• 제목/요약/키워드: Slow medicine

검색결과 649건 처리시간 0.032초

Assessment of Clinical Outcome in Dogs with Naturally Infected with Dirofilaria immitis after American Heartworm Society Protocol vs Slow Kill Method

  • Choi, Miru;Yoon, Won-Kyoung;Suh, Sang-IL;Hyun, Changbaig
    • 한국임상수의학회지
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    • 제34권1호
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    • pp.1-6
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    • 2017
  • Heartworm disease (HWD) in dogs is a life-threatening mosquito-borne disease resulting in right-sided congestive heart failure and inflammatory pulmonary disease. Due to complications from adulticidal therapy with melarsomine, slow kill protocol either with preventive dose of ivermectin or combined with doxycycline has been proposed for an alternative adultcidal therapy in dogs with HWD. Therefore, this study evaluated the clinical outcome of adultcidal therapy in dogs with class II stage of HWD after treating either American Heartworm Society (AHS) or slow kill protocol for 10 months. Clinical outcome after therapy was evaluated by clinical, radiographic and echocardiographic examination along with hematology before (D0) and after therapy (D300). Although clinical signs associated with HWD were all resolved after therapy in both groups, the infection was not cleared out 67% of dogs treated by slow kill protocol at the end of therapy. Furthermore, pulmonary arterial flow of acceleration time to ejection time ratio (AT/ET) and the right pulmonary artery distensibility index (RPADI) have been firstly used for detecting pulmonary hypertension in this study group. The pulmonary hypertension was more common in dogs with mild clinical signs, although tricuspid and pulmonary regurgitation were not detectable in most dogs in this study. Our study findings suggested that the slow kill protocol might not be efficacious enough to clear out HWD in dogs and more attention on the presence of pulmonary hypertension might be necessary for effective management of HWD in dogs.

Effects of Noradrenaline on the Spontaneous Contraction and Ionic Current in the Antral Circular Muscle of Guinea-pig Stomach

  • Jun, Jae-Yeoul;Lee, Sang-Jin;Kim, Sung-Joon;Suh, Jae-Yul;So, In-Suk;Hwang, Sang-Ik;Kim, Ki-Whan
    • The Korean Journal of Physiology
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    • 제27권2호
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    • pp.115-122
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    • 1993
  • There is evidence that noradrenaline enhances spontaneous contractions dose-dependently in guinea-pig antral circular muscle. To investigate the mechanism of this excitatory action, slow waves and membrane currents were recorded using conventional microelectrode techniques in muscle strips and the whole cell patch clamp technique in isolated gastric myocytes. On recording slow waves, noradrenaline $(10^{-5}\;M)$ induced the hyperpolarization of the membrane potential, although the shape of the slow waves became tall and steep. Also, spike potentiaIs occurred at the peaks of slow waves. These changes were completely reversed by administration of phentolamine $(10^{-5}\;M),\;an\;{\alpha}-adrenoceptor$ blocker. Noradrenaline-induced hyperpolarization was blocked by apamin $(10^{-7}\;M)$, a blocker of a class of $Ca^{2+}\;-dependent\;K^+$ channels. To investigate the mechanisms for these effects, we performed whole cell patch clamp experiments. Norndrenaline increased voltage-dependent $Ca^{2+}$ currents in the whole range of test potentials. Noradrenaline also increased $Ca^{2+}\;-dependent\;K^+$\;currents, and this effects was abolished by apamin. These results suggest that the increase in amplitude and the generation of spike potentials on slow waves was caused by the activation of voltage-dependent $Ca^{2+}$ channel via adrenoceptors, and hyperpolarization of the membrane potential was mediated by activation of apamin-sensitive $Ca^{2+}\;-dependent\;K^+\;channels$.

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Electrophysiological and Mechanical Characteristics in Human Ileal Motility: Recordings of Slow Waves Conductions and Contractions, In vitro

  • Ryoo, Seung-Bum;Oh, Heung-Kwon;Moon, Sang Hui;Choe, Eun Kyung;Yu, Sung A;Park, Sung-Hye;Park, Kyu Joo
    • The Korean Journal of Physiology and Pharmacology
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    • 제19권6호
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    • pp.533-542
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    • 2015
  • Little human tissue data are available for slow waves and migrating motor complexes, which are the main components of small bowel motility. We investigated the electrophysiological and mechanical characteristics of human ileal motility, in vitro. Ileum was obtained from patients undergoing bowel resection. Electrophysiological microelectrode recordings for membrane potential changes and mechanical tension recordings for contraction from smooth muscle strips and ileal segments were performed. Drugs affecting the enteric nervous system were applied to measure the changes in activity. Slow waves were detected with a frequency of 9~10/min. There were no cross-sectional differences in resting membrane potential (RMP), amplitude or frequency between outer and inner circular muscle (CM), suggesting that electrical activities could be effectively transmitted from outer to inner CM. The presence of the interstitial cell of Cajal (ICC) at the linia septa was verified by immunohistochemistry. Contractions of strips and segments occurred at a frequency of 3~4/min and 1~2/min, respectively. The frequency, amplitude and area under the curve were similar between CM and LM. In segments, contractions of CM were associated with LM, but propagation varied with antegrade and retrograde directions. Atropine, $N^W$-oxide-L-arginine, and sodium nitroprusside exhibited different effects on RMP and contractions. There were no cross-sectional differences with regard to the characteristics of slow waves in CM. The frequency of contractions in smooth muscle strips and ileal segments was lower than slow waves. The directions of propagation were diverse, indicating both mixing and transport functions of the ileum.

Influence of polymer-coated slow-release urea on total tract apparent digestibility, ruminal fermentation and performance of Nellore steers

  • Gardinal, R.;Calomeni, G.D.;Consolo, N.R.B.;Takiya, C.S.;Freitas, J.E. Jr;Gandra, J.R.;Vendramini, T.H.A.;Souza, H.N.;Renno, F.P.
    • Asian-Australasian Journal of Animal Sciences
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    • 제30권1호
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    • pp.34-41
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    • 2017
  • Objective: Two experiments were performed to evaluate the effects of coated slow-release urea on nutrient digestion, ruminal fermentation, nitrogen utilization, blood glucose and urea concentration (Exp 1), and average daily gain (ADG; Exp 2) of steers. Methods: Exp 1: Eight ruminally fistulated steers [$503{\pm}28.5kg$ body weight (BW)] were distributed into a d $4{\times}4$ Latin square design and assigned to treatments: control (CON), feed grade urea (U2), polymer-coated slow-release urea A (SRA2), and polymer-coated slow-release urea B (SRB2). Dietary urea sources were set at 20 g/kg DM. Exp 2: 84 steers ($350.5{\pm}26.5kg$ initial BW) were distributed to treatments: CON, FGU at 10 or 20 g/kg diet DM (U1 and U2, respectively), coated SRA2 at 10 or 20 g/kg diet DM (SRA1 and SRA2, respectively), and coated SRB at 10 or 20 g/kg diet DM (SRB1 and SRB2, respectively). Results: Exp 1: Urea treatments (U2+SRA2+SRB2) decreased (7.4%, p = 0.03) the DM intake and increased (11.4%, p<0.01) crude protein digestibility. Coated slow-release urea (SRA2+-SRB2) showed similar nutrient digestibility compwared to feed grade urea (FGU). However, steers fed SRB2 had higher (p = 0.02) DM digestibility compared to those fed SRA2. Urea sources did not affect ruminal fermentation when compared to CON. Although, coated slow-release urea showed lower (p = 0.01) concentration of $NH_3-N$ (-10.4%) and acetate to propionate ratio than U2. Coated slow-release urea showed lower (p = 0.02) urinary N and blood urea concentration compared to FGU. Exp 2: Urea sources decreased (p = 0.01) the ADG in relation to CON. Animals fed urea sources at 10 g/kg DM showed higher (12.33%, p = 0.01) ADG compared to those fed urea at 20 g/kg DM. Conclusion: Feeding urea decreased the nutrient intake without largely affected the nutrient digestibility. In addition, polymer-coated slow-release urea sources decreased ruminal ammonia concentration and increased ruminal propionate production. Urea at 20 g/kg DM, regardless of source, decreased ADG compared both to CON and diets with urea at 10 g/kg DM.

느린 홱보기를 동반한 척수소뇌실조 2형 1예 (A Case of Spinocerebellar Ataxia Type 2 with Slowed Saccades)

  • 남정무;김병건;구자성;박종무;이정주;권오현
    • Annals of Clinical Neurophysiology
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    • 제9권2호
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    • pp.102-104
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    • 2007
  • Spinocerebellar ataxia type 2 (SCA2) is characterized by progressive cerebellar ataxia and slow saccades. A 40-year-old woman presented with progressive gait disturbance and ataxia over 15 years. Neurologic examination revealed scanning speech, ataxia, and hyporeflexia. Brain CT showed diffuse atrophy of the cerebellum. Electronystagmography demonstrated slowed saccades with normal accuracy and delayed latency. The diagnosis of SCA2 was confirmed by the genetic test. Documentation of slow saccades may help differentiation among SCA subgroups.

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향부자팔물탕으로 호전된 알코올성 다발신경병증 치험 1례 (A Case Study of Alcoholic Polyneuropathy Improved with Hyangbujapalmul-tang)

  • 최송;박혜선
    • 사상체질의학회지
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    • 제35권4호
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    • pp.55-64
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    • 2023
  • Objectives This study was aimed to report improvement of Soeumin patient diagnosed with Alcoholic Polyneuropathy using Hyangbujapalmul-tang. Method The 41-year-old man had severe foot pain, sensory slow down and ataxic gait. The patient was diagnosed Soeumin and medicated with Hyangbujapalmul-tang three times a day. Clinical improvement was evaluated with blood test, ataxic gait evaluation, deep tendon reflex and visual analogue scale (VAS). Results The symptoms of foot pain, sensory slow down and ataxic gait were dramatically improved after treatment. Conclusions Constitutional treatment for foot pain, sensory slow down and ataxic gait diagnosed with Alcoholic Polyneuropathy are potentially effective.

The Effect of Cryopreservation on the Mouse Embryos at Various-pronuclear Stages

  • Park, M.C.;Kim, J.Y.;Kim, S.B.;Park, Y.S.;Park, H.D.;Lee, J.H.;Oh, D.S.;Kim, Jae-myeoung
    • Asian-Australasian Journal of Animal Sciences
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    • 제22권2호
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    • pp.174-180
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    • 2009
  • This study was carried out to establish an appropriate condition for the efficient cryopreservation of the mouse pronuclear embryo. In vitro cryopreservation of pronuclear embryos was carried out by slow freezing or vitrification methods and development rate of 2-cell, blastocyst and hatched blastocyst was measured as well as survival rate of the thawed pronuclear embryo. After slow freezing, vitrification and thawing of mouse pronuclear embryos, the survival rate and blastocyst development rate for the vitrification group was 97.3 and 53.4%, respectively, which was significantly higher as compared to the slow freezing group with 88.6 and 23.9%, respectively (p<0.05). Blastocyst developmental rate in each experimental group was significantly higher for 21 h in the post-hCG group at 40.5-57.0% than the 24 h post-hCG group at 40.5% (p<0.05). ICM (Inner cell mass) cell numbers of blastocyst-stage embryos during the different stages of mouse pronuclear embryos, slow freezing and vitrification period in the control and vitrification groups were 22.1${\pm}$2.7 and 17.0${\pm}$3.1-22.0${\pm}$3.2, respectively; hence, the slow freezing group (10.2${\pm}$2.0) had significantly higher cell numbers than those of the other two groups (p<0.05). Trophoblast (TE) cell number in the control group, 65.8${\pm}$12.6, was significantly higher than in the slow freezing group, 41.6${\pm}$11.1 (p<0.05). The total cell numbers in the control group and 21 h post hCG group were 87.9${\pm}$13.6 and 81.8${\pm}$14.1, respectively, and were significantly higher than for the slow freezing group (51.8${\pm}$12.6; p<0.05).

$In$ $vitro$ development and gene expression of frozen-thawed 8-cell stage mouse embryos following slow freezing or vitrification

  • Shin, Mi-Ra;Choi, Hye-Won;Kim, Myo-Kyung;Lee, Sun-Hee;Lee, Hyoung-Song;Lim, Chun-Kyu
    • Clinical and Experimental Reproductive Medicine
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    • 제38권4호
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    • pp.203-209
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    • 2011
  • Objective: This study was performed to compare the efficiency of slow freezing and vitrification based on survival, development to blastocysts, and cell numbers of blastocysts. Changes in embryonic gene expression in fresh and frozen-thawed embryos were also examined. Methods: Eight-cell stage embryos were collected from superovulated female BDF1 mice. The collected embryos were randomly divided into three groups. One group was maintained as fresh controls (n=42), one was frozen by slow freezing (n=43), and one was cooled by vitrification (n=43). After thawing or cooling, survival rates, development to blastocyst, and cell numbers and inner cell mass (ICM) cell numbers of blastocysts were compared with those of the control group. The expressions of eight genes ($Rbm3$, $Birc5$, $Sod1$, $Sod2$, $Cirbp$, $Caspase3$, $Trp53$, $Hsp70.1$) were examined by real time-quantitative polymerase chain reaction in the fresh and frozen-thawed embryos. Results: There were no significant differences in the slow freezing and vitrification groups' survival rate after thawing (88.4% vs. 88.4%), development to blastocyst (100% vs. 97.4%), cell numbers ($107.0{\pm}21.0$ vs. $115.0{\pm}19.7$), or ICM cell numbers of blastocysts ($11.3{\pm}5.2$ vs. $11.1{\pm}3.7$). Cell numbers of blastocysts were significantly ($p$ <0.05) lower in the frozen-thawed embryos than the fresh embryos. There were no significant differences in the slow freezing and the vitrification groups' expressions of the eight genes. The expressions of $CirbP$ and $Hsp70.1$ were higher in the frozen-thawed embryos than in the fresh embryos but there were no significant differences. Conclusion: These results suggest that there were no significant differences between embryos that underwent slow freezing and vitrification.

유동모형을 이용한 저속유동의 자기공명영상 (MR Imaging of Slow-flow Using a Flow Phantom)

  • Dae-Cheol Cheong;Kyung-Jae Jung;Young-Hwan Lee;Nak-Kwan Sung;Duck-Soo Chung;Ok-Dong Kim;Jong-Ki Kim
    • Investigative Magnetic Resonance Imaging
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    • 제5권2호
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    • pp.116-122
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    • 2001
  • 목적 : 고식적 스핀에코, 위상 대조 경사에코, 고속 GRASS, 중T-2강조 고속스핀에코 연쇄를 각각 유동모형에 적용시켜, 저속유동에 대한 자기공명영상의 민감도를 찾아내고자 한다. 대상 및 방법 뇌실-복강 단락 도관과 GE 모형으로 이루어진 유동모형으로 싸이폰 효과에 의한 지속적인 가변 유속의 흐름을 내보내고, 각각의 유속에 위의 네 가지 자기공명영상연쇄를 적용시켰다. 0.08 ml/min 에서 1.7 ml/min 범위의 유량의 흐르는 액체와 정지된 액체에서 획득된 자기공명영상의 신호강도를 비교한 결과를 요약하면 다음과 같다. 결과 0.17 ml/min 이상의 느린 흐름에서는 고식적 스핀에코영상이 가장 우수한 정지-유동 액체사이의 겉보기대조를 보이나, 그 이하의 매우 느린 흐름에서는 GRASS 영상이 더 높은 민감도를 보였다. 결론 : 4가지 자기공명펄스연쇄는 0.08 ml/min에서 1.7 ml/min 범위의 유량의 흐름에서 서로 다른 민감도를 보였다. 이 결과는 임상적으로, 단락수술후의 뇌척수액의 흐름이나 혈관내의 혈전에 의한 흐름의 변이 등의 인체내의 저속유동을 검출하는 비침습적방법으로 유용하게 적용될 수 있을 것이다.

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호흡 동조 구동 팬톰을 이용한 호흡패턴에 따른 4DCT, Slow-CT의 내부표적체적 변화 연구 (Study of Variation of Internal Taget Volume between 4DCT and Slow-CT in Respiratory Patterns Using Respiratory Motion Phantom)

  • 이순성;최상현;민철기;지영훈;김미숙;유형준;김찬형;김금배
    • 한국의학물리학회지:의학물리
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    • 제25권1호
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    • pp.53-63
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    • 2014
  • 본 연구에서는 호흡 동조 구동 팬톰을 이용하여 5가지의 호흡패턴에 따른 4DCT와 Slow-CT의 내부표적체적(ITV) 변화를 비교 분석하였다. 각 호흡패턴마다 호흡주기 1~4초와 표적 진폭 1~3 cm를 적용하여 4DCT와 Slow-CT를 각 3회 촬영하였다. 촬영한 영상들은 Eclipse 치료계획 시스템으로 표적을 윤곽 묘사하고 내부표적체적(ITV) 길이와 체적을 측정하였으며, 4DCT, Slow-CT의 ITV 길이와 체적의 평균값을 이론값과 비교하여 분석하였다. 4DCT에서의 ITV 길이와 체적은 호흡주기가 길수록, 표적 진폭이 짧을수록 이론값과의 차이가 감소하는 경향을 보였다. Slow-CT에서는 표적 진폭이 커질수록 4DCT와 마찬가지로 이론값과의 차이가 커졌으나 호흡주기에 따른 ITV 길이와 체적의 변화는 호흡주기 1초에서 가장 이론값 비슷하였고 2~4초 내에서는 재현성의 변화가 근소했다. 호흡패턴에 따라서는 4DCT, Slow-CT 모두 ITV 길이와 체적에 대해 A패턴에서 가장 높은 재현성을 보였고, B, C, D패턴은 서로 비슷한 차이를 보였으며 E패턴은 다른 네 패턴에 비해 이론값과의 차이가 가장 컸다. 4DCT에 대한 Slow-CT의 ITV 길이와 체적의 차이는 모든 호흡패턴에 대하여 호흡주기가 길수록, 표적 진폭이 클수록 증가하였다. 4DCT와 Slow-CT 영상간의 ITV 길이 및 체적에 대한 재현성을 비교했을 때 Slow-CT가 4DCT에 비해 평균적으로 약 22% 낮았으며, 호흡패턴에 따라 상, 하 방향에 대해 표적의 재현성이 달라졌다. A, B, C패턴의 경우 상, 하 방향으로 3 mm, E패턴은 상 방향에 비해 하 방향에서 5 mm의 차이를 보인 반면에 D패턴에서는 상 방향으로는 차이가 없었으나 하 방향으로 1.45 cm의 차이가 났다. 따라서 4DCT에 대하여 Slow-CT에 표적 움직임을 고려한 여유를 설정할 경우에는 호흡패턴에 따라 상, 하 방향에 다른 여유를 정의해야 한다고 판단된다. 향후 환자의 호흡신호를 바탕으로 CT 영상을 분석할 때 본 연구에서 수행한 데이터가 유용하게 사용될 것으로 사료된다.