AIM:To investigate whether tissue samples processed by the rapid urease test(RUT)kit are suitable for dualpriming oligonucleotide-based multiplex polymerase chain reaction(DPO-PCR)to detect Helicobacter pylori(H.pylor...AIM:To investigate whether tissue samples processed by the rapid urease test(RUT)kit are suitable for dualpriming oligonucleotide-based multiplex polymerase chain reaction(DPO-PCR)to detect Helicobacter pylori(H.pylori).METHODS:A total of 54 patients with specific gastrointestinal symptom were enrolled in this study.During endoscopy,gastric biopsy specimens were taken for histology,RUT,and DPO-PCR.DPO-PCR was performed on gastric biopsy samples and tissue samples that were analyzed by RUT at 2 separate institutes.In detecting H.pylori,the concordance rate of the DPO-PCR tests between the tissue samples that had been submitted to RUT and the gastric biopsy samples was investigated.RESULTS:H.pylori co-occurred with 76.0%(19/25)of gastric ulcers,64.3%(9/14)of duodenal ulcers,and 33.3%(4/12)of gastritis cases.H.pylori infection was found in 100%(3/3)of the patients with both gastric and duodenal ulcers.Overall,H.pylori was detected in 35 of 54(64.8%)patients.The diagnostic sensitivities of histology,RUT,and DPO-PCR were85.7%(30/35),74.3%(26/35),and 97.1%(34/35),respectively(P=0.02).The positive predictive value(PPV)of DPO-PCR was 94.4%,whereas the negative predictive value(NPV)was 94.7%.In the rapid urease test(CLOtest)-negative cases,the frequency of positive DPO-PCR and histologic results was 20.0%(7/35).The concordance rate of the DPO-PCR tests between the tissue samples from the RUT kit and the gastric biopsy samples was 94.4%(51/54).The rate of DPOPCR and silver stain positivity in the RUT-negative cases was 20.0%(7/35).CONCLUSION:In diagnosing H.pylori infection,DPO-PCR can be performed on tissue samples that have been processed by the RUT kit.Particularly,in patients with RUT-negative results,DPO-PCR on these tissue samples could be helpful in detecting of H.pylori infection.展开更多
AIM: To compare the Helicobacter pylori(H.pylori) eradication rate of clarithromycin-based triple therapy,metronidazole-based triple therapy,sequential therapy and concomitant therapy.METHODS: A total of 680 patients ...AIM: To compare the Helicobacter pylori(H.pylori) eradication rate of clarithromycin-based triple therapy,metronidazole-based triple therapy,sequential therapy and concomitant therapy.METHODS: A total of 680 patients infected with H.pylori were divided into 4 groups and each group was treated with a different eradication therapy.Clarithromycin-based triple therapy was applied to the first group [rabeprazole,amoxicillin and clarithromycin(PAC) group: proton pump inhibitor(PPI),amoxicillin,clarithromycin],whereas the second group was treated with metronidazole-based triple therapy [rabeprazole,amoxicillin and metronidazole(PAM) group: PPI,amoxicillin,metronidazole].The third group was treated with rabeprazole and amoxicillin,followed by rabeprazole,clarithromycin and metronidazole(sequential group).The final group was simultaneously treated with rabeprazole,amoxicillin clarithromycin and metronidazole(concomitant therapy group).In the case of a failure to eradicate H.pylori,second-line quadruple and third-line eradication therapies were administered.RESULTS: The per protocol(PP) analysis was performed on 143,139,141 and 143 patients in the PAC,PAM,sequential and concomitant groups,respectively.We excluded patients who did not receive a C13-urea breath test(22,20,23 and 22 patients,respectively) and patients with less than an 80% compliance level(5,11,6 and 5 patients,respectively).The eradication rates were 76.2%(109/143) in the PAC group,84.2%(117/139) in the PAM group,84.4%(119/141) in the sequential group and 94.4%(135/143) in the concomitant group(P = 0.0002).All 14 patients who failed second-line therapy were treated with thirdline eradication therapy.Among these 14 patients,6 infections were successfully eradicated with the thirdline therapy.Both PP and intention-to-treat analysis showed an eradication rate of 42.9%(6/14).In the PAC group,3 of 4 patients were successfully cured(3/4,75%); 2 of 2 patients in the PAM group(2/2,100%) and 1 of 5 patients in the sequential group(1/5,20%) were also cured.In the concomitant group,all 3 patients failed(0/3,0%).CONCLUSION: The eradication rate for the concomitant therapy was much higher than those of the standard triple therapy or sequential therapy(Clinical Trials.gov number NCT01922765).展开更多
AIMTo evaluate outcomes of combined pars plana vitrectomy and Baerveldt glaucoma implant (PPV-BGI) placement for refractory glaucoma.METHODSThe medical records of 92 eyes (89 patients) that underwent PPV-BGI were retr...AIMTo evaluate outcomes of combined pars plana vitrectomy and Baerveldt glaucoma implant (PPV-BGI) placement for refractory glaucoma.METHODSThe medical records of 92 eyes (89 patients) that underwent PPV-BGI were retrospectively reviewed, including 43 eyes with neovascular glaucoma (NVG) and 49 eyes with other types of glaucoma (non-NVG).RESULTSOutcome measures were visual acuity (VA), intraocular pressure (IOP), glaucoma medical therapy, complications, and success [VA>hand motions (HM), IOP≥6 mm Hg and ≤21 mm Hg, no subsequent glaucoma surgery]. Cumulative success rates for the non-NVG group and NVG group were 79% and 40% at 1y, respectively (P=0.038). No difference in the rates of surgical success were found between pars plana and anterior chamber tube placement. Preoperative IOP (mean±SD) was 30.3±11.7 mm Hg in the Non-NVG group and 40.0±10.6 mm Hg in the NVG group, and IOP was reduced to 15±9.5 mm Hg in the non-NVG group and 15±10.5 mm Hg in the NVG at 1y. Number of glaucoma medications (mean±SD) decreased from 2.7±1.3 in the non-NVG group and 2.8±1.3 in the NVG group preoperatively to 0.76±1.18 in the non-NVG group and 0.51±1.00 in the NVG group at 1y. Improvement in VA of ≥2 Snellen lines was observed in 25 (27%) eyes, although only 33% of non-NVG eyes and 2.3% of NVG eyes maintained VA better than 20/200 at 1y. Nonclearing vitreous hemorrhage was the most common postoperative complication occurring in 16 (17%) eyes, and postoperative suprachoroidal hemorrhages developed in 5 (5.4%) eyes.CONCLUSIONPPV-BGI is a viable surgical option for eyes with refractory glaucoma, but visual outcomes are frequently poor because of ocular comorbidities, especially in eyes with NVG. The location of tube placement does not influence surgical outcome and should be left to the discretion of the surgeon.展开更多
Air in the main pancreatic duct has been reported only rarely and might be associated with either a spontaneous or a surgically induced alteration of the anatomy of the biliary tract.We report a case of "innocent...Air in the main pancreatic duct has been reported only rarely and might be associated with either a spontaneous or a surgically induced alteration of the anatomy of the biliary tract.We report a case of "innocent" air found incidentally in the main pancreatic duct.To our knowledge,this is only the third such case reported.A 54-year-old woman presented with hemoptysis that had lasted for 3 d.She underwent a chest computed tomography scan,which revealed not only focal bronchiectasis in the left lower lobe,but also air in the main pancreatic duct and dilatation of the common bile duct.She was managed conservatively for the hemoptysis and no further problems developed.She had no specific gastrointestinal symptoms and had no history of surgery or medication.Her laboratory parameters were normal.Magnetic resonance cholangiopancreatography also demonstrated air in the main pancreatic duct and a dilated common bile duct(CBD).Duodenoscopy revealed separate biliary and pancreatic orifices with patulous openings and some air bubbles appearing in the pancreatic orifice.Endoscopic retrograde cholangiopancreatography(ERCP) showed the dilated CBD and pancreatic duct with some air bubbles,but no other abnormal lesions.She was discharged with no further problems.Most patients with air in the main pancreatic duct have had a pancreatobiliary disease,or a history of pancreatobiliary disease,pancreatobiliary surgery or sphincterotomy.If the air is innocent,as in our case,ERCP should be performed to evaluate any altered sphincteric function or anatomy such as patulous openings.展开更多
AIM:To investigate the association of axial length(AL)and ocular factors on AL elongation.METHODS:A retrospective chart review of patients who underwent two or more AL examinations for more than two years.Totally 4 gr...AIM:To investigate the association of axial length(AL)and ocular factors on AL elongation.METHODS:A retrospective chart review of patients who underwent two or more AL examinations for more than two years.Totally 4 groups were divided according to initial AL(<24 mm,24-26 mm,26-28 mm,≥28 mm).Initial fundus photograph was used to find risk factors associated AL elongation.RESULTS:The mean age of the patients was 47.21±7.79 y.AL remained almost unchanged in the groups with AL<24 mm and 24≤AL<26 mm.On the contrary,AL increased by 0.011 mm/y in the group with 26≤AL<28 mm and 0.035 mm/y in the group with AL≥28 mm(P<0.001).In high myopia,AL elongation increased in eye with longer AL(r=0.003,P=0.024),female gender(r=0.014,P=0.019),eye with larger peripapillary chorioretinal atrophic area(r=0.002,P=0.019),and smaller vascular arcade angle(r=-0.004,P=0.006).The risk of elongation 0.03 mm/y in high myopia was increased in female gender(P=0.040),and gradually increased in eye with large peripapillary chorioretinal atrophy area(P<0.01).CONCLUSION:AL elongate significantly in the eye with longer AL,female gender,and the eye with larger atrophic area and smaller arcade angle on fundus photography.展开更多
The subsystem synthesis method has been developed in order to improve computational efficiency for a multibody vehicle dynamics model. Using the subsystem synthesis method, equations of motion of the base body and eac...The subsystem synthesis method has been developed in order to improve computational efficiency for a multibody vehicle dynamics model. Using the subsystem synthesis method, equations of motion of the base body and each subsystem can be solved separately. In the subsystem synthesis method, various coordinate systems can be used and various integration methods can be applied in each subsystem, as long as the effective mass matrix and the effective force vector are properly produced. In this paper, comparative study has been carried out for the subsystem synthesis method with Cartesian coordinates and with joint relative coordinates. Two different integration methods such as an explicit integrator and an explicit implicit integrator are employed. In order to see the accuracy and computational efficiency from the different models based on the different coordinate systems and different integration methods, a rough terrain run simulations has been carried out with a 6 × 6 off-road multibody vehicle model.展开更多
基金Supported by Research grant from Jeil Pharma.Co.,Seoul,South Korea
文摘AIM:To investigate whether tissue samples processed by the rapid urease test(RUT)kit are suitable for dualpriming oligonucleotide-based multiplex polymerase chain reaction(DPO-PCR)to detect Helicobacter pylori(H.pylori).METHODS:A total of 54 patients with specific gastrointestinal symptom were enrolled in this study.During endoscopy,gastric biopsy specimens were taken for histology,RUT,and DPO-PCR.DPO-PCR was performed on gastric biopsy samples and tissue samples that were analyzed by RUT at 2 separate institutes.In detecting H.pylori,the concordance rate of the DPO-PCR tests between the tissue samples that had been submitted to RUT and the gastric biopsy samples was investigated.RESULTS:H.pylori co-occurred with 76.0%(19/25)of gastric ulcers,64.3%(9/14)of duodenal ulcers,and 33.3%(4/12)of gastritis cases.H.pylori infection was found in 100%(3/3)of the patients with both gastric and duodenal ulcers.Overall,H.pylori was detected in 35 of 54(64.8%)patients.The diagnostic sensitivities of histology,RUT,and DPO-PCR were85.7%(30/35),74.3%(26/35),and 97.1%(34/35),respectively(P=0.02).The positive predictive value(PPV)of DPO-PCR was 94.4%,whereas the negative predictive value(NPV)was 94.7%.In the rapid urease test(CLOtest)-negative cases,the frequency of positive DPO-PCR and histologic results was 20.0%(7/35).The concordance rate of the DPO-PCR tests between the tissue samples from the RUT kit and the gastric biopsy samples was 94.4%(51/54).The rate of DPOPCR and silver stain positivity in the RUT-negative cases was 20.0%(7/35).CONCLUSION:In diagnosing H.pylori infection,DPO-PCR can be performed on tissue samples that have been processed by the RUT kit.Particularly,in patients with RUT-negative results,DPO-PCR on these tissue samples could be helpful in detecting of H.pylori infection.
基金Supported by Basic Science Research Program through the National Research Foundation of Korea funded by the Ministry of Education,Science and Technology,No.2013R1A1A2062603
文摘AIM: To compare the Helicobacter pylori(H.pylori) eradication rate of clarithromycin-based triple therapy,metronidazole-based triple therapy,sequential therapy and concomitant therapy.METHODS: A total of 680 patients infected with H.pylori were divided into 4 groups and each group was treated with a different eradication therapy.Clarithromycin-based triple therapy was applied to the first group [rabeprazole,amoxicillin and clarithromycin(PAC) group: proton pump inhibitor(PPI),amoxicillin,clarithromycin],whereas the second group was treated with metronidazole-based triple therapy [rabeprazole,amoxicillin and metronidazole(PAM) group: PPI,amoxicillin,metronidazole].The third group was treated with rabeprazole and amoxicillin,followed by rabeprazole,clarithromycin and metronidazole(sequential group).The final group was simultaneously treated with rabeprazole,amoxicillin clarithromycin and metronidazole(concomitant therapy group).In the case of a failure to eradicate H.pylori,second-line quadruple and third-line eradication therapies were administered.RESULTS: The per protocol(PP) analysis was performed on 143,139,141 and 143 patients in the PAC,PAM,sequential and concomitant groups,respectively.We excluded patients who did not receive a C13-urea breath test(22,20,23 and 22 patients,respectively) and patients with less than an 80% compliance level(5,11,6 and 5 patients,respectively).The eradication rates were 76.2%(109/143) in the PAC group,84.2%(117/139) in the PAM group,84.4%(119/141) in the sequential group and 94.4%(135/143) in the concomitant group(P = 0.0002).All 14 patients who failed second-line therapy were treated with thirdline eradication therapy.Among these 14 patients,6 infections were successfully eradicated with the thirdline therapy.Both PP and intention-to-treat analysis showed an eradication rate of 42.9%(6/14).In the PAC group,3 of 4 patients were successfully cured(3/4,75%); 2 of 2 patients in the PAM group(2/2,100%) and 1 of 5 patients in the sequential group(1/5,20%) were also cured.In the concomitant group,all 3 patients failed(0/3,0%).CONCLUSION: The eradication rate for the concomitant therapy was much higher than those of the standard triple therapy or sequential therapy(Clinical Trials.gov number NCT01922765).
文摘AIMTo evaluate outcomes of combined pars plana vitrectomy and Baerveldt glaucoma implant (PPV-BGI) placement for refractory glaucoma.METHODSThe medical records of 92 eyes (89 patients) that underwent PPV-BGI were retrospectively reviewed, including 43 eyes with neovascular glaucoma (NVG) and 49 eyes with other types of glaucoma (non-NVG).RESULTSOutcome measures were visual acuity (VA), intraocular pressure (IOP), glaucoma medical therapy, complications, and success [VA>hand motions (HM), IOP≥6 mm Hg and ≤21 mm Hg, no subsequent glaucoma surgery]. Cumulative success rates for the non-NVG group and NVG group were 79% and 40% at 1y, respectively (P=0.038). No difference in the rates of surgical success were found between pars plana and anterior chamber tube placement. Preoperative IOP (mean±SD) was 30.3±11.7 mm Hg in the Non-NVG group and 40.0±10.6 mm Hg in the NVG group, and IOP was reduced to 15±9.5 mm Hg in the non-NVG group and 15±10.5 mm Hg in the NVG at 1y. Number of glaucoma medications (mean±SD) decreased from 2.7±1.3 in the non-NVG group and 2.8±1.3 in the NVG group preoperatively to 0.76±1.18 in the non-NVG group and 0.51±1.00 in the NVG group at 1y. Improvement in VA of ≥2 Snellen lines was observed in 25 (27%) eyes, although only 33% of non-NVG eyes and 2.3% of NVG eyes maintained VA better than 20/200 at 1y. Nonclearing vitreous hemorrhage was the most common postoperative complication occurring in 16 (17%) eyes, and postoperative suprachoroidal hemorrhages developed in 5 (5.4%) eyes.CONCLUSIONPPV-BGI is a viable surgical option for eyes with refractory glaucoma, but visual outcomes are frequently poor because of ocular comorbidities, especially in eyes with NVG. The location of tube placement does not influence surgical outcome and should be left to the discretion of the surgeon.
文摘Air in the main pancreatic duct has been reported only rarely and might be associated with either a spontaneous or a surgically induced alteration of the anatomy of the biliary tract.We report a case of "innocent" air found incidentally in the main pancreatic duct.To our knowledge,this is only the third such case reported.A 54-year-old woman presented with hemoptysis that had lasted for 3 d.She underwent a chest computed tomography scan,which revealed not only focal bronchiectasis in the left lower lobe,but also air in the main pancreatic duct and dilatation of the common bile duct.She was managed conservatively for the hemoptysis and no further problems developed.She had no specific gastrointestinal symptoms and had no history of surgery or medication.Her laboratory parameters were normal.Magnetic resonance cholangiopancreatography also demonstrated air in the main pancreatic duct and a dilated common bile duct(CBD).Duodenoscopy revealed separate biliary and pancreatic orifices with patulous openings and some air bubbles appearing in the pancreatic orifice.Endoscopic retrograde cholangiopancreatography(ERCP) showed the dilated CBD and pancreatic duct with some air bubbles,but no other abnormal lesions.She was discharged with no further problems.Most patients with air in the main pancreatic duct have had a pancreatobiliary disease,or a history of pancreatobiliary disease,pancreatobiliary surgery or sphincterotomy.If the air is innocent,as in our case,ERCP should be performed to evaluate any altered sphincteric function or anatomy such as patulous openings.
文摘AIM:To investigate the association of axial length(AL)and ocular factors on AL elongation.METHODS:A retrospective chart review of patients who underwent two or more AL examinations for more than two years.Totally 4 groups were divided according to initial AL(<24 mm,24-26 mm,26-28 mm,≥28 mm).Initial fundus photograph was used to find risk factors associated AL elongation.RESULTS:The mean age of the patients was 47.21±7.79 y.AL remained almost unchanged in the groups with AL<24 mm and 24≤AL<26 mm.On the contrary,AL increased by 0.011 mm/y in the group with 26≤AL<28 mm and 0.035 mm/y in the group with AL≥28 mm(P<0.001).In high myopia,AL elongation increased in eye with longer AL(r=0.003,P=0.024),female gender(r=0.014,P=0.019),eye with larger peripapillary chorioretinal atrophic area(r=0.002,P=0.019),and smaller vascular arcade angle(r=-0.004,P=0.006).The risk of elongation 0.03 mm/y in high myopia was increased in female gender(P=0.040),and gradually increased in eye with large peripapillary chorioretinal atrophy area(P<0.01).CONCLUSION:AL elongate significantly in the eye with longer AL,female gender,and the eye with larger atrophic area and smaller arcade angle on fundus photography.
基金supported from by Unmanned Technology Research Center (UTRC) at Korea Advanced Institute of Science and Technology (KAIST),originally funded by DAPA,ADD
文摘The subsystem synthesis method has been developed in order to improve computational efficiency for a multibody vehicle dynamics model. Using the subsystem synthesis method, equations of motion of the base body and each subsystem can be solved separately. In the subsystem synthesis method, various coordinate systems can be used and various integration methods can be applied in each subsystem, as long as the effective mass matrix and the effective force vector are properly produced. In this paper, comparative study has been carried out for the subsystem synthesis method with Cartesian coordinates and with joint relative coordinates. Two different integration methods such as an explicit integrator and an explicit implicit integrator are employed. In order to see the accuracy and computational efficiency from the different models based on the different coordinate systems and different integration methods, a rough terrain run simulations has been carried out with a 6 × 6 off-road multibody vehicle model.