• 제목/요약/키워드: Sexual Dysfunction

검색결과 120건 처리시간 0.026초

식품 중 발기부전치료제 및 사용금지 성분 모니터링 (Monitoring of illegal compounds and prohibited natural ingredients in foods)

  • 윤지숙;최장덕;권기성;조천호
    • 한국식품과학회지
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    • 제48권5호
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    • pp.405-412
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    • 2016
  • 성기능개선, 원기증강 등에 효과가 있는 것으로 판매되고 있는 식품 등에서 발기부전치료제 및 그 유사물질 등이 불법적으로 혼입되어 검출되고 있다. 이들 부정물질이 혼입된 불량식품은 안전성과 유효성이 입증되지 않았기 때문에 국민건강을 위협할 수 있다. 그러므로 본 연구에서는 식품과 가짜 발기부전치료제에 불법 혼입된 부정물질을 모니터링하기 위하여, 해외 인터넷 사이트와 오프라인 매장에서 성기능개선, 원기증진을 표방하는 식품과 최음제, 가짜 발기부전치료제 161건을 구입하였다. 시험방법의 유효성 검증을 위하여 선택성, 직선성, 검출한계, 정량한계, 정확성, 정밀성을 검토하였다. LC-PDA와 LC-MS/MS를 이용하여 부정물질 54종을 동시분석한 결과, 48건의 시료에서 7종의 부정물질(요힘빈, 이카린, 실데나필, 타다라필, 클로로프레타다라필, 데메틸실데나필, 디메틸치오실데나필)이 검출되었다. 성기능개선이나 최음제로 판매되는 제품에는 부정물질이 혼입될 가능성이 있으므로, 이들 제품을 구입할 때는 각별한 주의가 필요하다.

Restoration of Cavernous Veno-Occlusive Function through Chronic Administration of a Jun-Amino Terminal Kinase Inhibitor and a LIM-Kinase 2 Inhibitor by Suppressing Cavernous Apoptosis and Fibrosis in a Rat Model of Cavernous Nerve Injury: A Comparison with a Phosphodiesterase Type 5 Inhibitor

  • Min Chul Cho;Junghoon Lee;Juhyun Park;Soo Woong Kim
    • The World Journal of Men's Health
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    • 제39권3호
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    • pp.541-549
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    • 2021
  • Purpose: To determine if chronic administration of Jun-amino terminal kinase (JNK)-inhibitors and LIM-kinase 2 (LIMK2)-inhibitors from the immediate post-injury period in a rat model of cavernous-nerve-crush-injury could normalize cavernousveno-occlusive-function, and to compare it with phosphodiesterase type 5 (PDE5)-inhibitors. Materials and Methods: A total of 75 12-week-old male Sprague-Dawley-rats were randomized into five groups: sham-surgery (S), cavernous-nerve-crush-injury (I), cavernous-nerve-crush-injury treated with 10.0 mg/kg LIMK2-inhibitor (L) or 10.0 mg/kg JNK-inhibitor and 10.0 mg/kg LIMK2-inhibitor (J+L) or 20.0 mg/kg udenafil (P) for five-weeks. Five-weeks after surgery, dynamic-infusion-cavernosometry, histological-studies, caspase-3-activity-assay, and Western-blot were investigated. Results: Group-I had lower papaverine-response, higher maintenance-rate and higher drop-rate, compared to Group-S. Group-L, Group-J+L and Group-P showed improvement in the three dynamic-infusion-cavernosometry parameters. The papaverine-response and drop-rate in Group-J+L and Group-P recovered to sham-control level, but those in Group-L did not. Regarding apoptosis, Group-I had decreased content of α-smooth-muscle-actin, increased caspase-3 activity and increased cJun-phosphorylation. The cJun-phosphorylation improved only in Group-J+L. The α-smooth-muscle-actin content and caspase-3-activity in Group-J+L and Group-P improved, but those in Group-L were not. Regarding fibrosis, Group-I had decreased smooth muscle (SM)/collagen-ratio, increased protein-expression of fibronectin, and increased Cofilin-phosphorylation. Cofilin-phosphorylation was normalized in Group-L and Group-J+L, but not in Group-P. SM/collagen-ratio and proteinexpression of fibronectin in Group-L, Group-J+L and Group-P improved. Conclusions: Our data indicate that chronic inhibition of JNK and LIMK2 can restore cavernous-veno-occlusive-function by suppressing cavernous-apoptosis and cavernous-fibrosis, comparable to the results by PDE5-inhibitors. Chronic inhibition of JNK and LIMK2 might be a potential mechanism-specific targeted therapy for cavernous-veno-occlusive-dysfunction induced by cavernous nerve-injury.

수컷 흰쥐 생식기관에서의 세로토닌 수용체 아형 유전자 발현 (Expression of Serotonin(5-HT) Receptor Isotypes in Reproductive Organs of Male Rat)

  • 이성호
    • 한국발생생물학회지:발생과생식
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    • 제6권2호
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    • pp.111-115
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    • 2002
  • 세로토닌(serotonin, 5-HT)은 아민류 가운데 카테콜아민과 더불어 중요한 체네 생리 및 행동 조절을 담당하는 신경 전달물질이다. 특히 'Prozac'으로 잘 알려진 항우울제는 5-HT의 세포내 재흡수를 선택적으로 억제하는 약물(selective serotonin reuptake inhibitor, SSRI)로써 광범위하게 사용중인 약물인데, 알려진 부작용으로 사정 능력의 변화가 관찰된다. 이는 5-HT에 의한 성 행동 또는 성 기능 조절기작이 있음을 의미한다. 본 연구에서는 수컷 흰쥐의 성 행동 조절에 관여함이 잘 알려진 5-HT의 중추 신경계 수준에서의 작용 외에 말초 조직 수준에서 직접 작용이 가능한가의 여부를 검증하기 위해서 정소, 정관, 저정낭 등 수컷 흰쥐의 생식 기관들을 대상으로 5-HT 수용체 아형들의 유전자 발현 여부를 조사하였다. 적출된 뇌, 정소, 정관, 저정낭, 음경해면체 등의 장기에서 추출한 total RNA로 5-HT 수용체 각 아형들에 대한 RT-PCR을 시행한 결과, 대조군인 뇌는 물론 모든 생식 기관에서 다양한 5-HT수용체 아형들의 mRNA발현을 확인할 수 있었다. 특히 사정 반응을 담당하는 최종 장기인 저정낭과 정관에서, 지금까지 여러 연구 결과에서 사정 현상에 관여할 것으로 추정되어 온 5-H $T_{1A}$, 5-H $T_{1B}$, 5-H $T_{2C}$ 수용체 아형들이 실제로 발현됨을 관찰하였다. 이 결과는 5-HT에 의한 성 행동 조절이 중추신경계 수준에서는 물론 말초 조직 수준에서도 직접 가능함을 시사하는 것이다. 본 연구의 시도와 같이 5-HT의 다양한 작용기전에 대한 조사는 포유동물 성 행동에 대한 이해 증진과 더불어 성기능 이상의 부작용이 적은 새로운 항우울제의 개발로 연결될 수 있다고 판단된다.다.다.다.ized freezing방법간에 큰 차이가 없음을 볼 수 있었다.유의 경우 $World-Labs^(R)$ 처리구가 가장 높았다.상으로 면역활성 실험을 실시한 결과, 장관면역 활성은 젖산균의 세포질 획분에서 양성 대조군으로 사용한 LPS와 같은 수준의 면역활성을 나타내었고, 특히 Lb. acidophilus속 균주들의 세포벽 획분의 장관 면역활성이 다른 균주보다 높게 나타났다. 한편 젖산균주의 세포질과 세포벽 성분에 대한 비장 림프구의 증식능은 대조군과 비슷한 수준으로 낮게 관찰되었으나, 이들의 대식 세포증식능은 세포벽 및 세포질 모두의 획분에서 대조군보다 높았으며 특히 세포벽 획분의 경우에는 양성대조군인 LPS 보다 높거나 유사한 정도의 높은 활성을 확인할 수 있었다. 이상의 결과로부터 시험 균주 중에서 Lb. acidophilus 균주인 DDS-1과 B-3208이 프로바이오틱스로서 요구되는 조건을 충족시킨다는 것을 알 수 있었으며, 이들 균주의 상업적 이용 가능성을 재차 확인할 수 있었다./TEX>, 함량은 가공된 냉동감자보다 높은 것으로 나타났다. 상온 냉장저장 감자의 vitamin $B_1$, $B_2$ 함량은 각각 6, 4주차 이후부터 급격한 감소를 보였으나, 냉동저장 감자의 경우 48주(12개월)저장 중 함량변화가 없었다. 물성적 품질변화 평가에서 상온 냉장저장 감자의 무게와 부피는 24주간 다소 감소하는 경향을 보였으나 통계적인 유의차는 없었다. 냉동저장 감자의 무게와 부피 변화는 48주간 전혀 없었다. 상온 냉장저장 감자의 조직의 강도(hardness)는 24주간 다소 감소하는 경향을 보였으나 냉동저장 감자는 48주간 hardness의 변화가 전혀 없었다. Frozen mashed 감자는 저장기간이 지날수록 응집력(cohesiveness)이 조금씩 떨어졌으나 다른

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Social Adaption of Persons With Spinal Cord Injury by Modified Barthel Index

  • Son, Kyung-Hyun;Bang, Yoo-Soon
    • 한국전문물리치료학회지
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    • 제12권4호
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    • pp.48-57
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    • 2005
  • The purpose of this study was to evaluate the general characteristics, complications and level of social adaptation of spinal cord injured patients. The subjects were one hundred forty five members who were inpatients or outpatients from October 1, 2004 to April 30, 2005 in general hospitals and municipal welfare centers for the handicapped located in the metropolitan city of Gwangju. The following results were obtained using Modified Barthel Index (MBI). 1) Gender distribution was 77.9% male and 22.1% female. The mean age at the time of injury was 35.4 and the mean age during the study was 44.2. 2) The degree of paralysis among the subjects was as follows: 49.0% had complete paralysis and 51.0% suffered incomplete paralysis. The most frequently injured lesion among the subjects was cervical (49.0%), followed by thoracic (35.9%), and lumbar (15.2%). 3) The mean MBI score was 63.5. There was statistically significant difference in the MBI score in the relation between complete and incomplete paralysis, the relation between cervical, thoracic, and lumbar injury, and the relation between a recovery period of less than three years and more than three years according to the characteristics of injury (p<.05). 4) There was statistically significant difference in the MBI score of subjects who had complications concerning spasticity, deformity, urinary tract infection, and sexual dysfunction (p<.05). 5) The most serious emotional pain after spinal cord injury resulted from economic issues, which affected 35.2% of the subjects. The group having a shorter recovery period after spinal cord injury complained of psychological matters, the group having a longer recovery period complained about the surrounding environment (lack of convenient facilities), suggesting statistically significant difference (p<.05). 6) The most common activities of the group with injuries more than ten years old included meeting schoolmates and working, while most common activities of the group with injuries less than three years old included attending religious functions and miscellaneous others (watching TV, spending time with family), suggesting statistically significant difference (p<.05).

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난소 절제술을 실시한 암컷 쥐에서 석류 단일과 석류 복합 시료의 갱년기 증상 개선 효과 (Effect of Singled and Mixed Pomegranate on Postmenopausal Symptoms in Overiectomized Rats)

  • 이용혁;현선희;정세영
    • 약학회지
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    • 제50권3호
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    • pp.177-183
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    • 2006
  • Women's aging made a functional decline at ovary, This functional problem causes estrogen deficiency and many disorders, such as, sexual dysfunction, obesity, osteoporosis, urinary incontinence, skin and all body's aging, etc. We determined the ameliorative effects of some herbal extracts mixture on postmenopausal symptoms in ovariectomized Sprague Dawley rats. Nine-weeks-old female rats were ovariectomized and treated with singled pomegranate extracts (0.40, 1.20 g/kg/day) and mixed pomegranate extracts (1.08, 3.24g/kg/day) for 8 weeks. Oral administration of pomegranate extracts for 8 weeks were increased serum estradiol level and improved the serum osteocalcin, ALP activity and bone specific ALP level. And pomegranate extracts were reduced body weight, adipose tissue. Uterus weight in treated group tended to improve. In addition, the concentrationl of triglyceride and total cholesterol were lower after 8 weeks. HDL-cholesterol levels improved with does-dependency in treated groups. Collagen level on skin and cartilage showed a slight increase at treatment for 8 weeks. $^{\infty}These$ results showed that both of singular extract treatments and extracts mixture treatments were effective on general postmenopausal symptoms at overiectomized rats, and especially, the mixture treatments were more effective than singular treatment. $^{\infty}In$ conclusion, these herbal extracts' mixture showed improvement effect in general factors related with postmenopausal disorders.

음낭피판을 이용한 음낭과 음경 림프부종의 치료 (Treatment of Lymphedema of the Scrotum and Penis Using Scrotal Flaps)

  • 이도헌;박선형;박정준;황재하;김광석;이삼용
    • Archives of Plastic Surgery
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    • 제38권6호
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    • pp.899-902
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    • 2011
  • Purpose: Lymphedema of the scrotum and penis is a functionally and emotionally incapacitating problem for patients. Patients suffer pain from swelling, chronic irritation, repeated infections, drainage, and sexual dysfunction. Although there are various methods for the treatment of scrotal and penial lymphedema, achieving a satisfactory reconstruction in severe cases still remains a challenge due to the lack of locally available tissue. Methods: A 33-year-old man sustained severe lymphedema of the scrotum and penis. He reported a history of swelling since 25 years, which had been intensified during the past few months. There was no history of irritation, surgery, trauma, infection or travel to endemic countries. The authors reconstructed the scrotum and penis using 4 scrotal flaps made by incising the enlarged scrotum crucially. Results: The postoperative course was uneventful. Histopathologic examination showed nonspecific chronic inflammation. The patient was followed up for 18 months and a good reconstructive result was obtained with no recurrence. Conclusion: The authors' method is safe and easy to perform. This method may be a convenient and reliable alternative for the treatment of severe lymphedema of the scrotum and penis.

KALIG-1유전자 음성을 보인 격리성 성선자극호르몬 부족증 1례 (A Case of Isolated Gonadotropin Deficiency with Negative KALIG-1 Gene)

  • 남윤성;이숙환;곽인평;윤태기;차광열
    • Clinical and Experimental Reproductive Medicine
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    • 제25권3호
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    • pp.293-297
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    • 1998
  • Hypogonadotropic hypogonadism, or the lack of function of the testis or ovary secondary to the lack of pituitary and or hypothalamic trophic hormones, is also sometimes generally termed Kallmann's syndrome. Whether such deficiencies arise from an inborn error of hypothalamic organization and pituitary connection or damage to the hypothalamic pituitary system in prepubertal life, the manifestations of a eunuchoid or apubertal individual with potentially competent pituitary and gonadal function will result. Beyond the achievement of puberty, a similar situation can be recreated by the administration of a long-acting GnRH analog or by conditions of secondary hypothalamic dysfunction such as anorexia nervosa where shutdown of GnRH and its resultant effects cause cessation of gonadal function and even a regression of secondary sexual characteristics. Technically, these conditions are not Kallmann's syndrome but one must recognize the similarities. We have experienced a case of isolated gonadotropin deficiency which showed a negative KALIG-1 gene in infertile patient with primary amenorrhea. So we report this case with a brief review of literatures.

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Papaverine 주사에 의한 인위적 음경발기와 야간의 수면중 음경발기의 비교관찰 (Comparative Study of the Papaverine-induced Artificial Erection and the Nocturnal Penile Erection)

  • 최인규;오문목;김세철
    • Clinical and Experimental Reproductive Medicine
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    • 제16권1호
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    • pp.107-112
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    • 1989
  • In order to compare the nocturnal penile erection and the erection induced by intracavernosal injection of papaverine, digital palpation of penis, erectile angle, and the rigigram using $Rigiscan^{(R)}$ were evaluated in 38 erectile dysfunction patients(13 psychogenic, 18 vasculogenic, 1 neurogenic, 3 vasculo-neurcgenic, and 3 undetermined). The following results were obtained. 1. Among the 32 patients of the nocturnal penile erection > 40% on rigigram, only 15 patients(46.9 %) demonstrated rigidity > 4+, a sufficient rigidity for sexual intercourse, on papaverine test. 2. The maximal degree of rigidity was also measured by the erectile angle of the penis. Among the 32 patients of nocturnal penile erection > 40% on rigigram, 23 patients(71.9%) had an angle > $45^{\circ}$. 3. Sixteen patients(42.1%) demonstrated similar increase in the maximal circumferential expansion of the distal portion of the penis on nocturnal penile erection and papaverine-induced erection. Nineteen patients showed larger circumferential expansion on nocturnal penile erection than on papaverine-induced erection. Fifteen patients showed similar circumferential increase of the basal portion of the penis on nocturnal penile erection and artificial erection, while 12 patients(31.6 %) showed larger circumferential increase on artificial erection than on nocturnal penile erection. 4. In the 15 patients of nocturnal penile erection > 40 % on rigigram and > 4+ on papaverine test, the duration of maintenance of the maximum erection on nocturnal penile erection and artificial erection proved to be not proportional. Thus, the arthficial erection induced by papaverine and the nocturnal penile erection can not to be said to be of same in nature and therefore, in order to make more definite diagnosis, both tests should be done and compared.

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수컷 생쥐 생식능력(生殖能力)에 대한 파극(巴戟)의 투약기간별(投藥其間別) 효과(效果) (Administration Duration Dependent Effects of Morindae Radix Extract Solution on Reproductive Capacities in Mice)

  • 오재성;이창훈;장준복;이경섭;조정훈
    • 대한한의학회지
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    • 제27권3호
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    • pp.63-76
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    • 2006
  • Objective: These studies were undertaken to evaluate the effects of the different administration duration of Morindae Radix extract solution on spermatogenic abilities such as concentration, motility and morphological normality of sperm from the testes and the activities of sperm hyaluronidase. Materials and Method: We used 8-week-old ICR mice and administered 0.3mg/g extract solution of Morindae Radix once a day for 30, 60, 90 and 120 days. The control group was administered normal saline in the same way and duration. We examined the number of total, motile and normal sperm from the cauda epididymis. We also compared the testicular tissue, especially seminiferous tubules, between the control and treated groups by histochemical methods. Finally, we observed the difference of sperm hyaluronidase activities between the control and treated groups. Results: Significant administration duration-dependent differences were observed in the concentration of total sperm, motility and normality of spermatozoa of the Morindae Radix extract solution administered groups compared to the control group. In the histological analysis of the testicular tissues, the enlargement of testicular lobe diameter and apparent vasculogenesis between testicular lobes were observed in the Morindae Radix extract solution administered groups compared to the control group. Also, the activity of hyaluronidase was significantly increased in the Morindae Radix extract solution administered groups compared to the control group. Conclusions: This study shows that the beneficial effect of Morindae Radix extract solution on the concentration, motility and morphology of sperm, the testicular tissues and the activities of sperm hyaluronidase increased the greater the duration the mice were administered it. We suggest that Morindae Radix may be useful for the treatment of male sexual dysfunction and infertility.

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만성전립선염에 대한 열(熱) 발생을 적용한 부첩요법(敷貼療法)의 효과에 관한 고찰 (Review of Effect on Heat-generating Plaster Therapy for Chronic Prostatitis)

  • 서희정;배고은;최진용;심소현;서형범;김소연;권정남;윤영주;이인;최준용;한창우;홍진우;박성하
    • 대한한의학회지
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    • 제39권2호
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    • pp.29-35
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    • 2018
  • Objectives: The aim of this study is to investigate the effect of Heat-generating plaster therapy on Chronic prostatitis Methods: We searched articles from Academic Journals(CAJ) online databases. Searching keywords were '貼敷', '慢性前列腺炎', '敷貼', '慢性前列腺炎'. Results: Among the articles published until October 2017, The 18 articles were found. After reviewing the title, abstract and original article, the 3 articles were selected finally to rule out completely different prescriptions. Conclusions: The effect of Heat-generating plaster therapy on symptoms such as urinary frequency, dysuria, nocturia and sexual dysfunction due to chronic prostatitis was satisfactory. Especially the method is simple and safe, easy to use, patient-friendly, and convenient.