1.The Effect of Magnesium Pretreatment on Serum Potassium Concentration and Hemodynamic State in Rabbits during Continuous Regular Insulin(RI) Infusion.
Jeong Hwan CHOI ; Chul Woo LEE
Korean Journal of Anesthesiology 1998;35(5):839-845
Background: Insulin is known to act as second effector that provides potassium transfer from extracellular fluid to intracellular fluid, thus causing hypokalemia and arrythmia. We evaluated the effect of magnesium sulfate treatment on hemodynamics and serum potassium concentration, induced by continuous infusion of regular insulin solution in rabbits. Method: Twenty-four rabbits were divided into four groups for the experiment. Group I was given intravenouse injection of 5 ml of normal saline and continuous dripping of 7.5 U of RI. Group II was pretreated with 30 mg/kg of magnesium sulfate, followed by continuous dripping of 7.5 U of RI. Group III was given 5 ml of normal saline and 15 U of RI. And Group IV was administered 15 U of RI after 30 mg/kg of magnesium sulfate pretreatment. Venouse blood sampling was done before pretreatment, and after 5, 30, 60 and 120 minutes respectively. Heart rate and arterial blood pressure were taken at the same intervals. Result: 1) There was no significant change in serum potassium concentration in groups injected with 7.5 units of RI respectively (groups I and II), regardless of magnesium pretreatment. But in groups injected with 15 units of RI, the group that was not pretreated with magnesium (Groups III) showed a decrease in serum potassium concentration from 3.39+/-0.57 Eq/L to 2.29+/-0.71 mEq/L, while the concentration in the pretreated group (Group IV) decreased more significantly from 3.35+/-0.50 mEq/L to 1.81+/-0.41 mEq/L. 2) Pulse rate did not change significantly in groups that received continuous infusion of 7.5 units of RI (groups I and II) regardless of magnesium pretreatment, but increased significantly in groups injected with 15 units of RI (groups III and IV), pretreated or not. The pretreated group (group IV) had a more significant rise in pulse rate compared with the group that was not pretreated (group III). 3) In all of the groups, those pretreated with magnesium (groups II and IV) and those not pretreated (groups I and III), there was no significant change in systolic and diastolic blood pressures. Nor was arrhythmia detected. Conclusion: The above results indicate that while magnesium sulfate pretreatment at 30 mg/kg with insulin infusion affects serum potassium concentration, has an antiarrhythmic effect, and may induce tachycardia, it does not have any significant effect on blood pressure.
Arrhythmias, Cardiac
;
Arterial Pressure
;
Blood Pressure
;
Extracellular Fluid
;
Heart Rate
;
Hemodynamics*
;
Hypokalemia
;
Insulin
;
Intracellular Fluid
;
Magnesium Sulfate
;
Magnesium*
;
Potassium*
;
Rabbits*
;
Tachycardia
2.Clinical aspects of the preoperative selective angiogrpahy in patients and periampullary tumors.
Jin Woo RYU ; Sang Yong CHOI ; Bum Hwan KOO
Journal of the Korean Surgical Society 1992;42(1):37-42
No abstract available.
Humans
3.Two Cases of Allergic contact Dermatitis due to Paratertiary Butyphenol Formaldehyde Resin - Containing Shoes.
Hwan Pyo JEON ; Sung Woo CHOI ; Hee Chul EUN
Korean Journal of Dermatology 1989;27(6):696-699
The paratertiary butylphenol formaldehyde resin (PTBP-FR) is commonly used as a shoe adhesives because it sticks rapidly, is durable and pliable, and maintains good bond strength at raised temperature. We report two cases of allergic contact dermatitis due to PTBP-FR-containing shoes. Two women visited our department because of the skin rash on their .
Adhesives
;
Dermatitis, Allergic Contact*
;
Exanthema
;
Female
;
Formaldehyde*
;
Humans
;
Shoes*
4.Solitary Bone Cyst Patella
Bu Hwan KIM ; Jong In YIM ; Woo Sung CHOI
The Journal of the Korean Orthopaedic Association 1996;31(2):377-380
The common sites of solitary bone cyst(SBC) are humerus, femur and less common sites are tibia, calcaneus, ilium, fibula, radius and ulna. Ischium rib, scapula, spine, clavicle and patella are rare sites of solitary bone cyst. As mentioned above, SBC of patella is very rare and on view of literatures we could find only one reported case which was treated by patellectomy. We also experienced one case of SBC located at patella, so we report this case with review of literatures.
Bone Cysts
;
Calcaneus
;
Clavicle
;
Femur
;
Fibula
;
Humerus
;
Ilium
;
Ischium
;
Patella
;
Radius
;
Ribs
;
Scapula
;
Spine
;
Tibia
;
Ulna
5.Central giant cell granuloma in mandible: report of a case
Eui Ewung LEE ; In Ho CHA ; Woo Hwan CHOI
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons 1991;13(4):428-435
No abstract available.
Giant Cells
;
Granuloma, Giant Cell
;
Mandible
6.DNA Methylation-Based Age Estimation in the Forensic Field.
Ja Hyun AN ; Kyoung Jin SHIN ; Ajin CHOI ; Woo Ick YANG ; Hwan Young LEE
Korean Journal of Legal Medicine 2013;37(1):1-8
The estimation of age is an important issue in forensic science, and the forensic community has attempted many times to establish methods for solving this issue. Aging leads to alterations in tissues and organs at the molecular level. These alterations at the molecular level may aid forensic scientists to estimate the age of a living person or a dead body. Initially, the focus was on the genetic components of aging, but recently, epigenetic mechanisms have emerged as the key contributors to the alterations in genome structure and function that accompany aging. In particular, DNA methylation is one of the best-understood mechanisms, and it has been suggested as a promising biomarker for age estimation in many studies. In this review, we summarize the recent studies on age-associated DNA methylation changes in different tissues and discuss its possible and practical applications in forensics.
Aging
;
DNA
;
DNA Methylation
;
Epigenomics
;
Forensic Sciences
;
Genome
;
Humans
7.A study on the factors influencing pregnant women's behavior in oral iron supplement.
Cheol Hwan KIM ; Jung Eal CHOI ; Ok Hee JEON ; Tai Woo YOO ; Bong Yul HUH
Journal of the Korean Academy of Family Medicine 1991;12(4):1-7
No abstract available.
Iron*
8.Renin Release by Adenosine Agosists and Antagonists in Two-Kidney One Clip Goldblatt Hypertensive Rats.
Young Jin CHOI ; Sun Hee KIM ; Kyoung Woo CHO ; Jong HUH ; Kyung Hwan SEOL
Journal of Korean Society of Endocrinology 1998;13(1):67-76
BACKGROUND: In two-kidney one clip Goldbaltt hypertensive rats(2K1C GHR), clipped kidney may be exposed to low pressure and unclipped kidney to high pressure. In addition, both kidneys may have a different amount of adenosine which is increased by ischemia and plays an important role for renin release. The aim of this study was to invstigate the responsmiveness for renin release to adenosine agonists and antagonist in clipped and unclipped kidney of 2K1C GHR. METHODS: Emplying kidney slices from both unclipped and unclipped kidney of 2K1C GHR, the alteration by adenosine agonists and antagonist of renin release was studied. RESULTS: The renal renin content and basal renin release from unclipped kidney slices were suppressed, whereas those from clipped kidney were augmented Adenosine Al receptor agonist, cyclohexyladenosne(CHA), phenylisopropyl adenosine(PIA) and adenosine caused a decrease in renin release from clipped kidney slices. Adenosine A2 receptor agonist, NECA, and nonspecific adenosine receptor aganist, 2-chloroadenosine(CA) caused an increase in renin release from clipped kidney slices. Adenosine receptor antagonist, 8-phenyltheophylline(8-PT) caused an increase in renin release from clipped kidney slices. In unclipped kidney, however, the renin release in response to NECA, CA or 8-PT was reversed and the decreasing effect of renin release to CHA and adenosine was slightly inereased. CONCLUSION: These results suggest that the responsiveness of adenosine receptors, which may participate in renin release is modified in clipped and unclipped kidney of 2K1C GHR.
Adenosine*
;
Adenosine-5'-(N-ethylcarboxamide)
;
Animals
;
Hypertension, Renovascular
;
Ischemia
;
Kidney
;
Rats*
;
Receptors, Adenosine A2
;
Receptors, Purinergic P1
;
Renin*
9.Clinical predictive factors of pathologic tumor response after preoperative chemoradiotherapy in rectal cancer.
Chi Hwan CHOI ; Won Dong KIM ; Sang Jeon LEE ; Woo Yoon PARK
Radiation Oncology Journal 2012;30(3):99-107
PURPOSE: The aim of this study was to identify clinical predictive factors for tumor response after preoperative chemoradiotherapy (CRT) in rectal cancer. MATERIALS AND METHODS: The study involved 51 patients who underwent preoperative CRT followed by surgery between January 2005 and February 2012. Radiotherapy was delivered to the whole pelvis at a dose of 45 Gy in 25 fractions, followed by a boost of 5.4 Gy in 3 fractions to the primary tumor with 5 fractions per week. Three different chemotherapy regimens were used (5-fluorouracil and leucovorin, capecitabine, or tegafur/uracil). Tumor responses to preoperative CRT were assessed in terms of tumor downstaging and pathologic complete response (ypCR). Statistical analyses were performed to identify clinical factors associated with pathologic tumor response. RESULTS: Tumor downstaging was observed in 28 patients (54.9%), whereas ypCR was observed in 6 patients (11.8%). Multivariate analysis found that predictors of downstaging was pretreatment relative lymphocyte count (p = 0.023) and that none of clinical factors was significantly associated with ypCR. CONCLUSION: Pretreatment relative lymphocyte count (%) has a significant impact on the pathologic tumor response (tumor downstaging) after preoperative CRT for locally advanced rectal cancer. Enhancement of lymphocyte-mediated immune reactions may improve the effect of preoperative CRT for rectal cancer.
Chemoradiotherapy
;
Deoxycytidine
;
Fluorouracil
;
Humans
;
Leucovorin
;
Lymphocyte Count
;
Multivariate Analysis
;
Pelvis
;
Rectal Neoplasms
;
Capecitabine
10.A Pathological Review of Pleural Effusion by Immunocytochemical Methods.
Dong Hwan SHIN ; Hee Jeong AHN ; Woo Ick YANG ; In Joon CHOI
Korean Journal of Pathology 1990;24(4):476-481
An unequivocal diagnosis of mesothelioma during life, on the basis of limited biopsy tissue or cytological specimens, is frequently difficult and requires distinction from inflammatory mesothelial hyperplasia on the one hand and secondary neoplasms, especially adenocarcinoma on the other. Although some studies have produced conflicting results, it is generally believed that immunohistochemical methods can aid in this distinction. To obtain comparable and reproducible results, 23 metastatic carcinoma of the pleura and 2 unequivocal malignant epiehtlial mesotheliomas were studied by the peroxidase-antiperoxedase method on paraffin-embedded cell blocks, and commercially available antibodies to carcinoembryonic antigen (CEA), keratin and epithelial membrane antigen (EMA) were used. Nineteen metastaic adenocarcinoma (73%) and two mesotheliomas (100%) reacted with keratin and EMA antibodies. Nineteen matastatic adenocarcinomas (73%) reacted with EMA antibodies. Nineteen metastatic adenocarcinoma (73%) reacted with CEA antibody; no mesotheliomas stained for CEA. Two cases of reactive mesothlial hyperplasia showed positive for keratin, but negative reaction for EMA and CEA. Noen of the antibodies used in this study was specific for mesothelioma, but CEA was found to be the most useful marker for differentiating between mesothelioma and metastatic carcinoma.
Adenocarcinoma
;
Biopsy
;
Neoplasm Metastasis