• Title/Summary/Keyword: VacA

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A Case of Intramuscular Abscess in the Sternocleidomastoid Muscle after Intramuscular Stimulation (IMS) (근육내 자극요법 후 목빗근내 농양의 치험례)

  • Kim, Jae-In;Choi, Hwan-Jun;Choi, Chang-Yong;Yang, Hyung-Eun
    • Archives of Plastic Surgery
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    • v.37 no.2
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    • pp.182-186
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    • 2010
  • Purpose: Intramuscular stimulation (IMS) shows good results in the treatment of chronic pain patients who did not respond to other treatments such as oral analgesics, trigger point injection, nerve block and epidural steroid injection. But, IMS procedure especially, patients with diabetes mellitus (DM) has sometimes serious problem. So, we present a very rare case of intramuscular abscess in the sternocleiomastoid muscle after IMS with literature review. Methods: A 66 year old male visited our department 7 days after IMS in the neck. His premorbid conditions and risk factors of deep neck infection was DM and old age. Computed tomographic scans of the head and neck region were performed in this patient: signs of deep neck infection, were seen enhanced abscess in the sternocleidomastoid muscle, cellulitis overlying tissue of the neck, and air bubbles involved muscle. Necrotic wound was excised serially and we treated this with the Vacuum-assisted closure (VAC, Kinetics Concepts International, San Antonio, Texas) system device. After appropriately shaping the sponge in the pockets, continuous negative pressure of 125 mmHg was applied. The VAC therapy was utilized for a period of 12 days. Results: We obtained satisfactory results from wide excision, drainage of the abscess with the VAC system, and then primary closure. The postoperative course was uneventful. Results: We suggest that many of the infectious complications may be preventable by strict adherence to aseptic techniques and that some of the other complications may be minimized by refining the techniques with a clear understanding of the medical disorders of patients. And, the refined technique using the VAC system can provide a means of simple and effective management for the cervical intramuscular abscess, with better cosmetic and functional results.

Backbone NMR assignments of a putative secretory protein from Helicobacter pylori, using a high-field (900 MHz) NMR

  • Sim, Dae-Won;Ahn, Hee-Chul;Won, Hyung-Sik
    • Journal of the Korean Magnetic Resonance Society
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    • v.13 no.2
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    • pp.108-116
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    • 2009
  • The HP0902, a homodimeric 22.1 kDa protein, has been suggested as a putative secretory protein from Helicobacter pylori, although the protein possesses no signal peptide for secretion. Since it may be associated with the virulence of the bacterium, NMR study has been initiated in terms of structural genomics. In our previous effort to assign the backbone NMR resonances, using 800MHz NMR machine at pH 7.8, the resonances from eight of the 99 residues could not be assined due to missing of the signals. In this work, to enhance the extent of assignments, a 900 MHz machine was employed and the sample pH was reduced down to 6.5. Finally, almost all signals, except for those from G9 and S24, could be clearly assigned. The determined secondary structure using the assined chemical shifts indicated that the HP0902 consists of 11 ${\beta}$-strands with no helices. In our database search result, HP0902 was predicted to interact with VacA (Vacuolating cytotoxin A), which is a representative virulence factor secreted from Helicobacter pylori. Thus, molecular interaction between HP0902 and VacA would be worthy of investigation, on the basis of the present results of NMR assignments.

Studies on Developing Direct Gene Transfer Based on Naked Plasmid DNA for Treating Anemia (Naked Plasmid DNA를 이용한 빈혈 치료용 Direct Gene Transfer 시스템의 개발에 대한 연구)

  • Park Young Seoub;Jung Dong Gun;Choi Cha Yong
    • KSBB Journal
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    • v.19 no.5
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    • pp.341-347
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    • 2004
  • Several gene delivery therapies are being developed for treatment of serum protein deficiency. EPO is one of the most promising therapeutic agent for this treatment which is currently being investigated in depth. This study has the ultimate purpose of improving the gene delivery system for an increase of red blood cell production. A plasmid DNA was constructed smaller than other plasmids for an increase in penetration into animal cells, and two genes were cloned into each vector as a co-delivery system to express erythropoietin, and interluekin-3 or thrombopoietin, which can act on erythroid cell, thus activating hematopoiesis synergically. This co-delivery system has an advantage of decreasing the labour required for industrial production of DNA vaccine. A new plasmid vector, pVAC, in size 2.9 kb, was constructed with the essential parts from PUC 19 and pSectagB, which is much smaller than other plasmid vector and is the size of 2.9 kb. Co-delivery system was constituted by cloning human erythropoietin with each of human interluekin-3 gene or human thrombopoietin gene into both pVAC and pSectagB. As a result, the transfection efficiency of pVAC was higer than that of pSectagB in vitro, and hematocrit level of the mice injected with pVAC is higher than that of other mice. And co-delivery system, made of several plasmid DNAs, was expressed in vitro.

A Case of Descending Necrotizing Mediastinitis (하행 괴사성 종격동염의 치험례)

  • Lee, In Soo;Choi, Hwan Jun;Lee, Han Jung;Lee, Jae Wook;Lee, Dong Gi
    • Archives of Plastic Surgery
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    • v.36 no.3
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    • pp.351-355
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    • 2009
  • Purpose: Cervical necrotizing fasciitis tends to involve the deep soft tissues and spread caudally to the anterior chest and mediastinum, often resulting in major complications and death. It may rapidly spread into the thorax along fascial planes, and the associated diagnostic delay results in this descending necrotizing mediastinitis. So, aggressive multidisciplinary therapy with surgical drainage is mandatory. We present a very rare case of descending necrotizing mediastinitis with literature review. Methods: A 53 years old male visited our department 7 days after trauma in neck. His premorbid conditions and risk factors of necrotizing fasciitis were concealed hepatoma, trauma history, chronic liver disease, and nutrition deficit. Computed tomographic scans of the head and neck region were performed in this patient : signs of necrotizing fasciitis, were seen in the platysma, sternocleidomastoid, trapezius muscle and strap muscles of the neck. Fluid accumulations involved multiple neck spaces and mediastinum. At the time, he diagnosed as necrotizing fasciitis on his neck and anterior chest. Necrotic wound was excised serially and we treated this with the Vacuum - assisted closure(VAC, Kinetics Concepts International, San Antonio, Texas) system device. After appropriately shaping the sponge and achieving additional 3 pieces drainage tubes in the pockets, continuous negative pressure of 125 mmHg was applied. The VAC therapy was utilized for a period of 12 days. Results: We obtained satisfactory results from wide excision, abscess drainage with the VAC system, and then split thickness skin graft. The postoperative course was uneventful. Conclusion: The refined technique using the VAC system can provide a means of simple and effective management for the descending necrotizing mediastinitis, with better cosmetic and functional results. Finally, the VAC system has been adopted as the standard treatment for deep cervical and mediastinal wound infections as a result of the excellent clinical outcome.

A Study on Emulsion Copolymerization of $\alpha,\omega$-Diacrylate Poly(dimethylsiloxane) Containing Vinyl Ester of Versatic Acid/Vinyl Acetate (Versatic Acid/vinyl Acetate의 비닐 에스테르를 가지는 $\alpha$,$\omega$-Diacrylate Poly(dimethylsiloxane)의 에멀션 공중합 연구)

  • Naghash, Hamid Javaherian;Mallakpour, Shadpour;Forushani, Parivash Yavari;Uyanik, Nurseli
    • Polymer(Korea)
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    • v.32 no.2
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    • pp.95-102
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    • 2008
  • The $\alpha$,$omega$-diacrylate poly(dimethylsiloxane) (DA-PDMS) containing vinyl ester of versatic acid/vinyl acetate (Veova-10/VAc) was prepared by emulsion copolymerization of (DA-PDMS), Veova-10 (with VAc), and auxiliary agents at $85^{\circ}C$ in the presence of ammonium peroxodisulfate (APS) as an initiator. Sodium dodecyl sulfate (SDS) and nonylphenol ethylene oxide-40 units (NP-40) were used as anionic and nonionic emulsifiers, respectively. The resulting copolymers were characterized by using Fourier transform infrared spectroscopy (FT-IR). Thermal properties of the copolymers were studied by using thermogravimetric analysis(TGA) and differential scanning calorimetry (DSC). The morphology of copolymers was also investigated by scanning electron microscopy (SEM) and then the effects of variables such as temperature, agitation speed, surfactant kinds, molecular weights, initiator, and DA-PDMS concentrations on the properties of the silicone-containing Veova-10/VAc emulsions were examined. The calculation of monomer conversion versus time histories indicates that by increasing the DA-PDMS concentration the polymerization rate and the number of polymer particles decrease, respectively.

Influence of Shrinkage and Stretch During Drying on Paper Properties

  • Torbjorn Wahlstrom
    • Journal of Korea Technical Association of The Pulp and Paper Industry
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    • v.31 no.5
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    • pp.31-46
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    • 1999
  • A drying paper strives to shrink due to the shrinkage of the individual paper fibres. Laboratory results show that a reduction of the shrinkage or an imposed stretch leads to a large increase in tensile stiffness and a large decrease in strain at break. In c cylinder drying section the water in the web is repeatedly heated on the drying cylinder and evaporated in the free draw. To evaluate the drying process regarding influence on paper properties these sub-processes, or drying phases, have to be studied separately. The effect of the conditions on the drying cylinder and on the VacRoll is investigated in pilot trails. Both the fabric tension on the drying cylinder and on the VacRoll reduces the shrinkage of the paper. The laboratory results are used as input to a numerical simulation of the conditions in the free draw. If the web width is increased or the length of the free draw is reduced the mean shrinkage of the paper web is reduced . However, the difference in shrinkage between the middle and the edge of the web is increased.

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Congenital Infantile Fibrosarcoma (선천성 영아 섬유육종)

  • Kim, Tae-Hyoung;Chung, Jae-Hee;Song, Young-Tack
    • Advances in pediatric surgery
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    • v.10 no.1
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    • pp.52-55
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    • 2004
  • A newborn male baby was transferred to our hospital with a left inguinal mass. The mass was huge measuring $10{\times}10cm$, engorged, and dark-blue colored as a result of internal hemorrhage. Unstable vital signs were combined with DIC and acute renal failure. Emergency operation was performed because of the suspicion of bowel perforation. The peritoneal cavity was full of ascitis and the distal jejunum had a 0.5 cm perforation. Segmental resection of the jejunum and incisional biopsy of the inguinal mass were performed. On pelvic and thigh MRI, the mass protruded into pelvic cavity and encircled large vessels and nerves of the thigh. Pathologic diagnosis was congenital infantile fibrosarcoma. Fifteen days after operation, primary tumor excision was undertaken. The second look operation, performed after 6 times VAC chemotherapy, revealed no remained malignant cell on microscopic section. The baby has been followed closely for the last eight months.

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A Study on the Voltage Compensation Converter to decrease fuel consumption of RTGC (RTGC의 연료절감을 위한 전압 보상 컨버터에 관한 연구)

  • Bayasgalan, Bayasgalan;Ryu, Ji-Su;Han, Dong-Hwa;Lee, Young-Jin;Lee, Sang-Ho;Choe, Gyu-Ha
    • Proceedings of the KIPE Conference
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    • 2011.07a
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    • pp.280-282
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    • 2011
  • This paper presents a development of voltage compensation dc/dc converter to decrease fuel consumption of RTGC system. We used 3-phase interleaved converter, which has the same structure as the commercially available three-phase inverter, is used. RTGC system is supplied the power from diesel-engine generator. According to power demand, engine speed is varying 20~60Hz, and voltage is varying 210Vac ~ 480Vac. When idle mode or low power operation dc/dc converter operates by constant output voltage control. The perpormance of converter is evaluated through several experiments with a real RTGC. Proposed system can cut down fuel consumption by 36% at idle mode operation.

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