• Title/Summary/Keyword: Late injection

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Comparison of embryonic competence and clinical outcomes between early and late cumulus cell removal for in vitro fertilization

  • Pongsuthirak, Pallop
    • Clinical and Experimental Reproductive Medicine
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    • v.48 no.4
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    • pp.362-367
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    • 2021
  • Objective: The impact of early mechanical removal of cumulus cells on fertilization and embryonic development is not yet precisely known. This study aimed to investigate the effects of early and late cumulus cell removal on fertilization, polyspermy, embryonic development potential, blastocyst development, and clinical outcomes. Methods: A prospective study was conducted of patients who underwent in vitro fertilization between September 2019 and October 2020. Sibling oocytes were randomly allocated after insemination to early cumulus cell removal at 6 hours (group I) and late cumulus cell removal at 16-18 hours (group II). If total fertilization failure (TFF) was determined to have occurred at early cumulus cell removal, rescue intracytoplasmic sperm injection (ICSI) was performed. Fertilization, embryonic development, and pregnancy outcomes were compared. Results: A total of 912 oocytes were assigned to group I (458 oocytes) and group II (454 oocytes). Fertilization, polyspermy, embryo quality, and pregnancy outcomes were not significantly different between both groups. Rescue ICSI enabled fertilization of 79.2% of the TFF oocytes. Conclusion: Early cumulus cell removal at 6 hours had no significant difference in fertilization, polyspermy, embryo development, or obstetric and perinatal outcomes compared to late removal. Early cumulus cell removal combined with early rescue ICSI may have the potential to help couples with TFF.

Imbalance in the spinal serotonergic pathway induces aggravation of mechanical allodynia and microglial activation in carrageenan inflammation

  • Junxiu Jin;Dong Ho Kang;Jin Jeon;Hyung Gon Lee;Woong Mo Kim;Myung Ha Yoon;Jeong Il Choi
    • The Korean Journal of Pain
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    • v.36 no.1
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    • pp.51-59
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    • 2023
  • Background: This study investigated the effect of an excess and a deficit of spinal 5-hydroxytryptamine (5-HT) on the mechanical allodynia and neuroglia activation in a rodent pain model of carrageenan inflammation. Methods: Male Sprague-Dawley rats were implanted with an intrathecal (i.t.) catheter to administer the drug. To induce an excess or deficit of 5-HT in the spinal cord, animals were given either three i.t. 5-HT injections at 24-hour intervals or a single i.t. injection of 5,7-dihydroxytryptamine (5,7-DHT) before carrageenan inflammation. Mechanical allodynia was measured using the von Frey test for 0-4 hours (early phase) and 24-28 hours (late phase) after carrageenan injection. The changes in the activation of microglia and astrocyte were examined using immunofluorescence of the dorsal horn of the lumbar spinal cord. Results: Both an excess and a deficit of spinal 5-HT had no or a minimal effect on the intensity of mechanical allodynia during the early phase but prevented the attenuation of mechanical allodynia during the late phase, which was observed in animals not treated with i.t. 5-HT or 5,7-DHT. Animals with an excess or deficit of 5-HT showed stronger activation of microglia, but not astrocyte, during the early and late phases, than did normal animals. Conclusions: Imbalance in the descending 5-HT pathway in the spinal cord could aggravate the mechanical allodynia and enhance the activation of microglia, suggesting that the spinal 5-HT pathway plays an essential role in maintaining the nociceptive processing in balance between facilitation and inhibition in inflammatory pain caused by carrageenan inflammation.

The Analgesic Efficacy and Side Effects of Subarachnoid Sufentanil-Bupivacaine on Parturients in Advanced Labor (지주막하강 수펜타닐과 뷰피바케인의 혼합 투여가 분만 제 1 기 산모의 진통 효과에 미치는 영향)

  • Han, Tae-Hyung;Cho, Yong-Sang
    • The Korean Journal of Pain
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    • v.10 no.1
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    • pp.21-27
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    • 1997
  • Background : Previous studies have proven beneficial in labor analgesia to use subarachnoid sufentanil(alone or with adjuvant) on parturients in early first stage of labor. We designed this prospective study to evaluate analgesic efficacy and side effects of subarachnoid sufentanil plus bupivacaine in women with cervical dilatation of 7 cm greater. Methods : This was an open-label, nonrandomized trial of 32 parturients in late first stage labor who requested labor analgesia. After signing the consent form each patient received subarachnoid sufentanil (10 ${\mu}g$) and bupivacaine (2.5 mg). Patients were asked to rate their verbal pain score (0-10 scale) before regional anesthesia and 5 minutes after subarachnoid injection, and every 20 minutes thereafter until delivery or request for additional analgesia. Blood pressure, pruritus, Bromage motor block score, mode of delivery and need for supplemental analgesics were recorded. Results : Thirty women were included in the study. Mean pain scores (mean${\pm}$SD) were $8.7{\pm}1.0$ pre-spinal, $0.7{\pm}1.5$ 5 minutes post-injection, and remained less than 5 for 130 minutes after spinal injection. Of 30 patients, 24 had unassisted vaginal delivery, 4 instrumental vaginal delivery (vacuum), and 2 cesarean delivery. Of 28 patients who delivered vaginally, 19 did not require supplemental analgesics and had a delivery pain score of 5 or lower. Blood pressure decreased in three patients after spinal analgesia (p<0.05), which necessitated treatment. The Bromage motor block score was 0 in 26 patients and 1 in 4 patients. Pruritus was noted in 22 patients. Conclusion : Subarachnoid sufentanil-bupivacaine provides rapid analgesia for an effective duration of approximately 130 minutes in parturients in late first stage of labor.

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Fuel-Spray Characteristics of High Pressure Gasoline Injection in Cross Flows (횡단공기류에서의 고압 가솔린 분사시 연료분무 특성)

  • 이석환;최재준;김성수;이상용;배충식
    • Transactions of the Korean Society of Automotive Engineers
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    • v.9 no.6
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    • pp.30-39
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    • 2001
  • The direct injection into the cylinders has been regarded as a way of the reduction in fuel consumption and pollutant emissions. The spray produced by the high pressure injector is of paramount importance in DISI(Direct Injection Spark Ignition) engines in that the primary atomization process must meet the requirement of quick and complete evaporation, mixing with air and combustion especially to prohibit the excessive HC emissions. The interaction between air flow and fuel spray was investigated in a steady flow system embodied in a wind tunnel to simulate the variety of flow inside the cylinder of the DISI engine. The direct Mie scattered and shadowgraph images presented the macroscopic view of the liquid sprays and vapor fields. The velocity and particle size of fuel droplets were investigated by phase doppler anenometer(PDA) system. The processes of atomization and evaporation with a DISI injector were observed and consequently utilized to construct the data-base for the spray and fuel-air mixing mechanism as a function of the flow characteristics.

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The Effects of Tumble and Swirl Flow on the Behavior of Liquid/Vapor Phases in a DI Gasoline Engine (직분식 엔진에서 실린더 내 연료의 액.기상 거동에 미치는 텀블과 스월의 영향)

  • 강정중;최동석;김덕줄
    • Transactions of the Korean Society of Automotive Engineers
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    • v.10 no.2
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    • pp.23-30
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    • 2002
  • This present study experimentally investigates the behavior of liquid and vapor phase of fuel mixtures with changing the in-cylinder air motion in an optically accessible engine. The conventional MPI/DOHC engine was modified to gasoline direct injection engine with swirl motion. The images of liquid and vapor phases were captured in the motoring operation condition using exciplex fluorescence method. Two dimensional spray fluorescence images of liquid and vapor phases were acquired to analyze spray behaviors and fuel distribution inside of cylinder respectively, In early injection timings $(BTDC\;270^{\circ},\;180^{\circ})$, tumble flow transported most of vapor phase to the lower region and the both sides of cylinder, so vapor phase didn't become uniform distribution up to the half of the compression stroke. In the case of swirl flow, the fuel mixture was confined near the swirl origin in upper region of cylinder. In late injection timings $(BTDC\;90^{\circ})$, tumble flow transported vapor phase to the intake valve and swirl flow to the exhaust valve.

A Late-Round Reduction Attack on the AES Encryption Algorithm Using Fault Injection (AES 암호 알고리듬에 대한 반복문 뒷 라운드 축소 공격)

  • Choi, Doo-Sik;Choi, Yong-Je;Choi, Doo-Ho;Ha, Jae-Cheol
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.22 no.3
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    • pp.439-445
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    • 2012
  • Since an attacker can extract secret key of cryptographic device by occurring an error during encryption operation, the fault injection attack have become a serious threat in cryptographic system. In this paper, we show that an attacker can retrieve the 128-bits secret key in AES implementation adopted iterative statement for round operations using fault injection attack. To verify the feasibility of our attack, we implement the AES algorithm on ATmega128 microcontroller and try to inject a fault using laser beam. As a result, we can extract 128-bits secret key by obtaining just two pairs of correct and faulty ciphertexts.

Effects of the Age of Pronucleate Ova on Survival and Development in Cryopreservation of Mouse Embryos (생쥐 배아 동결시 전핵의 발생시기가 생존률과 발생률에 미치는 영향)

  • Yang, Hyun-Won;Kang, Hee-Kyoo;Choi, Kyoo-Wan;Cha, Young-Beom;Lee, Seung-Jae;Park, Jong-Min
    • Clinical and Experimental Reproductive Medicine
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    • v.20 no.1
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    • pp.31-36
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    • 1993
  • The effects of freezing and 1,2-propanediol on early and late pronucleate stage mouse ova were investigated in terms of survival after thawing and development in vitro. The samples were divided into two groups according to different age in pronucleate ova: ova in(1) early pronuclear stage with two distant pronuclei at 18h after hCG injection, and (2) late pronuclear stage with adjacent pronuclei at 30h. Zygotes in the late pronuclear stage have been proven to be more resistant to 1,2-propanediol, showing a significantly higher developmental rate than zygotes in early stage (80.3 versus 66.3%, <0.05), but survival rate was similar in the two groups (91.0 versus 93.5%). After freezing and thawing, survival and developmental rates were decreased in both groups when compared to the control group (54.3 versus 92.3%, 47.7 versus 73.3%. respectively). And developmental rate in the late pronuclear stage zygotes showed significantly higher than in early (55.4 versus 40.0%) after thawing. In conclusion, early pronucleate mouse ova have a lower developmental capacity in vitro and a lower survival rate after freezing and thawing than late ova. These findings suggest that the timing of freezing could be important for survival and further development in vitro in cryopreservation of human pronucleate ova.

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Kinetics of HMGB1 level changes in a canine endotoxemia model

  • Yu, Do-Hyeon;Park, Jinho
    • Korean Journal of Veterinary Research
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    • v.51 no.3
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    • pp.239-241
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    • 2011
  • In this study, we investigated the kinetics of tumor necrosis factor (TNF)-${\alpha}$, interleukin (IL)-6 and high mobility group box 1 (HMGB1) concentrations in a 48-h model of canine endotoxemia by lipopolysaccharide (LPS) injection. Four healthy beagles were slowly administered 1 mg/kg of LPS diluted in normal saline, while two others were administered normal saline as controls. Blood collection was performed at 0 h (baseline), 1 h and 3 h (for TNF-${\alpha}$), 6 h, 12 h, 24 h and 48 h of the experiment, and cytokine levels were determined using the sandwich ELISA method. Early increments of TNF-${\alpha}$ and IL-6 were observed (< 3 h), but HMGB1 levels increased the most at 12 h of the experiment and gradually decreased until 48 h. During the whole experiment, IL-6 and HMGB1 were sustained over 12 h of LPS injection, whereas TNF-${\alpha}$ decreased within 6 h of LPS injection. Taken together, canine HMGB1 levels increase relatively late (< 12 h) and sustained longer than TNF-${\alpha}$ and IL-6 in response to endotoxin. This is the first study to evaluate canine HMGB1 cytokine from endotoxemia in dogs.

Effect of Boosted Intake Pressure on Stratified Combustion of a Gasoline Direct Injection Engine (가솔린 직접분사 엔진의 흡기과급이 성층화 연소에 미치는 영향)

  • 조남효;박형철;김미로
    • Transactions of the Korean Society of Automotive Engineers
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    • v.11 no.2
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    • pp.48-55
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    • 2003
  • The effects of pressure charge on combustion stability and emissions have been analyzed using a GDI single cylinder engine. A late injection mode of stratified condition at the air-fuel ratio of 40:1 for 1200∼2400 rpm was tested while the boosted pressure ratio was increased up to 1.5:1. In-cylinder CFD analysis was also performed for better understanding of in-cylinder flow and fuel spray behavior. With a higher boosted pressure ratio the IMEP was increased greatly due to the increased engine load, and the ISFC was improved by more than 10% at all engine speeds. The regime of stable stratified combustion was extended to a higher engine speed, but the spark ignition angle had to be more advanced for stable combustion. The emissions of ISHC and ISNOx did not show a particular trend for the increased engine speed but a general trend of lower ISHC and higher ISNOx for a gasoline engine.

Late side effects of bleomycin injection into the lower lip mucosa of a nine-year-old patient with venous malformation

  • Kezia Rachellea Mustakim;Soung Min Kim
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.49 no.5
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    • pp.304-307
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    • 2023
  • Venous malformation (VM) is a benign lesion of blood vessels caused by an error in vascular morphogenesis during the embryologic phase. This entity mostly affects the head and neck region, including the lips, tongue, buccal mucosa, gingiva, or palate. VM may cause functional and aesthetic impairments. The anatomical structure and shape of the lips provide an important aesthetic accent for an individual. Therefore, management of VM in the lip area without postoperative defects or scarring is challenging. In this brief communication article, we present a conservative approach to lip VM in a nine-year-old boy using a bleomycin injection that had good aesthetic and functional outcomes. Injection of 2 mL of 1/10 of 15 mg bleomycin in a saline dilution into the lip mucosa may present a drug reaction as a white plaque and reddish owl eye lesion that takes up to three weeks to resolve without a scar. It is important to recognize the characteristics and self-limiting nature of postoperative bleomycin complications to avoid unnecessary treatment.