structive sleep apnea syndrome (OSAS) is one of the most important risk factors of cardiovascular disorders. In the treatment of OSAS, nasal continuous positive airway pressure (nCPAP) has been widely used and found to be effective. In the present study, we hypothesized that the hypoxic stress caused by obstructive sleep apnea would increase circulating intercellular adhesion molecule-1 (ICAM-1), interleukin-8 (IL-8), and monocyte chemoattractant protein-1 (MCP-1) in untreated OSAS patients compared with an age-matched control group. In addition, we hypothesized that nCPAP may decrease OSAS-induced hypoxic stress and mediators. To examine these hypotheses, we measured circulating ICAM-1 and IL-8 before and after nCPAP therapy in OSAS patients. We observed that nCPAP decreased apnea, desaturation, and the circulating ICAM-1 and IL-8 levels in OSAS patients. The circulating levels of ICAM-1, IL-8, and MCP-1 in untreated OSAS patients were significantly greater than those in the controls. These observations suggest that nCPAP therapy could reduce OSAS-induced hypoxia and generation of inflammatory mediators. Treatment of OSAS using nCPAP can be, therefore, a potential approach to decrease risk of the progression of OSAS-associated disorders. cytokines; cardiovascular disorders; ischemic heart disease; desaturation magnitude; hypoxic stress; intracellular adhesion molecule-1; monocyte chemoattractant protein-1; interleukin-8
We propose here a new enzyme immunoassay based on surface-enhanced Raman scattering (SERS). In the proposed system, antibody immobilized on a solid substrate reacts with antigen, which binds with another antibody labeled with peroxidase. If this immunocomplex is subjected to reaction with o-phenylenediamine and hydrogen peroxide at 37°C, azoaniline is generated. This azo compound is adsorbed on a silver colloid. In this system, only the azo compound gives a strong surface-enhanced resonance Raman (SERRS) spectrum. The spectrum shows intense bands at 1582 and 1442 cm -1 due to the CdC and NdN stretching modes, respectively. A linear relationship was observed between the peak intensity of the NdN stretching band and the concentration of antigen, revealing that one can determine the concentration of antigen by the SERRS measurement of the reaction product. The correlation coefficient between the peak intensity and the concentration was calculated to be 0.999 for the concentration range from 0.158 to 2.5 ng/mL. The detection limit of this SERS enzyme immunoassay method was found to be about 10 -15 mol/mL, which was lower by 1 order of magnitude than that found for a previously reported method employing SERRS.
Anterior microsurgical decompression for a massive ossified posterior longitudinal ligament, although technically more demanding, seems counterintuitively safer than laminoplasty. For a better understanding of the underlying mechanism for neurologic worsening after laminoplasty, electrophysiologic monitoring of the spinal cord and the roots function seems essential not only during surgery, but also during presurgical positioning of the patient.
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