• Title/Summary/Keyword: Anus

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Rectal perforation caused by a sharp pig backbone in a middle-aged patient with mild depression (경도의 우울증이 있는 중년 남자에서 날카로운 돼지 척추뼈에 의한 직장천공)

  • Sun, Hyeong Ju;Lee, Jeonghun;Kim, Dong Min;Chu, Myeong-Su;Park, Kyoung Sun;Choi, Dong Jin
    • Journal of Yeungnam Medical Science
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    • v.32 no.1
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    • pp.31-34
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    • 2015
  • In Korea, cases of direct insertion of foreign bodies into the rectum are rare in the literature. Most cases of rectal insertion of foreign bodies are associated with sexual acts and psychiatric disorder such as schizophrenia. Objects inserted into the anus are usually blunt and shaped like the male genitalia. The removal method can be varied depending on the size and shape of the foreign object, its anatomical location, and the accompanying complications. In cases wherein attempts to remove the object fail or there are rectal perforation and peritonitis complications, immediate laparotomy may be required in order to prevent serious complications such as sepsis. Here, we report on a case of rectal perforation and peritonitis due to insertion of a foreign body in a middle-aged patient, with a literature review. He inserted a sharp pig backbone in his rectum and he only had depression. The patient underwent a Hartmann's operation as well as psychiatric counseling and treatment. Thus, after removal of foreign bodies, psychiatric counseling and treatment should be carried out in order to prevent similar accidents and to minimize the need for trauma medicine.

Clostridium perfringens enterotoxicosis in a lion of zoo (동물원 사자의 Clostridium perfringens에 의한 장독혈증 감염증례)

  • Kim Yong-Hwan;Na Ho-Myung;Park Sung-Do;Koh Ba-Ra-Da;Kim Tae-Sun;Yoon Byeong-Cheol;Choi Jong-Woog;Lee Sam-Soo
    • Korean Journal of Veterinary Service
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    • v.28 no.3
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    • pp.253-258
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    • 2005
  • A 3-year-old male lion at Gwangju Uchi Zoo presented for acute onset of haemorrhagic diarrhea and died. The lion showed reddening of the anus as the cause of haemorrhagic enteritis. Necropsy revealed a severe haemorrhagic colitis. Grossly, lesions included icterus, excess pericardial fluid. dark kidneys, and an enlarged, friable liver. The intestines were flaccid, thin-walled, dilated, and 9as-filled. The spleen was enlarged and pulpy because of congestion. Most of organs were rapidly postmortem autolysis. Histopathologically, the intestines were edema and transient leukocyte infiltration of the lamina propria, followed by necrosis. Especially of the intestinal submucosa was edematous, haemorrhagic, or filled with leukocytes. The crypts remained intact or dilated. C perfringens was isolated from a lion at bloody feces, and identified C perfringens type A, confirming the presence of C perfringens $\alpha-toxin$ by PCR. These results were suggested that the case were diagnosed as enterotoxicosis in the lion. More studies are needed on lion enterotoxemia. especially of its etiopathogenesis, in order to develop more efficient prevention for this disease.

First Morphological Description and the Distribution of Ophisurus macrorhynchos (Anguilliformes: Ophichthidae) Leptocephalus Collected from Southeastern Waters of Jeju Island (제주도 남동부해역에서 채집된 바다뱀(Ophisurus macrorhynchos) (뱀장어목: 바다뱀과) 엽상자어의 첫 형태기재 및 분포특성)

  • Ji, Hwan-Sung;Choi, Jung Hwa;Choi, Kwang Ho;Yoon, Sang Chul;Lee, Dong Woo;Kim, Jin-Koo
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.47 no.6
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    • pp.888-894
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    • 2014
  • Seventeen specimens of leptocephali [9.8-44.5 mm total length (TL)], of the family Ophichthidae, were collected from southeastern waters off Jeju Island and the Korea-Japan intermediate zone, and identified by means of morphology and genetics. These specimens were identified as belonging to the subfamily Ophichthinae based on various combinations of morphological characters: 211-215 total myomeres; 7 gut swellings; 2 liver lobes connected with the gall bladder on the second lobe; 6-7 postanal pigments present from anus to caudal margin. An analysis of the partial 12S rRNA sequences (849 base pairs) of mitochondrial DNA showed that our specimens must be Ophisurus macrorhynchos because their sequences were concordant with those of the adult O. macrorhynchos (genetic distance = 0.000). Furthermore, their total myomeres were consistent with those of the O. macrorhynchos adult. This is the first time that the morphological characteristics of O. macrorhynchos leptocephali have been described for Korean waters, and we suggest diagnostic characteristics for the genus Ophisurus leptocephali. We hypothesize that one of the spawning grounds of O. macrorhynchos is located in the southeastern part of Jeju Island.

Physicochemical Characterization and In Vivo Evaluation of Thermosensitive Diclofenac Liquid Suppository

  • Yong, Chul-Soon;Choi, Young-Kwon;Kim, Yong-Il;Park, Byung-Joo;Quan, Qi-Zhe;Rhee, Jong-Dal;Kim, Chong-Kook;Choi, Han-Gon
    • Archives of Pharmacal Research
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    • v.26 no.2
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    • pp.162-167
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    • 2003
  • Liquid suppository systems composed of poloxamers and bioadhesive polymers were easy to administer to the anus and mucoadhesive to the rectal tissues without leakage after the dose. However, a liquid suppository containing diclofenac sodium could not be developed using bioadhesive polymers. since the drug was precipitated in this preparation. To develop a liquid suppository system using sodium chloride instead of bioadhesive polymers, the physicochemical properties such as gelation temperature, gel strength and bioadhesive force of various formulations composed of diclofenac sodium, poloxamers and sodium chloride were investigated. Furthermore, the pharmacokinetic study of diclofenac sodium delivered by the liquid suppository was performed. Diclofenac sodium significantly increased the gelation temperature and weakened the gel strength and bioadhesive force, while sodium chloride did the opposite. The liquid suppositories with less than 1.0% of sodium chloride, in which the drug was not precipitated, were inserted into the rectum without difficulty and leakage. Furthermore, liquid suppository gave significantly higher initial plasma concentrations and faster Tmax of diclofenac sodium than did solid suppository, indicating that drug from liquid suppository could be absorbed faster than that from solid one in rats. Our results suggested that a thermosensitive liquid suppository system with sodium chloride and poloxamers was a more physically stable, convenient and effective rectal dosage form for diclofenac sodium.

The Relationship between the Intake of Food Conformable to Each Sasang Constitution and Recognition of Irregular Symptoms of Health Condition (사상체질 유형별 적응식품 섭취도와 건강 자각도와의 관계 연구)

  • Bok Hye-Ja;Song Joo-Eun
    • Journal of the East Asian Society of Dietary Life
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    • v.16 no.1
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    • pp.1-12
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    • 2006
  • This study examine the relationship between the intake of food conformable to each Sasang constitution and the recognition of irregular symptoms of health condition. The study subjects were 362 university students nationwide, classified by heir Sasang constitution. In terms of the intakes of conformable food and the symptom recognition, the number of multiple subjective symptoms tended to rise as the Soeum type digested the conformable food. As for the kinds of food, the Soyang type showed a significant positive correlation between the intake of cucumber namul and the symptoms of eyes and skin, but a negative correlation between the intake of Chongak Kimchi and the symptoms of the digestive system The Soeum type showed a significant positive correlation between multiple subjective symptoms and the intake of Gatkimchi, fernbrake namul, naeng-i soup, naeng-i namul, Korean leek Kimchi, crown daisy namul, and curled mallow soup, a significant positive correlation between the symptom recognition of the respiratory system and the intake of fried flatfish, and chicken gomtang but a negative correlation between the symptom recognition of the eye and skin and the intake of boiled eel. The Taeum type presented the a sigmificant positive correlation between multiple subjective symptoms and the intake of spaghetti, a positive correlation between the symptoms of the respiratory system and the intake of tuna salad, a positive correlation between the symptoms of the eye and skin and the intake of mafa tofu, spaghetti, and tuna salad, a negative correlation between the symptoms of the mouth and anus and the intake of codfish jiri, and a negative correlation between the symptoms of the respiratory system and the intake of tuna salad.

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The literatual study on the external medical treatment of Menorrhalgia and Leucorrhea for gynecologic condition (월경통(月經痛) 및 냉대하(冷帶下)에 활용(活用)된 외치법(外治法)에 대(對)한 문헌적(文獻的) 고찰(考察))

  • Cho, Sun-Hwa;Jeong, Jin-Hong
    • Journal of Haehwa Medicine
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    • v.9 no.1
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    • pp.319-335
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    • 2000
  • According to the literatual study on the external medical trearment of Menorrhalgia and Leucorrhea for gynecologic condition, the results were as follows. 1. Using external medical treatment for Menorrhalgia is to insert vagina theraphy, fumigation theraphy, to wash vagina theraphy, to insert anus theraphy, to apply hot pack theraphy and use with suppository such as BANSUKHWAN(礬石丸), SASANGZASAN(蛇床子散), KUMBONGHYUNGJU(金鳳衡珠) 2. Using external medical treatment for Leucorrhea is washing and fumigation on vagina, to wash vagina, to insert vagina, cleansing theraphy and use with Suppository such as YONGYEOMGO(龍鹽膏), KAMISASANGJASAN(加味蛇床子散), SASANGSACHUNGSEJE(蛇床子洗劑). 3. ANGELICAE GIGANTIS RADIX (當歸) is in mostly general use for external medical treatment of Menorrhalgia and Leucorrhea, in that order ANSU SEMEN(杏仁), EVODIAE FRUCTUS(吳茱萸), TORILIS FRUCTUS (蛇床子), CORYDALIS TUBER(玄胡索), CINIAMOMI CORTEX(肉桂), CARYOPHYLLI FLOS(丁香), ALUMEN(枯白礬), AQUILARIAE LIGNUM (沈香). 4. The efficacy of medicines to use external medical treatment is as follow to help circulation of blood, to warm spleen and stomach, to warm blood, to warm uterus and remove cold, to remove heat and dry moisture, to down heat-product, to contract bloodvessel, to counteract poison and destory virus, to make energy and blood. 5. KUMBONGHYUNGJU, made same size as cherry and shape vagina medicine, use for Menorrhalgia, menstural irregularity, Leucorrhea, it has the efficacy as follow to remove cold and dry moisture, to warm uterus, to help circulation and romove pain, to down moisture-heat.

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First Record of a Snailfish, Careproctus colletti (Scorpaeniformes: Liparidae) from the East Sea, Korea (한국산 꼼치과(Lipardae) 어류 1 미기록종, Careproctus colletti)

  • Park, Jeong-Ho;Ji, Hwan-Sung;Yoon, Byoung-Sun;Choi, Young-Min;Ban, Tae-Woo;Kim, Jin-Koo
    • Korean Journal of Ichthyology
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    • v.25 no.1
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    • pp.46-49
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    • 2013
  • A single specimen (373.2 mm SL) of the snailfish Careproctus colletti was collected by gill-net at Donghae-si, East Sea, Korea. This species is characterized by having the slender and stick-like teeth, lower end of gill opening not reaching to upper origin of pectoral fin, rays of lower part of pectoral fin long, reaching behind anus and margins of dorsal and anal fin dark. We described it as the first record to Korean fish fauna, and proposed the new Korean name "Meok-bun-hong-kkom-chi" for this species.

Current Status(1994) of Neonatal Surgery in Korea -Survey among the members of Korean Association of Pediatric Surgeons- (1994년도 한국신생아외과의 현황 - 대한소아외과학회 회원대상 전국조사 -)

  • Kim, W.K.;Kim, S.Y.;Kim, S.K.;Kim, I.K.;Kim, J.C.;Park, K.W.;Park, Y.S.;Park, W.H.;Park, J.S.;Song, Y.T.;Oh, S.M.;Lee, D.S.;Lee, M.D.;Lee, S.C.;Chang, S.I.;Chung, E.S.;Jung, P.M.;Joo, J.S.;Choi, S.O.;Huh, Y.S.;Hwang, E.H.
    • Advances in pediatric surgery
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    • v.2 no.1
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    • pp.26-32
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    • 1996
  • To understand the current status of neonatal surgery in Korea, a survey was made among the 27 members of Korean Association of Pediatric Surgeons. Response rate among surgeons was 78 percent, eighteen hospitals participated in this study. Five hundred and three cases of neonatal surgical patients were analyzed. In Korea, about 50% of cases were treated at the hospital in the capital city area. Regional number of patients were closely related to the regional population. Imperforate anus(19%), atresia/stenosis of gut(12%), and Hirschsprung's diseases(12%) were sitting at the top in the list. Majority of operation was done within the first week of life, especially during the first 24 hour period. Eighty per cent was major or so called index cases. Mortality in so-called index cases was 17%. High mortality was observed in patients with diaphragmatic hernia(47%), gastrointestinal perforation(65%) and esophageal atresia(28%). Low birth weight babies showed higher mortality in gastrointestinal perforation, esophageal atresia and abdominal wall defect. These were compared to 1993 survey of Japanese Society of Pediatric Surgeons.

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A novel F-box protein with leucine-rich repeats affects defecation frequency and daumone response in Caenorhabditis elegans

  • Kim, Sung-Moon;Jang, Sang-Ho;Son, Na-Rae;Han, Ching-Tack;Min, Kwan-Sik;Lee, Hak-Kyo;Hwang, Sue-Yun
    • Animal cells and systems
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    • v.16 no.4
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    • pp.280-288
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    • 2012
  • Targeted degradation of proteins through ubiquitin-mediated proteolysis is an important control mechanism in various cellular processes. The process of ubiquitin conjugation is achieved by three enzyme complexes, among which the ubiquitin ligase complex (E3) is in charge of substrate specificity. The SCF (SKP1-CUL1-F-box) family portrays the largest and the most characterized member of the E3 ligases. For each SCF complex, the ubiquitination target is recognized by the F-box protein subunit, which interacts with the substrate through a unique C-terminal domain. We have characterized a novel F-box protein CFL-1 that represents a single LRR-type F-box (FBXL) in the Caenorhabditis elegans genome. CFL-1 is highly homologous to FBXL20 and FBXL2 of mammals, which are known to regulate synaptic vesicle release and cell cycle, respectively. A green fluorescence protein (GFP)-reporter gene fused to the cfl-1 promoter showed restricted expression around the amphid and the anus. Modulation of CFL-1 activity by RNAi affected the time interval between defecations. RNAi-treated worms also exhibited reduced tendency to form dauer when exposed to daumone. The potential involvement of CFL-1 in the control of defecation and pheromone response adds to the ever expanding list of cellular processes controlled by ubiquitin-mediated proteolysis in C. elegans. We suggest that CFL-1, as a single LRR-type F-box protein in C. elegans, may portray a prototype gene exerting diverse functions that are allocated among multiple FBXLs in higher organisms.

Semitendinosus Muscle Transfer Flap for the Treatment of Canine Fecal Incontinence

  • Cho, Hyoung-sun;Lee, Dong-bin;Kwon, Yong-hwan;Kim, Young-ung;Kang, Jin-su;Lee, Ki-chang;Kim, Nam-soo;Kim, Min-su
    • Journal of Veterinary Clinics
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    • v.33 no.2
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    • pp.131-134
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    • 2016
  • A 4-year-old intact female Maltese was referred to the Animal Medical Center of Chonbuk National University with a history of consistent fecal incontinence over 4 months following sacculectomy surgery. We suspected that anal sacculectomy resulted in loss of the external anal sphincter. On physical examination, the external anal sphincter muscle on the left side was intact, while the external anal sphincter muscle on the right side could not be detected and exhibited severe laceration. To repair the defect, the left semitendinosus muscle was transposed around the anus. The left semitendinosus muscle was isolated and transected near the stifle, reflected dorsally and passed around the ventral rectum into the pararectal fossa. Care was taken to preserve the integrity of the vasculature and nerve supply. The muscle was secured dorsally with simple interrupted sutures to the levator ani and coccygeus muscles to simulate the external anal sphincter. Nine days after surgery, the dog was defecating normally with no evidence of incontinence. The use of semitendinosus muscle flaps is a good option for the treatment of fecal incontinence secondary to loss of sphincter muscle in dogs.