• Title/Summary/Keyword: PTB

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Efficacy of Induced Sputum for the Diagnosis of Pulmonary Tuberculosis in Adults Unable to Expectorate Sputum

  • Park, Jae Seuk
    • Tuberculosis and Respiratory Diseases
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    • v.78 no.3
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    • pp.203-209
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    • 2015
  • Background: Induced sputum (IS) has been used to collect airway secretions in subjects who have inadequate sputum production. The aim of this study was to investigate the efficacy of IS for the diagnosis of pulmonary tuberculosis (PTB) in adults unable to expectorate sputum. Methods: Medical records of 39 PTB patients who underwent IS due to absence of spontaneous sputum production between January 2011 and March 2014 at a tertiary hospital in South Korea were reviewed. Results of acid fast bacilli smear, Mycobacterium tuberculosis culture and polymerase chain reaction assay for M. tuberculosis (TB-PCR) of IS specimens from these patients were analyzed. Clinical and high-resolution computed tomography (HRCT) characteristics were also analyzed to find characteristics associated with IS culture positivity. Results: Of the 39 IS specimens from PTB patients, 7 (17.9%) were smear positive and 31 (79.5%) were culture positive. Twenty-four IS specimens were tested for TB-PCR and 13 (54.2%) were positive on TB-PCR. Multivariate analysis showed that younger age (p=0.04) and presence of tree-in-bud appearance on HRCT (p=0.03) were independent predictors of IS culture positivity. Conclusion: IS is useful for the diagnosis of PTB in adults unable to expectorate sputum. Younger age and tree-in-bud appearance on HRCT were associated with IS culture positivity in these patients.

Deodorization Management of Swine-Slurry by Addition of Phototrophic Bacteria (광합성 세균을 이용한 고농도 양돈슬러리의 무취화 관리방안에 관한 연구)

  • 이명규;권오중;정진영;태민호;허재숙
    • Journal of Animal Environmental Science
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    • v.4 no.2
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    • pp.137-147
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    • 1998
  • This study was carried out to find deodorization effect of swine-slurry by addition of phototrophic bacteria(PTB). The pilot-scale reactors operation conditions was designed by the inoculum amounts of PTB and light-conditions. Treatment conditions was divided into 3 types; 106 MPN/ml$.$Dark(T-1), 108 MPN/ml$.$Dark(T-2), 108 MPN/ml$.$Natural light(T-3). The changes of the concentration of volatile fatty acids(VFAs), hydrogen sulfide(H2S), ammonia (NH3) and odor intensity were analyzed during the treatment period(35 days). From results of this study, the maximum intensity of odor in the headspace of the reactor T-1 was 4.82 and T-2, T-3 was 2.63, respectively. In swine-slurry of reactors used, it almost took 10 days until to be stabilized with solid and liquid phase. Intensity of odor in headspace was mainly derived from the liquid phase. The PTB inoculum method to swine-slurry was very effective in reduction of VFAs, H2S and Sulfate-reducing bacteria(SRB) concentration. Expecially, It was interested in reverse growth behaviour of SRB and PTB in these conditions.

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Socioeconomic Disparities in Pregnancy Outcome and Infant Mortality: Extremely Low Birth Weight and Very Low Birth Weight Infants in Korea, 1995-2010 (극소 및 초극소 저체중출생아 출생과 사망의 사회적 불평등)

  • Park, Hye-Jeong;Son, Mia
    • Health Policy and Management
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    • v.25 no.4
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    • pp.277-284
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    • 2015
  • Background: This study investigates the relationship of socioeconomic status with adverse birth outcomes (low birth weight, preterm birth) and the relationship of socioeconomic status with infant mortality, using the birth cohort in Korea, 1995-2010. Methods: 8,648,035 births from National Statistics Offics, 1995-2010 were studied with respect to social variation in adverse birth outcomes and infant mortality in Korea. The effect of social inequality was examined against adverse birth outcomes and infant mortality using multivariate logistic regression after controlling for other covariates. Results: Social inequality were observed in adverse birth outcomes: low birth weight (LBW, 1,500-2,499 g), very LBW (1,000-1,499 g), and extremely LBW (500-999 g) as well as moderately preterm birth (PTB, 33-36 weeks), very PTB (28-32 weeks), extremely PTB (22-27 weeks), and infant mortality. The effect of social inequality was higher among moderately LBW (1,500-2,499 g) and PTB (33-36 weeks) than very or extremely LBW and PTB. Conclusion: The social inequality in adverse birth outcomes (low birth weight and preterm) and infant mortality existed and increased in Korea from 1995 to 2010. The effect of maternal education on adverse birth outcomes as well as infant mortality was apparent in the study results. Especially, social inequailiy in infant mortality was greater among the sub-normal births (low birth weight [1,500-2,499 g] or preterm birth [33-36 weeks]), which suggests, social interventions should aim at more among the subnormal births. This study suggest that tackling inequality in births as well as infant mortality should be focused on the social inequality itself.

Visualization of unstructured personal narratives of perterm birth using text network analysis (텍스트 네트워크 분석을 이용한 조산 경험 이야기의 시각화)

  • Kim, Jeung-Im
    • Women's Health Nursing
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    • v.26 no.3
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    • pp.205-212
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    • 2020
  • Purpose: This study aimed to identify the components of preterm birth (PTB) through women's personal narratives and to visualize clinical symptom expressions (CSEs). Methods: The participants were 11 women who gave birth before 37 weeks of gestational age. Personal narratives were collected by interactive unstructured storytelling via individual interviews, from August 8 to December 4, 2019 after receiving approval of the Institutional Review Board. The textual data were converted to PDF and analyzed using the MAXQDA program (VERBI Software). Results: The participants' mean age was 34.6 (±2.98) years, and five participants had a spontaneous vaginal birth. The following nine components of PTB were identified: obstetric condition, emotional condition, physical condition, medical condition, hospital environment, life-related stress, pregnancy-related stress, spousal support, and informational support. The top three codes were preterm labor, personal characteristics, and premature rupture of membrane, and the codes found for more than half of the participants were short cervix, fear of PTB, concern about fetal well-being, sleep difficulty, insufficient spousal and informational support, and physical difficulties. The top six CSEs were stress, hydramnios, false labor, concern about fetal wellbeing, true labor pain, and uterine contraction. "Stress" was ranked first in terms of frequency and "uterine contraction" had individual attributes. Conclusion: The text network analysis of narratives from women who gave birth preterm yielded nine PTB components and six CSEs. These nine components should be included for developing a reliable and valid scale for PTB risk and stress. The CSEs can be applied for assessing preterm labor, as well as considered as strategies for students in women's health nursing practicum.

Reconstruction of Anterior Cruciate Ligament With Bone-Patellar tendon-Bone Allograft (동종 슬개건을 이용한 전방십자인대 재건술)

  • Chun, Churl Hong;Lee, Byoung Chang;Kim, Young Jin;Yang, Hwan Duk
    • Journal of the Korean Arthroscopy Society
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    • v.3 no.2
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    • pp.102-108
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    • 1999
  • Purpose : The purpose of this study was to evaluate the clinical results of bone-patellar tendon-bone(B-PTB) allograft for ACL reconstruction without mechanical tensioning device. Material and Method : Forty-six knees in 43 patients were reviewed and evaluated with subjective evaluation, objective evaluation, Telos stress arthrometer and modified Feagin Scoring System. The average age at the time of operation was 27 years(range, 18-42) and the average follow up period was 41 months(range, 22-79). Authors reconstructed ACL using B-PTB allograft which was prepared by rehydration preoperatively without tensioning by mechanical tensioning device. The tension for allograft was obtained by full flexion and extension intraoperatively. All operation were performed arthroscopically by two-tunnel method to avoid the mismatching of allograft tendon length. Result : The modified Feagin Scoring System revealed 39 cases(84.7%) with excellent or good results and 7 cases(15.3%) with fair or poor results. The mean follow-up Lysholm Knee Score was 84. Telos arthrometer revealed 41 cases had an injured-to-uninjured difference of 5 mm or less(mean 2.3mm). The range of motion of knee was nearly normal and there was no extension lag in any cases at last follow up. Conclusion : Clinical results using B-PTB allograft showed less morbidity than B-PTB autograft. The intraoperative tensioning method by full flexion and extension without mechanical tensioning device was not bad. Therefore, B-PTB allograft is a good substitute material in reconstruction of the ACL.

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Autograft versus Allograft for Anterior Cruciate Ligament Reconstruction - The clinical analysis of patellar tendon autografts compared with allografts - (자가 슬개건과 동종 슬개건을 이용한 전방 십자 인대 재건술의 비교)

  • Chun, Churl-Hong;Kim, Young-Jin;Yang, Jae-Hyun
    • Journal of the Korean Arthroscopy Society
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    • v.4 no.1
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    • pp.13-18
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    • 2000
  • Purpose : The purpose of this study was to compare the efficacy of bone-patellar tendon-bone(B-PTB) allograft with autograft B-PTB reconstruction of anterior cruciate ligament(ACL) according to the subjective and objective criteria. Materials and Methods : 42 patients were treated for acute rupture or chronic insufficiency of the ACL between March 1993 and June 1996. There were 18 autografts and 24 allografts for ACL reconstruction. At 2 years of follow-up after operation, autograft and allograft groups were compared based on subjective, objective criteria and Telos stress arthrometer. Results : The modified Feagin Scoring System revealed 16 patients$(88.9\%)$ with a satisfactory result by autografts, but 21 patients$(87.5\%)$ with a satisfactory result by allografts after 2-years follow-lip. There was no statistically significant difference between the two groups. ACL reconstruction with B-PTB allograft did not produce a significant functional deficit. But patellofemoral pain and crepitus were more frequent in the autografts$(33.3\%)$ than allografts$(8.3\%)$ (p<0.05). Conclusion : The ACL deficient knees treated with allografts for ACL reconstruction tended to be better than those reconstructed with autografts fur the reduction of patellofemoral crepitus and pain. B-PTB allograft provides an acceptable alternative to autograft tissue for reconstruction of the ACL.

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Optimization ova Mechanism for Power Transfer Breakers (전력변환차단기의 트리거 기구 최적화)

  • 조두현;김권희
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2002.05a
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    • pp.735-739
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    • 2002
  • PTB(Power Transfer Breaker) is a device which incorporate the functions of ACB(Air Circuit Breaker) and ATS(Automatic Transfer Switch). ACB is a circuit breaker against overload and ATS is a switching device to transfer the load between two electric power sources. An existing PTB design based upon the 5 bar & cam mechanism has been regarded to be too complex and thus a simpler 4 bar mechanism with trigger lock is proposed. Experimentation and optimization of the trigger lock is presented.

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Weed Identification Using Machine Vision (기계시각을 이용한 잡초 식별)

  • 조성인;이대성;배영민
    • Journal of Biosystems Engineering
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    • v.24 no.1
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    • pp.59-66
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    • 1999
  • Weed identification is important for precision farming. A machine vision system was applied to detect weeds. Shape features were analyzed with the binary images obtained from color images of radish, purslane, goosefoot, and crabgrass. Features studied were aspect, roundness, compactness, elongation, PTB, LTP, LTW, and PTAL of each plant. Discriminant analysis was used to classify plant species. The best shape features that distinguished crabgrass were LTP and LTW which distinguished the crabgrass from the others with 100%. Two dimensional discrimination by using LTP and PTB appeared to be effective for distinguishing radish, purslane, and goosefoot.

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ShcD interacts with TrkB via its PTB and SH2 domains and regulates BDNF-induced MAPK activation

  • You, Yuangang;Li, Weiqi;Gong, Yanhua;Yin, Bin;Qiang, Boqin;Yuan, Jiangang;Peng, Xiaozhong
    • BMB Reports
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    • v.43 no.7
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    • pp.485-490
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    • 2010
  • Neurotrophins regulate many aspects of neuronal function through activation of the high affinity Trk receptors. Shc family proteins are implicated in the coupling of RTK to the Ras/mitogen-activated protein kinase signaling cascade. Here we report that the fourth Shc family member, ShcD, associates with TrkB receptor and regulates BDNF-induced MAPK activation. Yeast two-hybrid assay and Co-IP experiments demonstrate ShcD interacts with TrkB in a kinase-activity-dependent manner. Confocal analysis shows ShcD cololizes well with TrkB in transfected 293T cells. Subsequent mapping experiments and mutational analysis indicate that both PTB and SH2 domains are capable of binding to TrkB and PTB domain binds to TrkB NPQY motif. Furthermore, ShcD is involved in BDNF-induced MAPK activation. In summary, we demonstrate that ShcD is a substrate of TrkB and mediates TrkB downstream signaling pathway.

Defective Anks1a disrupts the export of receptor tyrosine kinases from the endoplasmic reticulum

  • Park, Soochul
    • BMB Reports
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    • v.49 no.12
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    • pp.651-652
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    • 2016
  • EphA2 has been implicated in amplifying ErbB2 tumorigenic signaling. One protein that interacts with EphA2 is the Anks1a PTB adaptor. However, the precise role of Anks1a in EphA2-mediated tumorigenesis is unclear. We demonstrated that Anks1a localizes to the ER upon phosphorylation and that the Ankyrin repeats and PTB of Anks1a bind to EphA2 and Sec23, respectively. Thus, Anks1a facilitates the selective packaging of EphA2 into COPII vesicles. Additionally, Anks1a knockout mice, a phenocopy of EphA2 knockout mice, exhibited markedly reduced ErbB2-induced breast tumorigenesis. Strikingly, ErbB2 did not localize to the cell surface following Anks1a knockdown in primary mammary tumor cells over-expressing ErbB2. Importantly, EphA2 was critical for stabilizing ErbB2 through complex formation, but its interaction with Anks1a also facilitated ErbB2 loading into COPII carriers. These findings suggest a novel role for Anks1a in the molecular pathogenesis of breast tumors and possibly other human diseases.