• Title/Summary/Keyword: 혈장

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Disorders of Potassium Metabolism (칼륨 대사 장애)

  • Lee, Joo-Hoon
    • Childhood Kidney Diseases
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    • v.14 no.2
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    • pp.132-142
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    • 2010
  • Hypokalemia usually reflects total body potassium deficiency, but less commonly results from transcellular potassium redistribution with normal body potassium stores. The differential diagnosis of hypokalemia includes pseudohypokalemia, cellular potassium redistribution, inadequate potassium intake, excessive cutaneous or gastrointestinal potassium loss, and renal potassium wasting. To discriminate excessive renal from extrarenal potassium losses as a cause for hypokalemia, urine potassium concentration or TTKG should be measured. Decreased values are indicative of extrarenal losses or inadequate intake. In contrast, excessive renal potassium losses are expected with increased values. Renal potassium wasting with normal or low blood pressure suggests hypokalemia associated with acidosis, vomiting, tubular disorders or increased renal potassium secretion. In hypokalemia associated with hypertension, plasam renin and aldosterone should be measured to differentiated among hyperreninemic hyperaldosteronism, primary hyperaldosteronism, and mineralocorticoid excess other than aldosterone or target organ activation. Hypokalemia may manifest as weakness, seizure, myalgia, rhabdomyolysis, constipation, ileus, arrhythmia, paresthesias, etc. Therapy for hypokalemia consists of treatment of underlying disease and potassium supplementation. The evaluation of hyperkalemia is also a multistep process. The differential diagnosis of hyperkalemia includes pseudohypokalemia, redistribution, and true hyperkalemia. True hyperkalemia associated with decreased glomerular filtration rate is associated with renal failure or increased body potassium contents. When glomerular filtration rate is above 15 mL/min/$1.73m^2$, plasma renin and aldosterone must be measured to differentiate hyporeninemic hypoaldosteronism, primary aldosteronism, disturbance of aldosterone action or target organ dysfunction. Hyperkalemia can cause arrhythmia, paresthesias, fatigue, etc. Therapy for hyperkalemia consists of administration of calcium gluconate, insulin, beta2 agonist, bicarbonate, furosemide, resin and dialysis. Potassium intake must be restricted and associated drugs should be withdrawn.

Prognostic Value of Leptin in Terminally Ill Cancer Patients (말기암환자의 여명 예측 요인, 혈중 렙틴 농도의 효과)

  • Hong, Ji-Hyun;Lee, So-Jin;Kwak, Sang-Mi;Choi, Youn-Seon;Lee, June-Yeong
    • Journal of Hospice and Palliative Care
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    • v.15 no.2
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    • pp.99-107
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    • 2012
  • Purpose: Most terminally ill cancer patients die from cancer anorexia-cachexia syndrome. This study evaluated a prognostic role of plasma leptin levels in terminally ill cancer patients. Methods: This study enrolled 69 terminally ill cancer patients who were aged above 20 years old from July 2009 to July 2010. For univariate analysis, an association between leptin levels and patient's characteristics or other variables was examined using Spearman's correlation analysis, Wilcoxon's rank-sum test or Kruskal-Wallis test, as appropriately. For multivariable analysis, Cox's proportional hazard regression model was used to evaluate a clinical significance of plasma leptin levels as a prognostic factor and to determine factors which affect the risk of death in terminally ill cancer patients. Results: A statistically significant positive correlation between plasma leptin levels and survival time was found. Univariate Cox's proportional hazard regression analyses also showed a moderately significant association between plasma leptin levels and survival time. However, after adjusting variables for sex, white blood cell counts, total bilirubin, AST, ALT, albumin and CRP levels, plasma leptin levels were not significantly associated with survival time. Conclusion: No significant association was found between plasma leptin levels and survival time in terminally ill cancer patients. However, this study suggested a prognostic value of plasma leptin levels in gastrointestinal cancer patients.

Effects of Artificial Infection with Aeromonas hydrophila on Survival Rate, Hematological Parameters and Plasma Components of Crucian Carp, Carassius carassius (Aeromonas hydrophila 인위감염이 붕어, Carassius carassius의 생존율, 혈액학적 성상 및 혈장 성분에 미치는 영향)

  • Su-Min, Hong;Kyung-Tae, Hyun;A-Hyun, Jo;Ji-Ho, Jeong;Yun-A, Ryu;Seock-Won, Jo;Se-Rin, Choi;Jae-Hee, Song;Jun-Hwan, Kim
    • Journal of Marine Life Science
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    • v.7 no.2
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    • pp.187-195
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    • 2022
  • Crucian carp, Carassius carassius (Weight 28.1±3.7 g, Length 10.0±1.0 cm) were challenged with Aeromonas hydrophila at 0, 2.0×104, 2.0×105, 2.0×106, 2.0×107 CFU/ml for 2 weeks. The lethal concentration 50 (LC50) at 2 weeks of C. carassius challenged with A. hydrophila was 19.776×105 CFU/ml. In hematological parameters, the hemoglobin and RBC counts were significantly decreased by A. hydrophila challenge, whereas there was no significant change in hematocrit. The inorganic plasma components such as magnesium and calcium were significantly decreased. In organic plasma components, glucose and cholesterol were significantly increased by A. hydrophila challenge, whereas total protein was significantly decreased. In enzymatic plasma components, ALP (Alkaline phosphatase) were significantly increased by A. hydrophila challenge. The results of this study suggest that the A. hydrophila challenge to C. carassius induced the significant physiological changes in the hematological parameters and plasma components as deadly pathogenic bacteria.

Plasma Amino Acid and Urine Organic Acid in Diagnosis of MELAS (멜라스 증후군 진단에서의 혈장 아미노산과 소변 유기산 분석)

  • Ji-Hoon Na;Young-Mock Lee
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.23 no.1
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    • pp.17-24
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    • 2023
  • Purpose: In the past, detection of metabolic abnormalities in plasma amino acid (PAA) and urine organic acid (UOA) has been widely used to diagnose clinical mitochondrial diseases, such as mitochondrial encephalomyopathy with lactic acidosis and stroke-like episodes (MELAS). In this study, the diagnostic values of PAA and UOA were reviewed, and their effectiveness in the diagnosis of MELAS was examined retrospectively. Methods: Blood and urine samples at the time of diagnosis were collected from all clinically diagnosed MELAS patients (n=31), and PAA and UOA tests were performed. All samples were collected in a fasting state to minimize artifacts in the results. The difference in the ratio of abnormal metabolites of PAA and UOA at initial diagnosis was statistically compared between the MELAS with genetic confirmation (n=19, m.3243A>G mutation) and MELAS without genetic confirmation (n=12) groups. The MELAS without genetic confirmation group was used as control. Results: Comparison of PAA and UOA between the two groups revealed that no abnormal metabolites showed characteristic differences between gene-confirmed MELAS patients with and those without genetic confirmation. Conclusions: Abnormal values of metabolites in PAA or UOA might be useful as a screening test but are not sufficient to diagnose MELAS patients.

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Effects of Short Term Creatine Loading on Repeated Bouts of Kicking, Plasma Components and Anaerobic power in Taekwondo player (단기간의 크레아틴 섭취가 태권도 선수의 발차기 횟수, 혈장요소 및 무산소성 파워에 미치는 영향)

  • Lee Ho-Song
    • The Journal of the Korea Contents Association
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    • v.6 no.4
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    • pp.136-145
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    • 2006
  • The main purpose of the present study was to find the effect of short term creatine loading on repeated bouts of kicking, plasma creatine phosphokinase and anaerobic power in male taekwondo player from high school. Eighteen male were randomly assigned to two groups. They were tested before and after 6 days of placebo($4{\times}5$ glucose d-1, N=9) or Creatine monohydrate loading(consume 0.3g kg-1, N=9). Only creatine loading group were significantly increased of repeated bouts of kicking, plasma creatine phosphokinase and anaerobic power These results suggest that short creatine loading was effective diet protocol in taekwondo player from male high school.

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Studies on Platelet Monoamine Oxidase Activity in Schizophrenics (정신분렬병의 혈소판 Monoamine Oxidase 활성도에 관한 연구)

  • Woo, Jong-Inn;Park, Chan-Woong
    • The Korean Journal of Pharmacology
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    • v.18 no.2
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    • pp.27-32
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    • 1982
  • To investigate the relationship between platelet monoamine oxidase activity and serum levels of testosterone and estradiol in schizophrenic patient, 78 chronic patients were compared with 135 normal controls. 1) The monoamine oxidase activity of chronic schizophrenic group was lower than normal group. 2) In normal group, there was no sex difference in monoamine oxidase activity. But in chronic schizophrenic group, the monoamine oxidase activity in male was lower than female. 3) In male schizophrenic group, the serum estradiol level was lower than normal group. 4) In female schizophrenic group, the serum testosterone level was lower than normal group. The significances of relationship between platelet monoamine oxidase activity and sex hormones are discussed.

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Characterization of Nafion Coated Non-enzymatic Glucose Sensor in Human Plasma and Whole Blood (나피온을 이용하여 패키징된 무효소 혈당센서의 혈장 및 전혈에서의 특성 평가)

  • Lee, Yi-Jae;Kim, Jung-Doo;Park, Jae-Yeong
    • Proceedings of the KIEE Conference
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    • 2008.07a
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    • pp.1474-1475
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    • 2008
  • 본 논문에서는 nanoporous Pt (Platinum) 전극을 이용한 무효소 혈당센서의 생체 적합성 및 전류응답 특성 향상을 위해 다양한 패키징 방법이 제안되었다. 생체적합성을 갖는 Nafion 멤브레인을 dipping, spin coating, chemical bonding 방법으로 패키징 한 후, 다양한 글루코오스 농도의 혈장, 전혈에서 특성을 분석, 비교하였다. 단백질 등이 포함되지 않은 환경에서 spin coating 방법으로 패키징한 센서의 전류응답 특성은 가장 좋았지만, 혈장 및 전혈에서는 dipping, chemical bonding 방법으로 패키징한 센서의 전류응답 특성에 미치지 못했다. Nafion film을 센서와 chemical bonding한 센서의 혈장에서 sensitivity 는 0.32 ${\mu}A/mM{\cdot}cm^2$ 이었다. 한편, 전혈에서 bare 센서가 급격한 bio-fouling 현상을 보이는 반면 패키징한 센서는 글루코오스 농도에 따라 일정한 전류변화를 보였다. 이는 Nafion을 이용하여 패키징한 무효소 혈당 센서가 생체환경에 적합할 뿐 아니라 생체이식형 및 연속 측정 가능한 시스템에 적용 가능함을 보여준다.

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Effects of Consecutive Blood Collecting Stressors on the Plasma Glucose Level and Chemiluminescent Response of Peripheral Blood Phagocytes in Cultured Sea Bass, Lateolabrax japonicus (연속 채혈 스트레스가 양식 농어의 혈장 Glucose 농도 및 말초 혈액내 식세포의 Chemiluminescent 반응에 미치는 영향)

  • Kim, Ki-Hong;Hwang, Yoon-Jung;Cho, Jae-Bum;Ahn, Kyoung-Jin;Kwon, Se-Ryun
    • Journal of fish pathology
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    • v.13 no.1
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    • pp.31-36
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    • 2000
  • The stress of consecutive blood collectings resulted in evident elevation of plasma glucose level and significant lowering of chemiluminescent response of peripheral blood phagocytes in sea bass (Lateolabrax japonicus). Fish responded to the consecutive stressors in cumulative manners. The plasma glucose level in response to consecutive stressors depended on the stressor intervals. When the plasma glucose level of individual fish was compared with the chemiluminescent response, statistically significant (P<0.05) negative correlations existed.

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Activation of Platelet Rich Plasma by Soluble Canine Small Intestinal Submucosa Gel and Bovine Thrombin (개 소장점막하 겔과 소 트롬빈을 이용한 혈소판풍부혈장의 활성화 연구)

  • Lee, A-Jin;Lee, Changsun;Kim, Hyun;Chung, Dai-Jung;Do, Sun Hee;Kim, Hwi-Yool
    • Journal of Veterinary Clinics
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    • v.31 no.3
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    • pp.170-174
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    • 2014
  • This study evaluated the efficacy of soluble canine small intestinal submucosa gel in comparison to bovine thrombin in activating rabbit platelet rich plasma (PRP) by detecting growth factors. PRP from rabbits was activated by using soluble canine SIS gel, bovine thrombin, or both. The surface morphology of each group of samples was examined by scanning electron microscopy. The release of transforming growth factor (TGF)-${\beta}1$ from each set of samples was measured over 7 days using enzyme-linked immunosorbent assay. The PRP-canine SIS gel group exhibited the highest total amount of released TGF-${\beta}1$. However, there were no significant differences between any groups. The use of soluble type of canine SIS gel could be an effective alternative to bovine thrombin.

Effects of Inonotus obliquus Mycelia on the Level of Plasma Glucose and Lipids in Streptozotocin-induced Diabetic Rats (차가버섯 균사체가 Streptozotocin으로 유발된 당뇨 흰쥐의 혈장 포도당과 지질 농도에 미치는 영향)

  • Yang, Byung-Keun;Cho, Kai-Yip;Wilson, Michael A.;Song, Chi-Hyun
    • The Korean Journal of Mycology
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    • v.33 no.2
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    • pp.64-68
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    • 2005
  • This investigation was undertaken to study the effects of oral administration of Inonotus obliquus mycelia produced by a submerged culture on plasma glucose level and other biochemical parameters in streptozotocin (STZ)-induced diabetic rats. The mycelia, at the dose of 200 mg/kg body weight (BW), substantially reduced the plasma glucose level by as much as 23.1% as compared to the control group. The levels of total cholesterol and triglyceride in plasma were reduced to the extent of 12.6% and 22.6%, respectively. The activities of alanine transaminase (ALT) and aspartate transaminase (AST) were decreased by 27.6% and 21.9%, respectively, under the influence of I. obliquus mycelia. The general components of I. obliquus mycelia were found to contain 5.55% crude ash, 2.35% crude fat, 28.29% crude protein, 9.53% carbohydrate, and 54.28% dietary fiber.