• 제목/요약/키워드: gall

검색결과 530건 처리시간 0.022초

Serum Peroxiredoxin3 is a Useful Biomarker for Early Diagnosis and Assessemnt of Prognosis of Hepatocellular Carcinoma in Chinese Patients

  • Shi, Liang;Wu, Li-Li;Yang, Jian-Rong;Chen, Xiao-Fei;Zhang, Yi;Chen, Zeng-Qiang;Liu, Cun-Li;Chi, Sheng-Ying;Zheng, Jia-Ying;Huang, Hai-Xia;Yu, Fu-Jun;Lin, Xiang-Yang
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권7호
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    • pp.2979-2986
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    • 2014
  • Background: Recently, peroxiredoxin3 (PRDX3) was identified as a novel molecular marker for the progression of hepatocellular carcinoma (HCC). However, its potential clinical application as a serum marker for the early diagnosis and prognosis of HCC has not been investigated. Methods: PRDX3, alpha-fetaprotein (AFP), and other biochemical parameters were measured in serum samples from 297 Chinese patients, including 96 with HCC, 98 with liver cirrhosis (LC), and 103 healthy controls (HCs). Correlations between serum PRDX3 expression and clinicopathological variables and the relationship between serum PRDX3 expression and prognosis were analyzed. Results: Serum PRDX3 was significantly higher in HCC patients than in the LC and HC groups. The sensitivity and specificity of serum PRDX3 for the diagnosis of HCC were 85.9% and 75.3%, respectively, at a cutoff of 153.26 ng/mL, and the area under the curve was 0.865. Moreover, serum PRDX3 expression was strongly associated with AFP level, tumor diameter, TNM stage, and portal vein invasion. Kaplan-Meier curve analysis revealed that HCC patients with high serum PRDX3 expression had a shorter median survival time than those with low PRDX3 expression. Moreover, serum PRDX3 expression was an independent risk factor for overall survival. The inverse correlation between serum PRDX3 and patient survival remained significant in patients with early-stage HCC and in those with normal serum AFP levels. Conclusions: Serum PRDX3 can be used as a noninvasive biomarker for the diagnosis and/or prognosis of HCC.

간흡충증 간염에서의 $^{99m}Tc-DISIDA$ 간담도스캔 (99mTc-DISIDA HEPATOBILIARY SCINTIGRAM IN EVALUATION OF CLONORCHIS SINENSIS INFESTATION IN ENDEMIC REGION)

  • 염하용
    • 대한핵의학회지
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    • 제19권2호
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    • pp.25-41
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    • 1985
  • 간흡충증은 한국 및 동남아세아에 널리 분포되어 있는 중요한 풍토병의 하나로서 진단은 전통적으로 분변검사에 의존하여 오고 있다. 최근 들어 담관내 간흡충 및 이의 합병증의 진단을 위해 ERCP 및 contrast cholangiogram등이 시도되었으나 실제에 이용하기에는 많은 제약이 있다 하겠다. 저자는 간흡충증에 있어서 최근 소개된 $^{99m}Tc-DISIDA$ hepatobiliary scintigraphy의 진단적 의의를 규명하고자 1982년부터 1983년까지 고신의대 부속 복음병원에서 검진한 간흡충증 환자 90명을 대상으로 하여 $^{99m}Tc-DISIDA$ hepatobiliary scintigraphy와 formalin-ether 원침법에 의한 분변검사를 시행하였다. $^{99m}Tc-DISIDA$ scintigram소견은 간내 담관 bile flow 및 총수담관 bile flow defect, 그리고 간세포기능의 정도에 따라 자료를 분석하였고 그외 합병증의 진단은 병록 기록, 수술 소견, ERCP 등에 의존하여 결론을 얻었다. $^{99m}Tc-DISIDA$ scintigraphy는 특이한 양상의 bile flow dynamics를 나타내었으며 간내 주담관의 intermittent irregular focal bile flow defect 및 tile flow stasis를 나타내고 말초담관의 bile flow defect는 경미하고 60분 내에 담관 bile flow activity의 완전한 배설을 나타내는 경우를 mild pattern, 간내 담관의 심한 irregular bile flow dynamics 및 간내담관의 심한 irregularity (담관내벽의 심한 불규칙성), 총수담관, 간내 주담관 및 말초 담관까지 심하게 irregular bile flow stasis를 나타내며 bile flow activity의 완전 베설이 $60\sim90$분사이 혹은 90분이상까지 인지된 경우를 moderate-severe pattern으로 분류하였다. 1) 분변검사상 간흡충증은 95검사중 70검사(환자 86명중 67명)에서 양성을 보여 분변 충난검사의 양성율은 73.7%였고 음성율은 26.3%였다. 2) $^{99m}Tc-DISIDA$ hepatobiliary scintigraphy는 90명중 70명에서 특이한 Cs-bile flow양성을 보였으며 양성율은 77.8%였으며 음성율은 22.2%였다. 3) $^{99m}Tc-DISIDA$ hepatobiliary scintigram양성율을 나타낸 환자 70명중 11명은 mild pattern, 59명은 moderate-severe pattern을 나타냈으며 그중 21명은 여러가지 간세포 기능 및 담관에 영향을 미치는 질환과 합병했지만 특이한 Cs-bile flow pattern을 dominent하게 나타내었으며 합병된 여러 질환들도 bile flow pattern상 인지 할 수 있었다. 4) $^{99m}Tc-DISIDA$ hepatobiliary scintigram 음성율을 나타낸 환자 20명중 8명은 만성간염, 5명은 간경변증, 3명은 재발성 농양성담관염(recurrent pyogenic cholangitis)과 간내담도의 stricture 및 담관담석증이 합병되었으며 scintigram상 합병증의 pattern을 나타냈고 4명에서는 low CBD obstruction을 나타내었으며 후에 CBD stone, CBD carcinoma, gall bladder Ca.의 porta hepatis 전이 및 clonorchis worms의 cluster에 의한 obstruction이 operation 및 ERCP로서 진단 되었다. 5) $^{99m}Tc-DISIDA$ hepatobiliary scintigraphy pattern은 현재의 자각증상과 관계된 dominent disease를 나타내었으며, 공간 점유병소도 multiple project images를 시행하므로서 쉽게 발견할 수 있었다. 이와 같이 간흡충증에 있어서 $^{99m}Tc-DISIDA$ hepatobiliary scintigram은 환자의 자각증상과 관계된 질환을 규명하는 데 필요한 정보를 얻었을 수 있었으며 간내담관의 damage정도를 규명하는데 필요한 procedure임이 판명되었다.

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동의보감(東醫寶鑑) 중(中) 평위산연계방(平胃散連繫方)의 활용(活用)에 대한 고찰(考察) (A Study on Application of Pyungwuisan Blended Prescriptions From Dongeuybogam)

  • 유진덕;이학재;김영일;이용숙;조대연;박종찬;윤용갑
    • 대한한의학방제학회지
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    • 제12권1호
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    • pp.1-27
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    • 2004
  • The following are the conclusions obtained by the philological study of the prescriptions introduced in Dongeuybogam such as Pyungwuisan, Pyungwuisan-added prescriptions, Pyungwuisan blended prescriptions: 1. Pyungwuisan and drugs based on Pyungwuisan were prescribed for stomach diseases, food poisoning, indigestion, impaired spleen, symptoms developed by dampness, diseases caused by changing water, diarrhea, edema, malignant malaria, an intestinal convulsion, blood in excrement, malaria, abortion, sparrow eye. 2. Dual prescriptions using Pyungwuisan and other independent prescriptions were applied to internal diseases concerning digestion, diarrhea and dysentery, abscess, intestinal swelling jaundice, symptoms developed by dampness, malaria, vomit, etc. 3. Etiological factors and diseases for which Pyungwuisan and medicines based on Pyungwuisan, dual prescriptions using Pyungwuisan were prescribed, were surveyed to include indigestion, weak spleen and stomach, drying dampness of spleen and stomach, dysfunctioning gall bladder, infection, damaged internals, external sensitiveness and internal damage, hypochondria, chilliness due to lack of chi. 4. A prescription for each disease needed specially added medicines to Pyungwuisan as the following: 1) For indigestion and dyspepsia, Pyungwuisan were prescribed with optional addition of Hoisaengsan, Sagunjatang, Ryukgunjatang, Ijintang, Sosihotang, etc., according to the symptoms, and were most frequently used with aromatic and digestive medicines such as mawwa medivata fermentata, malt, natgrass galingale rhizome, vilous amomum fruit, aucklandia root, round cardamom seed etc. 2) For diseases originated from damage by coldness, Pyungwuisan was taken with suitable amount of Jichulhwan, Hyangsosan, Hyangyusan, according to the symptoms. 3) For diarrhea and dysentery, Pyungwuisan were prescribed with the recipes of Oryeongsan, Sambaektang, Ijintang. 4) For jaundice, prescriptions always included natgrass galingale rhizome in the recipe of Pyungwuisan. 5) For malaria, mostly added prescriptions to Pyungwuisan were Sagunjatang, Ryukgunjatang, Ijintang, with usual addition of antifebrile dichroa root, tsaoko, green tangerine orange peel. 6) Pyungwuisan was prescribed with Hoisaengsan for vomit, with Oryeongsan for edema, and with kinds of Ueolgukhwan for hypochondria.

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우울증(憂鬱症)에 대한 형상의학적 고찰 (Inquiry on Post Surgery Induced Consumption in HyungSang Medicine View)

  • 김종원;지규용;김경철;이인선;은종원;김규곤;이용태
    • 동의생리병리학회지
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    • 제22권5호
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    • pp.1035-1046
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    • 2008
  • I looked into hypochondria, an increasing social problem, in psychological and Korean medical aspects and these conclusions were made through 16 clinical cases based on HyungSang medicine. Hypochondria is a disorder that is caused when feeble minded person could not fight the reality. It is caused by deficiency and stagnation of Ki which connects body and mind. In Korean medical view point mind and body is the same. Particularly, in HyungSang medicine believes that everyone's way of life and how to deal with situation differs according to the characteristics and traits. HyungSang medical treatment in hypochondria Mind and body is in line with each other, so manifestation of mental activity is caused by deficiency of combining action of vital Ki. Medication that helps combining force of vital Ki is needed. As the way people handle situation is different, according to characteristics and trait it is valid to differ counselling and treatment according to the criteria. Looking at 16 case studies of hypochondria patients, in gender wise, woman with astriction quality and engaging in much mental activities are more vulnerable. In view of vital substances, more cases were found in Jung type and Ki type. In animal type, bird and reptile type were, and in six meridian type, Tae yang, Yang Myong, Tae Eum and Kwolum type were more susceptible. Especially, cases of Indang being stagnant was noticeable. Moreover, the pulse activated parallel with the Heart which is a leading organ that manifests mental activity and controls seven emotions, so many cases were found that was far from Heart-Small intestine and Heart-Gall Bladder relationship.

주요(主要) 논잡초(雜草)의 광도(光度)에 따른 광합성(光合成) 능력(能力)의 초종간(草種間) 차이(差異) (Photosynthetic Activity of Major Paddy Weeds at Various Light Intensities)

  • 구연충;박태식;권규칠;박석홍;함영수
    • 한국잡초학회지
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    • 제3권2호
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    • pp.151-155
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    • 1983
  • 논에 발생(發生)하는 주요잡초(主要雜草)에 대(對)한 광합성능력(光合成能力)을 구명(究明)하여 벼와 잡초(雜草)와의 경합관계(競合關係)를 밝히고자 잡초(雜草) 8 종류(種類), 벼 2 품종(品種)을 공시(供試)하여 광합성(光合成) 능력(能力)을 측정(測定)한 결과(結果)를 요약(要約)하면 다음과 같다. 1. 초종별(草種別) 광합성능력(光合成能力)은 너도방동산이 (Cyperus serotinus) > 물피 (Echinochloa crus-gall) > 가막살이 (Bidens tripartita) > 물달개비 (Monochoria vaginalis) > 여뀌바늘 (Ludwigia prostrata) 순(順)으로 높았으며 반면(反面)에 호흡율(呼吸率)용 가막살이 (Bidens triparlita) > 물달개비(Monochoria vaginalis) > 너동방동산이 (Cyperus serotinus) > 알방동산이 (Cyperus difformis) 순(順)으로 높았다. 2. 광도별(光度別) 광합성능력(光合成能力)은 물달개비 (Monochoria vaginalis), 올미 (Sagittaria pygma) 등(等)은 30 Klux 정도(程度)가 광포화점(光飽和點)으로 보여졌으나 기타(其他) 잡초(雜草)들은 광도(光度)가 증가(增加)할수록 광합성(光合成)도 증가(增加)하는 경향(傾向)이었다. 3. 잡초(雜草)와 벼와의 광합성능력(光合成能力)은 잡초(雜草)가 2 배(倍) 이상(以上) 높았으며 광도(光度) 증가(增加)에 따른 증가율(增加率)도 잡초(雜草)가 높았다. 4. 단위건물중당(單位乾物重當) 광합성능력(光合成能力)은 화본과(禾本科) 잡초(雜草)보다 광엽잡초(廣葉雜草)에서 높은 경향(傾向)이며 비엽면적(比葉面積)도 광엽잡초(廣葉雜草)에서 높았다.

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『연라자내경도(煙蘿子內境圖)』와 『화타선생내조도(華佗先生內照圖)』의 비교 (Comparison of Yanluozi's and Huatuo's visceral figures)

  • 구인모;김학동;김기욱;이병욱
    • 대한한의학원전학회지
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    • 제28권4호
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    • pp.41-56
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    • 2015
  • Objectives : This research is aimed to compare the visceral figures published during the Song Dynasty, and to reveal the differences between anatomical and physiological knowledge in the presence of Taoist theoretical background and in its absence. It is also aimed to discuss the theoretical differences among existing medicines. Methods : First, we will find the commonalities and the differences in the drawings describing the internal organs of a human body in the two publications, and study what made such commonalities and differences and how they affected medical theories. Secondly, we will analyze and update the internal organ data specified in the two publications as it relates to the five viscera and six bowls. Finally, we will analyze the commonalities and the differences, and study the background and the significance of medical theories. Results & Conclusions : 1. The positions of the liver and the spleen in the drawing of the Yanluozi's and Huatuo's visceral figures are inverted in the drawing of the Huatuo's visceral figures. The positions of other internal organs are similar. 2. The section of the five viscera in the Yanluozi's and Huatuo's visceral figures describes the Taoist gods necessary to build up discipline by the means of meditation. 3. In the Zhutidian's visceral theory, a belly button is recognized as a very important organ for the activity of life. 4. In the Huatuo's visceral figures, the 'Zangzhen' generated from foods is described as the energy source for the vitality of the five viscera. 5. The Huatuo's visceral figures mentioned the functionality of a gall bladder and an Tripple Energizer, which was not mentioned in the Yanluozi's and Huatuo's visceral figures. 6. Both the "Yanluozi's and Huatuo's visceral figures" and the "Huatuo's visceral figures" specify that the moisture filtered through small intestines turns into urine.

췌장염 환자의 복통 호전을 위한 전침 및 이침 치료 예비 임상연구 프로토콜 (A Clinical Study of Electroacupuncture and Auricular Acupuncture for Abdominal Pain Relief in Patients with Pancreatitis: A Pilot Study)

  • 강하라;이연선;김혜련;김은정;김경호;김갑성;정찬영;이준규
    • Korean Journal of Acupuncture
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    • 제34권1호
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    • pp.47-55
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    • 2017
  • Objectives : The purpose of this study is to evaluate the feasibility of further acupuncture research as an effective alternative and safe treatment for abdominal pain control in patients with pancreatitis. Methods and Results : This study is an open-label, assessment-blind, parallel designed pilot clinical trial. Thirty participants will be assigned to the acupuncture group(n=15) and usual care group(n=15). All patients will receive the conventional standard-of-care(SOC) therapy, but only the experimental group will receive acupuncture therapy six times a week, and the duration of acupuncture therapy will be held up to 12 weeks or until the pains are to be resolved. For the conventional SOC therapy, painkiller will be given. In treatment group, the subjects will receive the identical SOC therapy in combination with electroacupuncture therapy on twelve acupuncture points(LI4, PC6, SP6, GB39, ST36, ST37), and auricular acupuncture therapy on five auricular acupuncture points(Sympathetic, Shen Men, Abdomen, Pancreas gall, and Spleen). The primary outcome will be measured using the visual analogue scale(VAS), and the secondary outcome will be measured using the painkiller demand, quality of life index and severity of pancreatitis by abdominal computed tomography(CT). Assessments will be made at baseline and at week 1, 4, 8 and 12. Results of abdominal CT will be evaluated at baseline and at week 12. Conclusions : The result of this trial will provide a basis for the effectiveness and safety of acupuncture treatment for abdominal pain in patients with pancreatitis.

제초제 metolachlor의 잉어체내 행적 (Behavior of the herbicide metolachlor in carps)

  • 경기성;김진화;이병무;오병렬;정영호;이재구
    • 농약과학회지
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    • 제3권2호
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    • pp.54-59
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    • 1999
  • 제초제 metolachlor [2-chloro-6'-ethyl-N-(2-methoxy-1-methylethyl)aceto-O-toluidid]의 잉어체내 행적을 구명하기 위하여 $LC_{10}$(1.93 mg/L)으로 metolachlor를 처리한 시험수에 잉어를 경시적으로 노출시켰다. 수중의 metolachlor는 잉어 체내에 신속히 흡수 이행되어 노출 후 6시간에 최대 흡수량을 나타내었으며, 잉어에 흡수 이행된 metolachlor의 주요 배설경로는 담도이었다. 또한 잉어 체내에 흡수 이행된 방사능의 추출율이 처리 후 6시간까지 현저히 감소하여 잉어 체내에서 생성된 극성 대사산물이 잉어체내에서 접합체를 형성한 후추출이 불가한 결합잔류물을 형성하였음을 시사하였다. 시험수와 잉어 추출액중 방사능이 수상으로 분배된 양이 각각 처리후 12시간과 6시간에 가장 높았고 그 양도 각각 총처리 방사능의 약 14% 및 12%로써 metolachlor가 잉어 체내에서 신속히 대사될 가능성을 시사하였다.

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회화나무 녹병균(Uromyces truncicola)의 형태적 특징과 감염 기주의 조직해부학적 변화 (Morphological Characteristic of the Rust Fungi, Uromyces truncicola, and Histological Changes in the Infected Host Tree, Sophora japonica)

  • 길희영;구창덕
    • 한국산림과학회지
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    • 제99권3호
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    • pp.277-284
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    • 2010
  • 회화나무 녹병균(Uromyces truncicola)은 기주식물의 줄기와 가지 그리고 잎에 감염하고 회화나무의 감염률은 78%였다. 이 녹병균의 겨울포자는 밤갈색으로 원형~난형이었으며, $29-37{\times}24-27\;{\mu}m$ 크기였고, 여름포자는 황갈색으로 타원형~난형이며 포자 표면에 가시모양의 돌기가 있고 $28-39{\times}19-22\;{\mu}m$ 크기였다. 이 병으로 감염된 가지에서는 코르크층이 비후되었고, 방사유조직은 비틀어지고 갈라지거나 합쳐졌으며 유세포가 증가하였다. 건강한 회화나무 가지의 방사유조직은 1열에서 2열인 반면에, 감염 가지의 방사유조직은 3열 이상의 유세포들이 방추형을 형성하고 있었다. 감염 가지에서는 도관들이 다양한 형태로 비틀어져 있었고, 내수피 부분과 일부 목부조직의 세포간극에는 황색물질이 형성되어 있었다. 병 발생이 적은 개체에서는 가지의 털은 밀생하고 길었으며, 잎의 상표피 두께는 평균 23.3 ${\mu}m$인데 비하여, 병 발생이 심한 개체에서는 가지의 털이 상대적으로 덜 밀생하고 짧았으며, 상표피의 두께는 평균 17.4 ${\mu}m$였으므로, 저항성 개체가 존재하는 것으로 생각되었다.

자락요법(刺絡療法)의 문헌적(文獻的) 고찰(考察) (The Literature Study on Venesection therapy)

  • 민부기;;;오민석
    • 혜화의학회지
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    • 제13권2호
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    • pp.277-287
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    • 2004
  • I have come to next conclusions in consequence of documentary study about medical books of many generations regarding venesection therapy. 1. Venesection therapy is much used for five sensory organ disease. Besides that internal disease, pain paralysis disease of muscle and joints, sugical disease, disease of woman and children, fever sunstroke CVA emergency case follow that in the order of frequency of use. 2. It is used for swollen tongue, eye pain, pharyngitis, swelling and pain in the throat, bleeding from the eye ear nose mouth or subcutaneous tissue, tonsillitis, aphthae and so on in the five sensory organ disease. Focus, sosang, jinjin yuye, taiyang, baihui are used for five sensory organ disease in the order of frequency of use. 3. It is used for malaria, headache, precordial pain, head-wind, abdominal colic, diseases characterized by acute diarrhea and vomiting, and so on in the Internal disease. Superficial venules and lymph vessesls, taiyang, quze are used for Internal disease in the order of frequency of use. 4. It is used for low back pain, hypochondriac pain, numbness, knee pain, tinea pedis, red swelling pain of hand and arm, flaccidity-syndrome, and so on in the pain paralysis disease of muscle and joints. Weizhong, superficial venules and lymph vessesls, Ashi point, zhigou are used for pain paralysis disease of muscle and joints in the order of frequency of use. 5. It is used for furuncle, tinea capitis, and so on in the sugical disease. Focus, weizhong are used for sugical disease in the order of frequency of use. 6. It is used for inflammatory disease with redness of skin, and so on in the disease of woman and children. Focus, weizhong, yanglingquan, yaoshu, sanyinjiao are used for disease of woman and children in the order of frequency of use. 7. It is used for fever, CVA, sunstroke, cadaverous coma, common cold, and so on in the fever sunstroke CVA emergency case. Sosang, weizhong, chize are used for fever sunstroke CVA emergency case in the order of frequency of use. 8. The urinary bladder channel of foot-taiyang is most used. Next there are the du channel, the stomach channel of foot-yangming, the lung channel of hand-taiyin, the gall baldder channel of foot-shaoyang, the triple-warmer channel of hand-shaoyang, the large intestine channel of hand-yangming, the spleen channel of foot-taiyin, the kidney channel of foot-shaoyin the pericardium channel of hand-jueyin the liver channel of foot-jueyin, the ren channel, the heart channel of hand-shaoyin, the small intestine channel of hand-taiyang in the order of frequency in use. 9. Superficial venules and lymph vessesls, focus, five shu points, extra-point, back point are used in the venesection therapy, those are characteristic of locating an acupuncture point.

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