Park, Hyo-Jun;Moon, Suk-Bae;Seo, Jeong-Meen;Lee, Suk-Koo
Advances in pediatric surgery
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v.15
no.1
/
pp.38-43
/
2009
With the widespread use of the obstetrical ultrasound, identification of a fetal suprarenal mass becomes more common. Most of these masses prove to be congenital neuroblastomas (CNB) postnatally. However, the diagnosis is often confused with other benign lesions and the post-natal management remains controversial. The medical records of 13 patients that underwent primary surgical excision for an antenatally detected adrenal CNB, between January 1995 and April 2009, were reviewed retrospectively. The clinical, radiological, surgical, and pathological data on the suprarenal mass were collected. Staging evaluation was performed after histological confirmation of the CNB. Most of the CNBs were stage I (N=11), with 1 stage IV and 1 stage IV-S. Four patients (3 stage I and 1 stage IV-S) had N-myc gene amplification. The stage I patients were cured by surgery alone, and stage IV patients underwent 9 cycles of adjuvant chemotherapy and currently have no evidence of disease after 39 months of follow-up. The patient with stage IV-S is currently receiving chemotherapy. There were no post-operative complications. For early diagnosis and treatment, surgical excision should be considered as the primary therapy for an adrenal CNB detected before birth. The surgery can be safely performed during the neonatal period and provides a cure in most cases. Surgical diagnosis and treatment of CNB is recommended in neonatal period.
The primary objective of this study was to estimate the level of infant mortality rate and to find the cause of infant deaths prevailed in 1981~86 from vital registration data. In the course of that undertaking we have considered the non-registered portion of infant deaths especially for the non-registered portion of neonatal deaths. The main reason is that deaths occurring in the neonatal period and prior to the registration of the birth leave little incentive for the registration of either the birth or the death. From several ad-hoc survey's results and other countries' experiences it was, however, found that the proportion of neonatal deaths was 69.3%, the proportion of deaths in the period of first month in infanty was 7%, and the proportion of deaths in the period of 2 months and over in infancy was 23.7% respectivily. Thus, adoption the hypothesis that post-neonatal mortality is completly registered, we obtained the extimated number of infant deaths. Attempt to test the hypothesis was also made using the Brougeois- Pichats's function. The result was that the registered number of deaths in the post-neonatal period is almost compatible with the expected number. The major finding in this study was that the level of infant mortality rate in Korea was 19 per thousand live births in 1981 and 13 in 1986. This level of 1986 was almost identical with the level of Japan in 1970. It was also found that there was a difference in the level of infant mortality rate between sexes during 1981-83 but the difference was disappeared in 1985-86. Looking into the cause of infant deaths, it was found from registration that 21.2% of all infant deaths was due to congenital snomalies, 11.5% was due to pneumonia and 5.1% was due to the conditions originating in the perinatal period in that order. This pattern seems to be different with that of U.S.A., Japan and France. However, if we consider the non-registered neo-natal deaths, the order of the cause of infant deaths in Korea will be the same as compared countries. Finally, every efforts should should be made to obtain a good quality of data on infant mortality, making the non-registered events reported completely through hospitals.
Bae, Da-Jeong;Jun, Ji Ae;Chang, Hun Soo;Park, Jong Sook;Park, Choon-Sik
Tuberculosis and Respiratory Diseases
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v.83
no.1
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pp.1-13
/
2020
For the past three decades, more than a thousand of genetic studies have been performed to find out the genetic variants responsible for the risk of asthma. Until now, all of the discovered single nucleotide polymorphisms have explained genetic effects less than initially expected. Thus, clarification of environmental factors has been brought up to overcome the 'missing' heritability. The most exciting solution is epigenesis because it intervenes at the junction between the genome and the environment. Epigenesis is an alteration of genetic expression without changes of DNA sequence caused by environmental factors such as nutrients, allergens, cigarette smoke, air pollutants, use of drugs and infectious agents during pre- and post-natal periods and even in adulthood. Three major forms of epigenesis are composed of DNA methylation, histone modifications, and specific microRNA. Recently, several studies have been published on epigenesis in asthma and allergy as a powerful tool for research of genetic heritability in asthma albeit epigenetic changes are at the starting point to obtain the data on specific phenotypes of asthma. In this presentation, we mainly review the potential role of DNA CpG methylation in the risk of asthma and its sub-phenotypes including nonsteroidal anti-inflammatory exacerbated respiratory diseases.
Journal of the Korean Society of Fashion and Beauty
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v.4
no.1
s.7
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pp.51-59
/
2006
Today, SPA fills many of the same needs as they did thousands of years ago, including relaxation, wellness and stress relief by incorporating many of the same methods embraced by the ancients such as a multitude of hydrotherapy treatments, thalassotherapy and massage therapy, one of the most widely used SPA treatments. The definition is as follows: SPA is entities devoted to enhancing overall well-being through a variety of professional services that encourage the renewal of mind, body and spirit. It was from here that the concept of modernday SPA evolved, incorporating full health and beauty services along with sport, aquatic and rest facilities. Todays SPA, a absolute concept, is being specialized and spread as fast as undefinable just in a word. Thalassotherapy, a kind of SPA therapy, contains minerals and trace elements. Born more than 4,000 years ago in ancient Egypt, thalassotherapy comes from the Greek words for thalasso(sea water) and therapeia(to heal). Thalassa was the Greek personification of the Mediterranean Sea that surrounded them and gave them so much of their sustenance. It helps to nourish, hydrate and refine skin texture and also eliminate metabolic waste and toxins in the body. Thalassotherapy is recommended for post-natal and postsurgery recovery period, chronic fatigue, circulatory problems, cellulite control and dermatological problems. It's also possible to enjoy the thalassotherapy SPA as a day guest. Be sure to try the jansu massage, given in the heated sea water pool. As a trained therapist gently whisks clients through the womb-warm water, clients can practically feel the toxins leave their body. Many women from all over the world have been kept up beautiful skin with applying thalassotherapy to their faces and bodies since long times and these days in France, they are getting great curative clinical effects from renovative and scientific technological combination. Thus thalassotherapy will be absolutely ultimate form of natural healing which can keep and recover human's health and beauty.
Childhood acute lymphoblastic leukemia (ALL) is one of the most common hematologic malignancies, accounting for one fourth of all childhood cancer cases. Exposure to environmental factors around the time of conception or pregnancy can increase the risk of ALL in the offspring.This study aimed to evaluted the role of prenatal and postnatal exposure to high voltage power lines on the incidence of childhood ALL.This cross-sectional case control study was carried out on 22 cases and 100 controls who were born and lived in low socioeconomic families in Isfahan and hospitalized for therapeutic purposes in different hospitals from 2013-2014.With regard to the underlying risk factors, familial history and parental factors were noted but in this age, socioeonomic and zonal matched case control study, prenatal and childhood exposure to high voltage power lines was considered as the most important environmental risk factors of ALL (p=0.006, OR=3.651, CI 95%, 1.692-7.878). As the population was of low socioeconomic background, use of mobiles, computers and microwave was negligible. Moreover prenatal and postnatal exposure to indoor electrically charged objects was not determined to be a significant environmental factor. Thus, pre and post natal exposure to high voltage power lines and living in pollutant regions as well as familial influence could be described as risk factors of ALL for the first time in a low socioeconomic status Iranian population.
Allergic asthma is one of the most enduring diseases of the airway. The T-helper cells and regulatory T-cells are critically involved in inflammatory responses, mucus hypersecretion, airway remodelling and in airway hyper-responsiveness. Cigarette smoke (CS) has been found to aggravate inflammatory responses in asthma. Though currently employed drugs are effective, associated side effects demand identification and development of novel drugs with negligible or no adverse effects. Rutin, plant-derived flavonoid has been found to possess antioxidant and anti-inflammatory effects. We investigated the ability of rutin to modulate T-cells and inhibit inflammation in experimentally-induced asthma in cigarette smoke exposed mice. Separate groups of neonatal mice were exposed to CS for 10 days from post-natal days 2 to 11. After 2 weeks, the mice were sensitized and challenged with ovalbumin (OVA). Treatment group were given rutin (37.5 or 75 mg/kg body weight) during OVA sensitization and challenge. Rutin treatment was found to significantly inhibit cellular infiltration in the airways and Th2 and Th17 cytokine levels as well. Flow cytometry revealed effectively raised $CD4^+CD25^+Fox3^+$ Treg cells and supressed Th17 cell population on rutin treatment. Airway hyper-responsiveness observed following CS and OVA challenge were inhibited by rutin. $NF-{\kappa}B$ and iNOS, chief regulators of inflammatory responses robustly activated by CS and OVA were down-regulated by rutin. Rutin also inhibited the expression of matrix metalloproteinase 9, thereby aiding in prevention of airway remodelling in asthma thereby revealing to be a potent candidate in asthma therapy.
Tawfik, Shady H.;Haiba, Maha M.;Saad, Mohamed I.;Abdelkhalek, Taha M.;Hanafi, Mervat Y.;Kamel, Maher A.
Journal of Animal Science and Technology
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v.59
no.1
/
pp.1.1-1.11
/
2017
Background: Intrauterine environment plays a pivotal role in the origin of fatal diseases such as the metabolic syndrome. Diabetes is associated with low-grade inflammatory state and dysregulated adipokines production. The aim of this study is to investigate the effect of maternal diabetes on adipocytokines (adiponectin, leptin and TNF-${\alpha}$) production in F1 offspring in rats. Methods: The offspring groups were as follows: F1 offspring of control mothers under control diet (CD) (CF1-CD), F1 offspring of control mothers under high caloric diet (HCD) (CF1-HCD), F1 offspring of diabetic mothers under CD (DF1-CD), and F1 offspring of diabetic mothers under HCD (DF1-HCD). Every 5 weeks post-natal, 10 pups of each subgroup were culled to obtain blood samples for biochemical analysis. Results: The results indicate that DF1-CD and DF1-HCD groups exhibited hyperinsulinemia, dyslipidemia, insulin resistance and impaired glucose homeostasis compared to CF1-CD (p > 0.05). DF1-CD and DF1-HCD groups had high hepatic and muscular depositions of TGs. The significant elevated NEFA level only appeared in offspring of diabetic mothers that was fed HCD. DF1-CD and DF1-HCD groups demonstrated low serum levels of adiponectin, high levels of leptin, and elevated levels of TNF-${\alpha}$ compared to CF1-CD (p > 0.05). These results reveal the disturbed metabolic lipid profile of offspring of diabetic mothers and could guide further characterization of the mechanisms involved. Conclusion: Dysregulated adipocytokines production could be a possible mechanism for the transgenerational transmittance of diabetes, especially following a postnatal diabetogenic environment. Moreover, the exacerbating effects of postnatal HCD on NEFA in rats might be prone to adipcytokine dysregulation. Furthermore, dysregulation of serum adipokines is a prevalent consequence of maternal diabetes and could guide further investigations to predict the development of metabolic disturbances.
The Journal of Korean Academic Society of Nursing Education
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v.17
no.1
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pp.90-99
/
2011
Purpose: To investigate the impacts of individualized versus group prenatal breast-feeding education on postnatal breast-feeding knowledge, this study addressed techniques and rates of first-time mothers as part of data collection for developing breast-feeding education programs. Methods: A quasi-experimental nonequivalent control group design was applied to compare the effects of prenatal breast-feeding individual vs. group education among first-time mothers. Collected data was analyzed using $x^2$-test, t-test, paired t-test, and ANOVA. Results: There was no difference on the knowledge of prenatal breast-feeding between individual and group education. However, individual education was a more effective method than group education on post-natal knowledge. In the 4th and 8th weeks of breast-feeding, individual education was more effective than group education. However, there was no difference between the two education methods at Week 12. Conclusion: This study indicates that many outpatient mothers should be given various individual approaches and prenatal breast-feeding education programs to provide them with opportunities for education to improve breast-feeding rates. However, there was no statistically significant difference in the breast-feeding rates at Week 12, which may be attributed not to education methods but to changes in external environmental factors. Further research is needed to address the changes.
Purpose: To investigate the prevalence of congenital and age-related color vision deficiencies over a wide range of ages among residents in two urban communities of Kyeonggi-Do. Methods: A total of 935 subjects, consisting of 452 males and 483 females, participated in this study. Lanthony D-15 desaturated panels test were used to assess color vision. Results: Prevalence of color vision deficiency was 4.81% for total, 6.64% for males and 3.11% for females. Congenital color vision deficiency was 3.54% for males and 0.41% for females. Tritan deficiency, which was the post-natal age-related, was 2.99% (3.32% for males, and 2.69% for females). Conclusions: The result imply that color vision deficiencies is influenced by age. As an age-related color vision deficiencies, Tritan is most frequently found in the age group over 50.
Le, Dai;Lim, Soyeon;Min, Kwang Wook;Park, Joon Woo;Kim, Youjoung;Ha, Taejeong;Moon, Kyeong Hwan;Wagner, Kay-Uwe;Kim, Jin Woo
Molecules and Cells
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v.44
no.3
/
pp.168-178
/
2021
The retinal pigment epithelium (RPE) forms a monolayer sheet separating the retina and choroid in vertebrate eyes. The polarized nature of RPE is maintained by distributing membrane proteins differentially along apico-basal axis. We found the distributions of these proteins differ in embryonic, post-natal, and mature mouse RPE, suggesting developmental regulation of protein trafficking. Thus, we deleted tumor susceptibility gene 101 (Tsg101), a key component of endosomal sorting complexes required for transport (ESCRT), in embryonic and mature RPE to determine whether ESCRT-mediated endocytic protein trafficking correlated with the establishment and maintenance of RPE polarity. Loss of Tsg101 severely disturbed the polarity of RPE, which forms irregular aggregates exhibiting non-polarized distribution of cell adhesion proteins and activation of epidermal growth factor receptor signaling. These findings suggest that ESCRT-mediated protein trafficking is essential for the development and maintenance of RPE cell polarity.
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