A Pulmonary Nodule due to Pulmonary Infarction Diagnosed by Video-Assisted Thoracoscopy

We report a pulmonary infarction in 68-year-old man who was referred for an asymptomatic pulmonary nodule in chest radiography. Computed tomography (CT), positron emission tomography (PET), and transthoracic needle aspiration suggested suspicion for malignancy. Video-assisted thoracoscopic surgery (VATS) was performed for histologic diagnosis. Our case is a pulmonary nodule due to pulmonary infarction diagnosed by VATS in Korea

Clinical Features and Outcomes of Idiopathic Pulmonary Alveolar Proteinosis in Korean Population

Idiopathic pulmonary alveolar proteinosis (PAP) is a rare disorder in which lipoproteinaceous material accumulates within alveoli. There were few reports on Asian populations with idiopathic PAP. We retrospectively reviewed 38 patients with idiopathic PAP in Korea. We assessed clinical features, therapeutic efficacy and outcomes of whole lung lavage in patients with idiopathic PAP. The mean age at diagnosis was 52 yr. Eighty six percent of patients were symptomatic at diagnosis. Dyspnea and cough were the most common symptoms. Crackles were the most common physical examination finding. On pulmonary function test, a mild restrictive ventilatory defect was common, with a predicted mean forced vital capacity (FVC) of 77% and forced expiratory volume in one second (FEV1) of 84.6%. Diffusing capacity was disproportionately reduced at 67.7%. Arterial blood gas analysis revealed hypoxemia with a decreased PaO2 of 69.0 mmHg and an increased D(A-a)O2 of 34.2 mmHg. After whole lung lavage, PaO2, D(A-a)O2 and DLCO were significantly improved, but FVC and total lung capacity (TLC) were not different. This is the first multicenter study to analyze 38 Korean patients with idiopathic PAP. The clinical features and pulmonary parameters of Korean patients with idiopathic PAP are consistent with reports in other published studies. Whole lung lavage appears to be the most effective form of treatment

New prognostic scoring system for mortality in idiopathic pulmonary fibrosis by modifying the gender, age, and physiology model with desaturation during the six-minute walk test

BackgroundIdiopathic pulmonary fibrosis (IPF) is a progressive fibrosing interstitial lung disease (ILD) with variable and heterogeneous clinical course. The GAP (gender, age, and physiology) model had been used to predict mortality in patients with IPF, but does not contain exercise capacity. Therefore, our aim in this study was to develop new prognostic scoring system in the Korea IPF Cohort (KICO) registry.Materials and methodsThis is a retrospective study of Korean patients with IPF in KICO registry from June 2016 to August 2021. We developed new scoring system (the GAP6) based on the GAP model adding nadir saturation of percutaneous oxygen (SpO2) during six-minute walk test (6MWT) in the KICO registry and compared the efficacy of the GAP and the GAP6 model.ResultsAmong 2,412 patients in KICO registry, 966 patients were enrolled. The GAP6 model showed significant prognostic value for mortality between each stage [HR Stage II vs. Stage I = 2.89 (95% CI = 2.38–3.51), HR Stage III vs. Stage II = 2.68 (95% CI = 1.60–4.51)]. In comparison the model performance with area under curve (AUC) using receiver operating characteristic (ROC) curve analysis, the GAP6 model showed a significant improvement for predicting mortality than the GAP model (AUC the GAP vs. the GAP6, 0.646 vs. 0.671, p < 0.0019). Also, the C-index values slightly improved from 0.674 to 0.691 for mortality.ConclusionThe GAP6 model adding nadir SpO2 during 6WMT for an indicator of functional capacity improves prediction ability with C-index and AUC. Additional multinational study is needed to confirm these finding and validate the applicability and accuracy of this risk assessment system

Long-Term Monitoring of Macroinvertebrate Community Assemblages and Species Composition on the Coast of Dokdo, East Sea of Korea

Dokdo Island’s diverse marine ecosystem requires long-term monitoring to understand the effects of rapid environmental changes, such as global warming, on macrobenthos species and communities. Current studies are often short-term and limited, highlighting the need for extended research to predict future changes to ecosystems. This study analyzed the environmental variables influencing macrobenthos through long-term monitoring. In total, 511 species (spp./23.4 m2) were identified with an abundance of 1709.9 individuals/m2 and a diversity of 2.9. Since 2020, there has been a decline in both the number of species and diversity, attributed to changes in sediment composition, particularly an increase in gravel and sand. The dominant species include the crustacean Abludomelita denticulata (17.6%), the polychaete Haplosyllis spongiphila (6.8%), the bivalve Glycymeris munda (5.6%), the polychaete Opisthodonta uraga (5.3%), and the bivalve Limatula japonica (3.8%). The macrobenthos community differs each year, as the dominant species G. munda has decreased in abundance since 2022 and L. japonica since 2021. Depth and gravel sediment strongly correlated with community variation. Site-specific analysis also showed significant differences, with depth, bottom temperature, and sediment composition as the influencing factors. These species thrive in cold water but their abundance declines with an increase in temperature. Continuous long-term monitoring is essential to understand and protect the Dokdo ecosystem amid rapid environmental changes. Long-term monitoring studies have revealed more species than have short-term studies, showing annual and site-specific environmental changes, including sediment erosion and bottom temperature increases. These changes have affected macrobenthos diversity, abundance, and community composition, necessitating ongoing research to determine the persistence of these trends and to protect the ecosystem

Hepatic hydrothorax without ascites as the first sign of liver cirrhosis

The enantioselective hydrogenation of ethyl pyruvate on Pt/SiO2 catalysts modified with a chiral compound, cinchonidine, and promoted with tin was studied in this work. The enantioselectivity of the nonpromoted Pt/SiO2 catalysts depends strongly on the particle size; when the particle size is larger, the enantiomeric excess obtained is higher. The addition of small tin amounts (Sn/Pt 001) produces a slight increase in the initial hydrogenation rate, and at the same time, a relative small change in the ee% value, but larger tin amounts generate a decrease in the initial hydrogenation rate together with a marked diminution of the ee value.En este trabajo se estudió la hidrogenación enantioselectiva de piruvato de etilo empleando catalizadores de Pt/SiO2 modificados con un compuesto quiral, la cinconidina, y promovidos con estaño. La enantioselectividad de los catalizadores de PtSiO2 no promovidos, depende fuertemente del tamaño de las partículas metálicas: a mayor tamaño de las partículas, más alto es el exceso enantriométrico obtenido. La adición de pequeñas cantidades de estaño (Sn/Pt=0.01) produce un ligero incremento en la velocidad de hidrogenación inicial, y al mismo tiempo, un cambio relativamente pequeño en el valor de ee%. Cantidades más altas de estaño, generan una disminución en la velocidad inicial de hidrogenación, junto con una marcada disminución del ee.Universidad Nacional de La Plata. Facultad de Ingenierí­a. Departamento de Ingeniería QuímicaCentro de Investigación y Desarrollo en Ciencias Aplicada