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Arachnoid Plasty to Prevent and Reduce Chronic Subdural Hematoma after Clipping Surgery for Unruptured Intracranial Aneurysm : A Meta-Analysis

  • Jang, Kyoung Min;Choi, Hyun Ho;Nam, Taek Kyun;Park, Yong Sook;Kwon, Jeong Taik
    • Journal of Korean Neurosurgical Society
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    • v.63 no.4
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    • pp.455-462
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    • 2020
  • Objective : Recent studies have reported that arachnoid plasty (ARP) using gelatin sponges with fibrin glue reduced the occurrence of chronic subdural hematoma (CSDH) following clipping surgery for unruptured intracranial aneurysm (UIA). This meta-analysis was conducted to collate further evidence for the efficacy of ARP in preventing postoperative CSDH. Methods : Data of patients who underwent clipping surgery were extracted from PubMed, EMBASE, and Cochrane Central Register of Controlled Trials by two independent reviewers. A random effects model was used to investigate the efficacy of ARP by using odd ratios (ORs) and 95% confidence intervals (CIs). A meta-regression analysis for male sex was additionally preformed. Results : Data from six studies with 1715 patients were consecutively included. Meta-analysis revealed that ARP was significantly associated with lower rates of CSDH development after surgical clipping for UIA (ARP group vs. control group : 3.2% vs. 7.2%; OR, 0.40; 95% CI, 0.18-0.93; I2=44.3%; p=0.110). Meta-regression analysis did not highlight any modifying effect of the male sex on postoperative CSDH development (p=0.951). Conclusion : This meta-analysis indicated that ARP reduced the incidence rates of CSDH following clipping surgery for UIA. If feasible, ARP would be implemented as an additional surgical technique to prevent postoperative CSDH development during surgical clipping of UIA.

A Predictive Model for Evaluating Responsiveness to Pemetrexed Treatment in Patients with Advanced Colorectal Cancer

  • Wu, Xue-Yan;Huang, Xin-En;Cao, Jie;Shi, Lin;Xu, Xia;Qian, Zhi-Ying
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.14
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    • pp.5941-5944
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    • 2014
  • Purpose: To highlight the potential factors that could predict the response rate of patients with metastatic colorectal cancer (mCRC) treated with pemetrexed combined chemotherapy after first- or second-line chemotherapy using the FOLFOX regimen. Materials and Methods: Between January 2007 and July 2014, 54 patients diagnosed and pathologically-confirmed with advanced colorectal cancer in Jiangsu Cancer Hospital and Research Institute, were enrolled. They received pemetrexed at a dose of $500mg/m^2$ by 10 minute infusion on day 1, repeated every 3 weeks. Doses were modified depending on nadir counts of blood cells. Combined chemotherapeutic agents included irinotecan, lobaplatin, carboplatin, oxaliplatin, gemcitabine, cis-platinum or bevacizumab. Multiple variables (age, sex, hemoglobin, platinum drugs combined, metastasis sites, LDH, ALP, CEA>40 ug/ml) reported earlier were selected. We used logistic regression analysis to evaluate relationships between these and tumor response. Results: On multivariable analysis, we found that age was significant in predicting the responsiveness to pemetrexed (p<0.05) combined with oxaliplatin. We did not find any other factors which were significantly associated with the response rate to chemotherapy with pemetrexed and irinotecan. Conclusions: By multivariate analysis, we found that age had significant impact on the responsiveness of pemetrexed when combined with oxaliplatin. Additional research based on genomic properties of host and tumors are needed to clarify markers for better selection of patients who could benefit from pemetrexed combined chemotherapy.

Paradigm Shift of Film Industry in the Media Convergence and Integration within Digital Environment:An Alternative Model for Development of Film Industry (디지털 환경-미디어 융·복합-내에서 영화산업의 패러다임 변화:영화산업 발전을 위한 대안적 모형 제시)

  • Kim, Jin-Wook
    • The Journal of the Korea Contents Association
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    • v.10 no.4
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    • pp.133-140
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    • 2010
  • It is said that the highlight in the media covergence and integration within digital environment era is 'Contents'. Due to the advent of new media and various covergence and integration services, the competition between the platforms has become aggressive. As a result, it is predicted that the negotiation power of a 'Content's industry will be strengthened. In reality, the actual environmental changes in the media environment have accompanied elements of industrial crisis rather than opportunity to expand the market. The changes are especially causing sales structure distortion and proceeds deterioration in the Korean film industry. Moreover, telecommunication and broadcasting businesses are making their entrance into the film industry, through the appearance of the media covergence and integration as a backdrop. Thus, the situation that the Korean film industry is facing is closely associated with the development of the digital technology and new media environment. Eventually, weathering the crisis and pioneering the future will be possible through changes in the media environment. The purpose of this study is to show how the media covergence and integration phenomenon is occurring in the film industry. This study will also focus on what new problems are occurring as a result, and seek out the solutions that are available.

Dynamic Response Analysis of Slender Marine Structures under Vessel Motion and Regular Waves (파랑 및 부유체 운동을 고려한 세장해양구조물의 동적 거동 해석)

  • Chung Son Ryu;Michael Isaacson
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.10 no.2
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    • pp.64-72
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    • 1998
  • Dynamic response analysis is carried out for slender marine structures such as tensioned risers and tethers of tension leg platform, which are subjected to floating vessel motions as well as environmental forces arising from ocean waves. A mumerical analysis procedure is developed by using finite element model of the structural member. Dynamic analses are performed in the time domain for regular waves. Parameter studies are carried out to highlight the effects of surface vessel motions on the lateral dynamics of the structures. Example results of displacements, bending stresses are compared for various in water depth, environmental condition and vessel motion. Some instability conditions of the structures due to time-varying tension by vessel heave motion are discussed through the example analyses. As the results, the interaction between vessel surge and heave motions amplifies the total structural response of a riser. In the case of a tether, the effect of vessel heave motion during heavy storm is seemed to be quite significant to lateral response of the structure.

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Can Information Technology Revive Rural Economies?: The Cases of E-villages in Korea and Japan (정보통신기술과 농촌 경제: 한국과 일본 정보화마을의 사례 연구)

  • Huh, Woo-Kung
    • Journal of the Korean Geographical Society
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    • v.43 no.5
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    • pp.728-742
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    • 2008
  • There has been a high expectation that information technology (IT) can do something good for the rural perils. Efforts thus have been made in many countries to 'informatize' rural areas, namely to roll out IT infrastructure into remote areas and to enhance the computer literacy of rural residents. The present study examines the 'e-village' projects implemented in Korea and Japan. It evaluates the business models employed by the e-villages such as e-shops of local products and tour guide programs, the ways in which rural residents have managed their business models, the practices of information exchange within and outside of the villages, and the monetary gains of the business models. The study collects data mainly from the e-village web pages of both countries. The study reveals that the e-village business models have performed less than expected in general, and that Japanese e-villages are better off than the Korean counterparts. The study identifies the factors responsible for such mediocre performances of the business models including a lack of retail business experiences and capabilities of the rural people. The study findings highlight the importance of human resources, rather than the new technology per se, for rural development.

Fermentation-Mediated Enhancement of Ginseng's Anti-Allergic Activity against IgE-Mediated Passive Cutaneous Anaphylaxis In Vivo and In Vitro

  • Hwang, Seon-Weon;Sun, Xiao;Han, Jun-Hyuk;Kim, Tae-Yeon;Koppula, Sushruta;Kang, Tae-Bong;Hwang, Jae-Kwan;Lee, Kwang-Ho
    • Journal of Microbiology and Biotechnology
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    • v.28 no.10
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    • pp.1626-1634
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    • 2018
  • Ginseng (the root of Panax ginseng Meyer) fermented by Lactobacillus plantarum has been found to attenuate allergic responses in in vitro and in vivo experimental models. Ginseng has been reported to also possess various biological functions including anti-inflammatory activity. The present study was aimed at comparing the anti-allergic effect of ginseng and fermented ginseng extracts on IgE-mediated passive cutaneous anaphylaxis in vitro in a murine cell line and in vivo in mice. Fermented ginseng extract (FPG) showed higher inhibitory effect against in vitro and in vivo allergic responses when compared with ginseng extract (PG). The secretion of ${\beta}$-hexosaminidase and interleukin (IL)-4 from the IgE-DNP-stimulated RBH-2H3 mast cells were significantly (p < 0.05) inhibited by FPG treatment, and this effect was concentration-dependent. Further, MKK4 activation and subsequent JNK phosphorylation were attenuated by FPG treatment. The inhibitory effect of FPG on the in vitro allergic response was verified in vivo against IgE-DNP-induced passive cutaneous anaphylaxis in a mouse model. These data indicated that the fermentation of ginseng with L. plantarum enhanced its anti-allergic effects both in vitro and in vivo. We predict that compositional changes in the ginsenosides caused by the fermentation may contribute to the change in the anti-allergic effects of ginseng. The results of our study highlight the potential of the use of FPG as a potential anti-allergic agent.

Holocene paleoenvironmental changes in the Lake Khuvsgul, Northern Mongolia (몽골 북부 흡수굴호의 홀로세 동안의 고환경 변화)

  • Orkhonselenge, A.;Kashiwaya, K.;Ochiai, S.;Krivonogov, S.K.;Nakamura, T.
    • The Korean Journal of Quaternary Research
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    • v.22 no.1
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    • pp.28-36
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    • 2008
  • The present study has focused on the environmental changes and evidences for sedimentation in the Lake Khuvsgul catchment during the Holocene period, inferred from short core sediment (BO03) from the eastern shore of Borsog Bay, which were analyzed in order to review records of the Holocene climatic evolution and Holocene history in Northern Mongolia. For the purpose of reconstruction of natural phenomenon that occurred in the lake catchment system during the Holocene, physical and chemical properties including HCl-soluble material, biogenic silica, organic matter and grain size distribution of minerals in the core sediments have been analyzed in this study. The vertical variations in composition for these properties show distinctly that five lines of paleoenvironmental evidence occurred in the lake catchment during the Holocene. A modified age model resulting from AMS carbon dating for the BO03 core sediment shows timings of these environmental events at 9.5 Kyr BP, 8.0 Kyr BP, 5.6 Kyr BP and 3.2 Kyr BP, respectively. Paleoenvironmental changes in the Lake Khuvsgul catchment system during the Holocene highlight distinctive features of the hydrological regime and geomorphologic evolution in the lake catchment due to regional landscape and global climatic changes corresponding with the Holocene optimum and thermal optimum. In particular, the change of hydrologic regime based on the sedimentological evidence has been caused by not only overland flow due to melting water, but also base flow due to thick permafrost around Khuvsgul region.

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Electrospun Antimicrobial Polyurethane Nanofibers Containing Silver Nanoparticles for Biotechnological Applications

  • Sheikh, Faheem A.;Barakat, Nasser A.M.;Kanjwal, Muzafar A.;Chaudhari, Atul A.;Jung, In-Hee;Lee, John-Hwa;Kim, Hak-Yong
    • Macromolecular Research
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    • v.17 no.9
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    • pp.688-696
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    • 2009
  • In this study, a new class of polyurethane (PU) nanofibers containing silver (Ag) nanoparticles (NPs) was synthesized by electrospinning. A simple method that did not depending on additional foreign chemicals was used to self synthesize the silver NPs in/on PU nanofibers. The synthesis of silver NPs was carried out by exploiting the reduction ability of N,N-dimethylformamide (DMF), which is used mainly to decompose silver nitrate to silver NPs. Typically, a sol-gel consisting of $AgNO_3$/PU was electrospun and aged for one week. Silver NPs were created in/on PU nanofibers. SEM confirmed the well oriented nanofibers and good dispersion of pure silver NPs. TEM indicated that the Ag NPs were 5 to 20 nm in diameter. XRD demonstrated the good crystalline features of silver metal. The mechanical properties of the nanofiber mats showed improvement with increasing silver NPs content. The fixedness of the silver NPs obtained on PU nanofibers was examined by harsh successive washing of the as-prepared mats using a large amount of water. The results confirmed the good stability of the synthesized nanofiber mats. Two model organisms, E. coli and S. typhimurium, were used to check the antimicrobial influence of these nanofiber mats. Subsequently, antimicrobial tests indicated that the prepared nanofibers have a high bactericidal effect. Accordingly, these results highlight the potential use of these nanofiber mats as antimicrobial agents.

Safety Knowledge and Changing Behavior in Agricultural Workers: an Assessment Model Applied in Central Italy

  • Cecchini, Massimo;Bedini, Roberto;Mosetti, Davide;Marino, Sonia;Stasi, Serenella
    • Safety and Health at Work
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    • v.9 no.2
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    • pp.164-171
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    • 2018
  • Background: In recent years, the interest in health and safety in the workplace has increased. Agriculture is one of the human work activities with the highest risk indexes. Studies on risk perception of agricultural workers are often referred to as specific risk factors (especially pesticides), but the risk perception plays an important role in preventing every kind of accident and occupational disease. Methods: The aim of this research is to test a new method for understanding the relation between risk perception among farmers and the main risk factors to which they are exposed. A secondary aim is to investigate the influence of training in risk perception in agriculture. The data collection was realized using a questionnaire designed to investigate the risk perception; the questionnaire was given to a sample of 119 agricultural workers in central Italy. Through the use of the "principal components analysis" it was possible to highlight and verify the latent dimensions underlying the collected data in comparison with scales of attitudes. Results: Results show that the highest percentage of strong negative attitude is among the people who have worked for more years, while farmers who have worked for fewer years have a marked positive attitude. Conclusion: The analysis of the questionnaires through the synthetic index method (Rizzi index) showed that agricultural workers involved, in particular the elderly workers, have a negative attitude towards safety; workers are hostile to safety measures if they have not attended special training courses.

A Design of Measuring impact of Distance between a mobile device and Cloudlet (모바일 장치와 클라우드 사이 거리의 영향 측정에 대한 연구)

  • Eric, Niyonsaba;Jang, Jong-Wook
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2015.10a
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    • pp.232-235
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    • 2015
  • In recent years, mobile devices are equipped with functionalities comparable to those computers. However, mobile devices have limited resources due to constraints, such as low processing power, limited memory, unpredictable connectivity, and limited battery life. To enhance the capacity of mobile devices, an interesting idea is to use cloud computing and virtualization techniques to shift the workload from mobile devices to a computational infrastructure. Those techniques consist of migrating resource-intensive computations from a mobile device to the resource-rich cloud, or server (called nearby infrastructure). In order to achieve their goals, researchers designed mobile cloud applications models (examples: CloneCloud, Cloudlet, and Weblet). In this paper, we want to highlight on cloudlet architecture (nearby infrastructure with mobile device), its methodology and discuss about the impact of distance between cloudlet and mobile device in our work design.

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