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1.
Heliyon ; 10(11): e32156, 2024 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-38873682

RESUMO

This study conducted in the Kyungpook National University Eco-friendly Agriculture Research Centre between 2022 and 2023 investigates the environmental implications of fence-type solar photovoltaic (PV) systems in diverse agricultural settings. Despite the increasing adoption of solar energy for climate change mitigation, there is a noticeable gap in research regarding the potential environmental impact of these specific PV systems. Focusing on heavy metal concentrations, including Cadmium (Cd), Copper (Cu), Arsenic (As), Mercury (Hg), Lead (Pb), Hexavalent Chromium (Cr+6), Zinc (Zn), and Nickel (Ni), across distinct fields, the study reveals significant fluctuations. Notably, the Rice Field experienced a substantial increase in Cd levels from 0.47 mg/kg in 2022 to 1.55 mg/kg in 2023, while Cu and Pb concentrations decreased to acceptable levels in 2023. The findings underscore the dynamic nature of heavy metal concentrations, emphasizing the importance of continuous soil quality monitoring to prevent contamination. This research provides valuable insights into the impact of fence-type solar PV system installations on agricultural soil quality, emphasizing the urgent need to secure these ecosystems through vigilant monitoring and environmental management practices.

2.
Sci Rep ; 13(1): 43, 2023 01 02.
Artigo em Inglês | MEDLINE | ID: mdl-36593298

RESUMO

Notch1 plays important roles in T cell development and is highly expressed in activated CD4+ T cells. However, the underlying mechanism of Notch1 transcription in T cells has not been fully characterized. Therefore, we aimed to determine how Notch1 expression is regulated during the activation of CD4+ T cells. Both the surface expression and mRNA transcription of Notch1 were significantly higher in activated CD4+ T cells, but the inhibition of phosphatidylinositol 3-kinase (PI3K) by LY294002 or deletion of the Pdk1 gene impaired this upregulation of Notch1. Interrogation of the Notch1 promoter region using serially deleted Notch1 promoter reporters revealed that the - 300 to - 270 region is crucial for its transcription in activated T cells. In addition, we found that nuclear factor (NF)-κB subunits containing RelA bind directly to this promoter region, thereby upregulating transcription. In addition, inhibition of NF-κB by SN50 impaired upregulation of Notch1 surface protein and mRNA in activated CD4+ T cells. Thus, we provide evidence that Notch1 transcription in activated CD4+ T cells is upregulated via the PI3K-PDK1-NF-κB signaling pathway.


Assuntos
NF-kappa B , Fosfatidilinositol 3-Quinases , NF-kappa B/metabolismo , Fosfatidilinositol 3-Quinases/metabolismo , Regulação da Expressão Gênica , Fator de Transcrição RelA/metabolismo , Linfócitos T/metabolismo , Ativação Transcricional , Receptor Notch1/genética , Receptor Notch1/metabolismo , RNA Mensageiro/metabolismo
3.
Sensors (Basel) ; 21(11)2021 May 25.
Artigo em Inglês | MEDLINE | ID: mdl-34070344

RESUMO

Inertial measurement units (IMUs) are possible alternatives to motion-capture systems (Mocap) for gait analysis. However, IMU-based system performance must be validated before widespread clinical use. Therefore, this study evaluated the validity of IMUs using statistical parametric mapping (SPM) for gait analysis. Ten healthy males (age, 30.10 ± 3.28 years; height, 175.90 ± 5.17 cm; weight: 82.80 ± 17.15 kg) participated in this study; they were asked to walk normally on a treadmill. Data were collected during walking at the self-selected speeds (preferred speed, 1.34 ± 0.10 m/s) using both Mocap and an IMU. Calibration was performed directly before each gait measurement to minimize the IMU drift error over time. The lower-extremity joint angles of the hip, knee, and ankle were calculated and compared with IMUs and Mocap; the hip-joint angle did not differ significantly between IMUs and Mocap. There were significant differences in the discrete (max, min, and range of motion) and continuous variables (waveform: 0-100%) of the knee and ankle joints between IMUs and Mocap, particularly on the swing phase (p < 0.05). Our results suggest that IMU-based data can be used confidently during the stance phase but needs evaluation regarding the swing phase in gait analysis.

4.
Exp Mol Med ; 53(4): 560-571, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33795795

RESUMO

Zinc is a trace element that is essential for immune responses. Therefore, changes in cellular zinc levels in specific immune cells may influence inflammatory autoimmune diseases, such as rheumatoid arthritis (RA). However, the regulation of zinc mobilization in immune cells and its role in the pathogenesis of RA are not fully understood. Thus, we investigated the roles of zinc transporters in RA pathogenesis. We demonstrated that ZIP8 was specifically upregulated in CD4+ T cells that infiltrated the inflamed joint and that ZIP8 deficiency in CD4+ T cells abrogated collagen-induced arthritis. ZIP8 deficiency dramatically affected zinc influx in effector T cells and profoundly reduced T cell receptor (TCR)-mediated signaling, including NF-κB and MAPK signaling, which are pathways that are involved in T helper (Th) 17 cell differentiation. Taken together, our findings suggest that ZIP8 depletion in CD4+ T cells attenuates TCR signaling due to insufficient cellular zinc, thereby reducing the function of effector CD4+ T cells, including Th17 cells. Our results also suggest that targeting ZIP8 may be a useful strategy to inhibit RA development and pathogenesis.


Assuntos
Artrite Experimental/etiologia , Artrite Experimental/metabolismo , Proteínas de Transporte de Cátions/genética , Suscetibilidade a Doenças , Subpopulações de Linfócitos T/imunologia , Subpopulações de Linfócitos T/metabolismo , Animais , Artrite Experimental/patologia , Biomarcadores , Proteínas de Transporte de Cátions/metabolismo , Diferenciação Celular/imunologia , Modelos Animais de Doenças , Progressão da Doença , Imunofluorescência , Humanos , Imuno-Histoquímica , Imunofenotipagem , Ativação Linfocitária , Camundongos Knockout , Membrana Sinovial/metabolismo , Membrana Sinovial/patologia , Subpopulações de Linfócitos T/patologia , Células Th17/imunologia , Células Th17/metabolismo , Células Th17/patologia
5.
Sensors (Basel) ; 21(2)2021 Jan 19.
Artigo em Inglês | MEDLINE | ID: mdl-33477847

RESUMO

Patients experience various biomechanical changes following reconstruction for anterior cruciate ligament (ACL) injury. However, previous studies have focused on lower extremity joints as a single joint rather than simultaneous lower extremity movements. Therefore, this study aimed to determine the movement changes in the lower limb coordination patterns according to movement type following ACL reconstruction. Twenty-one post ACL reconstruction patients (AG) and an equal number of healthy adults (CG) participated in this study. They were asked to perform walking, running, and cutting maneuvers. The continuous relative phase and variability were calculated to examine the coordination pattern. During running and cutting at 30 and 60°, the AG demonstrated a lower in-phase hip-knee coordination pattern in the sagittal plane. The AG demonstrated low hip-knee variability in the sagittal plane during cutting at 60°. The low in-phase coordination pattern can burden the knee by generating unnatural movements following muscle contraction in the opposite direction. Based on the results, it would be useful to identify the problem and provide the fundamental evidence for the optimal timing of return-to-sport after ACL reconstruction (ACLR) rehabilitation, if the coordination variable is measured with various sensors promptly in the sports field to evaluate the coordination of human movement.


Assuntos
Lesões do Ligamento Cruzado Anterior , Reconstrução do Ligamento Cruzado Anterior , Adulto , Lesões do Ligamento Cruzado Anterior/cirurgia , Fenômenos Biomecânicos , Humanos , Articulação do Joelho/cirurgia , Extremidade Inferior , Volta ao Esporte
6.
SAGE Open Med Case Rep ; 8: 2050313X20964104, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33149914

RESUMO

Foreign bodies in the nasal cavity are rarely seen in adults, and most cases are traumatic in origin. Multiple foreign bodies in adults are particularly rare. Foreign bodies induce pain, bleeding, and infection but are easily removed in most cases. A patient presented with multiple toothpick foreign bodies in the nasal cavity, which were introduced intentionally through an oroantral fistula. We report an adult case with 37 toothpicks in the nasal cavity, which were removed successfully with a nasal endoscope. Oroantral fistula closure was achieved through oral surgery. Voluntary insertion of foreign bodies into the body by patients with mental illnesses is relatively difficult to identify. Evaluating and managing the psychiatric problems of such patients during treatment planning are necessary.

7.
Sci Rep ; 9(1): 4587, 2019 03 14.
Artigo em Inglês | MEDLINE | ID: mdl-30872784

RESUMO

The symptoms of Alzheimer's disease (AD), a major cause of dementia in older adults, are linked directly with neuronal cell death, which is thought to be due to aberrant neuronal inflammation. Autoantibodies formed during neuronal inflammation show excellent stability in blood; therefore, they may be convenient blood-based diagnostic markers of AD. Here, we performed microarray analysis of 29,240 unbiased random peptides to be used for comprehensive screening of AD-specific IgG and IgM antibodies in the blood. The results showed that (1) sequence-specific and isotype-specific antibodies are regulated differentially in AD, and combinations of these antibodies showing high area under the receiver operating characteristic curve values (0.862-0.961) can be used to classify AD, (2) AD-specific IgG antibodies arise from IgM antibody-secreting cells that existed before disease onset and (3) target protein profiling of the antibodies identified some AD-related proteins, some of which are involved in AD-related signalling pathways. Therefore, we propose that these epitopes may facilitate the development of biomarkers for AD diagnosis and form the basis for a mechanistic study related to AD progression.


Assuntos
Doença de Alzheimer/sangue , Doença de Alzheimer/imunologia , Autoanticorpos/sangue , Autoanticorpos/imunologia , Mapeamento de Epitopos , Epitopos/imunologia , Ensaios de Triagem em Larga Escala , Peptídeos/imunologia , Doença de Alzheimer/diagnóstico , Biomarcadores , Biologia Computacional , Feminino , Humanos , Masculino , Análise Serial de Proteínas , Curva ROC , Transdução de Sinais
8.
Arthritis Res Ther ; 20(1): 161, 2018 08 02.
Artigo em Inglês | MEDLINE | ID: mdl-30071881

RESUMO

BACKGROUND: We recently demonstrated that BATF, a member of the activator protein-1 (AP-1) family, regulates osteoarthritic cartilage destruction. Here, we explored the roles and regulatory mechanisms of BATF in collagen-induced arthritis (CIA) in mice. METHODS: CIA and K/BxN serum transfer were used to generate inflammatory arthritis models in wild-type (WT) and Batf-/- mice. RA manifestations were determined by examining CIA incidence, clinical score, synovitis, synovial hyperplasia, angiogenesis in inflamed synovium, pannus formation, bone erosion, and cartilage destruction. Immune features in RA were analyzed by examining immune cell populations and cytokine production. RESULTS: BATF was upregulated in the synovial tissues of joints in which inflammatory arthritis had been caused by CIA or K/BxN serum transfer. The increases in CIA incidence, clinical score, and autoantibody production in CIA-induced WT mice were completely abrogated in the corresponding Batf-/- DBA/1 J mice. Genetic ablation of Batf also inhibited CIA-induced synovitis, synovial hyperplasia, angiogenesis in synovial tissues, pannus formation, bone erosion, and cartilage destruction. Batf knockout inhibited the differentiation of T helper (Th)17 cells and the conversion of CD4+Foxp3+ cells to CD4+IL-17+ cells. However, BATF did not modulate the functions of fibroblast-like synoviocytes (FLS), including the expressions of chemokines, matrix-degrading enzymes, vascular endothelial growth factor, and receptor activator of NF-κB ligand (RANKL). CONCLUSION: Our findings indicate that BATF crucially mediates CIA by regulating Th cell differentiation without directly affecting the functions of FLS.


Assuntos
Artrite Experimental/imunologia , Artrite Reumatoide/imunologia , Fatores de Transcrição de Zíper de Leucina Básica/imunologia , Linfócitos T Auxiliares-Indutores/imunologia , Animais , Artrite Experimental/metabolismo , Artrite Reumatoide/metabolismo , Fatores de Transcrição de Zíper de Leucina Básica/metabolismo , Diferenciação Celular/imunologia , Masculino , Camundongos , Camundongos Endogâmicos DBA , Camundongos Knockout , Sinoviócitos/metabolismo
9.
J Korean Med Sci ; 32(4): 688-694, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28244298

RESUMO

Variability in rapid response system (RRS) characteristics based on the admitted wards is unknown. We aimed to compare differences in the clinical characteristics of RRS activation between patients admitted to medical versus surgical services. We reviewed patients admitted to the hospital who were detected by the RRS from October 2012 to February 2014 at a tertiary care academic hospital. We compared the triggers for RRS activation, interventions performed, and outcomes of the 2 patient groups. The RRS was activated for 460 patients, and the activation rate was almost 2.3 times higher for surgical services than that for medical services (70% vs. 30%). The triggers for RRS activation significantly differed between patient groups (P = 0.001). They included abnormal values for the respiratory rate (23.2%) and blood gas analysis (20.3%), and low blood pressure (18.8%) in the medical group; and low blood pressure (32.0%), low oxygen saturation (20.8%), and an abnormal heart rate (17.7%) in the surgical group. Patients were more likely classified as do not resuscitate or required intensive care unit admission in the medical group compared to those in the surgical group (65.3% vs. 54.7%, P = 0.045). In multivariate analysis, whether the patient belongs to medical services was found to be an independent predictor of mortality after adjusting for the modified early warning score, Charlson comorbidity index, and intervention performed by the RRS team. Our data suggest that RRS triggers, interventions, and outcomes greatly differ between patient groups. Further research is needed to evaluate the efficacy of an RRS approach tailored to specific patient groups.


Assuntos
Equipe de Respostas Rápidas de Hospitais , Admissão do Paciente/estatística & dados numéricos , Idoso , Gasometria , Pressão Sanguínea , Feminino , Frequência Cardíaca , Mortalidade Hospitalar , Hospitais Universitários , Humanos , Unidades de Terapia Intensiva , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Razão de Chances , Consumo de Oxigênio , Taxa Respiratória , Estudos Retrospectivos , Centros de Atenção Terciária
11.
Cell Rep ; 17(12): 3219-3232, 2016 12 20.
Artigo em Inglês | MEDLINE | ID: mdl-28009291

RESUMO

Myeloid-derived suppressor cells (MDSCs) are well known regulators of regulatory T cells (Treg cells); however, the direct regulation of MDSCs by Treg cells has not been well characterized. We find that colitis caused by functional deficiency of Treg cells leads to altered expansion and reduced function of MDSCs. During differentiation of MDSCs in vitro from bone marrow cells, Treg cells enhanced MDSC function and controlled their differentiation through a mechanism involving transforming growth factor-ß (TGF-ß). TGF-ß-deficient Treg cells were not able to regulate MDSC function in an experimentally induced model of colitis. Finally, we evaluated the therapeutic effect of TGF-ß-mediated in-vitro-differentiated MDSCs on colitis. Adoptive transfer of MDSCs that differentiated with TGF-ß led to better colitis prevention than the transfer of MDSCs that differentiated without TGF-ß. Our results demonstrate an interaction between Treg cells and MDSCs that contributes to the regulation of MDSC proliferation and the acquisition of immunosuppressive functions.


Assuntos
Colite/genética , Inflamação/genética , Células Supressoras Mieloides/citologia , Linfócitos T Reguladores/citologia , Fator de Crescimento Transformador beta/genética , Transferência Adotiva , Animais , Células da Medula Óssea/citologia , Diferenciação Celular/genética , Proliferação de Células/genética , Colite/induzido quimicamente , Colite/metabolismo , Sulfato de Dextrana/toxicidade , Humanos , Inflamação/metabolismo , Camundongos , Células Supressoras Mieloides/metabolismo , Linfócitos T Reguladores/metabolismo , Fator de Crescimento Transformador beta/metabolismo
12.
Proc Natl Acad Sci U S A ; 113(31): 8771-6, 2016 08 02.
Artigo em Inglês | MEDLINE | ID: mdl-27439875

RESUMO

The role of cereblon (CRBN) in T cells is not well understood. We generated mice with a deletion in Crbn and found cereblon to be an important antagonist of T-cell activation. In mice lacking CRBN, CD4(+) T cells show increased activation and IL-2 production on T-cell receptor stimulation, ultimately resulting in increased potassium flux and calcium-mediated signaling. CRBN restricts T-cell activation via epigenetic modification of Kcna3, which encodes the Kv1.3 potassium channel required for robust calcium influx in T cells. CRBN binds directly to conserved DNA elements adjacent to Kcna3 via a previously uncharacterized DNA-binding motif. Consequently, in the absence of CRBN, the expression of Kv1.3 is derepressed, resulting in increased Kv1.3 expression, potassium flux, and CD4(+) T-cell hyperactivation. In addition, experimental autoimmune encephalomyelitis in T-cell-specific Crbn-deficient mice was exacerbated by increased T-cell activation via Kv1.3. Thus, CRBN limits CD4(+) T-cell activation via epigenetic regulation of Kv1.3 expression.


Assuntos
Linfócitos T CD4-Positivos/metabolismo , Epigênese Genética , Canal de Potássio Kv1.3/genética , Ativação Linfocitária/genética , Proteínas do Tecido Nervoso/genética , Proteínas Adaptadoras de Transdução de Sinal , Animais , Linfócitos T CD4-Positivos/citologia , Cálcio/metabolismo , Células Cultivadas , Citocinas/metabolismo , Encefalomielite Autoimune Experimental/genética , Encefalomielite Autoimune Experimental/metabolismo , Perfilação da Expressão Gênica/métodos , Canal de Potássio Kv1.3/metabolismo , Camundongos Endogâmicos C57BL , Camundongos Knockout , Camundongos Transgênicos , Proteínas do Tecido Nervoso/metabolismo , Potássio/metabolismo
13.
ACS Appl Mater Interfaces ; 8(20): 12940-50, 2016 05 25.
Artigo em Inglês | MEDLINE | ID: mdl-27156705

RESUMO

A series of small compound materials based on benzodithiophene (BDT) and diketopyrrolopyrrole (DPP) with three different alkyl side chains were synthesized and used for organic photovoltaics. These small compounds had different alkyl branches (i.e., 2-ethylhexyl (EH), 2-butyloctyl (BO), and 2-hexyldecyl (HD)) attached to DPP units. Thin films made of these compounds were characterized and their solar cell parameters were measured in order to systematically analyze influences of the different side chains of compounds on the film microstructure, molecular packing, and hence, charge-transport and recombination properties. The relatively shorter side chains in the small molecules enabled more ordered packing structures with higher crystallinities, which resulted in higher carrier mobilities and less recombination factors; the small molecule with the EH branches exhibited the best semiconducting properties with a power conversion efficiency of up to 5.54% in solar cell devices. Our study suggested that tuning the alkyl chain length of semiconducting molecules is a powerful strategy for achieving high performance of organic photovoltaics.

14.
Sci Rep ; 6: 22604, 2016 Mar 02.
Artigo em Inglês | MEDLINE | ID: mdl-26932767

RESUMO

Post-treatment processes improve the performance of organic photovoltaic devices by changing the microscopic morphology and configuration of the vertical phase separation in the active layer. Thermal annealing and solvent vapor (or chemical) treatment processes have been extensively used to improve the performance of bulk-heterojunction (BHJ) organic photovoltaic (OPV) devices. In this work we introduce a new post-treatment process which we apply only electrical voltage to the BHJ-OPV devices. We used the commercially available P3HT [Poly(3-hexylthiophene)] and PC61BM (Phenyl-C61-Butyric acid Methyl ester) photovoltaic materials as donor and acceptor, respectively. We monitored the voltage and current applied to the device to check for when the post-treatment process had been completed. This electrical treatment process is simpler and faster than other post-treatment methods, and the performance of the electrically treated solar cell is comparable to that of a reference (thermally annealed) device. Our results indicate that the proposed treatment process can be used efficiently to fabricate high-performance BHJ-OPV devices.

15.
Korean J Anesthesiol ; 69(1): 3-7, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26885294

RESUMO

The occurrence of postoperative pulmonary complications is strongly associated with increased hospital mortality and prolonged postoperative hospital stays. Although protective lung ventilation is commonly used in the intensive care unit, low tidal volume ventilation in the operating room is not a routine strategy. Low tidal volume ventilation, moderate positive end-expiratory pressure, and repeated recruitment maneuvers, particularly for high-risk patients undergoing major abdominal surgery, can reduce postoperative pulmonary complications. Facilitating perioperative bundle care by combining prophylactic and postoperative positive-pressure ventilation with intraoperative lung-protective ventilation may be helpful to reduce postoperative pulmonary complications.

16.
J Neurosurg Spine ; 22(4): 432-8, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25635633

RESUMO

OBJECT: Spinal cord ischemia remains a serious complication of thoracoabdominal aortic aneurysm surgery. Coenzyme Q10, a potent antioxidant, has been reported to exert a neuroprotective effect. In the present study, we evaluated the effect of coenzyme Q10 pretreatment on spinal cord ischemia-reperfusion injury. METHODS: Male Sprague-Dawley rats were treated with either 300 mg/kg coenzyme Q10 (CoQ10 group, n = 12) or saline (control and sham groups, n = 12 for each group) for 5 days before ischemia. Spinal cord ischemia was induced in the control and CoQ10 groups. Neurological function was assessed using the Basso-Beattie-Bresnahan (BBB) motor rating scale until 7 days after reperfusion, and then the spinal cord was harvested for histopathological examinations and an evaluation of malondialdehyde level. RESULTS: On post-reperfusion Day 1, the CoQ10 group showed higher BBB scores compared with those in the control group, although the difference was not significant. However, on Day 2, the CoQ10 group showed a significantly higher BBB score than the control group (14.0 [10.3-15.0] vs 8.0 [5.0-9.8], median [IQR], respectively; p = 0.021), and this trend was maintained until Day 7 (17.5 [16.0-18.0] vs 9.0 [6.5-12.8], respectively; p < 0.001). Compared with the control group, the CoQ10 group had more normal motor neurons (p = 0.003), fewer apoptotic changes (p = 0.003) and a lower level of tissue malondialdehyde (p = 0.024). CONCLUSIONS: Pretreatment with 300 mg/kg coenzyme Q10 resulted in significantly improved neurological function and preservation of more normal motor neurons.


Assuntos
Modelos Animais de Doenças , Traumatismo por Reperfusão/tratamento farmacológico , Medula Espinal/irrigação sanguínea , Ubiquinona/análogos & derivados , Animais , Exame Neurológico , Pré-Medicação , Ratos , Ratos Sprague-Dawley , Medula Espinal/patologia , Ubiquinona/farmacologia
17.
Auris Nasus Larynx ; 42(2): 173-5, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25466808

RESUMO

The muscular tinnitus due to an extrinsic auricular myoclonus is an extremely rare disorder which demonstrates a semirhythmic involuntary movement of the ear. We report a 33-year-old man with clicking tinnitus caused by focal myoclonic jerks of bilateral posterior auricularis muscle and bilateral temporalis muscle. This muscular tinnitus persisted except for when he was sleeping or breath holding. His symptom responded poorly to medical therapy but was controlled by botulinum toxin type A injection under electromyography monitoring with favorable outcome. Previous reports of this condition and possible therapeutic approaches are discussed.


Assuntos
Orelha Externa , Músculo Esquelético , Mioclonia/complicações , Zumbido/etiologia , Adulto , Toxinas Botulínicas Tipo A/uso terapêutico , Eletromiografia , Humanos , Masculino , Mioclonia/diagnóstico , Mioclonia/tratamento farmacológico , Fármacos Neuromusculares/uso terapêutico , Zumbido/tratamento farmacológico
18.
Korean J Anesthesiol ; 66(5): 383-7, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24910731

RESUMO

Discontinuation of dual antiplatelet therapy within 12 months after drug-eluting stent (DES) implantation increases the possibility of stent thrombosis. We now report the case of a 66-year-old man who suffered a cardiac arrest due to stent thrombosis after an elective laparoscopic anterior resection. Ten month ago, he underwent DES implantation and then had been taking dual antiplatelet therapy. Nine days prior to the surgery, he discontinued dual antiplatelet therapy. Forty minutes after intensive care unit admission, cardiac arrest occurred. However, his cardiac rhythm did not restore in spite of resuscitation, so immediately veno-arterial extracorporeal membrane oxygenation (ECMO) was implanted. Four days after the surgery, he was weaned from ECMO support, recovered completely, with no cardiopulmonary or neurological sequelae.

19.
Korean J Anesthesiol ; 66(4): 278-82, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24851162

RESUMO

BACKGROUND: This study determined the dose of remifentanil to use during insertion of a Classic™ laryngeal mask airway (LMA, The Laryngeal Mask Co., Nicosia, Cyprus) in elderly patients during emergency airway management when combined with a single dose of propofol. METHODS: Patients aged 65-80 years were enrolled. Anesthesia was induced with propofol 1 mg/kg, and then a blinded dose of remifentanil was infused over 30 s after confirming the patient's loss of consciousness. The dose of remifentanil was determined using Dixon's up-and-down method, starting at 0.5 µg/kg (a step size of 0.1 µg/kg). Insertion of the LMA was attempted 60 s after loss of consciousness. RESULTS: In total, 23 patients were recruited and the mean age ± standard deviation was 72 ± 3 years. The effective dose for successful LMA insertion in 50% of the patients (ED50) was 0.20 ± 0.05 µg/kg. No patient needed more than 0.3 µg/kg. CONCLUSIONS: Remifentanil 0.20 ± 0.05 µg/kg with propofol 1 mg/kg resulted in excellent LMA insertion in 50% of elderly patients without significant hemodynamic changes during emergency airway management.

20.
Immune Netw ; 14(1): 14-20, 2014 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24605076

RESUMO

CD28/T cell receptor ligation activates the NF-κB signaling cascade during CD4 T cell activation. NF-κB activation is required for cytokine gene expression and activated T cell survival and proliferation. Recently, many reports showed that NF-κB activation is also involved in T helper (Th) cell differentiation including Th17 cell differentiation. In this review, we discuss the current literature on NF-κB activation pathway and its effect on Th17 cell differentiation.

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