%), respectively. The highest overall rate of additional unplanned procedures was observed in the arthrocentesis group (24/207, 11.6%). Patients who underwent arthrocentesis had a statistically greater chance of excellent clinical and radiological outcomes, although the highest level of need for additional unplanned surgical intervention was observed in the arthrocentesis group, followed by the arthroscopy group and the arthrotomy group. Future conduct of a prospective multi-centric study focusing on the developed and developing world, along with acquisition of data. such as delay of treatment and severity of disease will enable assessment of the efficacy of one technique over the other by surgeons worldwide.

Methanol-involved heterogeneous transformation of ginsenoside Rb1 to rare ginsenosides using heteropolyacids embedded in mesoporous silica with HPLC-MS investigation

  • Mengya Zhao;Yusheng Xiao;Yanyan Chang;Lu Tian;Yujiang Zhou;Shuying Liu;Huanxi Zhao;Yang Xiu
    • Journal of Ginseng Research
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    • v.48 no.4
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    • pp.366-372
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    • 2024
  • Background: The biological activity and pharmacological effects of rare ginsenosides have been proven to be superior to those of the major ginsenosides, but they are rarely found in ginseng. Methods: Ginsenoside Rb1 was chemically transformed with the involvement of methanol molecules by a synthesized heterogeneous catalyst 12-HPW@MeSi, which was obtained by the immobilization of 12-phosphotungstic acid on a mesoporous silica framework. High-performance liquid chromatography coupled with mass spectrometry was used to identify the transformation products. Results: A total of 18 transformation products were obtained and identified. Methanol was found to be involved in the formation of 8 products formed by the addition of methanol molecules to the C-24 (25), C-20 (21) or C-20 (22) double bonds of the aglycone. The transformation pathways of ginsenoside Rb1 involved deglycosylation, addition, elimination, cycloaddition, and epimerization reactions. These pathways could be elucidated in terms of the stability of the generated carbenium ion. In addition, 12-HPW@MeSi was able to maintain a 60.5% conversion rate of Rb1 after 5 cycles. Conclusion: Tandem and high-resolution mass spectrometry analysis allowed rapid and accurate identification of the transformation products through the characteristic fragment ions and neutral loss. Rare ginsenosides with methoxyl groups grafted at the C-25 and C-20 positions were obtained for the first time by chemical transformation using the composite catalyst 12-HPW@MeSi, which also enabled cyclic heterogeneous transformation and facile centrifugal separation of ginsenosides. This work provides an efficient and recyclable strategy for the preparation of rare ginsenosides with the involvement of organic molecules.

An Efficient Routing Scheme Based on Node Density for Underwater Acoustic Sensors Networks

  • Rooh Ullah;Beenish Ayesha Akram;Amna Zafar;Atif Saeed;Sultan H. Almotiri;Mohammed A. Al Ghamdi
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.18 no.5
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    • pp.1390-1411
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    • 2024
  • Underwater Wireless Sensors Networks (UWSNs) are deployed in remotely monitored environment such as water level monitoring, ocean current identification, oil detection, habitat monitoring and numerous military applications. Providing scalable and efficient routing is very challenging in UWSNs due to the harsh underwater environment. The biggest difficulties are the nodes inherent movement due to water current, long delay in data transmission, low bandwidth of the acoustic signal, high error rate and energy scarcity in battery powered nodes. Many routing protocols have been proposed to solve the aforementioned problems. There are three broad categories of routing protocols namely depth based, energy based and vector-based routing. Vector Based Forwarding protocols perform routing through virtual pipeline by defining their radius which give proper direction to packets communication. We proposed a routing protocol termed as Path-Oriented Energy Scaled Expanded Vector Based Forwarding (PESEVBF). PESEVBF takes into account all parameters; holding time, the source nodes packets routing path and void holes creation on the second hop; PESEVBF not only considers the packet upward advancement but also focus on density of the forwarded nodes in terms of number of potential forwarding and suppressed nodes for path selection. Node selection in resultant holding time is based on minimum Path Factor (PF) value. Moreover, the suppressed node will be selected for packet forwarding to avoid the void holes occurrences on the second hop. Performance of PESEVBF is compared with other routing protocols using matrices such as energy consumption, packet delivery ratio, packets dropping ratio and duplicate packets creation indicating considerable performance improvement.

Diagnosis of Subclinical Mastitis-Causing Pathogens Using MALDI-TOF Mass Spectrometry in a Certified Organic Dairy Farm in Korea

  • Sung Jae Kim;Hyun-Tae Kim;Yo-Han Kim
    • Journal of Veterinary Clinics
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    • v.40 no.6
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    • pp.393-398
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    • 2023
  • We identified mastitis-causing pathogens using matrix-assisted laser desorption/ionization time-of-flight (MALDI-TOF) in an organic dairy farm and evaluated the effects of antimicrobial restriction on antimicrobial susceptibility. A total of 43 Holstein cows without any clinical sign of mastitis were used in this study, and 172 quarter milk samples were cultured on blood agar plates for 24 hours at 37℃. Subsequently, bacterial species were identified and antimicrobial susceptibility tests were performed. The subclinical mastitis infection rates in the cows and quarters were 58.1% (25/43) and 25.6% (44/172), respectively. In the species identification, Staphylococcus aureus (40.9%) was the most prominent isolate, followed by S. chromogenes (22.7%), S. epidermis (18.2%), S. simulans (11.4%), S. haemolyticus (2.3%), S. muscae (2.3%), and S. xylosus (2.3%). In the antimicrobial susceptibility test, all isolates were 100% susceptible to 24 of 28 antibiotics, except for benzylpenicillin, cefalotin, cefpodoxime, and trimethoprim/sulfamethoxazole. The resistance rates of S. aureus, S. chromogenes, and S. muscae isolates to trimethoprim/sulfamethoxazole were 27.8%, 10%, and 100%, respectively, and the resistance rates of S. epidermis and S. xylosus to benzylpenicillin were 50% and 100%, respectively. S. chromogenes, S. epidermis, S. simulans, S. haemolyticus, and S. xylosus were resistant to cefalotin and cefpodoxime. In conclusion, restrictions on antimicrobial use for organic dairy farm certification have resulted in a high Staphylococcus spp. infection rate. Therefore, our study indicates the importance of mastitis management strategies implemented by farmers together with veterinary practitioners, even if mastitis does not appear clinically in organic dairy farms.

Development of a sequence-characterized amplified region (SCAR) marker for female off-season flowering detection in date palm (Phoenix dactylifera L.)

  • Lalita Kethirun;Puangpaka Umpunjun;Ngarmnij Chuenboonngarm;Unchera Viboonjun
    • Journal of Plant Biotechnology
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    • v.50
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    • pp.190-199
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    • 2023
  • Date palm (Phoenix dactylifera L.: Arecaceae) is a dioecious species where only female trees bear fruits. In their natural state, date palms produce dates once a year. However, in Thailand, some trees were observed to produce dates during the off-season, despite no variations in morphology. The availability of such off-season fruits can significantly increase their market value. Interestingly, most female off-season date palms investigated in this study were obtained through micropropagation. Hence, there is an urgent need for genetic markers to distinguish female offseason flowering plantlets within tissue culture systems. In this study, we aimed to develop random amplification of polymorphic DNA-sequence characterized amplified region (RAPD-SCAR) markers for the identification of female off-season flowering date palms cultivated in Thailand. A total of 160 random decamer primers were employed to screen for specific RAPD markers in off-season flowering male and female populations. Out of these, only one primer, OPN-02, generated distinct genomic DNA patterns in female off-season flowering (FOFdp) individuals compared to female seasonal flowering genotypes. Based on the RAPD-specific sequence, specific SCAR primers denoted as FOFdpF and FOFdpR were developed. These SCAR primers amplified a single 517-bp DNA fragment, predominantly found in off-season flowering populations, with an accuracy rate of 60%. These findings underscore the potential of SCAR marker technology for tracking offseason flowering in date palms. Notably, a BLAST analysis revealed a substantial similarity between the SCAR marker sequence and the transcript variant mRNA from Phoenix dactylifera encoding the SET DOMAIN GROUP 40 protein. In Arabidopsis, this protein is involved in the epigenetic regulation of flowering time. The genetic potential of the off-season flowering traits warrants further elucidation.

Systematic intraoperative cholangiography during elective laparoscopic cholecystectomy: Is it a justifiable practice?

  • Francesco Esposito;Iolanda Scoleri;Rafika Cattan;Marie Cecile Cook;Dorin Sacrieru;Nouredine Meziani;Marco Del Prete;Morad Kabbej
    • Annals of Hepato-Biliary-Pancreatic Surgery
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    • v.27 no.2
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    • pp.166-171
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    • 2023
  • Backgrounds/Aims: Routine execution of intraoperative cholangiography (IOC) in laparoscopic cholecystectomy (LC) is considered a good practice to help early identification of biliary duct injuries (BDIs) or common bile duct (CBD) stones. This study aimed to determine the impact of IOC during LC. Methods: This is a retrospective, monocentric study, including patients with a LC performed from January 2020 to December 2021. Results: Of 303 patients, 215 (71.0%) were in the IOC group and 88 (29.0%) in the no-IOC group. IOC was incomplete or unclear in 10.7% of patients, with a failure rate of 14.7%. Operating time was 15 minutes longer in the IOC group (p = 0.01), and postoperative complications were higher (5.1% vs. 0.0%, p = 0.03). There were three BDIs (0.99%), all included in the IOC group; only one was diagnosed intraoperatively, and the other two were identified during the postoperative course. Regarding identifying CBD stones, IOC showed a sensitivity of 77%, a specificity of 98%, an accuracy of 97.2%, a positive predictive value of 63% and a negative predictive value of 99%. Conclusions: Systematic IOC has shown no specific benefits and prolonged operative duration. IOC should be performed on selected patients or in situations of uncertainty on the anatomy.