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A Case of Neonatal Tetanus Cured with Neuromuscular Blocking Agent and Ventilatory Support (근이완제 및 인공 환기요법으로 치료한 신생아 파상풍 1례)

  • Lee, Hyeon Joo;Jeong, Ji Young;Jung, Sa Jun;Choi, Yong Mook;Bae, Chong Woo
    • Clinical and Experimental Pediatrics
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    • v.46 no.2
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    • pp.192-194
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    • 2003
  • A neonate born at 38 gestational weeks was admitted due to generalized tonic-clonic seizure and cyanosis. The neonate was born six days previously at home through normal delivery and the umbilical cord was cut using scissors sterilized in boiling water. The neonate weighed 3,180 g at admission. Physical examination revealed cyanosis, opisthotonus, trismus and reactive muscle spasms. Laboratory exam, brain sonogram and EEG showed no significant abnormal findings. Based on her history and physical examination, the neonate was diagnosed with tetanus and put in an incubator isolated in a quiet, dark room. Treatment with tetanus human immunoglobulin along with antibiotics (penicillin G) were started immediately, and mechanical ventilation, administration of neuromuscular blocking agent and muscle relaxant were also started off. The frequency of seizure episode decreased gradually, and on the 32nd hospital day, mechanical ventilatory support was stopped along with extubation two days later. Thereafter, the neonate was in continuous generalized hypertonic state and showed feeding difficulty, but there was gradual improvement. She was dismissed on the 49th hospital day and is currently under OPD follow-up, doing well with no special problems. Respiratory management is critical to neonatal tetanus. We report here a case of tetanus treated with inhibition of self-respiration, neuromuscular blocker and application of ventilator, and present this method as a useful direction for future treatment of neonatal tetanus.

Identification of Phosphoproteins Induced by AT1 Receptor Blocker Losartan (항고혈압 치료제 로사탄에 의해 인산화 되는 단백질 발굴)

  • Lee, Chang-Woo;Kim, Mi-Jin;Jang, Sei-Heon
    • Journal of Life Science
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    • v.18 no.7
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    • pp.918-923
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    • 2008
  • The angiotensin II receptor ($AT_1R$) antagonists are effective in treating patients with hypertension and showed beneficial effects in diabetes and other metabolic diseases. The beneficial effects of $AT_1R$ antagonists are mainly considered to be from inhibition of Ang $II-AT_1R$ signaling pathway such as the activation of NADPH oxidase and the generation of reactive oxygen species. In this study, we examined whether antagonist of the $AT_1R$ could account for phosphorylation of proteins in cells using antibody array. We have selected 6 proteins with Ser/Thr-phosphorylation sites and 12 proteins with Tyr-phosphorylation sites based on literature search. Upon $AT_1R$ antagonist losartan treatment to serum-starved COS-1 cells, there was ${\sim}20%$ increase of Ser phosphorylation in small GTPase RhoA. RhoA is known to be responsible for cytoskeleton rearrangement and is down-regulated upon Ser phosphorylation in vivo. Our finding provides a new insight into the mechanism and signaling pathway of the $AT_1R$ antagonist in cells.

Massive Hemoptysis Cases Intubated with the Univent$^{(R)}$ Bronchial Blocker for Lung Protection (건측 폐보호를 위해 Univent$^{(R)}$튜브를 사용한 대량객혈환자의 증례)

  • Moon, Jae-Young;Lee, Young-Seok;Lyu, Ji-Won;Huh, Jin-Won;Hong, Sang-Bum;Kim, Sang-We;Lim, Chae-Man;Koh, Youn-Suck
    • Tuberculosis and Respiratory Diseases
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    • v.72 no.2
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    • pp.212-217
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    • 2012
  • Massive hemoptysis is a life-threatening condition and sometimes leads to death due to airway obstruction rather than exsanguinations. In a critical hemoptysis, endotracheal intubation may be necessary to maintain adequate gas exchange and protect the unaffected side of the lung. Bronchial blockers (BBs), commonly used technique for one-lung ventilation in thoracic or cardiac surgeries, are valuable devices for protecting the airway in massive endobronchial bleeding. We report three cases intubated with BBs, Univent$^{(R)}$, in massive hemoptysis. We suggest that BBs are one of the indispensable equipments for respiratory specialized wards and intensive care units.

Internal Perfusion of ADP in Mouse Oocytes Increases Outward $K^+$ Currents (ADP에 의한 생쥐 난자의 외향전류 증가 효과)

  • 한재희;박홍기;강다원;이상미;이상호;배인하;홍성근
    • Development and Reproduction
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    • v.4 no.2
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    • pp.243-250
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    • 2000
  • To find the mechanism underlying the ADP-induced increase in the outward current in ovulated mouse oocytes, we examined changes in voltage-dependent currents using the whole cell voltage clamp technique and the internal perfusion technique. Eggs were collected from the oviduct of superovulated mice with PMSG and hCG. Membrane potential was held at -60 mV (or -80 mV in the case of recording $Ca^{2+}$ currents) and step depolarizations or hyperpolarizations were applied for 300 ms. By step depolarizations, outward currents comprising steady-state and time-dependent components were elicited. They were generated in response to the positive potential more than 20 mV with severe outward rectification and were blocked by external TEA, a specific $K^{+}$ channel blocker, suggesting that they be carried via $K^{+}$ channels. Internally-perused 5 mM ADP gradually increased outward $K^{+}$ currents (IK) 1 min after perfusion of ADP and reached slowly to maximum (150~170%) 5 min later over the positive potential range, implying that ADP might not be acted directly to the $K^{+}$ channels. IK were decreased by 5 mM ATP without affecting the steady-state component of outward current. In contrast to the effect of ADP and ATP on IK, both effect of ATP and ADP on inward $Ca^{2+}$ currents (ICa) could not be detected due to the continuous decrease in current amplitudes with time-lapse ("run-down" phenomena). To check if there is a G protein-involved regulation in the ionic current of mouse oocytes, 1 mM GTP was applied to the cytoplasmic side, and the outward current and inward currents were recorded. ICa was promptly increased in the presence of GTP whereas IK was not changed. from these results, it is concluded that the ATP-dependent regulation is likely linked in the ADP-induced increase in the outward $K^{+}$ current, and G protein-involved cellular signalling might affect ion channels carrying $Ca^{2+}$ and $K^{+}$ in mouse oocytes.

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Effect of particle size of TiO2 and octyl-methoxycinnamate (OMC) content on sun protection factor (SPF)

  • Choi, Jaeyeong;Kim, Suyeon;Kim, Woonjung;Eum, Chul Hun;Lee, Seungho
    • Analytical Science and Technology
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    • v.30 no.4
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    • pp.159-166
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    • 2017
  • Exposure to UV light, i.e., UV-A (320-400 nm) or UV-B (290-320 nm) radiation, can cause skin cancer. Titanium dioxide ($TiO_2$) effectively disperses UV light. Therefore, it is used as a physical UV filter in many UV light blockers. Usually, the $TiO_2$ content in commercialized UV blockers is 25 % at most. To block UV-B, a chemical UV blocker, octyl-methoxy cinnamate (OMC) is used. OMC is commonly used in combination with $TiO_2$. In this study, $TiO_2$ and OMC were mixed in different proportions to produce UV blockers with different compositions. Also the changes in the sun protection factor (SPF) based on the composition and $TiO_2$ particle sizes were investigated. In order to analyze the $TiO_2$ particle size, dynamic light scattering (DLS) and asymmetrical flow field-flow fractionation (AsFlFFF) were used. The results showed that the SPF was influenced by the proportion of $TiO_2$ and OMC, where the proportion of $TiO_2$ induced a more significant influence. In addition, changes in the $TiO_2$ particle size based on the proportion of OMC were observed.

Effect of Acorus Gramineus on the Relaxation of Corpus Cavernosum Smooth Muscle (석창포에 의한 발기부전 개선 효과)

  • Li, Xiang;Kim, Ho-Tae;Lee, Jae-Yun;Lee, Yun-Jung;Shin, Hong-Kyun;Kang, Dae-Gill;Lee, Ho-Sub
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.5
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    • pp.863-869
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    • 2011
  • The aim of the present study is to investigate whether an ethanol extract of Acorus gramineus Soland (EAG) augments penile erection in vitro and in vivo experiment. Preconstructed with phenylephrine (PE) in isolated endothelium-intact rabbit corpus cavernosum, EAG relaxed penile smooth muscle in a dose-dependent manner, which was inhibited by pretreatment with NG-nitro-L-argininemethylester (L-NAME), a nitricoxide synthase inhibitor, and 1H-[1,2,4]-oxadiazole-[4,3-${\alpha}$]-quinoxalin-1-one (ODQ), a soluble guanylylcyclase (sGC) inhibitor, respectively. EAG-induced relaxation was significantly attenuated by pretreatment with tetraethylammonium (TEA), a nonselective $K^+$ channel blocker. EAG increased cGMP levels of the rabbit corpus cavernosum in a concentration-dependent manner without changes in cAMP levels. In addition, EAG caused increase of peak intracavernous pressure (ICP), ICP/MAP ratio and area under the carve (AUC) in SD rats. Taken together, these results suggest that EAG augments penile erection via NO-cGMP system and $K^+$ channels in corpus cavernosum.

Effects of Calcium on Nitric oxide (NO)-induced Adventitious Rooting Process in Radish (Raphanus sativus L.) Cotyledons (무 (Raphanus sativus L.) 자엽에서 산화질소 (Nitric oxide)에 의해 유도된 부정근 형성과정에 대한 칼슘의 효과)

  • Jin, Chang-Duck
    • Journal of Plant Biotechnology
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    • v.34 no.3
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    • pp.213-221
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    • 2007
  • The treatment of radish cotyledons with a nitric oxide (NO)-releasing substance, sodium nitroprusside (SNP) resulted in an increased adventitious root development in a dose-dependent manner. However, this NO-mediated enhancement effect was reversed when either 0.5 mM EGTA (an extracellular $Ca^{2+}$ chelator) or 0.1 mM $LaCl_3$ (a calcium channel blocker) was applied with $50\;{\mu}M$ SNP. Our results also showed that guaiacol peroxidase (GPX) and syringaldazine peroxidase (SPX) activities, which are known to play a key role in rooting, were more largely increased during adventitious root induction in the cotyledons treated with SNP. However, the treatment of cotyledons with SNP plus $LaCl_3$ inhibited the SNP-induced increases in the activities of both GPX and SPX. Trifluoperazine (TFP), an antagonist of calmodulin (a specific calcium-binding protein), also delayed adventitious root formation and significantly reduced the root length and number of the SNP-treated cotyledons as well as the deactivation of GPX and SPX enzymes. In conclusion, our results suggest that calcium is involved in the NO response leading to induction of adventitious root through a regulation of GPX and SPX.

Effects of melatonin on heart rate and blood pressure in rat I. Effects on blood pressure (멜라토닌이 랫트에서 심박수 및 혈압에 미치는 효과 I. 혈압에 미치는 효과)

  • Oh, Sung-suck;Kim, Shang-jin;Kim, Jin-shang
    • Korean Journal of Veterinary Research
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    • v.41 no.3
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    • pp.327-332
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    • 2001
  • In recent years, experimental evidence have been suggested that melatonin has either contractive or relaxing effects on the vascular smooth muscle in vitro. But the effect of melatonin on the cardiovascular system in vivo had been emphasized about the hypotensive effect. In this work, we found not only hypotensive effect but also hypertensive effect of melatonin in rats and attempted to determine the mechanism of these effects elicited by melatonin. Regadless of concentration, melatonin(0.002~5 mg/kg) produced increase in mean blood pressure (MBP) in 36% (54/150 cases) and decrease in mean blood pressure in 64%(96/150 cases). As a whole melatonin caused an increase or a decrease in MBP without compensatory decrease or increase in heart rate. The melatonin-induced hypertension was abolished by the pretreatment of phenoxybenzamine, a ${\alpha}$-adrenoceptor antagoninst. The melatonin-induced hypotension was abolished by the pretreatment of propranolol, a ${\beta}$-adrenoceptor antagonist, ODQ, a NO-sensitive guanylate cyclase inhibitor, or nifedipine, a L-type $Ca^{2+}$ channel blocker, but not by bilateral cervical vagotomy. The results indicate that melatonin-induced hypertension may be related to ${\alpha}$-adrenoceptor stimulation and melatonin-indued hypotension may be related to ${\beta}$-adrenoceptor stimulation, inhibition of $Ca^{2+}$ channel and/or activation of guanylate cyclase.

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Preparation and Properties of Poly(organosiloxane) Rubber Nanocomposite Containing Ultrafine Nickel Ferrite Powder (Nickel Ferrite 함유 Poly(organosiloxane) Rubber Nanocomposite의 제조와 특성)

  • Kang Doo Whan;Lee Kweon Soo
    • Polymer(Korea)
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    • v.29 no.2
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    • pp.156-160
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    • 2005
  • $\alpha,\omega-Vinyl$ poly (dimethyl-methylphenyl) siloxane prepolymer (VPMPS ) was prepared by the equilibrium polymerization of octamethylcyclotetrasiloxane $(D_4)$, 1,3,5-trimethyl-1,3,5-triphenylcyclotrisiloxane $(D_3^{Me,Ph)$, and 1,1,3,3-tetramethyl-1,3-divinyldisiloxane (MVS). And also, of $\alpha,\omega-hydrogen$ poly(dimethyl-methyl)siloxane prepolymer (HPDMS) as end blocker was prepared from octamethylcyclotetrasiloxane $(D_4)$, 1,3,5-trimethylcyclotrisiloxane $(D_3^:Me,H})$, and 1,1,3,3-tetramethyldisiloxane (MS). Nickel ferrite nanoparticles having spinel magnetic material was prepared by the sol-gel method using PAA as a chelating agent. Poly(organosiloxane) rubber nanocomposite containing silica and nickel ferrite ultrafine powder modified with 1,3-divinyltetramethyldisilazane (VMS) was prepared by compounding VPMPS, HPDMS, and catalyst in high speed dissolver. The mechanical properties, heat dissipating away characteristics, and volume resistivities for POX-30 and POX-50 were measured.

Preparation and Thermal Conductivity of Poly(organosiloxane) Rubber Composite with Low Hardness (저경도 Poly(organosiloxane) Rubber Composite의 제조와 열전도 특성)

  • Kang Doo Whan;Yeo Hak Gue
    • Polymer(Korea)
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    • v.29 no.2
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    • pp.161-165
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    • 2005
  • $\alpha,\omega-Vinyl$ poly(dimethyl-methylphenyl) siloxane propelymer (VPMPS ) was prepared by the equilibrium polymerization of octamethylcyclotetrasiloxane $(D_4)$, 1,3,5-trimethyl-1,3,5-triphenylcyclotrisiloxane $(D_3^{MePh})$, and 1,1,3,3-tetramethyl-1,3-divinylsiloxane (MVS) as end-blocker. And also, $\alpha,\omega-hydrogen$ poly(dimethyl-methyltrifluoropropyl)siloxane prepolymer (HPDMFS) was prepared from $D_4$, 1,3,5-trimethyl-1,3.5-trifluoropropylcyclotrisiloxane $(D_3^{MeF3P})$, and 1,1,3,3-tetramethyldisiloxane. Poly(organosiloxane) rubber composite containing high thermal conductive filler was prepared by compounding VPMPS, HPDMFS, spherical alumina, and catalyst in high speed dissolver. The crosslinking density of poly (organosiloxane) composite was measured by oscillation rheometer. Poly(organosiloxane) composites of TC-POXR-2 and TC-POXR-4 prepared by controlling average diameters of thermal conductive filler, spherical alumina according to Horsfield's packing model were shown to 1.13 W/mK for TC-POXR-2 and 1.19 W/mK for TC-POXR-4.