• Title/Summary/Keyword: m-Hospital

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Abnormal Gastrointestinal Accumulation of Radiotracer by Gastric Bleeding During $^{99m}Tc$-MDP Bone Scintigraphy ($^{99m}Tc$-MDP 골스캔에서 위출혈에 의한 위장관의 일과성 방사능 집적)

  • Chun, Kyung-Ah;Lee, Sang-Woo;Lee, Jae-Tae;Lee, Kyu-Bo
    • The Korean Journal of Nuclear Medicine
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    • v.32 no.2
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    • pp.168-171
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    • 1998
  • We present a case in which a patient with acute hemorrhagic gastritis demonstrated abnormal gastrointestinal accumulation of radiotracer during $^{99m}Tc$-methylene diphosphonate(MDP) skeletal scintigraphy. A hemorrhagic gastritis was subsequently demonstrated by endoscopy. The mechanism for the intestinal localization of $^{99m}Tc$-MDP in this patient is not clear, but we guess that the extravasated blood containing the radiopharmaceutical cannot recirculate and stays at the bleeding site, so we can see the intestinal activity.

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Tc-99m DTPA and Tc-99m DMSA Renal Scan findings in Patients with Congenital Megacalyces and Megaureter without Urinary Tract Obstruction (선천성 거대신배증과 거대뇨관증을 가지나 요로폐쇄가 없는 환아의 Tc-99m DPTA 및 Tc-99m DMSA 신장스캔 소견)

  • Ahn, Byeong-Cheol;Bae, Jin-Ho;Jeong, Sin-Young;Lee, Jae-Tae;Lee, Kyu-Bo
    • The Korean Journal of Nuclear Medicine
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    • v.37 no.3
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    • pp.202-205
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    • 2003
  • A 10 days old male infant with congenital megacalyces and megaureter, diagnosed by prenatal ultrasonographic screening, underwent Tc-99m DTPA renal scan for evaluation of urinary tract patency, Tc-99m DMSA scan for evaluation of renal cortical damage. He also underwent intravenous urography(IVU) and renal ultrasonography. Tc-99m DTPA renal scan demonstrates intense tracer accumulation in enlarged both renal pelvocalyses and ureters, which rapidly washout without diuretics administration. Tc-99m DMSA renal cortical scan shows no remarkable photon defect in both renal cortices and visible tracer uptake in both megaureter areas. Ultasonographic and IVU studios show enlarged both renal calyses and bullously dilated ureters, but no dilatation in renal pelvis. Follow up Tc-99m DTPA renal scan, peformed at one year later, also reveals intense tracer accumulation in enlarged both urinary tracts which rapidly washout without diuretics, and shows no significant change compare to the previous Tc-99m DTPA renal scan. Urinary tract obstruction and renal cortical damage can be easily evaluated with Tc-99m DTPA and Tc-99m DMSA scans in patiens with megacalyces and megaureter.

IgG Avidity Antibodies against Toxoplasma gondii in High Risk Females of Reproductive Age Group in India

  • Siddiqui, Naushaba;Shujatullah, Fatima;Khan, Haris M.;Rabbani, Tamkin;Khan, Parvez A.
    • Parasites, Hosts and Diseases
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    • v.52 no.5
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    • pp.487-491
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    • 2014
  • Toxoplasma gondii is an obligate intracellular protozoan that is distributed worldwide. Recently, several tests for avidity of Toxoplasma IgG antibodies have been introduced to help discriminate between recently acquired and distant infections. The study was conducted in Jawaharlal Nehru Medical College and Hospital, India from February 2011 to September 2012. Serum specimens were subjected to Toxoplasma IgM ELISA and IgG avidity ELISA test. Out of 48 patients with abortions, 17 (35.4%) were positive for IgM ELISA, and 8 (16.6%) had low IgG avidity antibodies. Out of 48 patients with other obstetric problems, 23 (47.9%) were positive for IgM ELISA, and 17 (35.4%) had low IgG avidity antibodies. Combining both groups on avidity test, only 25 of 40 (62.5 %) IgM-positive women had low-avidity IgG antibodies suggesting a recent T. gondii infection in these women. More importantly, 15 (37.5%) of the IgM-positive women had high-avidity antibodies suggesting that the infection was acquired before gestation The relation of IgM seropositivity with the following risk factors was not found to be statistically significant; contact with cats (0.13), non-vegetarian food habits (0.05), and low socio-economic status (0.49). While, for IgG avidity ELISA, only contact with cats (0.01) was significantly associated with seropositivity. All other risk factors have P-values of >0.05 (not significant). IgG avidity test when used in combination with IgM test was a valuable assay for diagnosis of ongoing or recently acquired T. gondii infection in India.

Assessment of Indoor and Outdoor Air Quality through Determination of Microorganism (미생물을 이용한 일부 병원, 가정 및 일반 대기질의 평가)

  • Ha, Kwon Cheol;Paik, Nam Won
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.1 no.1
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    • pp.73-81
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    • 1991
  • To assess biological air quality, concentrations of viable airborne microbes were determined in hospital home and outdoor air from August 25 to October 18, 1990. Bacteria, fungi and thermophilic bacteria were sampled using gravitational and suctional sampling method. In bacteria groups, the Staphylococcus spp. was identified by microscopic examination and biochemical tests. Results of the study are as follows. 1. Results using the gravitational sampling method indicated that average numbers of airborne microbes in hospital home and outdoor air were 21.5, 12.2 and 17.6 CFU/plate, respectively. These levels are well within an appropriate standard of 50 CFU/plate suggested by Endo. 2. Results using the suctional sampling method indicated that total airborne microbe concentrations in hospital, home and outdoor air were 1,998, 1,363 and $1,880CFU/m^3$, respectively. All of the results were within the recommended remedial action level, $10,000CFU/m^3$ of the American Conference of Governmental Industrial Hygienists(ACGIH). 3. Concentration of thermophilic bacteria in hospital and outdoor air were 79 and $111CFU/m^3$, respectively. Thermophilic bacteria were not detected in the home air. These results were within the remedial action level, $500CFU/m^3$. 4. Concentrations of Gram negative bacilli in holpital home and outdoor air were 20.3, 23.6 and $16.8CFU/m^3$, respectively. all were within the remedial action level, $500CFU/m^3$, recommended by ACGIH. 5. Concentrations of Staphylococcus spp. in hospital, home and outdoor air were 34.8, 14.7, and $22.4CFU/m^3$. respectively. all were within the remedial action level, $75CFU/m^3$, recommended by ACGIH. The percentages of Staphylococcus spp. in total bacteria in hospital, home and outdoor air were 19.0, 10.2 and 14.5%, respectively.

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Clinical Significances of $^{99m}TC-DMSA$ Renal Scan in Patients with Acute Pyelonephritis (급성신우신염에서 $^{99m}TC-DMSA$ 신장스캔의 임상적 의의)

  • Mok, Cha-Soo;Shin, Dong-Jin;Choi, Ho-Cheon;Kim, Gyeong-Wook;Yi, Gang-Wook;Choi, Dae-Seop
    • The Korean Journal of Nuclear Medicine
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    • v.23 no.2
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    • pp.201-207
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    • 1989
  • Patients with acute pyleonephritis may present with a spectrum of clinical symptoms and signs. There are few noninvasive diagnostic studies, however, to confirm or exclude this diagnosis. To evaluate the clinical utility of $^{99m}Tc-DMSA$ renal scan in diagnosis of acute pyelonephritis, we performed $^{99m}Tc-DMSA$ renal scan in 37 patients suspected with urinary tract infection. Simultaneously, kidney ultrasonography was done in 21 patients diagnosed with acute pyelonephritis, clinically. And we performed the followup scan after treatment in two to six weeks. The results were as follows: 1) $^{99m}Tc-DMSA$ renal scan disclosed single or multiple cortical defects and decreased radiouptake ratio of affected kidney in 23 patients among 25 patients diagnosed with acute pyleonephritis. 2) In the 21 patients with acute pyelonephritis, kidney ultrasonography showed abnormal finding in the 7 patients. And $^{99m}Tc-DMSA$ renal scan disclosed abnormal cortical defects in this 7 patients also. 3) Between the patients with acute pyelonephritis and those with lower urinary tract infection, asymptomatic bacteriuria or pyuria. right-to-left radiouptake ratios (R/L ratio) were significantly different (p < 0.001). 4) In two to six weeks after antibiotic therapy, we performed followup $^{99m}Tc-DMSA$ renal scan for 5 patients among 25 acute pyelonephritis patients. And we have found the improvement of cortical defects and the right-to-left radiouptake ratio. In conclusion, we thought that $^{99m}Tc-DMSA$ renal scan should be useful in diagnosis of acute pyelonephritis and follow-up examination.

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Inhibition of VRK1 suppresses proliferation and migration of vascular smooth muscle cells and intima hyperplasia after injury via mTORC1/β-catenin axis

  • Sun, Xiongshan;Zhao, Weiwei;Wang, Qiang;Zhao, Jiaqi;Yang, Dachun;Yang, Yongjian
    • BMB Reports
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    • v.55 no.5
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    • pp.244-249
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    • 2022
  • Characterized by abnormal proliferation and migration of vascular smooth muscle cells (VSMCs), neointima hyperplasia is a hallmark of vascular restenosis after percutaneous vascular interventions. Vaccinia-related kinase 1 (VRK1) is a stress adaption-associated ser/thr protein kinase that can induce the proliferation of various types of cells. However, the role of VRK1 in the proliferation and migration of VSMCs and neointima hyperplasia after vascular injury remains unknown. We observed increased expression of VRK1 in VSMCs subjected to platelet-derived growth factor (PDGF)-BB by western blotting. Silencing VRK1 by shVrk1 reduced the number of Ki-67-positive VSMCs and attenuated the migration of VSMCs. Mechanistically, we found that relative expression levels of β-catenin and effectors of mTOR complex 1 (mTORC1) such as phospho (p)-mammalian target of rapamycin (mTOR), p-S6, and p-4EBP1 were decreased after silencing VRK1. Restoration of β-catenin expression by SKL2001 and re-activation of mTORC1 by Tuberous sclerosis 1 siRNA (siTsc1) both abolished shVrk1-mediated inhibitory effect on VSMC proliferation and migration. siTsc1 also rescued the reduced expression of β-catenin caused by VRK1 inhibition. Furthermore, mTORC1 re-activation failed to recover the attenuated proliferation and migration of VSMC resulting from shVrk1 after silencing β-catenin. We also found that the vascular expression of VRK1 was increased after injury. VRK1 inactivation in vivo inhibited vascular injury-induced neointima hyperplasia in a β-catenin-dependent manner. These results demonstrate that inhibition of VRK1 can suppress the proliferation and migration of VSMC and neointima hyperplasia after vascular injury via mTORC1/β-catenin pathway.

Comparison of peri-implant marginal bone level changes between tapered and straight implant designs: 5-year follow-up results

  • Park, Han;Moon, Ik-Sang;Chung, Chooryung;Shin, Su-Jung;Huh, Jong-Ki;Yun, Jeong-Ho;Lee, Dong-Won
    • Journal of Periodontal and Implant Science
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    • v.51 no.6
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    • pp.422-432
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    • 2021
  • Purpose: The aim of this study was to compare straight and tapered implant designs in terms of marginal bone loss, the modified plaque index (mPI), and the modified bleeding index (mBI) for 5 years after functional loading. Methods: Twelve patients were recruited. Two types of implants were placed adjacent to each other: 1 straight implant and 1 tapered implant. Marginal bone loss, mPI, and mBI were measured every year for 5 years after loading. Results: The straight implants showed 0.2±0.4 mm of marginal bone loss at 5 years after loading, while the tapered implants showed 0.2±0.3 mm of marginal bone loss; this difference was not statistically significant (P=0.833). Our analysis also showed no statistically significant differences in mPI (straight implants: 0.3±0.3 vs. tapered implants: 0.2±0.3; P=0.414) or in mBI (straight implants: 0.3±0.4 vs. tapered implants: 0.2±0.3; P=0.317) at 5 years after prosthesis delivery. Conclusions: Straight and tapered implants showed no significant differences with respect to marginal bone loss, mPI, and mBI for 5 years after loading.

Paeonol accelerates skin wound healing by regulating macrophage polarization and inflammation in diabetic rats

  • Zuyang Zhang;Tianhua Chen;Wei Liu;Jiepeng Xiong;Liangdong Jiang;Mingjiang Liu
    • The Korean Journal of Physiology and Pharmacology
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    • v.27 no.5
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    • pp.437-448
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    • 2023
  • Diabetic ulcer is usually seen in people with uncontrolled blood sugar. Reportedly, many factors such as impaired glucose metabolism, and macrovascular and microvascular diseases caused angiogenesis disorders and delayed the healing of diabetic ulcers, thus affecting the body's metabolism, nutrition, and immune function. This study aimed to explore the effect of paeonol on skin wound healing in diabetic rats and the related mechanism. A rat model of diabetic ulcer was established. High glucose-treated mouse skin fibroblasts were co-cultured with M1 or M2-polarized macrophages treated with or without paeonol. H&E and Masson staining were used to reveal inflammatory cell infiltration and collagen deposition, respectively. Immunohistochemistry visualized the expression of Ki67, CD31, and vascular endothelial growth factor (VEGF). Western blot was used to detect interleukin (IL)-1β, tumor necrosis factor (TNF)-α, IL-4, IL-10, CD31, VEGFA, and collagen I/III. The expression of iNOS and arginase 1 was revealed by immunofluorescence staining. Paeonol treatment augmented collagen deposition and the expression of Ki67, CD31, VEGF, and macrophage M2 polarization markers (IL-4 and IL-10) and reduced wound area, inflammatory cell infiltration, and macrophage M1 polarization markers (IL-1β and TNF-α) in the ulcerated area. In vitro, paeonol treatment promoted M2-polarization and repressed M1-polarization in macrophages, thereby improving the repair of cell damage induced by high glucose. Paeonol accelerates the healing of diabetic ulcers by promoting M2 macrophage polarization and inhibiting M1 macrophage polarization.