• Korean Journal of Clinical Pharmacy
• /
• v.23 no.4
• /
• pp.307-315
• /
• 2013

Objective: Colistimethate was first became available in 1950s and used until the early 1980s to treat infections caused by gram-negative bacteria and was abandoned due to its nephrotoxicity and neurotoxicity. However, it was recently reintroduced into the clinical practices due to emergence of multidrug-resistance gram-negative bacteria, particularly Pseudomonas aeruginosa and Acinetobacter baumanii. Therefore, it is increasingly used in the intensive care unit settings as a salvage therapy. This study was designed to investigate the incidence rates and risk factors of acute kidney injury associated with colistimethate by using the standardized definition in critically ill patients. Methods: This study retrospectively reviewed the electronic medical records of 71 adult patients above 18 years old receiving intravenous colistimethate at least 48 hours at intensive care unit, university-affiliated hospital from Nov 2012 to Aug 2013 and excluded patients with end-stage renal disease (ESRD) and required renal replacement therapy before initiation of the colistimethate therapy. Acute kidney injury (AKI) was determined by using the standardized RIFLE criteria, classified with risk, injury, failure, loss and ESRD according to serum creatinine (Scr) levels. Results: Among the 71 patients included in the analysis, AKI developed in 40 patients (56.3%) and 6 patients (8.4%) had irreversible kidney injury. AKI occurred within 5 days in 20 patients (50.0%). Maximum Scr level showed a significant increase in the patients with AKI ($1.92{\pm}0.86mg/dL$ vs. $1.12{\pm}0.46mg/dL$ p=0.001), maximum BUN also increased ($64.2{\pm}28.7mg/dL$ vs. $48.4{\pm}24.9mg/dL$ p=0.017) and minimum creatinine clearance (CLcr) was significantly decreased in the patients with AKI than non-AKI ($34.5{\pm}18.6ml/min$ vs. $64.4{\pm}33.7ml/min$ p=0.185). The patients with AKI had significantly longer duration of colistimethate therapy ($21.1{\pm}17.0$ days vs. $13.0{\pm}11.5$ days, p=0.020) and larger cumulative doses of colistimethate ($6465.9{\pm}4717.0mg$ vs. $4438.1{\pm}3426.7mg$, p=0.040). Conclusion: The incidence and severity of AKI associated with colistimethate in critically ill patients was high and serious. Drug monitoring program should be performed to shorten duration of therapy and reduce cumulative dose from initiation of colistimethate therapy for minimizing AKI of colistimethate.

• Journal of the Korean Wood Science and Technology
• /
• v.43 no.3
• /
• pp.381-389
• /
• 2015

In this study, the effects of moisture content and particles size of ground particles of torrefied larch chips on the pelletizing process were investigated depending on torrefaction conditions ($220^{\circ}C$-50 min, $250^{\circ}C$-50 min, $250^{\circ}C$-120 min). The moisture content in the torrefied chip decreased to 0.69~1.75%, while ash content and calorific value increased compared to untreated chip. In addition, weight loss significantly increased during torrefaction due to hemicellulose degradation. The carbon content in torrefied larch chip increased compare to untreated larch chip, while the hydrogen and oxygen contents decreased. The lignin and glucan contents in torrefied larch chip increased with increasing severity of the torrefaction condition, while hemicellulose decreased. In the particle size distribution of ground particles of torrefied larch chip, larch torrefied at severe conditions was found to produce smaller particles (~1 mm) than that of the larch torrefied at mild conditions. Macropore (over $500{\AA}$) in the torrefied particle was produced during torrefaction. During the pelletizing using ground particles of torrefied larch chip, the pressure needed in pelletizing decreased and pellet length increased with increasing moisture content, regardless of the particle size.

• Journal of Radiation Protection and Research
• /
• v.32 no.1
• /
• pp.35-44
• /
• 2007

Sealed sources have to conducted the tests be done according to the classification requirements for their typical usages in accordance with the relevant domestic notice standard and ISO 2919. After each test, the source shall be examined visually for loss of integrity and pass an appropriate leakage test. Tests to class a sealed source are temperature, external pressure, impact, vibration and puncture test. The environmental test conditions for tests with class numbers are arranged in increasing order of severity. In this study, the apparatus of tests, except the vibration test, were developed and applied to three kinds of sealed source. The conditions of the tests to class a sealed source were stated and the difference between the domestic notice standard and ISO 2919 were considered. And apparatus of the tests were made. Using developed apparatus we conducted the tests for $^{192}Ir$ brachytherapy sealed source and two kinds of sealed source for industrial radiography. $^{192}Ir$ brachytherapy sealed source is classified by temperature class 5, external pressure class 3, impact class 2 and vibration and puncture class 1. Two kinds of sealed source for industrial radiography are classified by temperature class 4, external pressure class 2, impact and puncture class 5 and vibration class 1. After the tests, Liquid nitrogen bubble test and vacuum bubble test were done to evaluate the safety of the sealed sources.

• Childhood Kidney Diseases
• /
• v.11 no.1
• /
• pp.16-23
• /
• 2007

Purpose : Hypogammaglobulinemia has been observed in nephrotic syndrome, but its pathophysiology remains unknown. We evaluated the relationship between the serum IgG and at bumin levels for children with minimal change nephrotic syndrome(MCNS). Methods : The levels of immunoglobulin G(IgG), albumin and total cholesterol of a total of 46 children with MCNS(proteinuria $>40mg/m^2/h$, and serum albumin level <2.5g/dL were analyzed. Results : The mean values of albumin, IgG and total cholesterol in MCNS children were $1.7{\pm}0.3g/dL,\;368{\pm}143mg/dL\;and\;431{\pm}78mg/dL$, respectively. There was an inverse correlation between the albumin values and the total cholesterol values(r=0.68, P=0.0001), whereas there was a direct-proportional correlation between albumin values and the IgG values(r=0.4, P=0.01). Conclusion : The IgG level is associated with albumin level, and it may reflect the severity of urinary protein loss in MCNS. Further studies are needed to evaluate this phenomenon.

• Toxicological Research
• /
• v.20 no.1
• /
• pp.83-88
• /
• 2004

The present study was carried out to investigate the potential adverse effects of CKD-602 by a 5-day repeated intravenous dose in Sprague-Dawley rats. The test article, CKD-602, was administered intravenously to male and female rats at dose levels of 0.07, 0.22, 0.67, 2.0 and 6.0 mg/kg/day for 5 days consecutively. Mortalities, clinical findings, and body weight changes were monitored for the 14-day period after cessation of the administration. At the end of 14-day observation period, all animals were sacrificed and complete gross postmortem examinations were performed. There were 2 and 5 treatment related deaths in the 0.67 and 2.0 mg/kg/day dose groups of both genders, respectively. Treatment related clinical signs, including hair loss, skin paleness, decreased locomotor activity, emaciation, and changes in stool were observed in a dose-dependent manner from the third day after initiation of the injection. Decrease or suppression of body weight was also observed dose-dependently in males and females of the treated groups. Gross postmortem examinations revealed a dose-dependent increase in the incidence and severity of atrophy or hypertrophy and white membrane formation in the spleen, atrophy of the thymus, diffuse white spots and paleness of the liver, paleness of the lung, kidney and adrenal gland, and dark red discoloration and dark red contents in the alimentary tract. Based on these results, it was concluded that the 5-repeated intravenous injection of CKD-602 to male and female rats resulted in increased incidence of abnormal clinical signs and death, decreased or suppressed body weight, and increased incidence of abnormal gross findings. In the present experimental conditions, the $LD_{50}$ value was 2.07 (95% confidence limit not specified) mg/kg/day in both genders and the $LD_{10}$ value was 1.72 (95% confidence limit not specified) mg/kg/day in both genders.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.33 no.3
• /
• pp.469-481
• /
• 2006

Among the etiologic factors of enamel corrosion, daily intake has been considered with a profound interest, especially the intake of acidic drinks. It is thought that the rapid consumption of acidic drinks will not only results in the affection to the teeth but also to the surface of the tooth-colored restorative materials. Therefore, the puopose of this study is to examine the alterations occurred in the surface of the tooth-colored materials according to the exposed time, with 3 most common acidic drinks in contact with daily life. Resin-modified glass-ionomer, polyacid-modified composite resin, composite resin were immersed on 0.9% NaCl, Coke, orange juice, sports beverages as 4 groups in each. The surface hardness and the surface roughness of specimens were measured with following methods: before immersion, 1 day after immersion, 1-,2-,3-,4- weeks after immersion. Results were as follows. 1. Tooth-colored restorative materials, with the exception of composite resin, showed statistically significant changes in surface hardness and roughness when immersed on acidic drinks(p<0.05). 2. The degree of change in surface hardness and roughness occurred as follows, in order of severity from greatest to least resin-modified glass-ionomer, polyacid-modified composite resin, composite resin 3. Sports beverages resulted in greater alterations to surfaces than Coke and orange juice. 4. In the SEM image of the groups immersed in acidic drinks, resin-modified glass-ionomer and polyacid-modified composite resin showed loss of filer. Severe cracks were observed, especially on the resin-modified glass-ionomer.

• Research in Plant Disease
• /
• v.12 no.1
• /
• pp.5-9
• /
• 2006

Grain discoloration, caused by several microorganisms, is a minor disease, but it is gaining importance in almost all rice growing areas of the world in recent years. Such grains are of low market value and consumption appeal in addition to their abnormal performance as seed of source of nutrient value. When the casual agents were inoculated on rice plant,'Ilmi-byeo'(at right before heading time and on heading time), the incidence of rice ear blight caused by Alternaria alternate and Nigrospora oryzae was higher in a plot inoculated at right before heading time than (in n plot inoculated) on heading time. Meanwhile, the incidence of rice ear blight caused by Bipolaris oryzae and Curvularia lunate was higher in a plot inoculated on heading time than in a plot inoculated at right before heading time. In rice quality, the ratio of imperfect grains was increased at right before heading time or on heading time by Nigrospora oryzae or Alternaria alternata, respectively. As discoloration rate of rice grains increased on 'Ilmi-byeo', the percentage of perfect grains decreased proportionally and the percentage of damaged rice grains increased remarkably.

• Journal of Applied Biological Chemistry
• /
• v.60 no.3
• /
• pp.227-234
• /
• 2017

Inflammatory bowel disease (IBD) is including Crohn's disease and ulcerative colitis. Sulfasalazine commonly used in IBD, possibly has various side effects after high dosage and long term intake. The present study aimed to investigate the sulfasalazine and combination with herbal medicine on 2,4,6-trinitrobenzene sulfonic acid (TNBS)-induced in mice model. TNBS-induced mice were injected through a flexible catheter 4 cm in length 1.6 mg TNBS. Animals were divided into five groups (n=12): Normal group, TNBS control group, Sulfasalazine (30 mg/kg) group, Sulfasalazine (60 mg/kg) group, Sulfasalazine (30 mg/kg)+Cinnamomi cortex and Bupleuri radix mixture (30 mg/kg) (SCB) group. Administration groups were fed extract during 7 days. The inflammatory, and apoptotic protein levels were determined using western blotting. SCB treatment showed an outstanding effectiveness in counteracting the IBD, as assessed by reduction of body weight loss, down-regulation of pro-inflammatory proteins and cytokines, and by inhibition of proteins related to apoptosis. This is the first report that sulfasalazine and Cinnamomi cortex plus Bupleuri radix mixture improve the severity of experimental IBD through the inhibition of both inflammation and apoptosis. We confirm that the SCB treatment instead of sulfasalazine alone may be promising as an alternative therapeutic plan against IBD, without any evidence of adverse effects.

• Journal of Veterinary Clinics
• /
• v.30 no.3
• /
• pp.159-165
• /
• 2013

The present study was conducted to evaluate the efficacy of Cinnamomum cassia Blume (CC) extract on the repair of damaged cartilage in a rat model of osteoarthritis (OA) by anterior cruciate ligament transection (ACLT) and medial meniscus resection (MMx). Forty-eight rats were assigned to six groups (n = 8 per group): sham as negative control (NC), positive control (PC), diclofenac sodium (DS, 2 mg/kg), CC 25 mg/kg, CC 50 mg/kg and CC 100 mg/kg groups. Treatments were 12 weeks from 7 days after ACLT + MMx. Loss of cartilage and joint instability were significantly reduced in response to treatment with CC or DS compared to the PC (p < 0.05). CC significantly ameliorated cartilage degradation in a dose-dependent manner as assessed by histological findings (p < 0.01). A reduction in the severity of structural changes and a dose-dependent increase in Safranin-O staining intensity were observed in CC treatments, indicating that cartilage degradation was inhibited. Although DS did not affect the increase in active caspase-3 and cleaved poly(ADP-ribose) polymerase-induced apoptosis during the progression of OA, cells reactive to these apoptotic markers were decreased significantly by CC (p < 0.05). However, treatments with CC or DS did not influence the uptake of 5-bromo-2'-deoxyuridine. The findings suggest that CC can exert a chondroprotective action on OA through anti-inflammatory and anti-apoptotic properties.

• Journal of Periodontal and Implant Science
• /
• v.34 no.3
• /
• pp.607-622
• /
• 2004

Recently epidemiologic studies have indicated that the patients with periodontitis may have increased risk of ischemic cardiovascular events, and have suggested the important roles of blood cytokines and acute reactant proteins in the systemic infection and inflammatory response. Periodontitis and coronary heart disease (CHD) may share the common risk factors and the genetic mechanism associated with interleukin(IL)-1A, B and RA genotype may be involved in the production of IL-1. This study was aimed to investigate the relationship between angiographically defined CHD and periodontitis as chronic Gram-negative bacterial infection and to determine whether the IL-1 gene polymorphism is associated in both diseases. Patients under the age of 60 who had undergone diagnostic coronary angiography were enrolled in this study. Subjects were classified as positive CHD (+CHD, n=37) with coronary artery stenosis more than 50% in at least one of major epicardial arteries, and negative CHD (-CHD, n=30) without significant stenosis. After recording the number of missing teeth, periodontal disease severity was measured by means of plaque index (PI), gingival index (GI), bleeding on probing (BOP), probing depth (PD), clinical attachment level (CAL), and radiographic bone loss around all remaining teeth. Gingival crevicular fluid (GCF) was collected from the 4 deepest periodontal pockets and assessed for cytokine ($IL-1{\beta}$, IL-6, IL-1ra, tumor necrosis $factor-{\alpha}$, and prostaglandin $E_2$). Additionally, blood CHD markers, lipid profile, and blood cytokines were analyzed. IL-1 gene cluster genotyping was performed by polymerase chain reaction and enzyme restriction using genomic DNA from buccal swab, and allele 2 frequencies of IL-1A(+4845), IL-1B(+3954), IL-B(-511), and IL-1RA(intron 2) were compared between groups. Even though there was no significant difference in the periodontal parameters between 2 groups, GCF level of $PGE_2$ was significantly higher in the +CHD group(p<0.05). Correlation analysis showed the positive relationship among PD, CAL and coronary artery stenosis(%) and blood $PGE_2$. There was also significant positive relationship between the periodontal parameters (PI, PD, CAL) and the blood CHD markers (leukocyte count, C-reactive protein, and lactic dehyrogenase). IL-1 gene genotyping showed that IL-1A(+3954) allele 2 frequency was significantly higher in the +CHD group compared with the -CHD group (15% vs. 3.3%, OR 5.118,p=0.043). These results suggested that periodontal inflammation is related to systemic blood cytokine and CHD markers, and contributes to cardiovascular disease via systemic inflammatory reaction. IL-1 gene polymorphism might have an influence on periodontal and coronary heart diseases in Korean patients.