• Title/Summary/Keyword: infiltration-level

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Idiopathic multicentric Castleman disease presenting progressive reticular honeycomb infiltration of lung and immunoglobulin G and immunoglobulin G4 dominant hypergammaglobulinemia: a case report

  • Kim, Hyun-Je;Hong, Young-Hoon
    • Journal of Yeungnam Medical Science
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    • v.39 no.2
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    • pp.153-160
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    • 2022
  • Multicentric Castleman disease (MCD) is an uncommon systemic lymphoproliferative disorder that may cause multiple organ damage. Castleman disease-associated diffuse parenchymal lung disease (DPLD) has not been well studied. A 32-year-old man was referred to our hospital for progressive generalized weakness, light-headedness, and dyspnea on exertion for more than one year. Laboratory evaluations showed profound anemia, an elevated erythrocyte sedimentation rate, and an increased C-reactive protein level with polyclonal hypergammaglobulinemia. Chest radiography, computed tomography (CT), and positron emission tomography-CT scan demonstrated diffuse lung infiltration with multiple cystic lesions and multiple lymphadenopathy. In addition to these clinical laboratory findings, bone marrow, lung, and lymph node biopsies confirmed the diagnosis of idiopathic MCD (iMCD). Siltuximab, an interleukin-6 inhibitor, and glucocorticoid therapy were initiated. The patient has been tolerating the treatment well and had no disease progression or any complications in 4 years. Herein, we report this case of human herpesvirus-8-negative iMCD-associated DPLD accompanied by multiple cystic lesions, multiple lymphadenopathy, and polyclonal hypergammaglobulinemia with elevated immunoglobulin G (IgG) and IgG4 levels. We recommend a close evaluation of MCD in cases of DPLD with hypergammaglobulinemia.

Relieving effect for respiratory inflammation of Gumiganghwal-tang (구미강활탕(九味羌活湯)의 호흡기 염증 완화효과)

  • Bo-In Kwon;Joo-Hee Kim
    • Journal of Society of Preventive Korean Medicine
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    • v.27 no.3
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    • pp.35-46
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    • 2023
  • Objectives : Gumiganghwal-tang and its main components have been used for treatment of cough, headache, joint pain and fever. Using a respiratory inflammatory model, we intend to demonstrate the its anti-inflammatory effect and immune mechanism of Gumiganghwal-tang. Methods : We induced the respiratory inflammation mouse model by papain treatment. Female BALB/C mice (8 weeks old) were divided into three groups as follows: saline control group, papain treatment group (vehicle), papain and Gumiganghwal-tang (200 mg/kg) treatment group (n=4). To verify the anti-inflammatory effect of Gumiganghwal-tang extracts, we measured the infiltration of inflammatory cells in bronchoalveolar lavage fluid (BALF) and nasal lavage fluid (NALF). Additionally, the efficacy of Gumiganghwal-tang extracts on Th2 cell population and alveolar macrophage in lung were analyzed by using flow cytometry. Results : Gumiganghwal-tang extracts administration decreased inflammatory cell infiltration in BALF and NALF, especially of eosinophils. Furthermore, interleukin-5 level was reduced in lung by drug administration. Interestingly, Gumiganghwal-tang extracts treatment also decreased the Th2 cell (CD4+GATA3+) population and increased the alveolar macrophage (CD11b+CD11c+) population in lung. Conclusions : Our findings indicate that Gumiganghwal-tang extracts have anti-inflammatory effects by mediating Th2 cell and alveolar macrophage cell activation.

Effects of pear ethanol extract on asthma induced by ovalbumin in mice (배 에탄올 추출물이 난황에 의하여 유발된 생쥐의 천식에 미치는 영향)

  • Chung, Hee-Jin;Joung, Young-Min;Choi, Eu-Gene;Shin, Dong-Sung;Kim, Hyung-Woo;Cho, Su-In
    • The Korea Journal of Herbology
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    • v.27 no.1
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    • pp.11-16
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    • 2012
  • Objectives : In the theory of Korean medicine, Pear has long been considered to protect throat, bronchus and lung. Pear has been believed to remove sputum in Korean people. This study was conducted to investigate the effect of pear ethanol extract (PEE) on asthma induced by ovalbumin in mice. Methods : We investigated the effects of PEE on airway hyperresponsiveness to methacholine, production levels of ovalbumin (OVA) specific total immunoglobulin G (IgG), IgG1, IgG2a and IgE in serum and histopathological changes of lung tissues in asthamtic mice. Results : PEE decreased airway hyperresponsiveness to methacholine significantly compared to non-treated asthmatic mice (P<0.05). Level of OVA specific IgE in serum was lowered by oral administration of PEE effectively (P<0.05). In histopathological observation, administration of PEE reduced infiltration of immune cells into lung tissue. Conclusion : These results suggest that pear has anti-asthmaitc action and related mechanims are involved in anti-inflammatory action such as reducing level of OVA specific IgE and immune cell infiltration.

Studoes on the Slurry-Application of Winter Rye (Secale cereale L. ) II. Effect of mineral content , nitrogen balance and environmental soil (추파용 호밀에 대한 액상분뇨 시비 연구 II. 무기물 함량 , N 생산성 및 토양환경에 미치는 영향)

  • 신동은;김동암;신재순;송관철;이종경;윤세형;김원호;김정갑
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.18 no.3
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    • pp.243-250
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    • 1998
  • This study was conducted to evaluate mineral content of Winter Rye, Nitrogen Balance, Soil chemical characteristics and NO,-N level in infiltration water as affected by different slurry application on the basis of N contents respectively and was arranged as a randomized complete block design with seven treatments (chemical fertilizer 160kg Nha, cattle slurry 160 . 320 - 480kg Nha, swine slurry 160 - 320 - 480kg Nha) and conducted at National Livestock Research Institute, RDA, in Suweon fiom Sep. 1996. to Apr. 1997. The results obtained are summarized as follows : Nirogen, Phosphorous, Calcium and Potassium of Winter Rye slightly increased as slurry application level was increased (p$NO_3$-N content ($\mu$g/g) of Winter Rye was shown fiom 780 to 1,462 in all treatments, especially , the swine slurry plots were significantly higher than that of cattle sluny plots (p < 0.05). As slurry application increased, show a marked trend toward surplus N input in all treatment. The pH of the topsoil (0~IOcm) was shown 6om 5.1 to 5.4 except the plot of chemical fertilizer before experiment pH of 5.1, but the pH of the subsoil (10~20cm) tended not to be regular. The content of available ,TEX>$P_2O_5$ inaeased with the increased application of slurry, particularly, the topsoil (O- 1Ocm) were much higher than the subsoil (10~20cm). The $NO_3$-N content of infiltration water (depth:lm) was increased as affected by sluny application.

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A Study on the Operational Strategy for Hybrid Ventilation System in Apartment unit focused on Indoor Air Quality (실내공기질을 고려한 공동주택의 하이브리드 환기 시스템의 운영에 관한 연구)

  • Lee, Yong-Jun;Leigh, Seung-Bok;Lee, Kyung-Hoi
    • KIEAE Journal
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    • v.4 no.3
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    • pp.203-210
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    • 2004
  • This dissertation identifies and investigates the possible control modes of hybrid ventilation system in applying to general apartments. It evaluates range of hybrid ventilation control modes in terms of indoor air quality, thermal comfort, and energy consumption in a living room and a kitchen of the $1000m^2$ apartment. The TRNSYS simulation program was used for evaluating the following four ventilation types : A ventilation mode relying on only infiltration for supplying air, A natural ventilation mode considering with weather condition, A hybrid ventilation (natural + mechanical ventilation) mode allowing minimum ventilation with no heat exchange, and a hybrid ventilation mode with heat exchange. This study shows the following results. As temperature being controlled by heating cooling equipments, there is without significant difference in thermal performance among ventilation types. Regarding Indoor Air quality, Indoor air contamination level of the hybrid ventilation case consistently keep the lower levels. The hybrid ventilation modes consume more energy by a 49% as compared to the A ventilation mode relying on only infiltration for supplying air. It is caused by the continuous ventilation for keeping good indoor air quality; the increase of energy consumption can be attributable to the increase of the heating energy. Therefore, the heat exchange between indoor and outdoor air is required during heating season in severe weather conditions. During the cooling seasons, Introducing natural ventilation can achieve energy saving by 40 ~ 45%. Thus, it can be an effective strategies for energy saving. Based on these results, a hybrid ventilation system can be suggested as an effective ventilation strategy for archiving high level of indoor air quality, thermal comfort, and energy consumption.

Ginsenoside Rd alleviates mouse acute renal ischemia/reperfusion injury by modulating macrophage phenotype

  • Ren, Kaixi;Jin, Chao;Ma, Pengfei;Ren, Qinyou;Jia, Zhansheng;Zhu, Daocheng
    • Journal of Ginseng Research
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    • v.40 no.2
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    • pp.196-202
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    • 2016
  • Background: Ginsenoside Rd (GSRd), a main component of the root of Panax ginseng, exhibits anti-inflammation functions and decreases infarct size in many injuries and ischemia diseases such as focal cerebral ischemia. M1 Macrophages are regarded as one of the key inflammatory cells having functions for disease progression. Methods: To investigate the effect of GSRd on renal ischemia/reperfusion injury (IRI) and macrophage functional status, and their regulatory role on mouse polarized macrophages in vitro, GSRd (10-100 mg/kg) and vehicle were applied to mice 30 min before renal IRI modeling. Renal functions were reflected by blood serum creatinine and blood urea nitrogen level and histopathological examination. M1 polarized macrophages infiltration was identified by flow cytometry analysis and immunofluorescence staining with $CD11b^+$, $iNOS^+$/interleukin-12/tumor necrosis factor-${\alpha}$ labeling. For the in vitro study, GSRd ($10-100{\mu}g/mL$) and vehicle were added in the culture medium of M1 macrophages to assess their regulatory function on polarization phenotype. Results: In vivo data showed a protective role of GSRd at 50 mg/kg on Day 3. Serum level of serum creatinine and blood urea nitrogen significantly dropped compared with other groups. Reduced renal tissue damage and M1 macrophage infiltration showed on hematoxylin-eosin staining and flow cytometry and immunofluorescence staining confirmed this improvement. With GSRd administration, in vitro cultured M1 macrophages secreted less inflammatory cytokines such as interleukin-12 and tumor necrosis factor-${\alpha}$. Furthermore, macrophage polarization-related pancake-like morphology gradually changed along with increasing concentration of GSRd in the medium. Conclusion: These findings demonstrate that GSRd possess a protective function against renal ischemia/reperfusion injury via downregulating M1 macrophage polarization.

Correlation of the Deformation of the Kyphotic Angle with the Fat Infiltration Rate of Multifidus and Erector Spinae in Patients with Acute Osteoporotic Fractures of the Lumbar Spine (급성 골다공증성 요추 골절 환자에서 척추 기립근 및 다열근의 지방침투율과 후만각 변형의 연관 관계)

  • Jun, Deuk Soo;Baik, Jong-Min;Baek, Seung Hyun
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.3
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    • pp.208-214
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    • 2021
  • Purpose: Verifying a reliable predictor of the progression of vertebral deformity in patients with acute osteoporotic fractures of the lumbar spine may be useful. A qualitative analysis of the muscle near the spine was performed using magnetic resonance imaging (MRI), and its correlation with a spinal deformity was determined under the hypothesis that the causes of the kyphotic deformity are associated with muscle reduction in the multifidus and erector spinae. Materials and Methods: The study was performed in a retrospective manner using the electronic medical records of patients who presented to the author's institution between January 2007 and March 2018, and were diagnosed with an acute lumbar fracture. The fat infiltration rates of the multifidus and erector spinae were measured using MRI taken at the time of injury, and the mean value was defined as the total fat infiltration rate (TFI). Based on lateral radiographs of the lumbar spine at the one-year follow-up, the loss of height of the vertebral body, the kyphotic angle and the wedge angle were measured. The statistical significance was confirmed by calculating the Pearson correlation coefficient. Results: One hundred twenty-nine patients, of which 30 were male and 99 were female, were examined. The mean age was 71.28 years. The mean T-score was -3.53±0.79 g/cm2, and the mean fat infiltration was 15.20%±11.99%. TFI was positively correlated with age (R=0.373, p<0.001), compression rate (R=0.369, p<0.001), and Cobb's angle (R=0.386, p<0.001) after a one year follow-up, but negatively correlated with the BMD score (R=-0.252, p=0.004). As the fracture progressed to the lower lumbar level, the compression rate (R=-0191, p=0.030) and wedge angle (R=-0.428, p<0.001) at the time of injury tended to decrease. Conclusion: In patients with osteoporotic vertebral fractures, the fat infiltration rate may be an important predictor of conservative treatment. The prognosis of patients with a high-fat infiltration rate should be explained during patient education, and the patients must be monitored closely through short-term outpatient follow-up.

Effects of Opuntia Ficus-indica on Ovalbumin-induced Asthma Model (Ovalbumin으로 유도된 천식 마우스 모델에서 백련초의 효과)

  • Ra, Je-Hyeon;Shen, Feng-Yan;Jung, Sung-Ki;Kim, Jin-Ju
    • The Journal of Internal Korean Medicine
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    • v.30 no.4
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    • pp.788-798
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    • 2009
  • Objective : This study was undertaken to investigate effects of Opuntia ficus-indica (OP)extract on an asthma murine model. Methods : The total number of cells and eosinophils in BALF and the infiltration of inflammatory cells into lung tissues were determined by hematoxylin and eosin staining. Results : The number of OVA-induced total cells and eosinophils, a phenomenon of asthma, were decreased by treatment of the animals with OP extract (200 mg/kg) (respectively, p < 0.001 and p<0.01). Furthermore, we showed that OP extract reduced the increased immune cell infiltration induced by ovalbumin (p < 0.01). The levels of interleukin (IL)-4 in BAL fluid were measured by enzyme-linked immunosorbent assay, because the eosinophilia is associated with a T helper (Th) 2 response including IL-4. The level of OVA-induced IL-4 was decreased by OP extract in BAL fluid (p < 0.05). We investigated whether OP extract reduced nitrite (NO) production on lipopolysaccharide (LPS)-stimulated RAW 264.7 sells, because asthma is an inflammatory disease. The level of LPS-induced NO production was decreased by OP extract (50, 100 and 200 mg/ml) on RAW 264.7 cells (respectively, p < 0.05, p<0.01 and p<0.05). Conclusions : Our results indicate that OP extract has an inhibitory effect on lung eosinophilia of asthma and suggest that OP extract is a therapeutic candidate in the treatment of inflammatory disease, including asthma.

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Large-scale Levee Monitoring Experiment Using Fiber-optic Sensor and Distributed Temperature Sensing System (광섬유 센서와 분포형 온도 센싱 시스템을 이용한 실규모 제방 모니터링 실험)

  • Ahn, Myeonghui;Bae, Inhyeok;Ji, Un;Kang, Joongu
    • Ecology and Resilient Infrastructure
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    • v.7 no.3
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    • pp.181-188
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    • 2020
  • In this study, a temperature distribution sensing method using optical fiber was applied to a large-scale levee experiment, and the applicability of wide-area levee or embankment monitoring technology to observe the changes inside the levee was reviewed. The optical fiber was buried in a large-scale levee, and the temporal and spatial temperature changes were measured according to the water level changes in the reservoir. As the water level of the reservoir increased, the temperature of the embankment slope decreased, and as the infiltration progressed, a change in the spatial location of the temperature change was detected. The temperature change due to embankment infiltration varied depending on the time of the infiltration progress, and the change assumed to be the seepage line could be observed. This study has demonstrated that information about temperature changes inside the levee can be interpreted as the information on the locations that are judged to be relatively vulnerable, investigating the changes in the condition inside the levee.

Effects of Momordica Charantia L. Water Extracts on the Rat Liver and Kidney with Acute Toxicated by Lead (여주 추출물이 급성 납 중독된 흰쥐의 간과 콩팥에 미치는 효과)

  • Lee, Hyun-Hwa;Cheong, Min-Ju;Huh, Jin;Song, Seon-Young;Boo, Hee-Ock
    • Applied Microscopy
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    • v.39 no.4
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    • pp.355-363
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    • 2009
  • The purpose of this study was to demonstrate the effect of Momordica Charantia L. water extracts, one of the natural chelator, on the biochemical and enzyme activity changes in the rats liver and kidney caused by lead acetate. Rat approximately 250 g in weight were grouped into the control, lead acetate treated, and the Momordica Charantia L. boiling water extracts treated after lead acetate groups. Lead acetate (1,000 ppm) and Momordica Charantia L. water extracts (5%, 10%) were delivered drinking water. Serum AST, ALT and BUN were measured, histological alteration of liver and kidney were examined by light microscopy. Momordica Charantia L. extract group was decreased serum AST, ALT and BUN level induced by lead. Optical observations of liver tissue, lead group were observed necrosis of hepatic cells and infiltration of inflammatory cells, but Momordica Charantia L. extract group was observed only slight infiltration of inflammatory cells around the central vein. Optical observations of kidney tissue, lead acetate induced atrophy and necrosis of glomerulus and infiltration of inflammatory cell around renal tubule. For the group treated with Momordica charantia L. extract, the glomerulus was similar to the control, some around the renal tubule was observed infiltration of inflammatory cells. In conclusion, Momordica Charantia L. water extract may protect the lead-induced toxicity on liver and kidney.