• Title/Summary/Keyword: Penetrating

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CT in Penetrating Wooden Foreign Bodies of Head and Neck (공기음영으로 오인될 수 있는 두경부 영역의 관통성 나무이물에 대한 컴퓨터 전산화 단층촬영의 의의)

  • 오승철;김찬우;박병훈;강인봉;김선태;장일환;차흥억;이선규
    • Korean Journal of Bronchoesophagology
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    • v.4 no.1
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    • pp.142-147
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    • 1998
  • Retained wooden foreign bodies following penetrating trauma are a difficult diagnostic problem. However, penetrating wooden foreign bodies of head and neck have the potential for misinterpretation or failure to detect such foreign bodies on CT. Given the likelihood that such a miss will result in an abscess or neurovascular injury, we present the method with higher window settings, they had a higher attenuation with a unique striated internal architecture and different Hounsfield numbers readily differentiate air and non-air hypodense material such as fat, or possibly wood. Being aware of the potential appearance of wood, we may also find CT useful in excluding small retained fragments in postoperative patients with persistent symptoms. This article presents two cases in which wooden foreign bodies of head and neck were present with CT evaluation.

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Enhanced delivery of protein fused to cell penetrating peptides to mammalian cells

  • Moon, Jung-Il;Han, Min-Joon;Yu, Shin-Hye;Lee, Eun-Hye;Kim, Sang-Mi;Han, Kyuboem;Park, Chang-Hwan;Kim, Chun-Hyung
    • BMB Reports
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    • v.52 no.5
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    • pp.324-329
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    • 2019
  • Recent progress in cellular reprogramming technology and lineage-specific cell differentiation has provided great opportunities for translational research. Because virus-based gene delivery is not a practical reprogramming protocol, protein-based reprogramming has been receiving attention as a safe way to generate reprogrammed cells. However, the poor efficiency of the cellular uptake of reprogramming proteins is still a major obstacle. Here, we reported key factors which improve the cellular uptake of these proteins. Purified red fluorescent proteins fused with 9xLysine (dsRED-9K) as a cell penetrating peptide were efficiently delivered into the diverse primary cells. Protein delivery was improved by the addition of amodiaquine. Furthermore, purified dsRED-9K was able to penetrate all cell lineages derived from mouse embryonic stem cells efficiently. Our data may provide important insights into the design of protein-based reprogramming or differentiation protocols.

Recent Development of Selective Cell Penetrating Peptides (선택적 세포 투과 펩타이드의 최근 개발 동향)

  • Lee, Yan
    • Prospectives of Industrial Chemistry
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    • v.24 no.6
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    • pp.32-40
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    • 2021
  • 세포 투과성 펩타이드(cell penetrating peptide; CPP)는 강력한 세포막 투과성을 보유하고 있어 난투과성 중거대분자 약물의 세포 내 전달체 개발에 있어 중요한 요소 기술로 부각되고 있다. 하지만 대부분의 세포 투과성 펩타이드는 타겟 세포에 대한 선택성 없이 투과하므로, 전신 투여시 심각한 부작용이 발생할 수 있다. 이 글에서는 선택적 세포 투과성 펩타이드를 개발하는 최근 연구 전략 중, 타겟 세포 표면에 존재하는 수용체에 결합하는 리간드를 이용한 전략과, 타겟 세포 주변의 물리, 화학, 생물학적 신호 변화를 이용하는 전략에 대해 소개한다. 특히, 최근 논문에 발표된, 어피버디(affibody)와 세포 투과성 펩타이드 결합체를 이용하여 HER2 수용체를 지닌 유방암 세포에 선택적 투과성을 부여하는 방법과, 암세포 주변의 작은 pH 변화를 감지하여 양전하성을 조절함으로써 수용체가 없는 유방암 세포에도 선택적으로 투과성을 보이는 방법에 대해 자세하게 소개한다.

Penetrating gallbladder injury in a pediatric patient in the United States: a case report

  • Nelimar Cruz-Centeno;Shai Stewart;Derek R. Marlor;Charlene Dekonenko;Richard J. Hendrickson
    • Journal of Trauma and Injury
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    • v.36 no.3
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    • pp.295-297
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    • 2023
  • Penetrating gallbladder injuries are uncommon in the pediatric population. The treatment varies according to the severity of the injury and the patient's hemodynamics. We present the case of an 11-year-old male with an accidental pellet gunshot wound to the right upper abdomen that resulted in a grade III liver laceration and damage to the anterior gallbladder wall. The patient underwent laparoscopic cholecystectomy with drain placement. Postoperative radiography of the surgical specimen confirmed the presence of the pellet in the gallbladder. The patient recovered uneventfully and was discharged home on postoperative day 3. Laparoscopic cholecystectomy is a feasible treatment option for penetrating gallbladder injuries in hemodynamically stable patients.

A Knife Penetrating the Right Ventricle, Interventricular Septum, and 2 Valves: A Case Report

  • Megan Minji Chung;Stephanie Nguyen;Isao Anzai;Hiroo Takayama
    • Journal of Chest Surgery
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    • v.56 no.6
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    • pp.456-459
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    • 2023
  • Penetrating chest trauma may result in significant intracardiac injury. A traumatic ventricular septal defect is a rare complication that requires surgical management, particularly if heart failure ensues. We report a case of delayed repair of an outlet-type ventricular septal defect and perforation of the aortic and pulmonary valve leaflets following a stab wound. This report highlights diagnostic and surgical considerations and also presents an opportunity to review the conotruncal anatomy, which may be relatively unfamiliar to many adult cardiac surgeons.

Application of Ground Penetrating Radar (GPR) coupled with Convolutional Neural Network (CNN) for characterizing underground conditions

  • Dae-Hong Min;Hyung-Koo Yoon
    • Geomechanics and Engineering
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    • v.37 no.5
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    • pp.467-474
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    • 2024
  • Monitoring and managing the condition of underground utilities is crucial for ground stability. This study aims to determine whether images obtained using ground penetrating radar (GPR) accurately reflect the characteristics of buried pipelines through image analysis. The investigation focuses on pipelines made from different materials, namely concrete and steel, with concrete pipes tested under various diameters to assess detectability under differing conditions. A total of 400 images are acquired at locations with pipelines, and for comparison, an additional 100 data points are collected from areas without pipelines. The study employs GPR at frequencies of 200 MHz and 600 MHz, and image analysis is performed using machine learning-based convolutional neural network (CNN) techniques. The analysis results demonstrate high classification reliability based on the training data, especially in distinguishing between pipes of the same material but of different diameters. The findings suggest that the integration of GPR and CNN algorithms can offer satisfactory performance in exploring the ground's interior characteristics.

Use of Cell-Penetrating Peptides in Dendritic Cell-Based Vaccination

  • Sangho Lim;Ja-Hyun Koo;Je-Min Choi
    • IMMUNE NETWORK
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    • v.16 no.1
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    • pp.33-43
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    • 2016
  • Cell-penetrating peptides (CPPs) are short amino acids that have been widely used to deliver macromolecules such as proteins, peptides, DNA, or RNA, to control cellular behavior for therapeutic purposes. CPPs have been used to treat immunological diseases through the delivery of immune modulatory molecules in vivo. Their intracellular delivery efficiency is highly synergistic with the cellular characteristics of the dendritic cells (DCs), which actively uptake foreign antigens. DC-based vaccines are primarily generated by pulsing DCs ex vivo with various immunomodulatory antigens. CPP conjugation to antigens would increase DC uptake as well as antigen processing and presentation on both MHC class II and MHC class I molecules, leading to antigen specific CD4+ and CD8+ T cell responses. CPP-antigen based DC vaccination is considered a promising tool for cancer immunotherapy due to the enhanced CTL response. In this review, we discuss the various applications of CPPs in immune modulation and DC vaccination, and highlight the advantages and limitations of the current CPP-based DC vaccination.

Clinical Patterns of Penetrating Torso Injury at Emergency Department (응급실을 통하여 입원한 체간부 관통상 환자에 관한 임상적인 고찰)

  • Yun, Soon Young;Cheon, Young Jin;Won, Tae Hee
    • Journal of Trauma and Injury
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    • v.18 no.1
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    • pp.47-52
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    • 2005
  • Background: This study was undertaken to evaluate the clinical pattern of the patients with penetrating torso injury. We retrospectively analyzed the clinical symptoms, mechanism of injury, injury type including injured organ, and ultimate outcome of treatment. Our purpose of the study was to establish guideline of management in penetrating torso injury. Methods: This study consists of an analysis of a consecutive series of 94 patients with penetrating injury of trunk treated at one general hospital during 7year period (from January 1995 to April 2003) who was admitted through in our emergency department. All data were collected from the medical records and entered in a database for analysis on the following: age, sex, mechanism of injury, vital sign at admission, clinical outcome including hospital mortality, length of hospital stay, length of intensive care unit stay, requirement of crystalloid fluid and blood product. Results: Among 94 patients, there were 68 men and 26 women, with ages ranging from 19 to 82 years (average 38.2 years). The most frequent mechanism of injury was violence by others including rob (n=54, 57.4%) followed by suicidal attempt (n=24, 25.5%) and accidental injury (n=16, 17.0%). No injury was inflicted from gun. In 37 patients, systolic blood pressure at admission was under 90mmHg. The time interval from injury to admission, and from admission to operation was 57.8minutes and 4hour 12minutes each. Laparotomy was required in 70 patients, thoracotomy in 5 patients, and 3 patients required thoracotomy and laparotomy. Among 94 patients, an average of 1.7 organs were injured. The small bowel and colon were the organs most commonly wounded followed by liver, mesentery, pleura. Of the 94 patients, 6 died for an overall mortality rate of 6.4%, and two of them were not related with hemorrhage. The average length of hospital stay was 18.1 days, and 40 patients required ICU care. Conclusion: Of the 94 patients who were admitted from penetrating torso injury, no patient was injured from firearm. Overall mortality rate was 6.4%. In our hospital, firearm injury was relative rare.

Combined Cervical Tracheoesophageal Injury by Penetrating Trauma - 2 Cases Reports - (경부 자상에 의한 기관 및 식도의 동시 절단 치험 2례)

  • 김택진
    • Journal of Chest Surgery
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    • v.23 no.2
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    • pp.382-385
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    • 1990
  • In recent era, the incidence of combined injury of cervical trachea and esophagus by penetrating wound has been increased considerably. If initial operative repair is unsatisfied, devastating complications and even death may be considered. A 5 years old boy and 67 years old female were admitted to our department for deep cervical stab wounds. On exploration, cervical trachea and esophagus was nearly total transected anteroposteriorly. Emergent reconstructive surgery for trachea and esophagus had done. Postoperative course was uneventful without any complications.

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Survival After Biventricular Stab Wound (자상에 의한 양심실 파열의 수술 치험 -1례 보고-)

  • Jeong, Won-Seok;Im, Seung-Gyun;Hyeon, Myeong-Seop
    • Journal of Chest Surgery
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    • v.28 no.6
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    • pp.630-632
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    • 1995
  • Bichamber cardiac rupture is less frequent compared to unichamber cardiac rupture. We report a patient who was successfully treated after the diagnosis of penetrating stab wound of both ventricles. The key to improved outcome of management of cardiac trauma lies in the rapid transportation to a general hospital where cardiac surgery is available. Aggressive primary intervention and immediate operation are also major factors.

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