Although reduced expression of CD82 transmembrane protein facilitates metastasis of cancer cells, little is known about its biological function. Here we have investigated the role of CD82 in B cell lymphocyte adhesion. When IM-9 cells were engaged with anti-CD82 monoclonal antibody, they formed homotypic aggregates in a short time. This adhesion was inhibited by anti-CD11a monoclonal antibody that has been known to block LFA-1-mediated cell adhesion. The cell surface expression of LFA-1 has not been changed by CD82 engagement. Homotypic aggregation was decreased in the cells in which the level of CD82 expression was low, and it was not recovered by anti-CD99 monoclonal antibody or PMA that has been known to stimulate cell adhesion. In addition, it was recovered by Mg++ treatment that induces conformational change of LFA-1 moleucles, but not by Ca++ treatment that leads to clustering of LFA-1 on the cell surface. CD82-induced cell aggregation was dramatically abrogated by addition of the phos-phatidylinositol 3-kinase (PI3-K) inhibitor LY294002 or p38 mitogen-activated protein kinase (MAPK) inhibitor SB203580. Taken together, these results suggest that CD82 molecule may fascilitate adhesion of lymphocytes by inducing conformational change of LFA-1 to pro-adhesive structure through PI3-K or p38 MAPK signal pathway.
Cell Adhesion ; Cell Aggregation ; Cell Line* ; Lymphocyte Function-Associated Antigen-1 ; Lymphocytes ; Neoplasm Metastasis ; p38 Mitogen-Activated Protein Kinases ; Protein Kinases ; Signal Transduction

For the study of the applicability of predictive equation of subjective symptoms of workers using organic solvents, 67 male workers using organic solvents were selected. The predictive equation was quotated from previous Cheon's study. All the datas of necessary variables were gained. The predictive values and observed values were compared. The results were summarized as below; 1. The difference between predictive values and observed values were characteristically large. The coefficient of determination between the two values was 0.0024. 2. The R2 value of multiple stepwise regression equation derived from present study was 0.2827.
Humans ; Male ; Solvents*

This study was designed to provide a evidence that adenosine-mediated activation of protein kinase C and K(ATP) channel was a important step on the cardioprotection mechanism of ischemic preconditioning (IP). Isolated Langendorff-perfused New Zealand White rabbit hearts were subjected to 45 min of global ischemia (I) and 120 min reperfusion (R) with or without IP. IP was induced by a single dose of 5 min I and 10 min R. Part of the IP hearts was treated with non-specific adenosine receptor blocker 8-sulfophenyltheophylline (SPT; 100 micromol) and K(ATP) channel blocker glibenclamide (10 micromol) 5min before IP, respectively. To determine the effect of IP, we measured the left ventricular function, infarct size, adenosine concentration in the coronary flow and total protein kinase C activity. PKC activity was determined by (32)P-gamma-ATP incorporation into PKC specific peptide. IP enhanced improvement of functional recovery and caused a decrease in the infarct size from 19.9+/-0.05% in the ischemic-control group to 5.5+/-1.39% in the IP group (p<0.05). In the SPT- and glibenclamid-treated hearts, however, these anti-ischemic effect was disappeared. Adenosine release from the cardiac tissue was abruptly increased to 10~20 folds baseline just after IP. Cytosolic PKC activity decreased significantly in the IP hearts, while in the membrane fraction, activity was increased (45 min I, p<0.05; 120 min R, p<0.01). In the SPT-treated hearts, IP did not make those activity changes of PKC. These data suggest that adenosine induced the anti-ischemic effect via PKC activation. And it also show that K(ATP) channel may work on the protection as a final effector.
Adenosine* ; Cytosol ; Glyburide ; Heart* ; Ischemia ; Ischemic Preconditioning* ; Membranes ; New Zealand ; Protein Kinase C ; Receptors, Purinergic P1 ; Reperfusion ; Ventricular Function, Left

PURPOSE: To introduce clinical features and molecular characteristics of Korean patients with congenital aniridia. METHODS: Patients with iris hypoplasia were diagnosed clinically as congenital aniridia and were included in the study. Best corrected visual acuity (BCVA) and associated ocular abnormalities (including severity of iris hypoplasia, nystagmus, keratopathy, and foveal hypoplasia), and findings in optical coherence tomography were analyzed. PAX6 analysis,multiplex ligation-dependent probe amplification (MLPA), genomic molecular karyotyping, and candidate gene sequencing were performed to detect genetic abnormalities. RESULTS: 28 patients from 18 families were included in the study. BCVA varied from hand motion to 20/25. No manifest nystagmus was found in 3 patients, but the rest of the patients had pendular horizontal nystagmus. Keratopathy was found in 23 patients, cataracts in 12 patients, and glaucoma in 4 patients. All patients had foveal hypoplasia, including one case with a subtle phenotype. The PAX6 mutation was detected in 13 families out of 18;2 (p.Trp162Leufs*38,p.Gly409Arg) were novel,3 families had the miss ensemutation, and 3 families had alargedeletion in the PAX6 gene. CONCLUSIONS: This study adds 2 novel PAX6 mutations related to congenital aniridia to those previously reported. Congenital aniridia is a serious, sight-threatening ocular malformation, but central vision and the degree of iris hypoplasia were highly variable. The PAX6 mutation was detected in 72% of the patients in this study, and there were no specific clinical features differentiating aniridia with and without PAX6 mutations.
Aniridia* ; Cataract ; Glaucoma ; Hand ; Humans ; Iris ; Karyotyping ; Nystagmus, Pathologic ; Phenotype ; Tomography, Optical Coherence ; Visual Acuity

Cystathionine is well-known intermediate in the metabolism of methionine. It is cleaved to cysteine and homoserine by gamma-cystathionase. This enzyme utilize pyridoxal 5'-phosphate as coenzyme. gamma-cystathionase deficiency leads to persistent excretion of large amount of cystathionine in urine, as well as to accumulation of cystathionine in body tissues and fluids. It is inherited as an autosomal recessive trait and shows wide variety of clinical manifestations. No clinical abnormality seems to be specifically associated with gamma-cystathionase deficiency. The majority of patients responded to high dose administration of pyridoxine. We report the first case of cystathioninuric patient in Korea, 19 months of female with developmental delay. In brain MRI, there was generalized mild brain atrophy. There were several times of brief paroxysmal generalized polyspike and wave discharges in electroencephalography(EEG). In amino acid analysis of urine, there was elevated level of cystathionine. She was treated with high dose of pyridoxine. In follow up analysis of urinary amino acid, the cystathionine level was markedly decreased to normal range, and EEG was normalized. Her development shows improvement.
Atrophy ; Brain ; Cystathionine ; Cystathionine gamma-Lyase ; Cysteine ; Electroencephalography ; Female ; Follow-Up Studies ; Homoserine ; Humans ; Korea ; Magnetic Resonance Imaging ; Metabolism ; Methionine ; Pyridoxal ; Pyridoxine ; Reference Values

The traumatic middle meningeal arteriovenous fistula is a rare condition complicated from head injury and usually found incidentally by carotid angiography. A few articles reported previously showed this condition if formed due to tearing of the walls of middle meningeal vessels by skull fracture and regarded as a wonderful defence mechanism keeping from a big intracranial hematoma. We have encountered 3 cases of them, all of which were accompanied by skull fracture. On of them had a big epidural hematoma and others only small amount. We show these cases in detail with the review of literatures.
Angiography ; Arteriovenous Fistula ; Craniocerebral Trauma ; Hematoma ; Skull Fractures

Amiodarone is an antiarrhythmic drug known to have adverse effects on multiple organs. Most studies have reported the side effects of the drug, which may result from rapid administrations or from long-term, high dosage administrations. However, toxicity issues have also been reported from patients administered with low doses of the drug for a long period of time. Here we report a case of an 82-year-old female who had shown symptoms and signs of pulmonary, hepatic, and neurotoxicity after taking amiodarone for 14 months in order to treat her atrial fibrillation without regular outpatient follow-up. We highlight the importance of the recommended evaluations, including lung, liver, and thyroid functions, as well as the neurological examinations in patients treated with amiodarone for a long period of time during regular follow-up.
Aged, 80 and over ; Amiodarone* ; Atrial Fibrillation* ; Cardiomyopathy, Hypertrophic* ; Female ; Follow-Up Studies ; Humans ; Liver ; Lung ; Neurologic Examination ; Outpatients ; Thyroid Gland

This study aimed to develop and implement a progressive e-learning teaching method in the teaching of human anatomy. For analysis of the effect of new teaching methods, we made a survey of user satisfaction, content difficulty, and course management. The e-learning content was developed by the authors and implemented to class, practice, and tests, for 16 weeks. The survey was conducted on sophomores of nursing science (NS, n=42) and sports science (SS, n=26), at Kangwon National University. These two groups of students filled out a questionnaire related to effectiveness of e-learning content and tool in learning human anatomy. The results were compared between two groups. The majority of the students were satisfied with the content, difficulty level, and management of the e-learning course. Through the board of virtual classroom, all of the students played positive manners in communication and activity. Students pointed out 'reinforcement of multimedia data', 'improvement of technical service' and 'addition of broad information' as the most notable improvements of content. Therefore, we conclude that an e-learning course for undergraduate nursing science and sports science students can provide an effective learning model.
Humans ; Learning ; Multimedia ; Surveys and Questionnaires ; Sports ; Teaching

PURPOSE: In spite of the rapidly expanding importance of the basic sciences, the number of professors teaching basic sciences in medicine has not changed in the last decade. Thus, the need for new methods of teaching and learning has increased. The purpose of this study was to develop and assess integrative lecturing in the basic sciences for undergraduate allied health sciences students. METHODS: We developed an alternate form of lecturing in anatomy, physiology, microbiology, and pathology, focusing on the gastrointestinal system. We tested several teaching strategies including E-learning, face-to-face, and practice. Students majoring in nursing (n=43), sports science (n=26), and emergency medical technology (n=35) participated and were asked to complete an anonymous survey. RESULTS: The majority of the students were satisfied with the new lecture style (86.6%). They preferred integrative lectures to traditional lectures. The degree of satisfaction with E-learning and practice were much higher than with face-to-face. Most of the students identified the knowledge of interdisciplinary relationship and participating in cadaveric dissections as the important effects of this lecture style. CONCLUSION: From this study, it can be suggested that integrative lecturing in basic sciences for public health- / medicine- related courses is effective in teaching and learning. Further studies for the development of integrative contents and system are needed.
Anonyms and Pseudonyms ; Cadaver ; Emergencies ; Humans ; Learning ; Lectures ; Nursing ; Pathology ; Physiology ; Sports

PURPOSE: The aim of the study was to investigate the frequency of adverse events and the appropriate observational duration after successful air reduction of childhood intussusception. METHODS: This was a retrospective, observational study of children, aged 0 to 14 years, who underwent successful air reduction after diagnosis of intussusception in two tertiary referral hospitals. The demographic data, onset time and type of intussusception, observational duration and frequency of adverse events after air reduction were collected. We categorized the adverse events as grade 1 to 5. Grade 1 is severe abdominal pain which requires analgesia; grade 2 is nausea and vomiting which require intravenous (IV) hydration; grade 3 is symptoms and signs requiring re-evaluation of ultrasonography (US), confirmed as no recurrence; grade 4 is symptoms and signs requiring re-evaluation of US, confirmed as recurrence; and grade 5 is failed second air reduction and consequent operation. RESULTS: A total of 547 patients (369 boys and 178 girls) were enrolled. Mean age of the subjects was 24.1 months (SD: +/-19.3, range 1-144). The mean time duration from symptom onset to emergency department (ED) visit was 18.4 hours (SD: +/-18.5), and the average observational duration after the successful air reduction was 32.8 hours (SD: +/-29.1, range: 1-216). The number of children who suffered from the grade 1 to 5 of adverse events were 13 (2.4%), 2 (0.4%), 38 (6.9%), 33 (6%), and 2 (0.4%), respectively. A total of 17 (3.1%) children recurred after 24 hours of air reduction, 7 (1.3%) in the hospital and 10 (1.8%) after discharge. Among these patients, only one (0.2%) child under in-hospital observation underwent an operation. CONCLUSION: A 24-hour long observation at ED after the successful air reduction allows the safe and feasible management of childhood intussusception.
Abdominal Pain ; Aged ; Child ; Emergencies ; Humans ; Intussusception ; Nausea ; Recurrence ; Retrospective Studies ; Tertiary Care Centers ; Vomiting