OBJECTIVES: In this study, we investigated the potential harmful effect of the exposure to silicon dioxide (SiO2) nanoparticles through in vitro toxicity assay using human bronchial epithelial cell, Beas-2B with a focus on the involvement of oxidative stress as the toxic mechanism. METHODS: SiO2-induced oxidative stress was assessed by examining formation of reactive oxygen species (ROS), the induction of superoxide dismutase (SOD) and heme oxygenase-1 (HO-1), as well as cytotoxicity effect was evaluation by cell viability. Subsequently, to understand the molecular mechanism of nanoparticle-induced oxidative stress, the involvement of oxidative stress-responding transcription factors, such as, nuclear factor-kappaB (NF-kappaB) and nuclear factor-E2-related factor-2 (Nrf-2), and mitogen-activated protein (MAP) kinase signal transduction pathway was also investigated. RESULTS: 5-d i phenyltera zolium bromide (MTT) assay results show that decrease 20% in cell viability and the number of cells in the subG1 phase increased. The increase in ROS formation was observed in SiO2 nanoparticle treated cells. The expression of SOD protein was not changed, whereas that of HO-1 was increased by SiO2 nanoparticle exposure. transcription factors Nrf-2 and the expression of phosphorylated form of extracellular signal-regulating kinase (ERK) was strongly induced by SiO2 nanoparticle exposure. CONCLUSIONS: SiO2 nanoparticles exert their toxicity through oxidative stress as they cause the significant increase ROS level. SiO2 nanoparticles induce induction of HO-1 via Nrf-2-ERK MAP kinase pathway. Our tested oxidative stress parameters are rather limited in terms of allowing the full understanding of oxidative stress and cellular response by SiO2 nanoparticle exposure.
Cell Survival ; Epithelial Cells ; Heme Oxygenase-1 ; Humans ; Nanoparticles ; Oxidative Stress ; Phosphotransferases ; Reactive Oxygen Species ; Signal Transduction ; Silicon Dioxide ; Superoxide Dismutase ; Transcription Factors

OBJECTIVE: This study was done to explore the relationship between circadian types, depressive mood, and sleep quality and to identify the mediating effect of depression between circadian types and sleep quality in shift work nurses. METHODS: Participants were 510 females selected by convenience sampling. Data were collected from October to November 2008 using the Composite Scale for Morningness, Beck Depression Inventory, and Pittsburgh Sleep Quality Index-Korean. The data were analyzed using descriptive statistics, Pearson correlation coefficients, logistic regression and multiple regression. RESULTS: There were significant relationships between sleep quality and circadian types(r=-0.160, p<0.001), and depressive mood (r=0.438, p<0.001). In addition, the circadian types was significantly correlated with depressive mood (r=-0.236, p<0.001). Depressive mood showed mediating effect between circadian types and sleep quality (beta=0.424, p<0.001). Evening type subjects showed higher scores in depressive mood and sleep quality than morning type ones. CONCLUSION: These results suggest that depression and circadian rhythm management in nurses with evening type would contribute to the prevention of sleep disturbance.
Circadian Rhythm ; Depression ; Female ; Humans ; Logistic Models ; Negotiating

OBJECTIVES: In this study, the effect of tube length and outer diameter (OD) size of hydroxylated-multi walled carbon nanotubes (OH-MWCNTs) on their uptake and toxicity was investigated in the nematode Caenorhabditis elegans using a functional mutant analysis. METHODS: The physicochemical properties of three different OH-MWCNTs were characterized. Uptake and toxicity were subsequently investigated on C. elegans exposed to MWCNTs with different ODs and tube lengths. RESULTS: The results of mutant analysis suggest that ingestion is the main route of MWCNTs uptake. We found that OH-MWCNTs with smaller ODs were more toxic than those with larger ODs, and OH-MWCNTs with shorter tube lengths were more toxic than longer counterparts to C. elegans. CONCLUSIONS: Overall the results suggest the aspect ratio affects the toxicity of MWCNTs in C. elegans. Further thorough study on the relationship between physicochemical properties and toxicity needs to be conducted for more comprehensive understanding of the uptake and toxicity of MWCNTs.
Caenorhabditis elegans* ; Caenorhabditis* ; Carbon* ; Eating ; Nanotubes, Carbon*

OBJECTIVES: In this study, the effect of tube length and outer diameter (OD) size of hydroxylated-multi walled carbon nanotubes (OH-MWCNTs) on their uptake and toxicity was investigated in the nematode Caenorhabditis elegans using a functional mutant analysis. METHODS: The physicochemical properties of three different OH-MWCNTs were characterized. Uptake and toxicity were subsequently investigated on C. elegans exposed to MWCNTs with different ODs and tube lengths. RESULTS: The results of mutant analysis suggest that ingestion is the main route of MWCNTs uptake. We found that OH-MWCNTs with smaller ODs were more toxic than those with larger ODs, and OH-MWCNTs with shorter tube lengths were more toxic than longer counterparts to C. elegans. CONCLUSIONS: Overall the results suggest the aspect ratio affects the toxicity of MWCNTs in C. elegans. Further thorough study on the relationship between physicochemical properties and toxicity needs to be conducted for more comprehensive understanding of the uptake and toxicity of MWCNTs.
Caenorhabditis elegans* ; Caenorhabditis* ; Carbon* ; Eating ; Nanotubes, Carbon*

Pleomorphic adenoma originates mainly in major salivary glands such as the parotid and submandibular glands, but has rarely been reported to arise in the nasal cavity, especially the nasal septum. Diverse surgical approaches can be selected according to the size and location of the tumor.The treatment of choice for intranasal pleomorphic adenoma is complete surgical excision with histologically clear margin in order to prevent recurrence. However, endoscopic surgical excision has the benefits of superior visualization of the tumor margin, avoidance of external scar, and less blood loss. We report herein a case of a 48-year-old woman who presented with a seven-monthhistory of right-sided nasal obstruction and intermittent nasal bleeding, diagnosed as pleomorphic adenoma of the nasal septum, that was treated with endoscopic surgery without any recurrence.
Adenoma, Pleomorphic* ; Cicatrix ; Epistaxis ; Female ; Humans ; Middle Aged ; Nasal Cavity ; Nasal Obstruction ; Nasal Septum* ; Recurrence ; Salivary Glands ; Submandibular Gland

A 51-year old woman was admitted to our hospital because of Exertional dyspnea, Palpitation, Headache, upper-limb hypertension, and lower-limb claudication. A loud systolic bruit was audible along Lt. carotid artery. Upper limb hypertension was responsed to drug moderately (included ACEI, alpha, beta-blocker, Ca++-channel blocker), but claudication of lower limb was aggravated, also on exertion, Blood Pressure of upper-limb was elevated to 180 mmHg. So, chest CT and Aortogram was performed, we confirmed long segmental stenosis from thorasic Aorta to the renal a. bifurcation level. Finally, We performed after axillo-femoral bypass surgery. After surgery, upper limb hypertension and lower limb claudication was improved.
Aorta ; Blood Pressure ; Carotid Arteries ; Constriction, Pathologic ; Dyspnea ; Female ; Headache ; Humans ; Hypertension ; Lower Extremity ; Middle Aged ; Takayasu Arteritis ; Tomography, X-Ray Computed ; Upper Extremity

In the present study, toxicity of silver nanoparticles (AgNPs) was investigated in the nematode, Caenohabditis elegans focusing on the upstream signaling pathway responsible for regulating oxidative stress, such as mitogen-activated protein kinase (MAPK) cascades. Formation of reactive oxygen species (ROS) was observed in AgNPs exposed C. elegans, suggesting oxidative stress as an important mechanism in the toxicity of AgNPs towards C. elegans. Expression of genes in MAPK signaling pathways increased by AgNPs exposure in less than 2-fold compared to the control in wildtype C. elegans, however, those were increased dramatically in sod-3 (gk235) mutant after 48 h exposure of AgNPs (i.e. 4-fold for jnk-1 and mpk-2; 6-fold for nsy-1, sek-1, and pmk-1, and 10-fold for jkk-1). These results on the expression of oxidative stress response genes suggest that sod-3 gene expression appears to be dependent on p38 MAPK activation. The high expressions of the pmk-1 gene 48 h exposure to AgNPs in the sod-3 (gk235) mutant can also be interpreted as compensatory mechanisms in the absence of important stress response genes. Overall results suggest that MAPK-based integrated stress signaling network seems to be involved in defense to AgNPs exposure in C.elegans.
Caenorhabditis elegans ; Gene Expression ; Nanoparticles ; Oxidative Stress ; p38 Mitogen-Activated Protein Kinases ; Protein Kinases ; Reactive Oxygen Species ; Silver

BACKGROUND: Slim patients or those with large breasts may be ineligible for breast reconstruction with an abdominal flap, as the volume of the flap may be insufficient. This study aimed to establish that abdominal tissue–based breast reconstruction can be well suited for Korean patients, despite their thin body habitus. METHODS: A total of 252 patients who underwent postmastectomy breast reconstruction with an abdominal flap from October 2006 to May 2013 were retrospectively reviewed. The patients' age and body mass index were analyzed, and a correlation analysis was performed between the weight of the mastectomy specimen and that of the initial abdominal flap. RESULTS: The average weights of the mastectomy specimen and initial abdominal flap were 451.03 g and 644.95 g, respectively. The ratio of the weight of the mastectomy specimen to that of the initial flap was 0.71±0.23. There was a strong positive linear relationship between the weight of the mastectomy specimen and that of the initial flap (Pearson correlation coefficient, 0.728). Thirty nulliparous patients had a final-to-initial flap weight ratio of 0.66±0.11. The 25 patients who underwent a contralateral procedure had a ratio of 0.96±0.30. The adjusted ratio of the final flap weight to the initial flap weight was 0.66±0.12. CONCLUSIONS: Breast weight had a strong positive relationship with abdominal flap weight in Koreans. Abdominal flaps provided sufficient soft tissue for breast reconstruction in most Korean patients, including nulliparous patients. However, when the mastectomy weight is estimated to be >700 g, a contralateral reduction procedure may be considered.
Body Mass Index ; Breast* ; Female ; Free Tissue Flaps ; Humans ; Korea ; Mammaplasty* ; Mastectomy* ; Retrospective Studies ; Weights and Measures

We observed that treatment with dimethyl α-ketoglutarate (DMK) increased the amount of intracellular α-ketoglutarate significantly more than that of α-ketoglutarate in HaCaT cells. DMK also increased the level of intracellular 4-hydroxyproline and promoted the production of collagen in HaCaT cells. In addition, DMK decreased the production of collagenase and elastase and downregulated the expression of selected matrix metalloproteinases (MMPs), such as MMP-1, MMP-9, MMP-10, and MMP-12, via transcriptional inhibition. The inhibition of MMPs by DMK was mediated by the suppression of the IL-1 signaling cascade, leading to the attenuation of ERK1/2 phosphorylation and AP-1 transactivation. Our study results illustrate that DMK, an alkylated derivative of α-ketoglutarate, increased the level of 4-hydroxyproline, promoted the production of collagen, and inhibited the expression of selected MMPs by affecting the IL-1 cascade and AP-1 transactivation in HaCaT cells. The results suggest that DMK might be useful as an anti-wrinkle ingredient.

We observed that treatment with dimethyl α-ketoglutarate (DMK) increased the amount of intracellular α-ketoglutarate significantly more than that of α-ketoglutarate in HaCaT cells. DMK also increased the level of intracellular 4-hydroxyproline and promoted the production of collagen in HaCaT cells. In addition, DMK decreased the production of collagenase and elastase and downregulated the expression of selected matrix metalloproteinases (MMPs), such as MMP-1, MMP-9, MMP-10, and MMP-12, via transcriptional inhibition. The inhibition of MMPs by DMK was mediated by the suppression of the IL-1 signaling cascade, leading to the attenuation of ERK1/2 phosphorylation and AP-1 transactivation. Our study results illustrate that DMK, an alkylated derivative of α-ketoglutarate, increased the level of 4-hydroxyproline, promoted the production of collagen, and inhibited the expression of selected MMPs by affecting the IL-1 cascade and AP-1 transactivation in HaCaT cells. The results suggest that DMK might be useful as an anti-wrinkle ingredient.