A Case of Hypertrophic Osteoarthropathy Associated with Epithelioid Hemangioendothelioma

Epithelioid hemangioendothelioma is a rare vascular tumor, which occurs in the lung, liver, bone, and soft tissue. Hypertrophic osteoarthropathy is a syndrome characterized by subperiosteal new bone formation, joint effusion and clubbing, and may be associated with cyanotic heart disease, chronic pulmonary disease, liver disease, and other miscellaneous diseases. The activation of endothelium and platelets has been suggested to be involved in the development of hypertrophic osteoarthropathy. We report a rare case of hypertrophic osteoarthropathy, which developed in association with hepatic epithelioid hemangioendothelioma with pulmonary metastasis. We also discuss the role of vascular endothelial growth factor in its pathogenesis

A Case of Renal Crisis in a Korean Scleroderma Patient with Anti-RNA polymerase I and III Antibodies

Scleroderma (SSc) renal crisis has been reported to be associated with anti-RNA polymerase I and III (RNAP I/III) antibodies in Caucasians and the Japanese. However, no report is available for Korean SSc patients. Here, we describe the case of a 65-yr-old female SSc patient who developed renal crisis and whose serum contained anti-RNAP I/III antibodies. She was finally diagnosed as having diffuse cutaneous SSc based on skin thickening proximal to the elbows and knees. Sudden hypertension, oliguria, and pulmonary edema were features of her renal crisis. Despite the use of captopril and adequate blood pressure control, her renal function deteriorated. Subsequent renal biopsy findings showed severe fibrinoid necrosis with luminal obliteration in interlobar arteries and arterioles consistent with SSc renal crisis. Serum anti-RNAP I/III antibodies were detected by radioimmunoprecipitation. This is the first report of a renal crisis in a Korean SSc patient with RNAP I/III antibodies

Improved Gastrointestinal Symptoms and Quality of Life after Conversion from Mycophenolate Mofetil to Enteric-Coated Mycophenolate Sodium in Renal Transplant Patients Receiving Tacrolimus

It is reported that a conversion from mycophenolate mofetil (MMF) to enteric-coated mycophenolate sodium (EC-MPS) relieves gastrointestinal (GI) symptom burden and improves health-related quality of life (HRQoL). However, it is unclear whether renal transplant recipients using tacrolimus receive the same benefit from the conversion. In this prospective, multi-center, open-label trial, patients were categorized into two groups by their GI symptom screening. Equimolar EC-MPS (n=175) was prescribed for patients with GI burdens; those with no complaints remained on MMF (n=83). Gastrointestinal Symptom Rating Scale (GSRS) and Gastrointestinal Quality of Life Index (GIQLI) were evaluated at baseline and after one month. Patients and physicians completed Overall Treatment Effect (OTE) at one month. EC-MPS-converted patients had worse GSRS and GIQLI scores at baseline than MMF-continued patients (all P<0.001). Significant improvements in GSRS and GIQLI scores were observed for EC-MPS-converted patients at one month, but MMF-continued patients showed worsened GSRS scores (all P<0.05). OTE scale indicated that EC-MPS patients improved in overall GI symptoms and HRQoL more than MMF patients did (P<0.001). In tacrolimus-treated renal transplant recipients with GI burdens, a conversion from MMF to EC-MPS improves GI-related symptoms and HRQoL

Use of Bacterial Extracellular Vesicles for Gene Delivery to Host Cells

Extracellular vesicles (EVs), which are nanosized membranous particles secreted from both prokaryotic and eukaryotic cells, can deliver various biological molecules, such as nucleic acids, proteins, and lipids, into recipient cells. However, contrary to what is known about eukaryotic EVs, whether bacterial EVs (bEVs) can be used as transporters for bioactive molecules is becoming a hot area of research. In this study, we electroporated enhanced green fluorescent protein (EGFP) genes and precursor microRNA of Cel-miR-39 (pre-Cel-miR-39) from isolated bEVs of Escherichia coli and Lactobacillus reuteri. The EGFP plasmid, synthetic EGFP RNA, and pre-Cel-miR-39 were successfully delivered into the murine microglial BV2 cells via bEVs. PCR and confocal microscopy analysis confirmed the transfer of the EGFP plasmid and RNA. The bEV-delivered exogenous pre-Cel-miR-39 was further processed into the mature form of Cel-miR-39; its incorporation into Ago2&mdash;a major component of the RNA-induced silencing complex&mdash;was assessed using RNA-immunoprecipitation&ndash;PCR. Taken together, bEVs can be used as vehicles to deliver genetic materials and for novel biotechnological applications, such as gene transfer and mRNA vaccines

Effects of tele-rehabilitation mental practice on balancing performance of patients with hemiplegia

Study aim: The purpose of this study was to confirm the effectiveness of tele-rehabilitation mental practice (TRMP) on balanc­ing performance for patients with hemiplegia. Material and methods: This study included five stroke patients, and all participants were trained to help to recover balancing performance. TRMP was applied for a total of 15 training sessions for 3 weeks, and pre- and post-intervention evaluations were carried out during this study. The Berg Balance Scale was used to confirm the balance ability, the Modified Falls Efficacy Scale to confirm the falls efficacy, and the Wii program to confirm the right and left weight distribution ratio. Results: As a result of this study, we could not confirm a significant difference between pre- and post-intervention balance ca­pacity and fall efficacy. However, weight distribution showed a significant difference after the intervention. Conclusion: TRMP may be applied in novel balance training for stroke patients

Prevalence and characterization of Salmonella in two integrated broiler operations in Korea

Abstract Background Vertical integration of the broiler industry allows producers to combine different biosecurity and sanitation practices, housing technologies, and feeding regimens to improve food safety. The purpose of this study was to investigate the prevalence and distribution of Salmonella, to determine the source of Salmonella contaminants, and to reveal the relationships between isolates at each step in the vertically integrated broiler production system in two representative integrated broiler companies in Korea. Results A total of 2148 samples were collected from 2 broiler breeder hatcheries, 14 broiler breeder farms, 3 broiler hatcheries, 16 broiler farms, 8 broiler transporting trucks and 6 slaughterhouses belonging to representative integrated broiler companies, and 205 (9.5%) of these samples were positive for Salmonella. The Salmonella prevalence in broiler hatcheries (34.0%) and broiler transporting trucks (62.5%) was higher (P < 0.05) whereas that in the broiler breeder hatchery (0.8%) was lower (P < 0.05), than the overall prevalence. Nine and 13 different Salmonella serotypes were isolated from integrated companies A and B, and the predominant serotypes were S. Virchow (39.7%) and S. Hadar (59.2%), respectively. Pulsed field gel electrophoresis patterns of isolates from the two operations showed significant genetic relatedness within a single system. Conclusions In a comparison of the two operations that participated in this study, the prevalence of Salmonella differed significantly between the broiler breeder hatchery, and broiler hatcheries and broiler farms