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1.
Am J Vet Res ; : 1-5, 2024 Jun 28.
Article in English | MEDLINE | ID: mdl-38942062

ABSTRACT

OBJECTIVE: To improve the current recommendations for the diagnosis of canine heartworm (Dirofilaria immitis) disease. ANIMALS: Blood samples collected from 35 shelter dogs in the Republic of Korea. METHODS: Samples were tested for the presence of microfilaria using the modified Knott (MK) test and D immitis DNA using species-specific loop-mediated isothermal amplification (LAMP) PCR. The blood samples were additionally assessed for the presence of heartworm antigens using the Antigen Rapid Canine Heartworm AG Test Kit 2.0 (Bionote Co). The performance of the MK test and LAMP PCR was assessed through statistical analysis, with a paired McNemar test utilized for comparison. RESULTS: The heartworm antigen was detected in 28.5% of the subjects. Of the 10 positive animals, the MK test detected microfilaria in 4 of 35 (11.4%) animals, and LAMP PCR detected D immitis DNA in 6 of 35 (17.1%). The results of this study indicate that the LAMP PCR showed more positive results in samples compared to the conventional MK test. CLINICAL RELEVANCE: The D immitis-specific LAMP PCR assay has the potential to function as an alternative to current detection methods. It could complement the existing antigen detection tests in diagnosing canine heartworm infections.

2.
J Environ Manage ; 358: 120805, 2024 May.
Article in English | MEDLINE | ID: mdl-38599085

ABSTRACT

Soil monitoring in abandoned mine areas is important from the perspective of ecological and human health risk. Arsenic (As) is a predominant metalloid contaminant in abandoned mine area and its behavior has been influenced by various soil characteristics. Bioindicator can be a useful tool in terms of testing the extent to which they are uptaken by plants bioavailability. Eighteen soils near the mine tailings dam were collected to investigate the effect of As contamination on As absorption by Brassica juncea. The pH range of the experimental soils was between 4.90 and 8.55, and the total As concentrations were between 34 mg kg-1 and 3017 mg kg-1. The bioavailability of As was evaluated by Olsen method, and B. juncea was cultivated in eighteen soils for 3 weeks. Principal component analysis, correlation, and multiple regression analysis were performed to estimate a significant factor affecting As uptake by B. juncea. All statistical results indicated that As bioavailability in soil is the main factor affecting As uptake in root and shoot of B. juncea. Although translocation process, the amount of As in shoot was exponentially explained by As bioavailability in soil. This result suggests that the contamination and bioavailability of As can be confirmed only by analyzing the shoot of B. juncea, which is be easily found in environmental ecosystem, and implies the applicability of B. juncea as a bioindicator for the monitoring of As contamination and its behavior in soil ecosystem.


Subject(s)
Arsenic , Environmental Monitoring , Mining , Mustard Plant , Soil Pollutants , Soil , Soil Pollutants/analysis , Soil Pollutants/metabolism , Mustard Plant/metabolism , Soil/chemistry , Arsenic/analysis , Arsenic/metabolism , Environmental Monitoring/methods
3.
Am J Vet Res ; 85(7)2024 Jul 01.
Article in English | MEDLINE | ID: mdl-38663446

ABSTRACT

OBJECTIVE: To evaluate the diagnostic value of pulmonary-vein-to-pulmonary-artery ratio (PV:PA) in dogs with myxomatous mitral valve degeneration (MMVD), classified according to the American College of Veterinary Internal Medicine (ACVIM) consensus guidelines. ANIMALS: 80 client-owned dogs with either MMVD (n = 65) or no cardiovascular disease (control group; n = 15) between August 5, 2020, and July 19, 2023. METHODS: This is a retrospective study. Dogs with MMVD were classified according to ACVIM consensus guidelines. Echocardiograms, thoracic radiographs, and other measurements needed in this study were reviewed in all dogs. Spearman correlation was used to determine the correlation between the PV:PA and the following variables: vertebral heart size, vertebral left atrial size, left-atrium-to-aorta ratio, normalized left ventricular internal diameter, and peak transmitral early diastolic velocity. Receiver operating characteristic (ROC) curve analysis was used to evaluate the value of PV:PA in distinguishing between stages B1 and B2 and stages B2 and C. RESULTS: All conventional indices showed correlations with PV:PA. The area under the ROC curve (AUC) for stages B1 and B2 was 0.83, and the cutoff value for differentiating stage B2 was 1.52. The AUC for stages B2 and C was 0.81, and the cutoff value for differentiating stage C was 2.09. CLINICAL RELEVANCE: PV:PA was significantly different between control and the stage B1 group, stage B1 and B2 group, and stage B2 and C group. PV:PA can be an index that can be used in evaluating MMVD dogs.


Subject(s)
Dog Diseases , Pulmonary Artery , Animals , Dogs , Dog Diseases/diagnostic imaging , Dog Diseases/diagnosis , Dog Diseases/pathology , Retrospective Studies , Female , Male , Pulmonary Artery/pathology , Pulmonary Veins/diagnostic imaging , Echocardiography/veterinary , Disease Progression , Mitral Valve Insufficiency/veterinary , Mitral Valve Insufficiency/diagnostic imaging , Mitral Valve Insufficiency/physiopathology
4.
Dalton Trans ; 53(3): 938-948, 2024 Jan 16.
Article in English | MEDLINE | ID: mdl-38108471

ABSTRACT

A series of [PcMnL2]SbF6 complexes (Pc = phthalocyanine) was synthesized and structurally characterized by stripping the chloride from PcMnCl with AgSbF6 in o-dichlorobenzene and adding a range of donor ligands (L = THF, pyridine, p-dimethylaminopyridine (DMAP), Ph3PO, N-methylimidazole (MeIm), MeCN) to the resulting solution. Addition of or exposure to water where L = heterocyclic amines yielded µ-oxo complexes of the form [PcMnL]2O, which were structurally characterized for L = DMAP and MeIm. The [PcMnL2]SbF6 complexes have an increased solubility in organic solvents, where the axial ligands inhibit the characteristic ring π-π aggregation of PcM complexes. A variety of colours were observed (blue/green to red/purple), with Q-band absorptions (excluding the µ-oxo species) spanning from 715-761 nm and LMCT-bands from 497-574 nm. The combination of the ligand-induced absorption shifts coupled with their relative intensities in the visible region is responsible for the observed colour range and illustrates that facile ligand exchange is a useful tool in producing materials with a variety of colours from PcMnCl.

5.
Sensors (Basel) ; 23(22)2023 Nov 16.
Article in English | MEDLINE | ID: mdl-38005599

ABSTRACT

Recently, security monitoring facilities have mainly adopted artificial intelligence (AI) technology to provide both increased security and improved performance. However, there are technical challenges in the pursuit of elevating system performance, automation, and security efficiency. In this paper, we proposed intelligent anomaly detection and classification based on deep learning (DL) using multi-modal fusion. To verify the method, we combined two DL-based schemes, such as (i) the 3D Convolutional AutoEncoder (3D-AE) for anomaly detection and (ii) the SlowFast neural network for anomaly classification. The 3D-AE can detect occurrence points of abnormal events and generate regions of interest (ROI) by the points. The SlowFast model can classify abnormal events using the ROI. These multi-modal approaches can complement weaknesses and leverage strengths in the existing security system. To enhance anomaly learning effectiveness, we also attempted to create a new dataset using the virtual environment in Grand Theft Auto 5 (GTA5). The dataset consists of 400 abnormal-state data and 78 normal-state data with clip sizes in the 8-20 s range. Virtual data collection can also supplement the original dataset, as replicating abnormal states in the real world is challenging. Consequently, the proposed method can achieve a classification accuracy of 85%, which is higher compared to the 77.5% accuracy achieved when only employing the single classification model. Furthermore, we validated the trained model with the GTA dataset by using a real-world assault class dataset, consisting of 1300 instances that we reproduced. As a result, 1100 data as the assault were classified and achieved 83.5% accuracy. This also shows that the proposed method can provide high performance in real-world environments.

6.
Int J Mol Sci ; 24(19)2023 Sep 30.
Article in English | MEDLINE | ID: mdl-37834250

ABSTRACT

We investigated whether the response to anti-tumor necrosis factor (anti-TNF) treatment varied according to inflammatory tissue characteristics in Crohn's disease (CD). Bulk RNA sequencing (RNA-seq) data were obtained from inflamed and non-inflamed tissues from 170 patients with CD. The samples were clustered based on gene expression profiles using principal coordinate analysis (PCA). Cellular heterogeneity was inferred using CiberSortx, with bulk RNA-seq data. The PCA results displayed two clusters of CD-inflamed samples: one close to (Inflamed_1) and the other far away (Inflamed_2) from the non-inflamed samples. Inflamed_1 was rich in anti-TNF durable responders (DRs), and Inflamed_2 was enriched in non-durable responders (NDRs). The CiberSortx results showed that the cell fraction of activated fibroblasts was six times higher in Inflamed_2 than in Inflamed_1. Validation with public gene expression datasets (GSE16879) revealed that the activated fibroblasts were enriched in NDRs over Next, we used DRs by 1.9 times pre-treatment and 7.5 times after treatment. Fibroblast activation protein (FAP) was overexpressed in the Inflamed_2 and was also overexpressed in the NDRs in both the RISK and GSE16879 datasets. The activation of fibroblasts may play a role in resistance to anti-TNF therapy. Characterizing fibroblasts in inflamed tissues at diagnosis may help to identify patients who are likely to respond to anti-TNF therapy.


Subject(s)
Crohn Disease , Humans , Crohn Disease/drug therapy , Crohn Disease/genetics , Crohn Disease/metabolism , Tumor Necrosis Factor Inhibitors , Tumor Necrosis Factor-alpha/genetics , Tumor Necrosis Factor-alpha/metabolism , RNA/metabolism , Fibroblasts/metabolism , Necrosis/metabolism
7.
Microorganisms ; 11(7)2023 Jun 26.
Article in English | MEDLINE | ID: mdl-37512838

ABSTRACT

Although gut microbiome dysbiosis has been associated with inflammatory bowel disease (IBD), the relationship between the oral microbiota and IBD remains poorly understood. This study aimed to identify unique microbiome patterns in saliva from IBD patients and explore potential oral microbial markers for differentiating Crohn's disease (CD) and ulcerative colitis (UC). A prospective cohort study recruited IBD patients (UC: n = 175, CD: n = 127) and healthy controls (HC: n = 100) to analyze their oral microbiota using 16S rRNA gene sequencing. Machine learning models (sparse partial least squares discriminant analysis (sPLS-DA)) were trained with the sequencing data to classify CD and UC. Taxonomic classification resulted in 4041 phylotypes using Kraken2 and the SILVA reference database. After quality filtering, 398 samples (UC: n = 175, CD: n = 124, HC: n = 99) and 2711 phylotypes were included. Alpha diversity analysis revealed significantly reduced richness in the microbiome of IBD patients compared to healthy controls. The sPLS-DA model achieved high accuracy (mean accuracy: 0.908, and AUC: 0.966) in distinguishing IBD vs. HC, as well as good accuracy (0.846) and AUC (0.923) in differentiating CD vs. UC. These findings highlight distinct oral microbiome patterns in IBD and provide insights into potential diagnostic markers.

8.
Environ Int ; 175: 107963, 2023 05.
Article in English | MEDLINE | ID: mdl-37192573

ABSTRACT

Arsenic (As)-contaminated soil inevitably exists in nature and has become a global challenge for a sustainable future. Current processes for As capture using natural and structurally engineered nanomaterials are neither scientifically nor economically viable. Here, we established a feasible strategy to enhance As-capture efficiency and ecosystem health by structurally reorganizing iron oxyhydroxide, a natural As stabilizer. We propose crystallization to reorganize FeOOH-acetate nanoplatelets (r-FAN), which is universal for either scalable chemical synthesis or reproduction from natural iron oxyhydroxide phases. The r-FAN with wide interlayer spacing immobilizes As species through a synergistic mechanism of electrostatic intercalation and surface chemisorption. The r-FAN rehabilitates the ecological fitness of As-contaminated artificial and mine soils, as manifested by the integrated bioassay results of collembolan and plants. Our findings will serve as a cornerstone for crystallization-based material engineering for sustainable environmental applications and for understanding the interactions between soil, nanoparticles, and contaminants.


Subject(s)
Arsenic , Soil Pollutants , Arsenic/analysis , Ecosystem , Crystallization , Soil Pollutants/analysis , Soil/chemistry
9.
Microorganisms ; 12(1)2023 Dec 24.
Article in English | MEDLINE | ID: mdl-38257863

ABSTRACT

Recent research has demonstrated the potential of fecal microbiome analysis using machine learning (ML) in the diagnosis of inflammatory bowel disease (IBD), mainly Crohn's disease (CD) and ulcerative colitis (UC). This study employed the sparse partial least squares discriminant analysis (sPLS-DA) ML technique to develop a robust prediction model for distinguishing among CD, UC, and healthy controls (HCs) based on fecal microbiome data. Using data from multicenter cohorts, we conducted 16S rRNA gene sequencing of fecal samples from patients with CD (n = 671) and UC (n = 114) while forming an HC cohort of 1462 individuals from the Kangbuk Samsung Hospital Healthcare Screening Center. A streamlined pipeline based on HmmUFOTU was used. After a series of filtering steps, 1517 phylotypes and 1846 samples were retained for subsequent analysis. After 100 rounds of downsampling with age, sex, and sample size matching, and division into training and test sets, we constructed two binary prediction models to distinguish between IBD and HC and CD and UC using the training set. The binary prediction models exhibited high accuracy and area under the curve (for differentiating IBD from HC (mean accuracy, 0.950; AUC, 0.992) and CD from UC (mean accuracy, 0.945; AUC, 0.988)), respectively, in the test set. This study underscores the diagnostic potential of an ML model based on sPLS-DA, utilizing fecal microbiome analysis, highlighting its ability to differentiate between IBD and HC and distinguish CD from UC.

10.
J Pers Med ; 12(6)2022 Jun 09.
Article in English | MEDLINE | ID: mdl-35743732

ABSTRACT

Almost half of patients show no primary or secondary response to monoclonal anti-tumor necrosis factor α (anti-TNF) antibody treatment for inflammatory bowel disease (IBD). Thus, the exact mechanisms of a non-durable response (NDR) remain inadequately defined. We used our genome-wide genotype data to impute expression values as features in training machine learning models to predict a NDR. Blood samples from various IBD cohorts were used for genotyping with the Korea Biobank Array. A total of 234 patients with Crohn's disease (CD) who received their first anti-TNF therapy were enrolled. The expression profiles of 6294 genes in whole-blood tissue imputed from the genotype data were combined with clinical parameters to train a logistic model to predict the NDR. The top two and three most significant features were genetic features (DPY19L3, GSTT1, and NUCB1), not clinical features. The logistic regression of the NDR vs. DR status in our cohort by the imputed expression levels showed that the ß coefficients were positive for DPY19L3 and GSTT1, and negative for NUCB1, concordant with the known eQTL information. Machine learning models using imputed gene expression features effectively predicted NDR to anti-TNF agents in patients with CD.

11.
J Surg Oncol ; 125(5): 924-932, 2022 Apr.
Article in English | MEDLINE | ID: mdl-35041224

ABSTRACT

INTRODUCTION: Hemicortical resection is challenging when a huge fungating tumor is covering the osteotomy site. We report the clinical outcome of hemicortical resection and reconstruction for primary bone tumors, especially with high-grade histology and extensive circumferential involvement. MATERIALS AND METHODS: We retrospectively reviewed 44 patients (males, n = 18; females, n = 26) who underwent hemicortical resection from 2005 to 2014. RESULTS: The median follow-up period was 46.0 (23-178) months. Disease-specific, local recurrence-free, and metastasis-free survival rates of patients in the malignant group at 5 years were 96.6%, 84.5%, and 93.6%, respectively. Among 42 patients, there were local recurrences (n = 6), metastasis (n = 2), and death (n = 1). Surgical margin was an independent prognostic factor for local recurrence (hazard ratio = 5.7; p = 0.038). The recycled autograft and strut allograft groups did not show statistical difference in bone union. Failure rate was 31.8% and local recurrence was the most frequent, followed by infection. CONCLUSION: Hemicortical resection can be a feasible option for extremity malignant bone tumors. Regarding reconstruction, there were no difference between autograft and allograft in bone union rate. Surgical margin was an independent prognostic factor for local recurrence.


Subject(s)
Bone Neoplasms , Bone Neoplasms/pathology , Bone Neoplasms/surgery , Bone Transplantation , Extremities/pathology , Extremities/surgery , Female , Humans , Male , Neoplasm Recurrence, Local/surgery , Osteotomy , Retrospective Studies , Treatment Outcome
12.
Materials (Basel) ; 14(15)2021 Jul 23.
Article in English | MEDLINE | ID: mdl-34361304

ABSTRACT

Various types of organic and inorganic materials are widely examined and applied into the arsenic (As) contaminated soil to stabilize As bioavailability and to enhance soil quality as an amendment. This study deals with two types of amendments: biochar for organic amendment and acid mine drainage sludge (AMDS) for inorganic amendment. Each amendment was applied in two types of As contaminated soils: one showed low contaminated concentration and acid property and the other showed high contaminated concentration and alkali property. In order to comprehensively evaluate the effect of amendments on As contaminated soil, chemical (As bioavailability), biological phytotoxicity (Lactuca sativa), soil respiration activity, dehydrogenase activity, urease activity, ß-glucosidase activity, and acid/alkali phosphomonoesterase activity, an ecological (total bacterial cells and total metagenomics DNA at the phylum level) assessment was conducted. Both amendments increased soil pH and dissolved organic carbon (DOC), which changes the bioavailability of As. In reducing phytotoxicity to As, the AMDS was the most effective regardless of soil types. Although soil enzyme activity results were not consistent with amendments types and soil types, bacterial diversity was increased after amendment application in acid soil. In acid soil, the results of principal component analysis represented that AMDS contributes to improve soil quality through the reduction in As bioavailability and the correction of soil pH from acidic to neutral condition, despite the increases in DOC. However, soil DOC had a negative effect on As bioavailability, phytotoxicity and some enzyme activity in alkali soil. Taken together, it is necessary to comprehensively evaluate the interaction of chemical, biological, and ecological properties according to soil pH in the decision-making stages for the selection of appropriate soil restoration material.

13.
Chemosphere ; 275: 130095, 2021 Jul.
Article in English | MEDLINE | ID: mdl-33662718

ABSTRACT

Biochar application to As-contaminated soil can alter various soil chemical properties, and it can affect available As, plant As uptake, and As phytotoxicity. Increased dissolved organic carbon (DOC) and P released from biochar affect As behavior in the soil system. In this study, we evaluated the effect of biochar application on the chemical properties of soil and phytotoxicity in Brassica juncea using correlation analysis and partial least squares path modeling (PLS-PM). Biochar application increased electrical conductivity (EC), DOC, available P and available As. However, the increased available As did not significantly affect As uptake by B. juncea due to the decrease in the relative ratio and effect of available As with increase in available P derived from biochar. Moreover, biochar application negatively affected soil chemical properties (pH, EC, DOC, available P, and available As) and As uptake by B. juncea. Therefore, correlation analysis and PLS-PM analysis are useful tools to interpret the interactions among influencing factors in the soil-plant system. An approach at the equivalent molecular level rather than concentration should be adopted in future studies.


Subject(s)
Arsenic , Soil Pollutants , Alkalies , Charcoal , Least-Squares Analysis , Mustard Plant , Soil , Soil Pollutants/analysis
14.
Environ Geochem Health ; 43(10): 3953-3966, 2021 Oct.
Article in English | MEDLINE | ID: mdl-33768350

ABSTRACT

Mine waste from abandoned mines poses a risk to soil ecosystems due to the dispersion of arsenic (As) in the mine waste to the nearby soil environment. Because the bioavailability of As varies depending on the As chemical fraction and exposure conditions, chemical assessment of As fractions in soil around mine waste is essential to understand their impact on soil ecosystem. Here, six sites around the mine waste were selected for investigating toxic effects of As-contaminant soil on Collembola community. To measure the As chemical fraction in soil and bioavailability, Wenzel sequential extraction employed. Meanwhile, the collembolans that live in each sampling site were identified at the species level, and the characteristics and composition of the collembola community were investigated. The mobility fraction (F1 + F2 + F3; MF) was related to the risk to the collembolan community, and the adverse impact of high MF appeared to lead to a decrease in abundance, richness, and Shannon index. According to non-metric multidimensional scaling analysis, F1, F2, F3, and pH were shown as the significant factor explaining the NMDS space. Especially, the sampling site with the highest concentration of F3 showed statistically different species composition from the other sites. In the case of As-contaminated soil around the old mine waste, the toxic effects of the remaining F3 in soil, as well as that of F1 and F2, should be fully considered. This study suggested that collembolan community could be used for understanding the impact of bioavailable As fraction in the old abandoned mine area.


Subject(s)
Arsenic , Soil Pollutants , Arsenic/analysis , Arsenic/toxicity , Ecosystem , Mining , Soil , Soil Pollutants/analysis , Soil Pollutants/toxicity
15.
Surg Obes Relat Dis ; 17(6): 1190-1197, 2021 Jun.
Article in English | MEDLINE | ID: mdl-33741293

ABSTRACT

BACKGROUND: Bariatric surgery is well established in adults as the most effective tool for sustained weight loss and reduction of obesity-related co-morbidities, and is an emerging option for adolescents in whom conservative approaches have failed. Narratives are vital in understanding the motivating reasons and psychosocial profiles of adolescents considering bariatric surgery during a developmental period of evolving self-concept, body image sensitivity, peer pressure, and increased opportunity for risky behaviors. OBJECTIVES: To explore preoperative adolescent patient perspectives on their decision to pursue bariatric surgery, anticipated physical and psychosocial effects, and preparation process. SETTINGS: The Hospital for Sick Children (SickKids) in Toronto, Ontario, Canada. METHODS: We conducted 14 semi-structured interviews with adolescents (16-18 yr old) 2-4 months before bariatric surgery. A theoretical thematic analysis was conducted with 3 independent reviewers (interrater reliability, Cronbach's α= .81) and conflicts were resolved through discussion. RESULTS: Patients' perspectives are captured in 4 themes: motivation for surgery, effects on health and habits, psychosocial changes, and support systems during preparation. Participants perceived surgery as a tool but not a solution for weight loss. Most were motivated for health and daily functional improvement rather than aesthetic reasons, and some anticipated improved social interactions while maintaining their self-identity. Participants were selective in sharing news of their surgery, and received varying levels of support from families, friends, and healthcare teams. CONCLUSION: Adolescents seem generally prepared for and informed about surgery, with expectations for weight loss and psychosocial improvements, although uncertainty and contradictory thoughts were prevalent. Insights provided by these adolescent patients will help optimize bariatric surgery assessments and support from clinical teams and inform preoperative education for future patients and families.


Subject(s)
Bariatric Surgery , Adolescent , Adult , Child , Humans , Ontario , Qualitative Research , Reproducibility of Results , Weight Loss
16.
PLoS One ; 16(2): e0246291, 2021.
Article in English | MEDLINE | ID: mdl-33539388

ABSTRACT

OBJECTIVE: This study aimed to evaluate hypersensitivity reactions to anti-tuberculosis (TB) drugs. METHODS: We retrospectively compared the clinical manifestations and treatment outcomes of single and multiple drug hypersensitivity reactions (DHRs). RESULTS: Twenty-eight patients were diagnosed with anti-TB DHRs using oral drug provocation tests. Of these 28 patients, 17 patients (60.7%) had DHRs to a single drug and 11 (39.3%) had multiple DHRs. The median age of patients was 57.5 years (interquartile range [IQR], 39.2-73.2). Of the total patients, 18 patients (64.3%) were men. The median number of anti-TB drugs causing multiple DHRs was 2.0 (IQR 2.0-3.0). Rifampin was the most common drug that caused DHRs in both the single and multiple DHR groups (n = 8 [47.1%] and n = 9 [52.9%], respectively). The treatment success rate was lower in the multiple DHR group than in the single DHR group; however, the difference was not statistically significant (81.8% vs. 94.1%; P = 0.543). CONCLUSIONS: Multiple anti-TB DHRs were common in all patients who experienced DHRs, and rifampin was the most common causative drug. The treatment outcomes appeared to be poorer in patients with multiple DHRs than in those with single DHRs.


Subject(s)
Antitubercular Agents/adverse effects , Drug Hypersensitivity/etiology , Adult , Aged , Antitubercular Agents/metabolism , Antitubercular Agents/therapeutic use , Drug-Related Side Effects and Adverse Reactions/etiology , Female , Humans , Male , Middle Aged , Republic of Korea , Retrospective Studies , Rifampin/adverse effects , Treatment Outcome
17.
Medicine (Baltimore) ; 100(4): e24040, 2021 Jan 29.
Article in English | MEDLINE | ID: mdl-33530198

ABSTRACT

RATIONAL: Hemocoagulase, a hemostatic, is used in patients with trauma, gastrointestinal bleeding, or pulmonary hemorrhage or those undergoing surgery. However, paradoxical bleeding after hemocoagulase administration is not considered a clinically significant adverse effect. Here, we report a case of paradoxical pulmonary hemorrhage associated with hypofibrinogenemia after administration of the hemocoagulase batroxobin in a patient with hemoptysis. PATIENT CONCERNS: An 86-year-old woman complained of hemoptysis during hospitalization with organophosphate poisoning. Hemocoagulase was administered to manage bleeding; however, bleeding signs, such as hemoptysis, massive epistaxis, and ecchymosis, recurred. DIAGNOSES: The patient was diagnosed with acquired hypofibrinogenemia on the basis of the reduced plasma fibrinogen level after hemocoagulase administration and lack of other causes of bleeding. INTERVENTION: Hemocoagulase administration was discontinued, and fibrinogen-containing plasma products were administered. OUTCOMES: The plasma fibrinogen level normalized and bleeding signs did not recur. LESSONS: It is necessary to measure plasma fibrinogen levels regularly in patients undergoing hemocoagulase administration and discontinue its administration when acquired hypofibrinogenemia is detected.


Subject(s)
Afibrinogenemia/drug therapy , Batroxobin/adverse effects , Hemorrhage/etiology , Lung Diseases/etiology , Afibrinogenemia/complications , Aged, 80 and over , Batroxobin/therapeutic use , Female , Fibrinogen/administration & dosage , Hemoptysis/etiology , Hemostatics , Humans
18.
J Clin Med ; 10(4)2021 Feb 07.
Article in English | MEDLINE | ID: mdl-33562363

ABSTRACT

Early intestinal resection in patients with Crohn's disease (CD) is necessary due to a severe and complicating disease course. Herein, we aim to predict which patients with CD need early intestinal resection within 3 years of diagnosis, according to a tree-based machine learning technique. The single-nucleotide polymorphism (SNP) genotype data for 337 CD patients recruited from 15 hospitals were typed using the Korea Biobank Array. For external validation, an additional 126 CD patients were genotyped. The predictive model was trained using the 102 candidate SNPs and seven sets of clinical information (age, sex, cigarette smoking, disease location, disease behavior, upper gastrointestinal involvement, and perianal disease) by employing a tree-based machine learning method (CatBoost). The importance of each feature was measured using the Shapley Additive Explanations (SHAP) model. The final model comprised two clinical parameters (age and disease behavior) and four SNPs (rs28785174, rs60532570, rs13056955, and rs7660164). The combined clinical-genetic model predicted early surgery more accurately than a clinical-only model in both internal (area under the receiver operating characteristic (AUROC), 0.878 vs. 0.782; n = 51; p < 0.001) and external validation (AUROC, 0.836 vs. 0.805; n = 126; p < 0.001). Identification of genetic polymorphisms and clinical features enhanced the prediction of early intestinal resection in patients with CD.

19.
Article in English | MEDLINE | ID: mdl-32887283

ABSTRACT

Ammonia (NH3) is an important precursor for particulate secondary aerosol formation. This study was conducted to evaluate the applicability of a passive sampler (PAS) for estimating the NH3 emission from chemical fertilizer application (85 kg-N·ha-1) at field scale and to compare the results with a chamber system for the calculation of NH3 emission flux at lab scale. The application of chemical fertilizer increased the ambient NH3 concentration from 7.11 to 16.87 µg·m-3. Also, the ambient NH3 concentration measured by the PAS was found to be highly influenced by not only the chemical fertilizer application but also the weather (temperature and rainfall). Wind rose diagram data can be useful for understanding the distribution of ambient NH3 concentration. In the case of a chamber with few environmental variables, NH3 was emitted very quickly in the early stages and gradually decreased, whereas it was delayed at intervals of about one week at the site. It was found that daily temperature range, atmospheric disturbance by wind and rainfall, changes in soil moisture, and the presence of a flooded water table were the main influencing factors. The PAS data and the chamber system data were observed to have significant differences in spatial-temporal scale. In order to reduce the gap, it seems to be necessary to further develop a chamber system, in order to improve the precision of field analysis and to strengthen the connection between experimental results.


Subject(s)
Air Pollutants , Fertilizers , Agriculture , Air Pollutants/analysis , Ammonia/analysis , Fertilizers/analysis , Nitrogen/analysis , Soil , Volatilization
20.
Article in English | MEDLINE | ID: mdl-31842399

ABSTRACT

The aim of this study was to investigate the environmental impact and human health risks associated with toxic trace element (TTE) exposure in the abandoned Yaro Mine, Korea. Carcinogenic and non-carcinogenic risks were assessed separately for adults and children. Among the various pathways, the rate of TTE intake from the ingestion of groundwater was highest, followed in descending order by crop consumption, soil ingestion, and soil contact. The carcinogenic risk from the ingestion of groundwater was highest, followed by crop consumption and ingestion of contaminated surface soil. The non-carcinogenic risk from the ingestion of groundwater was highest (53.57% of the total non-carcinogenic risk), followed by crop intake (38.53%) and surface soil ingestion (4.80%). The risk assessment revealed that contaminated soil around Yaro mine posed a high risk to the health of inhabitants, mainly via groundwater ingestion and crop consumption. Reclamation measures should include methods of disrupting the high-risk routes between the source and recipient. Stabilization and covering techniques are promising options for reducing the hazard (i.e., exposure to the bioavailable fraction of TTE) and creating a chemical or physicochemical barrier to the potential migration pathways.


Subject(s)
Arsenic/analysis , Environmental Exposure/analysis , Metals, Heavy/analysis , Soil Pollutants/analysis , Water Pollutants, Chemical/analysis , Adult , Child , Crops, Agricultural , Drinking Water , Eating , Groundwater/analysis , Humans , Republic of Korea , Risk Assessment
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