• 제목/요약/키워드: Gall bladder

검색결과 197건 처리시간 0.028초

Etomidoline이 각종 평활근에 미치는 영향 (Effect of Etomidoline on the Isolated smooth Muscle of Rabbit)

  • 김원준;김정희;신윤용
    • 대한약리학회지
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    • 제16권2호
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    • pp.25-29
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    • 1980
  • Etomidoline ($Nonspa^{\circledR}$), which is chemically related to tertiary amine, is new synthetic antispasmodic agent with analgesic action. Antispasmodic effect of this agent is stronger than hyoscine butylbromide ($Buscopan^{\circledR}$), quaternary amine, and the absorption from intestine is also much higher. This study was undertaken to determine the effect of etomidoline on duodenal motility and other smooth muscles of rabbit. Strips of various isolated smooth muscle, 2 cm long from adult rabbits weighting about 2 kg, were suspended in a muscle chamber containing Tyrode's solution, which was bubbled with oxygen gas, and the temperature of the solution was kept constant at $38^{\circ}C$. After being washed with fresh solution several times the strips of smooth muscle attained constant motility and tonus. Etomidoline and other drugs were added in various concentrations to the chamber. Contractility of the strips was measured by using polygraph (Grass, model 7). The results are as follows: 1) In isolated rabbit atrium etomidoline produces a slight depression of contractility and the rate is also decreased. 2) On the other hand, etomidoline relaxed isolated strips of stomach, duodenal, and detrusor of rabbit. This relaxing effect of etomidoline on isolated duodenal strip of rabbit was not blocked by ${\alpha}$-adrenergic blocking agent, phenoxybenzamine, but by ${\beta}$-adrenergic blocking agent, propranolol. 3) Etomidoline did not exert any effect on isolated aorta, gall bladder, and trigone of rabbit. From the above results, it may be concluded that the relaxing effect of etomidoline on duodenal strip is related ${\beta}$-adrenergic receptor.

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설진의 부위별 장부 대응 형식 변천 (Historical Review on Area to Viscera Correspondence in Tongue Diagnosis)

  • 남승현;박정호;김기왕
    • 동의생리병리학회지
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    • 제33권6호
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    • pp.322-333
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    • 2019
  • The purpose of this thesis is to show the historical context of tongue-viscera correspondence scheme based on as wide investigation as possible. For this purpose, we collected and investigated 35 books related to tongue diagnosis. As a result, we faound the following: There were some tentative trials to associate viscera or viscera meridians with tongue areas since shown in the Effective formulae of inherited medical works (世醫得效方, 1337). The main stream of tongue-viscera correspondence scheme was the form in which the apex, the center, and the root of tongue are associated with Heart, Spleen (and Stomach), and Kidney. On the viscera correspondence to the sides of tongue, there had been two streams. The first one is originated from the Upper-most Book on Shanghan (傷寒第一書, 1780), in which the sides of tongue are assumed to be associated with Liver and Gall-bladder. The second one is originated from the Ikeda Family's Chant on the Tongue (池田家舌函口訣, 1807), in which the left side and the right side of tongue are assumed to be associated with Liver and Lung separately. The former type have been accepted as the standard form in modern traditional Asian medicine education. In addition to the above types, three other correspondence schemes were also existed, but have disappeared now. These days, some new correspondence schemes are being suggested based on new approaches.

Carbofuran 의 잉어(Cyprinus carpio)체내 대사 (In Vivo Metabolic studies on Carbofuran Degradation in carp(Cyprinus carpio L.))

  • 이양기;김인선;임건재;서용택
    • 한국환경농학회지
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    • 제16권1호
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    • pp.25-30
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    • 1997
  • 잉어체내에서 $^{14}C-carbofuran$의 흡수, 분포, 대사 및 배설시험을 이해 carbofuran을 40ppb 수준으로 처리하였다. 약제처리 12시간 후에 적출된 잉어의 조직(간, 신장, 창자, 쓸개)과 혈액에서 방사능$(^{14}C)$의 검출율이 가장 높았다. 잉어의 간과 신장에서 carbofuran은 3-ketocarbofuran과 3-hydroxycarbofuran으로 대사되었고 주요 대사산물로는 3-hydroxycarbofuran이었다. 약제처리 후 조직에서 그의 분포율이 가장 높은 시간대의 잉어를 공시수에 분양하여 배설시험을 수행한 결과 carbofuran은 분양 3시간 후에 배설율이 현저히 증가하였고 검출된 대사산물로는 3-ketocarbofuran과 3-hydroxycarbofuran으로 이 시간 동안의 배설시험에서 이들 대사산물의 검출정도는 각각 32.3%와 52.8%였고 미확인 대사산물은 2.6%이었다.

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"삼지선(三指禪)" 권일(卷一)을 통(通)한 주학정(周學霆)의 의학사상(醫學思想)에 관(關)한 연구(硏究)

  • 박현국;김기욱
    • 대한한의학원전학회지
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    • 제13권2호
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    • pp.86-95
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    • 2000
  • Following is the result through translating. studying, and analyzing San Zhi Shan(三指禪), the book worked by Zhou Xue Ting(周學霆). 1. The chapter of Mai Xue Yuan Liu(脈學源流) explains the Xiang Shu Xue(象數學) viewpoint, the part that pulse is based on Lu guan(律管). 2. The chapter of Liu Bu Mai Jie(六部脈解) explains that emphasizing Shen(神) through understanding the shape of pulse(脈象) is more important than the locating the area of the shape of pulse(脈象). 3. The chapter of Zuo Xin Tan Zhong Can Dan Shen Xiao Chang You Fei Xiang Zhong Pi Wei Ming Da Chang Bian(左心膽中肝膽腎小腸 右肺胸中脾胃命大腸辨) exhibits the different view about the position of pulse from Li Shi Zhen(李時珍)'s. the chapter in which Zhou(周) arranges Heart{\cdot}Small\;Intestine{\cdot}Liver{\cdot}Gall\;Bladder{\cdot}Kidneys{\cdot}and$ Bladcler(心 小腸 肝 膽 腎 膀胱) in left hand and $Lungs{\cdot}Large{\cdot}Intestine{\cdot}Spleen{\cdot}Stomach{\cdot}Kidney{\cdot}and$ The gate of Vitality(肺 大腸 脾 胃 腎 命門) in right hand. From the above results, I'm sure that San Zhi Shan(三指禪)which has headed down to descendants as the special book about the study of pulse has developed the theory of pulse. Therefore I expect that the more profound study about this will be going on.

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Remifentanil을 이용한 전신마취하에 시행된 복강경 담낭절제술에서 0.25% Levobupivacaine의 트로카 부위침윤과 복강 내 점적주입이 수술 후 진통에 미치는 효과 (The Effect of Intraperitoneal Instillation and Trocar Site Infiltration of 0.25% Levobupivacaine on the Postoperative Pain after Performing Laparoscopic Cholecystectomy under Remifentanil Based Anesthesia)

  • 이철;송윤강
    • The Korean Journal of Pain
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    • 제21권1호
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    • pp.44-50
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    • 2008
  • Background: The use of regional local anesthetics or opioids during laparoscopic cholecystectomy (LC), in combination with general anesthesia, has been investigated in several interventional studies. Methods: We studied a total of 240 (n = 60, each) patients who were undergoing LC, and they received local infiltration and intraperitoneal instillation with normal saline or 0.25% levobupivacaine 60 ml. Group R (S) received infiltration of normal saline 20 ml before incision and at the end of surgery and then 40 ml intraperitoneal instillation after removal of the gall bladder under remifentanil-based anesthesia. Group R (L) received 0.25% levobupivacaine instead of normal saline in the same method like group R (S). Group S (S) received the same method as group R (S) under sevoflurane based anesthesia in place of remifentanil. Group S (L) received 0.25% levobupivacaine instead of normal saline with the same method as group S (S). Pain was assessed on a visual analog scale at 1, 6, 12 and 24 hours after operation. Results: The pain intensity of Group R (L) was significantly lower than that of group R (S), and the the incisional pain of group S (L) was significantly lower than that of group S (S) in the first six hours. The time delay to first operative analgesics in group R (S) and group S (S) was significantly shorter than that of group R (L) and group S (L). Conclusions: Infiltration and instillation of levobupivacaine reduced the postoperative pain and remifentanil did not increase the pain severity and opioid requirement when performing the LC.

Benefits of Metformin Use for Cholangiocarcinoma

  • Kaewpitoon, Soraya J;Loyd, Ryan A;Rujirakul, Ratana;Panpimanmas, Sukij;Matrakool, Likit;Tongtawee, Taweesak;Kootanavanichpong, Nusorn;Kompor, Ponthip;Chavengkun, Wasugree;Kujapun, Jirawoot;Norkaew, Jun;Ponphimai, Sukanya;Padchasuwan, Natnapa;Pholsripradit, Poowadol;Eksanti, Thawatchai;Phatisena, Tanida;Kaewpitoon, Natthawut
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권18호
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    • pp.8079-8083
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    • 2016
  • Metformin is an oral anti-hyperglycemic agent, which is the most commonly prescribed medication in the treatment of type-2 diabetes mellitus. It is purportedly associated with a reduced risk for various cancers, mainly exerting anti-proliferation effects on various human cancer cell types, such as pancreas, prostate, breast, stomach and liver. This mini-review highlights the risk and benefit of metformin used for cholangiocarcinoma (CCA) prevention and therapy. The results indicated metformin might be a quite promising strategy CCA prevention and treatment, one mechanism being inhibition of CCA tumor growth by cell cycle arrest in both in vitro and in vivo. The AMPK/mTORC1 pathway in intrahepatic CCA cells is targeted by metformin. Furthermore, metformin inhibited CCA tumor growth via the regulation of Drosha-mediated expression of multiple carcinogenic miRNAs. The use of metformin seems to be safe in patients with cirrhosis, and provides a survival benefit. Once hepatic malignancies are already established, metformin does not offer any therapeutic potential. Clinical trials and epidemiological studies of the benefit of metformin use for CCA should be conducted. To date, whether metformin as a prospective chemotherapeutic for CCA is still questionable and waits further atttention.

The Qualitative Analysis of Single Shot Fast Spin Echo (SSFSE) and Maximum Intensity Projection (MIP) on Magnetic Resonance Cholangiopancreatography

  • Park, Cheol-Soo;Cho, Jae-Hwan;Lee, Hae-Kag;Dong, Kyung-Rae;Chung, Woon-Kwan;Seok, Jong-Min;Han, Man-Seok;Lee, Sun-Yeob;Goo, Eun-Hoe;Kim, Eng-Chan
    • Journal of Magnetics
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    • 제17권2호
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    • pp.138-144
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    • 2012
  • 3-dimensional magnetic resonance cholangiopancreatography (MRCP) images reconstructed using the maximum intensity projection technique were analyzed qualitatively in patients diagnosed with pancreatobiliary diseases to determine their diagnostic utility. Single shot fast spin echo (SSFSE), fast spin echo (FSE) and 3-dimensional reconstructive images were acquired from 20 patients diagnosed histologically with pancreatobiliary diseases using a 3.0T MR scanner. According to qualitative analysis, the fast spin echo images and 3-dimensional reconstructed images of the hepatic duct, gall bladder and common bile duct had a higher signal to noise ratio (SNR) than the single shot fast spin echo images. Fast spin echo images and 3-dimensional reconstructed images did not show any differences. The contrast to noise ratio of the hepatic duct, gallbladder and common bile duct on the fast spin echo images and 3-dimensional reconstructed images was higher than that of the single shot fast spin echo images. The fast spin echo images and 3-dimensional reconstructed images showed similar quality.

Experimental Life History and Biological Characteristics of Fasciola gigantica (Digenea: Fasciolidae)

  • Phalee, Anawat;Wongsawad, Chalobol;Rojanapaibul, Amnat;Chai, Jong-Yil
    • Parasites, Hosts and Diseases
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    • 제53권1호
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    • pp.59-64
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    • 2015
  • This study was conducted to investigate the life history, morphology, and maturation of larval stages and adult worms of Fasciola gigantica in experimental mice. Lymnaea auricularia rubiginosa was used as the intermediate host, and Oryza sativa was used for encystment of the metacercariae, while Mus musculus was used as the definitive host for maturation study. Fresh eggs from the gall bladder of water buffaloes fully developed into embryonated ones and hatched out at days 11-12 after incubation at about $29^{\circ}C$. Free-swimming miracidia rapidly penetrated into the snail host, and gradually developed into the next larval stages; sporocyst, redia, and daughter redia with cercariae. Fully-developed cercariae were separated from the redia and shed from the snails on day 39 post-infection (PI). Free-swimming cercariae were immediately allowed to adhere to rice plants, and capsules were constructed to protect metacercariae on rice plants. Juvenile worms were detected in intestines of mice at days 3 and 6 PI, but they were found in the bile duct from day 9 PI. Juvenile and adult flukes were recovered from 16 mice experimentally infected with metacercariae, with the average recovery rate of 35.8%. Sexually mature adult flukes were recovered from day 42 PI. It could be confirmed that experimentally encysted metacercariae could infect and develop to maturity in the experimental host. The present study reports for the first time the complete life history of F. gigantica by an experimental study in Thailand. The obtained information can be used as a guide for prevention, elimination, and treatment of F. gigantica at environment and in other hosts.

성견에서 관찰된 심막-복막 허니아 증례 (Peritoneopericardial diaphragmatic hernia in adult dog)

  • 정재호;조경오;박인철;조호성;김현진;박남용
    • 한국수의병리학회지
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    • 제7권1호
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    • pp.59-62
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    • 2003
  • A two-year-old pointer dog showed a liver failure for long duration. By radiographic examination, barium or gas filled intestine was detected in the pericardium. Although liver function was bad, surgery was tried to repair hernia due to the poor prognosis. Intestine, omentum, and liver with gall bladder were dislocated in the pericadial sac by peritoneopericardial diaphragmatic hernia (PPDH). Intestine was easily removed from pericardial sac but omentum and liver were not because of strong adhesion to the pericardial sac. Postmortem examination was performed because the patient was died after surgery. Grossly, herniated liver whose right medial lobe was strongly adhered to the pericardial sac was severely congested with fibrin adhesion on the surface. Hypoplastic abnormally up-located heart had a fissure in the outside of lower right venticulum bordered apex and depressed large vessels including vena cava and aortic arch into the base of heart. It was suggested that formation of a fissure and depression of vessels might be due to the pressure of herniated organs. In the veterinary literature as far as we knew, PPDH associated with liver failure due to adhesion of liver to the pericardial sac has not been reported.

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미만성 폐포 출혈을 동반한 급성 담낭염으로 발현한 Churg-Strauss 증후군 1예 (A Case of Churg-Strauss Syndrome with Diffuse Alveolar Hemorrhage Presenting as Acute Acalculous Cholecystitis)

  • 김지은;김기욱;박혜경;전두수;김윤성;이민기;박순규
    • Tuberculosis and Respiratory Diseases
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    • 제66권3호
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    • pp.225-229
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    • 2009
  • 저자들은 복통을 주소로 내원하여 급성 무결석 담낭염으로 진단받고 치료 중 미만성 폐포 출혈이 발생한 Churg-Strauss 증후군 환자 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.