Chronic rhinosinusitis with nasal polyps in older adults : clinical presentation, pathophysiology, and comorbidity

Purpose of Review Chronic rhinosinusitis and nasal polyps (CRSwNP) is a common condition that significantly affects patients' life. This work aims to provide an up-to-date overview of CRSwNP in older adults, focusing on its aging-related clinical presentations, pathophysiology, and comorbidity associations including asthma. Recent Findings Recent large population-based studies using nasal endoscopy have shown that CRSwNP is a mostly late-onset disease. Age-related changes in physiologic functions, including nasal epithelial barrier dysfunction, may underlie the incidence and different clinical presentations of CRSwNP in older adults. However, there is still a paucity of evidence on the effect of aging on phenotypes and endotypes of CRSwNP. Meanwhile, late-onset asthma is a major comorbid condition in patients with CRSwNP; they frequently present with type 2 inflammatory signatures that are refractory to conventional treatments when they are comorbid. However, as they are more commonly non-atopic, causative factors other than classical atopic sensitization, such as Staphylococcus aureus specific IgE sensitization, are suggested to drive the type 2 inflammation. There are additional comorbidity associations in older patients with CRSwNP, including those with chronic otitis media and head and neck malignancy. Age is a major determinant for the incidence and clinical presentations of CRSwNP. Given the heterogeneity in phenotypes and endotypes, longitudinal investigations are warranted to elucidate the effects of aging on CRSwNP

Bis[(2,2-dimethyl­propano­yloxy)meth­yl] {[2-(6-amino-9H-purin-9-yl)eth­oxy]meth­yl}phospho­nate–succinic acid (2/1)

The title compound, C20H32N5O8P·0.5C4H6O4, is composed of two 9-{2-[bis­(pivaloyloxymeth­oxy)phosphinylmeth­oxy]eth­yl}adenine, commonly known as adefovir dipivoxil (AD), mol­ecules linked to the carb­oxy­lic acid groups of succinic acid (SA). The asymmetric unit contains one mol­ecule of AD and half a mol­ecule of SA, which sits on an inversion center. Both adenine units in the two AD mol­ecules make AD–SA N—H⋯O and SA–AD O—H⋯N hydrogen bonds to SA. In addition, the inter­molecular AD–AD N—H⋯O—P hydrogen bond serves to stabilize the cocrystal. There is also a π–π stacking inter­action [inter­planar spacing 3.34 (19) Å] between adjacent inversion-related adenine groups

The Use of Pluripotent Stem Cell for Personalized Cell Therapies against Neurological Disorders

Although there are a number of weaknesses for clinical use, pluripotent stem cells are valuable sources for patient-specific cell therapies against various diseases. Backed-up by a huge number of basic researches, neuronal differentiation mechanism is well established and pluripotent stem cell therapies against neurological disorders are getting closer to clinical application. However, there are increasing needs for standardization of the sourcing pluripotent stem cells by establishing stem cell registries and banking. Global harmonization will accelerate practical use of personalized therapies using pluripotent stem cells

The Effects of Furosemide and Hypoxia on CIick-Evoked Otoacoustic Emissions in Anesthetized Guinea Pigs

From the concepts of well known ototoxic effects of loop diuretics and hypoxic state, twenty anesthetized guinea pigs with diuretics and/or hypoxia were evaluated with click-evoked otoacoustic emissions (CEOAEs) by timesequential monitoring. Furosemide 25 mg/kg was infused intravenously and CEOAEs were measured before and 5, 10, 20, 30, 45 and 60 minutes after injection in 8 guinea pigs. Both echo responses and reproducibilities were decreased significantly at 10 minutes after injection and showed minimal level at 20 minutes. Recovery of CEOAEs was noted by spectral analysis at 30 minutes after injection, and full recovery of CEOAEs was evident after then. At 60 minutes after injection, hypoxia of 20 seconds by turning off the artificial respirator was added. The CEOAEs showed statistically significant decreases compared with those of prehypoxic state (p<O.OI). The CEOAEs of 8 guinea pigs with injection of furosemide. 50 mg/kg showed decreased responses and no fr recoveries for the 60 minutes observation periods. Findings from this study support the clinical utility of CEOAEs as a screening test for early detection of various ototoxicities

High Performance n-Channel Organic Field-Effect Transistor of Conjugated Polymers with Fluorine-Substituted Phenylene Unit

OAIID:oai:osos.snu.ac.kr:snu2013-01/104/0000001236/9SEQ:9PERF_CD:SNU2013-01EVAL_ITEM_CD:104USER_ID:0000001236ADJUST_YN:NEMP_ID:A004558DEPT_CD:445CITE_RATE:0FILENAME:20130328_한국영국교류_(120x90)_정의혁.pdfDEPT_NM:재료공학부EMAIL:[email protected]:

Impacts of an aerosol layer on a mid-latitude continental system of cumulus clouds: how do these impacts depend on the vertical location of the aerosol layer?

Using the large-eddy simulation framework, effects of an aerosol layer on warm cumulus clouds in the Korean Peninsula when the layer is above or around the cloud tops in the upper atmosphere are examined. Also, these effects are compared to effects of an aerosol layer when it is around or below the cloud bases in the low atmosphere. Simulations show that when the aerosol layer is in the low atmosphere, aerosols absorb solar radiation and radiatively heat up air enough to induce greater instability, stronger updrafts and more cloud mass than when the layer is in the upper atmosphere. As aerosol concentrations in the layer decrease, the aerosol radiative heating gets weaker to lead to less instability, weaker updrafts and less cloud mass when the layer is in the low atmosphere. This in turn makes differences in cloud mass, which are between a situation when the layer is in the low atmosphere and that when the layer is in the upper atmosphere, smaller. It is found that the transportation of aerosols by updrafts reduces aerosol concentrations in the aerosol layer, which is in the low atmosphere, and in turn reduces the aerosol radiative heating, updraft intensity and cloud mass. It is also found that the presence of aerosol impacts on radiation suppresses updrafts and reduces clouds. Aerosols affect not only radiation but also aerosol activation. In the absence of aerosol impacts on radiation, aerosol impacts on the droplet nucleation increases cloud mass when the layer is in the low atmosphere as compared to a situation when the layer is in the upper atmosphere. As aerosol impacts on radiation team up with those on the droplet nucleation, differences in cloud mass, which are between a situation when the layer in the low atmosphere and that when the layer is in the upper atmosphere, get larger. This is as compared to a situation when there is no aerosol impacts on radiation and only aerosol impacts on the droplet nucleation.</p