A 2-year-old male Tosa was admitted for treatment of a non-healing wound on the right forelimb. Skin tests were unremarkable; however, the lesion contained severe proliferative tissue. Surgical treatment was conducted due to the extensive skin defect and granulation tissue present. Following removal of the proliferative tissue, the wound was closed using the adjustable horizontal mattress suture method with multiple punctate relaxing incisions. The proliferative tissue healed completely after the surgical treatment. This technique can be considered an alternative treatment for the proliferative tissue when conditions require a skin graft or flap after surgical treatment.
Animals ; Child, Preschool ; Dogs* ; Forelimb ; Granulation Tissue ; Humans ; Lower Extremity* ; Male ; Skin ; Skin Tests ; Sutures* ; Transplants ; Wounds and Injuries

Mu-guk-bo-yang-tm (tm means moxibustion), which Nam-soo Kim has developed from extensive clinical findings through acupuncture and moxibustion applications for over 80 years. Mu-guk-bo-yang-tm inclucing Zusanli (ST36), Quchi (LI11), Zhongwan (CV12), Feishu (BL13), Gaohuang (BL43), Baihui (GV 20), Qihai (CV6), Guanyuan (CV4) [Zhongji (CV3) and Shuidao (ST28) replace Qihai (CV 6) and Guanyuan (CV4) for women]. Do moxibustion 3-5 cones on every point with half the size of a rice of moxa every day.

OBJECTIVE: Exploration of the questionable Alzheimer disease is important for accurate estimation of prevalence and incidence, understanding the natural history, and evaluation of treatment strategies for the Alzheimer disease. Subjects and METHODS: We compared neuropsychological test performances among 14 nondemented controls, 14 elderly persons with questionable dementia of the Alzheimer type and 14 elderly persons with mild dementia of the Alzheimer type. The test performances analyzed were the digit span of the Korean Adult Wechsler Intelligence Scale, registration, short term memory and long term memory of the Cognitive Impairment Diagnosing Instrument, and paired association learning and logical memory of the Wechsler Memory Scale. RESULTS: There was significant difference between questionable dementia of the Alzheimer type and controls in the long-term memory, short-term memory, immediate and delayed recalls of the logical memory, and easy association. But the subjects with questionable and mild dementia of the Alzheimer type scored similarly on all tests except the long-term memory. CONCLUSION: These findings suggest that questionable Alzheimer disease may be the very early Alzheimer disease.
Adult ; Aged ; Aging ; Alzheimer Disease ; Association Learning ; Cognition ; Dementia* ; Humans ; Incidence ; Intelligence ; Logic ; Memory* ; Memory, Long-Term ; Memory, Short-Term ; Natural History ; Neuropsychological Tests ; Prevalence

Maternal nutritional status has been shown to influence pregnancy outcomes. And the elevated maternal plasma homocysteine concentrations have been associated with adverse pregnancy outcomes. We investigated the effects of maternal serum levels of B vitamins and homocysteine, and the C677T MTHFR (5, 10-methylenetetrahydrofolate reductase) polymorphism on pregnancy outcomes. In 177 pregnant women of 24-28 wks of gestation, the MTHFR gene mutation, serum B vitamins and homocysteine concentrations were measured, and their pregnancy outcomes were investigated from medical records. The birth length, and 1- and 5-min Apgar scores of neonates in the T/T mothers were 45.4+/-9.3 cm, 7.6+/-3.2 and 8.5+/-3.8, respectively, which were significantly lower than those in the C/T (48.6+/-3.3 cm, 9.0+/-0.2, 10.0+/-0.2) or the C/C mothers (49.4+/-1.9 cm, 9.0+/-0.2, 10.0+/-0.0). The birth weight, birth length and the gestational age of neonates at delivery from hyperhomocysteinemic mothers whose homocysteine levels higher than 15 micromol were 2.5+/-1.3 kg, 43.9+/-9.0 cm, 35.4+/-6.3 wk, respectively, which were significant lower than those from normohomocysteinemic mothers (3.1+/-0.6 kg, 48.8+/-3.6 cm, 38.5+/-2.5 wk). The birth weight and birth length of neonates in mothers whose PLP levels were below the median were significantly lower than those from mothers with the PLP levels above the median. The 1- and 5-min Apgar scores of neonates were lower in mothers with the T/T MTHFR genotype than those with the C/T or C/C only when the serum PLP levels were below the median. The 1-, 5 min Apgar scores and birth length of neonates were lower in mothers with the T/T MTHFR genotype than those with the C/T or C/C only when the serum FMN levels were below the median. In conclusion, maternal B vitamin status, homocysteine and the C677T MTHFR genotype seem to have played an important role on pregnancy outcomes.
Birth Weight ; Female ; Flavin Mononucleotide ; Folic Acid ; Genotype ; Gestational Age ; Homocysteine* ; Humans ; Infant, Newborn ; Medical Records ; Mothers ; Nutritional Status ; Oxidoreductases* ; Parturition ; Plasma ; Pregnancy ; Pregnancy Outcome* ; Pregnancy* ; Pregnant Women ; Vitamin B Complex* ; Vitamins

The purpose of this study was to analyze the nutritional status of Chinese female college students in Korea, and to investigate changes in their dietary behavior after residing in Korea. The subjects included 114 Chinese female college students currently studying in Korea. General characteristics and dietary behaviors before and after residing in Korea were investigated. Daily nutrients and food intake were assessed using a one-day 24-hour recall. Consumption of most nutrients, namely calcium, iron, zinc, vitamin B2, vitamin C, and folate was estimated to fall below the EAR for the Korean population. The proportions of subjects whose intake were estimated below the EAR for folate, calcium, vitamin B2, iron, zinc, and vitamin C were 93.0%, 71.9%, 66.7%, 65.8%, 65.8%, and 63.2%, respectively. In the current study, the dietary behavior scores fell significantly after Chinese students immigrated to Korea (p < 0.001); increased frequency of meal skipping, less consumption of fruits and vegetables, irregular meal pattern, and imbalanced diet were some of the significant changes among Chinese students before and after residing in Korea. In addition, consumption of most nutrients, including dietary fiber, vitamin A, vitamin B group, vitamin C, and folate in the Worsened Group was significantly lower, compared with the No Change Group (p < 0.05). According to the changes in dietary behaviors, consumption of most nutrients, including dietary fiber, vitamin A, vitamin B group, vitamin C, and folate in the Worsened Group was significantly lower than in the No Change Group (p < 0.05). In conclusion, these results indicated that Chinese students practiced more unhealthy dietary behaviors after residing in Korea and Chinese students residing in Korea showed poor nutrient-based diet quality. Conduct of a follow-up study using blood profile tests is needed in order to assess the nutritional status of Chinese students. These results would be used in planning of a nutritional surveillance program for Chinese students.
Ascorbic Acid ; Asian Continental Ancestry Group ; Calcium ; Diet ; Dietary Fiber ; Ear ; Eating ; Emigrants and Immigrants ; Female ; Folic Acid ; Fruit ; Humans ; Iron ; Korea ; Meals ; Nutritional Status ; Riboflavin ; Vegetables ; Vitamin A ; Vitamins ; Zinc

OBJECTIVE: The purpose of this study was to investigate the relationship between serum levels of folic acid, vitamin B12 and homocysteine and C677T metylenetetrahydrofolate reductase (MTHFR) mutation in pregnant women. METHODS: DNA was extracted from whole blood of 177 pregnant women. All samples were genotyped for the C677T polymorphism in MTHFR gene by polymerase chain reaction (PCR-RELP). Serum levels of homocysteine, folate, and vitamin B12 were measured by high performance liquid chromatography for homocysteine, and radioassay for folate and vitamin B12. RESULTS: Serum homocysteine was higher in women with the T/T genotype than those with the C/T or the C/C genotype of the MTHFR gene (p<0.05). Serum homocysteine was negatively correlated with serum folate in all MTHFR genotypes (p<0.001). Serum homocysteine was increased in pregnant women with the T/T type of the MTHFR gene only when the serum folate fell below the median compared to those stayed above the median level (p<0.05). Serum folate was positively correlated with serum vitamin B12 in all subjects. CONCLUSION: Serum homocysteine varied significantly by the MTHFR genotype and the serum B vitamin status.
Chromatography, Liquid ; DNA ; Female ; Folic Acid ; Genotype ; Homocysteine* ; Humans ; Methylenetetrahydrofolate Reductase (NADPH2)* ; Oxidoreductases ; Polymerase Chain Reaction ; Pregnant Women* ; Vitamin B 12 ; Vitamins

Adequate vitamin B2, vitamin B6, folate and vitamin B12 intakes are known to be important for the growth and development in infants. The purpose of this study was to evaluate concentrations of vitamin B2, vitamin B6, folate and vitamin B12 in human milk and to investigate the relationship between vitamin B levels in human milk and dietary habits and other health-related behaviors. Milk samples were obtained from 38 healthy lactating women (aged 29.0 +/- 3.2 years) who are participating in the cohort study on pregnant women. Vitamin B2 concentrations in human milk were positively correlated with maternal vitamin B2 intakes in lactating mothers. Vitamin B6, folate and vitamin B12 concentrations in human milk were not correlated with maternal B vitamin intakes. Vitamin B6 concentrations in human milk were negatively correlated with the amount of postpartum weight loss. The vitamin B concentrations in human milk were not associated with maternal age, height, weight and parity. Mothers who were exposed to indirect smoking had lower vitamin B2 concentrations, and those who reported to consume health foods had higher vitamin B2 concentrations in their milk. In conclusion, lactating women need to consume more vitamin B intakes for the growth and development in infants. Further researches are needed to find other diet and health-related factors which influence on B vitamin concentrations in human milk.
Cohort Studies ; Diet ; Female ; Folic Acid ; Food Habits ; Food, Organic ; Growth and Development ; Humans* ; Infant ; Maternal Age ; Milk ; Milk, Human* ; Mothers ; Parity ; Postpartum Period ; Pregnant Women ; Riboflavin ; Smoke ; Smoking ; Vitamin B 12 ; Vitamin B 6 ; Vitamins* ; Weight Loss

We investigated the effects of dietary folate supplementation on plasma homocysteine, vitamin B12 and hepatic levels of S-adenosylmethionine (SAM) and S-adenosylhomocysteine (SAH) in diet-induced hyperhomocysteinemic rats. All animals were fed 0.3% homocysteine diet for 2 weeks, then they were placed either on a 0.3% homocystine or no homocystine with or without 8 mg/kg folate diet for 8 weeks. Homocystine diet induced hyperhomocysteinemia up to 3.5-fold at 10 weeks (28.0+/-4.8 micromol/l vs. 7.9+/-0.3 micromol/l). Dietary folate supplementation caused a significant decrease in plasma homocysteine levels which had been increased by a homocystine-diet. Also, dietary folate supplementation made them return to control levels at 4 wk when the diet was free of homocystine. Plasma folate levels were markedly decreased with homocystine diet with no folate supplementation. Plasma vitamin B12 did not differ between groups. Dietary homocystine increased hepatic levels of SAM in folate supplementation group at 10 weeks (p<0.05). Dietary folate supplementation increased hepatic levels of SAM/SAH ratios in homocystine group (p<0.05). In conclusion, dietary folate supplementation can effectively ameliorate the detrimental effects of hyperhomocysteinemia.mia.
Animals ; Diet ; Folic Acid* ; Homocysteine ; Homocystine* ; Hyperhomocysteinemia* ; Metabolism* ; Plasma ; Rats* ; S-Adenosylhomocysteine ; S-Adenosylmethionine* ; Vitamin B 12

Background: Tibial tuberosity transposition (TTT) causes caudalization of the patellar ligament insertion in canine medial patellar luxation, which can lead to increases in patellofemoral contact pressure. Objectives: The purpose of this study is to confirm the effect of patellofemoral contact mechanics after craniolateral and caudolateral transposition of tibial tuberosity in normal canine hindlimbs. Methods: Craniolateral and caudolateral transposition of tibial tuberosity was performed in 5 specimens, respectively. The pressure was measured in the specimen before TTT, and then in the same specimen after TTT. In this process, data was obtained in 10 specimens. The measurement results were output as visualization data through the manufacturer's software and numerical data through spreadsheet. Based on these 2 data and the anatomical structure of the patellofemoral joint (PFJ) surface, whole measurement area was analysed by dividing into medial, lateral and central area. Results: In craniolateralization of tibial tuberosity, total, medial, central contact pressure was decreased and lateral contact pressure was not statistically changed lateral contact pressure than normal PFJ. In caudolateralization of tibial tuberosity, total, lateral contact pressure was increased and medial contact pressure was not statistically changed than normal PFJ. Although not statistically significant changed, central contact pressure in caudolateralization of tibial tuberosity was increased in all 5 specimens. Conclusions These results imply that traditional TTT, prone to caudal shift of patellar tendon, can increase retropatellar pressure may lead to various complications and diseases of the stifle joint.

Abstract: Ten cadavers were studied to compare the accessibility of cervical vertebral canal with conventional standard ventral slot and modified slanted ventral slot. One group performed standard ventral slot procedures at the C3-4, C5-6. The other group performed modified slanted ventral slot with inverted cone technique procedures at the C3-4, C5-6 computed tomography was performed before and after surgery. The accessibility of cervical vertebral canal with conventional standard ventral slot and modified slanted ventral slot using computed tomography in C3-4 and C5-6 intervertebral space was compared. Although smaller ostectomy was performed in the modified slanted ventral slot, some lesions were more accessible but limitations were obvious in C3-4 and C5-6 intervertebral disk space. After the disc material has been identified through accurate preoperative diagnostic imaging, less morbidity and complications can be expected if the appropriate surgical method is selected based on the lesion of compression.