PurposeThe primary objective of this study was to examine the changes of basal cortisol and DHEA levels present in saliva and serum with age, and to determine the correlation coefficients of steroid concentrations between saliva and serum. The secondary objective was to obtain a standard diurnal rhythm of salivary cortisol and DHEA in the Korean population.Materials and MethodsFor the first objective, saliva and blood samples were collected between 10 and 11 AM from 359 volunteers ranging from 21 to 69 years old (167 men and 192 women). For the second objective, four saliva samples (post-awakening, 11AM, 4PM, and bedtime) were collected throughout a day from 78 volunteers (42 women and 36 men) ranging from 20 to 40 years old. Cortisol and DHEA levels were measured using a radioimmunoassay (RIA).ResultsThe morning cortisol and DHEA levels, and the age-related steroid decline patterns were similar in both genders. Serum cortisol levels significantly decreased around forty years of age (p < 0.001, when compared with people in their 20s), and linear regression analysis with age showed a significant declining pattern (slope = -2.29, t = -4.297, p < 0.001). However, salivary cortisol levels did not change significantly with age, but showed a tendency towards decline (slope = -0.0078, t = -0.389, p = 0.697). The relative cortisol ratio of serum to saliva was 3.4-4.5% and the ratio increased with age (slope = 0.051, t = 3.61, p < 0.001). DHEA levels also declined with age in saliva (slope = -0.007, t = -3.76, p < 0.001) and serum (slope = -0.197 t = -4.88, p < 0.001). In particular, DHEA levels in saliva and serum did not start to significantly decrease until ages in the 40s, but then decreased significantly further at ages in the 50s (p < 0.001, when compared with the 40s age group) and 60s (p < 0.001, when compared with the 50 age group). The relative DHEA ratio of serum to saliva was similar throughout the ages examined (slop = 0.0016, t = 0.344, p = 0.73). On the other hand, cortisol and DHEA levels in saliva reflected well those in serum (r = 0.59 and 0.86, respectively, p < 0.001). The highest salivary cortisol levels appeared just after awakening (about two fold higher than the 11 AM level), decreased throughout the day, and reached the lowest levels at bedtime (p < 0.001, when compared with PM cortisol levels). The highest salivary DHEA levels also appeared after awakening (about 1.5 fold higher than the 11AM level) and decreased by 11AM (p < 0.001). DHEA levels did not decrease further until bedtime (p = 0.11, when compared with PM DHEA levels).ConclusionThis study showed that cortisol and DHEA levels change with age and that the negative slope of DHEA was steeper than that of cortisol in saliva and serum. As the cortisol and DHEA levels in saliva reflected those in serum, the measurement of steroid levels in saliva provide a useful and practical tool to evaluate adrenal functions, which are essential for clinical diagnosis.

Abbreviations: BD, Behcet's disease; RA, rheumatoid arthritis; s4-1BB, soluble 4-1BB; s4-1BBL, soluble 4-1BB ligand; SLE, systemic lupus erythematosus A bstract R heum atoid arthritis (R A ) is a m ultifactorial autoim m une disease w hose etiopathogenesis is not w ell understood. Although soluble (s) form s of 4-1BB (s4-1BB) and 4-1BB legand (s4-1BBL) have been detected in the sera of RA patients, their significance is not know n. W e com pared the serum levels of s4-1BB and s4-1BBL in RA patients w ith those in system ic lupus erythem atosus (SLE) and Behcet's disease (BD) patients. Serum levels of s4-1BB and s4-1BBL w ere significantly higher in RA patients com pared w ith healthy controls, SLE or BD patients, and the abundance w as correlated w ith disease severity in patients w ith RA. The serum levels of s4-1BB in RA patients w ere inversely corroborated w ith 4-1BB expression levels on activated T lym phocytes. In addition, there was a correlation betw een serum levels of s4-1BB and s4-1BBL. The augm ented secretion of s4-1BB and s4-1BBL levels into the serum m ay reflect the clinical sym ptom s of RA and levels of s4-1BB and s4-1BBL in sera at the tim e of diagnosis m ay be indicative of the severity and outcom e of RA.

Polyethersulfone was sulfonated by heterogeneous method with chlorosulfonic acid. Ion exchange capacity was controlled to 0.68 meq/g to reduce fouling. Sulfonation was confirmed by Fourier transform infrared spectroscopy and 1 H-nuclear magnetic resonance. Polyethersulfone and sulfonated polyethersulfone ultrafiltration membranes were prepared successively by the typical phase inversion method. Membrane performance of sulfonated polyethersulfone was compared with that of polyethersulfone. In the preparation of ultrafiltration membranes, the effect of the addition of dichloromethane and poly(vinyl pyrrolidone) in a casting solution was investigated on the membrane performance. It was observed that the addition of dichloromethane increased the solute rejection rate. By changing the ratio between polymer and poly-(vinyl pyrrolidone), membrane performance could be controlled. Negatively charged sulfonated polyethersulfone could reduce fouling at higher or lower pH than isoelectric point of protein bovine serum albumin.

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BackgroundThe reconstruction of large skin and soft tissue defects on the lower extremities is challenging. The skin graft is a simple and frequently used method for covering a skin defect. However, poor skin quality and architecture are well-known problems that lead to scar contracture. The collagen-elastin matrix, Matriderm, has been used to improve the quality of skin grafts; however, no statistical and objective review of the results has been reported.MethodsThirty-four patients (23 male and 11 female) who previously received a skin graft and simultaneous application of Matriderm between January 2010 and June 2012 were included in this study. The quality of the skin graft was evaluated using Cutometer, occasionally accompanied by pathologic findings.ResultsAll 34 patients showed good skin quality compared to a traditional skin graft and were satisfied with their results. The statistical data for the measurement of the mechanical properties of the skin were similar to those for normal skin. In addition, there was no change in the engraftment rate.ConclusionsThe biggest problem of a traditional skin graft is scar contracture. However, the dermal matrix presents an improvement in skin quality with elastin and collagen. Therefore, a skin graft along with a simultaneous application of Matriderm is safe and effective and leads to a significantly better outcome from the perspective of skin elasticity.

Polyethersulfone was sulfonated by heterogeneous method with chlorosulfonic acid. Ion exchange capacity was controlled to 0.68 meq/g to reduce fouling. Sulfonation was confirmed by Fourier transform infrared spectroscopy and 1 H-nuclear magnetic resonance. Polyethersulfone and sulfonated polyethersulfone ultrafiltration membranes were prepared successively by the typical phase inversion method. Membrane performance of sulfonated polyethersulfone was compared with that of polyethersulfone. In the preparation of ultrafiltration membranes, the effect of the addition of dichloromethane and poly(vinyl pyrrolidone) in a casting solution was investigated on the membrane performance. It was observed that the addition of dichloromethane increased the solute rejection rate. By changing the ratio between polymer and poly-(vinyl pyrrolidone), membrane performance could be controlled. Negatively charged sulfonated polyethersulfone could reduce fouling at higher or lower pH than isoelectric point of protein bovine serum albumin.

PURPOSEThe purpose of this study was to evaluate the effect of nano-structured alumina surface coating on shear bond strength between Y-TZP ceramic and various dual-cured resin cements.MATERIALS AND METHODSA total of 90 disk-shaped zirconia specimens (HASS CO., Gangneung, Korea) were divided into three groups by surface treatment method: (1) airborne particle abrasion, (2) tribochemicalsilica coating, and (3) nano-structured alumina coating. Each group was categorized into three subgroups of ten specimens and bonded with three different types of dual-cured resin cements. After thermocycling, shear bond strength was measured and failure modes were observed through FE-SEM. Two-way ANOVA and the Tukey's HSD test were performed to determine the effects of surface treatment method and type of cement on bond strength (P<.05). To confirm the correlation of surface treatment and failure mode, the Chi-square test was used.RESULTSGroups treated with the nanostructured alumina coating showed significantly higher shear bond strength compared to other groups treated with airborne particle abrasion or tribochemical silica coating. Clearfil SA Luting showed a significantly higher shear bond strength compared to RelyX ARC and RelyX Unicem. The cohesive failure mode was observed to be dominant in the groups treated with nano-structured alumina coating, while the adhesive failure mode was prevalent in the groups treated with either airborne particle abrasion or tribochemical silica coating.CONCLUSIONNano-structured alumina coating is an effective zirconia surface treatment method for enhancing the bond strength between Y-TZP ceramic and various dual-cured resin cements.