1 Antibodies directed at targets surrounding the receptor-binding

1 Antibodies directed at targets surrounding the receptor-binding pocket of the HA can block binding, and are the best-defined correlate of influenza immunity. Serum concentrations of antibodies that block receptor binding are traditionally measured using the hemagglutination inhibition (HI) assay, and HI titers of between 18 and 40 are associated with a 50% reduction in infection risk.2, 3, signaling pathway 4, 5, 6, 7 and 8 However, the determinants of immunity to influenza in humans remain incompletely understood, with HI antibodies providing only a partial explanation. Indeed, in his seminal paper describing

the protective effect of pre-existing HI antibodies on H3N2 and B infection, Hobson noted that people with no detectable HI antibodies may be resistant to infection,3 and it is well recognized that immunity to infection can span major

antigenic variants within a subtype.9, 10, 11, 12 and 13 When H1N1 re-emerged in 1977 after an absence of 20 years, resistance to infection in people aged over 20 years was not dependent on HI antibodies6 and 10 and in 2009, adults in several Asian countries experienced low rates of pandemic H1N1 infection despite the virtual absence of detectable homologous HI antibodies.12, 13, 14, 15 and 16 Influenza viruses have a high potential for genetic and antigenic diversity, and influenza epidemiology is characterized by regular epidemics of antigenically distinct strains.17 Since the binding region of the HA1 protein is a key target for neutralising antibodies, it is under intense immune-mediated positive selection pressure, resulting in the acquisition and retention of amino acid substitutions learn more that favor escape from immunity. However, the rate of antigenic

evolution of the HA1 differs between subtypes, with H3N2 evolving faster than H1N1,18 and 19 an observation for which STK38 there is considerable uncertainty over the mechanisms underlying this difference.20 We set out to re-examine the contribution of serum HI antibody to protection against natural influenza infection in an unvaccinated Vietnamese cohort followed over three consecutive influenza transmission periods, which included re-circulating strains, new antigenic variants, and the first wave of the 2009 H1N1 pandemic. The research was approved by the institutional review board of the National Institute of Hygiene and Epidemiology, Vietnam; the Oxford Tropical Research Ethics Committee, University of Oxford, UK; and the Ethics Committee of the London School of Hygiene and Tropical Medicine, UK. All participants provided written informed consent. The procedures for selecting the study site and for selecting and investigating individual participants are described in detail elsewhere.21 In brief, households in Thanh Ha commune, Thanh Liem District, Ha Nam Province, Viet Nam were selected at random. This semi-rural commune is in the Red-River delta around 60 km from Hanoi. 940 members of 270 randomly selected households consented and were enrolled.

During the negotiations for the proposal that has become the MSFD

During the negotiations for the proposal that has become the MSFD, many attempts by the Parliament to strengthen the environmental commitments were rejected by the Council, including the compulsory designation of MPAs [6]. Under the co-decision procedure, the Parliament has the power to challenge the position of the Council, and the latter cannot adapt legislation

without the agreement of the Parliament. In the on-going negotiations for the CFP reform, a draft report of the Parliament’s Fisheries Committee has proposed compulsory targets for the designation of a coherent network of fish stock recovery areas amounting to between 10% and 20% of territorial waters in each Member State EPZ5676 [46]. Such a proposal is considered to be beneficial to both fisheries and biodiversity conservation in a recent report commissioned by the Parliament Y-27632 in vivo [47], though whether these ambitious and potentially controversial

fish stock recovery areas are implemented remains to be seen. The timing and scope of the CFP reform therefore makes it an excellent test field for exploring whether potentially divergent interests—environmental, socio-economic and political—are represented and balanced in a way that reflects greater transparency and democratic values, a change that the co-decision procedure aims to introduce. Although widely recognised as a means towards achieving integrated marine planning and management, MSP is sometimes introduced and/or implemented in a way that the result will have positive implications for the development of some sectors, Urease which are often of strategic importance to the country concerned [28]. In the EU, the entry into force of the MSFD and the Renewable Energy Directive provides

a driving force for the designation of MPAs and the development of marine renewable energy, particularly wind farms, across Europe, which may claim extensive marine areas and lead to a ‘race for space’ in the marine environment. For example, both the German and British Governments have launched processes to expand MPA networks. Nominated Natura 2000 sites in Germany cover about 30% of the country’s EEZ [48], and recommended Marine Conservation Zones could increase the coverage of MPAs to 27% of English seas if they are implemented [49]. Both countries are also planning large-scale offshore marine renewable installations, which may (in the UK case) or may not (in the German case) co-locate with MPAs [29] and [50]. While marine spatial planning may have positive implications for the development of new sectors, as a means to promote strategically important sectors or industries, it often also results in the displacement of existing activities.

Based on the data from general population, cIMT showed a slightly

Based on the data from general population, cIMT showed a slightly higher risk for stroke (hazard ratio, HR 1.32; 95% CI, 1.27–1.38) than for myocardial infarction (HR 1.26; 95% CI, 1.21–1.30). However, there are limitations to the interpretation of these results, especially concerning selleck inhibitor variable methodology, e.g. difference in definitions of carotid segments or the way the measurements were reported. Therefore the importance of following standardized cIMT protocols is emphasized for future studies. In the clinical trials, a systematic review and

meta-analysis of the effect of LDL-lowering by statins on the change of cIMT was examined [24]. Analysis of nine lipid-lowering trials showed a strong correlation between reduction of LDL and cIMT, with each 10% reduction in LDL-cholesterol accounting for a reduction of cIMT by 0.73% per year. Although the association of cIMT and increased risk of cardiovascular events has been established, there is still a lack of sufficient evidence to show whether lowering of cIMT will translate in the reduction in CVD. Furthermore, subclinical atherosclerosis is to some extend considered

a non-causal and nonspecific marker of atherosclerotic http://www.selleckchem.com/products/nu7441.html complications [2] and [25]. Diverse approaches for measuring cIMT and a lack of unified criteria for distinguishing early plaque formation from thickening of the cIMT might contribute to the fact of missing evidence on risk prediction. The implementation of standardized methods in the measurement of cIMT is necessary for further investigations

since cIMT depicts early atherosclerosis as well as nonatherosclerotic compensatory enlargement, with both phenotypes having a different impact on predicting vascular events [3] and [25]. Current studies on the effect of cardiovascular risk factors in conjunction with measures of atherosclerosis (cIMT and plaque) on risk prediction indicate a small but incremental effect for risk prediction of CVD. In the recent analysis from the community-based ARIC study among 13,145 subjects, approximately 23% individuals were Casein kinase 1 reclassified into a different risk category group after adding information on cIMT and carotid plaque [11]. Adding cIMT to traditional risk factors provided the most improvement in the area under the receiver-operating characteristic curve (AUC), which increased from 0.74 to 0.765. Adding plaque to the cIMT and traditional risk factors had however the best net reclassification index of 10% in the overall population. In the Cardiovascular Health Study, another population-based study among 5888 participants, the elevated CRP was associated with increased risk for CVD only among those individuals who had increased cIMT and plaque detectable on carotid ultrasound.

A number of computational methods have been reported for the iden

A number of computational methods have been reported for the identification of plant miRNAs [23], [24], [25] and [26]. Research on plants revealed that short sequences of mature miRNAs are conserved and exhibit high complementarity to their target mRNAs [24]. Hence, candidate miRNAs can be detected using their conserved complementarities to target mRNA if the mRNA target sequence is known. Conversely, it has also been shown that the secondary structures of miRNA precursors (pre-miRNAs)

are relatively more conserved than pri-miRNA sequences (the precursors of pre-miRNAs) INK 128 mw [27]. For instance, through sequence homology analysis, 30 potential miRNAs were predicted in cotton (Gossypium spp.) [28], and an additional 58 miRNAs were identified in wheat (Triticum aestivum L.) [29]. The majority of plant miRNAs studied to date are involved in regulating developmental processes [30] and [31] and they negatively regulate expression of their target genes at the post-transcriptional level. Computational methods for identifying miRNAs in plants are more rapid, less expensive, and easier than experimental procedures. However, these bioinformatics approaches can only Galunisertib in vivo identify miRNAs that are conserved across organisms, and any computationally predicted miRNAs should also be confirmed via experimental methods. The direct cloning of small RNAs from plants is one of the basic approaches

of miRNA discovery and has been used to isolate and clone small RNAs from various plant species such as Arabidopsis and rice [32], [33] and [34]. Many miRNAs are broadly expressed but can be detected only under Thalidomide certain environmental conditions, at different plant developmental stages, or in particular tissues. Therefore, plant samples from specific

times, different tissues, and different stress conditions (biotic and abiotic stress-induced) are used for miRNA cloning. The most common plant species used for direct cloning are Arabidopsis [31], [34] and [35], rice [36], cottonwood (Hibiscus tiliaceus) [37] and wheat [38]. The most important advantage of cloning small RNAs compared to computational approaches is the opportunity to find non-conserved and species-specific miRNAs. Efficient and appropriate miRNA detection and quantification methods are essential for understanding the function of a given miRNA under different conditions or in different tissues. In this study, we constructed a small RNA library to represent the full complement of individual small RNAs and characterized miRNA expression profiles in pooled developing ears of maize (Z. mays L.). In addition, we carried out functional predictions of the target genes of candidate miRNAs. The small RNA transcriptomes and mRNAs obtained in the study will help us gain a better understanding of the expression and function of small RNAs in developing maize kernels.

The hourly wind series result from a hindcast in which the region

The hourly wind series result from a hindcast in which the regional atmosphere model is driven with the NCEP/NCAR global re-analysis Etoposide in vivo in combination with spectral nudging. A detailed description of the atmosphere model and its validation are given by Weisse & Guenther (2007) and

Weisse et al. (2009). The hindcast wind series at five peninsula are analysed (Figure 1). The differences of wind time series among these points can be measured by the RMSE (Root Mean Square Error): equation(1) RMSEX,Y=∑i=1N(yi−Xi)2N,where XX = XXi, Y = yi are two separate data sets, each of N elements. By using the hourly wind series at Point 3 as the reference data, RMSE between the wind series at this point and other points are calculated and listed in Table 1. Here u represents Pexidartinib the east-west component of the wind (positive towards the

east) and v represents the north-south component of the wind (positive towards the north). Results indicate that the wind time series at these points are quite similar. As the hourly wind series at the five adjacent points are quite similar, we introduce here mainly the results of the statistical analysis at Point 3 as this point is closest to the western boundary of the local model, and statistical results indicate that the wind time series at Point 3 is closest to the mean value of the series at the five points (with a value of 0.34 ms−1 for the RMSE of component u   and 0.22 m s−1 for the RMSE of component v  ). Statistical results indicate that the southern Baltic Sea is dominated by westerly winds and the 50 year-averaged wind speed is 7.5 m s−1 in the Darss-Zingst area. The ratio of westerly winds (hours) to easterly winds (hours) is about 18:11. The distribution of wind directions of each month in this period shows that the winds in the Darss-Zingst area can be classified into four seasonal classes ( Figure 2). Each class has a

predominant distribution of wind direction. By combining the monthly average wind speed profiles, Class 1 (October, November, Palbociclib solubility dmso December, January and February) can be identified as a winter class with relatively strong wind conditions; the prevailing wind direction is WSW. Class 3 (June, July and August) can be identified as a summer class with mild wind conditions dominated by the WNW winds. Class 2 (March, April and May) and Class 4 (September) are transitional classes with moderate wind conditions. Class 2 is dominated by the East-West balanced winds and Class 4 is dominated by westerly winds. The Weibull distribution is utilized to analyse the wind strength.

The lateral dotted line in the graphic represents the cutoff of 4

The lateral dotted line in the graphic represents the cutoff of 40% of normal G6PD activity applied to separate those positive or negative for G6PD deficiency.

The graphic also shows the slightly lower frequency of false negatives among CSG, and the higher frequency of false positives, especially at levels immediately higher than 40% of normal G6PD activity. Table II lists the test outcomes and statistics for the sensitivity and specificity www.selleckchem.com/products/INCB18424.html of the FST and CSG when using ≤40% of normal G6PD activity as the threshold of positivity for G6PD deficiency. The analysis tends to affirm the trends seen in the scatter plot of Fig 3, that is, equality of sensitivity in the FST and CSG (90% vs 96%; P = 0.19) and lesser specificity in the CSG (89% vs 75%; P = 0.01). In brief, the CSG performed as well as the FST in detecting G6PD deficiency at ≤40% of normal, but more often misclassified higher levels of activity as positive for deficiency. Fig 4 and Fig 5 illustrate FST and CSG positivity across the range of G6PD activity levels that naturally occur among patients in both the hemizygous and heterozygous states. The essentially similar findings across CuCl treatments (either variable concentrations or variable proportions of treated

RBCs) affirm the dependence of qualitative diagnostic outcomes on net G6PD activity in RBC suspensions. In buy Tanespimycin other words, the presence of uninhibited G6PD enzyme did not overcome the effects of variable proportions of CuCl-inhibited G6PD enzyme. The model suggests that hemizygotes and heterozygotes will test as G6PD

deficient depending on the same net G6PD activity level, whether because of all RBCs being inhibited or some proportion of them. Findings in the experiments modeling the heterozygous state model suggest that both Nintedanib (BIBF 1120) the FST and CSG will perform inconsistently between the range of 40% and 70% of RBCs being G6PD deficient (at the approximately 10% of normal activity with 1.0-mM CuCl treatment). The odds of being classified as deficient increased in proportion to the diminishing net G6PD activity within that range. The laboratory findings reported here demonstrate noninferiority of a point-of-care screening device for G6PD deficiency (CSG) compared with a screening kit routinely used in the laboratory (FST). CSG has the enormous advantage over FST of appearing suitable for use in the impoverished rural tropics. The successful distribution and use of such a device may finally provide access to antirelapse therapy with primaquine to millions of patients otherwise suffering repeated attacks of acute vivax malaria. Definitive validation of that suitability and adequate diagnostic performance must await large scale, real world assessments in patients with G6PD deficiency and vivax malaria. The current laboratory findings lend to making the substantial investments required to do so.

Według Grupy Polskich Ekspertów, dostępne na naszym rynku spożywc

Według Grupy Polskich Ekspertów, dostępne na naszym rynku spożywcze produkty Proteasome inhibitor zawierających bakterie probiotyczne (kefiry, jogurty) nie wywierają działania protekcyjnego i nie zapobiegają biegunce związanej z antybiotykoterapią u dzieci [1]. W przypadku rzekomobłoniastego zapalenia jelita grubego brak jest obecnie badań dotyczących korzystnego działania profilaktycznego probiotyków u dzieci, a badania prowadzone wśród dorosłych są niejednoznaczne [10], [24] and [25].

Aktualnie brak wystarczających dowodów upoważniających do zalecenia stosowania probiotyków w leczeniu choroby przebiegającej z biegunką i związanej z zakażeniem Clostridium difficile [10], [26] and [27]. Zamierzeniem pracy było zwrócenie uwagi na fakt, że pomimo częstszego bezobjawowego nosicielstwa Clostridium difficile wśród najmłodszych dzieci w porównaniu z całą populacją, bakteria ta może być przyczyną jawnego klinicznie zakażenia pod postacią biegunki. Niejednokrotnie ze względu na stan ogólny dziecka lub/i brak poprawy po leczeniu ambulatoryjnym biegunka związana z zakażeniem Clostridium difficile wymaga leczenia szpitalnego z zastosowaniem różnych schematów leczenia CB-839 chemical structure (metronidazol i/lub wankomycyna). Aktualnie brak danych na protekcyjne działanie probiotyków

w zakażeniu Clostridium difficile, wydaje się że najlepszym działaniem profilaktycznym new powinno być stosowanie racjonalnej antybiotykoterapii w populacji wieku rozwojowego. Według kolejności. Nie występuje. Nie występuje. Treści przedstawione w artykule są zgodne z zasadami

Deklaracji Helsińskiej, dyrektywami EU oraz ujednoliconymi wymaganiami dla czasopism biomedycznych. Badania własne zostały przeprowadzone zgodnie z zasadami Dobrej Praktyki Klinicznej i zaakceptowane przez lokalną Komisję Bioetyki, a ich uczestnicy wyrazili pisemną zgodę na udział. “
“Infantile hemangiomas (IH) are neoplastic proliferations of endothelial cells, which grow after birth and usually regress spontaneously [1]. IH occur with an incidence of 10–12% within the first year of life, and female infants are three to four times more likely to suffer from IH as male infants [2]. IH can lead to deformities when they are located in the facial areas of the lip, nasal tip or the ear. IH can be life-threatening when present in the upper airways, brain and liver, by inducing acute respiratory failure and congestive heart failure [1] and [2]. Tumor involvement can be superficial, deep, or mixed. The majority of IH enlarge over 6–9 months and then spontaneously involute over 2–10 years. It is difficult to assess whether IH will continue growing or regress spontaneously. Often there are residual findings [1] and [2].

The remaining 30 animals (n = 5/each) were used to evaluate the a

The remaining 30 animals (n = 5/each) were used to evaluate the activity of antioxidant enzymes, GSH/GSSG ratio and RNS. 24 h after administration of paraquat or saline, the animals were sedated [diazepam (1 mg/kg, ip), anaesthetised [thiopental sodium (20 mg/kg, ip)], tracheotomised, paralysed (vecuronium Selleck GSK 3 inhibitor bromide, 0.005 mg/kg, iv), and ventilated with a constant flow ventilator (Samay VR15; Universidad de la Republica, Montevideo, Uruguay) with the following parameters: respiratory frequency of 100 breaths min−1, tidal volume (VT) of 0.2 mL, and fraction

of inspired oxygen of 0.21. During spontaneous breathing, the level of anaesthesia was assessed by evaluating the size and position of the pupil, its response to light, the position of the nictitating membrane, and the tone of jaw muscles.

After muscle relaxation, adequate depth of anaesthesia was assessed by evaluating pupil size and light reactivity ( Correa et al., selleck chemicals llc 2001). A positive end-expiratory pressure (PEEP) of 2 cmH2O was applied and the anterior chest wall was surgically removed. After a 10-min ventilation period, lung static elastance (Est,L), resistive (ΔP1,L) and viscoelastic (ΔP2,L) pressures were measured by the end-inflation occlusion method (Bates et al., 1985). All data were analysed using the ANADAT data analysis software (RHT-InfoData, Inc., Montreal, Quebec, Canada). The duration of the lung mechanics data collection was 30 min per animal. A laparotomy was done immediately after determination of lung mechanics, and heparin (1000 IU) was injected Tacrolimus (FK506) intravenously in the vena cava. The trachea was clamped at end expiration, and the abdominal aorta and vena cava were sectioned, yielding a massive haemorrhage that quickly killed the animals. The right lung was fixed with 10% buffered formaldehyde solution and paraffin embedded. Four-micrometre-thick slices (3/lung) were cut

and stained with haematoxylin-eosin. Lung morphometric analysis was performed using an integrating eyepiece with a coherent system consisting of a grid with 100 points and 50 lines (known length) coupled to a conventional light microscope (Olympus BX51, Olympus Latin America-Inc., Brazil). The volume fraction of the lung occupied by collapsed alveoli (alveoli with rough or plicate walls) or normal pulmonary areas, and the amount of polymorpho- and mononuclear cells and pulmonary tissue were determined by the point-counting technique (Weibel, 1990), made across 10 random non-coincident microscopic fields at a magnification of 200× and 1000×, respectively. Four animals in each group were used for determination of cytokine mRNA expression by using ribonuclease protection assay (RPA).

Between about 3500 and 2000 BP the Korean population grew apace,

Between about 3500 and 2000 BP the Korean population grew apace, and thriving communities of the Songgukri type hived off daughter villages and their surrounding fields into less densely populated lands farther and farther south until the new way of life spread all the way CAL-101 manufacturer down the Korean Peninsula and across the narrow Tsushima Strait into Japan (Rhee et al., 2007). The Middle Mumun culture complex that appeared in northern Kyushu and quickly spread northward is called Yayoi by Japanese archeologists but there is no

mistaking its Korean origins, and the cemeteries of Yayoi settlements in Kyushu and southern Honshu demonstrate distinctive skeletal differences between the new immigrants and the Jomon Japanese they intermarried with. A thoroughgoing amalgamation of originally separate Korean and Japanese peoples and cultures followed as Korean emigrants flowed into Japan over centuries, intermarrying with the Jomon Japanese and giving rise to a new hybrid Japanese population and culture

that grew and spread throughout the Japanese archipelago. The archeological site of Yoshinogari in Northern Kyushu, now a Japanese national park, offers a splendid recreation of the newly imported Mumun/Yayoi cultural pattern in Japan (Saga Prefecture Board of Education, 1990). The new continental wave had a lasting impact on Japan, but there was much continuity as well. Korean agriculture and metallurgy were new, but more ancient Japanese practices this website and values persisted. The genetic heritage of Jomon times remains forever part of the now-hybrid Japanese population (Hanihara, 1991, Hudson, 1999 and Omoto and Saitou, 1997), and various Jomon cultural and economic forms persisted for generations in the Tokyo region and beyond in northern Honshu and Hokkaido. Indeed, throughout the archipelago the ancient fishing and shell-fishing traditions of aboriginal Jomon Japan will always remain economically essential (Aikens, 1981, Aikens, Racecadotril 1992, Aikens, 2012,

Aikens and Higuchi, 1982, Aikens and Rhee, 1992, Akazawa, 1982, Akazawa, 1986, Hanihara, 1991, Omoto and Saitou, 1997 and Rhee et al., 2007). The Korea–Japan connection has been long lasting, with commerce and cultural exchange maintained continuously between peninsula and archipelago ever since these early days, as detailed by Rhee et al. (2007). State-level societies built on the new economic base soon appeared, and the Mumun-Yayoi cultural horizon was followed in both Korea and Japan by increasingly complex tomb cultures that led in Korea to the Goguryeo, Baekje, Silla, and Gaya States during the Three Kingdoms period (∼AD 300–668), and in Japan to a long Kofun Period (AD 250–538) of competing warlords, out of which came the founding of the first Yamato state at about AD 650.

The cytotoxic

effect of 20(S)-Rg3 in MCF-7 cells unexpect

The cytotoxic

effect of 20(S)-Rg3 in MCF-7 cells unexpectedly showed no significant difference. These results were consistent when Rg3 was treated in MDA-MB-453 cells (Figs. 4A, 4B). The results from flow cytometric analysis [i.e., fluorescence-activated cell sorting (FACS)] indicated that Rg5 significantly induced cell cycle arrest (Figs. 5A, 5B). This was further confirmed by the cell cycle assay with the data representing suppressed cell proliferation in MCF-7 cells after Rg5 treatment. Rg5 increased the number of cells in the G0/G1 phase and decreased the number of cells in the S phase. Based on these results, Rg5 may induce cell cycle arrest at the G0/G1 phase. Protein expression of cyclin D1, cyclin E2 and CDK4 was decreased, whereas the expression of p15INK4B, C646 research buy p53 and p21WAF1/CIP1 was increased (Figs. 6A, 6B). As Fig. 7A shows, treatment with learn more Rg5 induced caspase-8 and caspase-9, caspase-7, caspase-6. The full-length Bid consequently disappeared in a dose-dependent manner. Poly (ADP-ribose) polymerase

(PARP) cleavage was detected in Rg5-treated MCF-7 cells, which indicated that Rg5 reduced cell viability by inducing apoptosis. Promotion of mitochondria-mediated intrinsic apoptotic pathway by Rg5 was evidenced by Bax/Bcl-2 dysregulation, activation of caspase-9, and release of cytochrome C (Fig. 7A). Apoptosis was evaluated by annexin V/FITC/PI dual staining. After 48 h, Rg5 significantly increased apoptosis at 25μM and 50μM and reduced apoptotic cells at 100μM, whereas necrotic cells were increased (Fig. 7B). The increased expression

of DR4 and DR5 on the cell surface was obvious when cells were treated at the 100μM concentration of Rg5 (Fig. 8A). Activation of p38 mitogen-activated protein kinases (MAPKs) is necessary for apoptosis induced by exposure to ultraviolet radiation, cytokines, chemotherapy, ceramide, and serum deprivation [24]. When Ketotifen cells were treated with Rg5 (50μM and 100μM), p38 MAPKs were activated with the generation of reactive oxygen species (data not shown) (Fig. 8C). Survivin, an inhibitor of apoptotic proteins, is highly expressed in most types of cancer and is a regulator of mitosis; survivin-targeting cancer treatment is validated with great efficacy and no serious toxicity [25]. The expression of survivin was suppressed at high concentrations of Rg5 (Fig. 8D). Apoptotic cells were visualized with DAPI as fluorescent probes. When cells were incubated for 48 h with Rg5 at indicated concentrations (i.e., 0μM, 50μM, and 100μM), the cells displayed the typical apoptosis morphology such as fragmented and condensed nuclei with cellular shrinkage (Fig. 9B). Cells treated with Rg5 at the 100μM concentration showed a necrosis-like morphology (Fig. 9C). Red ginseng is fresh ginseng that is dry-steamed once using water vapor. Black ginseng refers to ginseng that is steamed nine times. Fine Black ginseng refers to the fine roots (i.e., hairy roots) of BG steamed nine times. As Fig.