A Koinonia Model For Building Better Marriage Relationships

Problem Modem Korea is experiencing family crises. Marriages are ending in separation and divorce. The purpose o f this study was to develop a program based on biblical principles o f koinonia, one that could be used to improve communication for Christian couples and enhance their communion with God. Method A theoretical framework for this study was established based on the literature review. The biblical overview was presented using the koinonia perspective. The principles o f koinonia are found in the creation story, the covenant between God and His people, in the life and teaching o f Christ, and the outpouring o f the Holy Spirit on the day o f Pentecost. The koinonia model took form from these principles. In conjunction with this study, a training program was developed to improve communication between husband and wife and their communion with God. Results The communication training program for couples focuses on the enhancement o f the relationship and includes the following components: talking from the depths o f the soul, empathetic listening, the dialogue o f loving hearts, conflict resolution, laughter and humor, commitment, and intimacy. The training program also includes guidelines for communion with God: soul-exposing prayer, Bible study, solitude and silence, meditation and confession, praise and worship with rejoicing and gratitude, commitment, and intimacy. The objective o f the combined training programs is to help the participants develop a deeper fellowship with each other and God. The design uses a workshop-style with eight 3-hour sessions that can be adapted to a variety of applications for the Seventh-day Adventist Church in Korea. There can be sessions for one week, a 2-day weekend, a 3-day weekend, or three consecutive weekends. In addition, the presentations can be adjusted to meet the needs o f small cell groups or train excursions. Conclusions Based on biblical koinonia principles, this training program will improve communication for couples and enhance their communion with God. The koinonia model suggested in this study provides the synergy for helping couples develop stability in their marriage relationships. It is recommended that a similar program be developed that addresses communication between parents and children and communion with God as a united family

Serial Magnetic Resonance Imagings of Multiple Brain Abscesses in a Patient with Pneumococcal Meningoencephalitis

We report a 43-yr-old man manifesting bacterial meningoencephalitis and multiple abscesses by Streptococcus pneumoniae. Serial magnetic resonance (MR) imagings and MR spectroscopy showed the evolution of multiple brain abscesses over 4 weeks: the enhanced rings became thicker and the dimension of whole lesions larger despite shrinkage of the ring-enhanced regions. These findings may be evidence of active inflammation working to sequestrate the lesion and protect the surrounding normal brain parenchyma from additional damage, even in the final stage of the brain abscess

Prevalence and Management of Diabetes in Korean Adults: Korea National Health and Nutrition Examination Surveys 1998–2005

OBJECTIVE: This research investigated recent changes in the prevalence and management status of diabetes among Korean adults. RESEARCH DESIGN AND METHODS: The Korea National Health and Nutrition Examination Survey (KNHANES), a nationwide survey examining the general health and nutrition status of the Korean people, was conducted in 1998, 2001, and 2005. Using the first (1998; n = 5,645), second (2001; n = 4,154), and third (2005; n = 4,628) KNHANES datasets, in the present study, we estimated the prevalence of diabetes among Korean adults (aged >or=30 years), the proportions of known cases of diabetes, and the proportions of well-controlled cases of diabetes, as defined by either the American Diabetes Association (A1C <7%) or the International Diabetes Federation guidelines (A1C <6.5%). RESULTS: In 2005, the prevalence of diabetes was estimated to be 9.1% (approximately 2.58 million people: 10.2% of men and 7.9% of women), including 6.2% with known diabetes and 2.9% with newly diagnosed diabetes. The prevalence of impaired fasting glucose was 17.4% (approximately 4.94 million people). The proportion of known cases of diabetes drastically increased from 23.2% in 1998 to 41.2% in 2001 and 68.0% in 2005 (P < 0.0001). Among known diabetic patients in 2005, 43.5 and 22.9% had A1C levels <7.0 and <6.5%, respectively. CONCLUSIONS: The overall prevalence of diabetes in Korea has not changed significantly between 1998 and 2005. Physician diagnosis and treatment rates of diabetes have significantly improved during this period, but glycemic control was still poorer than that in other developed countriesope

Examining Follower Responses to Transformational Leadership from a Dynamic, Person–Environment Fit Perspective

We invoke the person–environment fit paradigm to examine on a daily basis follower affective, attitudinal, and behavioral responses to transformational leadership needed and received. Results from two experience sampling method (ESM) studies suggested that positive affect was higher on days when transformational leadership received fit follower needs (compared to days when the amount received was deficient or in excess of follower needs) and on days when absolute levels of fit was higher. We also found that positive affect mediated the within-person effects of transformational leadership needed and received on subordinates’ daily work attitudes (Studies 1 and 2) and organizational citizenship behaviors (Study 2). Supplemental analyses in Study 2 revealed that subordinates need more transformational leadership when they experience more challenge stressors, face greater uncertainty at work, and perform more meaningful work

Drosophila Porin/VDAC Affects Mitochondrial Morphology

Voltage-dependent anion channel (VDAC) has been suggested to be a mediator of mitochondrial-dependent cell death induced by Ca2+ overload, oxidative stress and Bax-Bid activation. To confirm this hypothesis in vivo, we generated and characterized Drosophila VDAC (porin) mutants and found that Porin is not required for mitochondrial apoptosis, which is consistent with the previous mouse studies. We also reported a novel physiological role of Porin. Loss of porin resulted in locomotive defects and male sterility. Intriguingly, porin mutants exhibited elongated mitochondria in indirect flight muscle, whereas Porin overexpression produced fragmented mitochondria. Through genetic analysis with the components of mitochondrial fission and fusion, we found that the elongated mitochondria phenotype in porin mutants were suppressed by increased mitochondrial fission, but enhanced by increased mitochondrial fusion. Furthermore, increased mitochondrial fission by Drp1 expression suppressed the flight defects in the porin mutants. Collectively, our study showed that loss of Drosophila Porin results in mitochondrial morphological defects and suggested that the defective mitochondrial function by Porin deficiency affects the mitochondrial remodeling process

Deep Learning-based Synthetic High-Resolution In-Depth Imaging Using an Attachable Dual-element Endoscopic Ultrasound Probe

Endoscopic ultrasound (EUS) imaging has a trade-off between resolution and penetration depth. By considering the in-vivo characteristics of human organs, it is necessary to provide clinicians with appropriate hardware specifications for precise diagnosis. Recently, super-resolution (SR) ultrasound imaging studies, including the SR task in deep learning fields, have been reported for enhancing ultrasound images. However, most of those studies did not consider ultrasound imaging natures, but rather they were conventional SR techniques based on downsampling of ultrasound images. In this study, we propose a novel deep learning-based high-resolution in-depth imaging probe capable of offering low- and high-frequency ultrasound image pairs. We developed an attachable dual-element EUS probe with customized low- and high-frequency ultrasound transducers under small hardware constraints. We also designed a special geared structure to enable the same image plane. The proposed system was evaluated with a wire phantom and a tissue-mimicking phantom. After the evaluation, 442 ultrasound image pairs from the tissue-mimicking phantom were acquired. We then applied several deep learning models to obtain synthetic high-resolution in-depth images, thus demonstrating the feasibility of our approach for clinical unmet needs. Furthermore, we quantitatively and qualitatively analyzed the results to find a suitable deep-learning model for our task. The obtained results demonstrate that our proposed dual-element EUS probe with an image-to-image translation network has the potential to provide synthetic high-frequency ultrasound images deep inside tissues.Comment: 10 pages, 9 figure

Dual Roles of Quercetin in Platelets: Phosphoinositide-3-Kinase and MAP Kinases Inhibition, and cAMP-Dependent Vasodilator-Stimulated Phosphoprotein Stimulation

Background. Progressive diseases including cancer, metabolic, and cardiovascular disorders are marked by platelet activation and chronic inflammation. Studies suggest that dietary flavonoids such as quercetin possess antioxidant, anti-inflammatory, and antiplatelet properties, which could prevent various chronic diseases including atherosclerosis and thrombosis. However, the mechanism and the signaling pathway that links quercetin's antiplatelet activity with its anti-inflammatory property is limited and thus further exploration is required. The aim of this paper was to examine the link between antiplatelet and anti-inflammatory roles of quercetin in agonist-induced platelet activation. Methods. Quercetin effects on agonist-activated platelet-aggregation, granule-secretion, [Ca2+]i, and glycoprotein-IIb/IIIa activation were examined. Its effects on PI3K/Akt, VASP, and MAPK phosphorylations were also studied on collaged-activated platelets. Results. Quercetin dose dependently suppressed collagen, thrombin, or ADP-induced platelet aggregation. It significantly inhibited collagen-induced ATP release, P-selectin expression, [Ca2+]i mobilization, integrin-αIIbβ3 activation, and augmented cAMP and VASP levels. Moreover, quercetin attenuated PI3K, Akt, ERK2, JNK1, and p38 MAPK activations, which were supported by platelet-aggregation inhibition with the respective kinase inhibitors. Conclusion. Quercetin-mediated antiplatelet activity involves PI3K/Akt inactivation, cAMP elevation, and VASP stimulation that, in turn, suppresses MAPK phosphorylations. This result suggests quercetin may have a potential to treat cardiovascular diseases involving aberrant platelet activation and inflammation