• Title/Summary/Keyword: Reactive Fluid

Search Result 117, Processing Time 0.026 seconds

Optimal Timing to Assess Drain Amylase Concentration after Elective Gastrectomy

  • Wakahara, Tomoyuki;Kanemitsu, Kiyonori;Miura, Susumu;Tsuchida, Shinobu;Iwasaki, Takeshi;Sasako, Mitsuru
    • Journal of Gastric Cancer
    • /
    • v.21 no.1
    • /
    • pp.30-37
    • /
    • 2021
  • Purpose: While the amylase concentration of the drainage fluid (dAmy) has been reported to be a predictor of postoperative pancreas-related complications (PPRC), the optimal timing for its measurement has not been fully investigated. Materials and Methods: The clinicopathological data of 387 patients who underwent elective gastrectomy for gastric cancer were reviewed. Laboratory data, including dAmy on postoperative days 1 (dAmy1) and 3 (dAmy3), and serum C-reactive protein (sCRP) concentrations on postoperative days 1 (sCRP1) and 3 (sCRP3) were compared between patients with PPRC and without PPRC. Results: Nineteen of the 387 patients (4.9%) developed PPRC. The optimal cutoff values of dAmy1, dAmy3, sCRP1, and sCRP3 were 1514 IU/L, 761 IU/L, 8.32 mg/dL, and 15.15 mg/dL, respectively. The area under the curve of dAmy1 was greater than that of dAmy3 (0.915 vs. 0.826), and that of sCRP3 was greater than that of sCRP1 (0.820 vs. 0.659). In the multivariate analysis, dAmy1 (P<0.001) and sCRP3 (P=0.004) were significant predictors of PPRC, while dAmy3 (P=0.069) and sCRP1 (P=0.831) were not. Thirteen (41.9%) of 31 patients with both dAmy1 ≥1,545 IU/L and sCRP3 ≥15.15 mg/dL had PPRC ≥Clavien-Dindo II. In contrast, among 260 patients with both dAmy1 <1,545 IU/L and sCRP3 <15.15 mg/dL, none developed PPRC. Conclusions: dAmy1 was more useful than dAmy3 in predicting PPRC. The combination of dAmy1 and sCRP3 may be a useful criterion for the removal of drains on postoperative day 3.

Effects of Cucumber Beverage Intake on Fluid-Regulating Hormones and CRP in Amateur Marathoners (마라톤 동호인의 오이음료 섭취가 체액조절호르몬과 C-반응단백에 미치는 영향)

  • Kim, Gi-Ho;Lee, Sang-Ho;Baek, Yeong-Ho
    • Journal of Life Science
    • /
    • v.19 no.12
    • /
    • pp.1743-1749
    • /
    • 2009
  • The purpose of this study was to investigate the effects of cucumber beverage intake on fluid-regulating hormones and CRP in amateur marathoners between the ages of 47~49. Among research subjects, 8 male middle-aged marathoners who have completed the full marathon course over 5 times and who have run for over 50 months were selected. In two marathon races, they received firstly water and secondly cucumber beverage: 10 ml before the race, 50 ml every 5 km, and 200 ml after the race, adding up to 10 drinks and 710 ml in total amount of beverage taken. For statistics, one-way ANOVA within the group was conducted through SPSS 12.0; for post-examination, Duncan was utilized; and for inter-group examination, an independent t-test was used. Before, right after, and after the marathon, the cucumber beverage intake group had a significantly decreased serum ADH concentration compared to the water intake group. Both the cucumber beverage and water intake groups had significantly increased serum rennin levels before, right after, and after the marathon. Both the cucumber beverage and water intake groups had significantly increased aldosterone before, right after, and after the marathon. CRP levels didn't show change. In conclusion, intake of cucumber beverage during a marathon race was found to help with fluid-regulating hormones. This research has attempted to continue to study the influence on hormones that control body fluids.

Inducible Nitric Oxide Synthase mRNA Expression and Nitric Oxide Production in Silica-Induced Acute Inflammatory Lung Injury

  • Lee, Ji-Hee
    • The Korean Journal of Physiology and Pharmacology
    • /
    • v.2 no.2
    • /
    • pp.233-239
    • /
    • 1998
  • Stimulated alveolar macrophages and neutrophils produce nitric oxide, a free radical by an inducible nitric oxide synthase(iNOS), which reacts with superoxide anion to form peroxynitrite, a more highly reactive toxic species. The objectives of the present study were to evaluate acute inflammatory lung injury and to determine iNOS mRNA induction and nitric oxide production by rat broncho-alveolar lavage cells following intratracheal treatment of silica. After 4 h exposure to silica, differential counts of broncho-alveolar lavage cells and lactate dehydrogenase(LDH) activity as well as total protein in the broncho-alveolar lavage fluid were determined. Broncho-alveolar lavage cells were also assayed for iNOS mRNA and the productions of nitrite and nitrate measured in the cells cultured. Differential analysis of broncho-alveolar lavage cells showed that the number of alveolar macrophages slightly decreased following silica treatment; however, red blood cells, lymphocytes, and neutrophils significantly were increased by 9-, 14-, and 119-fold following silica treatment, respectively, compared with the saline control. It was also found significant increases in the LDH activity and total protein in the lavage fluid obtained from silica-treated rats, indicating silica-induced acute lung injury. Northern blot analysis demonstrated that the steady state levels of iNOS mRNA in broncho-alveolar lavage cells were increased following silica treatment. The productions of nitrite and nitrate in the cultured cells were significantly increased by 2-fold following silica treatment, respectively, which were attenuated by the NOS inhibitor $N{\omega}-nitro-L-arginine-methyl$ ester(L-NAME) and partially reversed by L-arginine. These findings suggest that nitric oxide production in alveolar macrophages and recruited neutrophils is increased in response to silica. Nitric oxide may contribute in part to acute inflammatory lung injury.

  • PDF

Modeling of Flame Acceleration Considering Complex Confinement Effects in Combustible Gas Mixture (가연성 기체 혼합물에서 복잡한 구조에 따른 화염 가속 모델링)

  • Gwak, Min-Cheol;Yoh, Jai-Ick
    • Transactions of the Korean Society of Mechanical Engineers B
    • /
    • v.36 no.3
    • /
    • pp.315-324
    • /
    • 2012
  • This paper presents a numerical investigation of the deflagration-to-detonation transition (DDT) of flame acceleration by a shock wave filled with an ethylene/air mixture as the combustible gas, considering geometrical changes by using obstacles and bent tubes. The model used consists of the reactive compressible Navier-Stokes equations and the ghost fluid method (GFM) for complex boundary treatment. Simulations with a variety of bent tubes with obstacles show the generation of hot spots through flame and strong shock-wave interactions, and restrained or accelerated flame propagation due to geometrical effects. In addition, the simulation results show that the DDT occurs with a nearly constant chemical heat-release rate of 20 MJ/($g{\bullet}s$) in our numerical setup. Furthermore, the DDT triggering time can be delayed by the absence of unreacted material together with insufficient pressures and temperatures induced by different flame shapes, although hot spots are formed in the same positions.

Development of micro check valve with polymer MEMS process for medical cerebrospinal fluid (CSF) shunt system (Polymer MEMS 공정을 이용한 의료용 미세 부품 성형 기술 개발)

  • Chang, J.K.;Park, C.Y.;Chung, S.;Kim, J.K.;Park, H.J.;Na, K.H.;Cho, N.S.;Han, D.C.
    • Proceedings of the Korean Society of Precision Engineering Conference
    • /
    • 2000.05a
    • /
    • pp.1051-1054
    • /
    • 2000
  • We developed the micro CSF (celebrospinal fluid) shunt valve with surface and bulk micromachining technology in polymer MEMS. This micro CSF shunt valve was formed with four micro check valves to have a membrane connected to the anchor with the four bridges. The up-down movement of the membrane made the CSF on & off and the valve characteristic such as open pressure was controlled by the thickness and shape of the bridge and the membrane. The membrane, anchor and bridge layer were made of the $O_2$ RIE (reactive ion etching) patterned Parylene thin film to be about 5~10 microns in thickness on the silicon wafer. The dimension of the rectangular nozzle is 0.2*0.2 $\textrm{mm}^2$ and the membrane 0.45 mm in diameter. The bridge width is designed variously from 0.04 mm to 0.12 mm to control the valve characteristics. To protect the membrane and bridge in the CSF flow, we developed the packaging system for the CSF micro shunt valve with the deep RIE of the silicon wafer. Using this package, we can control the gap size between the membrane and the nozzle, and protect the bridge not to be broken in the flow. The total dimension of the assembled system is 2.5*2.5 $\textrm{mm}^2$ in square, 0.8 mm in height. We could precisely control the burst pressure and low rate of the valve varing the design parameters, and develop the whole CSF shunt system using this polymer MEMS fabricated CSF shunt valve.

  • PDF

Fluid Flow and Solute Transport in a Discrete Fracture Network Model with Nonlinear Hydromechanical Effect (비선형 hydromechanic 효과를 고려한 이산 균열망 모형에서의 유체흐름과 오염물질 이송에 관한 수치모의 실험)

  • Jeong, U-Chang
    • Journal of Korea Water Resources Association
    • /
    • v.31 no.3
    • /
    • pp.347-360
    • /
    • 1998
  • Numerical simulations for fluid flow and solute transport in a fracture rock masses are performed by using a transient flow model, which is based on the three-dimensional stochastic and discrete fracture network model (DFN model) and is coupled hydraulic model with mechanical model. In the numerical simulations of the solute transport, we used to the particle following algorithm which is similar to an advective biased random walk. The purpose of this study is to predict the response of the tracer test between two deep bore holes (GPK1 and GPK2) implanted at Soultz sous Foret in France, in the context of the geothermal researches.l The data sets used are obtained from in situcirculating experiments during 1995. As the result of the transport simulation, the mean transit time for the non reactive particles is about 5 days between two bore holes.

  • PDF

Predicted functional analysis of rumen microbiota suggested the underlying mechanisms of the postpartum subacute ruminal acidosis in Holstein cows

  • Yoshiyuki Tsuchiya;Ena Chiba;Atsushi Kimura;Kenji Kawashima;Toshiya Hasunuma;Shiro Kushibiki;Yo-Han Kim;Shigeru Sato
    • Journal of Veterinary Science
    • /
    • v.24 no.2
    • /
    • pp.27.1-27.15
    • /
    • 2023
  • Background: The relationships between the postpartum subacute ruminal acidosis (SARA) occurrence and predicted bacterial functions during the periparturient period are still not clear in Holstein cows. Objectives: The present study was performed to investigate the alterations of rumen fermentation, bacterial community structure, and predicted bacterial functional pathways in Holstein cows. Methods: Holstein cows were divided into the SARA (n = 6) or non-SARA (n = 4) groups, depending on whether they developed SARA during the first 2 weeks after parturition. Reticulo-ruminal pH was measured continuously during the study period. Reticulo-ruminal fluid samples were collected 3 weeks prepartum, and 2 and 6 weeks postpartum, and blood samples were collected 3 weeks before, 0, 2, 4 and 6 weeks postpartum. Results: The postpartum decline in 7-day mean reticulo-ruminal pH was more severe and longer-lasting in the SARA group compared with the non-SARA group. Changes in predicted functional pathways were identified in the SARA group. A significant upregulation of pathway "PWY-6383" associated with Mycobacteriaceae species was identified at 3 weeks after parturition in the SARA group. Significantly identified pathways involved in denitrification (DENITRIFICATION-PWY and PWY-7084), detoxification of reactive oxygen and nitrogen species (PWY1G-0), and starch degradation (PWY-622) in the SARA group were downregulated. Conclusions: The postpartum SARA occurrence is likely related to the predicted functions of rumen bacterial community rather than the alterations of rumen fermentation or fluid bacterial community structure. Therefore, our result suggests the underlying mechanisms, namely functional adaptation of bacterial community, causing postpartum SARA in Holstein cows during the periparturient period.

Antioxidant Favors the Developmental Competence of Porcine Parthenogenotes by Reducing Reactive Oxygen Species

  • Hossein, Mohammad Shamim;Kim, Yeun Wook;Park, Seon Mi;Koo, Ok Jae;Hashem, Md Abul;Bhandari, Dilip P;Jeong, Yeon Woo;Kim, Sue;Kim, Ji Hye;Lee, Eu Gine;Park, Sun Woo;Kang, Sung Keun;Lee, Byeong Chun;Hwang, Woo Suk
    • Asian-Australasian Journal of Animal Sciences
    • /
    • v.20 no.3
    • /
    • pp.334-339
    • /
    • 2007
  • Reactive oxygen species (ROS) generate during electrical activation of oocytes which has detrimental effects on embryo survival when overwhelmed. The present study was designed to investigate the ability of L-ascorbic acid, a novel water soluble antioxidant, to reduce the ROS level in developing embryos and their subsequent effects on embryo development in vitro. The compact cumulus oocyte complexes (COCs) were cultured in tissue culture medium (TCM)-199 supplemented with 10 ng/ml epidermal growth factor, 4 IU/ml pregnant mare serum gonadotropin (PMSG), and human chorionic gonadotropin (hCG) and 10% (v/v) porcine follicular fluid (pFF) for 44 h. After maturation culture, the denuded oocytes were activated with a single DC pulse of 2.0 kV/cm in 0.3 M mannitol solution containing 0.5 mM of HEPES, 0.1 mM of $CaCl_2$ and 0.1 mM of $MgCl_2$ for $30{\mu}s$ using a BTX Electro-cell Manipulator. The activated oocytes were cultured in modified North Carolina State University-23 (mNSCU-23) medium for 168 h. The level of $H_2O_2$ in each embryo was measured by the dichlorohydrofluorescein diacetate (DCHFDA) method at 48 h after activation. The blastocyst formation rate was significantly higher when culture medium was supplemented with 50 and $100{\mu}M$ L-ascorbic acid (31.2 and 38.7%, respectively) compared to non-supplemented (16.1%) group. Accordingly, significantly more cells in blastocyst were found for 50 and $100{\mu}M$ L-ascorbic acid (50.0 and 56.4, respectively) compared to 0 and $200{\mu}M$ L-ascorbic acid (36.5 and 39.8, respectively). L-ascorbic acid reduces the $H_2O_2$ level in developing embryos in a dose-dependant manner. The $H_2O_2$ level (pixels/ embryos) was 191.5, 141.0, 124.0 and 163.3 for 0, 50, 100 and $200{\mu}M$ L-ascorbic acid, respectively. So, we recommend to supplement 50 or $100{\mu}M$ L-ascorbic acid in porcine in vitro culture medium.

Inflammation and hyponatremia: an underrecognized condition?

  • Park, Se Jin;Shin, Jae Il
    • Clinical and Experimental Pediatrics
    • /
    • v.56 no.12
    • /
    • pp.519-522
    • /
    • 2013
  • Timely diagnosis of hyponatremia is important for preventing potential morbidity and mortality as it is often an indicator of underlying disease. The most common cause of eurvolemic hyponatremia is the syndrome of inappropriate antidiuretic hormone (SIADH) secretion. Recent studies have demonstrated that proinflammatory cytokines such as interleukin (IL) $1{\beta}$ and IL-6 are involved in the development of hyponatremia, a condition that is associated with severe inflammation and is related to antidiuretic hormone (ADH) secretion. Serum sodium levels in hyponatremia are inversely correlated with the percentage of neutrophils, C-reactive protein, and N-terminal-pro brain type natriuretic peptide. Additionally, elevated levels of serum IL-6 and IL-$1{\beta}$ are found in inflammatory diseases, and their levels are higher in patients with hyponatremia. Because it is significantly correlated with the degree of inflammation in children, hyponatremia could be used as a diagnostic marker of pediatric inflammatory diseases. Based on available evidence, we hypothesize that hyponatremia may be associated with inflammatory diseases in general. Understanding the mechanisms responsible for augmented ADH secretion during inflammation, monitoring patient sodium levels, and selecting the appropriate intravenous fluid treatment are important components that may lower the morbidity and mortality of patients in a critical condition.

Modulation of Human Macrophage Phagocytic Activity by C-reactive Protein (C 반응성 단백질이 사람 Macrophage 탐식 기능에 미치는 영향)

  • 김용호;강신원
    • Biomedical Science Letters
    • /
    • v.4 no.1
    • /
    • pp.35-42
    • /
    • 1998
  • The effects of CRP purified from human ascites fluid on phagocytic activity of the human macrophage were investigated. CRP was purified using affinity chromatography including absorption on p-diazonium phosphocholine or C-polysaccharide coupled sepharose 4B and gel filtration on hydroxylapatite column chromatography. Macrophage was separated ficoll hypaque gradient density and absorption method, and then was confirmed phagocytic uptake test using latex method. CRP was able either to inhibit or to enhance phagocytic activity of human macrophage against bacteria in vitro. The effects of CRP on phagocytic activity of human macrophage were in time and dose-dependent manners. The additional sequence of reaction mixture against bacteria in vitro shows a threshold stimulus on the activation of phagocytic response upon the CRP.

  • PDF