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1.
Artigo em Inglês | MEDLINE | ID: mdl-38629946

RESUMO

A novel Gram-stain-negative, yellow-pigmented, short rod-shaped bacterial strain, HBC34T, was isolated from a freshwater sample collected from Daechung Reservoir, Republic of Korea. The results of 16S rRNA gene sequence analysis indicated that HBC34T was affiliated with the genus Sphingobium and shared the highest sequence similarity to the type strains of Sphingobium vermicomposti (98.01 %), Sphingobium psychrophilum (97.87 %) and Sphingobium rhizovicinum (97.59 %). The average nucleotide identity (ANI) and digital DNA-DNA hybridisation (dDDH) values between HBC34T and species of the genus Sphingobium with validly published names were below 84.01 and 28.1 %, respectively. These values were lower than the accepted species-delineation thresholds, supporting its recognition as representing a novel species of the genus Sphingobium. The major fatty acids (>10 % of the total fatty acids) were identified as summed feature 8 (C18 : 1ω7c and/or C18 : 1ω6c) and summed feature 3 (C16 : 1ω7c and/or C16 : 1ω6c). The main polar lipids were phosphatidylglycerol, phosphatidylcholine, phosphatidylethanolamine, two phospholipids and two unidentified polar lipids. The respiratory quinone was Q-10. The genomic DNA G+C content of HBC34T was 64.04 %. The polyphasic evidence supports the classification of HBC34T as the type strain of a novel species of the genus Sphingobium, for which the name Sphingobium cyanobacteriorum sp. nov is proposed. The type strain is HBC34T (= KCTC 8002T= LMG 33140T).


Assuntos
Ácidos Graxos , Água Doce , Composição de Bases , Ácidos Graxos/química , RNA Ribossômico 16S/genética , Filogenia , Análise de Sequência de DNA , DNA Bacteriano/genética , Técnicas de Tipagem Bacteriana
2.
Int J Stem Cells ; 2024 Mar 07.
Artigo em Inglês | MEDLINE | ID: mdl-38449089

RESUMO

Parkinson's disease (PD) is a neurodegenerative condition characterized by the loss of midbrain dopaminergic neurons, leading to motor symptoms. While current treatments provide limited relief, they don't alter disease progression. Stem cell technology, involving patient-specific stem cell-derived neurons, offers a promising avenue for research and personalized regenerative therapies. This article reviews the potential of stem cell-based research in PD, summarizing ongoing efforts, their limitations, and introducing innovative research models. The integration of stem cell technology and advanced models promises to enhance our understanding and treatment strategies for PD.

3.
Appl Radiat Isot ; 207: 111250, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38457856

RESUMO

The purpose of this study is to evaluate the derived concentration guideline levels for unrestricted site reuse the Korea research reactor unit 1 and 2. Distribution coefficients for Co-60 and Sr-90 were derived, and site-specific values of the KRR soil were applied for the DCGLs for the seven target nuclide. The distribution coefficients of Co-60 and Sr-90 were 6,128 and 86.0 mL/g. The DCGLs derived from the dose by age group were 0.053 Bq/g for Co-60 and 45.0 Bq/g for H-3.

4.
Adv Healthc Mater ; : e2303041, 2024 Jan 25.
Artigo em Inglês | MEDLINE | ID: mdl-38269602

RESUMO

Parkinson's disease (PD) is one of the most devastating neurological diseases; however, there is no effective cure yet. The availability of human induced pluripotent stem cells (iPSCs) provides unprecedented opportunities to understand the pathogenic mechanism and identification of new therapy for PD. Here a new model system of PD, including 2D human iPSC-derived midbrain dopaminergic (mDA) neurons, 3D iPSC-derived midbrain organoids (MOs) with cellular complexity, and more advanced microphysiological systems (MPS) with 3D organoids, is introduced. It is believed that successful integrations and applications of iPSC, organoid, and MPS technologies can bring new insight on PD's pathogenesis that will lead to more effective treatments for this debilitating disease.

5.
J Liver Cancer ; 24(1): 113-117, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38017367

RESUMO

Portal vein tumor thrombosis (PVTT) is an uncommon condition in which tumor cells expand into the vessels, causing blood clot formation in the portal vein. PVTT is mainly associated with hepatocellular carcinoma, leading to an unfavorable prognosis; however, it can also develop in patients with other cancer types. Herein, we report a case of metastatic renal cell carcinoma diagnosed by a blind liver biopsy in a patient with dynamic computed tomography-confirmed portal vein thrombosis and cholangiopathy. This case illustrates the importance of systematic surveillance with routine laboratory tests and contrast-enhanced imaging studies on patients with cancer to detect potential liver infiltration of metastatic cancer.

6.
J Korean Soc Radiol ; 84(6): 1378-1383, 2023 Nov.
Artigo em Coreano | MEDLINE | ID: mdl-38107677

RESUMO

Pulmonary artery sarcomas are rare, high-grade malignancies, primarily affecting the proximal elastic pulmonary artery and usually manifesting as tumoral impaction on imaging. Due to similar clinical and imaging findings, pulmonary artery sarcomas are frequently misdiagnosed as pulmonary thromboembolism or, occasionally, as vasculitis. Herein, we reported a case of pulmonary artery intimal sarcoma initially misdiagnosed as pulmonary thromboembolism and vasculitis due to its relatively atypical location and morphology, along with a literature review.

7.
Sci Rep ; 13(1): 19885, 2023 11 14.
Artigo em Inglês | MEDLINE | ID: mdl-37963940

RESUMO

The dosage-dependent recruitment of RNA polymerase II (Pol II) at the promoters of genes related to neurodevelopment and stem cell maintenance is required for transcription by the fine-tuned expression of SET-domain-containing protein 5 (SETD5). Pol II O-GlcNAcylation by O-GlcNAc transferase (OGT) is critical for preinitiation complex formation and transcription cycling. SETD5 dysregulation has been linked to stem cell-like properties in some cancer types; however, the role of SETD5 in cancer cell stemness has not yet been determined. We here show that aberrant SETD5 overexpression induces stemness in colorectal cancer (CRC) cells. SETD5 overexpression causes the upregulation of PI3K-AKT pathway-related genes and cancer stem cell (CSC) markers such as CD133, Kruppel-like factor 4 (KLF4), and estrogen-related receptor beta (ESRRB), leading to the gain of stem cell-like phenotypes. Our findings also revealed a functional relationship between SETD5, OGT, and Pol II. OGT-catalyzed Pol II glycosylation depends on SETD5, and the SETD5-Pol II interaction weakens in OGT-depleted cells, suggesting a SETD5-OGT-Pol II interdependence. SETD5 deficiency reduces Pol II occupancy at PI3K-AKT pathway-related genes and CD133 promoters, suggesting a role for SETD5-mediated Pol II recruitment in gene regulation. Moreover, the SETD5 depletion nullified the SETD5-induced stemness of CRC cells and Pol II O-GlcNAcylation. These findings support the hypothesis that SETD5 mediates OGT-catalyzed O-GlcNAcylation of RNA Pol II, which is involved in cancer cell stemness gain via CSC marker gene upregulation.


Assuntos
Neoplasias Colorretais , RNA Polimerase II , Humanos , RNA Polimerase II/genética , RNA Polimerase II/metabolismo , Fosfatidilinositol 3-Quinases/genética , Fosfatidilinositol 3-Quinases/metabolismo , Proteínas Proto-Oncogênicas c-akt/metabolismo , N-Acetilglucosaminiltransferases/metabolismo , Neoplasias Colorretais/genética , Catálise , Processamento de Proteína Pós-Traducional , Metiltransferases/metabolismo
8.
Skin Res Technol ; 29(9): e13466, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37753681

RESUMO

BACKGROUND: Polynucleotides (PN) are increasingly used for the treatment of facial erythema in the Republic of Korea. However, there are limited pre-clinical and clinical data on the efficacy of polynucleotides for facial erythema. In this study, we investigated the current practice and perceived effectiveness of polynucleotide treatment for facial erythema among cosmetic physicians. METHODS: By conducting a survey among clinicians who use PN in clinical practice, we explored the current practices and assessed the perceived effectiveness of polynucleotides in treating facial erythema. RESULTS: A total of 557 physicians who used polynucleotides for facial erythema participated in the survey. Polynucleotides were used by 84.4%, 66.4%, and 47.4% of physicians for facial erythema caused by inflammatory facial dermatosis, repeated laser/microneedle radiofrequency, and steroid overuse, respectively. Among those users, 88.1%, 90%, and 83.7% respectively in those same categories answered that polynucleotides were "highly effective" or "effective." Furthermore, they agreed that polynucleotides have the following properties: wound healing/regeneration (95.8%), protection of skin barrier (92.2%), hydration (90.5%), vascular stabilization (81.0%), and anti-inflammation (79.5%). CONCLUSION: Our findings showed that cosmetic physicians in the Republic of Korea have used PN as a part of combination treatment for facial erythema resulting from inflammatory facial dermatosis and repeated laser/ microneedle radiofrequency, rather than from steroid overuse. Also, most clinicians agreed that PN was effective for treatment of facial erythema. Given the lack of pre-clinical and clinical trial evidence, the empirical responses of practicing physicians provide useful information to guide clinical practice and further research.


Assuntos
Cosméticos , Dermatoses Faciais , Humanos , Resultado do Tratamento , Eritema/tratamento farmacológico , Eritema/etiologia , Cicatrização , Esteroides
9.
Microbiol Spectr ; : e0165523, 2023 Sep 26.
Artigo em Inglês | MEDLINE | ID: mdl-37750684

RESUMO

The coronavirus disease 2019 pandemic persisted for 3 years and is now transitioning to endemicity. We illustrated the change in group immunity induced by vaccination (monovalent vaccines) and breakthrough infections (BIs) in a healthcare worker (HCW) cohort. Five sampling points were analyzed: before the third dose and 1, 3, 5, and 8 months after the vaccination. The last two points corresponded roughly to 1 and 4 months after omicron BA.1/BA.2 BI. A semi-quantitative anti-spike binding antibody (Sab) assay and plaque reduction neutralization test (PRNT) against circulating variants were conducted. A linear regression model was utilized to deduce correlation equations. Baseline characteristics and antibody titers after the third dose were not different between 106 HCWs with or without BI (54/52). One month after the third dose, BA.1 PRNT increased with wild-type (WT), but 3 months after the third dose, it decreased more rapidly than WT PRNT. After BI, BA.1 PRNT increased robustly and waned slower than WT. A linear equation of waning kinetics was deduced between log10Sab and months, and the slope became gradual after BI. The estimated BA.5 PRNT titers at the beginning of the BA.5 outbreak were significantly higher than the BA.1 PRNT titers of the initial BA.1/BA.2 wave, which might be associated with the smaller size of the BA.5 wave. BA.1/BA.2 BI after the third dose elicited robust and broad neutralizing activity, preferentially maintaining cross-neutralizing longevity against BA.1 and BA.5. The estimated kinetics provide an overview of group immunity through the third vaccination and BA.1/BA.2 BI, correlating with the actual outbreaks. IMPORTANCE This study analyzed changes in group immunity induced by coronavirus disease 2019 (COVID-19) vaccination and BA.1/BA.2 breakthrough infections (BIs) in a healthcare worker cohort. We investigated the longitudinal kinetics of neutralizing antibodies against circulating variants and confirmed that BA.1/BA.2 BIs enhance the magnitude and durability of cross-neutralization against BA.1 and BA.5. Correlation equations between semi-quantitative anti-spike antibody and plaque reduction neutralization test titers were deduced from the measured values using a linear regression model. Based on the equations, group immunity was estimated to last up to 11 months following the third dose of the COVID-19 vaccine. The estimated group immunity suggests that the augmented immunity and flattened waning slope through BI could correlate with the overall outbreak size. Our findings could provide a better understanding to establish public health strategies against future endemicity.

10.
STAR Protoc ; 4(4): 102609, 2023 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-37742181

RESUMO

Alpha-synuclein (α-syn) aggregation is a principal factor in Parkinson's disease (PD) onset. Here, we present a protocol for optogenetic induction of α-syn aggregation in human midbrain dopaminergic (mDA) neurons, facilitating a detailed PD pathology study. We describe steps for nucleofection of the opto-α-syn construct, single colony selection and validation, alongside mDA neuron differentiation and rapid induction of toxic α-syn aggregates via blue light. This establishes a potent human induced pluripotent-stem-cell-based platform for PD drug testing and validation. For complete details on the use and execution of this protocol, please refer to Kim et al. (2023).1.


Assuntos
Doença de Parkinson , Humanos , Doença de Parkinson/genética , Doença de Parkinson/patologia , alfa-Sinucleína/genética , alfa-Sinucleína/metabolismo , Neurônios Dopaminérgicos/metabolismo , Optogenética , Mesencéfalo/metabolismo
11.
Adv Sci (Weinh) ; 10(27): e2302701, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37485641

RESUMO

A huge concern on global climate/energy crises has triggered intense development of radiative coolers (RCs), which are promising green-cooling technologies. The continuous efforts on RCs have fast-tracked notable energy-savings by minimizing solar absorption and maximizing thermal emission. Recently, in addition to spectral optimization, ceramic-based thermally insulative RCs are reported to improve thermoregulation by suppressing heat gain from the surroundings. However, a high temperature co-firing process of ceramic-based thick film inevitably results in a large mismatch of structural parameters between designed and fabricated components, thereby breaking spectral optimization. Here, this article proposes a scalable, non-shrinkable, patternable, and thermally insulative ceramic RC (SNPT-RC) using a roll-to-roll process, which can fill a vital niche in the field of radiative cooling. A stand-alone SNPT-RC exhibits excellent thermal insulation (≈0.251 W m-1  K-1 ) with flame-resistivity and high solar reflectance/long-wave emissivity (≈96% and 92%, respectively). Alternate stacks of intermediate porous alumina/borosilicate (Al2 O3 -BS) layers not only result in outstanding thermal and spectral characteristics, causing excellent sub-ambient cooling (i.e., 7.05 °C cooling), but also non-shrinkable feature. Moreover, a perforated SNPT-RC demonstrates its versatility as a breathable radiative cooling shade and as a semi-transparent window, making it a highly promising technology for practical deployment in energy-saving architecture.

12.
Cell Stem Cell ; 30(7): 973-986.e11, 2023 07 06.
Artigo em Inglês | MEDLINE | ID: mdl-37339636

RESUMO

Human induced pluripotent stem cells (hiPSCs) offer advantages for disease modeling and drug discovery. However, recreating innate cellular pathologies, particularly in late-onset neurodegenerative diseases with accumulated protein aggregates including Parkinson's disease (PD), has been challenging. To overcome this barrier, we developed an optogenetics-assisted α-synuclein (α-syn) aggregation induction system (OASIS) that rapidly induces α-syn aggregates and toxicity in PD hiPSC-midbrain dopaminergic neurons and midbrain organoids. Our OASIS-based primary compound screening with SH-SY5Y cells identified 5 candidates that were secondarily validated with OASIS PD hiPSC-midbrain dopaminergic neurons and midbrain organoids, leading us to finally select BAG956. Furthermore, BAG956 significantly reverses characteristic PD phenotypes in α-syn preformed fibril models in vitro and in vivo by promoting autophagic clearance of pathological α-syn aggregates. Following the FDA Modernization Act 2.0's emphasis on alternative non-animal testing methods, our OASIS can serve as an animal-free preclinical test model (newly termed "nonclinical test") for the synucleinopathy drug development.


Assuntos
Células-Tronco Pluripotentes Induzidas , Neuroblastoma , Doença de Parkinson , Humanos , alfa-Sinucleína/genética , alfa-Sinucleína/metabolismo , Neurônios Dopaminérgicos/metabolismo , Células-Tronco Pluripotentes Induzidas/metabolismo , Neuroblastoma/metabolismo , Neuroblastoma/patologia , Optogenética , Doença de Parkinson/genética
13.
J Exp Clin Cancer Res ; 42(1): 121, 2023 May 12.
Artigo em Inglês | MEDLINE | ID: mdl-37170124

RESUMO

BACKGROUND: The repressor element-1 silencing transcription factor (REST), a master transcriptional repressor, is essential for maintenance, self-renewal, and differentiation in neuroblastoma. An elevated expression of REST is associated with impaired neuronal differentiation, which results in aggressive neuroblastoma formation. E3 ligases are known to regulate REST protein abundance through the 26 S proteasomal degradation pathway in neuroblastoma. However, deubiquitinating enzymes (DUBs), which counteract the function of E3 ligase-mediated REST protein degradation and their impact on neuroblastoma tumorigenesis have remained unexplored. METHODS: We employed a CRISPR/Cas9 system to perform a genome-wide knockout of ubiquitin-specific proteases (USPs) and used western blot analysis to screen for DUBs that regulate REST protein abundance. The interaction between USP3 and REST was confirmed by immunoprecipitation and Duolink in situ proximity assays. The deubiquitinating effect of USP3 on REST protein degradation, half-life, and neuronal differentiation was validated by immunoprecipitation, in vitro deubiquitination, protein-turnover, and immunostaining assays. The correlation between USP3 and REST expression was assessed using patient neuroblastoma datasets. The USP3 gene knockout in neuroblastoma cells was performed using CRISPR/Cas9, and the clinical relevance of USP3 regulating REST-mediated neuroblastoma tumorigenesis was confirmed by in vitro and in vivo oncogenic experiments. RESULTS: We identified a deubiquitinase USP3 that interacts with, stabilizes, and increases the half-life of REST protein by counteracting its ubiquitination in neuroblastoma. An in silico analysis showed a correlation between USP3 and REST in multiple neuroblastoma cell lines and identified USP3 as a prognostic marker for overall survival in neuroblastoma patients. Silencing of USP3 led to a decreased self-renewal capacity and promoted retinoic acid-induced differentiation in neuroblastoma. A loss of USP3 led to attenuation of REST-mediated neuroblastoma tumorigenesis in a mouse xenograft model. CONCLUSION: The findings of this study indicate that USP3 is a critical factor that blocks neuronal differentiation, which can lead to neuroblastoma. We envision that targeting USP3 in neuroblastoma tumors might provide an effective therapeutic differentiation strategy for improved survival rates of neuroblastoma patients.


Assuntos
Neuroblastoma , Fatores de Transcrição , Animais , Humanos , Camundongos , Diferenciação Celular/genética , Transformação Celular Neoplásica/genética , Sistemas CRISPR-Cas , Neuroblastoma/genética , Neurônios/fisiologia , Fatores de Transcrição/metabolismo , Ubiquitina-Proteína Ligases/metabolismo , Proteases Específicas de Ubiquitina/metabolismo , Ubiquitinação
14.
Stem Cell Res Ther ; 14(1): 41, 2023 03 16.
Artigo em Inglês | MEDLINE | ID: mdl-36927793

RESUMO

Extensive efforts have been made to achieve vascular regeneration accompanying tissue repair for treating vascular dysfunction-associated diseases. Recent advancements in stem cell biology and cell reprogramming have opened unforeseen opportunities to promote angiogenesis in vivo and generate autologous endothelial cells (ECs) for clinical use. We have, for the first time, identified a unique endothelial-specific transcription factor, ETV2/ER71, and revealed its essential role in regulating endothelial cell generation and function, along with vascular regeneration and tissue repair. Furthermore, we and other groups have demonstrated its ability to directly reprogram terminally differentiated non-ECs into functional ECs, proposing ETV2/ER71 as an effective therapeutic target for vascular diseases. In this review, we discuss the up-to-date status of studies on ETV2/ER71, spanning from its molecular mechanism to vasculo-angiogenic role and direct cell reprogramming toward ECs. Furthermore, we discuss future directions to deploy the clinical potential of ETV2/ER71 as a novel and potent target for vascular disorders such as cardiovascular disease, neurovascular impairment and cancer.


Assuntos
Doenças Cardiovasculares , Células Endoteliais , Humanos , Células Endoteliais/metabolismo , Fatores de Transcrição/genética , Fatores de Transcrição/metabolismo , Regulação da Expressão Gênica , Diferenciação Celular
15.
Appl Radiat Isot ; 194: 110718, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-36780765

RESUMO

The purpose of this study is to apply a probabilistic method to derive the derived concentration guideline levels for decommissioning of Korea Research Reactor 1 and 2. A total of seven parameters were found to be the sensitive parameters of the target nuclides. The DCGLs of Co-60 and H-3 were 0.063 Bq/g and 85.470 Bq/g, respectively. The concentrations of the gamma ray-emitting nuclides in the actual reactor sites were 7.7-215 times lower than the derived DCGLs for gamma ray-emitting nuclides.

16.
ACS Appl Mater Interfaces ; 15(3): 4477-4486, 2023 Jan 25.
Artigo em Inglês | MEDLINE | ID: mdl-36633500

RESUMO

Owing to the advancement of security technologies, several encryption methods have been proposed. Despite such efforts, forging artifices is financially and somatically becoming a constraint for individuals and society (e.g., imprinting replicas of luxury goods or directly life-connected medicines). Physically unclonable functions (PUFs) are one of the promising solutions to address these personal and social issues. The unreplicability of PUFs is a crucial factor for high security levels. Here, this study proposes a visually hidden and self-assembled porous polymer (VSPP) as a tag for optical PUF systems. The VSPP has virtues in terms of wavelength dependency, lens-free compact PUF system, and simple/affordable fabrication processes (i.e., spin coating and annealing). The VSPP consists of an external saturated surface, which covers the inner structures, and an internally abundant porous layer, which triggers stochastic multiple Mie scattering with wavelength dependency. We theoretically and experimentally validate the unobservability of the VSPP and the uniqueness of optical responses by image sensors. Finally, we establish a wavelength-dependent PUF system by using the following three components: solid-state light sources, a VSPP tag, and an image sensor. The captured raw images by the sensor serve as "seed" for unique bit sequences. The robustness of our system is successfully confirmed in terms of bit uniformity (∼0.5), intra/interdevice Hamming distances (∼0.04/∼0.5), and randomness (using NIST test).

17.
STAR Protoc ; 4(1): 102017, 2023 03 17.
Artigo em Inglês | MEDLINE | ID: mdl-36638013

RESUMO

A mouse model of hindlimb ischemia is an important tool for studying diverse therapeutic approaches for vascularization with high surgical success and low mortality rates. Here, we present a protocol for the induction of hindlimb ischemia in mice, including the surgery procedure and steps to analyze blood perfusion in the ischemic area using a laser speckle contrast analyzer. We also detail the isolation of endothelial cells from thigh muscles using flow cytometry after ischemic surgery. For complete details on the use and execution of this protocol, please refer to Park et al. (2016).1.


Assuntos
Células Endoteliais , Neovascularização Fisiológica , Camundongos , Animais , Neovascularização Fisiológica/fisiologia , Isquemia/terapia , Músculo Esquelético , Membro Posterior
18.
Small Methods ; 7(3): e2201407, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36642787

RESUMO

Halide perovskites have potential for use in next-generation low-cost, high-efficiency, and highly color-pure light-emitting diodes (LED) that can be used in various applications, such as flat and flexible displays and solid-state lighting. However, they still lag behind other mature technologies, such as organic LEDs and inorganic LEDs, in terms of performance, particularly brightness. This lag is partly due to the insulating nature of the long-chain organic ligands used to control the perovskite-film morphology. Herein, a 1-butyl-3-methylimidazolium tetrafluoroborate ionic liquid (IL) is incorporated as a potential additive with CsPbBr3 perovskite precursors, which results in a super-bright green perovskite light emitting diode (PeLED) achieving a peak luminance of 3.28 × 105  cd m-2 only at a bias voltage of 6 V, with a peak external quantum efficiency of 13.75%. This achievement is the outcome of multirole support from IL that simultaneously enables superior control over the perovskite-film morphology, passivates defects, modifies the band energy levels, and prevents ion migration. Hence, this work demonstrates IL as a novel alternative additive with the potential to outperform conventional long-chain ligands in high-performance PeLED device fabrication.

20.
Artigo em Inglês | MEDLINE | ID: mdl-36012006

RESUMO

Intradialytic hypotension (IDH) is a common side effect that occurs during hemodialysis and poses a great risk for dialysis patients. Many studies have been conducted so far to predict IDH, but most of these could not be applied in real-time because they used only underlying patient information or static patient disease information. In this study, we propose a multilayer perceptron (MP)-based IDH prediction model using heart rate (HR) information corresponding to time-series information and static data of patients. This study aimed to validate whether HR differences and HR slope information affect real-time IDH prediction in patients undergoing hemodialysis. Clinical data were collected from 80 hemodialysis patients from 9 September to 17 October 2020, in the artificial kidney room at Yeungnam University Medical Center (YUMC), Daegu, South Korea. The patients typically underwent hemodialysis 12 times during this period, 1 to 2 h per session. Therefore, the HR difference and HR slope information within up to 1 h before IDH occurrence were used as time-series input data for the MP model. Among the MP models using the number and data length of different hidden layers, the model using 60 min of data before the occurrence of two layers and IDH showed maximum performance, with an accuracy of 81.5%, a true positive rate of 73.8%, and positive predictive value of 87.3%. This study aimed to predict IDH in real-time by continuously supplying HR information to MP models along with static data such as age, diabetes, hypertension, and ultrafiltration. The current MP model was implemented using relatively limited parameters; however, its performance may be further improved by adding additional parameters in the future, further enabling real-time IDH prediction to play a supporting role for medical staff.


Assuntos
Hipotensão , Falência Renal Crônica , Frequência Cardíaca , Humanos , Hipotensão/epidemiologia , Hipotensão/etiologia , Falência Renal Crônica/etiologia , Redes Neurais de Computação , Diálise Renal/efeitos adversos
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