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1.
Nat Commun ; 10(1): 2020, 2019 05 01.
Article in English | MEDLINE | ID: mdl-31043591

ABSTRACT

Strong field laser physics has primarily been concerned with controlling beams in time while keeping their spatial profiles invariant. In the case of high harmonic generation, the harmonic beam is the result of the coherent superposition of atomic dipole emissions. Therefore, fundamental beams can be tailored in space, and their spatial characteristics will be imparted onto the harmonics. Here we produce high harmonics using a space-varying polarized fundamental laser beam, which we refer to as a vector beam. By exploiting the natural evolution of a vector beam as it propagates, we convert the fundamental beam into high harmonic radiation at its focus where the polarization is primarily linear. This evolution results in circularly polarized high harmonics in the far field. Such beams will be important for ultrafast probing of magnetic materials.

2.
J Nanosci Nanotechnol ; 16(2): 1798-801, 2016 Feb.
Article in English | MEDLINE | ID: mdl-27433673

ABSTRACT

We investigate the strain difference in InGaN/GaN multiple quantum wells of blue light-emitting diode (LED) structures grown on silicon(1 11) and c-plane sapphire substrates by comparing the strength of piezo-electric fields in MQWs. The piezo-electric fields for two LED samples grown on silicon and sapphire substrates are measured by using the reverse-bias electro-reflectance (ER) spectroscopy. The flat-band voltage is obtained by measuring the applied reverse bias voltage that induces a phase inversion in the ER spectra, which is used to calculate the strength of piezo-electric fields. The piezo-electric field is determined to be 1.36 MV/cm for the LED on silicon substrate and 1.83 MV/cm for the LED on sapphire substrate. The ER measurement results indicate that the strain-induced piezo-electric field is greatly reduced in the LED grown on silicon substrates consistent with previous strain measurement results by micro-Raman spectroscopy and high-resolution transmission electron microscopy.

3.
J Nanosci Nanotechnol ; 15(7): 5264-6, 2015 Jul.
Article in English | MEDLINE | ID: mdl-26373120

ABSTRACT

We compare the strain states and device performances of GaN-based blue light-emitting diodes (LEDs) grown on Si(111) and sapphire substrates. The strain characteristics are investigated using micro-Raman spectroscopy and high-resolution transmission electron microscopy. These analyses reveal that GaN layer grown on Si has a residual tensile strain in contrast to a compressive strain for GaN on sapphire, and quantum wells (QWs) on GaN/Si experience reduced lattice mismatch than those of GaN/sapphire. When external quantum efficiencies of LED on sapphire and Si substrates are compared, the LED on Si shows better efficiency droop characteristics and this is attributed to a decrease in piezo-electric field strength in InGaN/GaN layers owing to reduced lattice mismatch.

4.
Theriogenology ; 84(4): 509-23, 2015 Sep 01.
Article in English | MEDLINE | ID: mdl-25998272

ABSTRACT

The production of cloned embryos using conventional methods has extremely low success rates owing to low embryo quality. To improve the quality of cloned bovine embryos expressing enhanced green fluorescent protein (EGFP), we applied an aggregation culture method. The EGFP gene was transfected into bovine fetal fibroblasts using a retroviral vector system. Somatic cell nuclear transfer was performed using these cells, and the resulting embryos were cultured in aggregates or individually. Gene expression was analyzed by a microarray, and differentially expressed genes were validated by quantitative real-time polymerase chain reaction. The total number of cells per blastocyst and the ratio of inner cell mass cells to trophectoderm cells were higher in aggregated transgenic cloned blastocysts (agBL; 368.7 ± 109.6 and 1:4.8, respectively) than in in vitro-fertilized blastocysts (ivfBL; 189.8 ± 65.8 and 1:2.6, respectively) and nonaggregated transgenic cloned blastocysts (sBL; 113.1 ± 36.3 and 1:1.5, respectively; P < 0.05 and P < 0.01, respectively). Moreover, the blastocyst perimeter was larger in the agBL group than in the ivfBL and sBL groups (1168.8 ± 200.23 vs. 887.33 ± 187.62 and 678 ± 226.1 µm; P < 0.05). In addition, mitochondrial fluorescence intensity was higher in the agBL group than in the ivfBL and sBL groups (P < 0.05). The number of apoptotic cells per blastocyst was lower in the ivfBL and agBL groups than in the sBL group (3.7 ± 2.2 and 3.4 ± 2.1 vs. 6.7 ± 6.8; P < 0.05). The genes identified in the microarray belonged to 18 categories. Expression of the Krüppel-like factor 4 gene, which is associated with cell proliferation, development, and transcription, was 7.2-fold higher in the agBL group than in the ivfBL group (P < 0.05) but did not differ between the sBL and ivfBL groups (P > 0.05). Expression of the heat shock 70-kDa protein 1A gene, which is associated with apoptosis, was 12-fold higher in the sBL group than in the ivfBL and agBL groups (P < 0.05). Expression of a stemness-related gene (octamer-binding transcription factor 4) and trophectoderm-specific genes (homeobox protein CDX2 and keratin 18) was higher in the agBL group than in the sBL group (P < 0.05). However, expression of the stemness gene homeobox protein NANOG did not differ among the groups (P > 0.05). Taken together, these data suggest that the aggregation method improves the quality of cloned embryos expressing EGFP and might be helpful in animal cloning.


Subject(s)
Blastocyst/metabolism , Cattle/embryology , Gene Expression Regulation, Developmental/physiology , Green Fluorescent Proteins/metabolism , Mitochondria/physiology , Transcriptome/physiology , Animals , Biomarkers , Cell Aggregation , Cloning, Organism , Green Fluorescent Proteins/genetics , Organisms, Genetically Modified
5.
Reprod Domest Anim ; 49(6): 957-63, 2014 Dec.
Article in English | MEDLINE | ID: mdl-25251522

ABSTRACT

Assisted reproduction procedures, such as embryo transfer (ET) and artificial insemination (AI), in cattle could induce the secretion of prostaglandin F2 -alpha (PGF2 α) from uterine horns which may in turn interrupt embryo development and implantation. This study investigated the effect of flunixin meglumine (FM), prostaglandin F2 alpha (PGF2α) and FM combined with PGF2α supplementation in culture medium (IVC-II) on the development and quality of in vitro produced bovine embryos. The development rate of embryos was significantly higher in the FM group (33.3%) than in control (24.3%), PGF2 α (23.9%) and FM + PGF2 α groups (24.5%). The percentage of hatched blastocysts was also higher (p < 0.05) in the FM group (41.2%) than in the control (27.8%) and PGF2 α groups (19.8%). While, there was no significant difference in total cell number in all experimental groups, the number of apoptotic cells was significantly higher in the PGF2 α group (8.2 ± 6.6) than in the control (4.7 ± 3.2), FM (4.7 ± 2.5) and FM + PGF2 α (4.9 ± 3.4) groups. Detected by real-time PCR, secreted vesicle seminal protein 1 (SSLP1) and prostaglandin G/H synthase 2 (PTGS2) gene expression decreased (p < 0.05) in the PGF2 α group. However, SSLP1 and PTGS2 gene expression in the FM + PGF2 α group returned to their baseline levels, similar to the control and FM groups. Caspase 3 (CAPS3) gene expression increased in the PGF2 α group compared with other groups (p < 0.05). In conclusion, addition of FM in vitro culture significantly improved embryo development as well as alleviated the negative impact of PGF2 α.


Subject(s)
Cattle/embryology , Clonixin/analogs & derivatives , Dinoprost/pharmacology , Embryo Culture Techniques/veterinary , Embryo, Mammalian/drug effects , Animals , Anti-Inflammatory Agents, Non-Steroidal/pharmacology , Biomarkers , Clonixin/pharmacology , Culture Media , DNA, Complementary/genetics , DNA, Complementary/metabolism , Gene Expression Regulation, Developmental/drug effects , Genes, Developmental/physiology , Oxytocics/pharmacology , RNA, Messenger/genetics , RNA, Messenger/metabolism
6.
J Nanosci Nanotechnol ; 14(10): 7679-82, 2014 Oct.
Article in English | MEDLINE | ID: mdl-25942847

ABSTRACT

Strained Si is used to enhance carrier mobility in MOSFET devices. Epi-grown Si(1-x)C(x) as a source/drain induces strain on a channel because its lattice constant is smaller than Si. The distribution of stress varies with the layout of the device and can involve gate length, source/drain width, elevation height, etc. In this work, we report on how these parameters effect channel strain by employing the Finite Element Method. A 3-dimensional model and anisotropic properties such as the elastic constant and Poisson's ratio were adopted for high accuracy. Si0.983C0.017 was used as the source/drain on a Si substrate. The lateral channel strain was calculated based on a 30-90 nm gate length, a 30-90 nm source/drain width and 0-30 nm elevated source/drain shapes. The results showed that, when the gate length is longer, the channel strain is lower. On the other hand, source/drain width affects channel strain in a reverse manner. For models with the same gate length and source/drain width: 30, 60, 90 nm, the average channel strain is lower when the gate length and source/drain width are shorter. An additional parameter, namely, source/drain elevation height, was also studied. Interestingly, the effect of elevated shape is dependent on gate length and source/drain width.

7.
Theriogenology ; 78(5): 1085-93, 2012 Sep 15.
Article in English | MEDLINE | ID: mdl-22763071

ABSTRACT

Cryopreservation of bovine embryos can be performed by a variety of methods with variable degree of success. Here, we report a new, easy to perform, simple, inexpensive, and successful method for vitrification of bovine blastocysts. In vitro produced bovine blastocysts were exposed to vitrification solution (5.5 m ethylene glycol, 10% serum and 1% sucrose) in one single step for 20 s, loaded on a paper container prepared from commonly available non-slippery, absorbent writing paper, and then were directly plunged into liquid nitrogen for storage. Vitrified blastocysts were warmed by serial rinsing in 0.5, 0.25 and 0.125 m sucrose solution for 1 min each. Results showed that one step exposure of bovine blastocysts to cryoprotective agents was sufficient to achieve successful cryopreservation. Under these conditions, more than 95% of blastocysts survived the vitrification-warming on paper containers which was significantly higher than those obtained from other containers, such as electron microscope (EM) grid (78.1%), open pulled straw (OPS; 80.2%), cryoloop (76.2%) or plastic straw (73.9%). Embryo transfer of blastocysts vitrified-warmed on paper container resulted in successful conception (19.3%) and full-term live birth of offspring (12.3%) which were lower (P < 0.05) than those obtained from non-vitrified blastocysts (38.0 and 32.7%) but were comparable (P > 0.05) to those obtained from blastocysts vitrified-warmed on EM grid (23.3 and 14.2%). Our results, therefore, suggest that paper may be an inexpensive and useful container for the cryopreservation of animal embryos.


Subject(s)
Blastocyst/physiology , Cattle/embryology , Cryopreservation/veterinary , Animals , Cattle/physiology , Embryo Culture Techniques , Female , Fertilization in Vitro , In Vitro Oocyte Maturation Techniques , Paper , Pregnancy
8.
Nat Mater ; 11(7): 599-603, 2012 May 13.
Article in English | MEDLINE | ID: mdl-22581313

ABSTRACT

A promising approach to the fabrication of materials with nanoscale features is the transfer of liquid-crystalline structure to polymers. However, this has not been achieved in systems with full three-dimensional periodicity. Here we demonstrate the fabrication of self-assembled three-dimensional nanostructures by polymer templating blue phase I, a chiral liquid crystal with cubic symmetry. Blue phase I was photopolymerized and the remaining liquid crystal removed to create a porous free-standing cast, which retains the chiral three-dimensional structure of the blue phase, yet contains no chiral additive molecules. The cast may in turn be used as a hard template for the fabrication of new materials. By refilling the cast with an achiral nematic liquid crystal, we created templated blue phases that have unprecedented thermal stability in the range -125 to 125 °C, and that act as both mirrorless lasers and switchable electro-optic devices. Blue-phase templated materials will facilitate advances in device architectures for photonics applications in particular.

9.
J Chem Phys ; 130(20): 204510, 2009 May 28.
Article in English | MEDLINE | ID: mdl-19485460

ABSTRACT

Zr-incorporated Gd(2)O(3) films were grown on various substrates as a function of Zr content. The extent of interfacial reactions was found to be critically dependent on both the incorporated Zr content and the substrate type. Specifically, the silicide layer was suppressed and the Gd(2)O(3) phase was changed to ZrO(2) on a Si substrate with increasing Zr content. Crystalline Gd(2)Ge(2)O(7) was grown on a Ge substrate, as the result of interfacial reactions between Gd-oxide and the Ge substrate. However, interfacial reactions were not affected by the amount of Zr incorporated. On the SiGe/Si substrate, reactions between Gd-oxide and Si could be controlled effectively by the incorporation of Zr, while the extent of reactions with Ge was significantly enhanced as the Zr content increased. The formation of an interfacial layer between the film and the SiGe substrate resulted in a textured crystalline growth.

10.
J Chem Phys ; 129(3): 034705, 2008 Jul 21.
Article in English | MEDLINE | ID: mdl-18647036

ABSTRACT

Medium energy ion scattering and high-resolution transmission electron microscopy are used to investigate the depth of the interfacial reaction of Hf-silicate film. The interfacial reaction is critically affected by the film thickness and the mole fraction of HfO(2) in silicate film. The interfacial compressive strain generated at the surface of the Si substrate is dependent on the film thickness during the postannealing process in film with a thickness of approximately 4 nm. Finally, the phase separation phenomenon demonstrates critically different behaviors at different film thicknesses and stoichiometries because the diffusion of Si from interface to surface is dependent on these factors. Moreover, the oxidation by oxygen impurity in the inert ambient causes SiO(2) top formation.

11.
Int J Tuberc Lung Dis ; 12(1): 26-32, 2008 Jan.
Article in English | MEDLINE | ID: mdl-18173873

ABSTRACT

SETTING: The risk factors of community-acquired pneumonia (CAP) in high-risk groups have been examined in many studies. Such studies, however, have limited application for young people in special environments. OBJECTIVE: To study the risk factors of CAP in young soldiers. DESIGN: A hospital-based case-control study was carried out during the two winters between 2003 and 2005. A total of 255 CAP cases aged 18-23 years were enrolled and were matched by age and date of hospitalisation with 255 controls. RESULTS: All CAP cases and 148 controls (58.0%) were military trainees. Most cases (96.1%) were non-severe CAP (pneumonia severity index risk class 1). Serum levels of total cholesterol, albumin, total protein and body mass index (BMI) were lower in CAP cases than in controls. In conditional logistic regression analysis, an increased risk of CAP was independently associated with military trainees, low levels of cholesterol and albumin. However, low BMI (<18.5 kg/m(2)) was not found to be associated with the risk of CAP after adjusting for other factors. CONCLUSION: In Korea, the risk of CAP is significantly high in military trainees, with low levels of cholesterol and albumin being associated with the development of CAP in young soldiers.


Subject(s)
Cholesterol/blood , Community-Acquired Infections/etiology , Military Personnel/statistics & numerical data , Pneumonia/etiology , Serum Albumin/metabolism , Adult , Biomarkers/blood , Case-Control Studies , Community-Acquired Infections/blood , Community-Acquired Infections/epidemiology , Hospitalization/statistics & numerical data , Humans , Korea/epidemiology , Logistic Models , Male , Pneumonia/blood , Pneumonia/epidemiology , Risk Assessment , Risk Factors , Seasons , Severity of Illness Index
12.
Water Sci Technol ; 49(9): 329-34, 2004.
Article in English | MEDLINE | ID: mdl-15237642

ABSTRACT

A quantitative analytical method was used for detection of low level of volatile sulfur compounds (VSCs) using GC with a sulfur chemiluminescence detector (SCD) in this study. A linear response over the range of 2-90 ngS injected was obtained with a good repeatability or reproducibility. Equimolar response for H2S, DMS, MeSH, and EtSH was obtained by use of SCD and the response of the SCD is nearly equimolar for different sulfur compounds. It was possible to quantify the total VSCs as well as individual VSC using one of the standard VSCs. VSC recovery was measured with respect to some storing methods. An adsorption tube packed with molecular sieve 5A showed almost perfect recovery for both H2S and dimethyl sulfide (DMS) during 6 days at a dark state below 2 degrees. Whereas, with a gas tight pyrex vial or tedlar bag, it was impossible to obtain the recovery of 50% after 6 days. It is strongly recommended to use the adsorption tube for determination of nanogram levels of volatile sulfur compounds and for storing and concentrating VSCs effectively with a minimum experimental error.


Subject(s)
Environmental Monitoring/methods , Odorants/analysis , Sulfur Compounds/analysis , Adsorption , Chromatography, Gas , Equipment Design , Luminescent Measurements , Sensitivity and Specificity , Volatilization , Water Supply
13.
Arch Pharm Res ; 22(3): 279-87, 1999 Jun.
Article in English | MEDLINE | ID: mdl-10403131

ABSTRACT

Therapeutic use of anti-inflammatory steroids is limited due primarily to their systemic suppressive effects on pituitary function and the immune system. To overcome the clinical limitation, a new approach toward the discovery of non-systemic anti-inflammatory steroids is based upon the antedrug concept introduced by this laboratory. The new concept describes locally active agents which are designed to undergo a predictable biotransformation to inactive metabolites upon entry into systemic circulation from the applied site. Thus, true antedrugs are devoid of systemic adverse effects. In a continuing effort, 16alpha-carboxylate and isoxazoline derivatives of prednisolone have been synthesized and screened. In the croton oil-induced ear edema bioassay, the following relative potencies were obtained setting hydrocortisone=1.0; 3a, 1.5; 3b, 3.1; 4a, 4.0; 4b, 12.2; 5b, 8.2; 6b, 11.2; 7a, 1.9; 7b, 4.1; 8a, 3.3; 8b, 6.8; 9a, 0.7; 9b, 8.6; 10a, 2.6; 10b, 7.4. Results of the five-day bioassay indicated that, in contrast to the parent compound, the novel steroidal antedrugs did not significantly alter body weight gain, thymus weights, adrenal weights or plasma corticosterone levels. Taken together, the antedrug concept appears to be a fundamentally sound strategy for the separation of local anti-inflammatory activity from systemic adverse effects.


Subject(s)
Anti-Inflammatory Agents/pharmacology , Corticosterone/blood , Prodrugs/pharmacology , Administration, Topical , Animals , Anti-Inflammatory Agents/chemical synthesis , Body Weight/drug effects , Carboxylic Acids/chemistry , Croton Oil/adverse effects , Drug Evaluation , Ear Diseases/chemically induced , Edema/chemically induced , Isoxazoles/chemistry , Male , Organ Size/drug effects , Prednisolone , Prodrugs/adverse effects , Prodrugs/chemical synthesis , Protein Binding , Rats , Rats, Sprague-Dawley
14.
Steroids ; 63(12): 644-9, 1998 Dec.
Article in English | MEDLINE | ID: mdl-9870261

ABSTRACT

In continuing efforts to synthesize potent, anti-inflammatory steroids devoid of systemic side effects, methyl 9 alpha-fluoro-11 beta,17 alpha,21-trihydroxy-3,20-dioxo-pregna-1,4-diene-16 alpha-carboxylate (FP16CM) and its 21-acetate derivative (FP16CMAc) were recently synthesized and screened in animal models of inflammation. The compounds have now been assessed for high-affinity glucocorticoid receptor binding and glucocorticoid-mediated inhibition of nitric oxide (NO) generation in an in vitro RAW 264.7 macrophage cell culture system. Relative potencies for glucocorticoid receptor binding were 1, 1.7, and 2.4 for prednisone (P) (IC50 = 287 nM), FP16CM, and FP16CMAc, respectively. Concomitant relative potencies for inhibition of NO generation by macrophages stimulated with lipopolysaccharide were 1, 0.92 and 1.9 for P (IC50 = 126 nM), FP16CM, and FP16CMAc, respectively. Collectively, results suggest that the novel antedrugs are active anti-inflammatory agents. The 9 alpha-fluoro and 21-acetate substituent may contribute to enhanced topical potency, increased receptor binding affinity and inhibitory effects on NO generation. Inhibition of vasoactive NO may be one anti-inflammatory action of the steroidal antedrugs in vivo. Collectively, results suggest that these agents may be useful for topical application in allergic/inflammatory diseases.


Subject(s)
Anti-Inflammatory Agents/pharmacology , Macrophages/drug effects , Nitric Oxide/antagonists & inhibitors , Receptors, Glucocorticoid/drug effects , Animals , Anti-Inflammatory Agents/metabolism , Cell Line , Macrophages/metabolism , Mice , Protein Binding , Steroids
15.
Drugs Exp Clin Res ; 24(2): 57-66, 1998.
Article in English | MEDLINE | ID: mdl-9675545

ABSTRACT

In a continuing effort to synthesize potent antiinflammatory steroids without systemic side effects based on the antedrug concept, prednisolone derivatives with a carboxylate ester group at the C-16 and isoxazoline rings at the C-16 and C-17 were obtained by 1,3-dipolar cycloaddition of nitrile oxides to 1,4,16-pregnatriene-3,20-diones. Most of the new steroids retained the antiinflammatory activities of their parent compounds as evidenced by the croton oil-induced ear edema assay. They also demonstrated substantial or almost complete reductions in systemic side effects as shown by the 5-day ear edema and cotton pellet bioassays. In the case of the new steroids with alkyl carboxylate groups, the improved pharmacological profile is ascribed to their metabolically labile ester function which should be readily hydrolyzed to inactive carboxylic acid, thus eliminating the systemic side effects. The pharmacological profiles of the isoxazoline derivatives remain to be explained, partly due to insufficient information on the metabolic fate of these compounds.


Subject(s)
Anti-Inflammatory Agents/chemical synthesis , Prednisolone/analogs & derivatives , Animals , Anti-Inflammatory Agents/pharmacology , Biological Assay , Carboxylic Acids , Drug Design , Esters/chemical synthesis , Esters/pharmacology , Isoxazoles/chemical synthesis , Isoxazoles/pharmacology , Male , Molecular Structure , Oximes/chemical synthesis , Oximes/pharmacology , Prednisolone/pharmacology , Rats , Rats, Sprague-Dawley
16.
Curr Opin Drug Discov Devel ; 1(2): 235-44, 1998 Sep.
Article in English | MEDLINE | ID: mdl-19649824
17.
Steroids ; 62(6): 491-9, 1997 Jun.
Article in English | MEDLINE | ID: mdl-9185298

ABSTRACT

Focused efforts have been made to increase local-to-systemic activity ratios of potent anti-inflammatory steroids for local and/or topical applications. The approach taken in the present investigation is based upon the concept of "antedrug," defined as a locally active compound that exerts its action at the application site but rapidly undergoes a predictable biotransformation to an inactive metabolite that is readily excreted upon entry into the systemic circulation. In continuing efforts to synthesize potent, anti-inflammatory steroids without systemic glucocorticoid activities, 9 alpha-fluoro-methyl 11 beta, 17 alpha, 21-trihydroxy-3,20-dioxo-pregna-1,4-diene-16 alpha-carboxylate (FP16CM) and its 21-acetate derivative (FP16CMAc) have been synthesized and screened. Novel antedrugs were evaluated for antiinflammatory activity in the acute croton oil-induced ear edema bioassay, adverse systemic effects in the 5-day croton oil model, receptor binding, and concomitant L-tyrosine-2-oxoglutarate aminotransferase (EC 2.6.1.5) (TAT) enzyme induction in HTC cells in culture. Following a single topical application in the croton oil-induced ear edema bioassay, treatment with all compounds resulted in dose-dependent inhibition of edema. From these dose-response profiles, the following ID50 values (nmol resulting in a 50% reduction of edema) were calculated: 817, 540, 266, and 67 for hydrocortisone (HC), prednisolone (P), FP16CM, and FP16CMAc, respectively. Calculated relative potencies, setting HC = 1.0, were P, 1.5; FP16CM, 3.1, and FP16CMAc, 12.2. Results of the 5-day rat croton oil ear edema bioassay indicated that, in contrast to the parent compound P, the novel steroidal antedrugs did not significantly alter body weight gain, thymus weights, or plasma corticosterone levels. Relative binding potencies for cytosolic HTC glucocorticoid receptors were 1.0, 20.1, 5.4, and 2.5 for HC, P, FP16CM, and FP16CMAc, respectively. As predicted by the antedrug concept, FP16CM and FP16CMAc were very weak agonists for induction of TAT in HTC cells. Collectively, results of these investigations suggest that modification of P, which included addition of the 9-fluoro and 16-methoxycarbonyl group alone or in conjunction with a 21-acetoxy moiety, increase topical anti-inflammatory activity without significant adverse systemic effects. These new antedrugs may be useful as anti-inflammatory steroids for local applications.


Subject(s)
Anti-Inflammatory Agents/chemical synthesis , Pregnadienediols/chemical synthesis , Pregnadienetriols/chemical synthesis , Administration, Topical , Animals , Anti-Inflammatory Agents/pharmacology , Croton Oil , Dose-Response Relationship, Drug , Edema/drug therapy , Enzyme Induction , Pregnadienediols/pharmacology , Pregnadienetriols/pharmacology , Rats , Receptors, Glucocorticoid/metabolism , Tumor Cells, Cultured , Tyrosine Transaminase/biosynthesis , Tyrosine Transaminase/metabolism
18.
Am J Phys Med Rehabil ; 76(3): 246-8, 1997.
Article in English | MEDLINE | ID: mdl-9207712

ABSTRACT

Electrolyte abnormalities are common medical complications of traumatic brain injury (TBI). Hyponatremia is the most common of these disorders. The syndrome of inappropriate antidiuretic hormone and cerebral salt-wasting are the most well known causes of hyponatremia following TBI. In the presence of polydipsia and polyuria, psychogenic polydipsia should be included in the differential diagnosis. It is important to distinguish among these entities because treatment differs to such an extent that improper diagnosis may lead to a worsening of the patient's condition. We present a patient who presented with a new onset of polyuria and polydipsia after sustaining a TBI. Evaluation, including monitoring of fluid intake and output, serum and urine sodium and osmolarity, as well as a fluid deprivation test revealed the cause to be psychogenic polydipsia. The patient's symptoms improved after institution of a behavioral program and fluid restriction. Various models of drinking behavior have been used to identify the site of dysregulation. Dopaminergic, cholinergic, and hippocampal etiologies have been implicated in this abnormality of fluid homeostasis. If disorders of these systems can lead to psychogenic polydipsia, it is reasonable to believe that a person who has sustained a TBI would be at higher risk of developing psychogenic polydipsia.


Subject(s)
Brain Injuries/complications , Drinking , Water-Electrolyte Imbalance , Adult , Diabetes Insipidus/complications , Female , Homeostasis , Humans , Hyponatremia , Osmolar Concentration , Water , Water-Electrolyte Imbalance/psychology
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