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Cervical Necrotizing Fasciitis Caused by Dental Infection
Song, Chi-Woong,Yoon, Hyun-Joong,Jung, Da-Woon,Lee, Sang-Hwa Korean Association of Maxillofacial Plastic and Re 2014 Maxillofacial Plastic Reconstructive Surgery Vol.36 No.2
Necrotizing fasciitis (NF) is defined as rapidly progressive necrosis of subcutaneous fat and fascia. Although NF of the face is rare, its mortality rate is nearly 30%. It usually originates from dental infection and can lead to involvement of the neck, mediastinum, and chest wall. Complications resulting from pre-existing systemic diseases can increase the mortality rate. Known complication factors for NF include diabetes, malnutrition, advanced age, peripheral vascular disease, renal failure, and obesity. Here, we report a case of NF originating from dental infection in an 88-year-old woman already diagnosed with hypertension, thoracic aortic aneurysm, and renal diseases. Such conditions limited adequate surgical and antibiotic treatment. However, interdisciplinary treatment involving multiple departments was implemented with good results.
Song-Yi Kim,San Hwa Hong,Jae-Woo Park,Hyangsook Lee,Jaeyoung Kim,Yangseok Kim,You-Sang Baik,Seok-Jae Ko,Seul-Ki Kim,In-Seon Lee,Younbyoung Chae,Hi-Joon Park 한국한의학연구원 2020 Integrative Medicine Research Vol.9 No.4
Background: Clinical research in acupuncture has been criticized for not reflecting real-world practice in terms of diagnosis and intervention. This study aimed to collect data on the principles of diagnosis and selection of acupoints from Korean medicine doctors (KMDs) and analyze the patterns and priorities in decision-making. Methods: The study design was based on the data of an actual patient with functional dyspepsia (FD) (according to Rome III criteria) to create simulated patients, and a KMD specialized in gastrointestinal disorders was allocated to collect the clinical information as objectively as possible. Sixty-nine KMDs were recruited to diagnose a simulated patient based on the actual patient's clinical information, in a manner similar to that performed in their clinics. Results: After the diagnostic procedures were completed, the pattern identification, selected acupoints, reasons for choosing them, and importance of symptoms for deciding their diagnoses were documented. The information needed was clearly distinguishable from those routinely asked in western medicine, and information regarding fecal status, abdominal examination, appetite status, pulse diagnosis, and tongue diagnosis were listed as vital. The doctors identified the patient's pattern as “spleen-stomach weakness”, “liver qi depression”, or “food accumulation or phlegm-fluid retention”. The most frequently selected acupoints were CV12, LI4, LR3, ST36, and PC6. Conclusion: There are common acupoints across different patterns, but pattern-specific acupoints were also recommended. These results can provide useful information to design clinical research and education for better clinical performance in acupuncture that reflects real-world practice.
The Critical Roles of Zinc: Beyond Impact on Myocardial Signaling
Sung Ryul Lee,Su Jin Noh,Julius Ryan Pronto,Yu Jeong Jeong,Hyoung Kyu Kim,In Sung Song,Zhelong Xu,Hyog Young Kwon,Se Chan Kang,Eun-Hwa Sohn,Kyung Soo Ko,Byoung Doo Rhee,Nari Kim,Jin Han 대한생리학회-대한약리학회 2015 The Korean Journal of Physiology & Pharmacology Vol.19 No.5
Zinc has been considered as a vital constituent of proteins, including enzymes. Mobile reactive zinc (Zn<sup>2+</sup>) is the key form of zinc involved in signal transductions, which are mainly driven by its binding to proteins or the release of zinc from proteins, possibly via a redox switch. There has been growing evidence of zinc’s critical role in cell signaling, due to its flexible coordination geometry and rapid shifts in protein conformation to perform biological reactions. The importance and complexity of Zn<sup>2+</sup> activity has been presumed to parallel the degree of calcium’s participation in cellular processes. Whole body and cellular Zn<sup>2+</sup> levels are largely regulated by metallothioneins (MTs), Zn<sup>2+</sup> importers (ZIPs), and Zn<sup>2+</sup> transporters (ZnTs). Numerous proteins involved in signaling pathways, mitochondrial metabolism, and ion channels that play a pivotal role in controlling cardiac contractility are common targets of Zn<sup>2+</sup>. However, these regulatory actions of Zn<sup>2+</sup> are not limited to the function of the heart, but also extend to numerous other organ systems, such as the central nervous system, immune system, cardiovascular tissue, and secretory glands, such as the pancreas, prostate, and mammary glands. In this review, the regulation of cellular Zn<sup>2+</sup> levels, Zn<sup>2+</sup>-mediated signal transduction, impacts of Zn<sup>2+</sup> on ion channels and mitochondrial metabolism, and finally, the implications of Zn<sup>2+</sup> in health and disease development were outlined to help widen the current understanding of the versatile and complex roles of Zn<sup>2+</sup>.