Tocilizumab therapy for IL-6 increment in a patient with non-fatal severe fever with thrombocytopenia syndrome.

We report the administration of an anti-interleukin (IL)-6 antibody in a case of severe fever with thrombocytopenia syndrome (SFTS) with an increase in IL-6. On the day of admission, SFTS viral load and IL-6 concentration were 93 831 copies/ml and 5.4 pg/ml, respectively, and tocilizumab was administered. SFTS viral load decreased to 17 821.1 copies/ml on the 3rd day of admission, while IL-6 levels increased to 104.9 pg/ml; SFTS viral load and IL-6 levels had decreased to 2876.4 copies/ml and 48.2 pg/ml on 7th day of admission, respectively. The patient fully recovered no tocilizumab adverse events.

Seroreactivity to Coxiella burnetii in an Agricultural Population and Prevalence of Coxiella burnetii Infection in Ticks of a Non-Endemic Region for Q Fever in South Korea.

Coxiella burnetii infects humans and wild and domesticated animals. Although reported cases on Jeju Island, off the coast of South Korea, are rare, the region is considered to have a high potential for Q fever. We investigated the seroprevalence of antibodies to C. burnetii in 230 farmers living in ten rural areas on Jeju Island between January 2015 and December 2019. Blood samples were collected and examined for C. burnetii Phase I/II IgM and IgG antibodies. Trained researchers collected ticks from rural areas. Clone XCP-1 16S ribosomal RNA gene sequencing was performed to identify Coxiella species from the collected ticks. The overall seroprevalence of antibodies to C. burnetii in farmers was 35.7%. The seroprevalence was significantly higher in fruit farmers. Of the collected ticks, 5.4% (19/351) of the Haemaphysalis longicornis ticks harbored C. burnetti. A high seroprevalence of antibodies to C. burnetii was observed in this region of Jeju Island, confirming that C. burnetti is endemic. Physicians should thus consider Q fever in the differential diagnosis of patients that present with acute fever after participating in outdoor activities.

A Landslide Monitoring System for Natural Terrain in Korea: Development and Application in Hazard Evaluations.

This study describes the development of a landslide monitoring system for the purpose of reducing damages caused by landslides in natural terrain. The system was developed to analyze the effects of landslide-inducing rainfall and the behavior of slopes through 12 monitoring stations that are distributed across eight national parks in Korea. Several sensors and a data acquisition equipment to monitor landslide were installed in each station. The composition of the system and its operating program were designed to efficiently manage the sizeable amounts of real-time monitoring data that are collected from the various stations. To test the potential of the developed system for reliable landslide hazard evaluations, data measured over a five-year period by the two monitoring stations in Jirisan National Park were analyzed. Subsequently, the suction stress of the soil over the monitoring period was calculated by applying laboratory test result of the geotechnical and unsaturated soil properties in the analysis domain area. The infinite slope stability analysis combined with an effective stress concept based on the suction stress was applied to calculate the factor of safety. This method also enabled the temporal and quantitative evaluation of slope stability in natural terrain. In addition, based on the monitoring and slope stability analysis results, an analysis for the spatial classification of landslide hazards was conducted. The analysis results quantitatively and statistically demonstrated that 98% of historical landslide initiation areas were classified as high hazard levels.

Development and Effect of a Salutogenic Program for Rural Elderly Women on Depression and Suicidal Ideation.

This study aimed to develop and evaluate the effects of a Salutogenic program on sense of coherence, depression, and suicidal ideation among rural older adults. Quasi-experimental, nonequivalent control group pretest-posttest design was used. Participants were female, aged 65 years and older from G and O province, South Korea. The experimental group (n = 22) received a 12-session Salutogenic program for 6 weeks, twice a week. The control group (n = 19) was put on a waiting list to receive the intervention after completing the study. Collected data were analyzed using descriptive statistics, a χ2 test, independent t-test, and repeated measure ANOVA with SPSS WIN 26.0. There were significant differences in sense of coherence (F = 19.34, p < .001), depression (F = 12.93, p < .001), and suicidal ideation (F = 4.40, p = .027) over time pretest, posttest, and follow-up test after intervention between two groups. The study discussed the effect of Salutogenic program on sense of coherence, depression, and suicidal ideation, and considered its benefits in suicide prevention for elderly women. The Salutogenic program can be recommended as useful strategies to enhance sense of coherence and to reduce depression and suicidal ideation of elderly women in community.

Application of a weights-of-evidence method and GIS to regional groundwater productivity potential mapping.

The aim of this study is to analyze the relationship among groundwater productivity data including specific capacity (SPC) and transmissivity (T) as well as its related hydrogeological factors in a bedrock aquifer, and subsequently, to produce the regional groundwater productivity potential (GPP) map for the area around Pohang City, Korea using a geographic information system (GIS) and a weights-of-evidence (WOE) model. All of the related factors, including topography, lineament, geology, forest, and soil data were collected and input into a spatial database. In addition, SPC and T data were collected from 83 and 81 well locations, respectively. Four dependent variables including SPC values of ≥6.25 m3/d/m (Case 1) and T values of ≥3.79 m2/d (Case 3) corresponding to a yield (Y) of ≥500 m3/d, and SPC values of ≥3.75 m3/d/m (Case 2) and T values of ≥2.61 m2/d (Case 4) corresponding to a Y of ≥300 m3/d were also input into a spatial database. The SPC and T data were randomly selected in an approximately 70:30 ratio to train and validate the WOE model. Tests of conditional independence were performed for the used factors. To assess the regional GPP for each dependent variable, W+ and W- of each factor's rating were overlaid spatially. The results of the analysis were validated using area under curve (AUC) analysis with the existing SPC and T data that were not used for the training of the model. The AUC of Cases 1, 2, 3 and 4 showed 0.7120, 0.6893, 0.6920, and 0.7098, respectively. In the case of the dependent variables, Case 1 had an accuracy of 71.20% (AUC: 0.7120), which is the best result produced in this analysis. Such information and the maps generated from it could be used for groundwater management, a practice related to groundwater resource exploration.

Macrobenthos habitat mapping in a tidal flat using remotely sensed data and a GIS-based probabilistic model.

This paper proposes and tests a method of producing macrofauna habitat potential maps based on a weights-of-evidence model (a probabilistic approach) for the Hwangdo tidal flat, Korea. Samples of macrobenthos were collected during field work, and we considered five mollusca species for habitat mapping. A weights-of-evidence model was used to calculate the relative weights of 10 control factors that affect the macrobenthos habitat. The control factors were compiled as a spatial database from remotely sensed data combined with GIS analysis. The relative weight of each factor was integrated as a species potential index (SPI), which produced habitat potential maps. The maps were compared with the surveyed habitat locations, revealing a strong correlation between the potential maps and species locations. The combination of a GIS-based weights-of-evidence model and remote sensing techniques is an effective method in determining areas of macrobenthos habitat potential in a tidal flat setting.

Effects of thiol compounds on in vitro maturation of canine oocytes collected from different reproductive stages.

Various thiol compounds are known to improve cytoplasmic and/or nuclear maturation of oocytes in vitro. The present study examined the effects of two thiol compounds, cysteine (0.1, 0.5, and 1.0 mM) and cysteamine (50, 100, and 200 microM), on cytoplasmic and nuclear maturation of canine oocytes. Oocytes collected from different reproductive stages were cultured in TCM-199 supplemented with 10% fetal bovine serum, 2.2 mg/ml sodium carbonate, 2.0 microg/ml estrogen, 0.5 microg/ml FSH, 0.03 IU/ml hCG, and 1% penicillin-streptomycin solution for 72 h. Data were analyzed by two-way ANOVA after arcscine transformation and protected by Bonferroni post hoc test. The effects of cysteine and cysteamine on canine IVM were varied depending on the reproductive stage of oocyte donor bitches. In the follicular stage, significantly more oocytes reached the metaphase II (M II) stage when cultured with 0.5 or 1.0 mM cysteine (16.7% and 16.9%, respectively) compared to the control (6.2%). In the follicular stage, cysteamine increased oocyte maturation rate upto the M II stage (15.1% to 17.0%) compared to the control (4.4%). Both the 0.5 mM cysteine and 100 microM cysteamine, alone or together, increased the intracellular GSH level of canine oocytes compared to the control. Irrespective of reproductive stage, no further beneficial effects on nuclear or cytoplasmic maturation were observed when 0.5 mM cysteine and 100 microM cysteamine were supplemented together. In conclusion, addition of 0.5 mM cysteine and 100 microM cysteamine to the maturation medium improved IVM of canine oocytes.

Influence of season and parity on the recovery of in vivo canine oocytes by flushing fallopian tubes.

Assisted reproductive technology (ART) in dogs largely depends on the in vivo matured oocytes due to lack of a suitable in vitro maturation system. The present study evaluated the technique of flushing fallopian tubes to collect in vivo matured canine oocytes by laparotomy, and determined the effects of seasons, and parity of donor bitches on the success of oocyte retrieval. Oocytes were retrieved from anesthetized bitches by laparotomy. About 7 ml of TCM-199 supplemented with HEPES was used to flush each individual fallopian tube. Oocytes were categorized as good, fair, poor, immature or aged based on the nuclear stage, cumulus cell layers, color and homogeneity of ooplasm. Oocytes categorized as being good or fair were considered usable, while poor, aged or immature oocytes were considered unusable for ART. A significantly higher number of oocytes per bitch were retrieved during the spring (11.2) compared to the winter (7.9). The oocyte recovery rates were 89.4, 92.2, 89.7 and 89.3% for spring, summer, autumn, and winter, respectively. The highest percentage of usable oocytes (74.7%) was retrieved during autumn (P>0.05). The number of oocytes was influenced by the parity of the donor bitch. Significantly more oocytes were collected from the multiparous bitches (10.3) compared to nulliparous bitches (7.7). The percentage of usable oocytes was more in multipara (71.5%) compared to nullipara (64.7%) (P>0.05). Collection of in vivo produced oocytes by laparotomy represents a potential source of matured oocytes for ART in dogs.

Risk behaviors among Asian women who work at massage parlors in San Francisco: perspectives from masseuses and owners/managers.

This study investigates cognitive, cultural, and contextual factors that influence HIV-related risk behaviors among Asian women who engage in sex work at massage parlors in San Francisco. Focus groups and qualitative interviews were conducted for Vietnamese and Thai masseuses and massage parlor owners/managers. Economic pressure as well as subjective evaluation of customers for the risk of HIV/STD infection increase unprotected sexual behaviors among Asian masseuses. Massage parlor owners/managers do not establish a clear policy for condom use at their parlors. Consequently, male customers often manipulate their intention not to use a condom while negotiating with masseuses. HIV/STD prevention intervention programs should address specific risks and needs for Asian masseuses, owners/managers, and male customers in order to promote health and well being among Asian masseuses who have been neglected by public health and social services.

Poverty experience, race, and child health.

OBJECTIVES: Studies that examine children's poverty and health at one point in time do not account for some children experiencing poverty briefly and others living in poverty for much of their lives. The objective of this study was to determine how duration of poverty and child race are related to child health. METHODS: To assess these relationships, we analyzed data from the Panel Study of Income Dynamics and its Child Development Supplement. Ordinary least squares regression was used to estimate bivariate and multivariate models predicting caregiver-rated child health. The regression models assessed the statistical effect of the proportion of childhood in poverty and child race on child health, controlling for child sex, age, parental education, whether the household includes two parents, and family poverty in the last year. RESULTS: Increasing proportion of childhood in poverty is associated with worse health status. In addition, African American children are more likely than white children to have lower-rated health status. The analysis does not support the hypothesis that poverty more strongly affects the health of African American children. CONCLUSIONS: Increasing exposure to family poverty negatively affects child health. Future research would benefit from more studies that utilize longitudinal measures of childhood poverty. We suggest that public policies to reduce childhood poverty exposure would improve child health.