1.Physiological Role of PGE2 and DBcAMP in Bone Cell Metabolism.
Han Jung CHAE ; Soo Wan CHAE ; Hyung Ryong KIM
Korean Journal of Immunology 1999;21(1):77-84
One of the primary functions for which bones have evolved is to act as a structural support. To achieve this, bones remodel throughout life so that their structure remains optimal for the prevailing mechanical environment. Bone remodeling consists of an initial phase of osteoclastic bone resorption followed by a bone formation period. Prostaglandins are potent regulators of bone formation and bone resorption that can have both stimulatory and inhibitory effects. Elevation of intracellular cAMP is an important intracellular signaling mechanism involved in the regulation of the expression of many proteins. In this study we examine whether PGE or DBcAMP affects osteoblastic activation or osteoclastic differentiation in mouse bone marrow cells and osteosarcoma ROS 17/2.8 cells. The effect of PGE and DBcAMP on the cell proliferation was measured by the incorporation of [3H]- thymidine into DNA. As a result, PGE2 (0.5-1 ug/ml) and DBcAMP (0.1-0.5 mM) inhibited the [3H]-thymidine incorporation into DNA in a dose dependent manner. The effect of PGE2 and DBcAMP on the induction of alkaline phosphatase (ALP) was investigated in ROS 17/2.8 cells cultured in medium containing 0.4% fetal bovine serum. PGE and DBcAMP stimulated ALP activity in the cells in a dose- dependent manner. PGE2 also increased the intracellular cAMP content in a dose- dependent fashion with a maximal effect at 0.5 ug/ml. ROS 17/2.8 cells release nitric oxide upon stimulation of PGE2 or DBcAMP with interferon-r. PGE2 and DBcAMP increase the phosphorylation level of CREB (cAMP response element binding protein) without any change on the amount of CREB protein. Also, PGE (10-6 M) and DBcAMP (10-4 M) significantly increase the generation of osteoclasts in mouse bone marrow cell culture system. In conclusion, the results of this study suggested that cAMP appears to be an important regulatory molecule in the processes of bone formation and resorption.
Alkaline Phosphatase
;
Animals
;
Bone Marrow Cells
;
Bone Remodeling
;
Bone Resorption
;
Bucladesine*
;
Cell Proliferation
;
Cyclic AMP Response Element-Binding Protein
;
Dinoprostone*
;
DNA
;
Metabolism*
;
Mice
;
Nitric Oxide
;
Osteoblasts
;
Osteoclasts
;
Osteogenesis
;
Osteosarcoma
;
Phosphorylation
;
Prostaglandins
;
Prostaglandins E
;
Response Elements
;
Thymidine
2.The effects of adriamycin on twitch force and membrane potential in an isolated Guinea-pig papillary muscle.
Chan Uhng JOO ; Pyung Han HWANG ; Jung Soo KIM ; Hee Cheol YU ; Soo Wan CHAE
Journal of the Korean Pediatric Society 1991;34(5):677-681
No abstract available.
Doxorubicin*
;
Membrane Potentials*
;
Membranes*
;
Papillary Muscles*
3.THR with Hydroxyapatite - coated Hip Prosthesis.
Ki Soo KIM ; Young Yool CHUNG ; Seung Chae HAN ; Sun Yong YOON ; Kwang Soo SHON
The Journal of the Korean Orthopaedic Association 1998;33(4):959-967
Synthetic hydroxyapatite is a safe, nontoxic, biocompatible, and osteoconductive material. Hydroxyapatite-coated implants have the property of achieving a very strong bond with living bone in a relatively short period. From March 1992 to June 1994, 140 hydroxyapatite-coated primary total hip prostheses were implanted. This study included 60 cases that could follow up minimum 3 years. At the time of mean follow up, 45 months after operation, the mean Harris hip score was 92 points. Only two patients complained of thigh pain at last follow up. On radiographic evaluation, radiolucent lines were seen around the uncoated distal part of the stem in 46 percents of the implants. No radiolucent line was observed around the coated area of the prosthesis. Cancellous condensation was seen in 95 per cents of the implants at the Gruen zone 2 and 6 area. Cortical hypertrophy was present in 32 percents. Fourteen cases had the gaps at the bone to acetabular cup interface in the immediate postoperative period. The gaps disappeared in 12 months after operation. Five implants were revised because of polyethylene wear, cup migration and periprosthetic fracture. The clinical outcome was excellent. But this result was obtained in the relatively short-term follow up. Longer-term data will be the only true test of the value of hydroxyapatite coated implant.
Acetabulum
;
Arthroplasty, Replacement, Hip
;
Durapatite*
;
Follow-Up Studies
;
Hip Prosthesis*
;
Hip*
;
Humans
;
Hypertrophy
;
Periprosthetic Fractures
;
Polyethylene
;
Postoperative Period
;
Prostheses and Implants
;
Thigh
4.A Case of Battered Child Syndrome with Subdural hemorrhage.
Young Jun SONG ; Won Seop KIM ; Heon Seok HAN ; Soo Ahn CHAE
Journal of the Korean Child Neurology Society 1998;5(2):388-392
The diagnosis of a Battered Child Syndrome is made by the pediatrician, surgeon and the radiologist because almost parents deny the diagnosis or refuse to answer the doctor's questions. The imaging modalities play a key role in the investigation and documentation of the battered child syndrome, because of the high frequency of the typical skeletal lesion. Although physical abuse is denied by parents, the recognition of this entity is possible by the primary diagnostic imaging study in the suspected child abuse. The imaging studies are either a bone scan and x-ray series or a complete radiolographic skeletal survey by X-ray series. In an expected intracranial injury, a CT scan of the head is mandatory We experienced a case of Battered Child Syndrome in a 6 month-old male infant who had subdural hemorrhage and fractures of skull and ribs in different stages of healing and repair. The brief review of the literature was made.
Battered Child Syndrome*
;
Child
;
Child Abuse
;
Diagnosis
;
Diagnostic Imaging
;
Head
;
Hematoma, Subdural*
;
Humans
;
Infant
;
Male
;
Parents
;
Ribs
;
Skull
;
Tomography, X-Ray Computed
5.Perceived Parental Stress and Nursing Support of Fathers with High Risk Infants.
Child Health Nursing Research 2016;22(3):190-198
PURPOSE: The purpose of this study was to examine the paternal stress and nursing support as perceived by fathers of high risk infants admitted to Neonatal Intensive Care Units (NICU). METHODS: The study participants included 88 fathers of high risk infants in NICUs. Their parental stress and nursing support were measured using a self-report questionnaire. RESULTS: The parental stress level of the fathers was 3.57 of a possible 5. Among the parental stress items, 'Relationship with infant and parental role' had the highest scores. The perceived nursing support level was a relatively high, 3.90 on a 5-point scale. The lowest score was for the item 'showed concern about my well-being.' The parental stress was lower in fathers with low income, higher in fathers in nuclear families and when the infants' condition was serious. CONCLUSION: The findings indicate that fathers of high risk infants experience intense parental stress. Thus when designing care to provide support for these fathers and their infants, it is necessary to encourage the fathers' engagement, provide information on how to respond to the baby, and include supportive care to the fathers.
Fathers*
;
Humans
;
Infant*
;
Infant, Newborn
;
Intensive Care Units, Neonatal
;
Nuclear Family
;
Nursing*
;
Parents*
7.Surgical immobilization using judet's strut for flail cehst with multiple rib fractures.
Ja Hong KU ; Oh Woo KWON ; Chang Hoi KIM ; Yo Han KIM ; Sung Soo CHAE
The Korean Journal of Thoracic and Cardiovascular Surgery 1993;26(1):64-66
No abstract available.
Immobilization*
;
Rib Fractures*
;
Ribs*
8.Radiological evaluation of myositis ossificans
Yang Sook KWON ; Soo Han KIM ; Young Chae LIM ; Hyun Ja SHIN
Journal of the Korean Radiological Society 1986;22(4):591-595
The 35 patients who have suffered from myositis ossificans were investigated for 11 years. They wereposttraumatic patients, They trauma was divided into 3 groups; spinal cord injury, direct injury(fracture) andmixed type involving both. We evaluated the age distribution, the frequency of myositis ossificans, predilectionsite, bilaterality and relation between predilection site and bilaterality to the type of trauma. The results areas follows; 1. The age distribution was highest in 4th decades(12 among 35 patients). 2. In regard to distributionof 35 patients, spinal cord injury were most common (15 cases, 43%), the fracture nextly common (14, 40%) and thenmixed type (6,17%). 3. Among 51 cases of myositis ossificans, the frequency was highest in spinal cord injury(25cases, 49%), next was fracture(14, 27%). 4. The correlation between predilection site of myositis ossificans andlevel of spinal cord injury, hip is the most frequent site in thoracic injury. 6. The bilaterality of myositisossificans is 39%(20 among 51 lesions).
Age Distribution
;
Hip
;
Humans
;
Myositis Ossificans
;
Myositis
;
Spinal Cord
;
Spinal Cord Injuries
;
Thoracic Injuries
9.Factors Associated with the Method of Feeding Preterm Infants after Hospital Discharge.
Child Health Nursing Research 2018;24(2):128-137
PURPOSE: To investigate factors that may affect the method of feeding among preterm infants at 4 weeks after discharge. METHODS: This study included 222 mother-infant dyads born before a gestational age of 37 weeks. The feeding method and general medical characteristics of the participants were assessed at 4 weeks after discharge using a structured questionnaire. Multinomial logistic regression analysis was used to examine which factors were associated with breastfeeding at home. RESULTS: Of the 222 infants who qualified for the study, 71 (32.9%) continued to receive breastmilk at 4 weeks post-discharge. Multinomial logistic regression analysis showed that breastfeeding at 4 weeks post-discharge was associated with higher breastfeeding self-efficacy, vaginal delivery (experience), direct breastfeeding in the neonatal intensive care unit (NICU), gestational age between 30 and 34 weeks, and breastmilk consumption in the NICU. The following factors were associated with mixed feeding at 4 weeks post-discharge: being employed, having higher breastfeeding self-efficacy, and direct breastfeeding in the NICU. CONCLUSION: NICU nurses should provide opportunities for direct breastfeeding during hospitalization and support breastfeeding to enhance breastfeeding self-efficacy. These factors may help to ensure the continuation of breastfeeding after discharge. Moreover, factors that affect breastfeeding should be considered when providing interventions.
Breast Feeding
;
Feeding Methods
;
Gestational Age
;
Hospitalization
;
Humans
;
Infant
;
Infant Formula
;
Infant, Newborn
;
Infant, Premature*
;
Intensive Care, Neonatal
;
Logistic Models
;
Methods*
;
Patient Discharge
;
Premature Birth
10.Intrapelvic Pseudocyst After Total Hip Arthroplasty: A Case Report.
Ki Soo KIM ; Young Yool CHUNG ; Seung Chae HAN ; Jin Ho YANG
The Journal of the Korean Orthopaedic Association 1998;33(2):240-245
Many uncemented acetabular components use transfixation screws to stabilize the acetabular component until ingrowth of bone occurs. But the use of transacetabular screw fixation in total hip arthroplasty could increase the incidence of intrapelvic complications including neurovascular injury, extrinsic compression and erosion of intrapelvic organs. Metal debris was attributed to corrosion or fretting between screw and metal shell may lead to pelvic osteolysis. A foreign body reaction to metal and polyethylene wear debris in a loose acetahular component eroded the medial wall of the acetabulum and produced an intrapelvic mass. We experienced a case of intrapelvic pseudocyst in a failed total hip arthroplasty. The cyst communicated with hip joint through the transacetabular fixation screw which was placed near the center of the acetahulum.
Acetabulum
;
Arthroplasty, Replacement, Hip*
;
Corrosion
;
Cytochrome P-450 CYP1A1
;
Foreign-Body Reaction
;
Hip
;
Hip Joint
;
Incidence
;
Osteolysis
;
Polyethylene