ABSTRACT
Emphysematous gastritis is a rare infection of the stomach wall with high mortality rate. It is caused by gas forming organisms and may arise by local spread through the mucosa or hematogenous dissemination from distant focus. Clinical manifestation includes acute abdomen with systemic toxicity, and diagnosis is based on radiologic demonstration of gas within the gastric wall. Treatment should be aimed to cover gram-negative organisms and anaerobes using wide-spectrum intravenous antibiotics, and sometimes surgical management may be needed in order to enhance survival. Herein, we report a case of emphysematous gastritis in a patient with end stage renal disease on hemodialysis.
Subject(s)
Female , Humans , Middle Aged , Anti-Bacterial Agents/therapeutic use , Emphysema , Gastritis/complications , Gastroscopy , Kidney Failure, Chronic/complications , Klebsiella pneumoniae/isolation & purification , Renal Dialysis , Sputum/microbiology , Tomography, X-Ray ComputedABSTRACT
The regeneration of lost periodontal tissue is a major goal of therapy. Periodontal ligament cell(PDL) is a specialized connective tissue that connects cementum and alveolar bone to maintain and support teeth in situ and preserve tissue homoeostasis. Bone morphogenetic proteins(BMPs) have shown much potential in the reconstruction of the periodontum by stimulate new bone and new cementum formation. Limitiations of BMP administration to periodontal lesions is high dose delivery, BMP transient biological activity, and low bioavailability of factors at the wound site. Gene delivery method can be alternative treatment strategy to deliver BMPs to periodontal tissue. The purpose of this study is to investigate efficiency of BMP-2 gene delivery with cell-based therapy using PDL cells. PDL cell were transduced with adenoviruses encoding either BMP-2 or Lac-Z gene. To evaluate osteogenic activity of expressed BMP-2 on PDL cells, we investigated secreted BMP-2, cellular activity, ALPase, produced mineralized nodules. To evaluate collagen scaffold as carrier for transduced cell delivery, we examined morphology and secreted BMP-2 of transducd PDL cells on it. BMP-2 transducd PDL cells produced higher levels of BMP-2, ALPase, mineralized nodules than non transduced cells. Cellular activity of transduced cells was showed similar activity to non transduced cells. Transduce cells attached on collagen scaffold secreted BMP-2 at 7day and was showed similar morphology to non transduced cells. These results demonstrated that transduced PDL cells produced biologically active BMP-2 and collagen scaffold could be carrier of transducd cells.
Subject(s)
Humans , Adenoviridae , Biological Availability , Collagen , Connective Tissue , Dental Cementum , Periodontal Ligament , Regeneration , Tooth , Wounds and InjuriesABSTRACT
BACKGROUND: It was reported that patients who have left ventricular hypertrophy have higher D allele frequency of angiotensin I-converting enzyme gene polymorphism, especially in Caucasian normotensive men. We studied to know whether genetic polymorphism of angiotensin I-converting enzyme gene is associated with the development of left ventricular hypertrophy in Korean people whose genotype frequency is quite different from that of Caucasians. METHODS: Total 156 patients were included in this study. Presence of hypertension was checked with the criteria that hypertensives are one whose blood pressures were all above 140/90 at least 3 times spanning 2 months or one who had been diagnosed as hypertension and on his medication. Left ventricular mass index(LVMI) was calculated using electrocardiogram by Rautaharju equation, and left ventricular hypertrophy(LVH) was defined as LVMI was above 131g/m2 in male or above 110g/m2 in female. Genomic DNA was extracted from the mononuclear cell of each subjects and PCR was performed using new primers for the region of intron 16 and exon 17. RESULTS: Genotype frequencies of D/D genotype and D allele were 0.200 and 0.413 respectively in group with LVH(n=40), 0.103 and 0.392 respectively in group without LVH(n=116). There was no significant difference with each other group. However, when only the normotensives were included in this analysis, frequency of D/D genotype is significantly higher in group with LVH(0.231, n=26) than in group without LVH(0.076, n=79)(Fisher's exact test,p<0.05). There was no significant difference in genotype frequency between the normotensives(n=105) and the hypertensives(n=51). CONCLUSIONS: In Korean people, D allele of polymorphism of angiotensin I-converting enzyme gene is also associated with development of left ventricular hypertrophy in the normotensives and is not associated with essential hypertension.
Subject(s)
Female , Humans , Male , Alleles , Angiotensins , DNA , Electrocardiography , Exons , Gene Frequency , Genotype , Hypertension , Hypertrophy, Left Ventricular , Introns , Peptidyl-Dipeptidase A , Polymerase Chain Reaction , Polymorphism, GeneticABSTRACT
BACKGROUND: It was reported that patients who have left ventricular hypertrophy have higher D allele frequency of angiotensin I-converting enzyme gene polymorphism, especially in Caucasian normotensive men. We studied to know whether genetic polymorphism of angiotensin I-converting enzyme gene is associated with the development of left ventricular hypertrophy in Korean people whose genotype frequency is quite different from that of Caucasians. METHODS: Total 156 patients were included in this study. Presence of hypertension was checked with the criteria that hypertensives are one whose blood pressures were all above 140/90 at least 3 times spanning 2 months or one who had been diagnosed as hypertension and on his medication. Left ventricular mass index(LVMI) was calculated using electrocardiogram by Rautaharju equation, and left ventricular hypertrophy(LVH) was defined as LVMI was above 131g/m2 in male or above 110g/m2 in female. Genomic DNA was extracted from the mononuclear cell of each subjects and PCR was performed using new primers for the region of intron 16 and exon 17. RESULTS: Genotype frequencies of D/D genotype and D allele were 0.200 and 0.413 respectively in group with LVH(n=40), 0.103 and 0.392 respectively in group without LVH(n=116). There was no significant difference with each other group. However, when only the normotensives were included in this analysis, frequency of D/D genotype is significantly higher in group with LVH(0.231, n=26) than in group without LVH(0.076, n=79)(Fisher's exact test,p<0.05). There was no significant difference in genotype frequency between the normotensives(n=105) and the hypertensives(n=51). CONCLUSIONS: In Korean people, D allele of polymorphism of angiotensin I-converting enzyme gene is also associated with development of left ventricular hypertrophy in the normotensives and is not associated with essential hypertension.