• Title/Summary/Keyword: HP2020

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Nomogram Models for Distinguishing Intraductal Carcinoma of the Prostate From Prostatic Acinar Adenocarcinoma Based on Multiparametric Magnetic Resonance Imaging

  • Ling Yang;Xue-Ming Li;Meng-Ni Zhang;Jin Yao;Bin Song
    • Korean Journal of Radiology
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    • v.24 no.7
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    • pp.668-680
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    • 2023
  • Objective: To compare multiparametric magnetic resonance imaging (MRI) features of intraductal carcinoma of the prostate (IDC-P) with those of prostatic acinar adenocarcinoma (PAC) and develop prediction models to distinguish IDC-P from PAC and IDC-P with a high proportion (IDC ≥ 10%, hpIDC-P) from IDC-P with a low proportion (IDC < 10%, lpIDC-P) and PAC. Materials and Methods: One hundred and six patients with hpIDC-P, 105 with lpIDC-P and 168 with PAC, who underwent pretreatment multiparametric MRI between January 2015 and December 2020 were included in this study. Imaging parameters, including invasiveness and metastasis, were evaluated and compared between the PAC and IDC-P groups as well as between the hpIDC-P and lpIDC-P subgroups. Nomograms for distinguishing IDC-P from PAC, and hpIDC-P from lpIDC-P and PAC, were made using multivariable logistic regression analysis. The discrimination performance of the models was assessed using the receiver operating characteristic area under the curve (ROC-AUC) in the sample, where the models were derived from without an independent validation sample. Results: The tumor diameter was larger and invasive and metastatic features were more common in the IDC-P than in the PAC group (P < 0.001). The distribution of extraprostatic extension (EPE) and pelvic lymphadenopathy was even greater, and the apparent diffusion coefficient (ADC) ratio was lower in the hpIDC-P than in the lpIDC-P group (P < 0.05). The ROC-AUCs of the stepwise models based solely on imaging features for distinguishing IDC-P from PAC and hpIDC-P from lpIDC-P and PAC were 0.797 (95% confidence interval, 0.750-0.843) and 0.777 (0.727-0.827), respectively. Conclusion: IDC-P was more likely to be larger, more invasive, and more metastatic, with obviously restricted diffusion. EPE, pelvic lymphadenopathy, and a lower ADC ratio were more likely to occur in hpIDC-P, and were also the most useful variables in both nomograms for predicting IDC-P and hpIDC-P.

Post-operative analgesia of 2% lignocaine with or without magnesium sulfate for inferior alveolar nerve block in symptomatic mandibular molars - a randomized double blind controlled clinical trial

  • Chandrasekaran, Charanya;Vijay, Amirtharaj L;Sekar, Mahalaxmi;Mary, Nancy S
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.20 no.3
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    • pp.147-154
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    • 2020
  • Background: Single inferior alveolar nerve block is ineffective in achieving adequate pulpal anesthesia in 30-80% of patients due to anatomical variations, local tissue pH, central sensitization, and several factors. Various supplementary techniques and combination of adjuvants with lignocaine are used to overcome these failures. Magnesium sulfate (MgSO4), one such adjuvant, acts at the N-methyl-D-aspartate glutamate receptor resulting in effective anesthesia. The aim of this prospective, randomized, double-blind, clinical controlled trial was to evaluate the onset, anesthetic efficacy, duration and post-operative analgesia of 2% lignocaine with and without the addition of MgSO4 in patients with symptomatic irreversible pulpitis and apical periodontitis. Methods: Fourty-two patients were randomly divided into three groups: 2% lignocaine (group 1) and 2% lignocaine with MgSO4 (75 mg) and (150 mg) in groups 2 and 3, respectively. Pre-operative vitals and Heft Parker-Visual Analogue Scale (HP-VAS) pain scores were recorded. The onset of anesthesia, anesthetic efficacy, and duration of anesthesia were evaluated post administration of the local anesthetic solution. The post-operative analgesia was examined at intervals of 2, 6, 12, 24, and 48 h. Results: Administration of 150 mg MgSO4 hastens the onset of anesthesia (1.29 min) and produces better anesthetic efficacy (3.29 HP-VAS) compared to group 2 (2.07 min and 9.14 HP-VAS) and group 1 (3.29 min and 35.79 HP-VAS), respectively. The duration of anesthesia was significantly higher in group 3 (247.07 min) compared to that of groups 2 and 1 (190 min and 110.21 min) with P < 0.05. Conclusion: Combining 75 mg or 150 mg of MgSO4 with lignocaine is more effective than 2% lignocaine and 75 mg of MgSO4 is adequate for endodontic procedures.

Role of Krebs von den Lungen-6 (KL-6) in Assessing Hypersensitivity Pneumonitis

  • Mostafa, Amira Ismail;Salem, Ayman Elsayed;Ahmed, Heba Allah Moussa;Bayoumi, Aml Ibrahim;Halim, Radwa M. Abdel;Samie, Rasha M. Abdel
    • Tuberculosis and Respiratory Diseases
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    • v.84 no.3
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    • pp.200-208
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    • 2021
  • Background: Hypersensitivity pneumonitis (HP) is an increasingly recognized form of diffuse parenchymal lung disease. Krebs von den Lungen-6 (KL-6) is now classified as a human MUC1 mucin protein, and regenerating type II pneumocytes are the primary cellular source of KL-6/MUC1 in the affected lungs of patients with interstitial lung diseases (ILD). Serum KL-6/MUC1 levels have been demonstrated to be useful for the evaluation of various ILD. To determine the role of circulating KL-6 in evaluating the disease activity and management of HP. Methods: An observational cross-sectional study was conducted on 51 patients with HP and 20 healthy controls. Serum KL-6 levels were measured in both groups. Patients were further assessed based on chest high-resolution computed tomography (HRCT), pulmonary function test, 6-minute walk test, echocardiography, bronchioalveolar lavage, and/or transbronchial biopsy. Patients were divided into the fibrotic and non-fibrotic groups according to the HRCT findings. Results: The median serum KL-6 levels were significantly higher in HP patients as compared to the control group. The median serum KL-6 levels were found to be higher in the non-fibrotic HP group (1,900 IU/mL) as compared to the fibrotic group (1,200 IU/mL). There was a significant inverse correlation between serum KL-6 serum level and the dose of steroids as well as the duration of steroid therapy. Conclusion: The presence of higher KL-6 levels in the non-fibrotic HP group implies its enhanced production by regenerating pneumocytes in response to alveolar injury. The significant association between serum KL-6 levels and the dose and the duration of steroid therapy emphasizes the significant role of steroids in the stabilization of the disease.

Investigation of muscle-specific beef color stability at different ultimate pHs

  • Wu, Shuang;Han, Jina;Liang, Rongrong;Dong, Pengcheng;Zhu, Lixian;Hopkins, David L.;Zhang, Yimin;Luo, Xin
    • Asian-Australasian Journal of Animal Sciences
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    • v.33 no.12
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    • pp.1999-2007
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    • 2020
  • Objective: This study was aimed to investigate the muscle-specific beef color stability at normal and high ultimate pHs. Methods: The impact of muscle (Longissimus lumborum [LL] vs psoas major [PM]) and pH (normal ultimate pH [Np] vs high pH dark cutting beef [Hp]) on color stability, indicated by basic color traits, metmyoglobin reducing activity (MRA) and oxygen consumption (OC), as well as the lipid oxidation, were determined over 7 days of display at 4℃. Results: Hp-LL had the highest pH (6.92), followed by Hp-PM (6.01), Np-PM (5.76), and Np-LL (5.52). Hp-LL had increased (p<0.05) a, chroma and % oxymyoglobin during display. Hp-LL also had the highest metmyoglobin (MMb) reducing activity and OC among all the samples, thus, the greatest color stability, although very dark throughout storage, with lowest values for lightness (L) and yellowness (b). Np-LL also exhibited relatively high color stability, as a result of its lower % MMb and OC and higher MRA than psoas muscle samples. The 0.2 unit difference of the pH between Hp and Np psoas muscle, resulted in the difference of the color intensity, not the color stability. Interestingly, high pH psoas muscle (Hp-PM) did not have better color stability than Np-PM, and in fact had lower color stability than even Np-LL. The similar level of OC and lipid oxidation cannot explain the difference in color stability between Hp-PM and Np-LL. Conclusion: The Hp does not always show better color stability compared with Np beef, which depends on the muscle type. The balance of MRA and OC is important to keep the color in great intensity and stability in the meantime.

A survey for prevalence of infectious diseases in wild boar (Sus scrofa) in northern Gyeonggi province, South Korea (경기도 북부지역 야생멧돼지(Sus scrofa) 전염성 질병 감염 실태 조사)

  • Ju, Dong-Uk;Jung, Kwang;Ohk, Cheon-Seok;Kim, Sung-Sik;Ahn, Gil-Ho
    • Korean Journal of Veterinary Service
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    • v.43 no.3
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    • pp.155-159
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    • 2020
  • This study was conducted to investigate the infection of livestock diseases using 500 blood samples from wild boars captured in six cities and one county in northern Gyeonggi province, South Korea. We examined 239 cases of classical swine fever virus (CSFV), and each of 500 cases of foot and mouth disease virus (FMDV), porcine reproductive and respiratory syndrome virus (PRRSV), porcine circovirus type 2 (PCV2), Mycoplasma hyopneumoniae (MH), Actinobacillus pleuropneumoniae (APP), Pasteurella multocida type A (PMA), Hemophilus parasuis (HP), Salmonella (Sal.) spp. infections. Antibodies were detected against CSFV (23.4%), PRRSV (4.0%), PCV2 (60.4%), MH (3.0%), APP (69.2%), PMA (52.8%), HP (11.8%), and Sal. spp. infections (37.2%). No antibodies were detected against FMDV. As a result of antigenic analysis of 68 positive cases (13.6%) out of 500 PRRS antigen tests, 61 North American cases, 6 European cases, 1 North American-European complex case. PCV2 has 158 positive cases (31.6%) out of 500 antigen tests, and the results indicate that a considerable number of individuals are infected. To our knowledge, this is the first seroprevalence report of MH, APP, PMA, HP, and Sal. spp. infections in wild boars in South Korea.

A Study on Graphite Electrode Wear in Sink EDM of HP1MA Steel (HP1MA 강의 형조 방전가공에서 흑연 전극 마모에 관한 연구)

  • Oh, Young-Jin;Jeong, Hyeon-Je;Kim, Su-Jin
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.19 no.8
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    • pp.35-42
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    • 2020
  • In discharge machining, material is removed by electrical discharge between the electrode and the workpiece. An important consideration in EDM is that the wear of the electrodes decreases the final precision of the workpiece. The edge wear of the electrodes proceeds very quickly because sparks occur more frequently at the edges with high local electrical strength. In this study, mold steel was discharged with a wedge-shaped graphite electrode to measure the edge wear of the electrode according to the depth. The electrode edge wear increased with depth during EDM and a wear model was developed. The model predicted that the edge wear can be reduced by approximately 70% using two electrodes instead of a single electrode. The model was supported by the experimental comparison of the dual electrode method and the single electrode method.

Utilizing health promotion indices of the 3rd national health plan in the 6th Community Health Plans in South Korea (제6기 지역보건의료계획의 제3차 국민건강증진종합계획 건강증진 지표 활용도)

  • Kim, Hyun-Soo;Lee, Jong-Ha;Jeon, Hyo-In;Lee, Moo-Sik;Hong, Jee-Young
    • Korean Journal of Health Education and Promotion
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    • v.33 no.5
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    • pp.83-91
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    • 2016
  • Objectives: This study was aimed to investigate utilization of health promotion indices of the 3rd National Health Plan 2011-2020 (HP2020) in the 6th Korean Community Health Plan. Methods: Health promotion indices were defined as a set of indicators on smoking, alcohol drinking, physical activity, nutrition and obesity used in HP2020. This indices were categorized into essential indicator, accessory indicators and others. Based on chi-square test, we analyzed utilization of health promotion indices in 186 Community Health Plans by regional classifications: four large influence areas (SudoGangwon, Chungcheong, Gyeongsang and HonamJeju) and four regional classification (metropolitan district, city, urban-rural area and rural area) Results: Among total 186 plans, indicator utilization rate were 97.8% in smoking, 71.0% in alcohol drinking, 91.9% in physical activity, 99.5% in nutrition and 72.0% in obesity. Utilization rates of alcohol drinking indicators and essential indicators in alcohol drinking show significantly difference by four large influence areas (p<0.01) and four regional classification (p<0.01). Essential indicators in physical activity show significantly difference by four large influence areas (p<0.01). Conclusions: Central government must provide technical assistance and educate personnel in community health centers and provincial health department about meaning and usefulness of Health Plan 2020 indicators.

Anomaly detection in particulate matter sensor using hypothesis pruning generative adversarial network

  • Park, YeongHyeon;Park, Won Seok;Kim, Yeong Beom
    • ETRI Journal
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    • v.43 no.3
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    • pp.511-523
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    • 2021
  • The World Health Organization provides guidelines for managing the particulate matter (PM) level because a higher PM level represents a threat to human health. To manage the PM level, a procedure for measuring the PM value is first needed. We use a PM sensor that collects the PM level by laser-based light scattering (LLS) method because it is more cost effective than a beta attenuation monitor-based sensor or tapered element oscillating microbalance-based sensor. However, an LLS-based sensor has a higher probability of malfunctioning than the higher cost sensors. In this paper, we regard the overall malfunctioning, including strange value collection or missing collection data as anomalies, and we aim to detect anomalies for the maintenance of PM measuring sensors. We propose a novel architecture for solving the above aim that we call the hypothesis pruning generative adversarial network (HP-GAN). Through comparative experiments, we achieve AUROC and AUPRC values of 0.948 and 0.967, respectively, in the detection of anomalies in LLS-based PM measuring sensors. We conclude that our HP-GAN is a cutting-edge model for anomaly detection.

Study of neutron energy and directional distribution at the Beloyarsk NPP selected workplaces

  • Pyshkina, Mariia;Vasilyev, Aleksey;Ekidin, Aleksey;Nazarov, Evgeniy;Nikitenko, Vitaly;Pudovkin, Anton
    • Nuclear Engineering and Technology
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    • v.53 no.5
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    • pp.1723-1729
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    • 2021
  • Energy and directional distribution of neutrons at the Beloyarsk NPP workplaces is a subject of this study. Measurements of H*(10) rate and neutron energy distribution were taken at 8 workplaces, which can be divided into three categories: work with spent or fresh nuclear fuel, work with radionuclide neutron sources, work at the rooms adjusted to reactors. The Hp(10) measurements were performed only at 6 out of 8 locations, due to the fact that long term placing of an effective neutron moderator in fresh nuclear fuel storage facility is forbidden. As a result of the research energy and direction distribution of the neutron fields at 8 locations of the Beloyarsk NPP workplaces was obtained. To estimate the accuracy of the H*(10) rate and Hp (10) measurements the reference values of dose equivalents were calculated using energy and directional distribution. To take into account the difference between the reference values and the measured results site-specific correction factors were calculated.

Reconstruction of post-burn anterior neck contractures using a butterfly design free anterolateral thigh perforator flap

  • Lellouch, Alexandre G.;Ng, Zhi Yang;Pozzo, Victor;Suffee, Tabrez;Lantieri, Laurent A.
    • Archives of Plastic Surgery
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    • v.47 no.2
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    • pp.194-197
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    • 2020
  • Anterior neck burns represent a major reconstructive challenge due to severe sequalae including restriction in movement and poor aesthetic outcomes. Common treatment options include skin grafting with/without dermal matrices, and loco-regional and distant free flap transfers with/without prior tissue expansion. Such variation in technique is largely influenced by the extent of burn injury requiring resurfacing. In order to optimize like-for-like reconstruction of the anterior neck, use of wide, thin and long flaps such as the anterolateral thigh (ALT) perforator flap have been reported with promising results. Of note, some patients have a tendency towards severe scar contractures, which may be contributed by the greater extent of inflammation during wound healing. We report our experience at 4 years' followup after secondary reconstruction of severe, anterior neck burn contractures in two patients by harvesting the ALT flap with a butterfly design. This technique provides adequate wound resurfacing of the burned neck and surrounding areas, and provides good neck extensibility by addressing both anterior and lateral aspects of the scar defect simultaneously. Such a flap design reduces tension on wound edges and thus, the risk of contracture recurrence in what remains a particularly challenging type of burn reconstruction.