Pain Management of Herpes Zoster

Herpes zoster (HZ) is a disease triggered by the reactivation of latent varicella zoster virus (VZV) in spinal or cranial sensory ganglia, and is characterized by a painful vesicular eruption in the affected dermatome. Postherpetic neuralgia (PHN) is a chronic, neuropathic pain that can persist long beyond resolution of visible cutaneous manifestations which is often resistant to current analgesic treatments. The lifetime prevalence of herpes zoster is approximately 20–30% and about 9–34% of these patients develop PHN depending on its definition. Clinical experience has shown that PHN often develops in cases of inadequate initial pain management resulting in increased pain intensity. This review provides an overview of the treatment options for HZ and PHN, focusing on the therapeutic modalities of pain management. The primary objectives of management of HZ are to inhibit viral replication, relieve pain, and prevent associated complications, such as PHN. General treatments for acute HZ are combination of antiviral therapy with a short course of corticosteroids at the onset of the disease in conjunction with an effective control of acute pain, including nonsteroidal anti-inflammatory drugs, acetaminophen, opioids, and anticonvulsants such as gabapentin or pregabalin. Treatment of PHN is often resistant to the current pharmacologic methods. Therefore, a multimodal analgesic treatment regimen including topical lidocaine and capsaicin, systemic therapies, and the interventional treatments is necessary to alleviate pain and its effect on quality of life. As the incidence of HZ increases with age, the number of patients with HZ and PHN may increase in the future considering the gradual aging of the general population. Appropriate management of HZ can reduce the duration and intensity of pain from HZ, and prevent the development of PHN. In addition, prophylactic zoster vaccination can prevent or reduce the incidence of HZ and PHN. Further efforts are needed to minimize pain of the patients suffering from HZ and PHN as it affects the quality of life in the aspect of both physical and psychological impairments

The association between motor capacity and motor performance in school-aged children with cerebral palsy: An observational study

Background This study aimed to investigate the association between motor capacity and motor performance in children with cerebral palsy (CP) aged 6–12 years with Gross Motor Function Classification System (GMFCS) levels I to III. Methods Forty-six children with CP (24 boys and 22 girls) classified as GMFCS levels Ⅰ, Ⅱ, or Ⅲ were included. Motor capacity was measured by the Gross motor function measure (GMFM), Pediatric balance scale (PBS), Timed up and go (TUG), and 6-min walk test (6MWT). Motor performance was measured by triaxial accelerometers. Estimations of physical activity energy expenditure (PAEE) (kcal/kg/day), percentage of time spent on physical activity (% sedentary physical activity; %SPA; % light physical activity, %LPA; % moderate physical activity, %MPA; % vigorous physical activity %VPA; and moderate-to-vigorous physical activity, %MVPA), and activity counts (counts/minute) were obtained. Results Children with GMFCS level I showed a significantly higher motor capacity (GMFM-66, GMFM-88, D-dimension and E-dimension, PBS and 6MWT) than those with level II or III. Children with GMFCS level II and/or III had significantly lower physical activity (PAEE, % MPA, % VPA, %MVPA, and activity counts) than children with GMFCS level I. Multiple linear regression analysis (dependent variable, GMFM-66) showed that %MVPA was positively associated with GMFM-66 in the GMFCS level II & III children but not in GMFCS level I children

DS-ARP: A New Detection Scheme for ARP Spoofing Attacks Based on Routing Trace for Ubiquitous Environments

Despite the convenience, ubiquitous computing suffers from many threats and security risks. Security considerations in the ubiquitous network are required to create enriched and more secure ubiquitous environments. The address resolution protocol (ARP) is a protocol used to identify the IP address and the physical address of the associated network card. ARP is designed to work without problems in general environments. However, since it does not include security measures against malicious attacks, in its design, an attacker can impersonate another host using ARP spoofing or access important information. In this paper, we propose a new detection scheme for ARP spoofing attacks using a routing trace, which can be used to protect the internal network. Tracing routing can find the change of network movement path. The proposed scheme provides high constancy and compatibility because it does not alter the ARP protocol. In addition, it is simple and stable, as it does not use a complex algorithm or impose extra load on the computer system

CHARACTERIZATION OF THERMOMECHANICAL PULP MADE FROM PINE TREES INFECTED WITH NEMATODES

Pine wilt is a lethal disease caused by the nematode Bursaphelenchus xylophilus. It causes tree death by blocking water and nutrient uptake in pine trees. Pine trees infected by these nematodes are used as fertilizer or fuel for thermal power plants, but their utilization is still only about 37%. To increase the utilization of the infected trees, this study investigated whether the shredded wood chips prepared from them could be used as raw materials for manufacturing thermomechanical pulp (TMP) and chemithermomechanical pulp (CTMP). TMP and CTMP prepared from the infected pine chips showed fewer pitch contents and better strength properties than those made from domestic pine. In conclusion, if the nematode-infected pine was used as raw materials for manufacturing TMP and CTMP, it is expected that it would contribute to the diversification of raw materials along with a high-temperature insecticidal effect. Keywords: Pine wilt, nematode disease, thermomechanical pulp, chemithermomechanical pulp, pulp strength, insecticidal effect &nbsp

COMPARISON OF THE EFFECT OF TMP PITCH CONTROL AGENTS WITH DIFFERENT MECHANISMS

The pitch contained in thermomechanical pulp negatively affects paper quality, pulp, and the papermaking process. Serious pitch and stickies problems may occur in paper recycling processes. In this study, the effects of chemicals used to control the pitch in the TMP(Themomechanical Pulp) rocess were compared. The method used to analyze the pitch-control effect was to perform image analysis after using a reagent that selectively stains only the hydrophobic pitch. Three different mechanisms, namely fixation, detackification, and dispersion, were applied to solve the pitch problem from TMP. All the control agents were effective in pitch control, and, in particular, the agents related to fixation and dispersion were found to be more effective in reducing the number and area of tacky particles per unit area in sheets and white water. However, for the detackifiers and the dispersants, but not for the fixatives, it was difficult to clearly distinguish the difference of the pitch control effects according to the change in the amount of these agents through image analysis after staining

β-Lapachone Significantly Increases the Effect of Ionizing Radiation to Cause Mitochondrial Apoptosis via JNK Activation in Cancer Cells

β-lapachone (β-lap), has been known to cause NQO1-dependnet death in cancer cells and sensitize cancer cells to ionizing radiation (IR). We investigated the mechanisms underlying the radiosensitization caused by β-lap. cells induced ROS generation, triggered ER stress and stimulated activation of ERK and JNK. Inhibition of ROS generation by NAC effectively attenuated the activation of ERK and JNK, induction of ER stress, and subsequent apoptosis. Importantly, inhibition of ERK abolished ROS generation and ER stress, whereas inhibition of JNK did not, indicating that positive feedback regulation between ERK activation and ROS generation triggers ER stress in response to combined treatment. Furthermore, prevention of ER stress completely blocked combination treatment-induced JNK activation and subsequent apoptotic cell death. In addition, combined treatment efficiently induced the mitochondrial translocation of cleaved Bax, disrupted mitochondrial membrane potential, and the nuclear translocation of AIF, all of which were efficiently blocked by a JNK inhibitor. Caspases 3, 8 and 9 were activated by combined treatment but inhibition of these caspases did not abolish apoptosis indicating caspase activation played a minor role in the induction of apoptosis. cells are treated with combination of IR and β-lap, positive feedback regulation between ERK and ROS leads to ER stress causing JNK activation and mitochondrial translocation of cleaved Bax. The resultant decrease in mitochondrial membrane leads to translocation of AIF and apoptosis

Membrane and Electrochemical Processes for Water Desalination: A Short Perspective and the Role of Nanotechnology

In the past few decades, membrane-based processes have become mainstream in water desalination because of their relatively high water flux, salt rejection, and reasonable operating cost over thermal-based desalination processes. The energy consumption of the membrane process has been continuously lowered (from >10 kWh m(-3) to similar to 3 kWh m(-3)) over the past decades but remains higher than the theoretical minimum value (similar to 0.8 kWh m(-3)) for seawater desalination. Thus, the high energy consumption of membrane processes has led to the development of alternative processes, such as the electrochemical, that use relatively less energy. Decades of research have revealed that the low energy consumption of the electrochemical process is closely coupled with a relatively low extent of desalination. Recent studies indicate that electrochemical process must overcome efficiency rather than energy consumption hurdles. This short perspective aims to provide platforms to compare the energy efficiency of the representative membrane and electrochemical processes based on the working principle of each process. Future water desalination methods and the potential role of nanotechnology as an efficient tool to overcome current limitations are also discussed

Role of Dual Flagella in the Pathogenesis of Vibrio parahaemolyticus

Vibrio parahaemolyticus possesses two flagella systems: polar and lateral flagella for swimming in liquid and swarming on solid surfaces or in viscous environments. To elucidate the pathogenic role of these dual flagella systems, we constructed single-and double-deletion mutants of the lafA and flhAB flagellum genes and investigated their biofilm formation, cell adhesion, and colonization of the small intestine of suckling mice. The double-mutant strain was more impaired in biofilm formation than either of the single-mutant strains. In addition, the lafA, flhAB, and double-mutant strains showed 40%, 45%, and 60%, respectively, lower adherence to HeLa cells than the wild-type strain. Moreover, the lafA, flhAB, and double-mutant strains exhibited 49%, 5.6 and 6.7 times, respectively, lower colonization in a competition assay than the wild-type strain. These findings indicated that polar flagella were more important than lateral flagella for the pathogenesis of V. parahaemolyticus