• Title/Summary/Keyword: Injection Site

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Preclinical Study on Biodistribution of Mesenchymal Stem Cells after Local Transplantation into the Brain

  • Narayan Bashyal;Min Gyeong Kim;Jin-Hwa Jung;Rakshya Acharya;Young Jun Lee;Woo Sup Hwang;Jung-Mi Choi;Da-Young Chang;Sung-Soo Kim;Haeyoung Suh-Kim
    • International Journal of Stem Cells
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    • v.16 no.4
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    • pp.415-424
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    • 2023
  • Therapeutic efficacy of mesenchymal stem cells (MSCs) is determined by biodistribution and engraftment in vivo. Compared to intravenous infusion, biodistribution of locally transplanted MSCs are partially understood. Here, we performed a pharmacokinetics (PK) study of MSCs after local transplantation. We grafted human MSCs into the brains of immune-compromised nude mice. Then we extracted genomic DNA from brains, lungs, and livers after transplantation over a month. Using quantitative polymerase chain reaction with human Alu-specific primers, we analyzed biodistribution of the transplanted cells. To evaluate the role of residual immune response in the brain, MSCs expressing a cytosine deaminase (MSCs/CD) were used to ablate resident immune cells at the injection site. The majority of the Alu signals mostly remained at the injection site and decreased over a week, finally becoming undetectable after one month. Negligible signals were transiently detected in the lung and liver during the first week. Suppression of Iba1-positive microglia in the vicinity of the injection site using MSCs/CD prolonged the presence of the Alu signals. After local transplantation in xenograft animal models, human MSCs remain predominantly near the injection site for limited time without disseminating to other organs. Transplantation of human MSCs can locally elicit an immune response in immune compromised animals, and suppressing resident immune cells can prolong the presence of transplanted cells. Our study provides valuable insights into the in vivo fate of locally transplanted stem cells and a local delivery is effective to achieve desired dosages for neurological diseases.

A Study on Numerical Technique of the Hardened Grout Formed by Grouting (약액주입 시 형성된 고결체의 수치해석 기법 연구)

  • Lee, Jong-Hwi;Chun, Byung-Sik
    • Journal of the Korean Geotechnical Society
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    • v.27 no.6
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    • pp.27-37
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    • 2011
  • Recently, pressure grouting is widely being used in construction site for strength improvement of ground and water proof, reinforcement and so on. It is necessarily required to estimate an appropriate injection pressure and injection time for economical and reasonable construction in the site through the size and shape of the hardened grout measured according to ground condition. However, sampling for the hardened grout is time-consuming and needs high cost on preliminary test in the site. The system which could predict the size and shape of the hardened grout does not exist until now. Thus, numerical method based on VOF method and porous model was used for the calibration chamber injection test with injection pressure (50 kPa, 100 kPa, 150 kPa) in this study. The results indicate that the numerical technique based on VOF method and porous model among CFD analysis is expected to be a basic study for the prediction of the behavior and solidification of pressure grouting.

Geostationary Satellite Launch Site and Orbit Injection (정지궤도위성 발사위치와 궤도투입에 관한 고찰)

  • DONG-SUN KIM
    • Journal of Aerospace System Engineering
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    • v.18 no.3
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    • pp.27-33
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    • 2024
  • According to the success of the Nuri Space Launch Vehicle (KSLV-II) and the development goal of the next generation space launch vehicle (KSLV-III), it is expected that the domestic geostationary satellite capability will be increased from (1 to 3.7) ton. Also, it is predicted that substantial ability of about 1 ton can be provided for the space exploration of the Moon, Mars, asteroids, etc. The Goheung space launch site is optimized for sun-synchronous small satellites, and due to the essential precondition that the launch trajectory does not impinge another country's sovereign airspace, it is not satisfactory as a geostationary satellite launching site. Its latitude also requires more energy to shape the rotating orbital plane from the initial injection status. This results in a decreasing factor of economic feasibility, including the operating complexity. Therefore, in parallel with the development of a next generation space launch vehicle, the practical process for acquisition of oversea land or sea space launch site near the Earth's equator and research for the optimization of orbiting methods of geostationary satellite injection must be continued.

Stability of Paclitaxel and Vancomycin in $5\%$ Dextrose Injection, $0.9\%$ Sodium Chloride Injection and Hartman's Solution during Simulated Y-Site Administration

  • Burm, Jin Bil
    • Korean Journal of Clinical Pharmacy
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    • v.11 no.2
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    • pp.62-67
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    • 2001
  • Paclitaxel과 vancomycin을 $5\%$ 포도당주사액, $0.9\%$ 염화나트륨주사액 또는 하트만용액과 함께 Y-Site 장치를 써서 환자에게 주입할 때 두 약물의 안정성에 관하며 면구하였다. Paclitaxel 0.3 mg/ml 및 1.2 mg/ml과 vancomycin 1 mg/ml, 5 mg/ml 및 10 mg/ml을 각각 1 : 1로 혼합한 후 0, 1, 2, 4, 12시간 시점에서 두 약물의 농도를 HPLC로 분석하였다, 방해물질에 의한 분석오차를 줄이기 위해 분석법을 여러상태에서 확인하였으며 각 농도에서 3차례씩 실험하였고 각 샘플은 반복하여 HPLC로 분석하였다. 분석전에 각 시료의 투명도, 색의 변화, 침전상태 및 pH를 검사하였다. Paclitaxel 0.3 mg/ml 및 1.2 mg/ml와 vancomycin 1 mg/ml, 5 mg/ml 및 10 mg/mt를 각각 혼합하였을 때 12시간 동안 안정하였으며 주사액의 혼탁이나 색의 변화 및 침전은 나타나지 않았으며 pH도 변하지 않았다.

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A Way to Avoid Muscular Fibrosis in the First Dorsal Interosseous Muscle after Acupuncture Injection Therapy

  • Wong, Yiu Ming
    • Journal of Pharmacopuncture
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    • v.20 no.3
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    • pp.227-229
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    • 2017
  • Fibrosis of skeletal muscle following acupuncture is an iatrogenic disorder. The present case illustrates a patient with a unilateral fibrotic formation on a thumb muscle after acupuncture injection therapy with red sage. The patient in the present case was a counter-terrorism police officer with right-handedness; he noted a palpable nodule three months after injection therapy at his left first dorsal interosseous in which the acupuncture point LI4 (He Gu) is located. He also found a reduction in the strength of his left pinch grip that noticeably affected his left handgun marksmanship. However, being ambidextrous in single-hand pistol shooting is an essential requirement for counter-terrorism police officers. Based on the patient's medical history and claims, no underlying disease or trauma was found to be associated with his current complaint. During physical examination, a fibrotic formation in his left first dorsal interosseous muscle was visualized by using diagnostic ultrasound; also, as confirmed with dynamometry, the strength of his left pinch grip was significantly lower than that of the right counterpart. Because acupuncture injection therapy has three components, antiseptic practices, the mechanical action of syringe insertion, and the pharmacological effect of the sterile herb extract, any one of the components may have contributed to the present adverse event. The first dorsal interosseous muscle is small in dimension and rather vascular; thus, it is not an ideal site for intramuscular injection. When a clinician needs to treat a patient by performing acupuncture at the LI4 acupoint and injecting a herbal extract simultaneously, the clinician should only mechanically stimulate the LI4 acupoint while injecting the herbal medicine into the LI14 (Bi Noe) acupoint on the same meridian, the LI14 acupoint being located in the distal portion of the deltoid muscle and being fairly close to the universally agreed upon site on the upper arm for safe administration of an injection.

Glenohumeral versus subacromial steroid injections for impingement syndrome with mild stiffness: a randomized controlled trial

  • Yong-Tae Kim;Tae-Yeong Kim;Jun-Beom Lee;Jung-Taek Hwang
    • Clinics in Shoulder and Elbow
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    • v.26 no.4
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    • pp.390-396
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    • 2023
  • Background: The subacromial (SA) space is a commonly used injection site for treatment of impingement syndrome. For shoulder stiffness, glenohumeral (GH) injections are commonly performed. However, in cases of impingement syndrome with mild shoulder stiffness, the optimal site of steroid injection has yet to be identified. Methods: This prospective, randomized study compared the short-term outcomes of ultrasound-guided GH and SA steroid injections in patients who were diagnosed with impingement syndrome and mild stiffness. Each group comprised 24 patients who received either a GH or SA injection of 40 mg of triamcinolone. Range of motion and clinical scores were assessed before and 3, 7, and 13 weeks after the injection. Results: GH and SA injections significantly improved the range of motion and clinical scores after 13 weeks of follow-up. Notably, targeting the GH joint resulted in an earlier gain of forward elevation, external rotation, and internal rotation in 3 weeks (P<0.001, P=0.012, and P=0.002, respectively) and of internal rotation and a Constant-Murley score in 7 weeks (P<0.001 and P=0.046). Subsequent measurements were similar between the groups and showed a steady improvement in all ranges of motion and clinical scores. Conclusions: GH injections may be more favorable than SA injections for treatment of impingement syndrome with mild stiffness, especially in improving the range of motion in the early period. However, the procedures showed similar outcomes after 3 months. Level of evidence: I.

Preparation of perovskite-based catalysts and fuel injection system for high durability of diesel reforming (디젤 개질을 위한 페로브스카이트 구조 촉매와 연료주입 시스템의 개발)

  • Rhee, Junki;Park, Sangsun;Shul, Yong-Gun
    • 한국신재생에너지학회:학술대회논문집
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    • 2010.11a
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    • pp.115.2-115.2
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    • 2010
  • Autothermal reforming(ATR) processes of hydrocarbon liquids such as diesel fuels are spotlighted as methods to produce hydrogen for Fuel cell. However, the use of heavy hydrocarbons as feedstocks for hydrogen production causes some problems which increase the catalyst deactivation by the carbon deposition. Coking can be inhibited by increasing the water dissociation on the catalyst surface. This results in catastrophic failure of whole system. Performance degradation of diesel autothermal reforming leads to increase of undesirable hydrocarbons at reformed gases and subsequently decrease the performance. In this study, perovskite-based catalysts were investigated as alternatives to substitute the noble metal catalyst for the ATR of diesel. The investigated perovskite structure was based on LaCrO3. and metals were added at the A-site to enhance oxygen ion mobility, transition metals were doped on the B-site to enhance the reformation. Substituted Lanthanum chromium perovskite were made by aqueous combustion synthesis, which can produce high surface area. And for the homogeneous fuel supply, we made ultrasonic injection system for reforming. We compared durability of evaporation system and ultrasonic system for fuel injection.

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Catastrophic complications from filler injection on external genitalia

  • Kwon, Byeong Soo;Kim, Jin Woo
    • Archives of Plastic Surgery
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    • v.48 no.1
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    • pp.10-14
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    • 2021
  • Soft tissue filler injections are widely used due to their immediate effects, predictable results, and high stability. However, as the use of soft tissue filler injections has increased, various complications have been reported. We report a life-threatening complication in a patient who developed sepsis and necrotizing fasciitis. A 45-year-old woman presented with right leg pain and discharge from the labia majora. The patient had received a soft tissue filler injection of unknown composition 1 year earlier and had recently undergone incision and drainage for an inflammatory cystic nodule. Antibiotic treatment was administered for cellulitis, but the infection progressed to necrotizing fasciitis and sepsis. Fasciotomy and intensive care unit treatment improved the systemic infection, but the soft tissue filler injection site did not respond to treatment for 1 month. Thus, the injection site was covered with a pedicled vertical rectus abdominis musculocutaneous flap after wide excision. The area of skin necrosis on the leg was covered with split-thickness skin grafts. Infections occurring after soft tissue filler injections are related to biofilms, and treatment is sometimes difficult. Therefore, although soft tissue filler injections have a favorable safety profile, it is important to be aware of the risk of life-threatening complications.

Single-Dose Intramuscular Toxicity Test Using No-Pain Pharmacopuncture in Sprague-Dawley Rats

  • Ji Hye Hwang;Chul Jung
    • Journal of Pharmacopuncture
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    • v.26 no.1
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    • pp.86-93
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    • 2023
  • Objectives: This study aimed to evaluate the potential toxicity of a recently developed and clinically used No-Pain pharmacopuncture (NPP) solution. We also assessed the lethal dose of the NPP agent following a single intramuscular injection in Sprague-Dawley (SD) rats. Methods: Animals were divided into two groups: the NPP test material group and the normal saline control group. A single intramuscular injection of the NPP agent (1.0 mL/animal) was administered to rats of the NPP test material group. The control group rats received the same volume of normal saline. Both female and male rats were included in each group. All rats were monitored for clinical signs and body weight changes for 14 days after administration of the test substance or saline. At the end of the observation period, a gross necropsy was conducted and localized tolerance at the injection site was analyzed. Results: No mortality was observed in the NPP test material and control groups. Moreover, no test substance-related effects were observed on clinical signs, body weight, necropsy findings, and localized tolerance at the injection site. Conclusion: The approximate lethal dose of the NPP agent is greater than 1.0 mL/animal under the conditions used in this study. Additional toxicity evaluations and clinical studies are needed to confirm the safety of NPP use in clinical practice.

A Clinical Assessment of Epidural Block for Acute Postoperative Pain Control in 2,381 Cases (급성 술후 통증 조절을 위한 경막외차단 2,381예의 임상적 평가)

  • Chang, Moon-Suck;Chae, Byung-Kook;Lee, Hye-Won;Lim, Hae-Ja;Chang, Seong-Ho
    • The Korean Journal of Pain
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    • v.8 no.2
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    • pp.235-243
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    • 1995
  • A retrospective study was performed to evaluate the effects, and side effects, of epidural analgesia for postoperative pain relief of 2,381 surgical patients who received general-epidural, or epidural anesthesia only. Anesthesia records, patients charts, and pain control records were reviewed and classified according to: age, sex, body weight, department, operation site, epidural puncture site, degree of pain relief by injection mode & epidural injectate, and side effects(including nausea, vomiting, pruritus, urinary retention and respiratory depression). The results were as follows: 1) From the total of 2,381 patients, there were 1,563(66%) female patients; 1.032(43%) patients were from Obstetrics and Gynecology. 2) Lower abdomen, thorax, lower extremity and upper abdomen in the operation site; and lumbar, upper, lower thoracic in puncture site were order of decreasing frequency. Length of epidural injection for pain relief averaged $1.72{\pm}1.02$ days. 3) Ninety three percent of the patients experienced mild or no pain in the postoperative course. Analgesic quality was not affected by the kind of epidural injectate. 4) Nausea occurred in 3.2% of all patients, vomiting in 1.1%, pruritus 0.9%, urinary retention 0.6%, respiratory depression 0.08%. 5) Frequency of nausea was higher with female patients compared to male patients(p<0.05). 6) Pruritus frequency was higher with male patients than female patients(p<0.05); and more frequent with patients who received epidural injection with morphine than patients who received epidural injection without morphine(p<0.01). 7) Urinary retention was higher in female patients, and more frequent with patients who had received epidural injection with morphine than epidural injection without morphine(p<0.05). 8) There were two cases of respiratory depression. The course of treatment consisted of: cessation of epidural infusion, then administration of oxygen and intravenous naloxone. We conclude that postoperative epidural analgesia with a combination of local anesthetics and opiate is and effective method for postoperative pain relief with low incidence of side effects. However, patients should be carefully evaluated as rare but severe complications of respiratory depression may ensue.

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