• Journal of Chest Surgery
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• v.56 no.2
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• pp.147-150
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• 2023

A child being supported with an extracorporeal ventricular assist device, such as the Berlin Heart EXCOR (Berlin Heart GmbH, Berlin, Germany), must have at least 2 large cannulae for a long period. Management of cannula wounds is crucial since a cannula forms a track of prosthetic material passing the mediastinum to the heart. Deep wound complications, if they occur, can be troublesome and difficult to control with conventional methods. We applied vacuum-assisted closure to a patient who had Berlin-Heart EXCOR and a gap at the cannulation site. Herein, we describe the technical aspects of management in detail.

• Korean Journal of Radiology
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• v.2 no.3
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• pp.171-174
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• 2001

Shaken baby syndrome (SBS) is a form of child abuse that can cause significant head injuries, of which subdural hematoma (SDH) is the most common manifestation. We report the MRI findings of chronic SDH in three cases of SBS, involving two-, three- and eight-month-old babies. The SDH signal was mostly low on T1-weighted images and high on T2-weighted images, suggesting chronic SDH. In chronic SDH, a focal high signal on T1-weighted images was also noted, suggesting rebleeding. Contrast-enhanced MRI revealed diffuse dural enhancement.

• International Journal of Heart Failure
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• v.6 no.2
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• pp.47-55
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• 2024

Heart failure with mid-range ejection fraction (HFmrEF) and preserved ejection fraction (HFpEF) represent over half of heart failure cases but lack proven effective therapies beyond sodium-glucose cotransporter 2 inhibitor and diuretics. HFmrEF and HFpEF are heterogeneous conditions requiring precision phenotyping to enable tailored therapies. This review covers concepts on precision medicine approaches for HFmrEF and HFpEF. Areas discussed include HFmrEF mechanisms, anti-inflammatory and antifibrotic treatments for obesity-related HFpEF, If inhibition for HFpEF with atrial fibrillation, and mineralocorticoid receptor antagonism for chronic kidney disease-HFpEF. Incorporating precision phenotyping and matched interventions in HFmrEF and HFpEF trials will further advance therapy compared to blanket approaches.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.18 no.9
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• pp.2495-2511
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• 2024

State of the art machine learning methods can enhance the analysis of clinical data and improve the ability to predict patient outcomes because data collected from clinical records, such as heart failure mortality studies, are often high dimensional, heterogeneous and give challenges to traditional statistical analysis techniques. To address this challenge, this study conducted a survival analysis based on a dataset of 299 patients with heart failure, using Python libraries. Cox regression was used to model and analyse mortality, and to find which features are strongly associated with this outcome. The Kaplan-Meier survival curve approach was used to show the patterns of patient survival over time. The analysis showed that age, ejection fraction, and serum creatinine level were significantly (p≤0.001) associated with mortality. Anaemia and creatinine phosphokinase also reached statistical significance (p-values 0.026 and 0.007, respectively). The Cox model showed good concordance (0.77) with the data, suggesting that the identified variables are useful for predicting mortality in patients with heart failure.

• Molecules and Cells
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• v.26 no.5
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• pp.443-453
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• 2008

The Bric-a-brac, Tramtrack, Broad-complex (BTB) domain is a protein-protein interaction domain that is found in many zinc finger transcription factors. BTB containing proteins play important roles in a variety of cellular functions including regulation of transcription, regulation of the cytoskeleton, protein ubiquitination, angiogenesis, and apoptosis. Here, we report the cloning and characterization of a novel human gene, KLHL31, from a human embryonic heart cDNA library. The cDNA of KLHL31 is 5743 bp long, encoding a protein product of 634 amino acids containing a BTB domain. The protein is highly conserved across different species. Western blot analysis indicates that the KLHL31 protein is abundantly expressed in both embryonic skeletal and heart tissue. In COS-7 cells, KLHL31 proteins are localized to both the nucleus and the cytoplasm. In primary cultures of nascent mouse cardiomyocytes, the majority of endogenous KLHL31 proteins are localized to the cytoplasm. KLHL31 acts as a transcription repressor when fused to GAL4 DNA-binding domain and deletion analysis indicates that the BTB domain is the main region responsible for this repression. Overexpression of KLHL31 in COS-7 cells inhibits the transcriptional activities of both the TPA-response element (TRE) and serum response element (SRE). KLHL31 also significantly reduces JNK activation leading to decreased phosphorylation and protein levels of the JNK target c-Jun in both COS-7 and Hela cells. These results suggest that KLHL31 protein may act as a new transcriptional repressor in MAPK/JNK signaling pathway to regulate cellular functions.

• Journal of Korean Society of Forest Science
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• v.58 no.1
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• pp.23-26
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• 1982

The chemical components in sap and heart wood of Q. variabilis and Q.serrate grown in Mt. Jiri were analyzed Q. variabilis ash contents were 0.57%, in sap wood portion and 1.00% in heart wood. Of the extractives cold water extractives were 5.74% in sap wood and 4.77% in heart wood. Hot water extractives were 6.33% in sap, 6.30% in heart wood portion. 1% caustic soda extractives were 15.52% in sap wood and 15.63% in heart wood. Alcohol-benzol extractives were 4.89% in sap wood and 2.96% in heart wood Holocellulose contents were 73.19% in sap wood, 78.83% in heart wood. Lignin contents were 21.76% in sap wood and 18.14% in heart wood portion. In pentosan contents there were 15.92% in sap wood and 26.50% in heart wood. In Q serrata ash contents were 0.26% in sap wood and 0.27% in heart wood. Cold water extractives were 2.81% in sap wood and 2.04% in heart wood. Hot water extractives were 5.32% in sap wood and 7.08% in heart wood portion. 1%-C austic soda extractives were 15.73% in sap wood and 16.55% in heart wood. Alcohol-benzol extractives were 3.93% in sap wood and 3.51% in heart wood. Holo celluloe contents were 74.21% and 74.84% in sap and heart wood portion respectively. Lignin contents were 14.11% in sap wood and 19.19% in heart wood. Of the pentosan contents there were 20.75% and 21.44% in sap and heart wood respectively. In conclution ash, holocellulose, lignin and pentosan contents showed always consistent differences between sap and heart wood in Q.variabilis, but in Q.serrata only lignin content showed slight difference between sap and heart wood.

• Korean Journal of Ophthalmology
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• v.32 no.6
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• pp.521-522
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• 2018

• International Journal of Heart Failure
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• v.6 no.2
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• pp.82-83
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• 2024

• Journal of Trauma and Injury
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• v.19 no.2
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• pp.143-149
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• 2006

Purpose: This study was done to evaluate the incidence, type of injury, medical consequences, mortality, and prognostic factors associated with stab wounds in patients who visited Kangnam Sacred Heart Hospital, Hallym University, Seoul, Korea. Methods: A retrospective analysis of the clinical data of 40 patients with abdominal stab wounds who visited Kangnam Sacred Heart Hospital, Hallym University, Seoul, Korea from January 1, 2000 to December 31, 2004. Results: 1) The most prevalent age group was patients in their the twenties to fourties (77.5% of all patients), and average age of the patients was 39.3 years. The male-to-female ratio was 2.07:1. 2) The external site of stab wounds was most commonly the periumbilcal area of the abdomen (14 cases, 33.3%). 3) The most commonly injured organs were the liver and the stomach (10 cases each, 16.9%). 4) Operations were performed on all 40 patients, with 9 (22.5%) negative operation findings. 5) Death occurred in 5 cases (12.5%). 6) The trauma indices of the death group were TRISS 51.9%, RTS 3.6 points, and APACHE II 23.0 points. 7) The average transfusion amount of the death group was 13.8 pints Conclusion: These data suggest that the transfusion amount and the trauma index of abdominal stab injuries may be statistically significant factors for predicting mortality.

• The Korean Journal of Physiology and Pharmacology
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• v.2 no.6
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• pp.753-761
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• 1998

Preconditioning of a heart with small doses of catecholamines induces a tolerance against the subsequent lethal ischemia. The present study was performed to find a specific receptor pathway involved with the catecholamine preconditioning and to test if adenosine plays a role in this cardioprotective effect. Isolated rat hearts, pretreated with small doses of ${\alpha}-\;or\;{\beta}-adrenergic$ agonists/antagonists, were subjected to 20 minutes ischemia and 20 minutes reperfusion by Langendorff perfusion method. Cardiac mechanical functions, lactate dehydrogenase and adenosine release from the hearts were measured before and after the drug treatments and ischemia. In another series of experiments, adenosine $A_1\;or\;A_2$ receptor blockers were treated prior to administration of adrenergic agonists. Pretreatments of a ${\beta}-agonist,\;isoproterenol(10^{-9}{\sim}10^{-7}\;M)$ markedly improved the post-ischemic mechanical function and reduced the lactate dehydrogenase release. Similar cardioprotective effect was observed with an ?-agonist, phenylephrine pretreatment, but much higher $concentration(10^{-4}\;M)$ was needed to achieve the same degree of cardioprotection. The cardioprotective effects of isoproterenol and phenylephrine pretreatments were blocked by a ${\beta}_1-adrenergic$ receptor antagonist, atenolol, but not by an ${\alpha}_1-antagonist,$ prazosin. Adenosine release from the heart was increased by isoproterenol, and the increase was also blocked by atenolol, but not by prazosin. A selective $A_1-adenosine$ receptor antagonist, 1,3-dipropyl-8-cyclopentyl xanthine (DPCPX) blocked the cardioprotection by isoproterenol pretreatment. These results suggest that catecholamine pretreatment protects rat myocardium against ischemia and reperfusion injury by mediation of ${\beta}_1-adrenergic$ receptor pathway, and that adenosine is involved in this cardioprotective effect.