Ginsenoside-Rp1 inhibits platelet activation and thrombus formation via impaired glycoprotein VI signalling pathway, tyrosine phosphorylation and MAPK activation

BACKGROUND AND PURPOSE

Ginsenosides are the main constituents for the pharmacological effects of Panax ginseng. Such effects of ginsenosides including cardioprotective and anti-platelet activities have shown stability and bioavailability limitations. However, information on the anti-platelet activity of ginsenoside-Rp1 (G-Rp1), a stable derivative of ginsenoside-Rg3, is scarce. We examined the ability of G-Rp1 to modulate agonist-induced platelet activation.

EXPERIMENTAL APPROACH

G-Rp1 in vitro and ex vivo effects on agonist-induced platelet-aggregation, granule-secretion, [Ca(2+) ](i) mobilization, integrin-α(IIb) β(3) activation were examined. Vasodilator-stimulated phosphoprotein (VASP) and MAPK expressions and levels of tyrosine phosphorylation of the glycoprotein VI (GPVI) signalling pathway components were also studied. G-Rp1 effects on arteriovenous shunt thrombus formation in rats or tail bleeding time and ex vivo coagulation time in mice were determined. KEY RESULT: G-Rp1 markedly inhibited platelet aggregation induced by collagen, thrombin or ADP. While G-Rp1 elevated cAMP levels, it dose-dependently suppressed collagen-induced ATP-release, thromboxane secretion, p-selectin expression, [Ca(2+) ](i) mobilization and α(IIb) β(3) activation and attenuated p38(MAPK) and ERK2 activation. Furthermore, G-Rp1 inhibited tyrosine phosphorylation of multiple components (Fyn, Lyn, Syk, LAT, PI3K and PLCγ2) of the GPVI signalling pathway. G-Rp1 inhibited in vivo thrombus formation and ex vivo platelet aggregation and ATP secretion without affecting tail bleeding time and coagulation time, respectively.

CONCLUSION AND IMPLICATIONS

G-Rp1 inhibits collagen-induced platelet activation and thrombus formation through modulation of early GPVI signalling events, and this effect involves VASP stimulation, and ERK2 and p38(-MAPK) inhibition. These data suggest that G-Rp1 may have therapeutic potential for the treatment of cardiovascular diseases involving aberrant platelet activation.

Degradation and toxicity assessment of sulfamethoxazole and chlortetracycline using electron beam, ozone and UV

Recently, the occurrence of antibiotics in sewage treatment plant effluent, as well as drinking water, has raised concern about their potential impacts on the environment and public health. Antibiotics are found in surface and ground waters, which indicate their ineffective removal by conventional wastewater treatment processes. Therefore, advanced oxidation processes (AOPs) have received considerable attention for the removal of antibiotics. This study was conducted to evaluate the degradation and mineralization of antibiotics (sulfamethoxazole and chlortetracycline) using an electron beam, ozone and UV, and the change of toxicity. Also, the electrical energy consumption based on the EE/O parameter (the electrical energy required per order of pollutants removal in 1 m(3) wastewater) was used to quantify the energy cost associated with the different AOPs (electron beam, ozone and UV) for the degradation of antibiotics. The results showed that an electron beam effective for the removals of both sulfamethoxazole and chlortetracycline in aqueous solutions. However, degradation of the target compounds by ozone and UV showed different trends. The oxidation efficiency of each organic compound was very dependent upon the AOP used. Algal toxicity was significantly reduced after each treatment. However, based on the electrical energy, the electron beam was more efficient than ozone and UV. Electron beam treatment could be an effective and safe method for the removal of antibiotic compounds.

Biochemical effects of veterinary antibiotics on proliferation and cell cycle arrest of human HEK293 cells

The purpose of this study was to examine the effects of veterinary antibiotics, including amoxicillin (AMX), chlortetracycline (CTC) and tylosin (TYL), on the biochemical mechanism of human embryonic kidney cells (HEK293). CTC and TYL inhibited HEK293 cell proliferation, in both time- and dose-dependent manners, and changed the cell morphology; whereas, AMX showed no cytotoxic effects. The cell cycle analysis of CTC and TYL revealed G1-arrest in HEK293 cells. Western blot analysis also showed that CTC and TYL affected the activation of DNA damage responsive proteins, as well as cell cycle regulatory proteins, such as p53, p21(Waf1/Cip1) and Rb protein, which are crucial in the G1-S transition. The activation of p21(Waf1/Cip1) was significantly up-regulated over time, but there was no change in the level of CDK2 expression. The results of this study suggest that veterinary antibiotics, even at low level concentrations on continuous exposure, can potentially risk the development of human cells.

Embryonic toxicity changes of organic nanomaterials in the presence of natural organic matter

When elucidating the potential fate and bioavailability of nanomaterials (NMs) in an aquatic system, it is important to consider the interactions between NMs and natural organic matter (NOM). The present study compared the toxicities of carbon-based NMs, with disparate physicochemical properties, on Japanese medaka (Oryzias latipes) embryos after the addition of NOM. The measured embryonic toxicity parameters were mortality, malformation and hatching delay. Various physicochemical properties of water suspended fullerenes (nC(60)) and multi-walled carbon nanotubes (MWNTs) were modulated by organic exchange (Tol/nC(60)), stirring over time (Aqu/nC(60)) and acid treatment (f-MWNTs) followed by characterization. Tol/nC(60) produced relatively more hydrophobic surfaces and exhibited smaller closed spherical agglomerates than Aqu/nC(60). Acid-treated f-MWNTs displayed functionalized hydrophilic surfaces compared to raw MWNTs (r-MWNTs). The resultant embryonic toxicities, in the absence of NOM, were ranked in the order: f-MWNTs>Tol/nC(60)>Aqu/nC(60). As the NOM concentrations were increased, no changes in embryonic toxicities were observed on exposure of Aqu/nC(60) and r-MWNTs; whereas, the toxicities were reduced on exposure to Tol/nC(60) and f-MWNTs, due to a disappearance of hydrophobic primary spherical aggregates and partial coating, respectively. These data suggest that in the presence of NOM, the morphological differences of NMs, as well as their physicochemical properties, play a significant role in their reactions and subsequent medaka embryonic nanotoxicity.

Does donor kidney to recipient body weight ratio influence long-term outcomes of living-donor kidney transplantation?

This study evaluated the effect of the donor kidney to recipient body weight (Kw/Rw) ratio on long-term graft function and survival. We investigated retrospectively whether there was any association between Kw/Rw ratio and long-term graft survival and function after a follow-up of >10 years. We studied a consecutive series of 123 adult-to-adult living kidney transplants. According to the Kw/Rw ratio, patients were divided into 3 groups: "low" (Kw/Rw <2.85; n = 29), "medium" (2.85 ≤ Kw/Rw < 4.04; n = 63), and "high" (≥4.04; n = 31). Among the 3 groups, the mean serum creatinine levels at 1 and 6 months as well as 1 year after transplantation were significantly lower among patients with a high Kw/Rw ratio than in those with a medium or low ratio, but serum creatinine levels at 3 and 5 years did not differ significantly (P = .394 and 0.620, respectively). Graft survival rates at 5 and 10 years after transplantation were significantly lower in the "low" group. We observed a significant association between Kw/Rw ratio and graft survival (P = .018). The Kw/Rw ratio is an important factor for long-term graft survival and early graft function. However, it did not significantly affect subsequent renal function.

The individual and population effects of tetracycline on Daphnia magna in multigenerational exposure

Multigenerational exposure of Daphnia magna to tetracycline was carried out through four consecutive generations. The effects of tetracycline on the survival, reproduction and growth of D. magna were assessed over a period of 21 days per generation. The evaluated endpoints were overall fecundity (total mean neonates per female over 21 days), time to first reproduction, longevity, molting number and somatic growth, such as body weight and body length. Using the results obtained for reproduction and survival rates, the intrinsic population growth rate (PGR) was calculated and compared throughout the generations. Reproductive impairment was observed in all generations and magnified with increasing generation number. The value of no observed effect concentration on D. magna also markedly decreased with increasing generation number. This subsequently resulted in a reduction of the PGR value. In addition, the PGR value was decreased with increasing exposure concentration, decreasing by about 30 and 60% at 0.1 and 5.0 mg/L tetracycline, respectively. On the other hands, somatic growth increased with increasing generation number, because the remaining input energy from the reduced reproduction was mainly used for body maintenance. As a result, the somatic growth and reproduction showed reversed trends on continuous exposure of tetracycline to four generations. In conclusion, multigenerational exposure of tetracycline can induce overall responses on reproduction and the somatic growth of D. magna. Moreover, the PGR value of D. magna exposed to tetracycline was reduced with increasing generation number; thereby, inhibiting the long term propagation of D. magna.

Pesticide poisonings in South Korea: findings from the National Hospital Discharge Survey 2004-2006

OBJECTIVES

Pesticide poisoning stands as a major public health issue worldwide. The objective of this study was to examine the epidemiologic characteristics of pesticide-related hospitalizations in South Korea.

METHODS

Data from the Korea National Hospital Discharge Survey were analyzed to describe the epidemiologic characteristics of pesticide poisoning among hospitalized patients from 2004 through 2006. Pesticide-related hospitalizations were identified using the International Classification of Diseases, Tenth Revision codes. National estimates of pesticide-related hospitalizations were calculated using sampling weights for number of hospitalizations.

RESULTS

A total of 25,982 pesticide-related hospitalizations were estimated during the years 2004-2006, yielding an average annual pesticide-related hospitalization rate of 17.8 per 100,000 population in South Korea. Age-specific rates for pesticide-related hospitalization increased with age, with the highest rate noted among those aged 70 or above. The majority of pesticide-related hospitalization was cases of intentional poisoning in rural areas. Seasonal variation in the rate was observed, with summer being the highest among both men and women.

CONCLUSIONS

Pesticide-related hospitalization is prevalent and demonstrates demographic and seasonal and regional variations. More effective strategies to reduce pesticide-related hospitalizations are required in South Korea.

Oocyte maturity in repeated ovarian stimulation

Objective

During stimulated IVF cycles, up to 15% of oocytes are recovered as immature. The purpose of this study was to investigate the trend of oocyte maturity in repeated ovarian stimulation for IVF.

Methods

One hundred forty-eight patients were selected who underwent two consecutive IVF cycles using same stimulation protocol during 2008 to 2010. Ovarian stimulation was performed with FSH and human menopausal gonadotropin and flexible GnRH antagonist protocol in both cycles. Oocyte maturity was assessed according to presence of germinal vesicle (GV) and the first polar body. Immature oocyte was defined as GV stage or metaphase I oocyte (GV breakdown with no visible polar body) and cultured up to 48 hours. If matured, they were fertilized with ICSI.

Results

Percentages of immature oocytes were 30.8% and 32.9% (p=0.466) and IVM rates of immature oocytes were 36.2% and 25.7% (p=0.077), respectively. A significant correlation was noted between percentage of immature oocytes in the two cycles (R=0.178, p=0.03). Women with >40% immaturity in both cycles (n=21) showed lower fertilization rate of in vivo matured oocytes (56.4% vs. 72.0%, p=0.005) and lower pregnancy rate (19.0% vs. 27.1%, p=0.454) after the second cycle when compared with women with <40% immaturity (n=70). In both groups, female age, number of total retrieved oocyte and embryos transferred were similar.

Conclusion

In repeated ovarian stimulation cycles for IVF, the immature oocyte tended to be retrieved repetitively in consecutive IVF cycles.

Effects of biodegradation and sorption by humic acid on the estrogenicity of 17β-estradiol

The removal of 17β-estradiol (E2) by biodegradation and sorption onto humic acid (HA) was examined at various HA concentrations. Subsequently, estrogenicity associated with E2 removal was estimated using E-screen bioassay. Results showed that E2 biodegradation and its subsequent transformation to estrone (E1) were significantly reduced with increasing HA concentration. In addition, the presence of nutrients enhanced the biodegradation of E2. Overall, E2 biodegradation was the dominating contributor to its removal, which demonstrated a significantly negative correlation with E2 sorption at various HA concentrations. The sorption of E2 by HA was significantly enhanced with increasing HA concentration. Estrogenicity associated with residual E2 showed that there existed a significant difference among various HA concentrations, with the lowest value in the absence of HA. The findings suggest that the presence of HA and nutrients in natural waters should be considered in assessing estrogenicity of environmental samples due to complex sorption and biodegradation processes.

Avoiding abdominal flank bulge after anterolateral approaches to the thoracolumbar spine: cadaveric study and electrophysiological investigation

Object

The thoracolumbar junction is frequently accessed through an anterolateral approach with the incision and muscle dissection extending from the lower thoracic region to the lateral border of the rectus abdominis muscle. This approach is frequently associated with the subsequent development of an unsightly and uncomfortable relaxation of the ipsilateral abdominal wall, or flank bulge, caused by denervation injury to the intercostal nerves. However, the etiology of this complication is not widely recognized by spine surgeons. The object of this study was to better define the relevant anatomy and innervation of the anterolateral abdominal wall musculature.

Methods

The authors performed 32 cadaveric dissections and 6 intraoperative electromyography (EMG) evaluations.

Results

The cadaveric dissection studies and intraoperative EMG evaluations provided detailed anatomy of the anterolateral abdominal wall and its innervation. Cadaveric dissections revealed that the most significant intercostal nerve contributions to the anterolateral abdominal wall arise from T11 and T12. Electrophysiological confirmation of these findings was accomplished through intraoperative stimulation in 6 patients undergoing anterolateral retroperitoneal approaches to the thoracolumbar junction. The authors confirmed T11 and T12 innervation of the anterolateral abdominal wall musculature by direct intraoperative EMG recording in all 6 patients.

Conclusions

The authors classified the 3 potential zones of injury that can be affected during an anterolateral approach to the thoracolumbar junction. Modifications to the operative technique are suggested to avoid the complication of flank bulge. The most significant intercostal nerve contributions to the anterolateral abdominal wall arise from T11 and T12.

Optochiasmatic cavernous angioma with rapid progression after biopsy despite radiation therapy

We present a rare case of optochiasmatic cavernous angioma (CA) that progressed despite radiation therapy. A 31-year-old female patient presented with sudden loss of left visual acuity and right homonymous hemianopsia. Magnetic resonance imaging (MRI) revealed a suprasellar mass and findings compatible with a craniopharyngioma or an optic glioma with bleeding. An open biopsy was conducted using the transcranial approach, and histological examination revealed gliosis. During the one-year follow-up period, imaging suggested intratumoral bleeding and the mass continued to grow. We recommended re-operation, but the patient refused due to fear of surgery. Consequently, the patient received fractionated radiation therapy (3,000 cGy) to the parasellar area. Despite the radiotherapy, the mass continued to grow for the following 6 years. The final MRI before definitive treatment revealed a multilobulated, multistage hematoma with calcification in the parasellar area, extending into the third ventricle and midbrain. The patient ultimately underwent reoperation due to the growth of the tumor. The mass was completely removed with transcranial surgery, and the pathologic findings indicated a cavernous angioma (CA) without evidence of glioma. As shown in our case, patients may suffer intratumoral hemorrhage after biopsy and radiotherapy. This case places the value of biopsy and radiotherapy for a remnant lesion into question. It also shows that reaching the correct diagnosis is critical, and complete surgical removal is the treatment of choice.

Ossification of the posterior longitudinal ligament: a review

Ossification of the posterior longitudinal ligament (OPLL) is most commonly found in men, the elderly, and Asian patients. There are many diseases associated with OPLL, such as diffuse idiopathic skeletal hyperostosis, ankylosing spondylitis, and other spondyloarthropathies. Several factors have been reported to be associated with OPLL formation and progression, including genetic, hormonal, environmental, and lifestyle factors. However, the pathogenesis of OPLL is still unclear. Most symptomatic patients with OPLL present with neurological deficits such as myelopathy, radiculopathy, and/or bowel and bladder symptoms. There are some reports of asymptomatic OPLL. Both static and dynamic factors are related to the development of myelopathy. Plain radiography, CT, and MR imaging are used to evaluate OPLL extension and the area of spinal cord compression. Management of OPLL continues to be controversial. Each surgical technique has some advantages and disadvantages, and the choice of operation should be made case by case, depending on the patient's condition, level of pathology, type of OPLL, and the surgeon's experience. In this paper, the authors attempt to review the incidence, pathology, pathogenesis, natural history, clinical presentation, classification, radiological evaluation, and management of OPLL.

Biodegradation of estrogen conjugates by bacteria isolated from river sediments

The objective of this study was to investigate the ability of E. coli in river sediments to degrade estrogen conjugates. Biodegradation experiments on glucuronide estrogens (E1-GLU, E2-GLU and E3-GLU) using E. coli, non-E. coli bacteria as well as sediment crude extracts were carried out in batch mode. A pure identified E. coli strain (KCTC 2571) was used for comparison of enzyme activity. The results showed that the degradation rate of estrogen conjugates by KCTC 2571 and E. coli isolated from sediments followed a similar trend. Fecal bacteria showed a high ability to deconjugate glucuronided estrogens. Approximately 50% of glucuronide moieties were cleaved within 4 h of contact time in experiments using pure E. coli. The degradation rate was slower in experiments using crude extracts of sediments, and conjugated estrogens were not completely degraded even after 12 h of reaction. These results provide a clear understanding of the fate and behavior of estrogen by bacteria in the environment.

Effect of preparation methods on toxicity of fullerene water suspensions to Japanese medaka embryos

The physicochemical properties of fullerene water suspensions (nC(60)) and their subsequent toxicity were influenced by different preparation methods. The nC(60) suspensions were produced by three methods: toluene exchange (Tol/nC(60)), DMSO dissolving (DMSO/nC(60)), and stirring overtime (Aqu/nC(60)). The particle size, zeta potential, and nC(60) structure were strongly dependent on both the type of aggregates formed and the test medium addition. Specifically, Tol/nC(60) exhibited small and spherical closed aggregates, whereas DMSO/nC(60) and Aqu/nC(60) presented mesoscale aggregates of smaller spherical aggregates. These differences in the physicochemical properties of nC(60) determined the embryonic toxicity and oxidative stress of Japanese medaka (Oryzias latipes). The mortality and glutathione (GSH) induction of embryos were ranked in the order of Tol/nC(60)>DMSO/nC(60)>Aqu/nC(60), and the morphological malformations were in the order of DMSO/nC(60)>Tol/nC(60)>Aqu/nC(60). The mortality of Tol/nC(60) was attributed to its closely packed fullerene structure, which remained as largely underivatized C(60). The malformations of DMSO/nC(60) might have originated from the co-effect of organic solvent remaining in the fullerene colloid. To summarize, these findings clearly illustrated the need to consider the effect of preparation method on the physicochemical properties when assessing nC(60) toxicity.

Role of arachidonic acid-derived metabolites in the control of pulmonary arterial pressure and hypoxic pulmonary vasoconstriction in rats

BACKGROUND

The roles of arachidonic acid (AA) metabolites in hypoxia-induced pulmonary vasoconstriction (HPV), a critical physiological mechanism that prevents ventilation/perfusion mismatch, are still incompletely understood.

METHODS

Pulmonary arterial pressure was measured in ventilated/perfused rat lungs. Isometric tones of rat intralobar pulmonary arteries were also measured, using a myograph.

RESULTS

Hypoxia (Po₂, 3%)-induced pulmonary arterial pressure increases (ΔPAP(hypox)) were stable with blood-mixed perfusate, but decayed spontaneously. ΔPAP(hypox) was inhibited by 29%, 16%, and 28% by the thromboxane A₂ (TXA₂) antagonist SQ-29548, the 5-lipoxygenase inhibitor, MK886, and the leukotriene D₄ antagonist, LY-171883, respectively. The prostacyclin synthase inhibitor tranylcypromine augmented ΔPAP(hypox) by 5%, whereas inhibition of cytochrome P450 did not affect ΔPAP(hypox). Consistently, the TXA₂ analogue U46619 increased ΔPAP(hypox) whereas prostacyclin abolished ΔPAP(hypox). However, leukotriene D₄ had no direct effect on ΔPAP(hypox). In the isolated pulmonary arteries, pretreatment with U46619 was essential to demonstrate hypoxia-induced contraction.

CONCLUSIONS

The above results suggest that TXA₂ and cysteinyl leukotrienes, other than leukotriene D₄, are endogenous factors that facilitate HPV in rats. The indispensable role of TXA₂-induced pretone in the HPV of isolated pulmonary arteries indicates that the signal from thromboxane receptors might be a critical component of oxygen sensation mechanisms.

Angiographic and clinical outcomes of stent-alone treatment for spontaneous vertebrobasilar dissecting aneurysm

PURPOSE

Spontaneous vertebrobasilar dissecting aneurysm (VBD) is a very challenging disease with an unpredictable clinical course and controversies on treatment strategy. The present study reports radiological and clinical outcomes of stent-alone treatment (SAT) for VBD.

METHODS

Twenty-four VBDs treated with SAT are included in the present study. Clinical and angiographic data were reviewed retrospectively.

RESULTS

A total of 24 lesions in 22 patients with a mean follow-up period of 16.21 months were included. Of the 24 individual lesions, 23 were intracranial vertebral artery lesions and 1 lesion was located in the basilar artery. There were six cases of ruptured dissections with the other cases having various symptoms. The immediate post-SAT angiographic outcomes included 5 lesions with good remodeling over 90% recovery and 19 poorly remodeled lesions. The latest angiographic outcomes included 17 cases of good remodeling (remodeling rate over 90%), 6 cases of poor remodeling (remodeling rate below 70%), and 1 case with morphological aggravation. The overlapping stent technique was used in seven cases and it was significantly associated with good angiographic results. None of the rupture cases underwent re-rupture post SAT. There was one case of a symptomatic complication of a femoral arteriovenous fistula.

CONCLUSIONS

The SAT could be a feasible alternative for the treatment of VBD. The overlapping technique was significantly associated with good angiographic outcome. We expect that technological development of the intracranial stent will allow better procedural outcomes of SAT.

Effect of perfluorooctanesulfonate on osmoregulation in marine fish, Sebastes schlegeli, under different salinities

Effect of potassium salt of perfluorooctane sulfonic acid (PFOS) on the osmoregulation of marine teleost (blackrock fish), Sebastes schlegeli, was investigated under varying salinities, by monitoring serum osmolality, Na(+), K(+), Cl(-), Ca(2+) and Mg(2+) concentrations in serum, serum glucose, and gill Na(+)-K(+) ATPase (NKA) activity. The fish was acclimatized to four salinity levels (10, 17.5, 25, and 34 psu) for 2 weeks before a 6-d exposure to 100 or 1000 microg L(-1) of PFOS. Six fish from each exposure group were sampled at 24, 48, and 144 h after exposures, and serum, liver and gills were collected for analysis. NKA activity decreased by 34% and 31% relative to control at salinity levels of 25 and 34 psu, respectively, following exposure to 1000 microg L(-1) PFOS. PFOS did not affect serum osmolality, Na(+), Cl(-), Ca(2+) and Mg(2+) concentrations; however, serum K(+) concentration increased during initial exposure period and then decreased after 144 h. Serum glucose levels decreased with increasing PFOS concentrations, implying high energy demand in response to exposure. Overall, PFOS exposure impaired NKA activity, altered potassium ion concentrations in serum, and reduced serum glucose levels while no other effects on serum concentrations of ionic salts were observed.

Sorption of estrogens onto different fractions of sediment and its effect on vitellogenin expression in male Japanese medaka

This study investigated the sorption capacity of estrogenic compounds-such as estrone (E1), 17beta-estradiol (E2), and 17alpha-ethynylestradiol (EE2)-of different sediment particle fractions. Two-sized fractions of sediment were used in the experiments, with a particle size <1 microm (mostly from 450 to 800 nm) and >1 microm up to 50 microm. Sorption kinetics were followed using a two-step reaction in which the major amount of chemicals was sorbed rapidly within minutes and then gradually increased until equilibrium was reached after 48 h. The sorption capacity of the fine particle fraction (particle size <1 microm) was shown to be significantly higher than that of the large fraction (1 microm < particle size < 50 microm). The sorption kinetics and isotherm were adequately predicted by using a pseudo second-order model and the Freundlich equation, respectively. Total organic carbon (TOC) content and surface area of particle fractions were also measured. Although the effects of TOC on the sorption of estrogens could not be verified, a higher surface area of fine particle fractions may significantly increase sorption capacity to target compounds. Sorption of estrogens onto sediment particles could be used to explain the differences of estrogenic activity of E2 spiked into different size fractions of particle suspensions.

Pseudomonas stutzeri YPL-1 Genetic Transformation and Antifungal Mechanism against Fusarium solani, an Agent of Plant Root Rot

An actively antagonistic bacterium that could be used as a biocontrol agent against Fusarium solani, which causes root rots with considerable losses in many important crops, was isolated from a ginseng rhizosphere and identified as a strain of Pseudomonas stutzeri. In several biochemical tests with culture filtrates of P. stutzeri YPL-1 and in mutational analyses of antifungal activities of reinforced or defective mutants, we found that the anti-F. solani mechanism of the bacterium may involve a lytic enzyme rather than a toxic substance or antibiotic. P. stutzeri YPL-1 produced extracellular chitinase and laminarinase when grown on different polymers such as chitin, laminarin, or F. solani mycelium. These lytic extracellular enzymes markedly inhibited mycelial growth rather than spore germination and also caused lysis of F. solani mycelia and germ tubes. Scanning electron microscopy revealed degradation of the F. solani mycelium. Abnormal hyphal swelling and retreating were caused by the lysing agents from P. stutzeri YPL-1, and a penetration hole was formed on the hyphae in the region of interaction with the bacterium; the walls of this region were rapidly lysed, causing leakage of protoplasm. Genetically bred P. stutzeri YPL-1 was obtained by transformation of the bacterium with a broad-host-range vector, pKT230. Also, the best conditions for the transformation were investigated.

Is Transradial Cerebral Angiography Feasible and Safe? A Single Center's Experience

OBJECTIVE

Although a transradial angiography is accepted as the gold standard for cardiovascular procedures, cerebral angiography has been performed via transfemoral approach in most institutions. The purpose of this study is to present our experience concerning the feasibility, efficacy, and safety of a transradial approach to cerebral angiography as an alternative to a transfemoral approach.

METHODS

Between February 2007 and October 2009, a total of 1,240 cerebral angiographies were performed via a transradial approach in a single center. The right radial approach was used as an initial access route. The procedure continued only after the ulnar artery was proven to provide satisfactory collateral perfusion according to two tests (a modified Allen's test and forearm angiography).

RESULTS

The procedural success rate was 94.8% with a mean duration of 28 minutes. All supra-aortic vessels were successfully catheterized with a success rate of 100%. The success rates of selective catheterization to the right vertebral artery, right internal carotid artery, left internal carotid artery, and left vertebral artery were 96.1%, 98.6%, 82.6% and 52.2%, respectively. The procedure was performed more than twice in 73 patients (5.9%), including up to 4 times in 2 patients. The radial artery occlusion was found in 4 patients (5.4%) on follow-up cerebral angiography, but no ischemic symptoms were observed in any of the cases.

CONCLUSION

This study suggests that cerebral angiography using a transradial approach can be performed with minimal risk of morbidity. In particular, this procedure might be useful for follow-up angiographies and place less stress on patients.

CPAP of 10 cmH2O during cardiopulmonary bypass followed by an alveolar recruitment manoeuvre does not improve post-bypass oxygenation compared to a recruitment manoeuvre alone in children

This randomised controlled study assessed whether continuous positive airway pressure (CPAP) of 10 cmH2O during cardiopulmonary bypass improves post-bypass oxygenation in children compared with no CPAP during bypass. We studied children with a ventricular septal defect. CPAP of 10 cmH2O was applied during bypass in the CPAP group (n=24), whereas the lungs were left deflated in the control group (n=20). In both groups, an alveolar recruitment maneuver was performed by applying positive pressure of 30 to 40 cmH2O for five seconds before weaning from bypass. Postoperative ventilation had the peak inflation pressure set to produce an expired tidal volume of 8 ml/kg with positive end expiratory pressure of 5 cmH2O. Arterial blood gas and haemodynamic measurements were performed at skin incision, five minutes after weaning from bypass, five minutes after chest closure and four hours after arrival in the intensive care unit. In four children CPAP was discontinued because it adversely affected the operating field. There was no difference in demographic characteristics, haemodynamic data, bypass time and operation time. No difference was observed between the groups with respect to pH, PaO2, P(A-a) DO2, PaCO2, and ETCO2 at each time. Variability in the data was greater than expected, leading to a decrease in the expected power of the study. CPAP at 10 cmH2O during bypass was not found to improve the post-bypass oxygenation as compared with leaving the lung deflated during bypass in children undergoing ventricular septal defect repair who had an alveolar recruitment maneuver at the end of bypass.

Bioaccumulation of perfluorochemicals in Pacific oyster under different salinity gradients

Despite the reports of widespread occurrence of perfluorinated compounds (PFCs) in estuarine and coastal waters and open seas, little is known on the effect of salinity on bioaccumulation. In this study, effects of salinity on bioaccumulation of PFCs in Pacific oysters (Crassostrea gigas) were investigated. Furthermore, partitioning of PFCs between water and particles (oysters' food) was examined at different salinities. The distribution coefficients (K(d); partitioning between water and particles) for selected PFCs, that is, PFOS, PFOA, PFDA, and PFUnDA, increased by 2.1- to 2.7-fold with the increase in water salinity from 10 to 34 psu, suggesting "salting-out" effect, and the salting constant (delta) was estimated to range from 0.80 to 1.11. The nonlinear regression analysis of bioaccumulation suggested increase in aqueous and dietary uptake rates (K(w) and K(f)), with the increase in salinity, which resulted in elevated bioaccumulation, although the depuration rates (K(e)) also increased. The relative abundance of long carbon chain length PFCs (i.e., PFDA and PFUnDA) increased as salinity increased, while the proportion of PFOS and PFOA decreased, which is explained by the positive relationship between delta and carbon chain length. The contribution of diet to bioaccumulation in oysters ranged from 18 to 92%. Overall, salinity not only affected the chemistry of PFCs, but also the physiology of oysters, contributing to sorption and bioaccumulation of perfluorochemicals in oysters.

Role of food and clay particles in toxicity of copper and diazinon using Daphnia magna

Toxicity changes in copper and diazinon were investigated in the presence of food, clay, and their mixture by using Daphnia magna. In sorption equilibrium experiments, copper was significantly attracted (>34% sorbed) to food, clay, and food-clay mixture due to their negative zeta potential, while diazinon was less sorbed (<11%). In the exposure test with food and clay particles, it was revealed that copper was remarkably reduced in the presence of clay particles indicating the change in bioavailability of copper by sorption to clay. This was considered as the primary mechanism for toxicity reduction whereas diazinon toxicity was food dependent in the analysis of toxicity using toxicity change index (TCI). It was also shown that certain foods could not only act as a sorbent to copper and diazinon, but also as a material of energy source to alleviate the toxic damage. Meanwhile, clay can be considered as a prominent sorbent to copper but not to diazinon and can inhibit the sorption interaction between foodstuffs and toxicants through the aggregation and sedimentation processes. Furthermore, clay particles, as shown in TCI analysis, may be a potentially risky material as a physiological stressor or a toxicant carrier in contaminated environments.

Estrogenic chemicals and estrogenicity in river waters of South Korea and seven Asian countries

The effects of treatment processes on estrogenicity were evaluated by examining estradiol equivalent (EEQ) concentrations in influents and effluents of sewage treatment plants (STPs) located along Yeongsan and Seomjin rivers in Korea. The occurrence and distribution of estrogenic chemicals were also estimated for surface water in Korea and compared with seven other Asian countries including Laos, Cambodia, Vietnam, China, Indonesia, Thailand and Malaysia. Target compounds were nonylphenol (NP), octylphenol (OP), bisphenol A (BPA), estrone (E1), 17beta-estradiol (E2), 17alpha-ethynylestradiol (EE2) and genistein (Gen). Water samples were pretreated and analyzed by liquid-liquid extraction (LLE) and gas chromatography/mass spectrometry (GC/MS). The results showed that the treatment processes of Korean STPs were sufficient to reduce the estrogenic activity of municipal wastewater. The concentrations of phenolic xenoestrogens (i.e., NP, OP and BPA) in samples of Yeongsan and Seomjin rivers were smaller than those reported by previous studies in Korea. In most samples taken from the seven Asian countries, the presence of E2 and EE2 was a major contributor toward estrogenic activity. The EEQ concentrations in surface water samples of the seven Asian countries were at a higher level in comparison to that reported in European countries, America and Japan. However, further studies with more sampling frequencies and sampling areas should be carried out for better evaluation of the occurrence and distribution of estrogenic compounds in these Asian countries.

Transarterial coil embolization of a carotid-cavernous fistula which occurred during stent angioplasty

Intracranial endovascular procedures are less invasive and relatively safe; however, these procedures do carry a risk of complications, such as thromboembolization, arterial injury, and vessel occlusion. We present a case of carotid-cavernous fistula development secondary to injury of the cavernous segment of the internal carotid artery (ICA) during stent angioplasty and its treatment by transarterial coil embolization. Probable causes of this complication and its treatment method are discussed. To the best of our knowledge, this is the first report of such a case.

The effect of particle size on the bioavailability of estrogenic chemicals from sediments

The effects of particle size on the bioavailability of estrogenic chemicals in the sediments from the Yeongsan River and its tributaries in South Korea were evaluated for 2006 and 2007. Samples for chemical analysis and bioassays were collected from 6 sampling sites during both dry and rainy seasons. The pore water of the sediment samples was extracted, and estrogenic chemicals were eluted using a liquid-liquid extraction (LLE) method. Concentrations of 4-nonylphenol (NP), 4-tert-octylphenol (OP), bisphenol A (BPA), estrone (E1), 17beta-estradiol (E2), 17 alpha-ethynylestradiol (EE2) and genistein (Gen) were analyzed by gas chromatography-mass spectrometry (GC-MS). To evaluate bioavailability, hepatic vitellogenin (Vtg) concentrations of male Japanese medaka were measured after exposure to the sediment or its fractions for 7d. NP, BPA and E2 were detected in all the sediment sample extracts from the Yeongsan River and its tributaries. The concentrations of NP in the sedimentary samples ranged from 60 to 400 ngg(-1) on a dry weight basis. Similarly, OP and E2 were detected in nearly all the sediment extracts, with concentrations of 13 and 26 ngg(-1), respectively. According to the bioassay test results, all the sediment samples significantly induced Vtg in male fish after 7d of exposure. Fractionation of sediments into different size-classes (i.e., particle size >1 microm, particle size <1 microm) eliminated bioavailable estrogenic activity, but fine particles of less than 1microm in size increased the absorption of E2 from E2-amended sediment particle fractions. Consequently, the study suggested that the presence of particles and its interaction in the water environment might change the bioavailability of estrogenic chemicals.

Practical anatomic landmarks for determining the insertion depth of central venous catheter in paediatric patients

BACKGROUND

Various methods have been recommended to decide a proper insertion depth of central venous catheter (CVC). The carina is recommended as a useful target level for the CVC tip position. We evaluated the sternal head of a right clavicle and the nipples as anatomic landmarks for determining the optimal depth of CVC in paediatric patients.

METHODS

Ninety children, <5 yr, undergoing catheterization through the right internal jugular vein were enrolled. The insertion depth was determined as follows. The insertion point was designated as 'Point I'. The sternal head of the right clavicle was called 'Point A' and the midpoint of the perpendicular line drawn from Point A to the line connecting both nipples was called 'Point B'. The insertion depth of CVC was determined by adding the two distances (from I to A and from A to B) and subtracting 0.5 cm from this. A chest radiography was taken and the distance of the CVC tip from the carina level was measured by the Picture Archiving and Communicating System.

RESULTS

The mean distance of the CVC tip from the carina level was 0.1 (1.0) (P=0.293) cm above the carina (95% CI 0.1 cm below the carina-0.3 cm above the carina). There was no specific relationship between the distance of the CVC tip from the carina level and the patients' age, height, and weight.

CONCLUSIONS

The CVC tip could be placed near the carina by using the external landmarks without any formulae, images, and devices in children in our study.

Effect of dissolved organic matter on the growth of algae, Pseudokirchneriella subcapitata, in Korean lakes: the importance of complexation reactions

The objective of this study was to investigate the effect of dissolved organic ligands, such as EDTA, humic acids, hydrophobic and hydrophilic fractions of dissolved organic matter (DOM), on the growth of Pseudokirchneriella subcapitata in cultured media and natural lake waters. The growth of algae was gradually increased on the addition of dissolved organic ligands, but markedly declined at high concentrations, due to reduced bioavailable iron concentrations (e.g., Fe3+ and Fe'--inorganic ferric iron). The results demonstrated that the high growth rates of P. subcapitata were correlated with the hydrophobic, but not hydrophilic, DOM from five lakes, spiked under the nutrients-controlled conditions. This was attributed to the role of DOM in controlling the bioavailable iron due to complexation of Fe(III) with -COOH and -OH functional groups on the hydrophobic DOM. Therefore, the hydrophobic DOM, as chelating agent, is a biologically important component in the lake waters, which affects the algal growth by interacting with bioavailable iron in the lake water and can change the results of bioassay experiments.

Toxicity of artificial runoff fostered with dry deposition particulates from industrial, commercial, and highway area in Gwangju, Korea

The adverse effects of rainwater and artificial urban runoff (an imitation of urban runoff during rainfall event) were investigated using a battery of bioassays employing three test species. Urban dusts were collected at three representative sites; commercial, industrial and highway areas. The water quality parameters of rainwater and artificial runoff revealed low hardness (23.4 approximately 34.2 mg*L(-1) as CaCO(3)) and alkalinity (7.0 approximately 34.2 mg*L(-1) as CaCO(3)). High toxicities were observed in the bioassays for the artificial runoffs. The average toxic units for D. magna, S. capricornutum, and O. latipes were 1.26(+/-0.84), 1.34(+/-1.10) and 2.05(+/-1.08), respectively. Of these species, O. latipes revealed significantly higher toxicity compared to D. magna and S. capricornutum (p < 0.05). Embryo lesions were observed with 6.25% treatments, and these significantly increased at 12.5% treatments (p < 0.05). The EC(50) values for each artificial runoff were 22.5, 22.6 and 25.4% for commercial, industrial and highway areas, respectively. With 12.5% treatment, significant delays in hatching times were observed (p < 0.05); all embryos tested did not hatched at 100% treatment. Similarly, a significant decrease in hatching success was observed at every sampling point from 25% treatment (p < 0.05). The adverse effects of artificial runoff on the three test species suggests that urban surface runoff can cause significant impairment in aquatic ecosystems.

GlideScope video laryngoscope: a randomized clinical trial in 203 paediatric patients

BACKGROUND

The GlideScope intubating device has been reported to provide a comparable or superior laryngoscopic view compared with direct laryngoscopy in adults. This study compared the use of the GlideScope with direct laryngoscopy for the laryngoscopic view and intubation time in children.

METHODS

The laryngoscopic view in 203 children was scored using both the Macintosh laryngoscope and the GlideScope using Cormack and Lehane (C&L) grades. After scoring each laryngoscopic view with and without BURP, the patients were randomly allocated to two groups. The trachea was intubated using direct laryngoscopy (Group DL, n=100) or the GlideScope (Group GS, n=103). We compared C&L grades for the two views in the same patient, and also the time to intubate for each group.

RESULTS

The GlideScope improved the view without BURP in the patients with C&L grade 2 (16/26, P<0.01) and with C&L grades 3 and 4 (7/11, P<0.05). The view with BURP was also improved by the GlideScope in C&L grade 2 (4/9, P<0.05) and with C&L grades 3 and 4 (4/5, P=0.059). The mean time for tracheal intubation was 36.0 (17.9) s in the GS group and 23.8 (13.9) s in the DL group (P<0.001).

CONCLUSIONS

In children, the GlideScope provided a laryngoscopic view equal to or better than that of direct laryngoscopy but required a longer time for intubation.

Effect of copper complexation on the estrogenic activities of endocrine-disrupting compounds using E-screen bioassay

The complexation reaction between Cu and four targeted endocrine-disrupting compounds (EDCs)-17beta-estradiol (E2), 17alpha-ethynylestradiol (EE2), 4-octylphenol (OP), and bisphenol A (BPA)-was studied using the fluorescence quenching method, with the changed EDC forms evaluated for their estrogenic activities using an E-screen assay. The results of the E-screen showed no estrogenic activity of Cu, whereas results with the EDCs indicated high cell proliferation (decreasing order of induction: E2, EE2, OP, and BPA). The results of the fluorescence quenching response and FTIR (Fourier transformation infrared) strongly support the formation of Cu complexes on the -OH functional group of the targeted EDCs when Cu was spiked at concentrations between 10(-7) and 10(-4) M. The degree of complexation was in the following order: E2, EE2, OP, and BPA. The E-screen result for three of the EDCs, with the exception of BPA, was similar when estimating the effects of Cu on the estrogenic activities of the EDCs, which were significantly reduced at alpha = 0.05 with increasing Cu concentration. Consequently, the results of the complexation reaction and E-screen assay with the Cu-EDC mixtures indicated that Cu plays a significant role in the assessment of the estrogenic activities of EDCs in natural waters.

Comparative whole effluent toxicity assessment of wastewater treatment plant effluents using Daphnia magna

An approach to compare the toxicities employing the whole effluent toxicity (WET) test, using Daphnia magna and chemical analysis with GC/MS and ICP/MS, was conducted to the nine South Korean wastewater treatment plants (WWTPs). From the chemical analysis and bioassay experiments, heavy metals (i.e., Cu and Zn) were found to be the major compounds causing toxic effects toward D. magna. In the whole effluent toxicity (WET) tests using D. magna, toxicities were observed in 34% of the effluent samples. However, the biological toxic unit (TU) value showed a non-toxic response (i.e., 0 TU) in many samples despite the response indicated by the chemical TU values. This may be due to the species sensitivity, environmental parameters, mixture effects, and limitation of the chemical analyses.

The effect of suspended particles coated by humic acid on the toxicity of pharmaceuticals, estrogens, and phenolic compounds

The sorption characteristics of 10 organic chemicals, categorized as pharmaceuticals, estrogens and phenols, onto synthetic suspended particle (i.e., alumina) coated with humic acid were investigated according to their octanol-water partition coefficient (K(ow)). Chemical analyses were performed with gas chromatography and mass spectrometry (GC/MS) and high performance liquid chromatography (HPLC). The effects of particles on the toxicity reduction were evaluated using bioassay tests, using Daphnia magna and Vibrio fisheri for phenols and pharmaceuticals, and the human breast cancer cell MCF-7 for estrogens. Sorption studies revealed that 22 and 38% of octylphenol and pentachlorophenol, respectively, were removed by suspended particle, whereas 2,4-dichlorophenol was not removed, which was directly proportional to the logK(ow) value. Similar to the sorption tests, suspended particles significantly reduced the acute toxicities of octylphenol and pentachlorophenol to D. magna and V. fisheri (p<0.01), but there was no significant difference in the toxicity of 2,4-dichlorophenol to D. magna (p=0.8374). Pharmaceuticals, such as ibuprofen, gemfibrozil and tolfenamic acid, showed no discernible sorption to the suspended particle, with the exception of diclofenac, which revealed 11% sorption. For estrogens, such as estrone, 17beta-estradiol and 17alpha-ethynylestradiol, the results indicated no reduction in the sorption test. This may be attributed to the polar interaction by functional groups in sorption between pharmaceuticals and estrogens and suspended particles. In the bioassays, presence of suspended particles did not significantly modify the toxicity of pharmaceuticals (regardless of their K(ow) values) to D. magna, V. fisheri or E-screen.

Development of a new biomonitoring method to detect the abnormal activity of Daphnia magna using automated Grid Counter device

The aim of the present study was to develop a biological early warning system (BEWS), equipped with six monitoring channels to individually observe the activity of Daphnia magna, using a digital 'Grid Counter', which would trigger an alarm within an appropriate time, and examine the functional performance of the newly developed BEWS for detecting unusual water quality. In order to detect the changes in the activity of D. magna, six relative activity parameter values (Z(a)) were computed from the 6 individual monitoring channels; with the activity data for D. magna calculated every 5 min. The Student's t-test was used to verify the difference between the mean value of the system in a steady state, as a control, and the exposure values during a sudden pollution event. The test results illustrate that the threshold value for the alarm can be at p=0.0093 for 3 consecutive detections. The time period, defined as the average time taken from the detection of hyper to retarded activity of the organism, for Cu concentrations of 50, 100, 200 and 400 ppb were 7.17+/-1.75, 3.94+/-2.02, 1.85+/-0.49 and 1.00+/-0.18 h, respectively. Based on the results of this study, it is proposed that p values from the t-test, with Z(a), are more accurate, stable and predictable parameters for the detection of chemical exposures than the other values, such as the swimming speed and trajectory, etc. Consequently, it would be possible to reduce the number of false alarms and achieve confidence for a system, with the ability of highly accurate detection, such as with the six-channel monitoring system developed in this study.

Alternative method for predicting optimal insertion depth of the laryngeal tube in children

BACKGROUND

Little information is available about the accuracy of the teeth mark on the laryngeal tube (LT) as a guide to correct placement in children. The aim of this crossover study was to evaluate three methods for optimal insertion depth of the size (#) 2 tube in children weighing 12-25 kg.

METHOD

In 24 children, the LT #2 was consecutively inserted by three different methods: (A) until the thick teeth mark on the tube was aligned with the upper incisors, (B) until resistance was felt, and (C) by inserting to a depth, previously measured, of the curved distance between the cricoid cartilage and the upper incisor. In each case, the depth of insertion, the degree of effective ventilation, the presence of leakage, and the fibreoptic view were assessed.

RESULTS

Insertion based on the teeth mark led to a shorter insertion depth and a greater incidence of inadequate ventilation compared with the other two methods. There was no difference in the adequacy of ventilation between methods B and C. The vocal cords were more easily identified with methods B (62.5%) and C (75%) than with method A (12.5%).

CONCLUSIONS

Insertion of the LT #2 aligned with the teeth mark can result in a shallow insertion depth and inadequate ventilation. The measured distance from the cricoid cartilage to the upper incisor offers alternative guidance for correct LT insertion.

Ecological health assessments based on whole effluent toxicity tests and the index of biological integrity in temperate streams influenced by wastewater treatment plant effluents

Whole effluent toxicity (WET) tests and ecosystem health assessments, based on test guidelines of U.S. Environmental Protection Agency (U.S. EPA) and index of biological integrity (IBI), were conducted on various streams located in Youngsan River watershed, Korea. The WET tests showed that about 33 and 82% of wastewater treatment plants (WWTPs) exhibited significant toxicity to Daphnia magna and Selenastrum capricornutum, respectively. Small WWTPs with low discharge volumes contributed less than 1% to the total stream toxicity. Fish community compositions and trophic guild analysis showed that the diversity index was greater in the control than in impacted streams, and the proportion of omnivore species was less in the control. Also, ecosystem health assessments, based on the IBI, showed distinct differences between the control and impacted sites of WWTPs. Model values of the IBI, based on 12 stream data sets, averaged 28, which is judged as a fair to poor condition according to the U.S. EPA criteria. The mean IBI in the control sites was 42, indicating good stream condition, whereas the impacted sites was scored 21, indicating poor condition. Overall, WET tests and ecosystem health assessments suggested the WWTP effluents had evident toxic effects on the biota, and impacted the species compositions and trophic guilds, resulting in degradation of the stream ecosystem health.

Whole effluent toxicity (WET) tests on wastewater treatment plants with Daphnia magna and Selenastrum capricornutum

Whole effluent toxicity (WET) tests, with Daphnia magna and Selenastrum capricornutum, were introduced to evaluate the biological toxicities of effluents from the wastewater treatment plants (WWTPs) in Korea. In WET tests of WWTPs effluents, 33.3% (33/99) for D. magna and 92.6% (75/81) for S. capricornutum revealed greater than 1 toxic unit (TU), even though all the treatment plants investigated were operating in compliance with the regulations, as assessed using conventional monitoring methods (i.e., BOD and total concentration of N or P, etc). There were only minor differences in toxicities according to the types of influents (municipal and agro-industrial) in all treatment plants. However, the effluents treated by an activated sludge treatment process were found to exhibit significantly lower toxicity than those treated by rotating biological contactor (RBC) and extended aeration processes. The seasonal variations in the toxicity were lower in the summer compared to winter, which may have been due to the rainfall received to the sewage intake system during the former period. The impact of WET on river water was also investigated based on the discharge volume. At sites A and B, the total impact of toxicity to stream and river waters was observed to be 70.9% and 90.4% for D. magna and S. capricornutum, respectively. The other four small treatment plants (sites F, G, H and I), with relative discharging volumes between 0.001 and 0.002, contribute less than 1% to the total toxicity.

Long term results from percutaneous radiofrequency neurotomy on posterior primary ramus in patients with chronic low back pain

PURPOSE

We report on our experience of percutaneous radiofrequency neurotomy (PRN) on the posterior primary ramus (PPR) with at least two years follow-up.

METHODS

228 patients underwent PRN on the PPR for refractory low back pain. 128 patients met the inclusion criteria of facetal originated pain (group II), while 100 patients did not (group I). Radiofrequency (RF) procedures were applied in the usual manner. Pain relief was assessed at 1 week, 1 month, 6 months and 2 years using visual analog scale (VAS).

FINDINGS

Positive responders were 56% at 1 week, 46% at 1 month, 18% at 6 months, and 13% at 2 years after PRN in group I, and 78.9% at 1 week, 75.4% at 1 month, 62.5% at 6 months, and 54.7% at 2 years in group II. Prominent local tenderness, percussion tenderness, pain on getting up, extension and transitional movement, radiating pain on buttock and/or posterior thigh, and good immediate response were found to be significantly related to good outcome.

CONCLUSION

PRN on the PPR has long-term beneficial effects. Long-term good results can be achieved after proper selection of patients with facet joint related low back pain.

A new and simple transection knife for study of neurodegeneration and neuroregeneration in animal model

BACKGROUND

The purpose of this study was to design and make a simple, inexpensive brain knife that could produce consistent results following transection in animal model.

MATERIALS AND METHODS

After testing various materials including commercially available products, microelectrode recording needles as used in deep brain stimulation (DBS) surgery were selected as ideal candidates. They were modified to serve as type of wire-knife for the purposes of study. For this study, the major pathway for dopaminergic neuron from substantia nigra to striatum was selected for transection. A total of 40 Sprague-Dawley rats were assigned to 8 groups; normal, 1-4, 6, 8, and 10 weeks post-transection. Degree of cell death was determined and surviving neurons were counted by means of fluorescent microscopic examination, immunohistochemistry involving tyrosine hydroxylase (TH)-immunoreactive staining, and mapping to verify complete transection.

RESULTS

Compared to control, percentage of remaining neurons in each group was 61.3, 36.8, 29.9, 5.1, 5.9, 7.0%, respectively. Completeness of lesion was correlated with the absence of TH-immunoreactivity in the striatum.

CONCLUSION

Our model seems to provide complete cell death in early period after transection with consistent results. Thus, this type of brain knife can be very handy, without any extra cost, in any research model involving transection of fiber bundle for studies on neurodegeneration and neuroregeneration.

Rapid and comprehensive indicator for evaluation of performance of treatment processes and of river waters

Naturally occurring UV active compounds, commonly present in almost all source waters, can be rapidly monitored by their ultraviolet absorbance at 260 nm (E260). Herein, the extent of correlation between the E260 and the removal efficiency of the hazardous contaminants, endocrine disrupters and dioxins, were investigated using various treatment and river source waters. The detection of various types of hazardous contaminants using sophisticated analytical methods, such as high resolution gas chromatography (HRGC)/high resolution mass spectrometry (HRMS) and high performance liquid chromatography (HPLC)/inductively coupled plasma (ICP)/mass spectrometry (MS), as well as various short-term bioassays, can require hours or even days for results to be obtained. The removal of the E260 correlated well with those of individual contaminants, such as endocrine disruptor chemicals and dioxins, with the various treatment processes employed. In the plots of the endocrine disrupters against the DOC/E260, a correlation was found with the endocrine activity of the Korean/Japanese river waters employed in this study.