Increased Prevalence of low High-density Lipoprotein Cholesterol (HDL-C) Levels in Korean Adults: Analysis of the Three Korean National Health and Nutrition Examination Surveys (KNHANES 1998–2005)

AbstractObjectivesHigh-density lipoprotein cholesterol (HDL-C) is an independent risk factor for cardiovascular diseases that has shown a remarkable increase, but little is known about the prevalence of low HDL-C in Korea. This study aimed to evaluate changing trends of low HDL-C prevalence, and indicate other risk factors associated with low HDL-C.MethodsWe selected subjects aged ≥20 years from the Korean National Health and Nutrition Examination Survey (KNHANES) 1998, 2001, and 2005 (n = 7962, 6436, and 6412). The mean level of HDL-C and the prevalence of low HDL-C was calculated, and cardiovascular risk factors associated with low HDL-C, as well as demographic, anthropometric, lifestyle, and nutrition factors, were assessed using the KNHANES 2005 data.ResultsMean HDL-C levels in men and women between KNHANES 1998 and 2005 decreased significantly, from 48.1 to 42.3 and from 51.6 to 47.1 mg/dL, respectively (both p < 0.001). The decrease was slightly less for women compared with men for the same period, and women had higher HDL-C levels at all periods. Covariate-adjusted OR revealed that body mass index, waist circumference, and non-alcohol drinker in both men and women were associated with low HDL-C levels by KNHANES 2005, as were employed and light physical activity in men and low fat intake in women.ConclusionThe prevalence of low HDL-C increased significantly from KNHANES 1998 to 2001 and 2005 (p < 0.001) in both men and women. body mass index, waist circumference, and non-alcohol drinker were identified as associated with low HDL-C in Korean adults

Ciliated muconodular papillary tumor of the lung: The risk of false-positive diagnosis in frozen section

AbstractCiliated muconodular papillary tumor (CMPT) is newly-defined low-grade malignant tumor, characterized as papillary tumor consisting of ciliated columnar, goblet, and basal cells. We present one case of pulmonary peripheral neoplasm misdiagnosed as mucinous adenocarcinoma. Pathologic findings showed, centrally, cystic papillary growth consisting of ciliated columnar, goblet, and basal cells, and peripherally, some tumor cells spread along the adjacent alveolar walls, in a lepidic fashion, and floating in pool of mucin. Tumor cells had bland nuclei, and no mitotic activity was observed. This had been initially misdiagnosed as mucinous adenocarcinoma in frozen section. We reviewed previous articles as well as permanent and frozen slides. In conclusion, in order to reduce the possibility of false positives, it is important to be aware that CMPT is a rare form of peripheral mucin-producing tumor with characteristic histologic findings

Exploring a Process Model for Stakeholder Management

This paper expands stakeholder management practice by incorporating concepts from the issues management process model. Based on Jones and Chase’s issuesprocess model, this study provides a comprehensive three-step stakeholder management process: (1) stakeholder identification and analysis, (2) development and implementation of stakeholder management strategies, and (3) stakeholder management evaluation. From a practical point of view, the stakeholder identification step helps organizations picture what types of reactions or attacks will occur in the near future. In addition, stakeholder analysis allows organizations to enlist salient stakeholders and offers a practical initiation into stakeholder management. The criteria for stakeholder identification and analysis in this model can provide practical guidelines for ongoing brainstorming drills within organizations to determine which stakeholders should be engaged. Furthermore, an organization’s stakeholder management strategies are created and selected according to stakeholder categories on the basis of types and priorities. This cyclical process can motivate organizations to continue their implementation and evaluation, which will lead to an effective and efficient issues management process that can result in the construction of a better society

Increased Immunoendocrine Cells in Intestinal Mucosa of Postinfectious Irritable Bowel Syndrome Patients 3 Years after Acute Shigella Infection - An Observation in a Small Case Control Study

PURPOSE: Postinfectiously irritable bowel syndrome (PI-IBS) develops in 3-30% of individuals with bacterial gastroenteritis. Recent studies demonstrated increases in inflammatory components in gut mucosa of PI-IBS patients even after complete resolution of infection. We aimed to investigate histological changes in colon and rectum of PI-IBS subjects after long term period of infection. MATERIALS AND METHODS: We recruited PI-IBS subjects who had been diagnosed IBS after complete resolution of enteritis caused by shigellosis outbreak 3 years earlier. We compared unmatched four groups, PI-IBS (n = 4), non PI-IBS (n = 7), D-IBS (n = 7, diarrhea predominant type) and healthy controls (n = 10). All of them underwent colonoscopic biopsy at three areas, including descending colon (DC), sigmoid colon (SC) and rectum, which were assessed for 5-hydroxytryptamine (5-HT)/peptide YY (PYY)-containing enterochromaffin (EC) cell, intraepithelial (IEL) and lamina propria T lymphocyte (CD3), CD8 lymphocytes, mast cells and CD68/calprotectin+ macrophages. RESULTS: All subjects had no structural or gross abnormalities at colonoscopy. In PI-IBS, 5-HT containing EC cells, PYY containing EC cells, IELs, CD3 lymphocytes, CD8 lymphocytes, mast cells, and CD68 + macrophages were increased compared to control (p < 0.05). In D-IBS, PYY containing EC cells, IELs, and CD3 lymphocytes were increased compared to control (p < 0.05). In PI-IBS, 5-HT containing EC cells tended to increase and PYY containing EC cells, CD8 lymphocytes, mast cells, and CD68+ macrophages were increased compared to non PI-IBS (p < 0.05). Calprotectin + marcrophages were decreased in PI-IBS, non PI-IBS and IBS compared to control. CONCLUSION: The immunoendocrine cells were sporadically increased in PI-IBS, non PI-IBS and D-IBS compared with control. Our findings in a very small number of patients suggest that mucosal inflammation may play a role in long-term PI-IBS, and that other sub-groups of IBS and larger scale studies are needed to confirm this observation.ope

Flying path optimization in UAV-assisted IoT sensor networks

AbstractIn this paper, we present an optimal flying path for unmanned aerial vehicle-assisted internet of things sensor networks using a location aware multi-layer information map considering different utility functions based on the sensor density, energy consumption, flight time, and flying risk level. The overall weighted sum of multi-objective utility functions is maximized using the genetic algorithm. The simulation results verify that the optimum solution points can be obtained by adjusting the weights while satisfying the required constraints

Influence of mixed alkali oxides on some melt properties of TV screen glass

The influence of K2O/R2O (R2O = Na2O+K2O) on some melt properties was studied in alkali-alkaline earth-silicate TV screen glasses. Viscosity, surface tension, electrical resistivity, volatilization and devitrification of glass melts were determined. No mixed alkali effect was observed in viscosity, surface tension and liquidus temperature. They showed a linear behavior with increase of K2O/R2O. On the other hand, electrical resistivity and weight loss by volatilization showed a strong mixed alkali effect against relative alkali concentration. According to the dependence of viscosity, electrical resistivity and volatilization on K2O/R2O, the slope change of those properties took place at K2O/R2O = 0.4 to ≈ 0.5. The compositional dependence of viscosity, surface tension and liquidus temperature was discussed in terms of field strength, polarizability and material diffusion, respectively. Α correlation was also discussed between the dependence of properties on K2O/R2O and the production process of TV screen glass. In conclusion, from the viewpoint of both production and application of TV glasses it was suggested that the mole fraction of K2O/R2O should lie between 0.2 and 0.5