Early Dural Sac Termination with Lumbar Disc Herniation: A Mimic of Nerve Root Anomalies

The precise location of the dural sac (DS) end is necessary for preventing neural injury during spinal surgery or procedures. There has been no report on problems with spine surgery in patients with early DS termination. A 28-year-old woman presented with low back and leg pain involving the left S1 nerve root. Magnetic resonance imaging (MRI) revealed early DS termination at the lower one-third of the L5 vertebra and lumbar disc herniation at the L5/S1. Microscopic discectomy was performed instead of endoscopic discectomy to avoid unpredictable risks. Due to early DS termination, multiple nerve roots were identified, which look like nerve root congenital anomalies (Neidre and Macnab type II anomalies), and multiple separated nerve roots appeared to exit through a single foramen. After wide exposure by hemilaminectomy, which facilitated adequate visualization and mobilization of the involved nerve roots, the ruptured disc was identified and removed with gentle retraction, avoiding risk of excessive nerve root traction. Unlike other nerve root anomalies, early DS termination could be detected easily with preoperative MRI. Although this condition appears similar to other nerve root anomalies in the surgical field, it is possible to avoid inadvertent neural injury by closely investigating preoperative MRI. If early DS termination is suspected, it is necessary to consider a safer surgical approach

Risk Factors Associated with 30-day Mortality in Patients with Postoperative Acute Kidney Injury Who Underwent Continuous Renal Replacement Therapy in the Intensive Care Unit

Purpose To evaluate the risk factors associated with 30-day mortality in patients with postoperative acute kidney injury who underwent continuous renal replacement therapy (CRRT). Methods Retrospective analysis of the medical charts of patients with postoperative acute kidney injury who underwent CRRT in the intensive care unit between April 2012 and May 2019 was conducted. Results There were 71 patients whose average age was 64.8 years, and average Acute Physiology and Chronic Health Evaluation 2 score was 26.2. There were 37 patients who had non-trauma emergency surgery, 16 who required trauma surgery, and 18 who had elective major surgery. In most patients, CRRT was started based on Stage 3 Acute Kidney Injury Network criteria, and the mean creatinine level at the time of CRRT initiation (3.62 mg/dL). The median period from surgery to CRRT was 3 days, and the median CRRT application was 4 days. Forty-seven patients died within 30 days of receiving CRRT. Age, elective major surgery, creatinine level on initiation of CRRT, use of norepinephrine upon the initiation of CRRT, and average daily fluid balance/body weight for 3 days following the initiation of CRRT were associated with increasing 30-day mortality in univariate analysis. In multivariate analysis, age, major elective surgery, and norepinephrine use upon initiation of CRRT were identified as independent risk factors for 30-day mortality. Conclusion Surgical patients who underwent CRRT postoperatively had a poor prognosis. The risk of death in elderly patients who have undergone major elective surgery, or are receiving norepinephrine upon initiation of CRRT should be considered

Standardization of Terminology in Laboratory Medicine II

Standardization of medical terminology is essential in data transmission between health care institutes and in maximizing the benefits of information technology. The purpose of this study was to standardize medical terms for laboratory observations. During the second year of the study, a standard database of concept names for laboratory terms that covered those used in tertiary health care institutes and reference laboratories was developed. The laboratory terms in the Logical Observation Identifier Names and Codes (LOINC) database were adopted and matched with the electronic data interchange (EDI) codes in Korea. A public hearing and a workshop for clinical pathologists were held to collect the opinions of experts. The Korean standard laboratory terminology database containing six axial concept names, components, property, time aspect, system (specimen), scale type, and method type, was established for 29,340 test observations. Short names and mapping tables for EDI codes and UMLS were added. Synonym tables were prepared to help match concept names to common terms used in the fields. We herein described the Korean standard laboratory terminology database for test names, result description terms, and result units encompassing most of the laboratory tests in Korea

Protein Name Tagging Guidelines: Lessons Learned

Interest in information extraction from the biomedical literature is motivated by the need to speed up the creation of structured databases representing the latest scientific knowledge about specific objects, such as proteins and genes. This paper addresses the issue of a lack of standard definition of the problem of protein name tagging. We describe the lessons learned in developing a set of guidelines and present the first set of inter-coder results, viewed as an upper bound on system performance. Problems coders face include: (a) the ambiguity of names that can refer to either genes or proteins; (b) the difficulty of getting the exact extents of long protein names; and (c) the complexity of the guidelines. These problems have been addressed in two ways: (a) defining the tagging targets as protein named entities used in the literature to describe proteins or protein-associated or -related objects, such as domains, pathways, expression or genes, and (b) using two types of tags, protein tags and long-form tags, with the latter being used to optionally extend the boundaries of the protein tag when the name boundary is difficult to determine. Inter-coder consistency across three annotators on protein tags on 300 MEDLINE abstracts is 0.868 F-measure. The guidelines and annotated datasets, along with automatic tools, are available for research use

Finding Shortest Vector Using Quantum NV Sieve on Grover

Quantum computers, especially those with over 10,000 qubits, pose a potential threat to current public key cryptography systems like RSA and ECC due to Shor\u27s algorithms. Grover\u27s search algorithm is another quantum algorithm that could significantly impact current cryptography, offering a quantum advantage in searching unsorted data. Therefore, with the advancement of quantum computers, it is crucial to analyze potential quantum threats. While many works focus on Grover’s attacks in symmetric key cryptography, there has been no research on the practical implementation of the quantum approach for lattice-based cryptography. Currently, only theoretical analyses involve the application of Grover\u27s search to various Sieve algorithms. In this work, for the first time, we present a quantum NV Sieve implementation to solve SVP, posing a threat to lattice-based cryptography. Additionally, we implement the extended version of the quantum NV Sieve (i.e., the dimension and rank of the lattice vector). Our extended implementation could be instrumental in extending the upper limit of SVP (currently, determining the upper limit of SVP is a vital factor). Lastly, we estimate the quantum resources required for each specific implementation and the application of Grover\u27s search. In conclusion, our research lays the groundwork for the quantum NV Sieve to challenge lattice-based cryptography. In the future, we aim to conduct various experiments concerning the extended implementation and Grover\u27s search

Newborn Periventricular Nodular Heterotopia with Persistent Feeding Cyanosis and Apneic Spell: A Case Report

Periventricular nodular heterotopia (PNH) is a neuronal migration disorder that occurs during early brain development. Patients with PNH may be asymptomatic and have normal intelligence; however, PNH is also known to cause various symptoms such as seizures, dyslexia, and cardiovascular anomalies. PNH is not commonly diagnosed during early infancy because of the lack of clinical manifestations during this period. We present the case of a female infant diagnosed with PNH based on brain magnetic resonance imaging, who had symptomatic patent ductus arteriosus that had to be ligated surgically and had prolonged feeding cyanosis with frequent apneic spells