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Ruptured Spinal Dermoid Cysts with Lipid Droplets into the Syrinx Cavity : Reports of Fourteen Cases

  • Cheng, Cheng;Li, Rong;Gao, Haihao;Tao, Benzhang;Wang, Hui;Sun, Mengchun;Gao, Gan;Wang, Jianzhen;Shang, Aijia
    • Journal of Korean Neurosurgical Society
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    • v.65 no.3
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    • pp.430-438
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    • 2022
  • Objective : Dermoid cysts are uncommon in spinal cord tumors, and the phenomenon of their spontaneous rupture into the syrinx cavity is quite rare. We aimed to analyze the imaging characteristics and etiologies, and propose some surgical strategies, for this uncommon phenomenon. Methods : We retrospectively reviewed 14 cases with spinal dermoid cysts that ruptured into the cervical and thoracic syrinx cavity. There were six male and eight female cases, aged 21 to 46 years, who had lipid droplets in the syrinx cavity from C1 to L3. The dermoid cysts were always located at the conus. Based on patients' complaints, clinical manifestations, and imaging results, we adopted tumor excision and/or syrinx cavity aspiration in one stage or multiple stages. Results : Three patients had only a syrinx cavity aspiration surgery due to a history of dermoid cyst excision. Eight patients had dermoid cyst resection and syrinx cavity aspiration in one stage. One patient was operated upon in two stages due to the development of new symptoms at nine months follow-up. Two patients underwent only tumor resection since they did not show similar symptoms or signs caused by the cervicothoracic syrinx. The axial magnetic resonance imaging indicated that the lipid droplets were always not at the center but were eccentric. The clinical effect was satisfactory during the follow-up period in this group. Conclusion : The lipid droplets filled the spinal syrinx cavity, not entirely confined to the central canal. Based on the chief complaints and associated signs, we adopted different surgical strategies and had satisfactory clinical results.

The Interaction between Epidermal Growth Factor (EGF) and Follicular Stimulating Hormone (FSH) on Nuclear Maturation of Mouse Oocytes by Using Their Inhibitor

  • Cha, Soo-Kyung;Kim, Tae-Hyung;Eum, Jin-Hee;Park, Kang-Hee;Park, Eun-A;Kim, Seung-Bum;Chung, Mi-Kyung;Lee, Dong-Ryul;Ko, Jung-Jae
    • Proceedings of the Korean Society of Embryo Transfer Conference
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    • 2002.11a
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    • pp.113-113
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    • 2002
  • The stimulatory effect of EGF and FSH on oocyte maturation have been reported in various mammalian species. And some reports presented FSH enhanced the effect of EGF on oocyte maturation. But, the interaction between EGF and FSH on nuclear maturation of mammalian oocytes is not fully understood. We observed the effect of EGF and FSH on nuclear maturation during in vitro maturation of mouse oocytes. Also, we examined the interaction between EGF and FSH on nuclear maturation of mouse oocytes using the EGFR inhibitor or FSH inhibitor. Germinal vesicle (GV) stage oocytes were obtained from 3-4weeks PMSG primed BCFI hybrid mice and cultured in TCM-199 medium with 0.4%PVP supplemented with/without EGF (1ng/ml), FSH (1ug/ml), EGFR specific tyrosine kinase inhibitors: Tyrphostin AG 1478 (500nM), MAP kinase kinase inhibitor : U0126 (20uM) or PD 98059 (100uM) for 14-l5hr. Rapid staining method were used for the assessment of nuclear maturation. Nuclear maturation rates of EGF indjor FSH-treated group were significantly higher than those of control group. Treatment of EGFR inhibitor significantly block the nuclear maturation of GV oocyte in EGF-treated group, but it did not block those of GV oocyte in FSH-treated or FSH and EGF-treated group. Treatment of FSH inhibitor(U0126, PD98059) significantly block the nuclear maturation of EGF-treated group, FSH-treated and FSH and EGF-treated group. These results show that EGF has a stimulatory effect as well as different action pathway with FSH on in-vitro maturation of mouse oocyte in vitro. Therefore, further studies will be needed to find the signaling pathway of EGF associated with nuclear maturation.

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Factors Influencing Consumer Attitudes Toward Web Advertising (웹 광고에 대한 소비자 태도에 영향을 미치는 요인)

  • Chung, In-Keun;Kim, Bong-Gu
    • Asia pacific journal of information systems
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    • v.10 no.4
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    • pp.115-132
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    • 2000
  • As the web advertising proliferates due to the explosive growth of Internet users, there is a research need for the consumers' general perception on the individual advertisements in the web. This research studies whether the characteristics of Internet advertising(entertainment, informativeness, purchase facilitation, irritation) influence the consumers' attitudes in the Internet environment. This is based on the fact that the web as an advertising channel is quite different from the traditional advertising channels. Twc different surveys are conducted; one is to study consumers' general responses for the Internet advertising in general, and the other is to study more specifically consumers' attitudes for the six different advertising messages(product advertising, corporate image advertising, on-line catalog, billboard, contest/game advertising and online directory of firms). Entertainment and informativeness factors are found to be positively related with the consumers' general attitudes for the web advertising, whereas purchase facilitation and irritation factors have no relationships. Also, a set of advertising strategies for the six different advertising messages are given based on the findings about the relationships between the six advertising messages and the four influencing factors.

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Introducing the general management of glomerular disease from a pediatric perspective based on the updated KDIGO guidelines

  • Seon Hee Lim
    • Childhood Kidney Diseases
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    • v.27 no.2
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    • pp.55-63
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    • 2023
  • In 2021, a new chapter on the general management of glomerulonephritis (GN) was added to the Kidney Disease: Improving Global Outcomes (KDIGO). It emphasizes the importance of early general management of GN for improving long-term kidney outcomes and prognosis. The chapter introduces the management of glomerular diseases in 18 subchapters. Here, kidney biopsy for the diagnosis and evaluation of kidney function and the management of complications, such as hypertension, infection, and thrombosis, are presented. Moreover, the adverse effects of glucocorticoids and immunosuppressive therapy, which are commonly used drugs for glomerular disease, are mentioned, and a guideline for drug selection is presented. Each subtheme focused on items reflecting the interpretation of the "practice points" of the expert working group are introduced. In this review of the general treatment for GN in the KDIGO guidelines, excluding pregnancy and reproductive health, we focused on and compared various references pertaining to pediatric GN management.

How does the General Public Understand Science and Technology Issues?: A Case on the Nuclear Power Issue Using Topic Modeling Approach (과학기술이슈에 대한 일반인의 인식분석: 토픽모델링을 활용한 원자력발전 사례)

  • Choi, Hyundo;Ahn, Jongwuk
    • Journal of Technology Innovation
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    • v.23 no.4
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    • pp.151-175
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    • 2015
  • The general public is a key stakeholder in the science and technology domain. However, traditional approaches require substantial efforts and resources to analyze how does the general public understand science and technology issues. We applied the topic modeling, a form of text clustering, to the texts about the nuclear power which were posted on an online space in order to explore the general public's thoughts on the issue. This study investigates the extent to which macro-level events influence understandings of the general public on the science and technology issues and weather these changes in understandings are sustained over time. It examines the possibility of applying topic modeling in narrowing a perception gap between the general public and the experts through a near-real-time monitoring of the public interests and perceptions about the science and technology issues.

A Study on the Environment of USV Wireless Communication (무인선의 무선통신환경에 관한 연구)

  • Hong, Sin-Pyo;Jeong, Jong-Won;Lee, Chi-Won;Lee, Ho-Sik;Choi, Han-Woo;Park, In-Hong
    • Journal of Ocean Engineering and Technology
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    • v.23 no.2
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    • pp.53-57
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    • 2009
  • Unmanned surface vehicles (USVs) conduct various missions while exchanging information with control centers. Maritime security, coastal surveillance, and sea surface and undersea inspections are included in the important missions of USVs. To carry out these missions, large amounts of information are required from sensors, such as cameras, radars, and sonars. High bandwidth wireless communication is necessary to send this information to the control center in real time. In general, USVs are made using small boats. The motions of small boats are easily influenced by sea waves and the magnitude of changes in the attitude is large and the period of the changes is short in comparison with large ships. Thus, the direction of an antenna beam pattern for a wireless communication system in a USV can change rapidly, and with a large magnitude. In addition, since the reflection of electromagnetic waves on the sea surface is not negligible, the effect of multipath noises on the wireless communication system must be considered carefully. There are also several other elements that negatively affect wireless communication systems in USVs. This paper presents the wireless communication environment to be considered in the design and implementation of wide bandwidth communication systems for USVs. Short test results for wireless communication on the sea are also given.

The Effects of Brain-Based STEAM Teaching-Learning Program on Creativity and Emotional Intelligence of the Science-Gifted Elementary Students and General Students (뇌 기반 STEAM 교수-학습 프로그램이 초등과학영재와 초등일반학생의 창의성과 정서지능에 미치는 효과)

  • Ryu, Je Jeong;Lee, Kil-Jae
    • Journal of Korean Elementary Science Education
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    • v.32 no.1
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    • pp.36-46
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    • 2013
  • The creative thinking and emotional trainings are very important educational issues in the knowledge-information-based future society. Recently STEAM education is suggested as one of the educational solutions to prepare the future society. The aims of this study are to develop STEAM teaching-learning program and analyze its effects on the creativity and emotional intelligence of science-gifted and general students in elementary school. Four different subject matters based on the 2007-revised curriculum were selected to construct the brain-based STEAM teaching-learning program consisting of 12 class hours. The program was applied to 50 elementary general students and 19 science-gifted elementary students. The findings of this research are as follows. The brain-based STEAM programs is effective to improve the creativity and emotional intelligence of science-gifted and general elementary students after class. The creativity of two groups was not statistically different before the class. However after class, the creativity of gifted-science students is significantly higher than that of general students. The emotional intelligence of gifted-science students was higher than that of general students before the class. Therefore in oder to analyze the different effects of the program on two groups in emotional intelligence, the test results of both group of students were analyzed by ANCOVA after class. This analysis also showed that the program is more effective in gifted-science students to improve the emotional intelligence compared to general students.

The Recent Trends of Clinical Research on General Anxiety Disorder in Chinese Herbal Medicine (범불안장애의 중의학 약물 임상시험 최신 동향)

  • No, Dong-Jin;Lee, Sang-Ryong;Jung, In-Chul
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.4
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    • pp.79-89
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    • 2009
  • Objectives : To address suitable method for designing clinical trial intervening Traditional Korean Herbal Medicine on General anxiety disorder through the recent clinical research in Chinese Herbal Medicine. Methods : Randomized, controlled trials(RCTs) of treatment of general anxiety disorder intervening herbal medicine were searched through CNKI databases. We examined several item of studies and evaluated using Jadad scale. We searched articles in CNKI with the key word "General anxiety disorder or 廣範性焦慮症", among them we selected the clinical trial studies related with herbal medicine except for case reports, studies of acupuncture therapy or west medicines. Results : 11 RCT studies of herbal medicine met inclusion criteria. The Studies used CCMD-3, HAMA as inclusion tool and mainly HAMA as a evaluation tool. Studies were progressed for 2-8 weeks, mostly used various positive control. Experiment medicine were mainly 理氣劑, 安神劑. In most studies, experiment group made similar or higher efficacy in comparison with control group. Mean Jadad score of studies was $1.3{\pm}0.67$, and only one study was double-blinded among 11 studies. Conclusions : RCT studies on general anxiety disorder of chinese herbal medicine tend to focus on investigating effect of herbal medicine through setting positive control group with CCMD-3 and HAMA. But, most studies had low quality of trial, for lack of pattern identification, evaluation and inclusion tool of chinese medicine. Clinical trials of general anxiety disorder should provide good quality by randomization, double-blinding, and multi-site trial.

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Size-based Characteristics of Airborne Bacteria and Fungi Distributed in the General Hospital (종합병원의 실내공기에 분포하는 부유 세균과 진균의 입경별 종류와 특성)

  • Kim, Ki-Yeon;Lee, Chang-Rae;Kim, Chi-Nyon;Won, Jong Uk;No, Jaehoon
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.16 no.2
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    • pp.101-109
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    • 2006
  • The objective of this study is to provide fundamental data for pertinent management of indoor air quality through investigating the size-based characteristics of bioaerosol distributed in the general hospital. Measurement sites are main lobby, ICU, ward and laboratory and total five times were sampled with six-stage cascade impactor. Based on the result of this study, concentrations of airborne bacteria and fungi were the highest in main lobby as followed by an order of ward, ICU and laboratory. Concentrations of airborne bacteria was generally higher than those of airborne fungi and the ratio of indoor and outdoor concentration of both exceeded 1.0 in all the measurement sites of the general hospital. The predominant genera of airborne bacteria identified in the general hospital were Staphylococcus spp.(50%), Micrococcus spp.(15-20%), Corynebacterium spp.(5-20%), and Bacillus spp.(5-15%). On the other hand, the predominant genera of airborne fungi identified in the general hospital were Cladosporium spp.(30%), Penicillium spp.(20-25%), Aspergillus spp.(15-20%), and Alternaria spp.(10-20%). In regard to size distribution of bioaerosol, the detection rate was generally highest on 5 stage($1.1-2.1{\mu}m$) for airborne bacteria and on 1 stage(>$7.0{\mu}m$) for airborne fungi. Cleanliness of facilities in the general hospital and condition of HVAC system should be monitored regularly to prevent indoor air contamination by airborne microorganisms.

Dexmedetomidine inhibits vasoconstriction via activation of endothelial nitric oxide synthase

  • Nong, Lidan;Ma, Jue;Zhang, Guangyan;Deng, Chunyu;Mao, Songsong;Li, Haifeng;Cui, Jianxiu
    • The Korean Journal of Physiology and Pharmacology
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    • v.20 no.5
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    • pp.441-447
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    • 2016
  • Despite the complex vascular effects of dexmedetomidine (DEX), its actions on human pulmonary resistance arteries remain unknown. The present study tested the hypothesis that DEX inhibits vascular tension in human pulmonary arteries through the endothelial nitric oxide synthase (eNOS) mediated production of nitric oxide (NO). Pulmonary artery segments were obtained from 62 patients who underwent lung resection. The direct effects of DEX on human pulmonary artery tension and changes in vascular tension were determined by isometric force measurements recorded on a myograph. Arterial contractions caused by increasing concentrations of serotonin with DEX in the presence or absence of L-NAME (endothelial nitric oxide synthase inhibitor), yohimbine (${\alpha}_2$-adrenoceptor antagonist) and indomethacin (cyclooxygenase inhibitor) as antagonists were also measured. DEX had no effect on endothelium-intact pulmonary arteries, whereas at concentrations of $10^{-8}{\sim}10^{-6}mol/L$, it elicited contractions in endothelium-denuded pulmonary arteries. DEX (0.3, 1, or $3{\times}10^{-9}mmol/L$) inhibited serotonin-induced contraction in arteries with intact endothelium in a dose-dependent manner. L-NAME and yohimbine abolished DEX-induced inhibition, whereas indomethacin had no effect. No inhibitory effect was observed in endothelium-denuded pulmonary arteries. DEX-induced inhibition of vasoconstriction in human pulmonary arteries is mediated by NO production induced by the activation of endothelial ${\alpha}_2$-adrenoceptor and nitric oxide synthase.