• Journal of Yeungnam Medical Science
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• 제32권2호
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• pp.85-89
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• 2015

Background: We examined the usefulness of urine osmolality, as a predictive factor in the treatment of monosymptomatic nocturnal enuresis (NE) with combination therapy of imipramine and desmopressin. Methods: From May 2014 to April 2015, 59 monosymptomatic NE patients participated in this study. Early morning urine osmolality was measured at 1 week and 1 day before combination therapy of imipramine and desmopressin, and at 1 week and 2 weeks after therapy. The response to combination therapy was evaluated at 3 months after treatment. The mean period of combination therapy was $6.4{\pm}4.2weeks$. Therapeutic response was classified as complete (0-1 wet night/week), partial (over 50% reduction of night) and non-responders (less than 50% reduction of night). Results: The cumulative rate of the complete and partial responders was 76.3%. Among the 3 groups, the statistically lowest value of pre-treatment urine osmolality was observed in the complete responder group (p<0.001). Urine osmolality increased in all groups after treatment, however, statistically the greatest difference between pre and post-treatment urine osmolality was observed in the complete responder group (p=0.024). No serious side effects were observed. Conclusion: Early morning urine osmolality and change of urine osmolality between pre and post-treatment have predictive values in the response to combined imipramine and desmopressin for treatment of monosymptomatic NE.

• Journal of Preventive Medicine and Public Health
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• 제11권1호
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• pp.76-82
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• 1978

In order to study the change of laboratory parameters of lead poisoning, 8 persona who had not been treated previously for lead poisoning (Group 1 and 6 persons who had been inadequately treated for few months for chronic lead poisoning at local clinic (Group 2) were examined. They had occupational exposure to lead for 3 to 18 years (mean, 7.6). In group 1 blood lead, urine lead, urine coproporphyrin and ${\delta}$-aminolevulinic acid levels before our treatment exceeded the critical levels of lead poisoning. In group 2 urine lead level exceeded but blood lead, urine coproporphyrin and ${\delta}$-aminolevulinic acid levels were within normal limits. All of them were treated with D-penicillamine for 4 months as inpatients at Industrial Accident Hospital. The dose of D-penicillamine was the same in all patients; 600 mg per day p.o. and the chelating agent was administer every other week. For laboratory analysis, 24 hour urine and 10 gm of whole blood were collected every 1 month on last day of non-administration period. The results were as follows: 1. It was found that urine lead level was decreased below the cirtical level of lead poisoning after 4 month's treatment with D-penicillamine and blood lead level was decreased more progressively below the critical level after 1 month treatment. 2. Urine coproporphyrin and ${\delta}$-aminolevulinic acid levels were decreased progressively to normal range after 1 month treatment. 3. Two months after treatment, blood lead, urine lead, urine coproporphyrin and ${\delta}$-aminolevulinic acid levels showed some increasing trends. 4. Urine lead level should be checked in a person who had been inadequately treated with chelating agents because blood lead, coproporphyrin and ${\delta}$-aminolevulinic acid might be in normal range.

• Asian-Australasian Journal of Animal Sciences
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• 제16권3호
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• pp.368-373
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• 2003

This experiment was conducted to examine the effects on the composition and rumen degradation in sacco of rice straw treated with animal urine (1 l of 2.9 g N/kg DM straw) and urea plus calcium hydroxide (2% urea plus 0.5% $Ca(OH)_2$/kg DM straw) as a cheap and relatively safe alternative for ammonia (3% ammonia solution/kg DM straw). Mold occurred in urine treated straw, but other treatments were apparently mold-free. All treatments significantly (p<0.05) increased CP content in the straw compared with untreated one. Ammonia-treated straw contained CP at about twice that in urine or urea-calcium hydroxide treated straw. NDF and hemicellulose contents decreased significantly (p<0.05) in all treatments, while ADF and cellulose showed no differences compared with untreated straw. The degradable fraction of DM, CP, NDF, hemicellulose and cellulose was significantly (p<0.05) increased for ammonia and urea-calcium hydroxide treatments than for urine treated or untreated straw except for CP of urine treated straw. Chemical treatment of rice straw increased the readily degradable fraction of CP, while it decreased the slowly degradable fraction for urine or urea-calcium hydroxide treated rice straw. The degradation rate of hemicellulose was significantly (p<0.05) increased for ammonia and urea-calcium hydroxide treatments compared to urine treated or untreated straw. However, no effect on cellulose degradation rate was found by any of the treatments. There was no improvement in the degradation kinetics caused by the urine treatment despite the improvement of the chemical composition. Although the improvement in rumen degradability was less in the urea-calcium hydroxide treatment than in the ammonia treatment, its use may be more desirable because it is less expensive to obtain, less hazardous nature, and readily available. For further improvement it is necessary to investigate the supplementation of slowly degradable nitrogen to ureacalcium hydroxide treated rice straw diet.

• Journal of Preventive Medicine and Public Health
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• 제15권1호
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• pp.131-137
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• 1982

For the purpose of the curative effects of oral D-penicillamine in lead poisoning, D-penicillamine was orally administered to 7 lead poisoned workers which were employed in glaze product industry dealing with the lead oxide ($Pb_3O_4$). The doses of D-penicillamine was 1,200mg per day which was administered by oral 7days schedules, taking for 5 days and stopping for the following 2days, repeatedly during 3 months period. (All the poisoned workers started working again in that industry after 1 month treatment, and were treated by oral D-penicillamine for 2 months still being exposed to contaminated environment.) In order to evaluate the curative effects of D-penicillamine, 10gm of whole blood and 24 hours urine were collected every 14 days during the curative period for laboratory analysis(hemoglobin, blood lead, urine $\sigma$-aminolevulinic acid, urine coproporphyrin, and urine lead levels) with the observation of the clinical symptoms. The results were as follows; 1. Oral D-penicillamine effected good curative results as that hemoglobin, blood lead, urine $\sigma$-aminolevulinic acid, and urine coproporphyrin levels were decreased below the critical level within 1 month treatment. 2. After re-exposure, oral D-penicillamine effected to some extent as that urine lead level was decreased below the critical level after 3 months treatment with disappearence of the clinical symptoms after 2 months treatment. However, the curative effects of oral D-penicillamine in the lead exposure state is questionable since increasement of blood lead level and remarkable decreasement of urine lead level after 3 months treatment can be observed.

• Journal of Yeungnam Medical Science
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• 제37권2호
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• pp.112-121
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• 2020

Background: Vancomycin-resistant Enterococcus (VRE) has become more common in nosocomial infections, especially in urine samples. However, until now, no treatment regimen has been proven to effectively eradicate urine VRE colonization. Therefore, to evaluate the efficacy of doxycycline in eradicating urine VRE and shortening VRE isolation period, we compared VRE colony detection period between doxycycline-treated and untreated patients. Methods: A retrospective cohort study of 83 patients with VRE colonization in urine cultures was conducted at a tertiary academic hospital from January 2011 to February 2018. Kaplan-Meier survival analysis was used to evaluate eradication rates in the treatment and non-treatment groups. Factors affecting urine VRE colonization persistence were analyzed by multiple logistic regression analysis. Results: The overall rate of VRE eradication during the entire hospital stay was higher in the doxycycline treatment group (90.5%) than in the non-treatment group (58.1%, p=0.014). Survival analysis showed that the 5-, 10-, and 20-day cumulative eradication rates were 78.3%, 100%, and 100% in the doxycycline treatment group, and 18.5%, 45.7%, and 67.8% in the non-treatment group, respectively, thereby indicating that eradication rates were higher in the doxycycline treatment group than in the non-treatment group (p<0.001). Only doxycycline treatment was shown to affect urine VRE colonization persistence in multivariate logistic regression analysis. Conclusion: Doxycycline treatment enhanced the eradication rate of urine VRE colonization and appeared to be useful in shortening VRE isolation period.

• Asian-Australasian Journal of Animal Sciences
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• 제6권1호
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• pp.37-40
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• 1993

This study was conducted to measure the improvement in nutritive value of rice straw by treatment with urine of goat under different temperatures. Straw samples were japonica I (comprising 15 varieties with culms longer than 123 cm and mean silica content of 13.0%), japonica II (comprising 20 varieties with culms less than 87 cm and mean silica content of 13.7%), indica I (Java 14 variety with a high content of silica of 13.9%) and indica II (comprising IR-8 and IR-20 varieties with a low content of silica of 11.0%). Urine was collected from four Japanese Saanen goats fed alfalfa hay. The different straws were sprayed with urine at the rate of 1 ml/g straw DM, put in double layer plastic bags, sealing and stored for 4 weeks at either $20^{\circ}C$ (GU-20) or $40^{\circ}C$ (GU-40). The in vitro dry matter digestibility (IVDMD) and organic matter digestibility (IVOMD) of the straws were improved by the GU-40 treatment (13.5% and 13.2%, but the GU-20 treatment had little effect of digestibility (1.5% and -0.2%) except with the low silica indica II varieties. The GU-40 treatment tended to decrease NDF and hemicellulose content of straws. Crude protein content of the straws was improved by both the GU-20 and GU-40 treatments. It was concluded that treatment of rice straw with goat urine at $40^{\circ}C$ for 4 weeks improved the crude protein content and digestibility in vitro, the greatest improvement occurring with straws of lowest digestibility in the untreated state.

• 대한한의학회지
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• 제21권1호
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• pp.99-102
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• 2000

Central diabetes insipidus(CDI) results from deficient vasopressin(antidiuretic hormone) secretion and causes polydipsia and polyuria. Its etiologic diagnosis is confirmed with an increase of urine osmolality by administering desmopressin(DDAVP) after water restriction. Because cm is caused by deficiency of vasopressin, up to now, desmopressin, a synthetic analog of vasopressin, has been the drug of choice in the treatment of CDI. However, under such treatment, CDI patients suffer from the continual administration of DDAVP throughout one's life and high cost of the treatment We administrated oriental herb medicine on a cm patient in a state of discontinuance of DDAVP. Prior to the study, brain sella MRI was scanned to exclude germinoma. In addition, urine analysis, serum and urinary osmolality, daily urinary volume, serum electrolyte levels were measured. Chungsimyunjatang was administered for 15 days, and urine analysis, urine osmolality, daily urinary volume, serum Na were measured several times again during the therapy, As a result, urinary frequency increased, serum Na slightly elevated, but specific gravity of urine, urinary osmolality severely decreased and daily urinary volume substantially increased. However, the frequency of DDAVP treatment was reduced from four times per day to once or twice a day with the continual administration of the Chungsimyunja-tang for two months after the discharge.

• 한국식품위생안전성학회지
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• 제10권1호
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• pp.13-17
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• 1995

In order to study the effects of Aloe vera treatment on blood glucose level and clinical chemistry in diabetic patients, eight diabetic patients were administered orally with 800 mg of Aloe vera three time a day for three months. The high levels of blood and urine glucose in diabetic patients were significantly reduced by administration of Aloe vera. The increased plasma triglyceride concentration was also significantly reduced by Aloe vera treatment. A little amount of urine bilirubin, hematuria, nitrite, urobilinogen, protein and ketone bodies were detected before treatment, but not detected after Aloe vera treatment. But other blood parameters of clinical chemistry values were not affected by Aloe vera treatment. These data suggest that Aloe vera can be effective in the treatment of the diabetic patients.

• 셀메드
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• 제12권5호
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• pp.1.1-1.3
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• 2022

Objective: A case report on the reduction of tinnitus and improvement in feeling of residual urine as a result of nutritional therapy Methods: A 46-year-old Korean man presented with tinnitus lasting for 10 days, and complained of discomfort with a feeling of residual urine for several years. Results: Tinnitus disappeared after one week of nutritional therapy, and the feeling of residual urine improved after 40 days. Conclusion: Nutritional therapy can be beneficial in the treatment of diseases for which a definitive diagnosis and treatment are lacking, such as tinnitus.

• Childhood Kidney Diseases
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• 제28권1호
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• pp.27-34
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• 2024

Purpose: The ability to concentrate urine becomes an important index in determining nocturnal enuresis (NE) treatment. The aim of our study was to investigate first-morning urine osmolality (Uosm) changes at the end of treatment compared to before treatment in children with NE. Methods: A total of 71 children with NE were divided into two groups according to the level of first-morning Uosm before treatment: high group (≥800 mOsm/kg) and low group (<800 mOsm/kg). Baseline parameters were obtained from uroflowmetry, frequency volume charts for at least 2 days, and a questionnaire for lower urinary tract symptoms. All patients were basically treated with standard urotherapy and medication. The first-morning Uosm was measured twice, before treatment and at the end of treatment. Results: The response rate was higher in the low group after 3 months of treatment than in the high group (P=0.041). However, there was no difference between the two groups at the end of the treatment. In the high group, the first-morning Uosm at the end of treatment did not show a significant change compared to before treatment. In contrast, the first-morning Uosm increased in the low group at the end of treatment (P<0.001). However, it was still lower than that of the high group (P=0.007). Conclusions: The ability to concentrate nocturnal urine improved at the end of treatment compared to before treatment in the low Uosm NE children. In addition, NE improved faster in the low Uosm group before treatment than in the high group.