췌장고형종양의 초음파 내시경(endoscopic ultrasound, EUS) 유도하 조직 검사는 기술적 난이도가 높고 침습적이기 때문에 임상에서의 적절한 사용을 위해 엄격한 권고안을 필요로 한다. 이에 대한소화기내시경학회에서는 췌장고형종양의 초음파 내시경 유도하 조직 검사를 위한 임상진료지침을 개발하기 위해 진료지침 개발위원회를 발족하였다. 권고안의 등급과 개별 권고안의 근거 수준은 2014년 출판된 임상진료지침 개발을 위한 Minds Handbook에서 제시된 체계에 기반하여 평가하였다. 본 진료지침 개발위원회는 초음파 내시경 분야의 전문가 16인과 임상진료지침 개발방법론 전문가 1인으로 구성되었으며, 8개 분야에 걸쳐 총 12건의 근거 기반 권고안을 개발하여 췌장고형종양 진단 시 임상의들이 근거에 기반한 임상적 판단을 할 수 있도록 돕고자 하였다. 본 임상 진료지침은 췌장고형종양에서 초음파 내시경 유도하 조직 검사에 대해 다루고 있으며, 권고안에서는 해당 검사의 적응증, 진단 정확도를 최대화하기 위한 기술적 방법론(예: 바늘의 종류 및 직경의 적절한 선택, 충분한 바늘천자횟수, 조직 획득 기술적 방법론, 검체 처리 방법), 시술 관련 합병증, 그리고 숙련도와 교육에 관련된 문제들에 대해 다루고 있다. 본 진료지침은 외부 전문가의 검토를 거쳤으며, 원고작성 시점까지 보고된 가능한 모든 최신 근거들에 기반하여 최선의 진료 방법을 권고하고 있다. 그러나 모든 임상 상황에 본 진료지침을 일괄적으로 적용할 수는 없으며, 기관의 법적/행정적 상황 및 환자의 개별 임상적 상황과 해당 자원의 가용성 등을 고려하여야 한다. 추후 내시경적 기술의 발전과 이로 인한 변화, 임상에서의 최신 근거를 토대로 본 진료지침이 개정될 수 있다.

Due to lack of established operating conditions, the swine manure management process circulates bio-liquor between the slurry pit and the bioreactor process cannot be effectively used yet. Therefore, a lab scale study comprising a single bio-reactor and slurry pit was conducted to investigate the optimal operating conditions. The main experiment was performed after conducting a preliminary study on the operating conditions. In the preliminary study, the volume ratio of the bioreactor to the slurry pit was fixed at 1 and hydraulic retention time (HRT) of the bioreactor was set as 5, 10 and 15 d. In the main experiment, the HRT of the bioreactor was fixed at 5 d based on preliminary results and the ratio of bioreactor to slurry pit was set at 1:3, 1:5, 1:7 and 1:10. Since, a decrease in bioreactor performance occurred when NH4-N loading rate reached 60 g/m3/d, the loading rate of NH4-N was required to be maintained below 55 g/m3/d to achieve stable operation. Although manure excretion can definitely increase the loading rate into the bioreactor as well as NH4-N concentration in the slurry pit, the NH4-N in slurry pit can be kept consistent with the circulation rate above 9.5Q (ratio to manure excretion). The optimal volume ratio of the bioreactor to the slurry pit and HRT of the bioreactor to fulfill these operating conditions was 1:3 and 5d, respectively. Notably, studying of the individual farm situation is very important to establish an ideal method to apply the optimal operation conditions suggested in this study.

Although thin-film nanocomposite membranes (TFNs) have paved the way to develop high-performance reverse osmosis (RO) membranes, scale-up production of TFNs is still challenging issue. Herein, we introduced a novel preparation method for TFNs using spray-assisted nanofiller pre-deposition (Spray method) to circumvent the limitations in conventional method. The precise control of nanofiller (ZIF-8) loading was possible by simply varying the spraying ZIF-8 concentration. Most importantly, TFNs prepared by both Spray and conventional method showed similar RO performances, while Spray method only requires ~100 times minimized amount of ZIF-8 with an unprecedentedly short deposition time (< 1 min) ever reported. Our results revealed that Spray method would be promising for the scale-up of TFNs in terms of cost, time, and controllability.

해리슨 내과학에 의사에게 요구되는 세 가지 덕목 중 하나로 인간 이해를 소개하면서, 진정한 의사에게는 ‘Shakespearean breadth‘가 필요하다고 강조하였다. 최근 췌장 및 담도 질환 에서는 담낭 담석의 지속적 증가, 환자의 사연과 췌장-담도 질환과의 연관성, 자가면역 질환의 증가, 치료 후 높은 재발률 등 인간 이해가 요구되는 보고가 늘어났다. 이에 췌장 및 담도 질환의 발병기전을 인간의 습관 고리 및 적응 반응까지도 포함한 전체적이고 근원적으로 파악하여, ‘인간 이해를 고려한 췌장 및 담도 질환의 발병 모델’을 제시한다.

Polyamide (PA) thin-film composite (TFC) membranes consisting of m-phenylenediamine (MPD) and trimesoylchloride (TMC)　monomers have been widely used in desalination process for decades. Still, a rational design of PA TFC membranes by tailoring monomer species and concentration could further reduce the energy consumption in desalination process. In this study, we prepared PA TFC membranes using mixed amine monomer depends on the number of -NH₂group and investigated the desalination performance of prepared membranes. The crosslinking between amine and acyl chloride group was confirmed by infrared spectroscopy regardless of amine species. Surface morphologies which were characterized using scanning electron microscopy (SEM) and atomic force microscopy (AFM) showed increased surface roughness.

Porcine spermatogonial stem cells (SSCs) prefer three-dimensional (3D) culture systems to 2D ones for the maintenance of self-renewal. Of the many 3D culture systems, agar-based hydrogels are candidates for supporting porcine SSC self-renewal, and there are various types of agar powder that can be used. In this study, we sought to identify an agar-based 3D hydrogel system that exhibited strong efficacy in the maintenance of porcine SSC self-renewal. First, 3D hydrogels with different mechanics were prepared with various concentrations of Bacto agar, lysogeny broth (LB) agar, and agarose powder, and the 3D hydrogel with the strongest alkaline phosphatase (AP) activity and greatest increase in colony size was identified for the different types of agar powder. Second, among the porcine SSCs cultured in the different 3D hydrogels, we analyzed the colony formation, morphology, and size; AP activity; and transcription and translation of porcine SSC-related genes, and these were compared to determine the optimal 3D hydrogel system for the maintenance of porcine SSC self-renewal. We found that 0.6% (w/v) Bacto agar-, 1% (w/v) LB agar-, and 0.2% (w/v) agarose-based 3D hydrogels showed the strongest maintenance of AP activity and the most pronounced increase in colony size in the culture of porcine SSCs. Moreover, among these hydrogels, the strongest transcription and translation of porcine SSC-related genes and largest colony size were detected in porcine SSCs cultured in the 0.2% (w/v) agarose-based 3D hydrogel, whereas there were no significant differences in colony formation and morphology. These results demonstrate that the 0.2% (w/v) agarose-based 3D hydrogel can be effectively used for the maintenance of porcine SSC self-renewal.

Zeolitic imidazolate framework-8 (ZIF-8) has drawn attention as a nanofiller for thin-film nanocomposite (TFN) reverse osmosis (RO) membranes to improve desalination performance due to their high porosity and high surface area. Although a few studies on ZIF-8 embedded TFNs have been reported, size effects of ZIF-8 particles on TFNs have not yet been studied. In this work, TFNs incorporated with different sizes of ZIF-8 (small, middle, large) were prepared and the ZIF-8 particles were characterized using electron microscopy and XRD. All of TFNs incorporated with ZIF-8 showed a higher water permeance without losing NaCl rejection compared to the bare RO membranes. Remarkably, TFNs with middle size of ZIF-8 represented the highest water permeance, which is attributed to the highest volume fraction of ZIF-8 filler in polyamide matrix.

Thin-film nanocomposite (TFN) reverse osmosis (RO) membranes have drawn keen attention to overcome the limitations in polymeric desalination membranes. However, preparation of TFN-RO membranes using conventional protocol involves problems such as a waste of expensive nanomaterials and inaccurate control of loading amount. In this work, we suggest a new protocol of TFN-RO membranes through pre-adsorption of carbon nanotubes (CNTs) on the support layer using spray coating. SEM images of spray coated supports showed well-dispersed adsorption of CNTs compared with those using conventional method. RO performances of TFN membranes using spray coating were comparable to conventionally prepared membranes. Thus, this new protocol is useful to prepare TFN membranes in terms of cost-efficiency.

Owing to high energy efficiency and superior efficacy, membrane-based desalination processes have gained widespread implementation in a wide variety of water treatment applications. Tremendous research efforts on new membrane materials have been made to improve the separation performance of the state-of-the-art thin-film composite (TFC) membranes, particularly polyamide TFC membranes, hoping to overcome the permeability-selectivity trade-off relations. Currently, many nanomaterials such as zeolites, metal-organic frameworks (MOFs), graphene oxide (GO), and carbon nanotubes (CNTs) have been explored to enhance the separation performance of existing polymeric membranes, but it has been argued that the positive transformation of nanomaterials-embedded TFC membranes hold promising potential to realize the sustainable development of current desalination membranes. Here we have tried to discuss some misconceptions and challenging items delaying industrial-scale implementation of nanomaterialsembedded desalination membranes.

The objective of this study was to investigate the effects of a lettuce (Lactuca sativa L.) extract on the inflammation of human umbilical vein endothelial cell (HUVEC) and blood lipid improvement in hypercholesterolemic mice fed a high cholesterol diet. The lettuce extract (100% ethanol extract) inhibited the expression of intercellular adhesion molecule-1 and vascular cell adhesion molecule-1 in HUVEC treated with tumor necrosis factor-α (TNF-α). The lettuce extract suppressed the adhesion of THP-1 to TNF-α-treated HUVEC. The lettuce extract decreased the TNF-α-stimulated production of proinflammatory cytokine interleukin-6, interleukin-8 and chemokine monocyte chemotactic protein 1. In hypercholesterolemic mice, the lettuce extract reduced serum total cholesterol, triglyceride, and low-density lipoprotein-cholesterol level, while the lettuce extract elevated high-density lipoprotein-cholesterol level, resulting in the decrease of atherogenic index and cardiac risk factor level. These results suggested that lettuce extract can be an useful resource to show an anti-inflammatory effect and improve lipid metabolism

최근 폴리아마이드 선택층에 나노물질을 혼합하여 해수담수화 성능을 높이고자 하는 연구가 활발히 이루어지고 있다. 본 총설은 역삼투 분리막 해수담수화 공정에서의 에너지 효율 향상을 위한 우수한 성능을 가진 폴리아마이드 기반 나 노복합막을 소개하고자 한다. 그래핀 옥사이드 및 탄소나노튜브와 같은 탄소나노물질 및 제올라이트, 실리카 나노입자 등의 다양한 나노물질들이 기존 폴리아마이드의 투과분리성능을 높이기 위해 적용되고 있다. 본 총설에서는 최근 연구 중인 각 나 노소재별 성능향상 특장점을 소개하고, 더 높은 성능을 갖는 나노복합막 제조를 위한 연구방향을 제시하고자 한다.