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Novel genetic and epigenetic factors involved in the development and prognosis of idiopathic pulmonary fibrosis (IPF) have been identified. We previously observed that erythrocyte membrane protein band 4.1-like 3 (EPB41L3) increased in the lung fibroblasts of IPF patients. Thus, we investigated the role of EPB41L3 in IPF by comparing the EPB41L3 mRNA and protein expression of lung fibroblast between patients with IPF and controls. We also investigated the regulation of epithelial–mesenchymal transition (EMT) in an epithelial cell line (A549) and fibroblast-to-myofibroblast transition (FMT) in a fibroblast cell line (MRC5) by overexpressing and silencing EPB41L3. EPB41L3 mRNA and protein levels, as measured using RT-PCR, real-time PCR, and Western blot, were significantly higher in fibroblasts derived from 14 IPF patients than in those from 10 controls. The mRNA and protein expression of EPB41L3 was upregulated during transforming growth factor-β-induced EMT and FMT. Overexpression of EPB41L3 in A549 cells using lenti-EPB41L3 transfection suppressed the mRNA and protein expression of N-cadherin and COL1A1. Treatment with EPB41L3 siRNA upregulated the mRNA and protein expression of N-cadherin. Overexpression of EPB41L3 in MRC5 cells using lenti-EPB41L3 transfection suppressed the mRNA and protein expression of fibronectin and α-SMA. Finally, treatment with EPB41L3 siRNA upregulated the mRNA and protein expression of FN1, COL1A1, and VIM. In conclusion, these data strongly support an inhibitory effect of EPB41L3 on the process of fibrosis and suggest the therapeutic potential of EPB41L3 as an anti-fibrotic mediator.

In ocean color remote sensing, the importance of developing and validating atmospheric correction and ocean bio-optical algorithms has been emphasized. However, if uncertainty remains in the fundamental procedure of converting the sensor signal to the top of the atmosphere (TOA) radiance, the errors will affects the overall reliability of the ocean satellite products.The purpose of this study is to monitor the gain parameters of two on-board GOCI-II calibration using Solar Diffuser (SD) and Diffuser Aging Monitoring Device (DAMD) and to improve the accuracy of ocean color sensors for radiometric calibration (RC) quality at the TOA level. Our results show that the SD gains parameter tends to decrease with seasonal periodicity in all bands, confirming sensor degradation and solar azimuth angle over time. In addition to the current RC model using only SD gain in the relationship between the sensor-observed digital counts and TOA radiance, we develop an azimuth angle correction model and a sensor degradation correction model. Verification will be performed by calculating the TOA radiation applied with an improved RC model around the Korean Peninsula. It will contribute to providing more stable GOCI-II ocean color products for short-term and long-term analysis.

Novel genetic and epigenetic factors involved in the development and prognosis of idiopathic pulmonary fibrosis (IPF) have been identified. We previously observed that EPB41L3 increased in the lung fibroblasts of IPF patients. Thus, we investigated the role of EPB41L3 in IPF by comparing EPB41L3 mRNA and protein expression of lung fibroblast between patients with IPF and controls. We also investigated the regulation of the epithelial-mesenchymal transition (EMT) in an epithelial cell line (A549), and the fibroblast-to-myofibroblast transition (FMT) in a fibroblast cell line (MRC5), by overexpressing and silencing EPB41L3. EPB41L3 mRNA and protein levels, as measured by RT-PCR, real-time PCR, and western blot, were significantly higher in fibroblasts derived from 14 IPF patients than in those from 10 controls. The mRNA and protein expression of EPB41L3 was upregulated during transforming growth factor-β-induced EMT and FMT. Overexpression of EPB41L3 in A549 cells using lenti-EPB41L3 transfection suppressed the mRNA and protein expression of N-cadherin and COL1A1. Treatment with EPB41L3 siRNA upregulated mRNA and protein expression of N-cadherin. Overexpression of EPB41L3 in MRC5 cells using lenti-EPB41L3 transfection suppressed mRNA and protein expression of fibronectin and α-SMA. Finally, treatment with EPB41L3 siRNA upregulated mRNA and protein expression of FN1, COL1A1, and VIM. Overall, these data strongly support an inhibitory effect of EPB41L3 on the process of fibrosis and suggest therapeutic potential of EPB41L3 as an anti-fibrotic mediator.

Background: Cerebral amyloid angiopathy (CAA) often presents as cognitive impairment, but the mechanism of cognitive decline is unclear. Recent studies showed that number of microbleeds were associated with cognitive decline. Objective: We aimed to investigate how microbleeds contribute to cognitive impairment in association with white matter tract abnormalities or cortical thickness in CAA. Methods: This retrospective comparative study involved patients with probable CAA according to the Boston criteria (Aβ+ CAA) and patients with Alzheimer’s disease (Aβ+ AD), all of whom showed severe amyloid deposition on amyloid PET. Using mediation analysis, we investigated how FA or cortical thickness mediates the correlation between the number of lobar microbleeds and cognition. Results: We analyzed 30 patients with Aβ+ CAA (age 72.2±7.6, female 53.3%) and 30 patients with Aβ+ AD (age 71.5±7.6, female 53.3%). The two groups showed similar degrees of cortical amyloid deposition in AD-related regions. The Aβ+ CAA group had significantly lower FA values in the clusters of the posterior area than did the Aβ+ AD group (family-wise error-corrected p

The characteristics of bioliquid produced through the hydrothermal carbonization (HTC) of wood wastes and the effects of recirculation on hydrochar production were analyzed. The organic acids and total organic carbon of bioliquid increased with progressive recirculation, whereas intermediate byproducts decreased. Hydrochar production by bioliquid recirculation increased mass yield, carbon content, caloric value, and energy yield of the former, while improving its quality as a solid refuse fuel. We concluded that bioliquid recirculation promoted HTC, as demonstrated by Fourier-transform infrared spectroscopy. Furthermore, contrary to predictions, a relatively constant quantity of bioliquid was generated in each step, indicating that its continuous reuse is feasible. Therefore, bioliquid recirculation can improve hydrochar production while simultaneously mitigating the environmental impact of wastewater generation. This method should be considered an important strategy toward the implementation of carbon-neutrality goals.

Objective: A number of epidemiological studies have reported that decreased serum bilirubin, an endogenous antioxidant, is associated with cardiovascular disease. However, previous Mendelian randomization analyses conducted using a single sample have shown no evidence of association. Approach and Results: A 2-sample summary Mendelian randomization study was performed by obtaining exposure and outcome data from separate nonoverlapping samples. We utilized data from the KoGES (Korean Genome and Epidemiology Study; n=25 406) and KCPS-II (Korean Cancer Prevention Study-II; n=14 541) biobank for serum bilirubin and stroke, respectively. Using KoGES, a total of 1784 single nucleotide polymorphisms associated with serum bilirubin levels were discovered using a genome-wide significance threshold ( P −8 ), of which 10 single nucleotide polymorphisms were identified as independent ( R 2 P =0.046). This association increased in magnitude when restricting the analysis to ischemic stroke cases (odds ratio, 0.302 [95% CI, 0.105–0.868]; P =0.026). Conclusions: Our findings provide evidence of significant causal relationship between high levels of bilirubin and decreased stroke risk in Korean population in agreement with observational approaches. This highlights the potential for bilirubin to serve as a therapeutic target for oxidative stress-related diseases such as stroke and suggests that previous findings were not a consequence of unmeasured confounding.

In this research, reinforced concrete (RC) and strain-hardening cementitious composite (SHCC) columns subjected to lateral loads combined with a constant load were investigated, both by experiments and predictions, with two distributed inelastic finite element models established by the stiffness and flexibility formulations. SHCC applied in the column plastic hinge region could not only enhance the lateral load and displacement capacities of columns but also offer effective advantages in the control of bending and shear cracks induced by multiple microcracks, the prevention of the spalling of cover concrete, and the resistance to buckling of steel bars. With the layered cross-sectional approach using constitutive laws of SHCC considering a proposed model of the post-cracked high-ductile tensile characteristics, as well as concrete and reinforcing steel bars, an inelastic beam-column finite element model was presented with a distributed flexibility formulation. In comparison with experiments concerning the RC and reinforced strain-hardening cementitious composite (R-SHCC) columns, the current flexibility method showed relatively accurate estimations in the lateral load and displacement responses of column systems as well as in localized nonlinear responses of cross-section as estimated in axial strains of longitudinal reinforcing steel bars. In comparison with the stiffness method, the current flexibility method gave more accurate solutions at both element and structural levels, as manifested in the experiments and analysis solutions.

Regular physical activity (PA) is known to reduce the risk of serious community-acquired infections. We examined the association of PA with the morbidity and mortality resulting from coronavirus disease (COVID-19) infection in the South Korean population. Patients who tested positive for severe acute respiratory coronavirus 2 and who underwent public health screening between 2014 and 2017 (n = 6288) were included. Age- and sex-matched controls (n = 125,772) were randomly selected from the Korean National Health Insurance Service database. Leisure-time PA was assessed using a self-reported questionnaire. The mean PA levels were lower in the patient than in the control group (558.2 ± 516.3 vs. 580.2 ± 525.7 metabolic equivalent of task (MET)-min/week, p = 0.001). Patients with moderate to vigorous PA (MVPA) were associated with a lower risk of COVID-19 morbidity (odds ratio (OR), 0.90; 95% confidence interval (CI), 0.86–0.95). In addition, a standard deviation (SD) increment in MET/week (525.3 MET-min/week) was associated with a 4% decrease in the risk of COVID-19 morbidity (OR, 0.96; 95% CI, 0.93–0.99). MVPA and an SD increment in MET/week were associated with lower mortality (MVPA: OR, 0.47; 95% CI, 0.26–0.87; per SD increment: OR, 0.65; 95% CI, 0.48–0.88). Higher levels of regular PA were associated with a lower risk of COVID-19 infection and mortality, highlighting the importance of maintaining appropriate levels of PA along with social distancing amid the COVID-19 pandemic.

Background and aims A few studies examined association between familial hypercholesterolemia (FH) and atherosclerotic cardiovascular disease (ASCVD) in Asians with low levels of serum cholesterol. The objectives of this study were to estimate the prevalence of familial hypercholesterolemia phenotype (FH-P) and examined their associations with cardiovascular mortality among Korean population. Methods The Korea National Health and Nutrition Examination Survey (KNHANES) data and data from a cohort study were used to obtain the prevalence estimate of FH-P and the association of FH-P with mortality, respectively. A cohort study included 502,966 individuals who visited health promotion centers and were given a medical examination from 1994 to 2004. FH-P was defined using the Make Early Diagnosis to Prevent Early Death (MEDPED) criteria and the modified MEDPED which substracted 20 mg/dL from original MEDPED. Results FH-P prevalences defined by MEDPED and modified MEDPED among KNHANES were 0.11% and 0.25%. After 14.6-year follow-up, 23,413 deaths (3888 ASCVD) were observed. Overall, FH-P defined by MEDPED showed weaker associations with mortality compared with modified MEDPED. The hazard ratios (95% confidence intervals) of FH-P defined by modified MEDPED were 1.74 (1.46–2.07) for all-cause death, 2.18 (1.51–3.14) for ASCVD, and 2.06 (1.66–2.56) for non-cancer. Of note, the hazard ratios for all-cause death was 5.27 (2.62–10.57) among women aged less than 50 years. Conclusions FH-P increased all-cause and ASCVD mortality. Long-term follow-up studies with detailed information on cause of mortality are necessary to confirm these findings. Subjects with FH are at high risk for death and need appropriate treatment and management.

Objective The Korean Dementia Screening Questionnaire (KDSQ) is an informant-based instrument used to screen for cognitive dysfunction. However, its ability to only dichotomously discriminate between dementia and normal cognition has been previously investigated. This study investigated the ability of the KDSQ to classify not only dichotomous but also multiple stages of cognitive dysfunction. Methods We examined 582 participants. Receiver operating characteristic (ROC) curves were used to determine dichotomous classification parameters. Multi-category ROC surfaces were evaluated to classify the three stages of cognitive dysfunction. Results Dichotomous classification using the ROC curve analyses showed that the area under the curve was 0.92 for dementia for subjects without dementia and 0.96 for dementia in controls. Simultaneous multi-category classification analyses showed that the volume under the ROC surface (VUS) was 0.57 and that the derived optimal cut-off points were 2 and 8 for controls, MCI, and dementia. The estimated Youden index for the KDSQ was 0.48, and the derived optimal cut-off points were 5 and 10. The overall classification accuracy of the VUS and Youden index was 61.2% and 58.6%, respectively. Conclusion The KDSQ is useful for classifying dichotomous and multi-category stages of cognitive dysfunction.

The first geostationary ocean color data from the Geostationary Ocean Color Imager (GOCI) onboard the Communication, Ocean, and Meteorological Satellite (COMS) have been accumulating for more than ten years from 2010. This study performs a multi-year quality assessment of GOCI chlorophyll-a (Chl-a) and radiometric data for 2012–2021 with an advanced atmospheric correction technique and a regionally specialized Chl-a algorithm. We examine the consistency and stability of GOCI, Moderate Resolution Imaging Spectroradiometer (MODIS), and Visible Infrared Imaging Radiometer Suite (VIIRS) level 2 products in terms of annual and seasonal climatology, two-dimensional frequency distribution, and multi-year time series. Overall, the GOCI agrees well with MODIS and VIIRS on annual and seasonal variability in Chl-a, as the central biological pattern of the most transparent waters over the western North Pacific, productive waters over the East Sea, and turbid waters over the Yellow Sea are reasonably represented. Overall, an excellent agreement is remarkable for western North Pacific oligotrophic waters (with a correlation higher than 0.91 for Chl-a and 0.96 for band-ratio). However, the sporadic springtime overestimation of MODIS Chl-a values compared with others is notable over the Yellow Sea and East Sea due to the underestimation of MODIS blue-green band ratios for moderate-high aerosol optical depth. The persistent underestimation of VIIRS Chl-a values compared with GOCI and MODIS occurs due to inherent sensor calibration differences. In addition, the artificially increasing trends in GOCI Chl-a (+0.48 mg m−3 per 9 years) arise by the decreasing trends in the band ratios. However, decreasing Chl-a trends in MODIS and VIIRS (−0.09 and −0.08 mg m−3, respectively) are reasonable in response to increasing sea surface temperature. The results indicate GOCI sensor degradation in the late mission period. The long-term application of the GOCI data should be done with a caveat, however; planned adjustments to GOCI calibration (2022) in the following GOCI-II satellite will essentially eliminate the bias in Chl-a trends.

The indiscriminate use of plastics and careless management of plastic waste have caused serious environmental challenges globally. The Republic of Korea (ROK) aims to address the issue by reducing plastic waste generation by up to 50%, and increasing recycling rate by up to 70%, by 2030. To determine the status and future directions for plastic waste management in the ROK, the present study undertook two tasks: (i) a material flow analysis of plastic waste material from industrial sectors to assess the current status of plastic waste recycling and treatment, (ii) an analysis of the material flow of plastic waste based on the “Waste Classification Code.” According to the findings, 6.202 million metric tons of plastic waste were generated in 2018, out of which 69%, 25%, and 0.5% was recycled, incinerated, and landfilled, respectively. The recycling rate of synthetic resin waste, which accounts for 96% of synthetic waste polymers discharged in the industrial sector, was 69%, which is a very high rate. However, the closed-loop recycling rate was only 33%. Therefore, the system of management of synthetic resin waste discharge without classification of raw materials should be improved to increase the closed-loop recycling rate of synthetic waste polymers. Furthermore, to increase the closed-loop recycling rate, we suggest the subdivision of synthetic resin waste (51-03-01) in plastic waste classification to improve the discharge separation system, which has been mismanaged. Furthermore, we suggest the formulation of a new management strategy for plastic waste, in accordance with those of other hazardous substances, as regulated by the Waste Control Act.

Objectives To estimate the prevalence of fluoroquinolone-resistant rectal flora in patients undergoing transrectal ultrasound-guided prostate needle biopsy and to identify the high-risk groups. Methods From January 2015 to March 2016, rectal swabs of 557 men who underwent transrectal ultrasound-guided prostate needle biopsy were obtained from five institutions. Clinical variables, including demographics, rectal swab culture results and infectious complications, were evaluated. Univariable and multivariable analyses were used to identify the risk factors for fluoroquinolone resistance of rectal flora and infectious complications. Results The incidence of fluoroquinolone-resistant and extended-spectrum beta-lactamase production was 48.1 and 11.8%, respectively. The most common fluoroquinolone-resistant bacteria was Escherichia coli (81% of total fluoroquinolone-resistant bacteria, 39% of total rectal flora), and 16 (2.9%) patients had infectious complications. Univariable and multivariable analysis of clinical parameters affecting fluoroquinolone resistance showed no factor associated with fluoroquinolone resistance of rectal flora. The clinical parameter related to infectious complications after prostate biopsy was a history of operation within 6 months (relative risk 6.60; 95% confidence interval 1.99-21.8, P = 0.002). Conclusions These findings suggest that a risk-based approach by history taking cannot predict antibiotic resistance of rectal flora, and physicians should consider targeted antibiotic prophylaxis or extended antibiotic prophylaxis for Korean patients undergoing transrectal ultrasound-guided prostate biopsy because of high antibiotic resistance of rectal flora.

Background and Purpose— Circulating bilirubin, a natural antioxidant, is associated with decreased risk of stroke. However, the nature of the relationship between the two remains unknown. We used a Mendelian randomization analysis to assess the causal effect of serum bilirubin on stroke risk in Koreans. Methods— The 14 single-nucleotide polymorphisms (SNP s ) (–7 ) including rs6742078 of uridine diphosphoglucuronyl-transferase were selected from genome-wide association study of bilirubin level in the KCPS-II (Korean Cancer Prevention Study-II) Biobank subcohort consisting of 4793 healthy Korean and 806 stroke cases. Weighted genetic risk score was calculated using 14 SNP s selected from the top SNP s . Results— Both rs6742078 (F statistics=138) and weighted genetic risk score with 14 SNP s (F statistics=187) were strongly associated with bilirubin levels. Simultaneously, serum bilirubin level was associated with decreased risk of stroke in an ordinary least-squares analysis. However, in 2-stage least-squares Mendelian randomization analysis, no causal relationship between serum bilirubin and stroke risk was found. Conclusions— There is no evidence that bilirubin level is causally associated with risk of stroke in Koreans. Therefore, bilirubin level is not a risk determinant of stroke.

Large-scale meta-analyses of genome-wide association studies (GWAS) have identified >175 loci associated with fasting cholesterol levels, including total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), and triglycerides (TG). With differences in linkage disequilibrium (LD) structure and allele frequencies between ancestry groups, studies in additional large samples may detect new associations. We conducted staged GWAS meta-analyses in up to 69,414 East Asian individuals from 24 studies with participants from Japan, the Philippines, Korea, China, Singapore, and Taiwan. These meta-analyses identified (P

Periurethral bulking agent injection (or transurethral submucosal injection) is a comparatively less invasive procedure for the treatment of stress urinary incontinence in patients who develop incontinence after radical prostatectomy, and who are more frequently being treated with transurethral submucosal injection. However, as the radiologic findings of bulking agents are not very well known, they can be mistaken for local recurrence in prostate cancer patients who have undergone prostatectomy. Unlike some of the literatures, in which the radiologic features of collagen injections have been reported, the radiologic findings of silicone injections are yet to be determined. Thus, it is our intention to report this case along with the literature review as the authors have experienced an actual case of a silicone injection mistaken as local recurrence.

OBJECTIVES: Bilirubin is an endogenous antioxidant that protects cells against oxidative stress. Increased plasma levels of bilirubin have been associated with a reduced risk of ischemic heart disease (IHD) in previous studies. Nonetheless, whether those associations reflect a true protective effect of bilirubin on IHD, rather than confounding or reverse causation, remains unknown. Therefore, we applied two-sample Mendelian randomization to evaluate the causal association between bilirubin levels and IHD risk in a Korean population.METHODS: A total of 5 genetic variants—TRPM8 (rs10490012), USP40 (rs12993249), ATG16L1 (rs2119503), SLCO1B1 (rs4149014), and SLCO1B3 (rs73233620)—were selected as genetic instruments for serum bilirubin levels using a communitybased cohort, the Korean Genome and Epidemiology Study, comprising 33,598 subjects. We then evaluated their impact on IHD using the Korean Cancer Prevention Study-II cohort.RESULTS: Among the 5 instrumental variables that showed significant associations with serum bilirubin levels, rs12993249 (USP40) showed the most significant association (p

Author(s): Lee, Hye Won; Lee, Sun Ju; Lee, Min Young; Park, Mi Wha; Kim, Sang Sik; Shin, Nari; Lovett, David H; Bae, Sun Sik; Ahn, Jinhee; Park, Jin-Sup; Oh, Jun-Hyok; Choi, Jung Hyun; Lee, Han Cheol; Cha, Kwang Soo; Hong, Taek Jong; Song, Sang Heon | Abstract: BackgroundDiabetic cardiomyopathy (DM CMP) is defined as cardiomyocyte damage and ventricular dysfunction directly associated with diabetes independent of concomitant coronary artery disease or hypertension. Matrix metalloproteinases (MMPs), especially MMP-2, have been reported to underlie the pathogenesis of DM CMP by increasing extracellular collagen content.PurposeWe hypothesized that two discrete MMP-2 isoforms (full length MMP-2, FL-MMP-2; N-terminal truncated MMP-2, NTT-MMP-2) are induced by high glucose stimulation in vitro and in an experimental diabetic heart model.MethodsRat cardiomyoblasts (H9C2 cells) were examined to determine whether high glucose can induce the expression of the two isoforms of MMP-2. For the in vivo study, we used the streptozotocin-induced DM mouse heart model and age-matched controls. The changes of each MMP-2 isoform expression in the diabetic mice hearts were determined using quantitative real-time polymerase chain reaction (qRT-PCR). Immunohistochemical stains were conducted to identify the location and patterns of MMP-2 isoform expression. Echocardiography was performed to compare and analyze the changes in cardiac function induced by diabetes.ResultsQuantitative RT-PCR and immunofluorescence staining showed that the two MMP-2 isoforms were strongly induced by high glucose stimulation in H9C2 cells. Although no definite histologic features of diabetic cardiomyopathy were observed in diabetic mice hearts, left ventricular systolic dysfunction was determined by echocardiography. Quantitative RT-PCR and IHC staining showed this abnormal cardiac function was accompanied with the increases in the mRNA levels of the two isoforms of MMP-2 and related to intracellular localization.ConclusionTwo isoforms of MMP-2 were induced by high glucose stimulation in vitro and in a Type 1 DM mouse heart model. Further study is required to examine the role of these isoforms in DM CMP.

Reinforced concrete (RC) shear walls are effective in improving lateral stiffness and load-carrying capacity under earthquake and wind loads. According to the level of seismic design, however, the spacing of reinforcing steel bars should be very narrow and complicated, with tight spacing of tied bars, as is the case with seismically special RC shear wall design. The purpose of this study was to investigate the applicability of strain-hardening cementitious composites (SHCCs) in structural walls in order to improve structural performance as well as the complications with reinforcement details. The SHCC was mixed, and mechanical tests showed that the SHCC exhibited high ductile tensile strains above 2.0%, while sustaining the tensile stress after cracks and developing multiple microcracks, avoiding crack localizations. Six specimens of RC and reinforced SHCC structural walls were designed and manufactured with varying reinforcement details, and experiments on wall specimens were carried out under transverse wall-loading tests. These experiments demonstrated that the use of SHCC in structural walls, despite minimum use of reinforcement ratios, showed improved responses to minimize damage and failure caused by localized cracks under bending and shear to compared with the use of normal reinforcement ratios in RC walls.

Circulating tumor cells (CTCs) have great potential to provide minimally invasive ways for the early detection of cancer metastasis and for the response monitoring of various cancer treatments. Despite the clinical importance and progress of CTC-based cancer diagnostics, most of the current methods of enriching CTCs are difficult to implement in general hospital settings due to complex and time-consuming protocols. Among existing technologies, size-based isolation methods provide antibody-independent, relatively simple, and high throughput protocols. However, the clogging issues and lower than desired recovery rates and purity are the key challenges. In this work, inspired by antifouling membranes with liquid-filled pores in nature, clog-free, highly sensitive (95.9 ± 3.1% recovery rate), selective (2.5 log depletion of white blood cells), rapid (3 mL/min), and label-free isolation of viable CTCs from whole blood without prior sample treatment is achieved using a stand-alone lab-on-a-disc system equipped with fluid-assisted separation technology (FAST). Numerical simulation and experiments show that this method provides uniform, clog-free, ultrafast cell enrichment with pressure drops much less than in conventional size-based filtration, at 1 kPa. We demonstrate the clinical utility of the point-of-care detection of CTCs with samples taken from 142 patients suffering from breast, stomach, or lung cancer.

This study aimed to investigate the role of PIN1 on the hepatic differentiation of human dental pulp stem cells (hDPSCs) and its signaling pathway, as well as the potential therapeutic effects of hDPSC transplantation and PIN1 inhibition on CCl4 (carbon tetrachloride)–induced liver fibrosis in mice. The in vitro results showed that hepatic differentiation was suppressed by infection with adenovirus-PIN1 and promoted by PIN1 inhibitor juglone via the downregulation of Wnt3a and β-catenin. Compared with treatment with either hDPSC transplantation or juglone alone, the combination of hDPSCs and juglone into CCl4-injured mice significantly suppressed liver fibrosis and restored serum levels of alanine transaminase, aspartate transaminase, and ammonia. Collectively, the present study shows for the first time that PIN1 inhibition promotes hepatic differentiation of hDPSCs through the Wnt/β-catenin pathway. Furthermore, juglone in combination with hDPSC transplantation effectively treats liver fibrosis, suggesting that hDPSC transplantation with PIN1 inhibition may be a novel therapeutic candidate for the treatment of liver injury.

Objective: Smoking is a modifiable cardiovascular risk factor closely related to arterial stiffness (AS). However, data are lacking regarding the chronic effects of smoking on AS, especially in ex-...

Bisphenol A (BPA) and phthalates are endocrine disruptors that can induce oxidative stress. Serum bilirubin has antioxidant properties and may serve as a biomarker of oxidative stress. The objective of this study was to explore the relationship of BPA and phthalates with serum bilirubin levels in a Korean population. Urinary concentrations of BPA and six phthalate [mono-n-butyl phthalate (MnBP), mono-iso-butyl phthalate (MiBP), mono-(2-ethyl-5-oxohexyl) phthalate (MEOHP), mono-(2-ethyl-5- hydroxyhexyl) phthalate (MEHHP), mono-(2-ethyl-5-carboxypentyl) phthalate (MECPP), and mono-benzyl phthalate (MBzP)] were measured in 709 participants. Serum concentrations of BPA and three phthalate metabolites [MnBP, MiBP, and mono-(2-ethylhexyl) phthalate (MEHP)] were measured in 752 participants. After excluding missing variables, associations between above chemicals and serum bilirubin levels were analyzed using multivariate linear regression with age, sex, BMI, GGT, GOT, GPT, and alcohol intake adjustment. Participants were further stratified by sex. Among the urinary chemicals, BPA and four phthalate metabolites (MnBP, MEOHP, MEHHP and MECPP) were inversely associated with serum bilirubin levels (BPA: β = − 0.071, P

The main objective of this research is to study feasibility for applying metal membrane to remove particles from air scouring membrane backwash water. Also, the research was conducted to investigate the influence of polyamine coagulation on floc growth in membrane backwash water as pretreatment for removal particles. From the results of experiments for evaluating the influence of polyamine coagulation on floc growth, it was investigated that particles in the rage of 2~50 μm grew up to 30~5,000 μm. In addition, all six metal membranes showed lower removal efficiency, which was 0.87~13.89%, in the case of no polyamine coagulant. On the other hand, in the case of injecting polyamine coagulant, those did extremely high efficiency in 56~92%. From the SEM(Scanning Electron Microscope) images of filtered wiremesh and metal foam membrane, sieve effects were predominant for liquid solid separation in wiremesh and adsorption and diffusion capture effects were predominant in metal foam membrane.

With the progress in high speed internet networks, mobile devices and social networking, the eco-system of the media has shifted from that where the flow of content was one-way from the producer to the consumer. A so-called `prosumer` culture has taken root where the consumer himself produces media content. Along with these trends, various video-sharing platforms such as youtube has a method of allocating advertisement profit to the content producer, offering a win-win platform for content pro-sumers. This allows the channels to attract several tens of millions of subscribers and raise an annual income of over 10 billion Won, marking a revolutionary change in the content industry. This paper seeks to analyze video distribution channels and short-form media content that are showing continuous growth to identify new markets where animated content can make progress in an era of online video media platforms, as well as provide a future direction for small teams of creators of animated films to survive and thrive in this environment.

Knowledge of environmental risk factors for stroke and their role are limited. We performed a case-cohort study to evaluate the association between serum persistent organic pollutants (POPs) level and stroke risk. 526 subcohort members and 111 stroke incidence cases were identified from the Korean Cancer Prevention Study-II. Serum levels of POPs were measured using gas chromatography/high-resolution mass spectrometry. The hazard ratios (HRs) for stroke (ischemic, hemorrhagic, and all stroke types) were estimated using the weighted Cox regression model. Age, sex, body mass index, smoking status, physical activity, family history of cardiovascular disease, and hypertension were adjusted in the weighted Cox regression model. After adjusting for potential confounding factors, increased risk for stroke was observed among participants with serum concentration of p,p'-DDE in the highest tertile compared to those in the lowest tertile (HR = 4.10, 95% CI: 1.58, 10.59). A similar association was estimated for PCB118 (HR = 2.33, 95% CI: 1.04, 5.22), PCB156 (HR = 3.42, 95% CI: 1.42, 8.23), and PCB138 (HR = 3.80, 95% CI: 1.48, 9.76). For TEQ, stroke was three times as likely to occur among subjects with TEQ in the highest tertile compared to those in the lowest tertile (HR = 3.12, 95% CI: 1.27, 7.65). PCBs were positively associated with ischemic stroke, but not with hemorrhagic stroke. Elevated serum POPs levels were associated with an increased risk of stroke, especially ischemic stroke.

Aim To assess whether SIRT1 and VEGF are responsible for tumour necrosis factor-α (TNF-α) and lipopolysaccharide (LPS)-induced angiogenesis and to examine the molecular mechanism(s) of action in human dental pulp cells (HDPCs). Methodology Immortalized HDPCs obtained from Prof. Takashi Takata (Hiroshima University, Japan) were treated with LPS (1 μg mL−1) and TNF-α (10 ng mL−1) for 24 h. mRNA and protein levels were examined by RT-PCR and Western blotting, respectively. Migration and tube formation were examined in human umbilical vein endothelial cells (HUVECs). The data were analysed by one-way anova. Statistical analysis was performed at α = 0.05. Results LPS and TNF-α upregulated VEGF and SIRT1 mRNA and protein levels. Inhibition of SIRT1 activity by sirtinol and SIRT1 siRNA or inhibition of the VEGF receptor by CBO-P11 significantly attenuated LPS + TNF-α-stimulated MMPs production in HDPCs, as well as migration and tube formation in HUVECs (P

This multicenter study was undertaken to determine the efficacy of antibiotic prophylaxis and identify the risk factors for infectious complications after prostate surgery in Korean patients. A total of 424 patients who underwent surgery of the prostate were reviewed. All patients underwent urinalysis and urine culture preoperatively and postoperatively. Efficacy of antibiotic prophylaxis and risk factors for infectious complications were investigated. Infectious complications were observed in 34.9% of all patients. Factors independently associated with infectious complications were diabetes mellitus (adjusted OR, 1.99; 95% CI, 1.09-3.65, P=0.025) and operation time (adjusted OR, 1.08; 95% CI, 1.03-1.13, P=0.004). Clinicians should be aware of the high risk of infectious complications in patients with diabetes and those who undergo a prolonged operation time. Neither the type nor duration of prophylactic antibiotics resulted in differences in infectious complications. Graphical Abstract Keywords: Urinary Tract Infections, Transurethral Resection of Prostate, Risk Factors INTRODUCTION The purpose of prophylactic antibiotic use is to prevent local or systemic postprocedural infection. Two types of infection dominate urologic surgery: 1, urinary tract infection (UTI), which is either a space or organ infection associated with both endoscopic and endoluminal interventions and with both open or laparoscopic surgery, mostly coinciding with catheter and stent placement or an undetected harbored bacterial load; and 2, wound infection after open and laparoscopic surgery. A third form of infection is observed in the male genital system (prostatitis, epididymitis, and orchitis). A fourth form of infection, bloodstream-borne sepsis secondary to urologic instrumentation, accounts for 10% to 12% of healthcare-associated infections in urology wards (1). However, the use of antibiotics in urologic surgery has been controversial for decades (2, 3). During the previous decade, much progress in prostate surgery has been made (e.g., transurethral surgery, open and laparoscopic prostatectomy); however, controversy over antibiotic prophylaxis for prostatic surgery remains. In the context of surgical field classification, transurethral resection of the prostate (TURP) can be categorized into a clean-contaminated or contaminated operation depending on the patient's history of UTI/urogenital infection, catheterization, and sterile/nonsterile urine (4). This classification may extend to total or laparoscopic radical prostatectomy because during surgery, opening of the urogenital tract is inevitable and Foley catheterization is mandatory after the procedure (5). In this regard, the administration of prophylactic antibiotics is suitable for prevention of postoperative infectious complications. Unfortunately, however, studies of the prophylactic effect of antimicrobial therapy and risk factors associated with TURP and other prostate interventions (e.g., adenoma enucleation, laser ablation) have been limited (6, 7, 8, 9). In addition, there are few retrospective or prospective cohort studies of the prophylactic antibiotic effectiveness in total or radical prostatectomy (10, 11, 12). These studies focused only on surgical site infection, not UTI, and did not include risk factor assessment. As mentioned previously, in cases of prostatectomy, the urinary tract is opened during the procedure; thus, postoperative bacteriuria is probably the main source of postoperative infectious complications (13). Therefore, it is reasonable to identify the risk factors for postoperative bacteriuria or infectious complications and the effectiveness of prophylactic antimicrobial therapy for prostate surgery. There is currently a lack of information on the risk factors for infectious complications associated with prostate surgery in Korea. In addition, the Health Insurance Review & Assessment Service of Korea recently recommended the use of first- or second-generation instead of third-generation cephalosporins for prophylactic antibiotics in patients undergoing prostate surgery without any Korean evidence. Therefore, we evaluated the risk factors for infectious complications after transurethral surgery of the prostate and after open or laparoscopic prostate surgery as well as the efficacy of antibiotic prophylaxis.

Transitions in nutrition patterns tend to emerge through industrialization and economic development. We hypothesized that the dietary patterns among South Korean adults who were 20 years or older have changed significantly from 1998 to 2010. Herein, a repeated cross-sectional analysis of data was followed for 140601 adults. We noted changes in consumption, after adjusting for age, sex, body mass index, and exercise, and tested the trends across the study period. Factor and cluster analyses were used to derive dietary patterns. A decrease in traditional Korean food consumption, including cereals, vegetables (252-176 g), and Kimchi (127-82 g), occurred, whereas fruit (172-252 g), egg, and fried food intakes increased (P.05). Total daily energy intake declined steadily from 1931 in 1998 to 1691 kcal in 2010. Carbohydrate intakes were unchanged over the study period; however, fat-derived energy intake increased slightly from 19.7% to 20.0% (P.05). Our factor and cluster analyses identified 3 dietary patterns: "Korean" diet (rice, vegetables, and Kimchi), "Western" diet (soda, eggs, and oil), and "New" diet (low sugar and high fruit and dairy product intakes). Compared to 1998, approximately 40% of participants still followed a Korean diet in 2010. Interestingly, the popularity of the Western diet fell by approximately 20%, whereas the new diet pattern increased 2-fold over the study period. Overall, these data show secular trends in dietary patterns that included a preservation of the traditional Korean diet and the emergence of a new diet pattern, and it demonstrated a unique transition in food and nutrient intakes in Korea.

This study was carried out to investigate the quality characteristics of roll mill, jet mill Hericium erinaceus (HE) powders and seasonings using them (RPS and JPS). Water binding capacity of the jet mill HE powder(JP) was higher than that of roll mill HE powder(RP). The reduction of particle size resulted in the increases of specific surface area and JP showed smaller particle size than RP. L* of JP was significantly higher than that of RP. In sensory evaluation, the color and the flavor of seasoning showed on significant difference. Control and JPS got significantly high scores in 'Overall Acceptability' than RPS. Based on the results in this study, JPS is considered to have potential to be developed commercially as seasoning.Key words: Hericium erinaceus; Seasoning; Roll milling; Jet milling; Quality characteristics I. 서 론 1) 버섯은 생리활성을 가진 농 식품으로 독특한 향과 맛을 지니고 있어 식품 개발에 좋은 소재로 이용되고 있으며 , 항산화 , 항균 및 항암효과 , 콜레스테롤 저하 , 고지혈증 개선 , 노인성 치매 등의 약리작용이 있으며 새로운 의약제품 소재로 개발 가능성이 높아지고 있다

Purpose The prevalence of urinary incontinence and the usage of incontinence pads by elderly residents in Korean medical welfare facilities were investigated. Methods From a total of 1,832 facilities, 33 medical welfare facilities in the capital area were randomly selected; all nursing homes were excluded. All data were collected by questionnaires to investigate the residents' age and sex, the presence or absence of urinary incontinence, incontinence pad usage per month, and management methods for urinary incontinence. Surveys were also conducted from January 2010 to August 2010. Results A total number of residents in medical welfare facilities were 2,783, and all of them were selected for this study. Approximately, 65.3% of residents (1,816 individuals) had incontinence. The mean usage was 75 incontinence pads per month. Only 15.6% of residents received proper management for urinary incontinence, while the remaining 84.4% of residents did not have any experience in evaluating or managing their urinary symptoms. Conclusions The prevalence of urinary incontinence in medical welfare facilities in Korea was about 65.3%. However, the management of urinary incontinence was insufficient. Urologists should make further efforts for the proper management of urinary incontinence in elders in these facilities.

Aim To determine whether chemokines such as SDF-1 and monocyte chemoattractant protein-1 (MCP-1) are responsible for hydrogen peroxide (H2O2)-induced extracellular matrix (ECM) degradation and to identify the underlying mechanism in human dental pulp cells (HDPCs). Method Human dental pulp cells were exposed to 0.4 mmol H2O2 for 48 h. mRNA expression and protein expression were examined by RT-PCR and Western blot analysis, respectively. The mRNA expression of chemokine (SDF-1 and MCP-1), their receptors (CXCR4 and CXCR2) and extracellular matrix proteins was evaluated by reverse transcriptase-polymerase chain reaction. The production of SDF-1, MCP-1, CXCR4 and CCR2 in the culture medium was determined by enzyme-linked immunosorbent assay. Signal transduction pathway was examined by Western blotting. Results Hydrogen peroxide provoked the activation of MCP-1 and SDF-1 mRNA and their respective receptors, CXCR4 and CXCR2. H2O2treatment concomitantly downregulated the expression of ECM molecules, such as type I collagen, elastin and fibronectin, and upregulated the mRNA expression of matrix metalloproteinase-1 (MMP-1), MMP-2, MMP-8 and MMP-9. Hydrogen peroxide-induced ECM degradation and MMP upregulation were blocked by neutralizing antibodies and siRNAs directed against SDF-1 and MCP-1. Inhibition of SDF-1 and MCP-1 blocked the H2O2-induced activation of Akt, p38, ERK and NF-kB. Conclusion Inhibition of SDF and MCP-1 is a potent component of reducing release reactive oxygen species-induced ECM degradation in HDPCs and may play an important role in pulpal and periapical inflammation.

This paper deals with the design and implementation of an interface for interoperation between DiskSim, a well-known disk simulator, and a system-level simulator based on DEVSim++. Such inter-operational simulation aims at evaluation of an overall performance of storage systems which consist of multiple computer nodes with a variety of I/O level specifications. A well-known system-level simulation framework, DEVSim++ environment is based on the DEVS formalism, which provides a sound semantics of modular and hierarchical modeling methodology at the discrete event systems level such as multi-node computer systems. For maintainability we assume that there is no change of the source codes for two heterogeneous simulation engines. Thus, we adopt a notion of simulators interoperation in which there should be a means to synchronize simulation times as well as to exchange messages between simulators. As an interface for such interoperation DiskSimManager is designed and implemented. Various experiments, comparing the results of the standalone DiskSim simulation and the interoperation simulation using the proposed interface of DiskSimManager, proved that DiskSimManager works correctly as an interface for interoperation between DEVSim++ and DiskSim.

Although smoking is a major risk factor for pharyngolaryngeal cancer, most smokers do not develop pharyngolaryngeal cancer. In the prospective Korean Cancer Prevention Study-II (KCPS-II), we investigated the application of metabolomics to differentiate smokers with incident pharyngolaryngeal cancer (pharyngolaryngeal cancer group) from smokers who remained free from cancer (controls) during a mean follow-up period of 7 years and aimed to discover valuable early biomarkers of pharyngolaryngeal cancer. We used baseline serum samples from 30 smoking men with incident pharyngolaryngeal cancer and 59 age-matched cancer-free smoking men. Metabolic alterations associated with the incidence of pharyngolaryngeal cancer were investigated by performing metabolomics on baseline serum samples using ultra-performance liquid chromatography-linear-trap quadrupole-Orbitrap mass spectrometry. Compared to the control group, the pharyngolaryngeal cancer group showed significantly higher oxidized LDL levels. Seventeen metabolites were differentially abundant between the two groups. At baseline, compared to controls, smokers with incident pharyngolaryngeal cancer during follow-up showed significantly higher levels of pyroglutamic acid (glutathione metabolism) but lower levels of lysophosphatidylcholines (lysoPCs) C14:0, C15:0, C16:0, C17:0, C18:0, and C20:5; glycerophosphocholine; PC C36:5; lysoPEs C16:0, C20:1, and C22:0 (glycerophospholipid metabolism); SM (d18:0/16:1); and SM (d18:1/18:1) (sphingomyelin metabolism). Furthermore, smokers with incident pharyngolaryngeal cancer showed significantly higher levels of oleamide and lower levels of tryptophan and linoleyl carnitine at baseline than cancer-free smokers. This prospective study showed the clinical relevance of dysregulated metabolism of glutathione, glycerophospholipids and sphingolipids to the pathogenesis of pharyngolaryngeal cancer among smokers. These data suggest that the dysregulation of these metabolic processes may be a key mechanism underlying pharyngolaryngeal cancer progression and development.

This study investigated how engineering integrated science (EIS) curricula affect first-year technical high school students’ attitudes toward science and perceptions of engineering. The effect of the EIS participation period on students’ attitudes toward science was also investigated via experimental study design. Two engineering integrated science curricula (10 and 18 weeks) were purposefully designed and implemented for the study. Two important results emerged: (1) The EIS curriculum participation period (10 or 18 weeks) mattered in terms of changing students’ attitudes toward science and (2) A majority (>61%) of the students from both control and experimental groups who participated in the first EIS agreed that the curriculum positively affected their understanding of engineering practice. The results suggest that EIS is a potential pedagogical approach for reforming current science practice in technical high school programs to improve both students’ interest in science and career readiness. Implications for implementing EIS in technical high school settings are addressed.

Background/Objectives: Cancer is No. 1 cause of death among Koreans. The aim of this study is to analyze factors influencing quality of life among cancer patients. Method/Statistical Analysis: The descriptive survey study objects are 96 cancer patients. The questionnaire used for the survey included health promotion behavior measurement tool, Korean version of Connor-Davidson Resilience Scale (CD-RISC), helplessness scale, and Korean version of EORTC QLQ-C30. Quality of life was divided into three sub-areas: general health condition/quality of life, functional quality of life, and symptom-related quality of life. Correlation analysis and stepwise regression analysis were performed on the data. Findings: The average score in health promotion behavior of respondents was 2.35 of maximum 4. The score in resilience was 90.07 of 125. The score in helplessness was 2.01 of 4. There were some differences in quality of life affected by demographic characteristics of respondents. Functional quality of life was significantly different depending on age and education. General health/quality of life has positive correlations with health promotion behavior, and resilience, but negative correlation with helplessness. Functional quality of life has positive correlations with health promotion behavior, and resilience, and negative correlation with helplessness. Symptom-related quality of life has negative correlations with health promotion behavior and resilience, and positive correlation with helplessness. That is, the higher health promotion behavior and resilience go up, and the more helplessness goes down, level of quality of life goes up. Health promotion behavior and helplessness explained 27.8% of functional quality of life, and 22.5% of symptom-related quality of life. Thus, the two variables affect quality of life for cancer patients. Applications/Improvements: It is necessary to identify factors influencing quality of life among cancer patients to increase the effects of intervention to reduce helplessness and explaining power to improve health promotion behavior.

Background Previous studies have suggested that alcohol intake is associated with increased fasting serum glucose (FSG), but the nature of the relationship remains unknown. We used Mendelian randomization analysis to assess the causal effect of alcohol intake on FSG in a middle-aged Korean population. Methods Clinical data including FSG and alcohol intake were collected from 156,386 Koreans aged 20 years or older who took part in the Korean Cancer Prevention Study-II (KCPS-II) Biobank Cohort. The single nucleotide polymorphism rs671 in ALDH2 was genotyped among 2,993 men and 1,374 women in 2016. This was a randomly selected subcohort of KCPS-II Biobank participants. Results Alcohol consumption was positively associated with FSG level in men, but not in women. The rs671 major G allele was associated with increased alcohol intake (F-statistic = 302.62) and an increase in FSG in men. Using Mendelian randomization analysis, alcohol intake increased FSG by 1.78 mg/dL per alcohol unit (10 g ethanol) per day (95% CI: 0.97–2.59) in men. The associations became stronger when we excluded heavy drinkers and the elderly. However, in women, no significant association between rs671 and alcohol or serum glucose was found. Conclusion Using Mendelian randomization analysis, we suggest a causal relationship between alcohol intake and FSG among Korean men. Moreover, we found that the ALDH2 variant rs671 was not associated with FSG among Korean women.

This paper provides initial validation results for GOCI-derived water products using match-ups between the satellite and ship-borne in situ data for the period of 2010–2011, with a focus on remote-sensing reflectance (Rrs). Match-up data were constructed through systematic quality control of both in situ and GOCI data, and a manual inspection of associated GOCI images to identify pixels contaminated by cloud, land and inter-slot radiometric discrepancy. Efforts were made to process and quality check the in situ Rrs data. This selection process yielded 32 optimal match-ups for the Rrs spectra, chlorophyll a concentration (Chl_a) and colored dissolved organic matter (CDOM), and with 20 match-ups for suspended particulate matter concentration (SPM). Most of the match-ups are located close to shore and thus the validation should be interpreted limiting to near-shore coastal waters. The Rrs match-ups showed the mean relative errors of 18–33% for the visible bands with the lowest 18–19% for the 490 nm and 555 nm bands and 33% for the 412 nm band. Correlation for the Rrs match-ups was high in the 490–865 nm bands (R2=0.72–0.84) and lower in the 412 nm band (R2=0.43) and 443 nm band (R2=0.66). The match-ups for Chl_a showed a low correlation (