Epidemiological and Clinical Parameters Features of Patients with Clonorchiasis in the Geum River Basin, Republic of Korea

This study was conducted to evaluate the infection rates of Clonorchis sinensis and laboratory findings in infected people. The 3,167 fecal samples, from nine villages in Okcheon-gun, were examined

Effects of Air Pollutants on Childhood Asthma

Epidemiologic studies have suggested the association between environmental exposure to volatile organic compounds (VOCs) and polycyclic aromatic hydrocarbons (PAHs) and the increased risk of incurring asthma. Yet there is little data regarding the relationship between personal exposure to air pollution and the incidence of asthma in children. This study was designed to evaluate the effect of exposure to air pollution on children with asthma by using exposure biomarkers. We assessed the exposure level to VOCs by measuring urinary concentrations of hippuric acid and muconic acid, and PAHs by 1-OH pyrene and 2-naphthol in 30 children with asthma and 30 children without asthma (control). The mean level of hippuric acid was 0.158 ± 0.169 µmol/mol creatinine in the asthma group and 0.148 ± 0.249 µmol/mol creatinine in the control group, with no statistical significance noted (p=0.30). The mean concentration of muconic acid was higher in the asthma group than in the control group (7.630 ± 8.915 µmol/mol creatinine vs. 3.390 ± 4.526 µmol/mol creatinine p=0.01). The mean level of urinary 1-OHP was higher in the asthma group (0.430 ± 0.343 µmol/mol creatinine) than the control group (0.239 ± 0.175 µmol/mol creatinine), which was statistically significant (p=0.03). There was no difference in the mean concentration of 2-NAP between the two groups (9.864 ± 10.037 µmol/mol in the asthma group vs. 9.157 ± 9.640 µmol/mol in the control group, p=0.96). In conclusion, this study suggests that VOCs and PAHs have some role in asthma

Limited Effect of CpG ODN in Preventing Type 1 Diabetes in NOD Mice

Type 1 diabetes is considered as Th1 cell mediated autoimmune disease and the suppression of Th1 cells or the activation of Th2 cells has been regarded as a plausible immunologic intervention for the prevention of type 1 diabetogenesis in a rodent model. CpG ODN is an immunostimulatory sequence primarily present in bacterial DNA, viral DNA and BCG. CpG ODN is conventionally classified as a Th1 cell activator, which has been clinically applied to cancer, allergy and infectious disease. Recently, there was a promising report of that CpG ODN administration suppressed the development of type 1 diabetes in NOD mice by inducing Th2 cell mediated cytokine. However, the antidiabetogenic effect of CpG ODN on NOD mice is controversial. Thus, two studies were serially undertaken with various kinds of CpG motif to find a more optimal sequence and administration method. In the first study, CpG ODN was vaccinated four times and pancreatic inflammation and the quantity of serum insulin subsequently evaluated. In the second study, the amounts of IFN γ and IL-4 in sera were measured as representative cytokines of Th1 and Th2 cells, respectively. As a result, vaccination or continuous injection of CpG ODN failed to show a preventive effect on type 1 diabetogenesis in NOD mice. Structural differences of CpG ODN also had no affect on the result. CpG ODN also consistently showed affect on the pancreatic pathology. The productions of IFN and IL-4 were γ detected only in the K and D type CpG ODN administration groups. Comparison of the two cytokines leads to the conclusion that CpG ODN generated a Th1-weighted response in both study groups. It was assumed that CpG ODN failed to produce Th2-weighted cytokine milieu, which can overcome the genetically determined phenotype of NOD mice. Given these results, it was concluded that the immunotherapeutic application of CpG ODN on Type 1 diabetes had clear limitations

The politics between state power and professional power in Korean health care system

Since the late 1970s, the Korean health care system has changed significantly. The state increased its intervention into the health care system to expand health services to people and to improve the efficiency of medical practice. But physicians tried to protect their privileges and private ownership of medical institutions, and to buffer "hazardous" state intervention. Between the state and physicians, a group of physicians, called "medical reformers" in this paper, tried to compromise both sides. While such an attempt was not fully successful, their goal to rationalize the structure of the health care system significantly impacted the current debate on the Health Care Delivery System and the politics between the state and the medical profession

Quantification of economic uncertainty for synthetic natural gas production in a H2O permeable membrane reactor as simultaneous power-to-gas and CO2 utilization technologies

Economic uncertainty analysis of employing a membrane reactor (MR) equipped with H2O separation membranes for a synthetic natural gas (SNG) production as simultaneous power-to-gas and CO2 utilization technologies was carried out. Based on previously reported reaction kinetics, process simulation models were created for a conventional packed-bed reactor (PBR) and an MR. Deterministic economic analysis showed the unit SNG production cost of 1.67 $kgSNG???1 in an MR compared to 1.82$ kgSNG???1 in a PBR for a SNG production capacity of 1000 kg d???1, showing about 8% cost reductions in the MR. From sensitivity analysis, raw material and labor were identified as the key economic factors to affect a unit SNG production cost for all cases studied. Stochastic economic analysis using a Monte-Carlo simulation method provided better insights for economic-uncertainty associated with premature technology like a SNG production in an MR using H2O separation membranes by presenting a wide range of SNG production costs and their probability