Application of motion correction using 3D autoregressive model in kinect-based telemedicine

In telemedicine, where the convergence of different types of medical treatment occurs, it is very important to establish credibility regarding the mutual communication between patients and medical workers by acquiring and sharing more accurate data. For rehabilitation treatment in particular, where motion data are required, auxiliary equipment such as a Kinect sensor is being more widely used.This study proposes a methodology for improving the motion recognition rate by compensating the noise from a Kinect sensor using a 3D auto regressive model. Moreover, this study investigates the methods applied for vitalizing the area of telemedicine under this particular trend

Correlation between thigh skinfold thickness and physical fitness factors in Korean adults and older individuals

Background: This cross-sectional epidemiological study aimed to compare the differences in physical fitness variables according to the skinfold thickness in the thigh area in adults and Korean older individuals. Methods: We analyzed data from the 2015 National Fitness Survey. A total of 4034 healthy adults (2442 men, 1592 women) with an average age of 38.19 ± 12.41 years and 880 healthy older subjects (369 men, 511 women) with an average age of 72.32 ± 5.49 years participated in this study. The skinfold thickness of the thigh was measured using a skinfold caliper (Dynatron, Dynatronics, USA). The participants underwent physical fitness tests, including the hand squeeze strength test, abdominal curl ups, standing double-leg long jump, 50 m shuttle run, sit and reach, and 20 m shuttle run for adult men and women. Older men and women performed the following tests: hand squeeze strength, abdominal curl ups, sit to stand test, single leg balance (open eyes), sit and reach, Apley scratch test for shoulder mobility, and 6-minute walk test. Independent t-tests and Pearson correlation analyses were used for the analysis. Results: Among the older men, significant differences were found in thigh skinfold thickness (t = –21.122, p < 0.001), abdominal curl ups (t = 2.165, p = 0.031), and sit and reach in men (t = 2.609, p = 0.009), and thigh skinfold (t = –29.611, p < 0.001), and Apley scratch test for shoulder mobility in women (t = –2.120, p = 0.034). There was a significant correlation between thigh skinfold thickness and physical activity (thigh skinfold thickness) in adult men (t = –54.202, p < 0.001), nondominant hand squeeze strength (t = 2.632, p = 0.009), abdominal curl ups (t = 4.292, p < 0.001), sit and reach (t = 3.063, p = 0.002), twenty meters shuttle run (t = 4.657, p < 0.001). However, no significant differences were found in dominant hand squeeze strength, standing double leg long jump, or 50 m shuttle run in men (p < 0.05). In adult women, there was a significant correlation between thigh skinfold thickness and physical activity (thigh skinfold thickness (t = –49.405, p < 0.001), dominant hand squeeze strength (t = 7.789, p < 0.001), nondominant hand squeeze strength (t = 6.944, p < 0.001), abdominal curl ups (t = 5.347, p < 0.001), standing double leg long jump (t = 5.890, p < 0.001), sit and reach (t = 5.384, p < 0.001), twenty meter shuttle run (t = 5.223, p < 0.001). However, no significant differences were found in fifty meter shuttle run in women (p < 0.05). Among older men, only single leg balance and sit and reach were correlated with thigh skinfold (single leg balance r = 0.169, p = 0.01; sit and reach r = –0.201, p = 0.001). In women, only abdominal curl ups, sit and reach, and Apley scratch test correlated with thigh skinfold (abdominal curl ups r = –0.088, p = 0.002; sit and reach r = –0.137, p = 0.002; Apley scratch test r = 0.090, p = 0.041). Conclusions: The effect of thigh skinfold thickness on the level of physical activity was more pronounced in adults than in older subjects. Our findings show that muscle strength and body fat in the lower extremities can affect overall muscle strength, endurance, and balance

A Survey on the Educational Needs and Competence of Nurses in Maternal Fetal Intensive Care Unit

PURPOSE: Maternal Fetal Intensive Care Unit (MFICU), which provides intensive care to high-risk mothers with increasing maternal age and high-risk newborns, has become a new field of nursing work in South Korea. The present study was conducted to identify the educational needs and self-assessing clinical competence of nurses in MFICU. METHODS: The education needs and competencies of MFICU nurses were measured through prepared questionnaires by researchers based on the previous studies on job analysis of nurses in MFICU. Data were collected from January 2019 to March 2019. The study involved 168 nurses working in MFICUs at 12 hospitals nationwide as study subjects. The data were analyzed using the SPSS WIN 23.0 program. RESULTS: The education needs of nurses in MFICU had an average of 4.21 points (±0.50) and their nursing competence was average 3.38 points (±0.60). The items reported as high education needs but low competency by nurses in MFICU were as following: ‘postpartum hemorrhage and shock,’ ‘cardiopulmonary resuscitation (CPR) for neonate,’ ‘CPR during pregnancy,’ ‘disseminated intravascular coagulation,’ ‘sepsis,’ and ‘mechanical ventilation during pregnancy.’ CONCLUSION: Based on these results, it is proposed that a comprehensive education program for nurses in MFICU should be developed by considering low capabilities among MFICU nurses as a priority factor

Modeling and Re-Engineering of \u3cem\u3eAzotobacter vinelandii\u3c/em\u3e Alginate Lyase to Enhance Its Catalytic Efficiency for Accelerating Biofilm Degradation

Alginate is known to prevent elimination of Pseudomonas aeruginosa biofilms. Alginate lyase (AlgL) might therefore facilitate treatment of Pseudomonas aeruginosa-infected cystic fibrosis patients. However, the catalytic activity of wild-type AlgL is not sufficiently high. Therefore, molecular modeling and site-directed mutagenesis of AlgL might assist in enzyme engineering for therapeutic development. AlgL, isolated from Azotobacter vinelandii, catalyzes depolymerization of alginate via a β-elimination reaction. AlgL was modeled based on the crystal structure template of Sphingomonas AlgL species A1-III. Based on this computational analysis, AlgL was subjected to site-directed mutagenesis to improve its catalytic activity. The kcat/Km of the K194E mutant showed a nearly 5-fold increase against the acetylated alginate substrate, as compared to the wild-type. Double and triple mutants (K194E/K245D, K245D/K319A, K194E/K245D/E312D, and K194E/K245D/K319A) were also prepared. The most potent mutant was observed to be K194E/K245D/K319A, which has a 10-fold improved kcat value (against acetylated alginate) compared to the wild-type enzyme. The antibiofilm effect of both AlgL forms was identified in combination with piperacillin/tazobactam (PT) and the disruption effect was significantly higher in mutant AlgL combined with PT than wild-type AlgL. However, for both the wild-type and K194E/K245D/K319A mutant, the use of the AlgL enzyme alone did not show significant antibiofilm effect

The Neuroinflammasome in Alzheimer’s Disease and Cerebral Stroke

Aim/Background: This review investigated a patient with Alzheimer’s disease (AD) treated with 4,4’-diaminodiphenyl sulfone (DDS) as a neuroinflammasome competitor. Methods: We monitored AD’s progression through numeric clinical staging (NCS) with a new biomarker. NCS was determined by the presence of AD symptoms and neuropsychiatric (NP) symptoms caused by anti-AD (AAD) drugs (D) as a biomarker. We also monitored the function of DDS for stroke in a no-intake emergency state. Results: By introducing (D), AD’s progression was monitored through NCS staging. AAD side effects and neuropsychiatric symptoms were identified. DDS was stopped in patients with stroke with NCS 6 caused by AAD, and it rapidly proceeded to cerebral infarct. Conclusions: AAD can occasionally exacerbate AD and stroke. DDS can alleviate mild cognitive impairment (MCI), early AD and stroke. We clinically confirmed the role of DDS as a neuroinflammasome competitor after stroke. DDS preserved neuronal survival within 24–55 h in the Seoul Study cohort

Regulation of Microglia and Macrophage Polarization via Apoptosis Signal-Regulating Kinase 1 Silencing after Ischemic/Hypoxic Injury

Inflammation is implicated in ischemic stroke and is involved in abnormal homeostasis. Activation of the immune system leads to breakdown of the blood–brain barrier and, thereby, infiltration of immune cells into the brain. Upon cerebral ischemia, infiltrated macrophages and microglia (resident CNS immune cell) are activated, change their phenotype to M1 or M2 based on the microenvironment, migrate toward damaged tissue, and are involved in repair or damage. Those of M1 phenotype release pro-inflammatory mediators, which are associated with tissue damage, while those of M2 phenotype release anti-inflammatory mediators, which are related to tissue recovery. Moreover, late inflammation continually stimulates immune cell infiltration and leads to brain infarction. Therefore, regulation of M1/M2 phenotypes under persistent inflammatory conditions after cerebral ischemia is important for brain repair. Herein, we focus on apoptosis signal-regulating kinase 1 (ASK1), which is involved in apoptotic cell death, brain infarction, and production of inflammatory mediators after cerebral ischemia. We hypothesized that ASK1 is involved in the polarization of M1/M2 phenotype and the function of microglia and macrophage during the late stage of ischemia/hypoxia. We investigated the effects of ASK1 in mice subjected to middle cerebral artery occlusion and on BV2 microglia and RAW264.7 macrophage cell lines subjected to oxygen-glucose deprivation. Our results showed that ASK1 silencing effectively reduced Iba-1 or CD11b-positive cells in ischemic areas, suppressed pro-inflammatory cytokines, and increased anti-inflammatory mediator levels at 7 days after cerebral ischemia. In cultured microglia and macrophages, ASK1 inhibition, induced by NQDI-1 drug, decreased the expression and release of M1-associated factors and increased those of M2-associated factors after hypoxia/reperfusion (H/R). At the gene level, ASK1 inhibition suppressed M1-associated genes and augmented M2-associated genes. In gap closure assay, ASK1 inhibition reduced the migration rate of microglia and macrophages after H/R. Taken together, our results provide new information that suggests ASK1 controls the polarization of M1/M2 and the function of microglia and macrophage under sustained-inflammatory conditions. Regulation of persistent inflammation via M1/M2 polarization by ASK1 is a novel strategy for repair after ischemic stroke

Hepatitis B surface antigen levels at 6 months after treatment can predict the efficacy of lamivudine-adefovir combination therapy in patients with lamivudine-resistant chronic hepatitis B

Background/AimsQuantitation of hepatitis B surface antigen (HBsAg) is an increasingly popular method to determine the treatment response in chronic hepatitis B (CHB) patients. The clinical value of HBsAg level measurement during rescue therapy for lamivudine (LMV)-resistant CHB patients have not been evaluated to date. Therefore, this study investigated the correlation between HBsAg level and treatment response in LMV-resistant CHB patients treated with adefovir (ADV) add-on therapy.MethodsLMV-resistant CHB patients treated with LMV-ADV combination therapy for over 2 years were included. HBsAg levels were measured at 6 month intervals until 1 year, and annually thereafter. Treatment response was assessed by determining the virological response (VR, undetectable HBV DNA levels) during treatment.ResultsFifty patients were included, of which 40 showed a VR. HBsAg levels were not different significantly at baseline (4.0 vs. 3.6 Log10 IU/mL, P=0.072). However, the HBsAg level decreased after 6 months of treatment in patients with a VR and became different significantly between the groups thereafter (3.9 vs. 3.3 at 6 months, P=0.002; 3.8 vs. 3.2 at 1 year, P=0.004; 3.9 vs. 3.2 at 2 years, P=0.008; 3.7 vs. 3.1 at 3 years, P =0.020).ConclusionsThe HBsAg level at 6 months after treatment can help predict treatment response

Measurement of greenhouse gas emissions from a dairy cattle barn in Korea

Korea is currently developing country-specific emission factors to support the 2050 zero-carbon campaign. Dairy cattle represent one of the largest livestock industries in Korea, and the industry is estimated to continue increasing because of an increase in milk demand. However, country-specific emission factors for dairy cattle are currently only available for calculating methane (CH4) emissions from enteric fermentation. Two experiments were conducted to evaluate CH4 and nitrous oxide (N2O) fluxes from sawdust-bedded barn in dairy cow and steer, as well as dairy cattle manure composting lots. The greenhouse gas (GHG) fluxes were quantified using the open-chamber method and gas chromatography. CH4 fluxes from steer, dairy cow, and manure compost were 27.88 ± 5.84, 36.12 ± 10.85, and 259.44 ± 61.78 µg/head/s, respectively. N2O fluxes from steer, dairy cow, and manure compost were 14.04 ± 1.27, 4.11 ± 1.57, and 3.97 ± 1.08 µg/head/s, respectively. The result of this study can be used to construct country-specific data for GHG emissions from manure management. Thus, the application of mitigation strategies can be prioritized based on the GHG profile and targeted source

Bronchospasm and Anaphylactic Shock Following Lidocaine Aerosol Inhalation in a Patient with Butane Inhalation Lung Injury

Allergic reactions to local anesthetics are very rare and represent <1% of all adverse local anesthetics reactions. A 54-year-old man was admitted to the hospital in the winter because of shortness of breath. The patient reportedly had an inhalation lung injury due to butane gas fuel. On the fifth day, he developed an asthmatic attack and anaphylactic shock immediately after lidocaine aerosol administration to prepare for bronchoscopy to confirm an acute inhalational lung injury diagnosis. Cardiopulmonary resuscitation was performed immediately after respiratory arrest, and the patient was admitted to the intensive care unit intubated and on a ventilator. He was extubated safely on the third post-cardiopulmonary resuscitation day. These observations suggest that aerosol lidocaine anesthesia may cause airway narrowing and anaphylactic shock. Practitioners should be aware of this potential complication. We report on this case with a brief review of the literature