• 제목/요약/키워드: Blood control

검색결과 6,181건 처리시간 0.034초

고양이에서 tiletamine-zolazepam과 medetomidine 마취에 대한 atipamezole의 임상적 길항 효과 (Clinical Antagonistic Effect of Atipamezole in Cats Anesthetized with Tiletamine-Zolazepam and Medetomidine)

  • 김형웅;박창식;전무형;정성목;김명철
    • 한국임상수의학회지
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    • 제24권2호
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    • pp.104-108
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    • 2007
  • 연구의 목적은 고양이에서 $Zoletil^{(R)}$과 medetomidine 약물 마취 시 atipamezole의 임상적 길항 효과를 보기 위함이다. 마취를 하고 다시 회복되는 동안에 체온, 심박수, 호흡수를 측정하였다. 이 연구에는 12 마리의 건강한 한국 잡종 고양이를 사용하였다. 각 6마리씩 무작위로 선별하여 대조군($Zoletil^{(R)}$ 과 medetomidine, ZM)과 실험군 ($Zoletil^{(R)}$, medetomidine 과 길항제인 atipamezole, ZMA) 두 군으로 나누었다. 모든 고양이들은 투여 전 15분, 주사후 5분, 25분, 65분, 105분에 평가하였으며, 길항제인 atipamezole은 마취 주사 후 20분에 근육 주사 하였다. 회복 시간, 심박수, 호흡수는 두 군간 유의성이 있는 결과를 보였고 체온은 유의성을 나타내지 않았다. 두 군 모두 $Zoletil^{(R)}$과 medetomidine 마취 주사 후 4분 내에 횡와 되는 결과를 보였고 마취 시간도 3시간 가까이 지속해 고양이에 있어서 이들 약물이 좋은 마취 효과가 있음을 보여 주었다. 회복 시 마취 부작용은 거의 보이지 않았다. 고양이가 마취에서 회복되어 기립 자세를 하기까지 걸리는 시간이 ZM 군에서는 $210.8{\pm}45.6$ 시간으로 나타났고, ZMA 군에서는 $154.32{\pm}21.1$ 시간으로 나타났다. 길항제를 투여한 ZMA군에서 회복시간이 거의 한 시간 가까이 단축되어 ZMA 군이 ZM 군보다 회복이 빠르다는 결과를 보였다. 본 연구에서 atipamezole은 medetomidine-tiletamine/zolazepam으로 병용 마취된 고양이에서 유용한 회복효과를 발휘하였다.

마황복용 후 사상체질별 이상반응에 관한 임상연구 : 무작위배정 이중맹검시험 (Adverse Effects of Ephedra According to Sasang Typology in Healthy Adults : A Double-Blind Randomized Controlled Trial)

  • 이태호;형례창;양창섭;김락형;서의석;장인수
    • 대한한방내과학회지
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    • 제30권1호
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    • pp.144-152
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    • 2009
  • Background : Ephedra (Ephedra sinica) has been widely used to treat respiratory disease in traditional medicine of East Asia for over a hundred years. Despite safety concerns raised by some, the use of ephedra in traditional medicine is documented over more than 1,800 years. It is well established that ephedra is one of the central medicines in Korean 'Seseng constitution' medicine. In Sasang constitution medicine, all humans can be divided into one of four types: Soeumin, Soyangin, Taeumin or Taeyangin, and each constitution type has their own typical characteristics. Accordingly, it is hypothesized that the adverse effects of ephedra differ depending on the Sasang constitution classification. Objectives : The aim of this study was to determine adverse effects of ephedra which is classified as a Taeumin herb, and to observe whether the response differs or not. according to Sasang constitution classification. Methods : The study design was a double-blind randomized controlled trial. The subjects were healthy adults 20 - 50 years old who agreed to participate in this study. They were allocated through randomization to either ephedra group (N=55) or placebo group (N=24). where ephedra extract (6 g of dried ephedra) and placebo with similar opaque capsules were given twice for one day. To compare the adverse events of ephedra according to Sasang constitution classification, we analyzed blood pressure (systolic and diastolic), pulse rate, the morning questionnaire, and patient's global assessment scale score for well known adverse events: palpitation, headache, sweating, tiredness, dyspepsia, and dry mouth. Results : After ingestion of ephedra, the pulse rate had a significant increase in all constitution types. The changes of diastolic pressure in Soeumin and the changes of pulse rate in Soeumin, Soyangin and Taeumin had a significant increase in the ephedra over the control group. In the ephedra group, the palpitation and dyspepsia score of the patients' global assessment scale had a significant increase in Soeumin, with palpitation and sweating score increasing in Soyangin. Others observations were insignificant results. Conclusion : The results of this study may confirm that the physical responses or adverse effects of herbs differ for each type of Sasang constitution. Future studies using other herbs will be required to ascertain the herbal drug reaction of Sasang constitutions.

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법제 옻나무 추출물의 혈관형성저해 및 항암효과에 관한 연구 (Study on Antiangiogenic and Antitumor Activities of Processed Rhus verniciflua Stokes extract)

  • 최원철;이재호;이은옥;이효정;윤성우;안규석;김성훈
    • 동의생리병리학회지
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    • 제20권4호
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    • pp.825-829
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    • 2006
  • Rhus verniciflua Stokes has been used for treatment of blood stasis and abdominal mass in Oriental medicine. Rhus verniciflua Stokes has been experimentally reported to exert antioxidant, antiproliferative, antithrombotic and apoptotic activities. In the present study, the antiangiogenic and in vivo antitumor activities of aqueous extract of processed Rhus verniciflua Stokes (Nexia) by heat were examined to elucidate its anticancer mechanism. Nexia showed weak cytotoxiicty against human umbilical vein endothelial cells (HUVEC) and Lewis lung carcinoma cells (LLC) with IC50 of${\sim}200\;{\mu}g/ml\;and\;>200\;{\mu}g/ml$, respectively. Nexia significantly inhibited the proliferation and migratory activity in vascular endothelial growth factor(VEGF) treated HUVEC. Furthermore, Nexia effectively suppressed the tumor volume in A549 nonsmall lung cancer bearing athymic nude mice, CanN. Cg-Foxn 1nu/CrljBgi up to 40.7% as well as tumor weight incised from LLC cells innoculated into the flank of C57BL/6 mice up to -50% compared with untreated control at a dose of 300 mg/kg. Taken together, these results suggest that processed Rhus verniciflua Stokes may inhibit the growth of Lewis lung carcinoma cells partly via inhibition of angiogenesis and can be potently applied to angiogenesis dependent cancers. However, it still needs a further research on molecular mechanism, angiogenesis animal study and clinical trial in future.

말초 신경병증성 통증 모델에서 소경활혈탕의 진통 효과 (Analgesic Effects of Sokyungwhalhyul-tang on Constriction Nerve Injury-Induced Neuropathic Pain in Rats)

  • 김경윤;정현우;최찬헌;김형우;김기도;심기철;김계엽
    • 동의생리병리학회지
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    • 제25권2호
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    • pp.195-201
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    • 2011
  • Nardostachys chinensis;Anti-proliferation;Cell cycle arrest;Differentiation;U937 cells; This study was conducted to determine the analgesic effect of Sokyungwhalhyul-tang(SKWHT) using the model of peripheral neuropathic pain model. A model of neuropathic pain was made by ligating left 5th lumbar spinal nerve of rats. After 1 days, the extract of SKWHT was orally administered daily. Rats were divided into four groups; (1) Control group(n=6), (2) Experimental group I(SKWHT-OA1, 100 mg/kg, n=6), (3) Experimental group II(SKWHT-OA2, 300 mg/kg, n=6), (4) Experimental group III(SKWHT-OA3, 500 mg/kg, n=6). After that, we examined the withdrawl response of neuropathic rats legs by von Frey filament and Hot plate at pre, $1^{th}$, $4^{th}$, $7^{th}$, $14^{th}$, $21^{th}$ days after the induction of neuropathic pain. And also we examined c-fos, GOT, GPT and histological study of Liver at 21th days. von Frey filament and Hot plate were increase in experimental group I, II, III than Con. especially group III was most significantly analgesic effect than the other groups at $14^{th}$, $21^{th}$ days. In c-fos protein expression on spinal cord, group III was most significantly reduction immunoreactivity at $21^{th}$ days and in blood serum GOT & GPT levels and histologic finding of Liver in all experimental groups were no significant difference with Con at $21^{th}$ days. According to the above results, SKWHT(500 mg/kg) may have a significant analgesic effect on the neuropathic pain.

A Monoclonal Anti-peptide Antibody against $\beta$2-adrenergic Receptor Which Specifically Binds [$^{3}H$] dihydroalprenolol

  • Shin, Chan Young;Noh, Min Su;Lee, Sang Derk;Lee, Sang Bong;Ko, Kwang Ho
    • Biomolecules & Therapeutics
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    • 제3권4호
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    • pp.266-272
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    • 1995
  • The analysis of membrane receptors for hormones and neurotransmitters has progressed considerably by pharmacological and biochemical means and more recently through the use of specific antibodies. To generate and characterize a moloclonal antibody against $\beta$-adrenergic receptor, a synthetic $\beta$2-adrenergic receptor peptide (Phe-Gly-Asn-Phe-Trp-Cys-Phe-Trp-Thr-Ser-lle-Asp-Val-Leu) which may comprise part of $\beta$-adrenergic receptor ligand binding pocket was coupled to Keyhole Limpet Hemocyanin (KLH) and used as an immunogen. Male BALB/C mice were immunized with this antigen and the immunized spleen was fused with myeloma SP2/0-Ag14 cells to produce monoclonal antibodies. Two clones were obtained but one of monoclonal antibodies, mAb5G09, was used throughout in this study because the other clone, mAb5All showed weak immunoreactivity against KLH as well. The mouse monoclonal antibody mAb5G09 produced in this study showed immunoreactivity to peptide-KLH conjugates and also to human A43l cells and guinea pig lung $\beta$2-adrenergic receptor as revealed by ELISA and western blot. In the course of determination of the effects of mAb5G09 on $\beta$-receptor ligand binding, it was observed that mAb5G09 specifically bound $\beta$-adrenergic radioligand [$^3$H]dihydroalprenolol (DHA) with a dissociation constant (Kd) of 60 nM. The [$^3$H]DHA binding activity of mAb5G09 had characteristics of immunoglobulins and the binding activity was not observed in the control anti-KLH monoclonal antibody. The monoclonal antibody, mAb5G09 produced in this study may provide useful models for the study of the structure of receptor binding sites.

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ELISA법을 이용한 폐흡충 감염 백서의 혈청내 항원 검출 (Detection of circulating antigens in rats experimentally infected with Paragonimus westermani by ELISA)

  • 용태순;김동수
    • Parasites, Hosts and Diseases
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    • 제25권2호
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    • pp.141-148
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    • 1987
  • 실험적으로 폐홉춘을 감염시킨 백서의 혈청내 항원을 ELISA 법으로 측정하였다. 시험용 혈청은 폐흡충의 피낭유충을 마리당 25개씩 먹인 총 22마리의 백서에서 감염후 12주가 될 때까지 채혈하여 얻었다. 폐흡충에 대한 특이항체는 폐흡충 감염 고양이의 혈청으로부터 ammonium sulfate 침전과 anionezchange chromatography를 이용, IgG를 분리한 후 affinity chromatography를 이용하여 순수분리하였다. 항원을 찾기 위한 ELISA는 소위 "double antibody sandwich method"를 사용하였다. 대조로서 사용한 감염전 혈청의 O.D.치 평균값은 0.04(표준편차 0.04)이었으며 감염후 O.D.치 (표준편차)의 변화를 보면 0.5주(3일)는 0.03(0.01), 1주는 0.55(0.50), 1.5주는 0.69(0.45), 2주는 0.20(0.19), 2.5주는 0.13(0.10)이었고 감염 3주 이후는 대조 혈청의 값으로 떨어졌다. 대조혈청의 $평균간+3{\times}$ 표준편차, 즉 0.16이하를 이 system에서의 비특이적 수치로 잡았을 때 이 이상의 수치를 나타낸 경우는 감염 후 1주부터 2.5주까지의 혈청에서만 관찰되었다. 한편 감염 12주 후에 총 10마리의 백서를 희생시켜 유충을 회수하여 보았다. 폐와 흉강에서는 평균 2.2마리, 근육에서는 평균 6.2마리의 유충을 회수할 수 있었다. 폐흡충 감염 백서에 있어 충체가 생산하는 항원은 감염 1주 후부터 혈청 내에서 검출되었다. 그러나 감염 3주후부터는 검출되지 않았는데 이것은 항원-항체 복합체 형성에 의한 반응 저해 현상에 의한 것으로 생각되었다.

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만성 경항통(목부위 통증)의 도침요법, 진통제, 복합치료의 효능 및 안전성 연구 (Efficacy and Safety of Miniscalpel Acupuncture, Non-Steroidal Anti-Inflammatory Drugs or Combined Treatment for Chronic Neck Pain: An Assessor-Blinded Randomized Controlled Pilot Study)

  • 공한미;전승아;정연중;김주란;이정희;이현종;박정아;김재수
    • Korean Journal of Acupuncture
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    • 제37권1호
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    • pp.14-23
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    • 2020
  • Objectives : We investigated the efficacy and safety of miniscalpel acupuncture (MA) treatment combined with non-steroidal anti-inflammatory drugs (NSAIDs) for chronic neck pain (CNP) in an assessor-blinded randomized controlled pilot trial to establish a basis for larger-scale randomized controlled studies on this subject. Methods : Participants (n=36) were recruited and randomly allocated to the MA group, NSAIDs and combined treatment group. The MA group received MA three times over three weeks. The NSAIDs group was administered orally with zaltoprofen 80mg t.i.d. over three weeks. The combined treatment group received MA and zaltoprofen in the same manner as MA and NSAIDs groups. The primary outcome was pain as assessed by a visual analogue scale (VAS) and the secondary outcomes were assessed using the Neck Disability index (NDI), EuroQol 5-dimension questionnaire (EQ-5D), and Patients' Global Impression of Change scale (PGIC). Assessments were made at week 0 (baseline), 1, 2, 3 (primary end point) during treatment and at week 7 (4 weeks after the end of treatment). Results : 35 participants completed the study. No serious adverse event occurred and blood test results were within normal limits. The improvement of VAS and NDI was significantly greater in combined and MA group than that in NSAIDs group (p<0.017). The combined group showed better outcomes in EQ-5D at visit 2 and 5, in PGIC at visit 4 than the NSAIDs group (p<0.017). No significant differences were found between combined and MA group. Conclusions : Our results suggest that both combined and MA group can be more effective in improving pain control than NSAIDs group. A large-scale clinical study is warranted to further clarify these findings.

호스피스 암 환자를 위한 의무기록지의 개발 (Development of Hospice Oriented Medical Record (HOMR) for Cancer Patients)

  • 성정원;홍성문;김시완;김정아;박준철;김수현;서민정;허신회;김혜원;홍명호;최윤선
    • Journal of Hospice and Palliative Care
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    • 제7권1호
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    • pp.49-63
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    • 2004
  • 배경: 호스피스 암 환자에게 적합한 경과기록지의 부재 또한 적절한 암성 통증 관리의 장애요인으로서 기존의 "문제 지향식 의무기록"의 경과기록지 형식에서 벗어나 호스피스 암 환자를 위한 의무기록지(HOMR)를 개발하게 되었다. 방법 및 결과: 2004년 3월부터 5월 사이 고대 구로병원 호스피스 팀은 20여 차례의 모임을 갖고 호스피스 환자의 초기 평가 이후 경과기록에 사용할 수 있는 의무기록지를 개발하였다. 구성항목의 결정은 pilot study를 통해 수정과정을 거쳤다. HOMR은 A4용지 크기로 작성자를 위한 지침서 1장과 2장의 경과기록지로 구성되었다. 앞면에는 환자의 인적 사항, 현재 문제목록 및 활동 수행 능력 상태, 검사 결과, 1주일 간의 활력 징후 및 I/O, 배변 횟수가, 뒷면에는 통증 부위, 통증의 성격 및 강도, 약물 및 비약물 요법, 진정 정도, 동반 증상, 약물 부작용 등을 한꺼번에 기록할 수 있도록 구성되어 있다. 결론: 호스피스 암 환자를 위한 의무기록지는 짧은 여명과 다양한 신체 증상을 갖고 있으며 증상의 변화가 빠르지만 만성적인 경과를 보이는 호스피스 환자에게 적합하며 그 자체만으로도 교육자료로서의 가치가 높고 환자를 돌보는 데 있어 진료의 질을 평가하거나 심사할 수 있으므로 진료의 질을 높이는 역할도 기대된다.

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Diabetes-prone BB Rat을 이용한 가미육미지황탕의 항당뇨 효과 (The Antidiabetic Effect of Gamiyookmijihwangtang on Diabetes-prone BB Rats)

  • 이윤경;김순동
    • 한국식품과학회지
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    • 제32권5호
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    • pp.1206-1212
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    • 2000
  • 가미육미지황탕이 BB rat에서 유발되는 당뇨병을 개선시킬 수 있는가를 알아보았다. BB rat은 태아시기부터 생후 120일까지 가미육미지황탕을 공급받았으며 생후 21일된 BB rat 60마리(수놈 30마리, 암놈 30마리)를 무처치군인 BBDP군과 가미육미지황탕을 투여한 군인 BBDP-GY군으로 임의로 배치하여 생후 120일까지 사육하였다. BBDP-GY군의 쥐들에게는 가미육미지황탕을 16mL/㎏ B.W./day 분량으로 물에 섞어 주었다. 가미육미지황탕의 항당뇨 효과는 다뇨, 다음, 고혈당 및 체중감소와 같은 임상적인 요소들에 의하여 조사되었다. 그 결과 가미육미지황탕은 당뇨병의 발병시기를 지연시켰을 뿐만 아니라 당뇨병의 발병율도 현저하게 감소시켰다. 그러나 일단 발병이 되고 나서는 당뇨병의 진전을 지연시키거나 치유하는 효과가 없는 것으로 나타났다. 당뇨의 발병과 동시에 체중의 현저한 감소 및 물 소모량, 배뇨량 그리고 혈당에 있어 현저한 증가가 나타났고 당뇨의 발병이 있기 전에는 체중에 있어서 발병 2-4일전에 체중의 증가가 거의 없거나 또는 약간 있을 뿐 다른 항목들에서는 발병을 알리는 어떤 변화도 나타나지 않았다.

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Dietary Behaviors, Self Perception of Body Image, Hematological Index and Nutrient Intake of Female Athletes in Incheon

  • Cheong, Sun-Hee;Hyuni Sung;Kim, Soon-Ki;Cho, Mi-Hye;Chang, Kyung-Ja
    • 대한지역사회영양학회:학술대회논문집
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    • 대한지역사회영양학회 2003년도 추계학술대회
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    • pp.1048-1048
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    • 2003
  • The purpose of this study was to investigate dietary behaviors, body image, hematological index and nutrient intake of female athletes in Incheon. The subjects were 112 female athletes (field and track: n=32, firing: n=27, fencing: n=29, swimming: n=14, badminton: n=10) from middle and high schools in Incheon. This cross-sectional study was conducted by a self-administered questionnaire. Fasting blood samples were obtained and analyzed for hemoglobin (Hb), hematocrit(Hct), ferritin, serum iron, mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), unsaturated iron binding capacity (UBC), total iron binding capacity (TIBC) and transferrin saturation (TS). Nutrient intakes collected from 3 day-recalls were analyzed by the Computer Aided Nutritional Analysis Program. Statistical analysis was conducted using SPSS 10.0 program. The results are summarized as follows: Average age of field and track athletes, firing, fencer and swimmer was 14 years and that of badmintoner was 17 years. Most of female athletes had dietary problems such as unbalanced meals, skipping meals, and preference of processed foods. More than 60% of female athletes skipped breakfast. As for perception of body image, most of female athletes perceived themselves fatter compared to normal body image. Especially, field and track athletes were more significantly experienced weight control compared to the other athletes (p<0.05). As for physical burden during exercise, 56.3% of swimmer and 31.3% of field and track athletes answered “very hard”, which showed a significant difference (p<0.001) More than 80% of female athletes had experienced a vertigo during exercise (p<0.01). Also, more than 50% of female athletes except badmintoner had experienced an irregular menstruation (p<0.05). Average serum iron level (p<0.05) and TS (p<0.05) of field and track athletes were significantly lower compared to the other athletes. Serum ferritin of badmintoner, field and track athletes and fencer was significantly lower compared to firing and swimmer (p<0.05). Nutrient intakes of female athletes except vitamin B6, niacin and phosphorus were lower than the Korean RDA. Especially, calcium and iron intakes of female athletes were under the 50% of the Korean RDA. Therefore, proper nutrition education and supplementation are required for female athletes to encourage desirable food habits as well as to improve their nutritional status and exercise performance.

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