• Title/Summary/Keyword: Septic

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A Tubulin Inhibitor, N-(5-Benzyl-1,3-thiazol-2-yl)-3-(furan-2-yl)prop-2-enamide, Induces Anti-inflammatory Innate Immune Responses to Attenuate LPS-mediated Septic Shock

  • Park, Hyun Jung;Lee, Sung Won;Park, Hwangseo;Park, Se-Ho;Hong, Seokmann
    • Bulletin of the Korean Chemical Society
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    • v.35 no.11
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    • pp.3307-3312
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    • 2014
  • The anti-inflammatory effect of a tubulin inhibitor, N-(5-benzyl-1,3-thiazol-2-yl)-3-(furan-2-yl)prop-2-enamide (1), on innate immune responses remains unclear. Thus, we investigated the effect of 1 on the immune responses mediated by lipopolysaccharide (LPS). The in vitro addition of 1 to dendritic cells and macrophages dose-dependently reduced tumor necrosis factor alpha production elicited by LPS stimulation. Additionally, the stimulation of natural killer (NK) and natural killer T (NKT) cells with 1 resulted in the decrease of interferon gamma ($IFN{\gamma}$) induced by LPS treatment. Moreover, 1 substantially reduced interleukin 12 in dendritic cells (DC) as well as $IFN{\gamma}$ in NKDCs induced by LPS in vitro. Furthermore, the in vivo administration of 1 ameliorated LPS/D-galactosamine-induced endotoxic lethality in mice. Taken together, our results demonstrate for the first time that 1 possesses anti-inflammatory properties, most notably by modulating LPS-induced innate immune responses. Therefore, 1 might have therapeutic potential for the treatment of inflammation-mediated diseases such as sepsis.

A Study of Housing Environment Problems through the Daily newspapers ( II ) -Centering around a excretion and fixing process of lavatory- (일간지를 통해 본 주거환경문제의 연구 ( II ) - 분뇨에서 변소의 정착과정을 중심으로 -)

  • 신경주
    • Journal of the Korean housing association
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    • v.3 no.2
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    • pp.89-99
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    • 1992
  • We discussed the change of housing environmental problems from the early 1900s to the present in Study(I). This study(II) which secendly research of study(I) analyzed the fixing precess of a lavatory centering around a excretion which was a serious housing environmental problem in 1920 to 1940. The documentary research method was used for this study. Articles of content analysis(N=185) were published in 1920 to 1990 which were The Deng-A daily news article about a excretion and a lavatory. The main content of this study was examined the change, such as the number of whole article, the column number of article by time series. and the content of article by subject. 1. The number of whole article by time series was collected mainly in1920s-1930s. In 1940s-1960s, one-two column of article was appeared generally and three-four, five column of article was appeared in 1970-1980. 2. Contents of article was divided into two classes, excretion and lavatory. Contents of excretion was 1) a use of fertilizer 2) the method of transportation 3) a cost of gathering 4) a place of disposal 5) the problem of cleaning. Contents of lavatory was 1) a public lavatory 2) a flush toilet 3) a sanitary conditions 3. 1) A use of fertilizer was concentrated in 1920s-1930s, and problems of it was solved more or less by change of management method. Transportation of excretion developed such as \ulcornerGue\ulcorner->a coach of tank style->underground transportation->a dung car of absorption style. Disposal place of excretion was a cause of dissatisfaction in 1920s and it is serious problem Today. A duty of excretion gathering was transfered to a private worker in 1978. The accunulation problem of excretion was continued until 1940s-1950s. The management law of waste matters was proclaimed in 1986. 2) A public lavatory was planned in 1924 for the first time, and it is insufficient in these days, A settlement of public lavatory in building which has upward of 20pyung became obligation in 1973. The problem of water contamination which by poor septic tank was happened in 1970s-1980s.

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EMP Shielding Effectiveness of Water Pipe Structure Considering Attenuation Characteristics of Water (물의 감쇠특성을 고려한 배수관 구조의 EMP 차폐 효과 분석)

  • Kim, Woobin;Kim, Sangin;Kim, Waedeuk;Yook, Jong-Gwan
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.28 no.12
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    • pp.1011-1014
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    • 2017
  • Additional metal shielding is installed in the water pipes used in septic tanks to protect against damage from electromagnetic pulse (EMP) events. This shielding prevents EMP damage, but impurities present in water cannot pass through the shielding structure. Thus, the original function of the water pipes is lost as the pipes are blocked, and an additional maintenance workforce is needed to manage this blockage. To solve this problem, we propose a water pipe without an additional shielding structure; the proposed pipe was designed with consideration of the attenuation characteristics of water. The immersed depth was varied from 400 mm to 800 mm, while the diameter of the pipe was fixed at 100 mm. The shielding effectiveness increased from 70 dB to 100 dB around 2 GHz. Through the verification process, we propose an effective design guideline that can maintain the function of the water pipe and provide protection from EMP damages without additional shielding structure.

Separation of Glycoprotein and its Anticancer Immunostimulating Activity from Dried Barks of Slippery Elm [Ulmus parvifolia] (유근피(楡根皮)로부터 단백다당체의 분리 및 항암 면역활성 연구)

  • 양영렬;김영주;김경화;오유진
    • KSBB Journal
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    • v.16 no.6
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    • pp.547-553
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    • 2001
  • Glycoprotein from the water extract of dried root barks of slippery Elm was investigated for its anticancer immunostimulating activity, The glycoprotein contained molecular weight 15,000 to 500,000 Da, total carbohydrates 55.8 to 72.1%), total uronic acid 30.0 to 30.5%, and total proteins 5.0 to 6.1%. The anticancer immunostimulating activities were examined for both in vitro bioassays such as immune cell proliferation assay, mixed lymphocyte reaction (MLR), direct mitogenicity, T-dependent antibody production, and in vivo bioassays such as septic shock test and anticancer activity test in B16 melanoma transplanted mouse model. In vivo assay, the glycoprotein at the concentration of 3 mg/kg showed the best result that median survival time increased to about 140% in contrast to control groups.

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Intestinal Perforations in Very Low Birth Weight Infants (극소 저출생체중아에서의 소장천공)

  • Kim, Dae-Yeon;Kim, Seong-Chul;Kim, Ai-Rhan;Kim, Ki-Soo;Pi, Soo-Young;Kim, In-Koo
    • Advances in pediatric surgery
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    • v.7 no.2
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    • pp.112-117
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    • 2001
  • With the advances in neonatal intensive care, pediatric surgeons experience very low birth weight infants, weighing <1,500 g, more frequently. We report our 14 cases of very low birth weight infants with intestinal perforations without congenital causes, at the Asan Medical Center during the 11-year period from 1989 to 2000. The average birth weight was 919 g(563-1,490), and average gestational age was 206 days(161-286). There were nine males and five females, Operation was performed at an average age of 14.0 days(3-38). Ten neonates with symptomatic PDA were given indomethacin in an attempt to close the ductus. Bowel perforation involved the jejunum in two and ileum in twelve. At laparotomy, there were seven focal intestinal perforations, five typical NEC, one intussusception, and an unknown cause, Four neonates underwent resection and anastomosis of the bowel, and nine underwent exteriorization. One underwent resection and anastomosis after peritoneal drainage. Four patients had postoperative complications; two leakage of anastomosis, one stoma necrosis, and one internal herniation. Seven of fourteen patients survived(50.0 %). Seven patients died of septic complication. There was a significant difference in the birth weight and gestational age in survivors compared with those who died(p<0.05). There was an increased risk of bowel perforation in indomethacin treatment for PDA. Careful clinical observation and keen judgment are essential for this particular group of infants.

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Effect of a-Tocopherol on Vasoregulatory Gene Expression during Polymicrobial Sepsis

  • Kim, Joo-Young;Park, Sang-Won;Lee, Sun-Mee
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 2003.11a
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    • pp.77-77
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    • 2003
  • Sepsis remains common surgical problems with high morbidity and mortality despite improvement in the management for septic patient. Although hepatocellular dysfunction occurs during sepsis, the mechanism responsible for this remains unclear. In sepsis, a state of severe oxidative stress is encountered, with host endogenous antioxidant defenses overcome. Therefore, the aim of this study was to determine the effect of a-tocopherol (AT) vasoregulatory gene expression during polymicrobial sepsis. Rats were subjected to polymicrobial sepsis by cecal ligation and puncture (CLP). AT (15 mg/kg) was intraperitonealy injected for 3 days prior to CLP. Blood samples were taken 24 h after CLP for measurement of the extent of hepatocellular damage. Liver samples were taken for RT-PCR analysis of mRNA for genes of interest: endothelin-l (ET-l), its receptors $ET_{A}$ and $ET_{B}$, nitric oxide synthases (iNOS and eNOS), cyclooxygenase-2 (COX -2), heme oxygenase-l (HO-l), and tumor necrosis factor-$\alpha$ (TNF-$\alpha$). The activities of serum alanine aminotransferase and lipid peroxidation level were significantly increased; an increase which was prevented by AT pretreatment. CLP significantly increased the mRNA levels of ET-1 and $ET_{B}$; an increase that was prevented by AT pretreatment. However, the level of $ET_{A}$ mRNA significantly decreased after CLP; a decrease that was not prevented by AT pretreatment. There were significant increases in the mRNA expression of iNOS, HO-l and COX -2 in CLP groups. This increase was prevented by AT pretreatment. The expression of eNOS and TNF-$\alpha$ mRNA significantly increased in CLP, which was not prevented by AT pretreatment. Our findings suggest that there was an imbalanced vasoregulatory gene expression in sepsis, and AT ameliorates this change through its free radical scavenging activity.

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Disseminated Septic Lesions Caused by Staphylococcus epidermidis Mimicking Cysticercosis Detected on Ultrasonography in a Pediatric Patient with Acute Myeloid Leukemia (급성 골수성 백혈병 소아환자에서 초음파 검사에서 낭미충증으로 오인된 표피 포도알균에 의한 파종 감염 병변이 발생한 증례)

  • Lee, Jae Min;Choi, Joon-Sik;Yoo, Keon Hee;Kim, Yae-Jean;Kim, Sun-Ja
    • Pediatric Infection and Vaccine
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    • v.27 no.2
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    • pp.134-139
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    • 2020
  • Staphylococcus epidermidis is a part of the normal skin flora of humans. However, it can cause serious infections in people exposed to foreign bodies or in immunocompromised patients. A 13-year-old boy was hospitalized with fever and myalgia. Painful nodular lesions were detected on the scalp, arms, and legs. Pancytopenia and blasts were present in the peripheral blood. He was diagnosed with acute myeloid leukemia. Magnetic resonance imaging of the whole body showed multiple peripheral rim-enhancing, cyst-like lesions. Ultrasonography showed echogenic nodules inside the cystic lesions in the intramuscular space of the arms and legs. Therefore, cysticercosis was strongly suggested initially. However, an abscess was confirmed on sono-guided biopsy and S. epidermidis was isolated from a microbial culture of the tissue. We report a case of multiple disseminated lesions caused by S. epidermidis in a leukemia patient, initially mistaken for cysticercosis.

Fatal Facial Mucormycosis on a Diabetic Patient: A Case Report (당뇨 환자에서 발생한 안면부 털곰팡이증에 대한 증례)

  • Choi, Jung-Hun;Kim, Young-Joon;Kwon, Ji-Eun;Kim, Hoon;Nam, Sang-Hyun;Choi, Young-Woong
    • Archives of Plastic Surgery
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    • v.38 no.1
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    • pp.93-95
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    • 2011
  • Purpose: Mucormycosis generally occurs in patients with uncontrolled diabetes mellitus and immunocompromised conditions. It is rare, but once a patient is infected with it, it can occur as a rapidly extending, aggressive, and life-threatening rhinocerebral infection with a high mortality rate. Methods: A 70-year-old female patient had a 40 years of history of adult onset diabetes mellitus. She presented herself with severe right hemifacial pain, swelling, and weakness for 3 days and was admitted to ENT. On a facial computed tomography (CT) scan, it was found that her infection extended from her inferior temporal scalp to her submental area and involved her submandibular, masseter, prevertebral, parapharyngeal, retropharyngeal, and pharyngeal mucosal space and pansinusitis. Through endoscopic sinus surgery, mucormycosis was confirmed via histologic examination. Results: Despite empiric antibiotics and amphotericin B administration, the patient was in a septic condition and in a coma. The patient's family wanted to withdraw her life support, and the patient expired. Conclusion: Mucormycosis is very rare, but is one of the disastrous complications of uncontrolled diabetes mellitus. Suspicion of its occurrence, based on identified risk factors, and its rapid diagnosis can enhance the chance of its cure.

Inhibitory Effect of Salvia officinalis on the Inflammatory Cytokines and Inducible Nitric Oxide Synthasis in Murine Macrophage RAW264.7 (RAW 264.7 Cell에서 세이지에 의한 염증성 Cytokine 및 iNOS억제 효과)

  • 현은아;이혜자;윤원종;박수영;강희경;김세재;유은숙
    • YAKHAK HOEJI
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    • v.48 no.2
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    • pp.159-164
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    • 2004
  • Primary pro-inflammatory cytokines are a trio: tumor necrosis- $\alpha$ (TNF-$\alpha$), interleukine-$\beta$ (IL-$\beta$), and interleukine-6 (IL-6). These cytokines initiate and regulate the acute-phase inflammatory response during infection, trauma, or stress and appear to play an important role in the immune process. Nitric oxide (NO) is a multi-functional mediator, which plays an important role in regulating various biological functions in vivo. NO production by inducible nitric oxide synthase (iNOS) in macrophages is essential for the defense mechanisms against microorganisms and tumor cells. However, over-expression of iNOS by various stimuli, resulting in over-production of NO, contributes to the pathogenesis of septic shock and some inflammatory and auto-immune disease. Solvent fractions of sage ( Salvia officinalis L.), which is cultivated in Jeju-Do, was assayed for their effects on TNF-$\alpha$ and IL-6 production in LPS-stimulated RAW 264.7 macrophages. Hexane and ethylacetate (EtOAc) fraction of sage inhibited the protein and mRNA expression of TNF-$\alpha$ and IL-6 in LPS stimulated RAW 264.7 cells at the concentration of 100 $\mu\textrm{g}$/$m\ell$. Also, incubation of RAW 264.7 cells with the fraction of hexane or EtOAc (50 $\mu\textrm{g}$/$m\ell$) inhibited the LPS induced nitrite accumulation and the LPS/IFN-${\gamma}$ induced iNOS protein. And this inhibition of iNOS protein is concordant with the inhibition of iNOS mRNA expression. Above results suggest that extract of sage may have anti-inflammatory activity through the inhibition of pro-inflammatory cytokines (TNF-$\alpha$, IL-1$\beta$, IL-6), iNOS and NO.

A Case of Late Onset Group B Streptoccocal Sepsis with the Complication of Subclavian Vein Catheterization (쇄골하 정책 도관법 합병증이 발생한 후기 발병형 B군 연쇄상 구균 패혈증 1례)

  • Kim, Woo Kyung;Kim, Mi Ran;Kim, Duk Ha;Lee, Hae Ran;Park, Chong Young;Hwang, Dae Haen
    • Pediatric Infection and Vaccine
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    • v.5 no.2
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    • pp.289-295
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    • 1998
  • Group B Streptococcal sepsis and/or meningitis is one of the most serious and common diseases in the neonatal period with high mortality and frequent complications. We have experienced a case of late onset type group B streptococcal sepsis and meningitis with a complication of subclavian vein catheterization catheterization. This 29-day-old male neonate was admitted to intensive care unit with the presentation of fever and septic shock. He was born with Cesarean delivery at 36 weeks and 3 days of gestational age. He showed multiple episodes of seizure after admission and group B streptococcus was isolated from blood. CSF profiles 10 days after admission showed the features of bacterial meningitis without organism isolated. Diffuse cerebral infarction was detected on brain CT 24 days after admission. In the 13th hospital day, the complication of subclavian vein catheterization occurred; Guide wire was cut during insertion and the distal portion of it(2.5cm) was retained in the left subclavian vein. We removed the retained guide wire with goose-neck snare catheter via right femoral vein. This case was presented with a brief review of the literatures.

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