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Background Complementary and alternative medicine (CAM) use among infertile women is popular in many countries, including Korea. Previous research has repeatedly found more than half of infertile women surveyed use CAM therapies for fertility enhancement and overall well-being. However, there is currently little evidence to support this practice, and this raises the question of infertile women’s experiences in the uptake of those modalities and sociodemographic and psychological factors associated with CAM use. Thus, this study aims to explore the perceptions and experiences of infertile women with regard to their use of CAM in Korea. Methods A cross-sectional study was conducted using data from 263 infertile women attending infertility specialty clinics in Seoul, Korea, in June 2012. The survey instrument included 47 questions on the use of CAM, demographic characteristics, health status, and infertility related factors such as duration and type of infertility, experience and satisfaction of conventional treatment, and self-perceived severity of infertility condition. Chi-square test and logistic regression were used for data analysis. Results Among 286 respondents (response rate, 95.3%), a total of 263 women were included in the final analysis. 63.5% of respondents used one or more types of CAM modalities during infertility treatment. The utilization of CAM was associated with employment status, duration of infertility treatment, and self-perceived severity of the disease. The most commonly used CAM modalities were multivitamin and herbal medicine, and differences in types of CAM modalities used were found between the group with a higher rating of self-perceived disease severity and the lower perceived severity group. Conclusions High prevalence of CAM use among infertile women was observed in Korea. Our findings support that infertile women’s own understanding of their illness and physical condition influences self-care behavior such as CAM use. This calls for an urgent need for further in-depth study of the clinical effects of popular CAM modalities among infertile women when used in conjunction with conventional treatment.

This paper deals with single-stranded DNA detection using Dirac point changes in a graphene-based FET device. The device utilized a shadow mask to minimize contamination of the graphene surface due to photoresist when depositing source/drain electrodes. Thereafter, micro-scale graphene channels were formed by dry etching. As single-stranded DNA was adsorbed on the graphene surface of the fabricated device, it showed an efficient Dirac voltage shift up to 10V.

Neuroprotective measures by preventing secondary spinal cord injury (SCI) are one of the main strategies for repairing an injured spinal cord. Fasudil and menthol may be potent neuroprotective agents, which act by inhibiting a rho-associated protein kinase (ROCK) and suppressing the inflammatory response, respectively. We hypothesized that combined treatment of fasudil and menthol could improve functional recovery by decreasing inflammation, apoptosis, and glial scar formation. We tested our hypothesis by administering fasudil and menthol intraperitoneally (i.p.) to female Sprague Dawley rats after moderate static compression (35 g of impounder for 5 min) of T10 spinal cord. The rats were randomly divided into five experimental groups: (i) sham animals received laminectomy alone, (ii) injured (SCI) and untreated (saline 0.2 mL/day, i.p.) rats, (iii) injured (SCI) rats treated with fasudil (10 mg/kg/day, i.p.) for two weeks, (iv) injured (SCI) rats treated with menthol (10 mg/kg/day, i.p.) for twoweeks, (v) injured (SCI) rats treated with fasudil (5 mg/kg/day, i.p.) and menthol (10 mg/kg/day, i.p.) for two weeks. Compared to single treatment groups, combined treatment of fasudil and menthol demonstrated significant functional recovery and pain amelioration, which, thereby, significantly reduced inflammation, apoptosis, and glial/fibrotic scar formation. Therefore, combined treatment of fasudil and menthol may provide effective amelioration of spinal cord dysfunction by a synergistic effect of fasudil and menthol.

Herein we report the spatially uneven degradation of a polymer electrolyte membrane fuel cell (PEMFC) stack operated under load variation. Fifteen sub-membrane electrode assemblies (sub-MEAs) at various cell positions and various points within each cell were obtained from the original MEAs employed in the fuel cell stack. Polarization curves and the voltammetric charge of these MEAs were measured in order to correlate localized performances with the redistributed electrochemically active surface on Pt using the polarization technique and cyclic voltammetry. Several ex situ characterizations including electron probe microanalysis, environmental scanning electron microscopy, and X-ray diffraction were also performed to find evidence, supporting the inhomogeneous degradation of the fuel cell stack. Possible routes and processes for the non-uniform stack degradation during the PEMFC stack operation will also be discussed.

PURPOSE: The purpose of this study was to examine whether insight and empowerment had a positive impact on function and quality of life for patients with schizophrenia. METHODS: The subjects consisted of 446 patients with schizophrenia who were attending 20 psychosocial rehabilitation centers. Data were analyzed by the SPSS/WIN and AMOS programs. RESULTS: Insight showed a direct effect on empowerment, function, and quality of life for patients with schizophrenia. Empowerment showed a direct effect on function and quality of life for patients with schizophrenia. Function showed a direct effect on quality of life for patients with schizophrenia. CONCLUSION: These results suggest that function and quality of life for patients with schizophrenia can be improved by increasing insight and empowerment. Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes increasing insight and empowerment in order to improve function and quality of life in patients with schizophrenia.

With respect to the durability of large scale () membrane electrode assembly (MEA) of direct methanol fuel cell (DMFC), degradation phenomena at cathode is monitored and analyzed according to the position on the cathode surface. After constant current mode operation of large scale MEA for 500 hr, the MEA is divided into three parts along the cathode channel; (close to) inlet, middle, and (close to) outlet. The performance of each MEA is tested and it is revealed that the MEA from the cathode outlet of large MEA shows the worst performance. This is due to the catalyst degradation and GDL delamination caused by flooding at cathode outlet of large MEA during the 500 hr operation. Particularly on the catalyst degradation, the loss of electrochemically active surface area (ECSA) of catalyst gets worse along the cathode channel from inlet to outlet, of which the reason is believed to be loss of catalysts by dissolution and migration rather than their agglomeration. The extent of loss in the performance and catalyst degradation has strong relation to the cathode flooding and it is required to develop proper water management techniques and separator channel design to control the flooding.

에탄올이 이산화탄소가 생성되는 경로로 반응할 경우 12개의 전자를 발생시키게 되지만 실제로는 두 개의 탄소 원자사이의 결합력 때문에 완전 산화시키는 것이 쉽지 않다. 따라서 고성능 에탄을 산화촉매의 개발은 에탄을 연료전지 실용화에 필수적이다. 본 연구는 Pt에 Sn, Au을 첨가하여 이원계, 삼원계 촉매를 제조하여 에탄올에서의 활성과 촉매의 특성에 대한 분석을 수행하였다. 촉매합성은 modified polyol 방법을 이용하였으며 Vulcan XC-72R 담지체를 사용하여 20 wt%로 담지하였다. PtSn/c 합금촉매는 Pt : Sn의 비율이 1 : 0, 4 : 1, 3 : 1, 2 : 1, 1.5 : 1, 1 : 1, 1 : 1.5으로 합성하였으며, PtSnAu/C 합금촉매는 Pt : Sn : Au의 비율을 5 : 5 : 0, 5 : 4 : 1, 5 : 3 : 2, 5 : 2 : 3으로 합성하였다. 촉매특성은 XRD, TEM 분석을 통해 분석한 결과 $1.9{\sim}2.4\;nm$ 정도의 입자의 크기와 면심입방구조의 구조를 가지는 것으로 확인하였다. 에탄올 산화에 대한 합금촉매의 활성은 순환전류전압법으로 실험하였고, 그 중 가장 높은 성능을 가진 PtSn(1.5 : 1)/C와 PtSnAu(5 : 2 : 3)/C 합금촉매를 단위전지 성능평가륵 통해 실제 연료전지 구동환경에서 촉매의 활성을 측정하였다. 그 결과 에탄을 산화에 가장 높은 성능을 나타낸 촉매는 PtSn/c(1.5 : 1)이었고, 촉매의 안정성은 PtSnAu/C(5 : 2 : 3)에서 높게 나타났다. 【Though ethanol can theoretically generate 12 electrons during oxidation to carbon dioxide, the complete oxidation of ethanol is hard to achieve due to the strong bond between the two carbons in its molecular structure. Therefore, development of high activity catalyst for ethanol oxidation is necessary for the commercialization of direct ethanol fuel cell. In this study, some binary and ternary electrocatalysts of PtSn/C and PtSnAu/C have been synthesized and characterized. The catalysts were fabricated with modified polyol method with the amounts of 20 wt%, where the Pt : Sn ratios in the PtSn/C were 1 : 0, 4 : 1, 3 : 1, 2 : 1, 1.5 : 1, 1 : 1, 1 : 1.5 and Pt:Sn:Au ratios in the PtSnAu/C were 5 : 5 : 0, 5 : 4 : 1, 5 : 3 : 2, 5 : 2 : 3. From the XRD and TEM analysis results, the catalysts were found to have face centered cubic structure with particle size of around $1.9{\sim}2.4\;nm$ . The activity in the ethanol oxidation was examined with cyclic voltammetry and the results indicated that PtSn(1.5 : 1)/C and PtSnAu(5 : 2 : 3)/C had the highest activity in each catalyst system. Further tests with single cell were performed with those catalysts. It was found that PtSn/C(1.5 : 1) exhibited the best performance while the long term stability of PtSnAu/C(5 : 2 : 3) is better than PtSn/C(1.5 : 1).】

Adverse effect of alcohol on neural function has been well documented. Especially, the teratogenic effect of alcohol on neurodevelopment during embryogenesis has been demonstrated in various models, which could be a pathologic basis for fetal alcohol spectrum disorders (FASDs). While the developmental defects from alcohol abuse during gestation have been described, the specific mechanisms by which alcohol mediates these injuries have yet to be determined. Recent studies have shown that alcohol has significant effect on molecular and cellular regulatory mechanisms in embryonic stem cell (ESC) differentiation including genes involved in neural development. To test our hypothesis that alcohol induces molecular alterations during neural differentiation we have derived neural precursor cells from pluripotent human ESCs in the presence or absence of ethanol treatment. Genome-wide transcriptomic profiling identified molecular alterations induced by ethanol exposure during neural differentiation of hESCs into neural rosettes and neural precursor cell populations. The Database for Annotation, Visualization and Integrated Discovery (DAVID) functional analysis on significantly altered genes showed potential ethanol’s effect on JAK-STAT signaling pathway, neuroactive ligand-receptor interaction, Toll-like receptor (TLR) signaling pathway, cytokine-cytokine receptor interaction and regulation of autophagy. We have further quantitatively verified ethanol-induced alterations of selected candidate genes. Among verified genes we further examined the expression of P2RX3, which is associated with nociception, a peripheral pain response. We found ethanol significantly reduced the level of P2RX3 in undifferentiated hESCs, but induced the level of P2RX3 mRNA and protein in hESC-derived NPCs. Our result suggests ethanol-induced dysregulation of P2RX3 along with alterations in molecules involved in neural activity such as neuroactive ligand-receptor interaction may be a molecular event associated with alcohol-related peripheral neuropathy of an enhanced nociceptive response.

Background Internal thoracic artery (ITA) malperfusion has been described as a potentially devastating and lethal complication of coronary artery bypass grafting (CABG). It is our practice to perform an additional vein graft to the distal left anterior descending (LAD) artery in such cases. Methods From August 1999 to July 2002, 2,877 CABG procedures were performed at our institution. In 65 patients (2.3%) ITA malperfusion was observed. All of them were treated with an additional vein graft to the distal LAD. All patient data were screened for the time interval between the occurrence of ITA malperfusion and the decision to perform an additional vein graft. Results Of 65 patients with ITA malperfusion, 54 patients (83%) survived (group 1), 11 patients (17%) died (group 2). There was no difference in preoperative risk status between the groups. Cross clamp time was 88 ± 4 minutes in group 1 and 104 ± 11 minutes in group 2 ( p = 0.04). Intraoperative ITA flow to LAD was 6 ± 1 mL/min in group 1 and 10 ± 5 mL/min in group 2 ( p = 0.2). Time between release of cross clamp and second period of cross clamping was 50 ± 5 minutes in group 1 and 75 ± 11 minute group 2 ( p = 0.02). Time between termination of cardiopulmonary bypass (CPB) and second period of cross clamping was 23 ± 3 minutes in group 1 and 46 ± 7 minutes in group 2 ( p = 0.003). Vein graft flow to distal LAD was 54 ± 4 mL/min in group 1 and 52 ± 12 mL/min in group 2 ( p = 0.5). Maximum postoperative troponin I was 35 ± 11 ng/mL in group 1 and 136 ± 32 in group 2 ( p = 0.003). Conclusions Survivors of ITA malperfusion had shorter cross clamp times and less myocardial damage as evidenced by lower postoperative troponin I levels. Time intervals between first and second cross clamp and between termination of CPB and second cross clamp were lower in survivors, thus indicating that a fast decision for an additional vein graft may influence postoperative patient outcome.

Endoscopic submucosal desection (ESD) is an effective treatment for selected patients with early gastric cancer (EGC). The purpose of this study was to examine the short-term and long-term outcomes of ESD of undifferentiated early gastric cancer. Data for 1,241 patients who underwent ESD for treatment of EGC between February 2003 and May 2010 were collected. We performed a retrospective analysis of the medical records of 74 patients diagnosed with undifferentiated EGC. We divided the enrolled cases into two groups: the expanded-criteria group (EC group) versus the non-EC group, according to lesion size, presence of ulceration, and pathologic review. Of a total of 74 lesions with undifferentiated EGC, as a result of pathologic examination the EC group included 29 cases and the non-EC group included 45 cases. The mean diameter of lesions was 19.86 ± 12.5 mm. The overall rates of en bloc resection and complete resection were 90.5 % (67/74) and 73 % (54/74), respectively. The curative resection rate was low at 31.1 %. If limited to the pathologically diagnosed EC group, the curative resection rate was 79.3 % (23/29). During median follow-up periods of 34 months (range 7–81), local recurrences were observed in 5.5 % (4/74) of patients. All of these were in the non-EC group and all underwent noncurative resection. There was no mortality related to ESD for treatment of EGC during follow-up. ESD may be a feasible treatment for selected patients with undifferentiated EGC; this should be validated by development of new criteria for ESD for treatment of EGC.

Purpose Endoscopic submucosal dissection has recently been practiced on a differentiated type of early gastric cancer. However, there is no clear evidence for endoscopic treatments of signet ring cell carcinoma. The aim of this study is to identify the predictive clinicopathological factors for lymph node metastasis in signet ring cell carcinoma for assisting endoscopic submucosal dissection trials. Materials and Methods A total of 186 patients with early signet ring cell carcinoma who underwent radical curative gastrectomy between January 2001 and September 2009 were enrolled in this study. Retrospective reviews of their medical records are being conducted. Several clinicopathologic factors were being investigated in order to identify predictive factors for lymph nodes metastasis: age, gender, tumor size, type of operation, tumor location, gross type, ulceration, Lauren's classification, depth of invasion, and lymphatic invasion. Results The lymph node metastasis rate for signet ring cell carcinoma was 4.3% (n=8). Of the 186 lesions with early signet ring cell carcinoma, 91 (48.9%) tumors were larger than 15 mm in size and 40 (21.5%) showed submucosal invasions in the resection specimens. In multivariate analysis, only the lymphatic invasion (P

Background This study was conducted to evaluate the performance of a whole-blood interferon-gamma release assay in inpatients who were admitted to the emergency department (ED) with pulmonary infiltrates who required a differential diagnosis with pulmonary tuberculosis (TB). Methods The patients with pulmonary infiltrates who received a QuantiFERON (QFT) test in the ED were included as an inpatient group and were divided into TB and non-TB group based on the final diagnosis. Patients with pulmonary TB who were tested in the outpatient department served as a control group. Results In total, 377 QFT tests were analyzed. Of the 284 inpatient QFT tests, 29.6% had an indeterminate result (35.2% in the 196 patients with non-TB and 17.0% in the 88 patients with TB). In contrast, only 1.1% of the 93 outpatients with TB returned an indeterminate result (p < 0.001). The indeterminate QFT results in the inpatient group were independently associated with lymphocytopenia, hypoalbuminemia, and high C-reactive protein levels. Non-positive QFT results in inpatients with TB were associated with lymphocytopenia and hypoalbuminemia, while non-positive QFT results in outpatients with TB were associated with high erythrocyte sedimentation rates and radiographically more severe diseases. Conclusions QFT tests in ED-based inpatients with pulmonary infiltrate return indeterminate results relatively frequently. In addition, inpatients and outpatients with pulmonary TB may differ in terms of the risk factors on non-positive QFT results.

PURPOSE This study investigated the effects of a recovery education program on rehabilitation motivation, symptoms, and function for schizophrenic patients. METHOD The study employed a quasi-experimental design. Participants for the study were 27 patients with schizophrenia, 14 in the experimental group and the other 13 in the control group. Data were analyzed by using the SPSS/WIN 11.5 program with Fisher's exact test, t-test, and Repeated measures ANOVA. RESULTS After a 7 week intervention, participants in the recovery education program group reported increased rehabilitation motivation and function scores, which was significantly different from those in the control group. CONCLUSION A recovery education program was effective improving rehabilitation motivation and function for schizophrenic patients. Therefore, this program is recommended as a rehabilitation strategy for schizophrenic patients.

Background: Data comparing the clinical characteristics and outcomes in chronic obstructive pulmonary disease (COPD) patients hospitalized with community-acquired pneumonia (CAP-COPD) and acute exacerbation (AECOPD) are very limited. Methods: Eighty episodes of hospitalization in 65 CAP-COPD patient...

This study investigated the effects of psychosocial rehabilitation programs provided by a psychosocial rehabilitation center on the levels of self-efficacy for mentally disabled persons. We followed the study subjects for 2 yr in order to examine whether the psychosocial rehabilitation programs had a positive impact on their levels of self-efficacy. Methods: There were 18 subjects in the experimental group and they received all the psychosocial rehabilitation services available at the psychosocial rehabilitation center for 2 yr. In the comparison group, there were 17 participants who voluntarily refused to participate in the psychosocial rehabilitation programs. Results: The results indicated that the psychosocial rehabilitation programs were effective in increasing the levels of the self-efficacy total score and specific self-efficacy score. Conclusion: The overall study results indicated that psychosocial rehabilitation programs provided by a psychosocial rehabilitation center had a positive impact on increasing the levels of self-efficacy for mentally disabled persons.