OBJECTIVETo compare the microleakage of compomer sealant with non-rinse conditioner and resin sealant with phosphoric acid (35%) by dye test and scanning electron microscope (SEM) observation.

METHODS16 extracted third permanent molars were divided into 4 groups: Group I, non-rinse conditioner (NRC) + Prime & Bond NT + Dyract seal; Group II, phosphoric acid (35%) + Concise sealant; Group III, phosphoric acid (35%) + Dyract seal; Group IV, NRC + Prime & Bond NT + Concise sealant. The teeth were then coated with nail polish, placed in a 50% AgNO3 dye for 18 hours, and sectioned with a diamond saw. SEM observation was performed to evaluate microleakage in the teeth.

RESULTSSilver nitrate penetration was found in each group. The percentage of microleakage in group I was higher than that in group II, and group IV was higher than that in group II (P < 0.01). The percentage of microleakage of resin sealant with phosphoric acid was lower than that in compomer sealant with NRC (P < 0.01). On SEM observation, resin tags and few gaps were found in groups with phosphoric acid. Some gaps and bubbles were found at the bottom of the fissures, particularly in the narrow fissures because of the failure of sealant penetration.

CONCLUSIONResin sealant used with phosphoric acid was better than compomer sealant with NRC on microleakage.

Acid Etching, Dental ; Compomers ; Dental Bonding ; Dentin-Bonding Agents ; Humans ; Maleates ; Molar ; Phosphoric Acids ; Polymethacrylic Acids

BACKGROUND: Amlodipine is a third-generation dihydropyridine calcium channel blocker for treating hypertension. Though marketed primarily as a besylate salt, there have been some efforts to find other comparable salts. Among them, maleate is the salt that has been considered favorable for many drugs. The aim of this study was to compare the pharmacokinetics, as well as safety and tolerability of amlodipine maleate with amlodipine besylate. METHODS: This study was open, randomized, two-period crossover design investigated in twelve healthy male volunteers over a 144 h period after administrating two forms of amlodipine 5 mg, respectively. Each period was separated with 2 weeks. Plasma concentrations of amlodipine were determined by liquid chromatography-tandem mass spectrometry. Safety profiles were assessed by vital signs, physical examinations, electrocardiograms, laboratory testing and adverse events monitoring. RESULTS: All subjects were completed this study. Geometric mean ratios (GMRs) of amlodipine maleate/amlodipine besylate of Cmax and AUClast for amlodipine were 0.92 (90 % confidence interval, 0.81 ~ 1.05) and 1.05 (0.96 ~ 1.16), respectively. No serious adverse events were reported, and no clinically relevant changes were observed in safety profiles during this trial. CONCLUSION: Pharmacokinetics, tolerability and the safety were comparable between amlodipine maleate and amlodipine besylate in healthy individuals.
Amlodipine ; Calcium Channels ; Cross-Over Studies ; Dihydropyridines ; Electrocardiography ; gamma-Aminobutyric Acid ; Humans ; Hypertension ; Male ; Maleates ; Mass Spectrometry ; Physical Examination ; Plasma ; Salts ; Vital Signs

BACKGROUND/AIMS: Irritable bowel syndrome (IBS) is one of the most common functional gastrointestinal disorders and when compared to the vast knowledge pertaining to adults with IBS, very little is known about IBS in children and adolescents. We aimed to explore the prevalence of IBS, identify symptoms and contributing factors and also to examine the efficacy of trimebutine maleate in children and adolescents. METHODS: The study involved 345 children and adolescents (4-18 years) and parents were requested to fill in a questionnaire, Rome III criteria was used to diagnose IBS. To exclude organic disease, all patients underwent medical investigations. Half of the randomly selected IBS patients were treated with trimebutine maleate while the rest of IBS patients were not. The IBS patients were reevaluated at the end of 3 weeks. RESULTS: The prevalence of IBS according to Rome III criteria in children and adolescents was 22.6% and IBS with constipation was the predominant subtype. Back pain (OR, 6.68), headache (OR, 4.72) and chronic fatigue (OR, 3.74) were significantly higher in IBS group. The prevalence of IBS in both parents and depression in mothers was greater for the patient group than the healthy controls (P < 0.0001). The prevalence of functional dyspepsia in IBS group was 80.8% and was significantly higher than control group. Clinical recovery was seen in 94.9% of the trimebutine maleate group versus spontaneous recovery in 20.5% of the non-medicated group. The difference was significant (P < 0.0001). CONCLUSIONS: IBS is a common disorder in children and adolescents. IBS is closely associated with somatic and familial factors. Trimebutine maleate is effective for pediatric IBS patients.
Adolescent ; Adult ; Back Pain ; Child ; Constipation ; Depression ; Dyspepsia ; Fatigue ; Gastrointestinal Diseases ; Headache ; Humans ; Incidence ; Irritable Bowel Syndrome ; Maleates ; Mothers ; Parents ; Prevalence ; Surveys and Questionnaires ; Rome ; Trimebutine

Animals ; Drug Carriers ; Drug Delivery Systems ; Humans ; Kidney Tubules, Proximal ; cytology ; metabolism ; Maleates ; metabolism ; Molecular Weight ; Oligodeoxyribonucleotides, Antisense ; metabolism ; Polyvinyls ; metabolism ; Prodrugs ; metabolism ; Proteins ; metabolism

OBJECTIVETo study the chemical constituents of Abelmoschus manihot.

METHODChromatographic methods were used to isolate compounds from A. manihot, and spectroscopic methods were used to identify the structures.

RESULTThirteen compounds, myricetin (1), cannabiscitrin (2), myricetin-3-O-beta-D-glucopyranoside (3), glycerolmonopalmitate (4), 2, 4-dihydroxy benzoic acid (5), guanosine (6), adenosine (7), maleic acid (8), heptatriacontanoic acid (9), 1-triacontanol (10) , tetracosane (11), beta-sitosterol (12), beta-sitosterol-3-O-beta-D-glucoside (13) were obtained.

CONCLUSION2-11 were obtained from the genus for the first time.

Abelmoschus ; chemistry ; Alkanes ; chemistry ; isolation & purification ; Fatty Alcohols ; chemistry ; isolation & purification ; Flavanones ; chemistry ; isolation & purification ; Flowers ; chemistry ; Glucosides ; chemistry ; isolation & purification ; Maleates ; chemistry ; isolation & purification ; Plants, Medicinal ; chemistry

BACKGROUND AND OBJECTIVES: The gender differences among Korean patients with coronary spasm have not been defined. We thus determined the gender differences among Korean patients with coronary spasm. SUBJECTS AND METHODS: Patients with chest pain and/or syncope who were admitted to Kyungpook National University Hospital between January 2001 and August 2008 were included. Provocation of coronary vasospasm with intracoronary ergonovine maleate was performed when baseline coronary angiography showed no significant stenosis or there was a strong clinical suspicion of coronary spasm. The clinical characteristics were analyzed from 104 consecutive patients (56+/-9 years of age; 21 females) who were diagnosed with coronary spasm. RESULTS: Female patients were younger (52+/-7 vs. 57+/-10 years, p=0.046) with lower rates of smoking and alcohol consumption histories than male patients (19% vs. 65%, p<0.001; and 43% vs. 89%, p<0.001, respectively). The other clinical characteristics were not significantly different, except for the triglyceride levels. CONCLUSION: The majority of patients with coronary spasm were males who were smokers and alcohol consumers. The female patients had lower rates of smoking and alcohol consumption, and they were younger than the male patients. Further studies are needed to investigate the relevance of gender differences in the pathogenesis of coronary spasm.
Alcohol Drinking ; Chest Pain ; Constriction, Pathologic ; Coronary Angiography ; Coronary Vasospasm ; Ergonovine ; Female ; Humans ; Male ; Maleates ; Sex Characteristics ; Smoke ; Smoking ; Spasm ; Syncope

Escherichia coli ; enzymology ; Fluorine Radioisotopes ; analysis ; Lipid Bilayers ; chemistry ; Magnetic Resonance Spectroscopy ; Maleates ; chemistry ; Nanoparticles ; chemistry ; Phosphorylation ; Polystyrenes ; chemistry ; Protein Conformation ; Protein-Tyrosine Kinases ; chemistry ; metabolism ; Tyrosine ; metabolism

PURPOSE: In Korea, pregnancy termination is frequently reported among women who took medications for an acute or chronic disease during pregnancy, for fear of teratogenic risk. We have previously shown that a service providing evidence-based information is helpful for women who week counseling to make a rational decision regarding their pregnancies. This study aimed to evaluate whether termination of pregnancy based on such perceptions, is justified using the 'DRug Exposure and risk Assessment in Moms' (DREAM) registry. METHODS: The study included 5,032 consenting pregnant women from the clinic and call center at the Korean Motherisk Program, from November 1999 to October 2008. The DREAM registry recorded the pregnancy outcomes (preterm birth, low birth weight, intrauterine fetal death, and congenital anomaly) of 3,328 women. RESULTS: Among women exposed to medications, time of exposure ranged from 3.5-4.6 weeks of gestation. There were 1,308 different drugs prescribed to these women. The drug most frequently prescribed was acetaminophen followed by chlorpheniramine maleate, and pseudoephedrine. There were 4.7% (n=156/3,328) women who underwent a voluntary abortion for fear of birth defects. We compared frequency of birth defects between exposed women and unexposed pregnant women in our institution during gestation. The frequency of major congenital malformations was 2.5% (n=74/2,977) in exposed group and 2.9% (n=75/2,573) in unexposed group (P=0.32). There was no statistically significant difference between exposed and control group in the rate of preterm births, intrauterine fetal death and low-birth weight babies. CONCLUSION: We did not observe increased risk of congenital malformations and adverse pregnancy outcomes in a population of pregnant women exposed to a variety of medications. Therefore these medications are not considered teratogen.
Acetaminophen ; Chlorpheniramine ; Chronic Disease ; Congenital Abnormalities ; Counseling ; Female ; Fetal Death ; Humans ; Infant, Low Birth Weight ; Infant, Newborn ; Korea ; Maleates ; Parturition ; Pregnancy ; Pregnancy Outcome ; Pregnant Women ; Premature Birth ; Pseudoephedrine ; Risk Assessment

BACKGROUND: Reactive airways dysfunction syndrome (RADS), which represents between 5% and 18% of new-onset, work-related asthma, remains underreported in spite of increasing reports of occupational asthma cases through occupational asthma surveillance in Korea. We report a 61-year-old male who developed RADS after exposure to a high level of toxic gases from a workplace accident. CASE: The patient who had worked for 21 years at a PVC manufacture factory and had retained good health until Aug 22, 2007, when he was exposed to PVC (polyvinyl chloride), DEHP (Di (2-Ethylhexyl) Phthalate), dibutyl tin maleate and epoxidized soybean oil gases from a heated mixer. Within several minutes of exposure, he developed coughing, rhinorrhea, dyspnea and wheezing. Pulmonary function tests (PFTs) showed an FVC of 3.81 L(82% of predicted), FEV1 of 1.63 L/s (50% of predicted), FEV1/FVC% of 43 %, and FEV1 of 1.80 L/s that increased by 170 ml and 10.4% in response to bronchodilator. After 7 months of treatment with inhaled steroids and bronchodilators, repeat PFTs showed an FVC of 6.56 L(143.5% of predicted), FEV1 of 3.21 L(99.3% of predicted), and FEV1/FVC% of 48.9%. A methacholine challenge test was negative at a concentration of 25 mg/ml. CONCLUSION: RADS occurred due to exposure to raw material vapors or their thermal decomposition products.
Asthma ; Asthma, Occupational ; Bronchodilator Agents ; Cough ; Diethylhexyl Phthalate ; Dyspnea ; Gases ; Hot Temperature ; Humans ; Korea ; Male ; Maleates ; Methacholine Chloride ; Middle Aged ; Polyvinyl Chloride ; Resins, Synthetic ; Respiratory Function Tests ; Respiratory Sounds ; Soybean Oil ; Steroids ; Tin

PURPOSE: Nitric oxide (NO) has been known as an important regulator of osteoblasts and periodontal ligament cell activity. This study was performed to investigate the relationship between NO-mediated cell death of human periodontal ligament fibroblasts (PDLFs) and N-methyl-D-aspartic acid (NMDA) receptor antagonist (+)-5-methyl-10, 11-dihydro-5H-dibenzo[a,d]cyclohepten-5, 10-imine hydrogen maleate (MK801). METHODS: Human PDLFs were treated with various concentrations (0 to 4 mM) of sodium nitroprusside (SNP) with or without 200 microM MK801 in culture media for 16 hours and the cell medium was then removed and replaced by fresh medium containing MTS reagent for cell proliferation assay. Western blot analysis was performed to investigate the effects of SNP on the expression of Bax, cytochrome c, and caspase-3 proteins. The differences for each value among the sample groups were compared using analysis of variance with 95% confidence intervals. RESULTS: In the case of SNP treatment, as a NO donor, cell viability was significantly decreased in a concentration-dependent manner. In addition, a synergistic effect was shown when both SNP and NMDA receptor antagonist was added to the medium. SNP treated PDLFs exhibited a round shape in culture conditions and were dramatically reduced in cell number. SNP treatment also increased levels of apoptotic marker protein, such as Bax and cytochrome c, and reduced caspase-3 in PDLFs. Mitogen-activated protein kinase signaling was activated by treatment of SNP and NMDA receptor antagonist. CONCLUSIONS: These results suggest that excessive production of NO may induce apoptosis and that NMDA receptor may modulate NO-induced apoptosis in PDLFs.
Apoptosis ; Blotting, Western ; Caspase 3 ; Cell Count ; Cell Death ; Cell Proliferation ; Cell Survival ; Culture Media ; Cytochromes c ; Dizocilpine Maleate ; Fibroblasts ; Humans ; Hydrogen ; Maleates ; N-Methylaspartate ; Nitric Oxide ; Nitroprusside ; Osteoblasts ; Periodontal Ligament ; Protein Kinases ; Proteins ; Tissue Donors