• Title/Summary/Keyword: 식욕부진

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진행암환자에서 rh GM-CSF(recombinamt human granulocyte-macrophage colony stimulating factor)의 제 1 상 및 약동학 연구 평가를 위한 Protocol 개발 연구

  • 노재경;최진혁;노형근;김범수;한지숙;김병수
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1993.04a
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    • pp.95-95
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    • 1993
  • 대상환자는 15예로, 14예에서 평가가능하였다. 남녀비는 8:6, 중앙연령 32세(10-70세)이었고, 대상질환은 악성골육종 7예, 악성임파종 2예, 위암2예, 폐암 2예, 그리고 자궁악성육종 1예였다. CSF 50 ug/$m^2$ 3예, 100 ug/$m^2$ 3예,150 ug/$m^2$ 3예, 250 ug/$m^2$ 3예,350 ug/$m^2$ 3예, 500 ug/$m^2$ 6예, 700 ug/$m^2$ 용량 3예에서 시행되었다. 1주기 시행한 환자는 7예, 2주기 5예, 3주기, 4주기 각각 1예씩이었다. 부작용은 50-150ug/$m^2$에서 WHO grade I의 발열, 전신쇠약, 식욕부진 등이 관찰되었으나 grade II이상의 부작용은 없었다. 250 ug/$m^2$ 이상의 용량에서도 grade II의 발열이 관찰되었을 뿐 다른 중증의 부작용은 관찰되지 않았다. 최고용량인 700 ug/$m^2$ 에서도 grade II의 발열외의 중한 부작용은 관찰되지 않았다. 각 용량에 따른 백혈구 증가율(%투여제2일/투여제1일)은 130-500% 이었다. 시행된 약동태는 CSF 투여 2-4 시간 후 최고치 (0.42-15.4 ng/ml)를 나타내고 투여 12시간까지 0.2-2 ng/ml의 농도로 지속되었다. 소변내 CSF 배설량은 총투여량의 1% 미만이었다. CSF중화항체는 전예에서 검출되지 않았다.

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항암화학요법제에 의하여 골수억제가 수반된 진행암환자에서 rh GM-CSF(recombinamt human granulocyte-macrophage colony stimulating factor)의 제 1 상 및 약동학 연구

  • 노재경;최진혁;노형근;김범수;한지숙;김병수
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1993.04a
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    • pp.68-68
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    • 1993
  • 대상환자는 15예로, 14예에서 평가 가능하였다. 남녀비는 8:6, 중앙연령 32세(10-70세)이었고, 대상질환은 악성골육종 7예, 악성임파종 2예, 위암2예, 폐암 2예, 그리고 자궁악성육종 1예였다. CSF 50 ug/$m^2$ 3예, 100 ug/$m^2$ 3예,150 ug/$m^2$ 3예, 250 ug/$m^2$ 3예, 350 ug/$m^2$ 3예, 500 ug/$m^2$ 6예, 700 ug/$m^2$ 용량 3예에서 시행되었다. 1주기 시행한 환자는 7예, 2주기 5예, 3주기, 4주기 각각 1예씩이었다. 부작용은 50-150ug/$m^2$에서 WHO grade I의 발열, 전신쇠약, 식욕부진등이 관찰되었으나 grade II이상의 부작용은 없었다. 250 ug/$m^2$ 이상의 용량에서도 grade II의 발열이 관찰되었을 뿐 다른 중증의 부작용은 관찰되지 않았다. 최고용량인 700 ug/$m^2$ 에서도 grade II의 발열 외의 중한 부작용은 관찰되지 않았다. 각 용량에 따른 백혈구 증가율(%투여제2일/투여제1일)은 130-500% 이었다. 시행된 약동태는 CSF 투여 2-4 시간후 최고치 (0,42-15.4 ng/ml)를 나타내고 투여 12시간까지 0.2-2 ng/ml의 농도로 지속되었다. 소변내 CSF 배설량은 총투여량의 1% 미만이었다. CSF 중화항체는 전예에서 검출되지 않았다.

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One human case of natural infection by Heterophyopsis continua and three other species of intestinal trematodes (긴이형흡충과 여러 종의 장흡충에 혼합감염된 인체감염 1례)

  • 홍성종;정창근
    • Parasites, Hosts and Diseases
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    • v.34 no.1
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    • pp.87-90
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    • 1996
  • The third human case of natural infection by Heterophvopsis continuo in Korea was found in Chinju, Kyongsangnam-do. The case was a 53-year-old mn. He used to eat raw brackish and fresh water fish. After praziquantel treatment and purgation, H. continua were collected from the diarrheal stool together with Metononimw vokognwai, Heterophves nocens and Echinostona hokense. His clinical complaints were indigestion, epigastric discomport, poor appetite and fatigue. The complaints were considered rather due to heavy M. Wokoscwci infection.

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Endoscopic Removal of Esophageal Foreign Body in a Moluccan Cockatoo (Cacatua moluccensis) (몰루칸 앵무새에서의 내시경을 이용한 식도 이물 제거 일례)

  • Lee, So-Young;Yoo, Jong-Hyun;Park, Chul;Park, Hee-Myung
    • Journal of Veterinary Clinics
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    • v.24 no.1
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    • pp.29-31
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    • 2007
  • A thirty-month-old male Moluccan Cockatoo (Cacatua moluccansis) with mild anorexia was referred. Through physical examination, fireign body was palpated at the crop region. Radiopaque, lineal foreign body was visualized on the lateral radiographs of the thoracic esophageal region. The patient was definitively diagnosed esophageal foreign body which is ingested feeding tube. The foreign body removal was undertaken using a flexible endoscope and a grasping forcep without any other complications. This case report demonstrated that successful esophageal foreign body removal with endoscopy in birds.

Juvenile Nephropathy in a Jindo Dog (진도견에서 발생한 소아 신증)

  • Park, Hyung-Jin;Lee, Ji-Yoon;Choi, Ho-Jung;Song, Kun-Ho;Son, Hwa-Young;Seo, Kyoung-Won
    • Journal of Veterinary Clinics
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    • v.30 no.3
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    • pp.201-205
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    • 2013
  • An 1-year-old intact male Jindo dog weighing 20 kg was referred with 7-day history of vomiting, anorexia, and lethargy. The dog was diagnosed with chronic kidney disease (CKD) based on clinical signs, urinalysis, serum biochemistry, radiology and abdominal ultrasonography. Ten days of conservative therapy was given, but there were no signs of improvement. The patient was euthanized and necropsy was conducted. Renal histopathology was consistent with juvenile nephropathy and this is the first report of juvenile nephropathy in a Jindo dog.

A clinical study of the treatment prescribed Hwalsuckgosamtang(滑石苦蔘湯) for the acute diarrhea (급성설사(急性泄瀉)를 활석고삼탕(滑石苦蔘湯)으로 치료(治療)한 증례(症例))

  • Park, Eun-kyung;Park, Seong-sik
    • Journal of Sasang Constitutional Medicine
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    • v.11 no.2
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    • pp.385-389
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    • 1999
  • Acute diarrhea is fastly progressing and its most symptom are caused by virus. It usually continue within 3 weeks. And also it company fever, chilling sign, anorexia and vomitting. Mostly, it is getting better by basic treatment but must be cautious about progressing to dehydration, sepsis or other complications. In this study, it is experienced that acute diarrhea patient, got sick by food, became better by treating in the point of Sasang Medicine. 75 years old male patient having abdominal pain with aqueous diarrhea (about 10th a day before admission), chilling sign, general weakness was classed as Soyangin having Shinhanbocktongmangeumjeung(身寒腹痛亡陰證). I prescribed Hwalsuckgosamtang(滑石苦蔘湯) by Peueumganggy(表陰降氣) therapy and his symptom was getting better. So report it.

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Open Heart Surgery in Patient with Heparin- Induced Thrombocytopenia (헤파린 기인성 혈소판감소증 환자에서의 개심술)

  • 송석원;홍유선;곽영란;안신기
    • Journal of Chest Surgery
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    • v.35 no.6
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    • pp.475-478
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    • 2002
  • A 45 year old man was admitted for aggravated dyspnea, abdominal distension and poor oral intake. On Echocardiogram, mitral stenosis(severe), tricuspid regurgitaion(IV), and LA thrombus were diagnosed. We used heparin with continuous infusion for prevention of systemic thrombo embolism. On the 11th day of admission, the patient showed thrombocytopenia and we suspected Heparin-induced thrombocytopenia. Hirudin was used in this case as alternative anticoagulant during cardiopulmonary bypass to prevent serious complication of heparin. The patient was recovered without any complication as postoperative bleeding or systemic thromboembolism.

Endoscopic Retrieval of a Large and Circular Foreign Body Lodged in Gastric Pylorus in a Dog (내시경을 이용한 유문폐색을 유발한 개의 이물제거)

  • Lee, Seung-Gon;Choi, Ran;Moon, Hyeong-Sun;Hyun, Chang-Baig
    • Journal of Veterinary Clinics
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    • v.24 no.2
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    • pp.229-232
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    • 2007
  • A 7-year-old Shih Tzu cross dog was presented for severe abdominal pain, persistent vomiting and anorexia. Laboratory tests revealed mild anemia and hypoproteinemia. Abdominal survey radiography revealed marked gastric distension and large circular foreign body in the gastric pylorus. The foreign body was removed using a videoendoscope, fishing line and retrieval forceps. The dog's clinical signs resolved following foreign body removal.

Infectious Cholecystitis and Concurrent Endocarditis in a Dog: Rare but Important Association (개에서 감염성 담낭염과 동시 발병한 감염성 심내막염 1례)

  • Jung, Joohyun;Choi, Mincheol
    • Journal of Veterinary Clinics
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    • v.32 no.4
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    • pp.338-342
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    • 2015
  • A 12-year-old castrated male miniature Schnauzer had anorexia, vomiting, lethargy, and fever for four days. The dog had leukocytosis, thrombocytopenia, hypoglycemia, hypoalbuminemia, hyperbilirubinemia, increased hepatic enzymes on hematologic and biochemical examinations. On abdominal ultrasonographs, there was an enlarged gallbladder with hyperechoic irregular wall thickening. Echocardiography showed vegetative change and regurgitation of aortic and mitral valves. E.coli was identified through ultrasound guided percutaneous cholecystocentesis and bile culture. Bacterial cholecystitis and concurrent endocarditis were diagnosed. The dog was recovered from sepsis with antibacterial and aggressive supportive therapy.

The 6 case reports of chronic upper respiratory infections with high fever in children, treated with Daqinglong-tang (대청룡탕(大靑龍湯)의 투여로 고열이 호전된 소아 만성 상기도감염증 환자 6례(例)에 대한 증례 보고)

  • Park, Yung-Hwan
    • The Journal of Korean Medical History
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    • v.26 no.1
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    • pp.19-26
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    • 2013
  • There are many children suffering from chronic upper respiratory infections with high fever(CURIHF) for years. High fever mainly caused by tonsillitis comes from cold and flu season-related. Observing CURIHF children, they also have a night sweat(盜汗) and a thick voice, a chronic cough, a loss of appetite in common. I found that after administering the Daqinglong-tang(大靑龍湯) to the 6 CURIHF children, high fever was dropping quickly and did not recur for 233~733 days. Also, the symptoms of a night sweat(盜汗) and a thick voice, a chronic cough, a loss of appetite are improved significantly. These case report suggests that in case of CURIHF, Daqinglong-tang could effectively control recur of high fever in children.