Three distinct atmospheric circulation patterns associated with high temperature extremes in South Korea.

The negative impact of extreme high-temperature days (EHDs) on people's livelihood has increased over the past decades. Therefore, an improved understanding of the fundamental mechanisms of EHDs is imperative to mitigate this impact. Herein, we classify the large-scale atmospheric circulation patterns associated with EHDs that occurred in South Korea from 1982 to 2018 using a self-organizing map (SOM) and investigate the dynamic mechanism for each cluster pattern through composite analysis. A common feature of all SOM clusters is the positive geopotential height (GPH) anomaly over the Korean Peninsula, which provides favorable conditions for EHDs through adiabatic warming caused by anomalous downward motion. Results show that Cluster 1 (C1) is related to the eastward-propagating wave train in the mid-latitude Northern Hemisphere, while Cluster 2 (C2) and 3 (C3) are influenced by a northward-propagating wave train forced by enhanced convection in the subtropical western North Pacific (WNP). Compared to C2, C3 exhibits strong and eastward-extended enhanced convection over the subtropical WNP, which generates an anomalous high-pressure system over the southern part of the Kamchatka Peninsula, reinforcing EHDs via atmospheric blocking. Our results can contribute to the understanding of East Asia climate variability because wave trains influence the climate dynamics of this region.

Erratum: Figure Correction.

[This corrects the article on p. 506 in vol. 59, PMID: 27896253.].

Study of dienogest for dysmenorrhea and pelvic pain associated with endometriosis.

OBJECTIVE: To evaluate the effect of orally administered dienogest (DNG) for dysmenorrhea and pelvic pain associated with endometriosis. METHODS: For this study we recruited 89 patients with dysmenorrhea and pelvic pain associated with endometriosis diagnosed by laparoscopy. All patients complained of persistent dysmenorrhea and pelvic pain despite surgical treatment 6 months previously. After 6 months of DNG treatment, we used a 0 to 3 point verbal rating scale to measure the severity of disability in daily life due to dysmenorrhea and pelvic pain, and the use of analgesics. Weight gain, serum lipid and liver enzyme tests were performed before treatment and after 6 months of DNG treatment. RESULTS: Total dysmenorrhea scores assessed by the verbal rating scale significantly decreased by the end of treatment (P<0.001). The mean (±standard deviation) pain score for dysmenorrhea before and after treatment were 1.42±1.1 and 0.1±0.3, respectively. The mean non-menstrual pelvic pain scores before and after treatment were 0.52±0.6 and 0.18±0.3, respectively, showing a significant difference (P<0.001). The use of analgesics significantly decreased by the end of the treatment (P<0.001). The associated adverse effects were weight gains (in 56 of 89 patients, 63%) and uterine bleeding (in 28 of 89 patients, 31.5%). The weight gain (before treatment, 57.9±9.7; after treatment, 61.1±12.6) was statistically significant (P<0.040). CONCLUSION: This study demonstrated that orally administered DNG could be used to effectively treat dysmenorrhea and pelvic pain associated with endometriosis although the side effects of weight gain and uterine bleeding should be considered.

Protective effects of green tea polyphenol against cisplatin-induced nephrotoxicity in rats.

OBJECTIVE: This study is to compare the effects of green tea polyphenol (GTP) pre-treatment with those of GTP post-treatment on cisplatin (CP)-induced nephrotoxicity in rat. METHODS: Male Sprague-Dawley rats were randomly divided into six groups. Animals in the control group received 0.9% saline (intraperitoneal); animals in the GTP group received 0.9% saline and GTP (0.2% GTP as their sole source of drinking water); the CP group received only CP (7 mg/kg, intraperitoneal); the CP+preGTP group received GTP from two days before CP to four days after CP and the CP+postGTP group received GTP for four days after CP. CP-induced renal toxicity was evaluated by plasma creatinine and blood urea nitrogen (BUN) concentrations; kidney tissue γ-glutamyl transpeptidase (GGT) and alkaline phosphatase (AP) activities and histopathological examinations. RESULTS: High serume creatinine and BUN concentrations were observed in CP treated rats. The GGT and AP activites were lower in kidney of CP treated rats compared to control rats. In addition, treatment with CP resulted in development of a marked tubular necrosis, and tubular dilation in kidney of rats. Pretreatment with GTP resulted in markedly reduced elevation of serum creatinine and BUN amounts and changes of GGT and AP activity in kidney induced by CP. CP-induced histopathological changes, including tubular necrosis and dilation, were ameliorated in GTP pre-treated rats, compared to CP alone or GTP post-treated rats. CONCLUSION: These results demonstrate that GTP might have some protective effect against CP-induced nephrotoxicity in rat, and GTP pre-treatment was more effective than GTP post-treatment on reduction of CP-induced renal dysfunction.