• Title/Summary/Keyword: HPS

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A Case of Hepatopulmonary Syndrome in a Patient with Child-Pugh Class A Liver Cirrhosis (Child-Pugh 분류 A군 간경화에 수반된 간폐증후군 1예)

  • Kim, Jung Sun;Kim, Changhwan;Kim, Gye Su;Lim, Dal Soo;Hwang, Hweung Kon;Ro, Young Moo
    • Tuberculosis and Respiratory Diseases
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    • v.66 no.1
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    • pp.47-51
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    • 2009
  • Hepatopulmonary syndrome (HPS) is characterized by a defect in arterial oxygenation that's induced by pulmonary vascular dilatation in the setting of liver disease. Some studies have shown the relationship between the presence of the HPS and the severity of liver disease, but there are only rare cases of HPS inpatient with Child-Pugh class A liver cirrhosis. We report here on a case of a 58 years-old male who suffered from progressive dyspnea for the previous few years. He was diagnosed with alcoholic liver cirrhosis 5 years previously. There was no significant abnormality on the chest radiograph and transthoracic echocardiography, but the arterial blood gas analysis revealed severe hypoxemia. Contrast-enhanced transesophageal echocardiograpy with agitated saline demonstrated a delayed appearance of microbubbles in the left cardiac chambers. Thus, he was finally diagnosed with HPS. This case suggests that we should consider HPS when a patient with compensated liver cirrhosis has unexplained dyspnea.

A Case of Hantavirus Pulmonary Syndrome (한타바이러스 폐 증후군)

  • Lee, Kye-Young;Kim, Yun-Seup;Jee, Young-Koo;Bai, Hyun-Ju;Yun, Sung-Cheul;Kim, Keun-Youl
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.6
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    • pp.1382-1389
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    • 1997
  • Hantavirus pulmonary syndrome(HPS) is a systemic disease that is caused by a newly discorved and characterized virus of the Hantavirus genus, which is most frequently referred to as the sin nombre virus. The clinical syndrome resembles other hantavirus syndromes worldwide, except that it is characterized by a brief prodromal illness followed by rapidly progressive, noncardiogenic edema, and that it is more deadly than any previously recognized hantavirus infection. The clinical manifestations of HPS are characterized by four clinical phases : prodrome, pulmonary edema and shock, diuresis, and convalescence. Mortality is greatest in the first 24 hours of the pulmonary edema and shock phase of the illness. These phases are strikingly similar to the clinical phases of Hemorrhagic fever with renal syndrome(HFRS) induced by Hantaan virus, except that HPS has not been associated with renal failure and Disseminated intravascular coagulation(DIC). We here report a case of hantavirus pulmonary syndrome developed in a 58 year-old man. He had a flu-like illness followed by the rapid onset of respiratory failure due to noncardiogenic pulmonary edema. HPS was diagnosed by clinical manifestations, identification of high titer antibody to Hantaan virus antigen and histologic finding of transbronchial lung biopsy (TBLB) specimen. The patient was treated with mechanical ventilation and initial corticosteroid pulse therapy resulting in successful outcome.

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Growth and Flowering Responses of Petunia to Various Artificial Light Sources with Different Light Qualities

  • Park, In Sook;Cho, Kyung Jin;Kim, Jiseon;Cho, Ji Yoon;Lim, Tae Jo;Oh, Wook
    • Horticultural Science & Technology
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    • v.34 no.1
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    • pp.55-66
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    • 2016
  • This study was carried out to investigate the effect of artificial light sources with different light qualities on the growth and flowering characteristics of a herbaceous long-day plant, Petunia ${\times}$ hybrida Hort. Seedlings of petunia cultivar 'Madness Rose' were potted, acclimated for one week, and grown in a phytotron equipped with tube- and bulb-type fluorescent lamps (FL tube and bulb), tube-type white light-emitting diodes (LED tube), halogen lamps (HL), metal halide lamps (MH), and high pressure sodium lamps (HPS) for 10 weeks. The temperature, photoperiod, and photosynthetic photon flux density (PPFD) in the phytotron were $22{\pm}2^{\circ}C$, 16 h, and $25{\pm}2{\mu}mol{\cdot}m^{-2}{\cdot}s^{-1}$, respectively. Light sources combined with HL promoted stem elongation, and plant height and internode length decreased with increasing red to far-red (R:FR) ratio. FL tube + LED tube, HPS, and FL tube promoted branching, whereas plants grown under light sources combined with HL did not have any branches. Days to flowering (from longest to shortest) occurred as follows: FL tube + HL > FL tube + HL > MH > HPS = FL tube + FL bulb > FL tube + LED tube > LED tube > FL tube, indicating that reducing the R:FR ratio of the light sources promoted flowering. Only 20% of plants grown under an FL tube flowered, whereas under all other treatments, 100% of plants flowered. At 10 weeks after treatment, plants grown under HPS and MH had (cumulatively) 12 open flowers, and those grown under FL tube + FL bulb, LED tube, FL tube + LED tube, and HPS treatment had approximately seven flower buds. These results suggest that light sources with low R:FR ratios promote flowering and stem elongation in petunia, but they reduce its ornamental value due to overgrowth and poor branching.

Functional Prediction of Hypothetical Proteins from Shigella flexneri and Validation of the Predicted Models by Using ROC Curve Analysis

  • Gazi, Md. Amran;Mahmud, Sultan;Fahim, Shah Mohammad;Kibria, Mohammad Golam;Palit, Parag;Islam, Md. Rezaul;Rashid, Humaira;Das, Subhasish;Mahfuz, Mustafa;Ahmeed, Tahmeed
    • Genomics & Informatics
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    • v.16 no.4
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    • pp.26.1-26.12
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    • 2018
  • Shigella spp. constitutes some of the key pathogens responsible for the global burden of diarrhoeal disease. With over 164 million reported cases per annum, shigellosis accounts for 1.1 million deaths each year. Majority of these cases occur among the children of the developing nations and the emergence of multi-drug resistance Shigella strains in clinical isolates demands the development of better/new drugs against this pathogen. The genome of Shigella flexneri was extensively analyzed and found 4,362 proteins among which the functions of 674 proteins, termed as hypothetical proteins (HPs) had not been previously elucidated. Amino acid sequences of all these 674 HPs were studied and the functions of a total of 39 HPs have been assigned with high level of confidence. Here we have utilized a combination of the latest versions of databases to assign the precise function of HPs for which no experimental information is available. These HPs were found to belong to various classes of proteins such as enzymes, binding proteins, signal transducers, lipoprotein, transporters, virulence and other proteins. Evaluation of the performance of the various computational tools conducted using receiver operating characteristic curve analysis and a resoundingly high average accuracy of 93.6% were obtained. Our comprehensive analysis will help to gain greater understanding for the development of many novel potential therapeutic interventions to defeat Shigella infection.

Hypertrophic Pyloric Stenosis: 10 Years' Experience with Standard Open and Laparoscopic Approach

  • Zampieri, Nicola;Corato, Valentina;Scire, Gabriella;Camoglio, Francesco Saverio
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.24 no.3
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    • pp.265-272
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    • 2021
  • Purpose: Hypertrophic pyloric stenosis (HPS) is the most common cause of gastric obstruction in newborns. Extra-mucosal pyloromyotomy can be performed through a small laparotomy or laparoscopy. The aim of this study was to compare the two surgical techniques. We also analyzed the incidence of HPS in infants in the last 10 years in relation to the demographic trend of our province. Methods: We analyzed all the cases of HPS treated at our Unit between January 2010 and December 2019. The data were obtained from operating systems. Data about the demographic trends, in particular, the number of births and the population residing in the province of Verona from 2010 to 2019, were also retrieved. Results: During the study period, 60 patients were treated for HPS and met the inclusion criteria. Of these, 56 males and 4 females with an average age of 38±14 days at surgery were included. No differences were found in terms of the duration of surgery, post-operative complications, duration of hospitalization, and weight at the time of surgery. The only statistically significant data was the chlorine level in cases with and without post-operative vomiting (97±3.5 vs. 102±3.3 mmol/L, p<0.05). There was a lower incidence of HPS from 2014 to 2019; however, there was no significant evidence regarding the correlation between this and the reduced birth rate recorded in the province of Verona during the same period. Conclusion: Although laparoscopic pyloromyotomy is a highly complex procedure, it is a feasible alternative to the classic open technique.

Comparing Photosynthesis, Growth, and Yield of Paprika (Capsicum annuum L. 'Cupra') under Supplemental Sulfur Plasma and High-Pressure Sodium Lamps in Growth Chambers and Greenhouses (황 플라즈마 및 고압나트륨 램프의 보광에 따른 생육상 및 온실에서의 파프리카 광합성 및 생산성 비교)

  • Park, Kyoung Sub;Kwon, Dae Young;Lee, Joon Woo;Son, Jung Eek
    • Journal of Bio-Environment Control
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    • v.27 no.4
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    • pp.332-340
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    • 2018
  • Supplemental lighting with artificial light sources is a practical method that enables normal growth and enhances the yield and quality of fruit vegetable in greenhouses. The objective of this study was to investigate the effect of sulfur plasma lamp (SP) and high-pressure sodium lamp (HPS) as supplemental lighting sources on the growth and yield of paprika. For investigating the effectiveness of SP and HPS lamps on paprika, the effects of primary lighting on plant growth were compared in growth chambers and those of supplemental lighting were also compared in greenhouses. In the growth chamber, plant height, leaf area, stem diameter, number of leaves, fresh weight, and dry weight were measured weekly at SP and HPS from 2 weeks after transplanting. In the greenhouse, no supplemental lighting (only sunlight) was considered as the control. The supplemental lights were turned on when outside radiation became below $100W{\cdot}m^{-2}$ from 07:00 to 21:00. From 3 weeks after supplemental lighting, the growth was measured weekly, while the number and weight of paprika fruits measured every two weeks. In the growth chamber, the growth of paprika at SP was better than at HPS due to the higher photosynthetic rate. In the greenhouse, the yield was higher under sunlight with either HPS or SP than sunlight only (control). No significant differences were observed in plant height, number of node, leaf length, and fresh and dry weights between SP and HPS. However, at harvest, the number of fruits rather than the weight of fruits were higher at SP due to the enhancement of fruiting numbers and photosynthesis. SP showed a light spectrum similar to sunlight, but higher PAR and photon flux sum of red and far-red wavelengths than HPS, which increased the photosynthesis and yield of paprika.

Clinical Study of HPS-A on Various Digestive Symptoms (각종 소화기 증상에 대한 HPS-A의 임상실험)

  • Cho Chong-Kwan
    • Journal of Oriental Neuropsychiatry
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    • v.3 no.1
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    • pp.107-116
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    • 1992
  • In order to study the effect and safety of HPS-A on various digestive symptom, it was taken 3 times a day for 2 weeks on 31 patients. The results were as follows ; 1. The sex distribution was male 42% and female 58% 2. The age distribution was thirties 35% twenties 20%, forties 19% 3. The average improvement rate after 1 week was 85.2% and improvement rate of each symptom was epigastric soreness 89.9%, dyspepsia 85.1%, hunger pain 84.6% 4. The average improvement rate after 2 weeks was 94.5% and improvement rate of each symptom was epigastric soreness 96.6%,hunger pain 96.5%, dyspepsia 96.3% 5. No cases were showen side effects. Aecording to the above results, it is proved that PHS-A can be applied to care gastritis and early peptic ulcer.

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A Study on the High-frequency Operation Characteristics of the High-pressure Sodium Lamps (고압 나트륨램프의 고주파 방전특성 연구)

  • Chee, Chol-Kon;Kim, Hoon
    • The Transactions of the Korean Institute of Electrical Engineers
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    • v.35 no.11
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    • pp.495-502
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    • 1986
  • The change of the discharge characteristics of the high-pressure sodium (HPS) lamps is investigated over a power source frequency range of 60 Hz to 30, 000 Hz. As the frequency increases, the light and electrical characteristics of the HPS lamps are improved since the re-ignition is not needed due to the constant electron density, and the cathode fall is reduced. But at the certain frequency range, the arc instability called acoustic resonance occurs, and the arc tube is damaged. Regarding these characteristics and the kind of the illuminating system, a proper frequency is selected to operate the HPS lamps. And a new measuring system using a computer and the storage-scope is developed to avoid the error of the ordinary gauges at high frequency power.

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Shimmy Vibration Analysis of Steering Wheel including Hydraulic Power Steering System (유압동력 조향시스템의 동역학 모델링을 통한 시미진동 해석)

  • 손정현;유완석;김광석
    • Transactions of the Korean Society of Automotive Engineers
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    • v.11 no.2
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    • pp.217-223
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    • 2003
  • The power steering system has been adopted in most vehicle system for an easy maneuverability. In this paper, a hydraulic power steering(HPS) model for the computer simulation is developed and used to power steering simulation. The simulation shows that the steering wheel torque with HPS model is less than that without HPS model. In addition, the shimmy vibration at the steering wheel is also simulated and compared to the test data. The lateral displacement of the steering wheel is calculated by imposing the lateral acceleration of the knuckle as a vibration input. The frequency response of the steering wheel is in a good agreement to the test data.

Hemophagocytic Syndrome Presenting as Severe Acute Hepatitis (중증 급성 간염으로 발현한 혈구탐식증후군에 관한 연구)

  • Ryu, Jeong Min;Chang, Soo Hee;Kim, Joon Sung;Lee, Joo Hoon;Lee, Mi Jeong;Park, Kie Young;Kim, Kyung Mo;Seo, Jong Jin;Moon, Hyung Nam;Ghim, Thad;Chi, Hyun Sook
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.8 no.2
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    • pp.213-221
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    • 2005
  • Purpose: Hemophagocytic syndrome (HPS) is characterized by persistent high fever, hepatosplenomegaly, cytopenias, hypertriglyceridemia, and/or hypofibrinogenemia. Hepatic manifestations including overt hepatic failure and fulminant hepatitis are common in HPS. Liver transplantation (LT) should be considered in a case of fulminant hepatitis by other than HPS, but LT is contraindicated and complete cure is possible by chemotherapy in HPS. Therefore, we conducted this study to define the characteristics of HPS presenting as severe acute hepatitis. Methods: Among the total of 23 patients diagnosed as HPS by bone marrow examination between 1994 and 2005 in Asan Medical Center, 11 cases presented as severe acute hepatitis were enrolled in this study. We analyzed the clinical features, laboratory findings and outcome retrospectively. Results: Seven (64%) of the 11 children with HPS and hepatitis were referred to pediatric gastroenterologist at first. The mean age of onset was 50 months. There was no case with family history of primary HPS. Epstein-Barr virus was positive in 4, and herpes Simplex virus was positive simultaneously in 1 case. As the presenting symptoms and signs, fever was present in 10, hepatosplenomagaly was noted in all and jaundice in 10. Anemia was observed in 10, thrombocytopenia in 10, leukopenia in 8, hypertriglyceridemia in 9, hypofibrinogenemia in 8 and hyperferritinemia in 7 cases, respectively. Nine children received chemotherapy including etopside. The overall mortality rate was 72% (8/11). Conclusion: HPS, which needs chemotherapy, should be considered as a cause of severe acute hepatitis especially when accompanied with prolonged high fever and cytopenias.

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