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The Effectiveness of Vacuum-Assisted Closure (V.A.C) Dressing combined with Silver Dressing Material in Open Fracture of the Foot and Ankle (족부 및 족관절의 개방성 골절 환자에서 음압 치료와 실버 드레싱 제재 복합 치료의 유용성)

  • Lee, Yu-Sang;Cho, Jae-Ho;Park, Jin;Han, Seung-Hwan
    • Journal of Korean Foot and Ankle Society
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    • v.12 no.2
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    • pp.156-162
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    • 2008
  • Purpose: Open fractures of the foot and ankle require prompt repair of the wound due to the complexity of anatomy, insufficiency of soft tissues and inadequate blood supply. Early flaps and skin grafts are used for this purpose yet general condition of the patient as well as local wound environment often precludes such treatment options. Vacuum- Assisted Closure (VAC) is recently being used in such cases. This study was done to validate the use of VAC together with silver antimicrobial dressing materials in contaminated open fracture wounds. Materials and Methods: We have selected 10 patients with Gustillo-Anderson type III open fractures of the foot & ankle treated with VAC and silver antimicrobial dressing materials from March 2007 to January 2008. The relationship between duration of treatment with wound size, contamination, and degree of soft tissue damage was analyzed. Results: The average age of patients was 36.6 years. The average amount of VAC application time was 23.4 days. Silver dressing materials were used for 16.8 days. Average wound healing time was 51.9 days. Statistically significant relationship was found between wound size, VAC application time and silver dressing material application time. No complications such as osteomyelitis were found after treatment. Conclusion: VAC technique is recently being used in open fractures with wide skin and soft tissue defects, producing good results. A wide array of dressing materials such as silver dressing is in development. We have incorporated the VAC technique together with silver dressing materials in the treatment of open fractures and achieved complication free results.

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A redshift survey of the nearby galaxy cluster Abell 2199: comparison of the spatial and kinematic distributions of galaxies and intracluster medium

  • Song, Hyunmi;Hwang, Ho Seong;Park, Changbom;Tamura, Takayuki
    • The Bulletin of The Korean Astronomical Society
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    • v.42 no.2
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    • pp.42.1-42.1
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    • 2017
  • We present the results from an extensive spectroscopic survey of the central region of the nearby galaxy cluster Abell 2199 (A2199) at z=0.03. By combining 775 new redshifts from the MMT/Hectospec observations with the data in the literature, we construct a large sample of 1624 galaxies with measured redshifts at R<30', which redsults in high spectroscopic completeness at $r_{petro,0}$<20.5 (77%). We use these data to study the kinematics and clustering of galaxies, focusing on the comparison with those of the intracluster medium (ICM) from Suzaku X-ray observations. We identify 406 member galaxies of A2199 at R<30' using the caustic technique. The velocity dispersion profile of cluster members appears smoothly connected to the stellar velocity dispersion profile of the cD galaxy. The luminosity function is well fitted with a Schechter function at $M_r$<-15. The radial velocities of cluster galaxies generally agree well with those of the ICM, but there are some regions where the velocity difference between the two is about a few hundred kilometers per second. The cluster galaxies show a hint of global rotation at R<5' with $v_{rot}=300-600kms^{-1}$, but the ICM in the same region does not show such rotation. We apply a friends-of-friends algorithm to the cluster galaxy sample at R<60' and identify 32 group candidates, and examine the spatial correlation between the galaxy groups and X-ray emission. This extensive survey in the central region of A2199 provides an important basis for future studies of interplay among the galaxies, the ICM, and the dark matter in the cluster.

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Expression, Purification and Properties of Shikimate Dehydrogenase from Mycobacterium Tuberculosis

  • Zhang, Xuelian;Zhang, Shunbao;Hao, Fang;Lai, Xuhui;Yu, Haidong;Huang, Yishu;Wang, Honghai
    • BMB Reports
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    • v.38 no.5
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    • pp.624-631
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    • 2005
  • Tuberculosis, caused by Mycobacterium tuberculosis, continues to be one of the main diseases to mankind. It is urgent to discover novel drug targets for appropriate antimicrobial agents against this human pathogen. The shikimate pathway is onsidered as an attractive target for the discovery of novel antibiotics for its essentiality in bacteria and absence in mammalian cells. The Mycobacterium tuberculosis aroE-encoded shikimate dehydrogenase was cloned, expressed and purified. Sequence alignment analysis shows that shikimate dehydrogenase of Mycobacterium tuberculosis exhibit the pattern of G-X-(N/S)-V-(T/S)-X-PX-K, which is highly conserved within the shikimate dehydrogenase family. The recombinant shikimate dehydrogenase spectrum determined by CD spectroscopy showed that the percentages for $\alpha$-helix, $\beta$-sheet, $\beta$-turn, and random coil were 29.2%, 9.3%, 32.7%, and 28.8%, respectively. The enzymatic characterization demonstrates that it appears to be fully active at pH from 9.0 to 12, and temperature $63^{\circ}C$. The apparent Michaelis constant for shikimic acid and $NADP^+$ were calculated to be about $29.5\;{\mu}M$ and $63\;{\mu}M$. The recombinant shikimate dehydrogenase catalyzes the substrate in the presence of $NADP^+$ with an enzyme turnover number of $399\;s^{-1}$. Zymological studies suggest that the cloned shikimate dehydrogenase from M. tuberculosis has a pretty activity, and the work should help in the discovery of enzyme inhibitors and further of possible antimicrobial agents against Mycobacterium tuberculosis.

The Study on Mordant Absorption and Mordanting Treatment Condition of Natural Dyeing (천연염색의 매염제 흡착 및 매염조건에 관한 연구)

  • Chu Young-Joo
    • Journal of the Korean Society of Costume
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    • v.55 no.5 s.95
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    • pp.101-107
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    • 2005
  • In this article, mordant absorption rate by the Change of temperature and fabric, discharge level by water washing, mordant density and method in mordant dye are going to be handled. Besides, how treatment method will have an effect on absorption rate and color, is also going to be covered. An atom extinction photometer was used to measure the amount of mordant absorbed in fabric at each temperature and mordant type. It turned out that absorption rate differs according to the type of mordant and sample or temperature. Also it turned out that the mordant input amount has little influence on absorption rate, that is to say, if though you use more mordants, just tiny amount of mordant is going to be absorbed in cloth. It is true that the higher temperature goes up, the better mordant absorption gets. It is found that the type of mordant and sample, treatment period affects the discharge rate. Normally $15{\~}98\%$ mordant comes off the fabric by water washing, to be specific, $17{\~}47\%$ Iron by water washing and it has better performance on cotton and nylon than silk, $1\%{\~}52\%$ Aluminum by water washing and better absorption on silk, $36{\~}89\%$ Chrome by water washing and better absorption on silk, $50{\~}89\%$ copper by water washing and better absorption on silk, poor on cotton. The examination of the K/S values and colors between before and after soaping has been conducted under the circumstance that the test fabrics had been treated at $80^{\circ}C$ for 30 minutes with $0.2\%$ soaping solution. In case of pre-mordanted fabrics, the K/S value nosedived after soaping, meanwhile densely mordanted fabric's K/S value soared but after soaping, it dropped sharply. It turned out that soaping treatment deteriorates absorption much more than water washing. It's considered that $0.1 \%$ (W/V) of mordant density is appropriate.

Panduratin A Inhibits Cell Proliferation by Inducing G0/G1 Phase Cell Cycle Arrest and Induces Apoptosis in Breast Cancer Cells

  • Liu, Qiuming;Cao, Yali;Zhou, Ping;Gui, Shimin;Wu, Xiaobo;Xia, Yong;Tu, Jianhong
    • Biomolecules & Therapeutics
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    • v.26 no.3
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    • pp.328-334
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    • 2018
  • Because of the unsatisfactory treatment options for breast cancer (BC), there is a need to develop novel therapeutic approaches for this malignancy. One such strategy is chemotherapy using non-toxic dietary substances and botanical products. Studies have shown that Panduratin A (PA) possesses many health benefits, including anti-inflammatory, anti-bacterial, anti-oxidant and anticancer activities. In the present study, we provide evidence that PA treatment of MCF-7 BC cells resulted in a time- and dose-dependent inhibition of cell growth with an $IC_{50}$ of $15{\mu}M$ and no to little effect on normal human MCF-10A breast cells. To define the mechanism of these anti-proliferative effects of PA, we determined its effect critical molecular events known to regulate the cell cycle and apoptotic machinery. Immunofluorescence and flow cytometric analysis of Annexin V-FITC staining provided evidence for the induction of apoptosis. PA treatment of BC cells resulted in increased activity/expression of mitochondrial cytochrome C, caspases 7, 8 and 9 with a significant increase in the Bax:Bcl-2 ratio, suggesting the involvement of a mitochondrial-dependent apoptotic pathway. Furthermore, cell cycle analysis using flow cytometry showed that PA treatment of cells resulted in G0/G1 arrest in a dose-dependent manner. Immunoblot analysis data revealed that, in MCF-7 cell lines, PA treatment resulted in the dose-dependent (i) induction of $p21^{WAF1/Cip1}$ and p27Kip1, (ii) downregulation of Cyclin dependent kinase (CDK) 4 and (iii) decrease in cyclin D1. These findings suggest that PA may be an effective therapeutic agent against BC.

Properties of Water Substitute Solid Phantoms for Electron Dosimetry

  • Saitoh, Hidetoshi;Tomaru, Teizo;Fujisaki, Tatsuya;Abe, Shinji;Myojoyama, Atsushi;Fukuda, Kenichi
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.255-259
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    • 2002
  • To reduce the uncertainty in the calibration of radiation beams, absorbed dose to water for high energy electrons is recommended as the standards and reference absorbed dose by AAPM Report no.51 and IAEA Technical Reports no.398. In these recommendations, water is, defined as the reference medium, however, the water substitute solid phantoms are discouraged. Nevertheless, when accurate chamber positioning in water is not possible, or when no waterproof chamber is available, their use is permitted at beam qualities R$\_$50/ < 4 g/cm$^2$ (E$\_$0/ < 10 MeV). For the electron dosimetry using solid phantom, a depth-scaling factor is used for the conversion of depth in solid phantoms to depth in water, and a fluence-scaling factor is used for the conversion of ionization chamber reading in plastic phantom to reading in water. In this work, the properties, especially depth-scaling factors c$\_$p1/ and fluence-scaling factors h$\_$pl/ of several commercially available water substitute solid phantoms were determined, and the electron dosimetry using these scaling method was evaluated. As a result, it is obviously that dose-distribution in solid phantom can be converted to appropriate dose-distribution in water by means of IAEA depth-scaling.

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Growth and Characterization of Conducting ZnO Thin Films by Atomic Layer Deposition

  • Min, Yo-Sep;An, Cheng-Jin;Kim, Seong-Keun;Song, Jae-Won;Hwang, Cheol-Seong
    • Bulletin of the Korean Chemical Society
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    • v.31 no.9
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    • pp.2503-2508
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    • 2010
  • ZnO thin films were grown on Si or $SiO_2$/Si substrates, at growth temperatures ranging from 150 to $400^{\circ}C$, by atomic layer deposition (ALD) using diethylzinc and water. Despite the large band gap of 3.3 eV, the ALD ZnO films show high n-type conductivity, i.e. low resistivity in the order of $10^{-3}\;{\Omega}cm$. In order to understand the high conductivity of ALD ZnO films, the films were characterized with X-ray diffraction, transmission electron microscopy, X-ray photoelectron spectroscopy, elastic recoil detection, Rutherford backscattering, Photoluminescence, and Raman spectroscopy. In addition, the various analytical data of the ZnO films were compared with those of ZnO single crystal. According to our analytical data, metallic zinc plays an important role for the high conductivity in ALD ZnO films. Therefore when the metallic zinc was additionally oxidized with ozone by a modified ALD sequence, the resistivity of ZnO films could be adjusted in a range of $3.8{\times}10^{-3}\;{\sim}\;19.0\;{\Omega}cm$ depending on the exposure time of ozone.

Effect of NMDA Receptor on Analgesic Effect of Bovine Milk-derived Lactoferrin (BLF) (우유속 락토페린의 NMDA 수용체를 통한 진통효과)

  • Jeon, Yong-Joon;Yun, Jae-Suk;Lim, Hwa-Kyung;Park, Ki-Suk;Na, Han-Kang;Kim, Dong-Sup;Kim, Joo-il;Yoon, Yea-Chang;Choi, Ki Hwan
    • YAKHAK HOEJI
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    • v.49 no.5
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    • pp.370-374
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    • 2005
  • Lactoferrin is a multifunctional protein that is found in milk, neutrophils, and other biological fluids, and its receptors have also been identified in the central nervous system. Recently, it was reported that bovine milk-derived lacto­ferrin (BLF) produced analgesia via a $\mu$-opioid receptor-mediated response in the spinal cord. However the precise mech­anism of this analgesic effect is remains unclear. In Randall-Selitto paw pressure study, each single administration of morphine (10 mg/kg) and BLF (50, 100 and 200 mg/kg) induced analgesia, however, NMDA receptor antagonist MK-801 (0.1, 0.2 and 0.3 mg/kg), inhibited analgesia induced by BLF (100 mg/kg). Intracerebroventricular infusion (I.C.V.) of N­methyl-D-aspartic acid (NMDA) ($0.3\;{\mu}g/8.0\;{\mu}l/hr/day$), as a NMDA receptor agonist, reversed inhibition of MK-801 (0.3 mg/kg) on analgesia induced by BLF (100 mg/kg). These results suggest that BLF have analgesic effect, through NMDA recep­tor activation.

Necrotizing Fasciitis in a Patient with Systemic Lupus Erythematosus (전신성 홍반성 루푸스 환자에서 발생한 괴사성 근막염의 치험례)

  • Cho, Hye-In;Chang, Hak
    • Archives of Plastic Surgery
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    • v.38 no.3
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    • pp.309-314
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    • 2011
  • Purpose: Necrotizing fasciitis is a life-threatening, destructive soft tissue infection with a very high rate of mortality that needs early diagnosis and aggressive treatment. Systemic Lupus Erythematosus (SLE) is a systemic, autoimmune disease and it's major cause of mortality is an infection. But necrotizing fasciitis in SLE is very rare and there have been only 22 cases reported in the literatures. We reported a patient of necrotizing fasciitis with SLE and reviewed 22 others from literature research. Methods: A 40-year-old female patient with a history of SLE for 6 years came to the emergency room. The patient complained of severe pain and swelling on her right leg. She was diagnosed as necrotizing fasciitis and underwent emergency fasciotomy. As wound cultures showed variable organisms, she was treated with broad-spectrum antibiotics and underwent several surgical debridements. Then, the wound was treated with the V.A.C (Vacuum Assisted Closure) device and split thickness skin grafting was performed two times. Results: Skin graft was well taken within 2 weeks after operations and the patient was discharged to outpatient follow up. There was no complication related with surgery and she could walk without cane after 3 months. Conclusion: We treated a necrotizing fasciitis in a patient with SLE and reviewed 22 others from literature research. The case presented here suggests that necrotizing fasciitis is a rare disease in SLE patients, but should be considered in the differential diagnosis of soft tissue infection in SLE patients. A high index of suspicion is needed for early diagnosis and proper management in these patients.

Acellular Dermal Matrix as a Core Strut for Projection in Nipple Reconstruction: Approaches for Three Different Methods of Breast Reconstruction

  • Park, Gui-Yong;Yoon, Eul-Sik;Cho, Hee-Eun;Lee, Byung-Il;Park, Seung-Ha
    • Archives of Plastic Surgery
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    • v.43 no.5
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    • pp.424-429
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    • 2016
  • Background The objective of this paper was to describe a novel technique for improving the maintenance of nipple projection in primary nipple reconstruction by using acellular dermal matrix as a strut in one of three different configurations, according to the method of prior breast reconstruction. The struts were designed to best fill the different types of dead spaces in nipple reconstruction depending on the breast reconstruction method. Methods A total of 50 primary nipple reconstructions were performed between May 2012 and May 2015. The prior breast reconstruction methods were latissimus dorsi (LD) flap (28 cases), transverse rectus abdominis myocutaneous (TRAM) flap (10 cases), or tissue expander/implant (12 cases). The nipple reconstruction technique involved the use of local flaps, including the C-V flap or star flap. A $1{\times}2-cm$ acellular dermal matrix was placed into the core with O-, I-, and L-shaped struts for prior LD, TRAM, and expander/implant methods, respectively. The projection of the reconstructed nipple was measured at the time of surgery and at 3, 6, and 9 months postoperatively. Results The nine-month average maintenance of nipple projection was $73.0%{\pm}9.67%$ for the LD flap group using an O-strut, $72.0%{\pm}11.53%$ for the TRAM flap group using an I-strut, and $69.0%{\pm}10.82%$ for the tissue expander/implant group using an L-strut. There were no cases of infection, wound dehiscence, or flap necrosis. Conclusions The application of an acellular dermal matrix with a different kind of strut for each of 3 breast reconstruction methods is an effective addition to current techniques for improving the maintenance of long-term projection in primary nipple reconstruction.