Effect of Dexmedetomidine Preconditioning on Hepatic Ischemia-Reperfusion Injury in Acute Hyperglycemic Rats.

BACKGROUND: Acute hyperglycemia frequently occurs in stressful situations, including liver transplantation or hepatic surgery, which may affect the protective effects of dexmedetomidine preconditioning and increase postoperative mortality. Therefore, this study aimed to investigate the effects of dexmedetomidine on hepatic ischemia-reperfusion injury in acute hyperglycemia. METHODS: Thirty-six Sprague-Dawley rats were randomly assigned to 6 groups, including a combination between 2 glycemic (normo- and hyperglycemia) and 3 ischemia-reperfusion conditions (sham, ischemia-reperfusion only, and dexmedetomidine plus ischemia-reperfusion). Dexmedetomidine 70 µg/kg was preconditioned 30 minutes before ischemic injury. After 6 hours of reperfusion, serum aminotransferase levels were measured to confirm the hepatic tissue injury. Furthermore, inflammatory (nuclear factor-κb, tumor necrosis factor-α, and interleukin-6) and oxidative stress markers (malondialdehyde and superoxide dismutase) were detected. RESULTS: Ischemia-reperfusion injury significantly increased the serum levels of aminotransferase and inflammatory and oxidative stress markers. These ischemia-reperfusion-induced changes were further exacerbated in hyperglycemia and were significantly attenuated by dexmedetomidine preconditioning. However, the effects of dexmedetomidine in hyperglycemia were lesser than those in normoglycemia (P < .05 for aminotransferases, inflammatory markers, malondialdehyde, and superoxide dismutase). CONCLUSIONS: These findings suggest that the protective effects of dexmedetomidine preconditioning may be intact against hepatic ischemia-reperfusion injury in acute hyperglycemia. Although its effects appeared to be relatively reduced, this may be because of the increase in oxidative stress and inflammatory response caused by acute hyperglycemia. To determine whether the effects of dexmedetomidine itself would be impaired in hyperglycemia, further study is needed.

Evaluation of Recycled Spent Coffee Material Treated with Animal Glue, Starch, and Red Clay as Acid Materials.

Annual coffee consumption has increased to 10 million tons. Of the coffee consumed, 65% is discarded as spent coffee grounds (SCG). However, most SCG are buried in the ground as organic waste. The more coffee consumption increases, the more land is used for disposing of spent coffee. SCG recycling has gotten considerable attention as a solution involved in these issues. The construction community has studied means and methods to recycle SCG as construction materials, such as bricks, subgrade fillers, thermal insulators, etc. This paper presents a new method, which recycles SCG as a construction material, maximally using its acidity. The SCG were hardened with natural binders (i.e., animal glue (AG) and starch (S)) and red clay (RC). The SCG mixtures were pressed with 2 MPa in a cylindrical mold and cured for 7 days. Then, the strength, durability, and pH tests were measured. The AG- and RC-treated SCG sample, which outputs 1933 kPa of strength and a 4.9 pH value, is identified as the optimal sampling method among the acid materials produced in this study. The optimal sample decreases the pH to approximately 7 of water where 68% weight of Ordinary Portland cement was soaked in.

Evaluation of Compressive Strength and Thermal Conductivity of Sand Stabilized with Epoxy Emulsion and Polymer Solution.

This paper presents findings obtained by evaluating the compressive strength, thermal conductivity, and durability of sand cylinder specimens stabilized with either epoxy emulsion (EM), acrylic polymer aqueous solution (APAS), EM-APAS mixture, or EM-APAS-lime mixture. Given the data obtained from the laboratory test, simulation analysis that uses a heat transfer fluid model of a ground-coupled heat pump (GCHP) system confirms the EM-APAS-lime binder performs best in the compressive strength and thermal conductivity; EM-APAS mixture performs best in the durability. However, the slake durability index of specimens containing EM-APAS-lime is equal to or greater than 80%. In addition, the compressive strength of sand stabilized with the EM-APAS-lime mixture is more than three times that of sand stabilized with cement. The thermal conductivity of sand stabilized with cement and that of sand treated with EM-APAS-lime mixture are 0.1 W/m·K and 0.9-1 W/m·K, respectively. It is confirmed that the heat collection of sand stabilized with EM-APAS-lime outperforms five times over that of sand stabilized with cement. These findings provide admissible evidence that the EM-APAS-lime mixture, which outperforms cement in compressive strength and thermal conductivity, is most suitable for ground improvement binder for GCHP systems.

Rapid Post-Earthquake Structural Damage Assessment Using Convolutional Neural Networks and Transfer Learning.

The adoption of artificial intelligence in post-earthquake inspections and reconnaissance has received considerable attention in recent years, owing to its exponential increase in computation capabilities and inherent potential in addressing disadvantages associated with manual inspections. Herein, we present the effectiveness of automated deep learning in enhancing the assessment of damage caused by the 2017 Pohang earthquake. Six classical pre-trained convolutional neural network (CNN) models are implemented through transfer learning (TL) on a small dataset, comprising 1780 manually labeled images of structural damage. Feature extraction and fine-tuning TL methods are trained on the image datasets. The performances of various CNN models are compared on a testing image dataset. Results confirm that the MobileNet fine-tuned model offers the best performance. Therefore, the model is further developed as a web-based application for classifying earthquake damage. The severity of damage is quantified by assigning damage assessment values, derived using the CNN model and gradient-weighted class activation mapping. The web-based application can effectively and automatically classify structural damage resulting from earthquakes, rendering it suitable for decision making, such as in resource allocation, policy development, and emergency response.

Application of an Acrylic Polymer and Epoxy Emulsion to Red Clay and Sand.

The use of nontraditional soil stabilizers increases. Various new soil binding agents are under study to augment renewability and sustainability of an earth structure. However, despite increasing interest involved in red clay, there is minimal research investigating the stabilizing red clay with polymer. This paper presents the findings obtained by applying the acrylic polymer and epoxy emulsion as binding agent for red clay and that for sand. The epoxy-hardener ratio, amount of epoxy emulsion, and amount of polymer aqueous solution were manipulated to quantify their effects on red clay and sand, respectively. After compacting a pair of cylindrical samples of which diameter and height are 5 cm and 10 cm, respectively, it is cured for 3 and 7 days in a controlled condition. Each pair is produced to represent the engineering performance at each data point in the solution space. An optimal composition of the binding agents for red clay and that for sand mixture are identified by experimenting every data point. In addition, given lime into each sample, the maximum unconfined compressive strength (UCS) endured by red clay sample and that by sand sample are 2243 and 1493 kPa, respectively. The UCS obtained by the sample mixed with clay and sand reaches 2671 kPa after seven days of curing. It confirms that the addition of lime remarkably improves the UCS. When the clay-sand mixture, of which the ratio is 70:30, includes 5% lime, the UCS of the mixture outperforms. Indeed, these findings, i.e., the optimal proportion of components, may contribute to the increase of initial and long-term strength of an earth structure, hence improving the renewability and sustainability of the earth construction method.

The Role of Dexmedetomidine in Hepatic Ischemia-Reperfusion Injury Via a Nitric Oxide-Dependent Mechanism in Rats.

BACKGROUND: Dexmedetomidine is known to protect against ischemia-reperfusion (IR) in various organs; however, the mechanisms of dexmedetomidine in the liver remain unclear. We investigated whether dexmedetomidine preconditioning leads to hepatic protection and whether nitric oxide was associated with this protective mechanism by employing N-nitro-l-arginine methyl ester (l-NAME), a nitrous oxide synthase inhibitor. METHODS: Experiment 1 included 24 rats in 4 groups: sham, IR, 30 µg/kg of dexmedetomidine, and 50 µg/kg of dexmedetomidine. Experiment 2 included 36 rats in 6 groups: IR, 50 µg/kg of dexmedetomidine, 10 mg/kg of l-NAME, 10 mg/kg of l-NAME + 50 µg/kg of dexmedetomidine, 30 of mg/kg l-NAME, and 30 mg/kg of l-NAME + 50 µg/kg of dexmedetomidine. All drugs were administered intraperitoneally. The levels of serum transaminases, malondialdehyde, superoxide dismutase, tumor necrosis factor-α, nuclear factor-κB, and c-Jun N-terminal kinase were measured 6 hours after hepatic surgery. RESULTS: Dexmedetomidine demonstrated a dose-dependent decrease in serum transaminase levels. The 50-µg/kg dexmedetomidine group showed a significant decrease in malondialdehyde levels (P = .002), increase in superoxide dismutase levels (P = .002), and a significantly lower level of phosphorylated tumor necrosis factor-α, nuclear factor-κB, and c-Jun N-terminal kinase (P = .002, respectively) compared with the IR injury group. These protective effects of dexmedetomidine were partially reversed by pretreatment with l-NAME (P < .01 for 20 and 30 mg/kg of l-NAME). CONCLUSION: In hepatic IR injury, dexmedetomidine might protect the liver via antioxidative and anti-inflammatory responses, and nitric oxide production could play a role in these protective mechanisms.

Numerical Analysis of Shear and Particle Crushing Characteristics in Ring Shear System Using the PFC2D.

The shear and particle crushing characteristics of the failure plane (or shear surface) in catastrophic mass movements are examined with a ring shear apparatus, which is generally employed owing to its suitability for large deformations. Based on results of previous experiments on waste materials from abandoned mine deposits, we employed a simple numerical model based on ring shear testing using the particle flow code (PFC2D). We examined drainage, normal stress, and shear velocity dependent shear characteristics of landslide materials. For shear velocities of 0.1 and 100 mm/s and normal stress (NS) of 25 kPa, the numerical results are in good agreement with those obtained from experimental results. The difference between the experimental and numerical results of the residual shear stress was approximately 0.4 kPa for NS equal to 25 kPa and 0.9 kPa for NS equal to 100 kPa for both drained and undrained condition. In addition, we examined particle crushing effect during shearing using the frictional work concept in PFC. We calculated the work done by friction at both peak and residual shear stresses, and then used the results as crushing criteria in the numerical analysis. The frictional work at peak and the residual shear stresses was ranged from 303 kPa·s to 2579 kPa·s for given drainage and normal stress conditions. These results showed that clump particles were partially crushed at peak shear stress, and further particle crushing with respect to the production of finer in shearing was recorded at residual shear stress at the shearing plane.

Cost-Effective Production of TiO2 with 90-Fold Enhanced Photocatalytic Activity Via Facile Sequential Calcination and Ball Milling Post-Treatment Strategy.

Titanium dioxide (TiO2), the golden standard among the photocatalysts, exhibits a varying level of photocatalytic activities (PCA) amongst the synthetically prepared and commercially available products. For commercial applications, superior photoactivity and cost-effectiveness are the two main factors to be reckoned with. This study presents the development of simple, cost-effective post-treatment processes for a less costly TiO2 to significantly enhance the PCA to the level of expensive commercial TiO2 having demonstrated superior photoactivities. We have utilized sequential calcination and ball milling (BM) post-treatment processes on a less-costlier KA100 TiO2 and demonstrated multi-fold (nearly 90 times) enhancement in PCA. The post-treated KA100 samples along with reference commercial samples (P25, NP400, and ST01) were well-characterized by appropriate instrumentation and evaluated for the PCA considering acetaldehyde photodegradation as the model reaction. Lattice parameters, phase composition, crystallite size, surface functionalities, titanium, and oxygen electronic environments were evaluated. Among post-treated KA100, the sample that is subjected to sequential 700 °C calcination and BM (KA7-BM) processes exhibited 90-fold PCA enhancement over pristine KA100 and the PCA-like commercial NP400 (pure anatase-based TiO2). Based on our results, we attribute the superior PCA for KA7-BM due to the smaller crystallite size, the co-existence of mixed anatase-srilankite-rutile phases, and the consequent multiphase heterojunction formation, higher surface area, lattice disorder/strain generation, and surface oxygen environment. The present work demonstrates a feasible potential for the developed post-treatment strategy towards commercial prospects.

Differences in midazolam premedication effects on recovery after short-duration ambulatory anesthesia with propofol or sevoflurane for gynecologic surgery in young patients: A randomized controlled trial.

BACKGROUND: Anxiolytic premedication requires careful consideration owing to potential side effects including delayed recovery after ambulatory anesthesia. We aimed to compare the effect of midazolam on recovery profiles postoperatively, depending on whether propofol or sevoflurane was the primary anesthetic. METHODS: We enrolled 226 patients (age, 18-50 years) undergoing ambulatory gynecologic laparoscopic surgery. Patients were categorized into propofol without midazolam (P), propofol with midazolam (MP), sevoflurane without midazolam (S), and sevoflurane with midazolam (MS) groups. As premedication, placebo or 0.02 mg/kg intravenous midazolam was used. The primary outcome was the difference in the time from anesthetic discontinuation to eye opening in response to verbal command. Secondary outcomes included postoperative nausea and pain occurrence and time to reach the discharge score. RESULTS: The time from anesthetic discontinuation to eye opening was longer in the MP group (n = 49) than in the P group (n = 50; P < .001) but was not significantly different between the MS (n = 50) and S groups (n = 49; P = .1). Midazolam premedication did not significantly affect postoperative nausea in the MP group compared with that in the P group (P = .3) but had a nausea prevention effect in the MS group compared with that in the S group (P < .001). The time to reach the discharge score was similar in all patients regardless of midazolam administration. CONCLUSION: In the recovery from short-duration ambulatory gynecologic surgery in young patients, intravenous midazolam premedication showed positive effects on postoperative nausea without affecting the time from anesthetic discontinuation to eye opening with sevoflurane-based anesthesia but prolonged the time from anesthetic discontinuation to eye opening with propofol-based anesthesia. Because this difference between the propofol groups is not clinically significant, the results support midazolam premedication in young women. Further studies assessing larger populations are needed.

Aggregate Roundness Classification Using a Wire Mesh Method.

Herein, we suggest a wire mesh method to classify the particle shape of large amounts of aggregate. This method is controlled by the tilting angle and opening size of the wire mesh. The more rounded the aggregate particles, the more they roll on the tilted wire mesh. Three different sizes of aggregate: 11-15, 17-32, and 33-51 mm were used for assessing their roundness after classification using the sphericity index into rounded, sub-rounded/sub-angular, and angular. The aggregate particles with different sphericities were colored differently and then used for classification via the wire mesh method. The opening sizes of the wire mesh were 6, 11, and 17 mm and its frame was 0.5 m wide and 1.8 m long. The ratio of aggregate size to mesh-opening size was between 0.6 and 8.5. The wire mesh was inclined at various angles of 10°, 15°, 20°, 25°, and 30° to evaluate the rolling degree of the aggregates. The aggregates were rolled and remained on the wire mesh between 0.0-0.6, 0.6-1.2, and 1.2-1.8 m depending on their sphericity. A tilting angle of 25° was the most suitable angle for classifying aggregate size ranging from 11-15 mm, while the most suitable angle for aggregate sizes of 17-32 and 33-51 mm was 20°. The best ratio for the average aggregate size to mesh-opening size for aggregate roundness classification was 2.

Durability and Strength Characteristics of Casein-Cemented Sand with Slag.

Casein is often used as an eco-friendly wood adhesive. In this study, we used casein for soil cementation by mixing it with Jumunjin sand, sodium hydroxide (SH), and calcium hydroxide (CH) as a standard casein formula. The modified casein binder with different proportions of SH and CH was applied to improve water resistance. Furthermore, a blast furnace slag (BFS) was additionally mixed and reacted with alkalinity of modified casein binder. Thus, three types (standard, modified, and modified + BFS, referred to as STD, MOD, and MBS, hereafter) of casein binders were tested for durability and strength of casein-cemented sand. A piezoelectric sensor was installed within each sample to determine the curing time of the casein-cemented samples. The samples were air-cured at room temperature for seven days and some were repeatedly immersed in water thrice. Unconfined compression and jar slake tests were carried out to evaluate the strength and durability of the casein-cemented sand. Also, the microstructure was analyzed using a scanning electron microscope (SEM). We observed variations of peak conductance and corresponding frequency converged as the curing time increased. It was most significant for the MBS samples, which developed strength early. The unconfined compressive strength (UCS) of the air-cured samples was higher than those repeatedly immersed in water due to wash-off of the casein binder. The UCS of the dry MBS sample was 9900 kPa while that of the immersed sample was 430 kPa, which gradually decreased to 60 kPa upon repeated immersion. The samples with STD and MOD had no resistance to durability and showed cracks on the surface, while the MBS sample exhibited significantly improved durability and no cracks. We found that the MBS binder had a positively significant effect on the durability and strength of casein-cemented sand.

The Effect of Nitric Oxide on Remote Ischemic Preconditioning in Renal Ischemia Reperfusion Injury in Rats.

Although remote ischemic preconditioning (RIPC) is an organ-protective maneuver from subsequent ischemia reperfusion injury (IRI) by application of brief ischemia and reperfusion to other organs, its mechanism remains unclear. However, it is known that RIPC reduces the heart, brain, and liver IRI, and that nitric oxide (NO) is involved in the mechanism of this effect. To identify the role of NO in the protective effect of RIPC in renal IRI, this study examined renal function, oxidative status, and histopathological changes using N-nitro-L-arginine methyl ester (L-NAME), an NO synthase inhibitor. Remote ischemic preconditioning was produced by 3 cycles of 5 minutes ischemia and 5 minutes reperfusion. Blood urea nitrogen, creatinine (Cr), and renal tissue malondialdehyde levels were lower, histopathological damage was less severe, and superoxide dismutase level was higher in the RIPC + IRI group than in the IRI group. The renoprotective effect was reversed by L-NAME. Obtained results suggest that RIPC before renal IRI contributes to improvement of renal function, increases antioxidative marker levels, and decreases oxidative stress marker levels and histopathological damage. Moreover, NO is likely to play an important role in this protective effect of RIPC on renal IRI.

Beneficial Role of Hydrogen Sulfide in Renal Ischemia Reperfusion Injury in Rats.

PURPOSE: Hydrogen sulfide (H2S) is an endogenous gaseous molecule with important physiological roles. It is synthesized from cysteine by cystathionine γ-lyase (CGL) and cystathionine ß-synthase (CBS). The present study examined the benefits of exogenous H2S on renal ischemia reperfusion (IR) injury, as well as the effects of CGL or CBS inhibition. Furthermore, we elucidated the mechanism underlying the action of H2S in the kidneys. MATERIALS AND METHODS: Thirty male Sprague-Dawley rats were randomly assigned to five groups: a sham, renal IR control, sodium hydrosulfide (NaHS) treatment, H2S donor, and CGL or CBS inhibitor administration group. Levels of blood urea nitrogen (BUN), serum creatinine (Cr), renal tissue malondialdehyde (MDA), and superoxide dismutase (SOD) were estimated. Histological changes, apoptosis, and expression of mitogen-activated protein kinase (MAPK) family members (extracellular signal-regulated kinase, c-Jun N-terminal kinase, and p38) were also evaluated. RESULTS: NaHS attenuated serum BUN and Cr levels, as well as histological damage caused by renal IR injury. Administration of NaHS also reduced oxidative stress as evident from decreased MDA, preserved SOD, and reduced apoptotic cells. Additionally, NaHS prevented renal IR-induced MAPK phosphorylation. The CGL or CBS group showed increased MAPK family activity; however, there was no significant difference in the IR control group. CONCLUSION: Exogenous H2S can mitigate IR injury-led renal damage. The proposed beneficial effect of H2S is, in part, because of the anti-oxidative stress associated with modulation of the MAPK signaling pathways.

Inhibitory effect of thiacremonone on MPTP-induced dopaminergic neurodegeneration through inhibition of p38 activation.

Neuroinflammation is implicated for dopaminergic neurodegeneration. Sulfur compounds extracted from garlic have been shown to have anti-inflammatory properties. Previously, we have investigated that thiacremonone, a sulfur compound isolated from garlic has anti-inflammatory effects on several inflammatory disease models. To investigate the protective effect of thiacremonone against 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced behavioral impairment and dopaminergic neurodegeneration, 8 week old ICR mice were given thiacremonone (10 mg/kg) in drinking water for 1 month and received intraperitoneal injection of MPTP (15 mg/kg, four times with 2 h interval) during the last 7 days of treatment. Our data showed that thiacremonone decreased MPTP-induced behavioral impairments (Rotarod test, Pole test, and Gait test), dopamine depletion and microglia and astrocytes activations as well as neuroinflammation. Higher activation of p38 was found in the substantia nigra and striatum after MPTP injection, but p38 activation was reduced in thiacremonone treated group. In an in vitro study, thiacremonone (1, 2, and 5 µg/ml) effectively decreased MPP+ (0.5 mM)-induced glial activation, inflammatory mediators generation and dopaminergic neurodegeneration in cultured astrocytes and microglial BV-2 cells. Moreover, treatment of p38 MAPK inhibitor SB203580 (10 µM) further inhibited thiacremonone induced reduction of neurodegeneration and neuroinflammation. These results indicated that the anti-inflammatory compound, thiacremonone, inhibited neuroinflammation and dopaminergic neurodegeneration through inhibition of p38 activation.

The use of EMLA cream reduces the pain of skin puncture associated with caudal block in children.

BACKGROUND: Caudal block is a popular regional anesthesia in children undergoing infraumbilical surgeries including inguinal hernia repair and orchiopexy. We evaluated the efficacy of eutectic mixture of local anesthetic (EMLA) cream for reducing needle insertion pain during caudal block in pediatric patients. METHODS: Forty-one children between the ages of 13 months and 5 years undergoing infraumbilical surgery were randomized to receive either topical EMLA or placebo cream over the sacral hiatus one hour before caudal block. All children were assessed with the Multidimensional Assessment Pain Scale (MAPS) at the following time points. T0: arrival at the operation room; T1: just before needle insertion; T2: immediately after needle insertion into the sacral hiatus. The need for sevoflurane inhalation due to procedural pain response was also assessed at the same time as MAPS assessment. RESULTS: MAPS scores were significantly lower in the EMLA group compared with the placebo group at T2 (P = 0.001). Moreover, need for sevoflurane inhalation due to procedural pain response was significantly lower in the EMLA group compared with the control group at T2 (P < 0.001). CONCLUSIONS: We suggest that pretreatment with EMLA cream over the sacral hiatus before caudal block has significant advantages in alleviating procedure pain during caudal block in children.

Inhibition of reactive oxygen species downregulates the MAPK pathway in rat spinal cord after limb ischemia reperfusion injury.

INTRODUCTION: We examined the activity of mitogen-activated protein kinase (MAPK) family members, extracellular signal-regulated kinase (ERK), c-Jun N-terminal kinase (JNK), and p38, in rats pinal cord after hind limb ischemia reperfusion (IR) and analyzed the role of reactive oxygen species (ROS) as mediators of MAPK signaling under these conditions. METHODS: In experiment 1, hind limb IR rats were treated intraperitoneally with one of following agents at 30 min before reperfusion: allopurinol (4, 40 mg/kg), superoxide dismutase (SOD, 4000 U/kg), N-nitro-l-arginine methyl ester (l-NAME, 10 mg/kg), or SOD (4000 U/kg) + l-NAME (10 mg/kg). In experiment 2, 5,10,15,20-tetrakis (N-methyl-4'-pyridyl) porphyrinato iron (III) (FeTMPyP) was administered intraperitoneally (1, 3, or 10 mg/kg) 30 min before reperfusion. After 3 d reperfusion period, the spinal cord (L4-6) was harvested to investigate MAPK signaling activity. RESULTS: In experiment 1, p-ERK and p-JNK levels were significantly higher in the IR group than sham group. Administration of allopurinol, SOD, l-NAME, or SOD + l-NAME significantly reduced the IR-induced increase in p-ERK and p-JNK levels. There were no significant differences in p-p38 levels. In experiment 2, FeTMPyP significantly reduced the IR-induced increase in p-ERK and p-JNK levels in a dose-dependent manner. CONCLUSIONS: Activation of ERK and JNK in the spinal cord was induced by hind limb IR and was not accompanied by p38 activation. IR-induced MAPK phosphorylation was reduced by inhibition of superoxide, nitric oxide, and peroxynitrite, indicating that ROS produced by hind limb IR mediate the activation of these signaling pathways in the spinal cord, potentially affecting distant organs.

A peroxynitrite decomposition catalyst prevents mechanical allodynia and NMDA receptor activation in the hind-paw ischemia reperfusion injury rats.

The contributions of superoxide and nitric oxide to ischemia/reperfusion (I/R)-induced neuropathic pain have previously been demonstrated in an animal model that mimics the symptoms of complex regional pain syndrome type I (CRPS I). Targeting peroxynitrite, which is the product of their interaction, may provide effective treatments for I/R-induced neuropathic pain. In this study, the effect of the peroxynitrite decomposition catalyst FeTMPyP [5,10,15,20-tetrakis (N-methyl-4'-pyridyl)porphyrinato iron (III)], administered at doses of 1, 3 and 10 mg/kg via intraperitoneal injection 30 min prior to reperfusion, was evaluated in rats with chronic post-ischemic pain. The pain behavior of the rats was tested with a von Frey filament. Phosphorylation of N-methyl-D-aspartate (NMDA) receptors in the L4/6 section of the spinal cord was measured on the third day following reperfusion by western blotting. The rats treated with 3 or 10 mg/kg FeTMPyP demonstrated significant increases in their paw withdrawal thresholds and decreased levels of phosphorylated NMDA receptor subunit 1 compared with those of the vehicle group (all P<0.001). These findings suggest that nitrosative stress, specifically that associated with peroxynitrite, may be involved in the mechanical allodynia and central sensitization that are associated with CRPS I and may provide a rationale for CRPS I treatment strategies using peroxynitrite decomposition catalysts.

Predictive factors for lymph node metastasis in signet ring cell gastric cancer and the feasibility of endoscopic submucosal dissection.

PURPOSE: Endoscopic submucosal dissection has recently been practiced on a differentiated type of early gastric cancer. However, there is no clear evidence for endoscopic treatments of signet ring cell carcinoma. The aim of this study is to identify the predictive clinicopathological factors for lymph node metastasis in signet ring cell carcinoma for assisting endoscopic submucosal dissection trials. MATERIALS AND METHODS: A total of 186 patients with early signet ring cell carcinoma who underwent radical curative gastrectomy between January 2001 and September 2009 were enrolled in this study. Retrospective reviews of their medical records are being conducted. Several clinicopathologic factors were being investigated in order to identify predictive factors for lymph nodes metastasis: age, gender, tumor size, type of operation, tumor location, gross type, ulceration, Lauren's classification, depth of invasion, and lymphatic invasion. RESULTS: The lymph node metastasis rate for signet ring cell carcinoma was 4.3% (n=8). Of the 186 lesions with early signet ring cell carcinoma, 91 (48.9%) tumors were larger than 15 mm in size and 40 (21.5%) showed submucosal invasions in the resection specimens. In multivariate analysis, only the lymphatic invasion (P<0.0001) showed an association with lymph node metastasis. To evaluate cutoff values for tumor sizes in the presence of lymph node metastasis, early signet ring cell carcinomas with lymphatic invasions were excluded. In the absence of lymphatic invasion, mucosal cancer with tumor sizes <15 mm had no lymph node metastasis. CONCLUSIONS: Endoscopic submucosal dissection can be performed on patients with early signet ring cell carcinoma limited to the mucosa and less than 15 mm.

Effect of superoxide on the development and maintenance of mechanical allodynia in a rat model of chronic post-ischemia pain.

BACKGROUND: Reactive oxygen species and inflammatory responses contribute to the development of neuropathic pain. Superoxide serves to mediate cell signaling processes and tissue injury during inflammation. We examined the effects of superoxide on the development and maintenance of mechanical allodynia, as well as its contribution to central sensitization in a superoxide-rich animal model of neuropathic pain. METHODS: Chronic post-ischemia pain (CPIP) was induced via the left hindpaw ischemia for 3 h, followed by reperfusion. Superoxide dismutase (4,000 U/kg, i.p.) was administered either 5 min before ischemia (BI), 5 min before reperfusion (BR), or 3 days after reperfusion (3AR). Withdrawal thresholds of the four paws were measured to assess the mechanical allodynia and the effects of circulating xanthine oxidase (XO)-mediated superoxide production. In addition, we measured the levels of N-methyl D-aspartate receptor subunit 1 phosphorylation (p-NR1) in the ipsilateral and contralateral spinal cord (L4-6), by Western blotting, to examine the superoxide-mediated central sensitization. Superoxide production was assessed by allopurinol-sensitive, XO-mediated lipid peroxidation of the spinal cord and gastrocnemius muscles. RESULTS: Withdrawal thresholds of forepaws did not vary across the 7 days of testing. In the hindpaws, both ipsilateral and contralateral mechanical allodynia was most attenuated in the BR group, followed by the BI and 3AR groups. The degree of NR1 activation was in contrast to the changes in the withdrawal thresholds. CONCLUSIONS: These data suggest that superoxide is involved in the development and maintenance of mechanical allodynia, particularly via central sensitization in the spinal cord.