The relationships between clinical variables and renal parenchymal disease in pediatric clinically suspected urinary tract infection

Purpose : To evaluate the significance of clinical signs and laboratory findings as predictors of renal parenchymal lesions and vesicoureteral reflux (VUR) in childhood urinary tract infection (UTI). Methods : From July 2005 to July 2008, 180 patients admitted with a first febrile UTI at the Pediatric Department of Konkuk University Hospital were included in this study. The following were the clinical variables: leukocytosis, elevated C-reactive protein (CRP), positive urine nitrite, positive urine culture, and fever duration both before and after treatment. We evaluated the relationships between clinical variables and dimercaptosuccinic acid (DMSA) scan and voiding cystourethrography (VCUG) results. Results : VCUG was performed in 148 patients&#59; of them, 37 (25.0%) had VUR: 18 (12.2%) had low-grade (I-II) VUR, and 19 (10.5%) had high-grade (III-V) VUR. Of the 95 patients who underwent DMSA scanning, 29 (30.5%) had cortical defects, of which 21 (63.6%) had VUR: 10 (30.3%), low-grade (I-II) VUR&#59; and 11 (33.3%), high-grade VUR. Of the 57 patients who were normal on DMSA scan, 8 (14.0%) had low-grade VUR and 6 (10.5%) had high-grade VUR. The sensitivity, specificity, and positive and negative predictive values of the DMSA scan in predicting high-grade VUR were 64.7%, 69.9%, 33.3%, and 89.5%, respectively. Leukocytosis, elevated CRP, and prolonged fever (?#243;6 hours) after treatment were significantly correlated with the cortical defects on DMSA scans and high-grade VUR. Conclusion : Clinical signs, including prolonged fever after treatment, elevated CRP, and leukocytosis, are positive predictors of acute pyelonephritis and high-grade VUR

Lack of Association between Hepatitis B Virus Infection and Polymorphism of Mannose-Binding Lectin Gene in Korean Population

Mannose-binding lectin (MBL) plays an important role in immune defense. This study was undertaken to investigate the association between hepatitis B virus infection and polymorphisms of MBL gene. We assessed the single nucleotide polymorphism at codon 54 in exon 1 of MBL in patients with hepatitis B virus infection and HBsAg negative controls in Korean population. A total of 498 enrolled subjects was classified into four groups. Group 1; Clearance, Group 2; Inactive healthy carrier, Group 3; Chronic hepatitis, Group 4; Liver cirrhosis. MBL gene polymorphisms at codon 54 led to three genotypes (G/G, G/A, A/A). When we divided subjects into clearance group (group 1) and persistence group (group 2-4), G/G genotype and A-allele carrier were observed in 55.6% and 44.4% in clearance group, 64.8% and 35.2% in persistence group (p=0.081), respectively. When hepatitis B virus persistent cases were divided into inactive healthy carrier (group 2) and disease progression group (group 3 and 4), MBL gene polymorphisms at codon 54 were not related to disease progression (p=0.166). MBL gene polymorphism at codon 54 was not associated with the clearance of hepatitis B virus infection nor progression of disease in chronic hepatitis B virus infection

Antiinflammatory Therapy with Canakinumab for Atherosclerotic Disease

Background: Experimental and clinical data suggest that reducing inflammation without affecting lipid levels may reduce the risk of cardiovascular disease. Yet, the inflammatory hypothesis of atherothrombosis has remained unproved. Methods: We conducted a randomized, double-blind trial of canakinumab, a therapeutic monoclonal antibody targeting interleukin-1β, involving 10,061 patients with previous myocardial infarction and a high-sensitivity C-reactive protein level of 2 mg or more per liter. The trial compared three doses of canakinumab (50 mg, 150 mg, and 300 mg, administered subcutaneously every 3 months) with placebo. The primary efficacy end point was nonfatal myocardial infarction, nonfatal stroke, or cardiovascular death. RESULTS: At 48 months, the median reduction from baseline in the high-sensitivity C-reactive protein level was 26 percentage points greater in the group that received the 50-mg dose of canakinumab, 37 percentage points greater in the 150-mg group, and 41 percentage points greater in the 300-mg group than in the placebo group. Canakinumab did not reduce lipid levels from baseline. At a median follow-up of 3.7 years, the incidence rate for the primary end point was 4.50 events per 100 person-years in the placebo group, 4.11 events per 100 person-years in the 50-mg group, 3.86 events per 100 person-years in the 150-mg group, and 3.90 events per 100 person-years in the 300-mg group. The hazard ratios as compared with placebo were as follows: in the 50-mg group, 0.93 (95% confidence interval [CI], 0.80 to 1.07; P = 0.30); in the 150-mg group, 0.85 (95% CI, 0.74 to 0.98; P = 0.021); and in the 300-mg group, 0.86 (95% CI, 0.75 to 0.99; P = 0.031). The 150-mg dose, but not the other doses, met the prespecified multiplicity-adjusted threshold for statistical significance for the primary end point and the secondary end point that additionally included hospitalization for unstable angina that led to urgent revascularization (hazard ratio vs. placebo, 0.83; 95% CI, 0.73 to 0.95; P = 0.005). Canakinumab was associated with a higher incidence of fatal infection than was placebo. There was no significant difference in all-cause mortality (hazard ratio for all canakinumab doses vs. placebo, 0.94; 95% CI, 0.83 to 1.06; P = 0.31). Conclusions: Antiinflammatory therapy targeting the interleukin-1β innate immunity pathway with canakinumab at a dose of 150 mg every 3 months led to a significantly lower rate of recurrent cardiovascular events than placebo, independent of lipid-level lowering. (Funded by Novartis; CANTOS ClinicalTrials.gov number, NCT01327846.

Implementation of Prognostic Cloud Ice Number Concentrations for the Weather Research and Forecasting (WRF) Double‐Moment 6‐Class (WDM6) Microphysics Scheme

Abstract The ice microphysical processes in the Weather Research and Forecasting (WRF) Double‐Moment 6‐class (WDM6) microphysics scheme are treated as a single‐moment approach, in which the number concentration of cloud ice is diagnosed based on its mixing ratio. This study develops the revised WDM6 scheme through the implementation of prognostic cloud ice number concentrations. The effect of the prognostic number concentration on the simulated precipitation is verified through simulations of short‐term winter snowfall cases during International Collaborative Experiments for the Pyeongchang 2018 Olympics and Paralympics (ICE‐POP 2018) winter games and a 1‐month regional climate case during the summer season, July 2009. For all cases, the revised WDM6 simulates higher cloud ice number concentrations and lower cloud ice mixing ratios than the original WDM6. The microphysics budget analysis for the snowfall cases shows that the inefficient deposition and vapor freezing nucleation processes of cloud ice reduce the available cloud ice mixing ratio. Consequently, the accretion processes with cloud ice decrease and the deposition into snow increases due to the surplus water vapor. The revised WDM6 alleviates the positive bias of surface precipitation consisting of snow over the region where the original WDM6 simulates excessive precipitation, compared to the observed data. For the regional climate case, the reduced cloud ice amount strengthens the Western North Pacific high‐pressure system by allowing more solar radiation to reach the surface, leading to simulated precipitation bands and synoptic environments that are more comparable with the observed data

Code for GMD publication - Simulated Prognostic approach of graupel density in a bulk-type cloud microphysics scheme and evaluation during the ICE-POP field campaign.

<p>Code for GMD publication - Simulated Prognostic approach of graupel density in a bulk-type cloud microphysics scheme and evaluation during the ICE-POP field campaign.</p><p>In this repository, we include the source codes for WRF microphysics parameterization used in the GMD publication "Simulated Prognostic approach of graupel density in a bulk-type cloud microphysics scheme and evaluation during the ICE-POP field campaign."</p><p>The revised WDM6 code, which predicts the graupel density and the original WDM6 code are uploaded.  </p><p>Each code is modified so that detailed microphysical processes can be found in wrfout.</p><p>Namelist files shows the namelist.input for each case.</p><p>Scripts file for figures in this manuscript are uploaded</p&gt

Code for ESS publication - Quantifying the uncertainty of ice-crystal-related parameters to simulated winter precipitation over the Korean Peninsula

<p>In this repository, we include the source codes used in the ESS publication "Quantifying the uncertainty of ice-crystal-related parameters to simulated winter precipitation over the Korean Peninsula"</p><p>There are WDM6 codes and parameter sets in "Model_codes" for WRF simulation, model output files in "Model_outputs", AWS datas in "AWS", Scripts for calculating statistical values in a table in "Table", and "Figures" has a scripts for the figure of the manuscript.</p><p>In "Model_codes", the text file starting with LHS is 50 parameters sets generated by the Latin hypercube sampling method, and the text files starting with the case are the set of parameters used for the SEN experiment for each case. There are two WDM6 codes, the CTL code uses the parameter set in Table 1 as CTL, and the LHS code uses the 50 parameters set in the text file.</p><p>In "Figures", there is a script corresponding to each figure of the paper.</p&gt

Coupling WRF Double-Moment 6-Class Microphysics Schemes to RRTMG Radiation Scheme in Weather Research Forecasting Model

A method to explicitly calculate the effective radius of hydrometeors in the Weather Research Forecasting (WRF) double-moment 6-class (WDM6) microphysics scheme is designed to tackle the physical inconsistency in cloud properties between the microphysics and radiation processes. At each model time step, the calculated effective radii of hydrometeors from the WDM6 scheme are linked to the Rapid Radiative Transfer Model for GCMs (RRTMG) scheme to consider the cloud effects in radiative flux calculation. This coupling effect of cloud properties between the WDM6 and RRTMG algorithms is examined for a heavy rainfall event in Korea during 25–27 July 2011, and it is compared to the results from the control simulation in which the effective radius is prescribed as a constant value. It is found that the derived radii of hydrometeors in the WDM6 scheme are generally larger than the prescribed values in the RRTMG scheme. Consequently, shortwave fluxes reaching the ground (SWDOWN) are increased over less cloudy regions, showing a better agreement with a satellite image. The overall distribution of the 24-hour accumulated rainfall is not affected but its amount is changed. A spurious rainfall peak over the Yellow Sea is alleviated, whereas the local maximum in the central part of the peninsula is increased

Fabrication of 3D Printed Ceramic Part Using Photo-Polymerization Process

Ceramics are high-strength and high-temperature resistant materials that are used in various functional parts. However, due to the high strength and brittleness properties, there are many difficulties in the fabrication of complex shapes. Therefore, there are many studies related to the fabrication of ceramic parts using 3D printing technology optimized for complex shapes. Among them, studies using photo-polymerization (PP) 3D printing technology with excellent dimensional accuracy and surface quality have received the most widespread attention. To secure the physical properties of sintered ceramic, the content and distribution of materials are important. This study suggests a novel 3D printing process based on a high-viscosity composite resin that maximizes the content of zirconia ceramics. For reliable printing, the developed 3D printers that can adjust the process environment were used. To minimize warpage and delamination, the divided micro square pattern images were irradiated in two separate intervals of 1.6 s each while maintaining the internal chamber temperature at 40 °C. This contributed to improved stability and density of the sintered structures. Ultimately, the ceramic parts with a Vickers hardness of 12.2 GPa and a relative density of over 95% were able to be fabricated based on a high-viscosity resin with 25,000 cps