• 제목/요약/키워드: rare events

검색결과 161건 처리시간 0.021초

Clinical Outcome of Nonfistulous Cerebral Varices: the Analysis of 39 Lesions

  • Kim, Hye Seon;Park, Seong-Cheol;Ha, Eun Jin;Cho, Wong-Sang;Kim, Seung-Ki;Kim, Jeong Eun
    • Journal of Korean Neurosurgical Society
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    • 제61권4호
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    • pp.485-493
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    • 2018
  • Objective : Cerebral varices (CVs) without an arteriovenous shunt, so called nonfistulous CVs, are very rare, and their etiology and natural course are not well understood. The aim of this study is to evaluate the clinical outcomes of nonfistulous CVs by the analysis of 39 cases. Methods : From 2000 to 2015, 22 patients with 39 nonfistulous CVs (${\geq}5mm$) were found by searching the medical and radiologic records of our institute. Clinical data and radiological data including numbers, sizes and locations of CVs and associated anomalies were retrospectively collected and analyzed. Previously reported cases in literature were reviewed as well. Results : The mean age of the patients was 21 years (range, 0-78 years). On average, $1.8{\pm}1.2CVs$ were found per patient. CVs were categorized as either fusiform or saccular depending on their shapes. Two patients had saccular type CVs, seventeen patients had fusiform types, and three patients had both fusiform and saccular CVs. Eight patients had associated compromise of the vein of Galen and the straight sinus. Four of those patients had sinus pericranii, as well. Five patients had CVs that were distal draining veins of large developmental venous anomalies. One patient had associated migration anomaly, and two patients had Sturge-Weber syndrome. Six patients with an isolated cerebral varix were observed. Of the 39 CVs in 22 patients, 20 lesions in 14 patients were followed up in outpatient clinics with imaging studies. The average follow-up duration was 6.6 years. During this period, no neurological events occurred, and all the lesions were managed conservatively. Conclusion : Nonfistulous CVs seemed to be asymptomatic in most cases and remained clinically silent. Hence, we suggest conservative management.

Rehabilitation of a distressed steel roof truss - A study

  • Dar, M.A.;Subramanian, N.;Dar, A.R.;Raju, J.
    • Structural Engineering and Mechanics
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    • 제62권5호
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    • pp.567-576
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    • 2017
  • Structural failures are undesirable events that devastate the construction industry resulting in loss of life, injury, huge property loss, and also affect the economy of the region. Roof truss failures occur mainly due to excessive loading, improper fabrication, deterioration, inadequate repair, etc. Although very rare, a roof truss may even fail due to inappropriate location of supports. One such case was reported from the recent failure of a steel roof truss used in an indoor stadium at Kargil in India. Kargil region, being mountainous in nature, receives heavy snowfall and hence the steel roof trusses are designed for heavy snow loads. Due to inappropriate support location, the indoor stadium's steel roof truss had failed under heavy snow load for which it was designed and became an interesting structural engineering problem. The failure observed was primarily in terms of yielding of the bottom chord under the supports, leading to partial collapse of the roof truss. This paper summarizes the results of laboratory tests and analytical studies that focused on the validation of the proposed remedial measure for rehabilitating this distressed steel roof truss. The study presents the evaluation of (i) significant reduction in strength and stiffness of the distressed truss resulting in its failure, (ii) desired recovery in both strength and stiffness of the rectified truss contributed by the proposed remedial measure. Three types of models i.e., ideal truss model, as build truss model and rectified truss model were fabricated and tested under monotonic loading. The structural configuration and support condition varied in all the three models to represent the ideal truss, distressed truss and the rectified truss. To verify the accuracy of the experimental results, an analytical study was carried out and the results of this analytical study are compared with the experimental ones.

Computational Analysis of Neighboring Genes on Arabidopsis thaliana Chromosomes 4 and 5: Their Genomic Association as Functional Subunits

  • Goh, Sung-Ho;Kim, Tae-Hyung;Kim, Jee-Hyub;Nam, DouGu;Choi, Doil;Hur, Cheol-Goo
    • Genomics & Informatics
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    • 제1권1호
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    • pp.40-49
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    • 2003
  • The genes related to specific events or pathways in bacteria are frequently localized proximate to the genome of their neighbors, as with the structures known as operon, but eukaryotic genes seem to be independent of their neighbors, and are dispersed randomly throughout genomes. Although cases are rare, the findings from structures similar to prokaryotic operons in the nematode genome, and the clustering of housekeeping genes on human genome, lead us to assess the genomic association of genes as functional subunits. We evaluated the genomic association of neighboring genes on chromosomes 4 and 5 of Arabidopsis thaliana with and without respectively consideration of the scaffold/matrix­attached regions (S/MAR) loci. The observed number of functionally identical bigrams and trig rams were significantly higher than expected, and these results were verified statistically by calculating p-values for weighted random distributions. The observed frequency of functionally identical big rams and trig rams were much higher in chromosome 4 than in chromosome 5, but the frequencies with, and without, consideration of the S/MAR in each chromosome were similar. In this study, a genomic association among functionally related neighboring genes in Arabidopsis thaliana was suggested.

Mapping the Mass of the Double Radio Relic Merging Galaxy Cluster PLCK G287+32.9: A Subaru and HST Weak-lensing Analysis

  • Finner, Kyle;Jee, Myungkook James;Dawson, William;Golovich, Nathan;Gruen, Daniel;Lemaux, Brian;Wittman, David
    • 천문학회보
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    • 제42권2호
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    • pp.41.2-41.2
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    • 2017
  • Discovered as the second highest S/N detection of the Planck SZ survey, PLCK G287.0+32.9 is a massive galaxy cluster that belongs to a rare collection of merging clusters that exhibit two radio relics and a radio halo. A feature that makes this cluster even more unique is the separation of the radio relics with one $\sim 400$ kpc to the north-west of the X-ray peak and the other $\sim 2.8$ Mpc to the south-east. This asymmetric configuration requires a complex merging scenario. A key to gaining insight into the events that caused the formation of the merging features is to understand the dark matter mass distribution. Using a weak-lensing technique on deep Subaru and Hubble Space Telescope observations, we map the dark matter mass distribution of PLCK G287.0+32.9. Our investigation detects five significant mass structures. The mass is dominated by a primary structure that is centered near the X-ray peak of the intracluster medium. Four lesser mass structures are detected with two located within $\sim 1\arcmin$ of the primary mass structure, a third to the north-west, and a fourth near the south-east radio relic. Along with these detections, we estimate the mass of each structure and relate their distributions to the intracluster medium and galaxy distributions. In addition, we discuss the relation of the mass structures to the formation of the relics and plausible merging scenarios.

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Cyclin D1, Retinoblastoma and p16 Protein Expression in Carcinoma of the Gallbladder

  • Srivastava, Vineeta;Patel, Brijesh;Kumar, Mohan;Shukla, Mridula;Pandey, Manoj
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권5호
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    • pp.2711-2715
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    • 2013
  • Background: Cancer of the gallbladder is a relatively rare neoplasm with a poor prognosis. The exact mechanisms of its genesis are not known and very little information is available on molecular events leading to labeling this as an orphan cancer. Materials and Methods: In this prospective case control study we evaluated the expression of p16, pRb and cyclin D1 by immunohistochemistry to study the G1-S cell-cycle check point and its possible role in gallbladder carcinogenesis. A total of 25 patients with gallbladder carcinoma (group I), 25 with cholelithiasis (group II) and 10 normal controls. were enrolled Results: Cyclin D1 expression was seen in 10 (40%) patients each with carcinoma and cholelithiasis while only in 2 (20%) of the normal gallbladders but differences were not statistically significant (p value=0.488). p16 was expressed in 12% patients of carcinoma of the gallbladder and 28% of cholelithiasis, however this difference was not statistically significant (p value=0.095). Retinoblastoma protein was found to be expressed in 50% of normal gallbladders and 6 (24%) of carcinoma and 8 (32%) of gallstones. The present study failed to demonstrate any conclusive role of cyclin D1/RB/ p16 pathway in carcinoma of the gallbladder. Conclusions: The positive relation observed between tumor metastasis and cyclinD1 expression and p16 with nodal metastasis suggested that higher cyclin D1/p16 expression may act as a predictive biomarker for aggressive behavior of gallbladder malignancies.

급성호흡곤란증후군을 초래한 위식도역류와 H-형태의 선천기관식도루 1예 (A case of acute respiratory distress syndrome associated with congenital H-type tracheoesophageal fistula and gastroesophageal reflux)

  • 최희원;김묘징;정진아
    • Clinical and Experimental Pediatrics
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    • 제51권8호
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    • pp.892-895
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    • 2008
  • H-형태의 식도기관루 또는 선천 식도 폐쇄 없는 식도 기관루는 소아에서 매우 드문 형태이며, 그 임상 양상도 질환의 중등도에 따라 다양하게 나타난다. 몇몇의 성인에서 발견된 선천 식도 기관루는 이 질환이 조기 진단되기 어려움을 반영한다고 볼 수 있다. 위식도역류는 만성적인 흡인을 일으킬 수 있으며 폐흡인, 생명이 위험할 정도의 호흡기증상 또는 성장장애 등이 흔히 일으킬 수 있는 중한 합병증이다. 저자들은 통상의 치료에 반응을 보이지 않는 반복적인 폐렴과 천명을 동반하고 급성호흡곤란증후군으로까지 진행하였으며 반복된 식도조영촬영에서 심한 위식도역류와 H-형태의 식도기관루가 발견되었던 5개월 남아의 증례를 경험하였기에 이를 보고하는 바이다.

Hiwi Knockdown Inhibits the Growth of Lung Cancer in Nude Mice

  • Liang, Dong;Dong, Min;Hu, Lin-Jie;Fang, Ze-Hui;Xu, Xia;Shi, En-Hui;Yang, Yi-Ju
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권2호
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    • pp.1067-1072
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    • 2013
  • Hiwi, a human homologue of the Piwi family, plays an important role in stem cell self-renewal and is overexpressed in various human tumors. This study aimed to determine whether an RNA interference-based strategy to suppress Hiwi expression could inhibit tumor growth in a xenograft mouse model. A rare population of $SSC^{lo}\;Alde^{br}$ cells was isolated and identified as lung cancer stem cells in our previous study. Plasmids containing U6 promoter-driven shRNAs against Hiwi or control plasmids were successfully established. The xenograft tumor model was generated by subcutaneously inoculating with lung cancer stem cell $SSC^{lo}\;Alde^{br}$ cells. After the tumor size reached about 8 mm in diameter, shRNA plasmids were injected into the mice via the tail vein three times a week for two weeks, then xenograft tumor growth was assessed. In nude mice, intravenously delivery of Hiwi shRNA plasmids significantly inhibited tumor growth compared to treatment with control scrambled shRNA plasmids or the vehicle PBS. No mice died during the experiment and no adverse events were observed in mice administered the plasmids. Moreover, delivery of Hiwi shRNA plasmids resulted in a significant suppressed expression of Hiwi and ALDH-1 in xenograft tumor samples, based on immunohistochemical analysis. Thus, shRNA-mediated Hiwi gene silencing in lung cancer stem cells by an effective in vivo gene delivery strategy appeared to be an effective therapeutic approach for lung cancer, and may provide some useful clues for RNAi gene therapy in solid cancers.

극 저기압(Polar Low) 통과에 의해 발생한 남극 세종기지 강풍 사례 모의 연구 (A Numerical Simulation of Blizzard Caused by Polar Low at King Sejong Station, Antarctica)

  • 권하택;박상종;이솔지;김성중;김백민
    • 대기
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    • 제26권2호
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    • pp.277-288
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    • 2016
  • Polar lows are intense mesoscale cyclones that mainly occur over the sea in polar regions. Owing to their small spatial scale of a diameter less than 1000 km, simulating polar lows is a challenging task. At King Sejong station in West Antartica, polar lows are often observed. Despite the recent significant climatic changes observed over West Antarctica, adequate validation of regional simulations of extreme weather events such as polar lows are rare for this region. To address this gap, simulation results from a recent version of the Polar Weather Research and Forecasting model (Polar WRF) covering Antartic Peninsula at a high horizontal resolution of 3 km are validated against near-surface meteorological observations. We selected a case of high wind speed event on 7 January 2013 recorded at Automatic Meteorological Observation Station (AMOS) in King Sejong station, Antarctica. It is revealed by in situ observations, numerical weather prediction, and reanalysis fields that the synoptic and mesoscale environment of the strong wind event was due to the passage of a strong mesoscale polar low of center pressure 950 hPa. Verifying model results from 3 km grid resolution simulation against AMOS observation showed that high skill in simulating wind speed and surface pressure with a bias of $-1.1m\;s^{-1}$ and -1.2 hPa, respectively. Our evaluation suggests that the Polar WRF can be used as a useful dynamic downscaling tool for the simulation of Antartic weather systems and the near-surface meteorological instruments installed in King Sejong station can provide invaluable data for polar low studies over West Antartica.

Widespread Occurrence of Small Inversions in the Chloroplast Genomes of Land Plants

  • Kim, Ki-Joong;Lee, Hae-Lim
    • Molecules and Cells
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    • 제19권1호
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    • pp.104-113
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    • 2005
  • Large inversions are well characterized in the chloroplast genomes of land plants. In contrast, reports of small inversions are rare and involve limited plant groups. In this study, we report the widespread occurrence of small inversions ranging from 5 to 50 bp in fully and partially sequenced chloroplast genomes of both monocots and dicots. We found that small inversions were much more common than large inversions. The small inversions were scattered over the chloroplast genome including the IR, SSC, and LSC regions. Several small inversions were uncovered in chloroplast genomes even though they shared the same overall gene order. The majority of these small inversions were located within 100 bp downstream of the 3' ends of genes. All had inverted repeat sequences, ranging from 11 to 24 bp, at their ends. Such small inversions form stem-loop hairpin structures that usually have the function of stabilizing the corresponding mRNA molecules. Intra-molecular recombination between the inverted sequences in the stem-forming regions are responsible for generating flip-flop orientations of the loops. The presence of two different orientations of the stem-loop in the trnL-F noncoding region of a single species of Jasminum elegans suggests that a short inversion can be generated within a short period of time. Small inversions of non-coding sequences may influence sequence alignment and character interpretation in phylogeny reconstructions, as shown in nine species of Jasminum. Many small inversions may have been generated by parallel or back mutation events during chloroplast genome evolution. Our data indicate that caution is needed when using chloroplast non-coding sequences for phylogenetic analysis.

말초혈액과 생식선에서 SRY유전자 양성을 보인 Swyer증후군 1례 (A Case of Swyer Syndrome Which showed a Positive SRY Gene in Peripheral Blood and Gonad)

  • 남윤성;이숙환;한정희;조성원;윤태기;이정노;차광열
    • Clinical and Experimental Reproductive Medicine
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    • 제26권2호
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    • pp.275-280
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    • 1999
  • Male sexual differentiation involves a cascade of events initiated by the presence on the Y chromosome of the of the SRY (sex determining region of Y chromosome) gene, which causes the indifferent gonad to develop into a testis. Hormonal products of the testis, predominantly testosterone and Mullerian inhibiting subtance (MIS), then control the sexual differentiation of the developing fetus. SRY is a transcription factor; however, target genes for its action have yet to be identified, because the DNA recognition sequence for SRY is found in many genes. Therefore the study of intersex disorders is being used to identify other genes active in the pathway of sexual differentiation. Patients with 46,XY gonadal dysgenesis, or Swyer's syndrome, have streak gonads, normal stature, and a sexually infantile phenotype with Mullerian structures present. The inheritance is usually sporadic but can be autosomal dominant or X-linked recessive. Unlike 45,X patients, stigmata of Turner syndrome are rare. As many as 20 to 30% of patients are at risk for malignant gonadal tumor formation and should undergo gonadectomy soon after the diagnosis is made. We have experienced a case of Swyer syndrome which showed a positive SRY gene in peripheral blood and gonad. So we report this case with a brief review of literatures.

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