Environmental tobacco smoke and children's health

Passive exposure to tobacco smoke significantly contributes to morbidity and mortality in children. Children, in particular, seem to be the most susceptible population to the harmful effects of environmental tobacco smoke (ETS). Paternal smoking inside the home leads to significant maternal and fetal exposure to ETS and may subsequently affect fetal health. ETS has been associated with adverse effects on pediatric health, including preterm birth, intrauterine growth retardation, perinatal mortality, respiratory illness, neurobehavioral problems, and decreased performance in school. A valid estimation of the risks associated with tobacco exposure depends on accurate measurement. Nicotine and its major metabolite, cotinine, are commonly used as smoking biomarkers, and their levels can be determined in various biological specimens such as blood, saliva, and urine. Recently, hair analysis was found to be a convenient, noninvasive technique for detecting the presence of nicotine exposure. Because nicotine/cotinine accumulates in hair during hair growth, it is a unique measure of long-term, cumulative exposure to tobacco smoke. Although smoking ban policies result in considerable reductions in ETS exposure, children are still exposed significantly to tobacco smoke not only in their homes but also in schools, restaurants, child-care settings, cars, buses, and other public places. Therefore, more effective strategies and public policies to protect preschool children from ETS should be consolidated

Biopsychological traits of Sasang typology based on Sasang personality questionnaire and body mass index

BACKGROUND: The purpose of present study was to examine biological and psychological characteristics of people according to the Sasang typology, which is popular in Korea. We evaluated the Sasang Personality Questionnaire (SPQ) as a measure of temperament, and Body Mass Index (BMI) as a measure of the somatic properties of each Sasang type. METHODS: Subjects were 2506 (877 males, 1629 females) outpatients between the ages of 20 through 70 who requested traditional medical assessment and treatment in Korea. The structural validity of the SPQ was examined and its correlation with BMI was analyzed. The SPQ and BMI measures of each Sasang type across age and gender were presented and their differences were analyzed with Analysis of Variance. RESULTS: Confirmatory factor analysis and path analysis identified an acceptable three-factor structure of the SPQ measuring differences in individual’s behavior, emotion, and cognition. SPQ scores (29.71 ± 1.00, 28.29 ± 0.19 and 26.14 ± 0.22) and BMI scores (22.92 ± 0.09, 25.56 ± 0.10 and 21.44 ± 0.10) were significantly (p < 0.001) different among So-Yang, Tae-Eum and So-Eum Sasang types, respectively. CONCLUSIONS: The results showed that the SPQ and BMI is a reliable measure for quantifying the biopsychological characteristics of each types, and useful for guiding personalized and type-specific treatment with medical herbs and acupuncture

Recombinant mussel proximal thread matrix protein promotes osteoblast cell adhesion and proliferation

BACKGROUND: von Willebrand factor (VWF) is a key load bearing domain for mamalian cell adhesion by binding various macromolecular ligands in extracellular matrix such as, collagens, elastin, and glycosaminoglycans. Interestingly, vWF like domains are also commonly found in load bearing systems of marine organisms such as in underwater adhesive of mussel and sea star, and nacre of marine abalone, and play a critical load bearing function. Recently, Proximal Thread Matrix Protein1 (PTMP1) in mussel composed of two vWF type A like domains has characterized and it is known to bind both mussel collagens and mammalian collagens. RESULTS: Here, we cloned and mass produced a recombinant PTMP1 from E. coli system after switching all the minor codons to the major codons of E. coli. Recombinant PTMP1 has an ability to enhance mouse osteoblast cell adhesion, spreading, and cell proliferation. In addition, PTMP1 showed vWF-like properties as promoting collagen expression as well as binding to collagen type I, subsequently enhanced cell viability. Consequently, we found that recombinant PTMP1 acts as a vWF domain by mediating cell adhesion, spreading, proliferation, and formation of actin cytoskeleton. CONCLUSIONS: This study suggests that both mammalian cell adhesion and marine underwater adhesion exploits a strong vWF-collagen interaction for successful wet adhesion. In addition, vWF like domains containing proteins including PTMP1 have a great potential for tissue engineering and the development of biomedical adhesives as a component for extra-cellular matrix

The predictability of claim-data-based comorbidity-adjusted models could be improved by using medication data

Background : Recently, claim-data-based comorbidity-adjusted methods such as the Charlson index and the Elixhauser comorbidity measures have been widely used among researchers. At the same time, there have been an increasing number of attempts to improve the predictability of comorbidity-adjusted models. We tried to improve the predictability of models using the Charlson and Elixhauser indices by using medication data; specifically, we used medication data to estimate omitted comorbidities in the claim data. Methods : We selected twelve major diseases (other than malignancies) that caused large numbers of in-hospital mortalities during 2008 in hospitals with 700 or more beds in South Korea. Then, we constructed prediction models for in-hospital mortality using the Charlson index and Elixhauser comorbidity measures, respectively. Inferring missed comorbidities using medication data, we built enhanced Charlson and Elixhauser comorbidity-measures-based prediction models, which included comorbidities inferred from medication data. We then compared the c-statistics of each model. Results : 247,712 admission cases were enrolled. 55 generic drugs were used to infer 8 out of 17 Charlson comorbidities, and 106 generic drugs were used to infer 14 out of 31 Elixhauser comorbidities. Before the inclusion of comorbidities inferred from medication data, the c-statistics of models using the Charlson index were 0.633-0.882 and those of the Elixhauser index were 0.699-0.917. After the inclusion of comorbidities inferred from medication data, 9 of 12 models using the Charlson index and all of the models using the Elixhauser comorbidity measures were improved in predictability but, the differences were relatively small. Conclusion : Prediction models using Charlson index or Elixhauser comorbidity measures might be improved by including comorbidities inferred from medication data.This study was accomplished by financial support of the Health Insurance Review and Assessment Service of Korea (HIRA). Original data were provided by the HIRA (Registered No.: 0411-20090054).Peer Reviewe

Hubble Space Telescope Pixel Analysis of the Interacting Face-on Spiral Galaxy NGC 5194 (M51A)

A pixel analysis is carried out on the interacting face-on spiral galaxy NGC 5194 (M51A), using the HST/ACS images in the F435W, F555W and F814W (BVI) bands. After 4x4 binning of the HST/ACS images to secure a sufficient signal-to-noise ratio for each pixel, we derive several quantities describing the pixel color-magnitude diagram (pCMD) of NGC 5194: blue/red color cut, red pixel sequence parameters, blue pixel sequence parameters and blue-to-red pixel ratio. The red sequence pixels are mostly older than 1 Gyr, while the blue sequence pixels are mostly younger than 1 Gyr, in their luminosity-weighted mean stellar ages. The color variation in the red pixel sequence from V = 20 mag arcsec^(-2) to V = 17 mag arcsec^(-2) corresponds to a metallicity variation of \Delta[Fe/H] ~ 2 or an optical depth variation of \Delta\tau_V ~ 4 by dust, but the actual sequence is thought to originate from the combination of those two effects. At V < 20 mag arcsec^(-2), the color variation in the blue pixel sequence corresponds to an age variation from 5 Myr to 300 Myr under the assumption of solar metallicity and \tau_V = 1. To investigate the spatial distributions of stellar populations, we divide pixel stellar populations using the pixel color-color diagram and population synthesis models. As a result, we find that the pixel population distributions across the spiral arms agree with a compressing process by spiral density waves: dense dust \rightarrow newly-formed stars. The tidal interaction between NGC 5194 and NGC 5195 appears to enhance the star formation at the tidal bridge connecting the two galaxies. We find that the pixels corresponding to the central active galactic nucleus (AGN) area of NGC 5194 show a tight sequence at the bright-end of the pCMD, which are in the region of R ~ 100 pc and may be a photometric indicator of AGN properties.Comment: 27 pages, 20 figures, accepted for publication in Ap

A Case of Laparoscopic Radical Prostatectomy for a Prostatic Stromal Tumor of Uncertain Malignant Potential

Prostatic stromal tumor of uncertain malignant potential (STUMP) is a rare neoplasm with distinctive clinical and pathological characteristics. Here we report a case of laparoscopic radical prostatectomy performed in a patient with prostatic STUMP

Combined Brown syndrome and superior oblique palsy without a trochlear nerve: case report

CCDD: congenital cranial dysinnervation disorder; MRI: magnetic resonance imaging; RHT: right hypertropia; SO: superior obliqueAbstract Background Congenital Brown syndrome is characterized by limited elevation particularly during adduction. The pathogenesis of congenital Brown syndrome is still controversial. Case presentation A 6-year-old boy had been tilting his head to the left since infancy. He showed right hypertropia (RHT) of 2 prism diopters (Δ) in the primary position. He showed RHT 6Δ in right gaze, RHT 2Δ in left gaze, RHT 12Δ in right head tilt, and orthotropia in left head tilt. The right eye showed limitation of elevation and depression on adduction, and the left eye showed overdepression on adduction. MR images showed an absent right trochlear nerve with a hypoplastic ipsilateral superior oblique muscle. Conclusions Congenital Brown syndrome may be associated with an absent trochlear nerve and hypoplastic superior oblique muscle suggesting an etiologic mechanism of congenital cranial dysinnervation disorder

Three newly recorded plants of South Korea: Muhlenbergia ramosa (Hack. ex Matsum.) Makino, Dichanthelium acuminatum (Sw.) Gould & C.A. Clark and Rottboellia cochinchinensis (Lour.) Clayton

AbstractThree new Poaceae species are reported in South Korea. Muhlenbergia ramosa was found in Boryeong-si, Iksan-si, Jangsu-gun and Gwangju. Dichanthelium acuminatum and Rottboellia cochinchinensis were found in Jeonju-si, Jeollabuk-do and Seogwipo-si, Jeju-do which were thought to be alien species. Genus Dichanthelium and Rottboellia are newly reported in South Korea. Muhlenbergia ramosa was thought to be native to Korea