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Muthusami A, Techaboonanake S, Desai N, Malik N, Reynolds M, Ahn K, De Carvalho L, Gawley M, Waraich N. 1602 A Quality Improvement Project on The Management of Patients with Traumatic Head Injury Presenting to A District General Hospital. Br J Surg 2021. [DOI: 10.1093/bjs/znab259.783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Abstract
Introduction
Traumatic Brain Injury (TBI) is associated with morbidity and mortality. All District General Hospitals (DGH) in West Midlands liaise with Neurosurgery centres for management of these patients through a referral system (NORSe). The aim of this study was to assess outcomes in TBI following the implementation of vital interventions.
Method
A retrospective data was collected between 1/1/2019 and 1/12/2020. We included all patients admitted with traumatic brain injury over the age of 16. We accessed the data from the hospital database, clinical notes, and NORSe. A re-audit was performed following implementations of recommendations (proforma and care of elderly input). Further data were collected prospectively.
Results
Our cohort included n1=61 patients (first cycle) and n2= 29 (second cycle). The demographic age and gender were comparable in both cycles. The median time for Neurosurgery advice was 229 minutes (IQR 60-690) in the first cycle as compared to 80 minutes (IQR 40-120, P < 0.05) and the main cause for delay was inadequate information transfer. The mortality rate was 24% (5 were attributed to sepsis), as compared to 14% in the second cycle. The median length of stay (LOS) was 4 days (IQR 3-13.5) in the first cycle, which translates to a cost of £26,815 per quarter. In comparison, LOS was 3 days (IQR 2-4), which translates to the cost of bed occupancy of £12,771 and saving of £14,043 per quarter, in the second cycle.
Conclusions
The introduction of simple interventions in a DGH can help to significantly improve patient outcomes in those admitted with Traumatic brain injury.
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Affiliation(s)
- A Muthusami
- Russells Hall Hospital, Dudley, United Kingdom
| | | | - N Desai
- Walsall Healthcare NHS Trust, Birmingham, United Kingdom
| | - N Malik
- Walsall Healthcare NHS Trust, Birmingham, United Kingdom
| | - M Reynolds
- Walsall Healthcare NHS Trust, Birmingham, United Kingdom
| | - K Ahn
- Walsall Healthcare NHS Trust, Birmingham, United Kingdom
| | - L De Carvalho
- Walsall Healthcare NHS Trust, Birmingham, United Kingdom
| | - M Gawley
- Walsall Healthcare NHS Trust, Birmingham, United Kingdom
| | - N Waraich
- Walsall Healthcare NHS Trust, Birmingham, United Kingdom
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2
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Ahn K, Khan N, Desai N, Abdu M, Hiddema L, Odogwu S, Cheetham M, Pande R. 822 Lessons Learnt During the COVID-19 Pandemic on Emergency Surgical Admissions in A District General Hospital. Br J Surg 2021. [PMCID: PMC8135730 DOI: 10.1093/bjs/znab134.090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Introduction Coronavirus disease (COVID-19) is an acute severe respiratory distress syndrome which resulted in an unprecedented impact on NHS service provision. We aimed to assess the impact of COVID-19 on general surgical services in a district general hospital. Method Electronic health care record data was retrospectively collected from 6th of April to 6th of May for both 2019 and 2020. Results Despite fewer referrals and admissions in 2020 (133 vs 177 admissions in 2019), there were more failed discharges (29 vs 17 in 2019) and higher associated costs. Higher numbers of biliary related pathologies and pancreatitis (50 in 2020 vs 25 in 2019), and fewer complaints of non-specific abdominal pain (10 in 2020 vs 22 in 2019) were observed. The use of outpatient investigations decreased by approximately 40% in 2020; however, utilisation of inpatient investigations was comparable. Conclusions Better utilisation of outpatient investigations and virtual clinic services may surmount pressures from further peaks of COVID-19. The increase in biliary related cases and pancreatitis may be consequent upon lifestyle changes during lockdown. This merits further investigation and if appropriate, public health intervention. In the absence of an efficacious vaccine, further research would be essential to streamline general surgical services based on clinical risk stratification.
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Affiliation(s)
- K Ahn
- Walsall Healthcare NHS Trust, Walsall, United Kingdom
| | - N Khan
- Walsall Healthcare NHS Trust, Walsall, United Kingdom
| | - N Desai
- Walsall Healthcare NHS Trust, Walsall, United Kingdom
| | - M Abdu
- Walsall Healthcare NHS Trust, Walsall, United Kingdom
| | - L Hiddema
- Walsall Healthcare NHS Trust, Walsall, United Kingdom
| | - S Odogwu
- Walsall Healthcare NHS Trust, Walsall, United Kingdom
| | - M Cheetham
- Shrewsbury and Telford Hospital NHS Trust, Shrewsbury, United Kingdom
| | - R Pande
- University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom
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3
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Disher N, Robertson T, Duncan S, Grainger S, Ahn K, Hay C, Leighs T, Palmer J, Lim J, White T, Pemberton J, Iosua E, Hancox B, Coffey S. A061 Exercise Stress Echocardiography as Predictor for Major Adverse Cardiac Events: A Single Centre Retrospective Study. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.05.066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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4
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Ahn K, O YM, Ji YG, Cho HJ, Lee DH. Synergistic Anti-Cancer Effects of AKT and SRC Inhibition in Human Pancreatic Cancer Cells. Yonsei Med J 2018; 59:727-735. [PMID: 29978609 PMCID: PMC6037593 DOI: 10.3349/ymj.2018.59.6.727] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/23/2018] [Revised: 05/27/2018] [Accepted: 06/07/2018] [Indexed: 01/01/2023] Open
Abstract
PURPOSE To investigate the effect of combined inhibition of protein kinase B (AKT) and SRC on the growth and metastatic potential of human pancreatic cancer cells. MATERIALS AND METHODS AKT and SRC were inhibited using 10-DEBC and PP2, respectively. The expression of their messenger RNAs were down-regulated by specific small interfering RNA (siRNA). Changes in pancreatic cancer cell growth and metastatic potential were determined using a cell viability assay and a xenotransplant model of pancreatic cancer, as well as cell migration and invasion assays. Signal proteins were analyzed by Western blot. RESULTS The inhibitors 10-DEBC and PP2 suppressed cell proliferation in a dose-dependent fashion in pancreatic cancer cell lines MIA PaCa-2 and PANC-1. The simultaneous inhibition of AKT and SRC at low concentrations resulted in a significant suppression of cell proliferation. Knockdown of AKT2 and SRC using siRNAs also significantly decreased cell proliferation. In a pancreatic cancer model, combined treatment with 10-DEBC and PP2 also significantly suppressed the growth of pancreatic cancer. Application of 10-DEBC with PP2 significantly reduced the metastatic potential of pancreatic cancer cells by inhibiting migration and invasion. The combined inhibition suppressed the phosphorylation of mTOR and ERK in pancreatic cancer cells. CONCLUSION Combined targeting of AKT and SRC resulted in a synergistic efficacy against human pancreatic cancer growth and metastasis.
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Affiliation(s)
- Kang Ahn
- Department of Physiology, School of Medicine, CHA University, Seongnam, Korea
| | - Young Moon O
- Department of Physiology, School of Medicine, CHA University, Seongnam, Korea
| | - Young Geon Ji
- Department of Preventive Medicine, School of Medicine, CHA University, Seongnam, Korea
| | - Han Jun Cho
- Department of Physiology, School of Medicine, CHA University, Seongnam, Korea
| | - Dong Hyeon Lee
- Department of Physiology, School of Medicine, CHA University, Seongnam, Korea.
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5
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Kim J, Lee BS, Kim B, Na I, Lee J, Lee JY, Park MR, Kim H, Sohn I, Ahn K. Identification of atopic dermatitis phenotypes with good responses to probiotics (Lactobacillus plantarum CJLP133) in children. Benef Microbes 2018; 8:755-761. [PMID: 29035111 DOI: 10.3920/bm2017.0034] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
The therapeutic effect of probiotics in atopic dermatitis (AD) remains controversial and varies according to the individual patient. We aimed to identify a population of AD patients with a good clinical response to probiotic treatment. We recruited 76 children with a median age of 7.1 years who suffered from moderate to severe AD. After a 2-week washout period, all patients were given Lactobacillus plantarum CJLP133 at a dosage of 1×1010 colony-forming units once a day for 12 weeks. We measured eosinophil counts in the peripheral blood, the proportion of CD4+CD25+Foxp3+ regulatory T (Treg) cells in CD4+ T cells, serum total immunoglobulin E (IgE) levels, and specific IgE against common allergens before the start of the treatment (T1) and at discontinuation (T2). Responders were defined as patients with at least a 30% reduction in the SCORing of AD (SCORAD) index after treatment. There were 36 responders and 40 non-responders after probiotic treatment. The median SCORAD was reduced from 29.5 (range 20.6-46.3) at T1 to 16.4 (range 6.3-30.8) at T2 in the responder group (P<0.001). In multivariable logistic regression analysis, a good clinical response was significantly associated with high total IgE levels (aOR 5.1, 95% CI 1.1-23.6), increased expression of transforming growth factor (TGF)-β (aOR 4.6, 95% CI 1.3-15.9), and a high proportion of Treg cells in CD4+ T cells (aOR 3.7, 95% CI 1.1-12.7) at T1. In the responder group, the proportion of Treg cells was significantly increased after 12 weeks of treatment (P=0.004), while TGF-β mRNA expression was decreased (P=0.017). Our results suggest that a subgroup of patients with a specific AD phenotype showing an immunologically active state (high total IgE, increased expression of TGF-β, high numbers of Treg cells) may benefit from probiotic treatment with L. plantarum CJLP133.
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Affiliation(s)
- J Kim
- 1 Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnamgu, Seoul 06351, Republic of Korea.,2 Environmental Health Center for Atopic Diseases, Samsung Medical Center, Seoul, Republic of Korea
| | - B S Lee
- 2 Environmental Health Center for Atopic Diseases, Samsung Medical Center, Seoul, Republic of Korea
| | - B Kim
- 3 Beneficial Microbes R&D Center, CJ CheilJedang Corporation, Suwon, Republic of Korea
| | - I Na
- 2 Environmental Health Center for Atopic Diseases, Samsung Medical Center, Seoul, Republic of Korea
| | - J Lee
- 2 Environmental Health Center for Atopic Diseases, Samsung Medical Center, Seoul, Republic of Korea
| | - J Y Lee
- 1 Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnamgu, Seoul 06351, Republic of Korea.,2 Environmental Health Center for Atopic Diseases, Samsung Medical Center, Seoul, Republic of Korea
| | - M R Park
- 4 Department of Pediatrics, Sung-Ae Hospital, Seoul, Republic of Korea
| | - H Kim
- 5 Biostatistics and Clinical Epidemiology Center, Samsung Medical Center, Seoul, Republic of Korea
| | - I Sohn
- 5 Biostatistics and Clinical Epidemiology Center, Samsung Medical Center, Seoul, Republic of Korea
| | - K Ahn
- 1 Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnamgu, Seoul 06351, Republic of Korea.,2 Environmental Health Center for Atopic Diseases, Samsung Medical Center, Seoul, Republic of Korea
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6
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Lee JY, Kim M, Yang HK, Kim HM, Cho J, Kim YM, Lim IS, Cheong HK, Kim HS, Sohn I, Kim J, Ahn K. Reliability and validity of the Atopic Dermatitis Symptom Score (ADSS). Pediatr Allergy Immunol 2018; 29:290-295. [PMID: 29350788 DOI: 10.1111/pai.12865] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/11/2018] [Indexed: 12/01/2022]
Abstract
BACKGROUND We have developed the Atopic Dermatitis Symptom Score (ADSS) by which patients or parents can easily assess and record AD symptoms on a daily basis in a smartphone application. The aim of this study was to evaluate the reliability and validity of the ADSS. METHODS We enrolled 307 children and adolescents with AD. Parents or caregivers were asked to record daily symptoms of the patients (itching, sleep disturbance, erythema, dryness, oozing, and edema) using a scale of 0-4. Statistical analyses consisted of the test-retest reliability, concurrent validity, minimal clinically important difference (MCID), responsiveness, floor or ceiling effects, and screening accuracy. Receiver-operating characteristic analyses were conducted to evaluate the ADSS cutoff point for predicting severe AD (SCORing AD [SCORAD] ≥40). RESULTS Test-retest reliability between daytime and night-time ADSS was good (intraclass correlation coefficient, 0.82 [95% CI: 0.70-0.90]). An increase in ADSS was significantly associated with an increase in SCORAD (r = 0.64, P < .0001) (concurrent validity). The MCID was 4.1 points for the ADSS. There was a significant association between changes in ADSS and SCORAD (r = 0.56, P < .0001), indicating good responsiveness. At the optimal ADSS cutoff value of 7.0, sensitivity, specificity, and positive and negative predictive values were 88.4%, 78.6%, 21.1%, and 99.1%, respectively (screening accuracy). CONCLUSIONS The ADSS can be a useful tool for self-assessment of skin symptoms in children with AD.
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Affiliation(s)
- J Y Lee
- Department of Pediatrics, Hallym University Hangang Sacred Heart Hospital, Seoul, Korea
| | - M Kim
- Department of Pediatrics, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea
| | - H-K Yang
- Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - H M Kim
- Environmental Health Center for Atopic Diseases, Samsung Medical Center, Seoul, Korea
| | - J Cho
- Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Y-M Kim
- Environmental Health Center for Atopic Diseases, Samsung Medical Center, Seoul, Korea
| | - I S Lim
- Department of Pediatrics, Chung-Ang University Hospital, Seoul, Korea
| | - H-K Cheong
- Department of Social and Preventive Medicine, Sungkyunkwan University School of Medicine, Suwon, Korea.,Samsung Biomedical Research Institute, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - H S Kim
- Statistics and Data Center, Samsung Biomedical Research Institute, Seoul, Korea
| | - I Sohn
- Statistics and Data Center, Samsung Biomedical Research Institute, Seoul, Korea
| | - J Kim
- Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.,Environmental Health Center for Atopic Diseases, Samsung Medical Center, Seoul, Korea
| | - K Ahn
- Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.,Environmental Health Center for Atopic Diseases, Samsung Medical Center, Seoul, Korea
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Nam T, Jeong J, Ahn K, Kim Y, Yoon M, Song J, Ahn S, Chung W. EP-1264: Metabolic response and change in CEA level in rectal cancer patients treated with neoadjuvant CRT. Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)31699-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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8
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Jeong K, Lee SY, Ahn K, Kim J, Lee HR, Suh DI, Pyun BY, Min TK, Kwon JW, Kim KE, Kim KW, Sohn MH, Kim YH, Song TW, Kwon JH, Jeon YH, Kim HY, Kim JH, Ahn YM, Lee S. A multicenter study on anaphylaxis caused by peanut, tree nuts, and seeds in children and adolescents. Allergy 2017; 72:507-510. [PMID: 27892597 DOI: 10.1111/all.13096] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/21/2016] [Indexed: 11/29/2022]
Abstract
Peanut (PN) and tree nuts (TNs) are common causes of anaphylaxis in Western countries, but no information is available in Korea. To feature clinical characteristics of anaphylaxis caused by PN, TNs, and seeds, a retrospective medical record review was performed in 14 university hospitals in Korea (2009-2013). One hundred and twenty-six cases were identified, with the mean age of 4.9 years. PN, walnut (WN), and pine nut accounted for 32.5%, 41.3%, and 7.1%, respectively. The median values of specific IgE (sIgE) to PN, WN, and pine nut were 10.50, 8.74, and 4.61 kUA /l, respectively. Among 50 cases managed in the emergency department, 52.0% were treated with epinephrine, 66.0% with steroid, 94.0% with antihistamines, 36.0% with oxygen, and 48.0% with bronchodilator. In conclusion, WN, PN, and pine nut were the three most common triggers of anaphylaxis in Korean children, and anaphylaxis could occur at remarkably low levels of sIgE.
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Affiliation(s)
- K. Jeong
- Department of Pediatrics; Ajou University School of Medicine; Suwon Korea
| | - S.-Y. Lee
- Department of Pediatrics; Hallym University Sacred Heart Hospital; Hallym University College of Medicine; Anyang Korea
| | - K. Ahn
- Department of Pediatrics; Samsung Medical Center; Sungkyunkwan University School of Medicine; Seoul Korea
| | - J. Kim
- Department of Pediatrics; Samsung Medical Center; Sungkyunkwan University School of Medicine; Seoul Korea
| | - H.-R. Lee
- Department of Pediatrics; Hallym University Sacred Heart Hospital; Hallym University College of Medicine; Anyang Korea
| | - D. I. Suh
- Department of Pediatrics; Seoul National University Hospital; Seoul Korea
| | - B.-Y. Pyun
- Department of Pediatrics; Soonchunhyang University Hospital; Seoul Korea
| | - T. K. Min
- Department of Pediatrics; Soonchunhyang University Hospital; Seoul Korea
| | - J.-W. Kwon
- Department of Pediatrics; Seoul National University Bundang Hospital; Seongnam Korea
| | - K.-E. Kim
- Department of Pediatrics; Severance Hospital; Institute of Allergy; Yonsei University College of Medicine; Seoul Korea
| | - K. W. Kim
- Department of Pediatrics; Severance Hospital; Institute of Allergy; Yonsei University College of Medicine; Seoul Korea
| | - M. H. Sohn
- Department of Pediatrics; Severance Hospital; Institute of Allergy; Yonsei University College of Medicine; Seoul Korea
| | - Y. H. Kim
- Department of Pediatrics; Severance Hospital; Institute of Allergy; Yonsei University College of Medicine; Seoul Korea
| | - T. W. Song
- Department of Pediatrics; Inje University Ilsan Paik Hospital; Goyang Korea
| | - J. H. Kwon
- Department of Pediatrics; Korea University College of Medicine; Ansan Korea
| | - Y. H. Jeon
- Department of Pediatrics; Dongtan Sacred Heart Hospital; Hallym University College of Medicine; Hwaseong Korea
| | - H. Y. Kim
- Department of Pediatrics; Pusan National University Children's Hospital; Yangsan Korea
| | - J. H. Kim
- Department of Pediatrics; Inha University Hospital; Incheon Korea
| | - Y. M. Ahn
- Department of Pediatrics; Eulji Hospital; Eulji University School of Medicine; Seoul Korea
| | - S. Lee
- Department of Pediatrics; Ajou University School of Medicine; Suwon Korea
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Becker M, Meyer F, Jeong MJ, Ahn K, Henniges U, Potthast A. The museum in a test tube – Adding a third dimension to the evaluation of the impact of volatile organic acids on paper. Polym Degrad Stab 2016. [DOI: 10.1016/j.polymdegradstab.2016.05.026] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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10
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Koh Y, Seul H, Seo J, Kim H, Ahn K, Kang H, Han B, Kim H, Jang G, Seo J, Kim K, Na H, Choi S, Cho J, Zang D. Investigation on Korean gastric tumorigenesis by performing whole transcriptome and miRNA sequence analysis. Eur J Cancer 2016. [DOI: 10.1016/s0959-8049(16)61102-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Kim J, Han Y, Ahn JH, Kim SW, Lee SI, Lee KH, Ahn K. Airborne formaldehyde causes skin barrier dysfunction in atopic dermatitis. Br J Dermatol 2016; 175:357-63. [PMID: 27535603 DOI: 10.1111/bjd.14357] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/27/2015] [Indexed: 12/24/2022]
Abstract
BACKGROUND It remains to be elucidated whether exposure to air pollutants aggravates atopic dermatitis (AD). OBJECTIVES This study aimed to evaluate the effects of exposure to formaldehyde for 1 h and 2 h on skin barrier function in both the control and the AD groups. METHODS In 41 patients with AD and 34 healthy children, a provocation test was performed in which two different areas of normal-appearing skin on the forearm were stimulated with airborne formaldehyde at 500 μg m(-3) or placebo for 2 h. We measured transepidermal water loss (TEWL) and skin pH, and calculated the percentage change from baseline. RESULTS Exposure to formaldehyde increased TEWL in the control group [P < 0·001; median of difference 1·4; interquartile range (IQR) 0·9-1·6] and in the AD group (P < 0·001; median of difference 2·5; IQR 2·0-3·6). The percentage change of TEWL after formaldehyde exposure in the AD group was higher than in the control group (P < 0·001), whereas exposure to placebo showed no differences between both groups. The AD group also demonstrated a higher percentage increase in skin pH after exposure to formaldehyde than the control group (P < 0·001). CONCLUSIONS Short-term exposure to formaldehyde causes skin barrier dysfunction in both healthy children and children with AD, and this effect is more prominent in children with AD.
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Affiliation(s)
- J Kim
- Department of Pediatrics, Samsung Medical Centre, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 135-710, Korea.,Environmental Health Centre for Atopic Diseases, Samsung Medical Centre, Seoul, Korea
| | - Y Han
- Environmental Health Centre for Atopic Diseases, Samsung Medical Centre, Seoul, Korea
| | - J H Ahn
- Biostatistics Team, Samsung Biomedical Research Institute, Seoul, Korea
| | - S W Kim
- Biostatistics Team, Samsung Biomedical Research Institute, Seoul, Korea
| | - S I Lee
- Department of Pediatrics, Samsung Medical Centre, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 135-710, Korea
| | - K H Lee
- Korea Institute of Toxicology, Jeongeup, Jeollabuk-do, Korea
| | - K Ahn
- Department of Pediatrics, Samsung Medical Centre, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 135-710, Korea.,Environmental Health Centre for Atopic Diseases, Samsung Medical Centre, Seoul, Korea
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12
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Ahn K, An SS, Shugart YY, Rapoport JL. Common polygenic variation and risk for childhood-onset schizophrenia. Mol Psychiatry 2016; 21:94-6. [PMID: 25510512 DOI: 10.1038/mp.2014.158] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/18/2014] [Revised: 10/02/2014] [Accepted: 10/09/2014] [Indexed: 12/16/2022]
Abstract
Childhood-onset schizophrenia (COS) is a rare and severe form of the disorder, with more striking abnormalities with respect to prepsychotic developmental disorders and abnormities in the brain development compared with later-onset schizophrenia. We previously documented that COS patients, compared with their healthy siblings and with adult-onset patients (AOS), carry significantly more rare chromosomal copy number variations, spanning large genomic regions (>100 kb) (Ahn et al. 2014). Here, we interrogated the contribution of common polygenic variation to the genetic susceptibility for schizophrenia. We examined the association between a direct measure of genetic risk of schizophrenia in 130 COS probands and 103 healthy siblings. Using data from the schizophrenia and autism GWAS of the Psychiatric Genomic Consortia, we selected three risk-related sets of single nucleotide polymorphisms from which we conducted polygenic risk score comparisons for COS probands and their healthy siblings. COS probands had higher genetic risk scores of both schizophrenia and autism than their siblings (P<0.05). Given the small sample size, these findings suggest that COS patients have more salient genetic risk than do AOS.
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Affiliation(s)
- K Ahn
- Childhood Psychiatry Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA
| | - S S An
- Department of Environmental Health Sciences, Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD, USA
| | - Y Y Shugart
- Unit of Statistical Genomics, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA
| | - J L Rapoport
- Childhood Psychiatry Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA
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13
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Ahn K, Oh J, Park K, Kim M, Jin S, Kim J, Lee J, Choi S, Seong I, Jeong J. PP.06.23. J Hypertens 2015. [DOI: 10.1097/01.hjh.0000467897.73588.01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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14
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Ahn K, Jhun HJ. New physical examination tests for lumbar spondylolisthesis and instability: low midline sill sign and interspinous gap change during lumbar flexion-extension motion. BMC Musculoskelet Disord 2015; 16:97. [PMID: 25896607 PMCID: PMC4419388 DOI: 10.1186/s12891-015-0551-0] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/23/2014] [Accepted: 04/13/2015] [Indexed: 11/26/2022] Open
Abstract
Background Lumbar spondylolisthesis (LS) and lumbar instability (LI) are common disorders in patients with low back or lumbar radicular pain. However, few physical examination tests for LS and LI have been reported. In the study described herein, new physical examination tests for LS and LI were devised and evaluated for their validity. The test for LS was designated “low midline sill sign”, and that for LI was designated “interspinous gap change” during lumbar flexion-extension motion. Methods The validity of the low midline sill sign was evaluated in 96 patients with low back or lumbar radicular pain. Validity of the interspinous gap change during lumbar flexion-extension motion was evaluated in 73 patients with low back or lumbar radicular pain. The sensitivity, specificity, and positive and negative predictive values of the two tests were also investigated. Results The sensitivity and specificity of the low midline sill sign for LS were 81.3% and 89.1%, respectively. Positive and negative predictive values of the test were 78.8% and 90.5%, respectively. The sensitivity and specificity of the interspinous gap change test for LI were 82.2% and 60.7%, respectively. Positive and negative predictive values of the test were 77.1% and 68.0%, respectively. Conclusions The low midline sill sign and interspinous gap change tests are effective for the detection of LS and LI, and can be performed easily in an outpatient setting.
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Affiliation(s)
- Kang Ahn
- Ahnkang Pain Free Hospital, CHA University, 323 Nonhyeon-Ro, 135-930, Kangnam-Ku, Seoul, Republic of Korea.
| | - Hyung-Joon Jhun
- Ahnkang Pain Free Hospital, CHA University, 323 Nonhyeon-Ro, 135-930, Kangnam-Ku, Seoul, Republic of Korea.
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Zweckmair T, Becker M, Ahn K, Hettegger H, Kosma P, Rosenau T, Potthast A. A novel method to analyze the degree of acetylation in biopolymers. J Chromatogr A 2014; 1372C:212-220. [DOI: 10.1016/j.chroma.2014.10.082] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2014] [Revised: 10/20/2014] [Accepted: 10/25/2014] [Indexed: 10/24/2022]
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Fichna J, Sałaga M, Stuart J, Saur D, Sobczak M, Zatorski H, Timmermans JP, Bradshaw HB, Ahn K, Storr MA. Selective inhibition of FAAH produces antidiarrheal and antinociceptive effect mediated by endocannabinoids and cannabinoid-like fatty acid amides. Neurogastroenterol Motil 2014; 26:470-81. [PMID: 24460851 DOI: 10.1111/nmo.12272] [Citation(s) in RCA: 46] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2013] [Accepted: 11/08/2013] [Indexed: 12/21/2022]
Abstract
BACKGROUND The endogenous cannabinoid system (ECS) plays a crucial role in multiple physiological processes in the central nervous system and in the periphery. The discovery that selective cannabinoid (CB) receptor agonists exert a potent inhibitory action on gastrointestinal (GI) motility and pain has placed the ECS in the center of attention as a possible target for the treatment of functional GI diseases. However, side effects of CB agonists prompted the search for novel therapeutic targets. Here, the effect of PF-3845, a potent and selective fatty acid amide hydrolase (FAAH) inhibitor in the GI tract was investigated. METHODS The effect of PF-3845 on GI motility was characterized in vitro and in vivo, using mouse models that mimic physiological and pathophysiological conditions. The antinociceptive action of PF-3845 was evaluated on the basis of behavioral pain models. Endocannabinoid degradation product levels after inhibition of FAAH were quantified using HPLC-MS/MS. KEY RESULTS PF-3845 significantly inhibited mouse colonic motility in vitro and in vivo. Selective inhibition of FAAH reversed hypermotility and reduced pain in mouse models mimicking functional GI disorders. The effects of PF-3845 were mediated by endogenous CBs and non-CB lipophilic compounds via classical (CB1) and atypical CB receptors. CONCLUSIONS & INFERENCES These data expand our understanding of the ECS function and provide a novel framework for the development of future potential treatments of functional GI disorders.
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Affiliation(s)
- J Fichna
- Snyder Institute for Chronic Diseases, University of Calgary, Calgary, AB, Canada; Department of Medicine, Division of Gastroenterology, University of Calgary, Calgary, AB, Canada; Department of Biomolecular Chemistry, Faculty of Medicine, Medical University of Lodz, Lodz, Poland
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Hahm MI, Chae Y, Kwon HJ, Kim J, Ahn K, Kim WK, Lee SY, Park YM, Han MY, Lee KJ, Lee HY, Min I. Do newly built homes affect rhinitis in children? The ISAAC phase III study in Korea. Allergy 2014; 69:479-87. [PMID: 24428419 DOI: 10.1111/all.12355] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/02/2013] [Indexed: 11/27/2022]
Abstract
BACKGROUND As Korea has experienced rapid economic development, the lifestyles of Koreans have become more Westernized, in terms of urbanization and dietary habits. Also, the prevalences of allergic diseases, such as rhinitis, asthma, and dermatitis, have increased rapidly. This study aimed to identify the factors influencing the symptoms of rhinitis conditions, including rhinitis, allergic rhinitis, overlapped rhinitis, and overlapped allergic rhinitis, among Korean children aged 6-7 years. METHODS The study subjects were drawn from participants in the International Study of Asthma and Allergies in Childhood (ISAAC) study in 2010 and were aged 6-7 years. We analysed data for a total of 3804 children. RESULTS The prevalences of symptoms suggestive of rhinitis and allergic rhinitis in the previous 12 months were 43.4% and 22.1%, respectively. For overlapped rhinitis and overlapped allergic rhinitis, only 2.5% and 1.9% of the children had overlapping symptoms, having rhinitis with asthma and eczema simultaneously. Gender, a parental history of allergic disease, mould or dampness at home, and the risk factors for 'sick building syndrome' (SBS) were risk factors influencing rhinitis diseases. In particular, a history of moving to a newly built home in the child's infancy was strongly associated with symptoms of all the rhinitis diseases examined. CONCLUSIONS This study identified patterns of the prevalence of rhinitis conditions among Korean children that were similar to those reported in Western countries. We confirmed that a history of moving to a newly built home during infancy was associated with a considerable risk of rhinitis conditions.
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Affiliation(s)
- M.-I. Hahm
- Department of Health Administration and Management; College of Medical Science; Soonchunhyang University; Asan Korea
| | - Y. Chae
- Department of Occupational and Environmental Medicine; Dankook University Hospital; Cheonan Korea
| | - H.-J. Kwon
- Department of Preventive Medicine; Dankook University College of Medicine; Cheonan Korea
| | - J. Kim
- Department of Pediatrics; Samsung Medical Center; Environmental Health Center for Atopic Diseases; Sungkyunkwan University School of Medicine; Seoul Korea
| | - K. Ahn
- Department of Pediatrics; Samsung Medical Center; Environmental Health Center for Atopic Diseases; Sungkyunkwan University School of Medicine; Seoul Korea
| | - W.-K. Kim
- Department of Pediatrics; Inje University College of Medicine; Seoul Korea
| | - S.-Y. Lee
- Department of Pediatrics; Hallym Sacred Heart Hospital; Hallym University College of Medicine; Anyang Korea
| | - Y. M. Park
- Department of Pediatrics; Konkuk University Hospital; Konkuk University School of Medicine; Seoul Korea
| | - M. Y. Han
- Department of Pediatrics; CHA University School of Medicine; Seongnam Korea
| | - K.-J. Lee
- Department of Information and Statistics; Korea National Open University; Seoul Korea
| | - H.-Y. Lee
- Department of Social Medicine; Dankook University College of Medicine; Cheonan Korea
| | - I. Min
- Department of Health Administration and Management; College of Medical Science; Soonchunhyang University; Asan Korea
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Shepherd J, Ahn K, Kantartzis K, Bonidie M, Lee T. Minimizing Hysterectomy Costs Transitioning from Open to Minimally Invasive Techniques. J Minim Invasive Gynecol 2014. [DOI: 10.1016/j.jmig.2013.12.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Park S, Park J, Lee H, Jin S, Ahn K, Kim J, Lee J, Choi S, Jeong J, Seong I, Hoogslag G, Haeck M, Boden H, Katsanos S, Al Amri I, Debonnaire P, Schalij M, Bax J, Ajmone Marsan N, Delgado V, Hoogslag G, Haeck M, Velders M, Joyce E, Boden H, Schalij M, Bax J, Ajmone Marsan N, Delgado V, Ismail MF, Alasfar A, Sallam A, Ibrahim M, Cavalcante J, Abu-Mafouz M, Shaikh K, Ananthasubramaniam K. Oral Abstract session * The right heart ischemic disease: 12/12/2013, 11:00-12:30 * Location: Bursa. Eur Heart J Cardiovasc Imaging 2013. [DOI: 10.1093/ehjci/jet219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Kim J, Park MR, Kim DS, Lee JO, Maeng SH, Cho SY, Han Y, Ahn K, Jin DK. IgE-mediated anaphylaxis and allergic reactions to idursulfase in patients with Hunter syndrome. Allergy 2013; 68:796-802. [PMID: 23621439 DOI: 10.1111/all.12155] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/22/2013] [Indexed: 12/26/2022]
Abstract
BACKGROUND Enzyme replacement therapy (ERT) with recombinant human idursulfase is effective for the treatment of Hunter syndrome, mucopolysaccharidosis (MPS) type II. However, various adverse events can occur by the infusion of idursulfase. The purpose was to evaluate the occurrence of infusion-related allergic reactions, including anaphylaxis, to idursulfase in patients with MPS II receiving ERT and to elucidate its possible mechanism. METHODS A total of 34 patients with MPS II were enrolled to receive ERT with Elaprase(®) at a dose of 0.5 mg/kg intravenously once a week. Information regarding the symptoms, frequency, and timing of anaphylaxis during treatment was analyzed. Presence of anti-idursulfase IgE antibody was assessed by skin prick test (SPT) and enzyme-linked immunosorbent assay (ELISA). Western blotting was performed to confirm the reaction between idursulfase and specific IgE. RESULTS Three patients (8.8%) showed anaphylaxis by infusion of idursulfase. No deaths occurred during the study. Anti-idursulfase IgE antibody was detected by SPT and ELISA. Immunoblotting with patients' sera and Elaprase(®) showed a single band of specific IgE binding to the protein around 70 kD, and idursulfase did not display amino acid sequence homology to known allergens. SPT with idursulfase demonstrated positive results in all patients with anaphylaxis. However, we failed to reveal any risk factors for the development of infusion-related immediate-type allergic reactions. CONCLUSIONS Anaphylaxis related to infusion of idursulfase is mediated by anti-idursulfase IgE antibody, which might be produced by de novo synthesis. SPT is useful in predicting the occurrence of anti-idursulfase IgE-mediated anaphylaxis during infusion.
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Affiliation(s)
| | | | | | | | - S. H. Maeng
- Department of Pediatrics; Samsung Medical Center; Sungkyunkwan University School of Medicine; Seoul; Korea
| | - S. Y. Cho
- Department of Pediatrics; Samsung Medical Center; Sungkyunkwan University School of Medicine; Seoul; Korea
| | | | | | - D. K. Jin
- Department of Pediatrics; Samsung Medical Center; Sungkyunkwan University School of Medicine; Seoul; Korea
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Ahn K, Ozturk N, Smith B, Aydogan B. SU-E-T-473: Preplanning of Stereotactic Radiosurgery Using the Brainlab IPlan Treatment Planning System. Med Phys 2013. [DOI: 10.1118/1.4814906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Ozturk N, Smith B, Ahn K, Aydogan B. SU-E-T-10: Streamlining and Automating Dosimetric Analysis for Treatment Planning System and Linac QA. Med Phys 2013. [DOI: 10.1118/1.4814444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Aydogan B, Koshy M, Rondelli D, Surucu M, Ahn K, Kavak G, Brett S, Patel P, Ozturk N, Weichselbaum R. EP-1316: Clinical experience with intensity modulated radiation total marrow irradiation (IMTMI). Radiother Oncol 2013. [DOI: 10.1016/s0167-8140(15)33622-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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24
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Ahn K. Posterior Epidural Contrast Injection Via
Posterolateral Transforaminal Approach. Pain Physician 2012. [DOI: 10.36076/ppj.2012/15/e354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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25
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Ahn K, Jhun HJ. Posterior epidural contrast injection via posterolateral transforaminal approach. Pain Physician 2012; 15:E346-E347. [PMID: 22622918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
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26
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Ahn K. Prevalence of IgE-mediated Food Allergy in Korean schoolchildren: A Population-based Study. J Allergy Clin Immunol 2012. [DOI: 10.1016/j.jaci.2011.12.146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Ahn K, Jhun HJ, Choi KM, Lee YS. Ultrasound-guided interventional release of rotator interval and posteroinferior capsule for adhesive capsulitis of the shoulder using a specially designed needle. Pain Physician 2011; 14:531-537. [PMID: 22086094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
BACKGROUND Adhesive capsulitis is a common but poorly understood disorder of the shoulder. Various treatments have been developed to manage this condition, but the efficacy of these treatments is controversial. We developed an ultrasound-guided, minimally invasive interventional technique to manage adhesive capsulitis of the shoulder using a specially designed needle. OBJECTIVE To describe the methodological approach of our intervention. STUDY DESIGN Technical report. SETTING Pain management clinic. METHODS Thirteen participants with adhesive capsulitis of the shoulder underwent ultrasound-guided interventional release of the rotator interval and posteroinferior capsule using a specially designed curved Round Needle. A convex ultrasound probe was placed along the oblique coronal plane over the supraspinatus muscle and acromion. Under ultrasonographic guidance, the needle was passed through the supraspinatus muscle and superior labrum and reached the rotator interval. It was moved forward and backward until no resistance was felt. After finishing the rotator interval release, the needle was inserted toward the posteroinferior capsule. While the operator released the adhesion in the posteroinferior capsule by moving the needle forward and backward, an assistant gradually abducted the shoulder. When full abduction of the affected shoulder was achieved, the intervention was completed. RESULTS Following our intervention, significant improvements in pain levels, glenohumeral range of motion, and Quick Disability of the Arm, Shoulder, and Hand scores were attained at follow-up. LIMITATIONS Technical report only. Efficacy of this technique is beyond the scope of the article. CONCLUSION Ultrasound-guided interventional release of the rotator interval and posteroinferior capsule appears to have clinical significance in the management of adhesive capsulitis of the shoulder.
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Affiliation(s)
- Kang Ahn
- Chronic Pain Management Center, Cha Biomedical Center, Kangnam Cha Hospital, Cha University, Seoul, Republic of Korea
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Abstract
Cytomegalovirus (CMV) ventriculoencephalitis is a rare but serious potential complication of CMV infection in immunocompromised patients. Characteristic diffusion-weighted imaging findings can be helpful for the diagnosis of CMV ventriculitis, as in this case report.
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Affiliation(s)
- J H Seok
- Department of Radiology, Seoul Saint Mary's Hospital, The Catholic University of Korea, Seoul, South Korea
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Hristov D, Ahn K, Scott G. TU-E-214-02: Overhauser Oxygenation Imaging: Physics, Instrumentation and Pre-Clinical Applications. Med Phys 2011. [DOI: 10.1118/1.3613200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Affiliation(s)
- Sun Mi Lim
- Research Institute of Healthcare Policy, Korean Medical Association, Seoul, Korea
| | - Kyung Hwa Seo
- Research Institute of Healthcare Policy, Korean Medical Association, Seoul, Korea
| | - BeLong Cho
- Department of Family Medicine, Seoul National University College of Medicine, Seoul, Korea
| | - Kang Ahn
- Chronic Pain Center, CHA Hospital, CHA University School of Medicine, Seoul, Korea
| | - Yoon Hyung Park
- Research Institute of Healthcare Policy, Korean Medical Association, Seoul, Korea
- Department of Preventive Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea
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Ahn K, Furutake T, Kusuhara T, Nakatsuka D, Sekine Y, Nonaka M, Iwakura A, Yamanaka K. [Emergency operation and hypothermic therapy for Stanford type A acute aortic dissection in the state of coma]. Kyobu Geka 2010; 63:1032-1034. [PMID: 21066842] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
We report of a 77-year-old woman who was admitted to our hospital in coma by emergency. A computed tomography scan revealed acute aortic dissection (Stanford type A). We established selective antegrade cerebral perfusion within 3 hours of the onset and then performed ascending aortic replacement. In the state of hypothermia (35 degrees C), the patient was weaned from cardiopulmonary bypass. The patient was kept hypothermic until the operation was completed. We kept mild hypothermia (34.5 degrees C) in intensive care unit (ICU) for 40 hours. The patient was extubated at 94 hours after the operation. The patient was discharged from the hospital on foot on postoperative day 21.
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Affiliation(s)
- K Ahn
- Department of Cardiovascular Surgery, Tenri Hospital, Tenri, Japan
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Abstract
Currently available diagnostic markers representing kidney injury or function such as serum creatinine and blood urea nitrogen are insensitive and often increased late in the disease process. Netrin-1 protein, a laminin-related secreted molecule, is minimally or not expressed in tubular epithelial cells of normal kidneys. However, it is highly expressed in injured kidneys. Netrin-1 protein has been shown to be detected in urine from mice with acute kidney injury. The current study was carried out to evaluate whether netrin-1 is also induced in human acute kidney injury (AKI) and can serve as a urinary biomarker of the condition. We analyzed netrin-1 levels by sandwich enzyme-linked immunosorbent assay in urine samples from 10 healthy controls, 22 recipients of a renal allograft, 11 patients with ischemic AKI, 13 with AKI associated with sepsis, 9 with radiocontrast-induced AKI, and 8 with drug-induced AKI. Urinary netrin-1 levels normalized for urinary creatinine were significantly higher in all subject groups. The highest values were observed in patients with sepsis and in transplant patients immediately postoperatively. The level of NGAL was similarly increased in transplant patients. In conclusion, urinary netrin-1 levels are increased in patients with various forms of AKI/ATN and may serve as a universal biomarker for AKI.
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Affiliation(s)
- G Ramesh
- Division of Nephrology, Pennsylvania State University College of Medicine, Hershey, Pennsylvania 17033, USA.
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Ahn K, Jhun HJ, Lim TK, Lee YS. Fluoroscopically guided transforaminal epidural dry needling for lumbar spinal stenosis using a specially designed needle. BMC Musculoskelet Disord 2010; 11:180. [PMID: 20698999 PMCID: PMC2927508 DOI: 10.1186/1471-2474-11-180] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2010] [Accepted: 08/11/2010] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND This report describes the methodological approach and clinical application of a minimally invasive intervention to treat lumbar spinal stenosis (LSS). METHODS Thirty-four patients with LSS underwent fluoroscopically guided transforaminal epidural dry needling using a specially designed flexed Round Needle. The needle was inserted 8-12 cm lateral to the midline at the level of the stenosis and advanced to a position between the anterior side of the facet joint and pedicle up to the outer-third of the pedicle. The needle was advanced medially and backed laterally within a few millimetres along the canal side of the inferior articular process between the facet joint and pedicle. The procedure was completed when a marked reduction in resistance was felt at the tip of the needle. The procedure was performed bilaterally at the level of the stenosis. RESULTS The average follow-up period was 12.9 +/- 1.1 months. The visual analogue scale (VAS) pain score was reduced from 7.3 +/- 2.0 to 4.6 +/- 2.5 points, the Oswestry Disability Index (ODI) score decreased from 41.4 +/- 17.2 to 25.5 +/- 12.6% and the average self-rated improvement was 52.6 +/- 33.1%. The VAS scores indicated that 14 (41.2%) patients reported a "good" to "excellent" treatment response, while 11 (32.4%) had a "good" to "excellent" treatment response on the ODI and 22 (64.7%) had a "good" to "excellent" treatment response on the self-rated improvement scale. CONCLUSIONS These results suggest that fluoroscopically guided transforaminal epidural dry needling is effective for managing LSS.
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Affiliation(s)
- Kang Ahn
- Chronic Pain Management Centre, Cha Biomedical Centre, Kangnam Cha Hospital, Cha University, 605 Yeoksam-Dong, Kangnam-Ku, Seoul, Republic of Korea
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Ahn K, Scott G, Stang P, Conolly S, Hristov D. TH-D-201C-01: Advancing an Integrated Overhauser-Enhanced MRI (OMRI) - Prepolarized MM (PMRI) System Toward Quantitative Longitudinal Studies of Tumor Hypoxia and Redox Status. Med Phys 2010. [DOI: 10.1118/1.3469549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Lee J, Lee J, Ahn Y, Han Y, Ahn K, Lee S. Ara h2 Is Not A Major Peanut Allergen In Korea. J Allergy Clin Immunol 2010. [DOI: 10.1016/j.jaci.2009.12.880] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Han Y, Lee J, Shin M, Ahn K, Lee S. Difference of the Allergenicity of Egg According to the Age in Korean Children with Egg Allergy. J Allergy Clin Immunol 2010. [DOI: 10.1016/j.jaci.2009.12.887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Park M, Ahn K. P1.068 Comparative study of the botulinum toxin type A potency between Botox® and BTXA®: using human extensor brevis muscle. Parkinsonism Relat Disord 2009. [DOI: 10.1016/s1353-8020(09)70190-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Halpern H, Elas M, Bell R, Hleihel D, Barth E, Chaney C, Ahn K, Pelizzari C, Kocherginsky M, Weichselbaum R. Electron Paramagnetic Resonance Oxygen Images Correlates Spatially and Quantitatively with Increased Vascular Endothelial Growth Factor Concentrations. Int J Radiat Oncol Biol Phys 2009. [DOI: 10.1016/j.ijrobp.2009.07.117] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Kim Y, Ahn K, Park H, Song J, Kim T, Hur J, Lee K, Kim S. O479 Years from menopause to surgery is a major determinant of postoperative symptomatic improvement in postmenopausal pelvic organ prolapse. Int J Gynaecol Obstet 2009. [DOI: 10.1016/s0020-7292(09)60852-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Song J, Ahn K, Park H, Hong S, Kim T, Kim Y, Kim S, Lee K. P1100 CA 125 level as a predictive value of second look operation finding and prognostic marker in epithelial ovarian cancer. Int J Gynaecol Obstet 2009. [DOI: 10.1016/s0020-7292(09)62584-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Kim Y, Ahn K, Shin J, Hong S, Kim T, Hur J, Lee K, Kim S. O477 Relationship between CA-125 and osteoporosis in otherwise healthy postmenopausal women. Int J Gynaecol Obstet 2009. [DOI: 10.1016/s0020-7292(09)60850-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Ahn K, Bardina L, Grishina G, Beyer K, Sampson HA. Identification of two pistachio allergens, Pis v 1 and Pis v 2, belonging to the 2S albumin and 11S globulin family. Clin Exp Allergy 2009; 39:926-34. [PMID: 19522997 DOI: 10.1111/j.1365-2222.2009.03259.x] [Citation(s) in RCA: 62] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND IgE-mediated allergic reactions to pistachio appear to be occurring more frequently; however, little is known about its allergenic proteins. OBJECTIVE We attempted to identify pistachio allergens and to clone the encoding genes. METHODS Pistachio proteins were extracted and separated by SDS-PAGE. Immunolabelling was performed with sera from 28 pistachio-allergic individuals. Proteins of interest were further analysed by Edman sequencing and mass spectrometry/mass spectrometry (MS/MS). In parallel, a cDNA library was generated from immature pistachios and screened with primers designed on the basis of internal sequences and peptide spectra. Full-length cDNA clones were isolated from the library and sequenced. Recombinant proteins were expressed and tested with sera from pistachio-allergic patients. RESULTS Nineteen out of 28 patients (68%) showed IgE binding to a 7 kDa protein fraction, while 14 (50%) showed specific IgE to a 32 kDa protein fraction. Analysis by Edman sequencing and MS/MS revealed that these proteins were homologue to the cashew nut allergens Ana o 3 and Ana o 2, respectively. Screening of the pistachio cDNA library resulted in isolation of novel protein cDNAs. Open-reading frame translation provided the complete amino acid sequences of two new allergenic pistachio proteins. Recombinant proteins were recognized by six out of six selected patients. Therefore, these new allergens were named Pis v 1 and Pis v 2 by the Allergen Nomenclature Subcommittee. CONCLUSION Novel allergens in pistachio, Pis v 1 and Pis v 2, which belong to 2S albumin and 11S globulin family, respectively, were isolated and the genes encoding these allergens were identified.
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Affiliation(s)
- K Ahn
- Division of Pediatric Allergy and Immunology and the Jaffe Food Allergy Institute, The Mount Sinai School of Medicine, New York, NY 10029-6574, USA
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Park J, Ahn K, Woo D, Lee J, Kim J, Jung W, Choe B, Suh T. SU-FF-T-518: Implications of Radiation Treatment Planning Based On Apparent Diffusion Coefficient Map for Malignant Brain Tumors. Med Phys 2009. [DOI: 10.1118/1.3182016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Ahn K, Scott G, Stang P, Conolly S, Hristov D. TH-D-304A-01: Development of Multi-Parametric Molecular Imager by Integrating Overhauser-Enhanced MRI (OMRI) with Prepolarized MRI (PMRI). Med Phys 2009. [DOI: 10.1118/1.3182693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Kim J, Kim H, Ahn K, Lee S. A Novel Mutation In The Linker Domain Of The STAT3 Gene, p.Lys531Glu, In Hyper-IgE Syndrome. J Allergy Clin Immunol 2009. [DOI: 10.1016/j.jaci.2008.12.305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Ahn K, Hargreaves B, Alley M, Horst K, Daniel B, Hristov D. Design of Magnetic Resonance Imaging Protocol for Accelerated Partial Breast Irradiation in Prone Position and Estimation of Treatment Margin. Int J Radiat Oncol Biol Phys 2008. [DOI: 10.1016/j.ijrobp.2008.06.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Tiryaki H, Ahn K, Roeske J, Mundt A, Mell L, Aydogan B. SU-GG-T-71: Dosimetric Comparison of Bone Marrow-Sparing Intensity Modulated Radiation Theraphy Versus Conventional Techniques for the Treatment of Cervical Cancer. Med Phys 2008. [DOI: 10.1118/1.2961822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Ahn K, Hargreaves B, Alley M, Horst K, Daniel B, Hristov D. TU-C-351-01: Design of Magnetic Resonance Imaging Protocol for Accelerated Partial Breast Irradiation in Prone Position. Med Phys 2008. [DOI: 10.1118/1.2962455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Ahn K, Dieterich S, Luxton G, Horst K, Hristov D. SU-DD-A1-05: Treatment Planning of Prone Position Accelerated Partial Breast Irradiation Customized for Magnetic Resonance Imaging Guidance. Med Phys 2008. [DOI: 10.1118/1.2961354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Ahn K, Lee YJ, Kim EH, Yang SM, Lim TK, Kim YS, Jhun HJ. Interventional microadhesiolysis: a new nonsurgical release technique for adhesive capsulitis of the shoulder. BMC Musculoskelet Disord 2008; 9:12. [PMID: 18230127 PMCID: PMC2257930 DOI: 10.1186/1471-2474-9-12] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/21/2007] [Accepted: 01/29/2008] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND A nonsurgical intervention, interventional microadhesiolysis, was developed to release adhesions in joints and soft tissues. This paper introduces the procedure and evaluates the efficacy of the intervention for adhesive capsulitis of the shoulder. METHODS Ten patients (five men and five women) with primary adhesive capsulitis of the shoulder were treated at a chronic pain management center in Korea. Three specially made needles are used in interventional microadhesiolysis: the Round, Flexed Round, and Ahn's needles. A Round Needle is inserted on the skin over middle of supraspinatus and advanced under the acromion and acromioclavicular joint (subacromial release). A Flexed Round Needle is inserted two-fingers caudal to the inferior border of the scapular spine and advanced over the capsule sliding on the surface of infraspinatus muscle-tendon fascia. The capsule is released while an assistant simultaneously passively abducts the shoulder to full abduction (posteroinferior capsule release). An Ahn's Needle is inserted on the skin over the lesser tubercle and advanced under the coracoid process sliding on the surface of the subscapularis muscle (subcoracoid release). RESULTS After the patients underwent interventional microadhesiolysis, the self-rated pain score or severity declined significantly (p < .01), the shoulder range of motion increased significantly (p < .01), and joint effusion in the affected shoulder decreased or disappeared in nine of ten patients on magnetic resonance imaging compared to their initial status. CONCLUSION Our findings suggest that interventional microadhesiolysis is effective for managing adhesive capsulitis of the shoulder.
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Affiliation(s)
- Kang Ahn
- Department of Occupational and Environmental Medicine, College of Medicine, Korea University, Ansan, Republic of Korea.
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