• Title/Summary/Keyword: Delayed injection

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Botulinum Toxin Injection for the Treatment of Delayed Gastric Emptying Following Pylorus-Preserving Gastrectomy: an Initial Experience

  • Lee, Jung Hwan;Kim, Chan Gyoo;Kim, Young-Woo;Choi, Il Ju;Lee, Jong Yeul;Cho, Soo-Jeong;Kim, Young-Il;Eom, Bang Wool;Yoon, Hong Man;Ryu, Keun Won
    • Journal of Gastric Cancer
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    • v.17 no.2
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    • pp.173-179
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    • 2017
  • Purpose: To report our experience of endoscopic botulinum toxin injection in patients who experienced severe delayed gastric emptying after pylorus-preserving gastrectomy (PPG). Materials and Methods: We reviewed the medical records of 6 patients who received the botulinum toxin injection. They presented with severe delayed gastric emptying in the early postoperative period. Endoscopic botulinum toxin was administered as 4 injections of 25-50 IU into each of the 4 quadrants of the prepyloric area. Results: All botulinum toxin injections were successful without any complications, enabling 5 patients to tolerate soft solid diets and one to tolerate a soft fluid diet within 10 days. The endoscopic criteria of 4 patients improved. Symptom recurrence caused 2 patients to undergo repeat injections that were successful. The median follow-up period was 27 months, and all patients could ingest normal regular diets at the last follow-up. Conclusions: Endoscopic botulinum toxin injection is a feasible treatment option for early delayed gastric emptying after PPG.

Astrogliosis Is a Possible Player in Preventing Delayed Neuronal Death

  • Jeong, Hey-Kyeong;Ji, Kyung-Min;Min, Kyoung-Jin;Choi, Insup;Choi, Dong-Joo;Jou, Ilo;Joe, Eun-Hye
    • Molecules and Cells
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    • v.37 no.4
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    • pp.345-355
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    • 2014
  • Mitigating secondary delayed neuronal injury has been a therapeutic strategy for minimizing neurological symptoms after several types of brain injury. Interestingly, secondary neuronal loss appeared to be closely related to functional loss and/or death of astrocytes. In the brain damage induced by agonists of two glutamate receptors, N-ethyl-D-aspartic acid (NMDA) and kainic acid (KA), NMDA induced neuronal death within 3 h, but did not increase further thereafter. However, in the KA-injected brain, neuronal death was not obviously detectable even at injection sites at 3 h, but extensively increased to encompass the entire hemisphere at 7 days. Brain inflammation, a possible cause of secondary neuronal damage, showed little differences between the two models. Importantly, however, astrocyte behavior was completely different. In the NMDA-injected cortex, the loss of glial fibrillary acidic protein-expressing ($GFAP^+$) astrocytes was confined to the injection site until 7 days after the injection, and astrocytes around the damage sites showed extensive gliosis and appeared to isolate the damage sites. In contrast, in the KA-injected brain, $GFAP^+$ astrocytes, like neurons, slowly, but progressively, disappeared across the entire hemisphere. Other markers of astrocytes, including $S100{\beta}$, glutamate transporter EAAT2, the potassium channel Kir4.1 and glutamine synthase, showed patterns similar to that of GFAP in both NMDA- and KA-injected cortexes. More importantly, astrocyte disappearance and/or functional loss preceded neuronal death in the KA-injected brain. Taken together, these results suggest that loss of astrocyte support to neurons may be a critical cause of delayed neuronal death in the injured brain.

Etiology of Delayed Inflammatory Reaction Induced by Hyaluronic Acid Filler

  • Won Lee;Sabrina Shah-Desai;Nark-Kyoung Rho;Jeongmok Cho
    • Archives of Plastic Surgery
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    • v.51 no.1
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    • pp.20-26
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    • 2024
  • The etiology and pathophysiology of delayed inflammatory reactions caused by hyaluronic acid fillers have not yet been elucidated. Previous studies have suggested that the etiology can be attributed to the hyaluronic acid filler itself, patient's immunological status, infection, and injection technique. Hyaluronic acid fillers are composed of high-molecular weight hyaluronic acids that are chemically cross-linked using substances such as 1,4-butanediol diglycidyl ether (BDDE). The mechanism by which BDDE cross-links the two hyaluronic acid disaccharides is still unclear and it may exist as a fully reacted cross-linker, pendant cross-linker, deactivated cross-linker, and residual cross-linker. The hyaluronic acid filler also contains impurities such as silicone oil and aluminum during the manufacturing process. Impurities can induce a foreign body reaction when the hyaluronic acid filler is injected into the body. Aseptic hyaluronic acid filler injections should be performed while considering the possibility of biofilm formation or delayed inflammatory reaction. Delayed inflammatory reactions tend to occur when patients experience flu-like illnesses; thus, the patient's immunological status plays an important role in delayed inflammatory reactions. Large-bolus hyaluronic acid filler injections can induce foreign body reactions and carry a relatively high risk of granuloma formation.

Effect of fuel injection timing and pressure on the combustion and spray behavior characteristics of diesel fuel for naval vessel (연료분사시기와 압력이 함정용 디젤연료의 분무 및 연소특성에 미치는 영향)

  • Lee, Hyung-min
    • Journal of Advanced Marine Engineering and Technology
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    • v.39 no.9
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    • pp.911-917
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    • 2015
  • The objective of this work focuses on the analysis of injection rate and macroscopic spray behavior characteristics with injection pressures as well as combustion and exhaust emission characteristics with injection timing and injection pressure by using a common rail single-cylinder diesel engine. The injection rate was measured by applying the Bosch method, and macroscopic spray behavior characteristics were analyzed with a constant-volume vessel and a high-speed camera. In addition, combustion and emission characteristics were analyzed in a common-rail single-cylinder diesel engine with precise control of fuel injection timing and pressure. For injection pressures of 30MPa and 50MPa, the injection rate was higher at 50 MPa, and the spray development (penetration) was also higher in the same elapsed time. The peak in-cylinder pressure and rate of heat release showed a tendency to decline as injection timing was delayed, and the peak in-cylinder pressure and rate of heat release were slightly higher for higher injection pressures. Higher injection pressures also reduced the mean effective pressure, while the indicated mean effective pressure and torque increased as injection timing was delayed to TDC. Nitrogen oxides had a peak level at injection timings of $BTDC20^{\circ}$(30MPa) and $BTDC15^{\circ}$(50MPa); carbon monoxide emissions were reduced by delaying injection timing from $BTDC30^{\circ}$.

Modeling of Passive Heating for Replicating Sub-micron Patterns in Optical Disk Substrates (단열층을 이용한 광디스크 기판 성형에 대한 수치 해석)

  • 배재철;김영민;김홍민;강신일
    • Proceedings of the Korean Society for Technology of Plasticity Conference
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    • 2003.10a
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    • pp.80-83
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    • 2003
  • Transcribability of pit or land groove structures in replicating an optical disk substrate greatly affects the performance of a high-density optical disk. However, a solidified layer, generated during the polymer filling, deteriorates transcribability because the solidified layer prevents the polymer melt in filling the sub-micro patterns. Therefore, the development of the solidified layer during filling stage of injection molding must be delayed. For this delay, passive heating by insulation layer has been used. In the present study, to examine the development of the solidified layer delayed by passive heating, the flow of polymer melt with passive heating was analyzed. Passive heating markedly delayed the development of the solidified layer, reduced the viscosity of the polymer melt, and increased the fluidity of the polymer melt in the vicinity of the stamper surface with the sub-micro patterns. As a result, we predict that passive heating can improve transcribability of an optical disk substrate. To verify our prediction, we fabricated an optical disk substrate by using passive heating of a mold and measured the transcribability.

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Modeling of Passive Heating for Replicating Sub-micron Patterns in Optical Disk Substrates (단열층을 이용한 광디스크 기판의 서브 미크론 성형에 대한 수치 해석)

  • 배재철;김영민;김홍민;강신일
    • Transactions of Materials Processing
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    • v.13 no.1
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    • pp.39-44
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    • 2004
  • Transcribability of pit or land groove structures in replicating an optical disk substrate greatly affects the performance of a high-density optical disk. However, a solidified layer, generated during the polymer filling, deteriorates transcribability because the solidified layer prevents the polymer melt from filling the sub-micro patterns. Therefore, the development of the solidified layer during filling stage of injection molding must be delayed. For this delay, passive heating by insulation layer has been used. In the present study, to examine the development of the solidified layer delayed by passive heating, the flow of polymer melt with passive heating was analyzed. Passive heating markedly delayed the development of the solidified layer, reduced the viscosity of the polymer melt, and increased the fluidity of the polymer melt in the vicinity of the stamper surface with the sub-micro patterns. As a result, we predict that passive heating can improve transcribability of an optical disk substrate. To verify our prediction, we fabricated an optical disk substrate by using passive heating of a mold and measured the transcribability of an optical disk substrate.

Inhibitory Action of Phenylpropanoids on Delayed Types Hypersensitivity and Rosette Forming Cells

  • Lee, Ji-Yun;Kim, Youn-Joung;Lee, Jin-Hee;Kim, Tae-Doo;Sim, Sang-Soo;Kim, Chang-Jong
    • Proceedings of the PSK Conference
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    • 2003.04a
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    • pp.194.2-195
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    • 2003
  • Phenylpropanoids(PP), C6-C3 compounds, are widely distributed in many plants. In this experiments, effect of PP on sheep red bood cells (sRBC)-induced delayed type hypersensitivity (DTH) were studied in ICR male mice. SRBC were challenged by i.p. injection at two weeks after sensitization of Lp. injection of sRBC. Five days after the challenge of antigen, paw edema induced 24 hours after the last challenge by DTH, respectively. (omitted)

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Effects of Astragali Radix extract on the Cell Mediated Immunotoxicity of Zinc Chloride (염화아연의 세포성 면역독성에 미치는 황기 추출물의 효과)

  • 채병숙;신태용
    • YAKHAK HOEJI
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    • v.43 no.1
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    • pp.98-103
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    • 1999
  • Effects of Astragali Radix extract (AG) on the cell mediated-and nonlpecific immunotoxic responses of zinc chloride (Zn) were studied usign ICR mice. Mice were divided into 4 groups (10 mice/group), and Zn was given to the mice 1 hr after i.p. injection with 0.5g/kg of AG by i.p. injection daily for 10 days at a dose of 25 mg/kg. Immune responses on the responses on the relative weight of thymus, delayed-type hypersensitivity to SRBC (DTH), phagocytic activity and circulating leukocytes were evaluated. Zn treatment decreased body weight gain, the relative weight of thymus, DTH and circulating leukocytes compared with those in controls. AG treatment increased DTH, phagocytic activity and circulating leukocytes compared with those in controls. Combination of AG and Zn increased DTH and circulating leukocytes compared with those in controls, but decreased body weight gain and the relative weight of thymus. These findings indicated that AG decreased immunotoxicity of Zn on the DTH and circulating leukocytes.

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Effects of Compound-A on Delayed Type Hypersensitivity and Formation of Rosette Forming Cells

  • Kim, Youn-Joung;Lee, Ji-Yun;Kim, Kyung-Won;Sim, Sang-Soo;Kim, Chang-Jong
    • Proceedings of the PSK Conference
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    • 2003.10b
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    • pp.126.1-126.1
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    • 2003
  • Compound-A is a phenylpropanoid isolated from Arctium lappa fruit. In this experiments, effect of Compound-A on sheep red bood cells (sRBC) - induced delayed type hypersensitivity (DTH) were studied in ICR male mice and determined the Rosette Forming Cells (RFC). Two weeks after sensitization of i.p. injection of sRBC (4$\times{10}^8$ cells), ICR male mice were challenged by i.p. injection of sRBC (2\times{10}^8$ cells). Five days the challenge of antigen, paw edema induced twenty-four hours after the last challenge by DTH. (omitted)

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