• 제목/요약/키워드: urinary $Na^+\

검색결과 192건 처리시간 0.023초

Dopamine $D_2$ Receptor 차단제인 Raclopride의 신장작용 (Renal Action of Raclopride, a Dopamine $D_2$ Receptor Antagonist, in Dogs)

  • 고석태
    • 약학회지
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    • 제45권6호
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    • pp.683-693
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    • 2001
  • This study was attempted to investigate the effect of raclopride, a dopamine $D_2$ receptor antagonist, on renal function in dog. Raclopride (70-220$\mu\textrm{g}$/kg), when given intravenously, Produced antidiuresis along with the decrease in free water clearance ( $C_{H_2O}$), urinary excretion of sodium and potassium ( $E_{Na}$ , $E_{K}$), partially decreased osmolar clearance ( $C_{osm}$) and increased reabsorption rates of sodium and potassium in renal tubules ( $R_{Na}$ , $R_{K}$). Raclopride administered into a renal artery did not influence on renal function in small doses (10 and 30$\mu\textrm{g}$/kg), whereas exhibited the decrease of urine volume (Vol) and $C_{H_2O}$ both in experimental and control kidney in much dose (100$\mu\textrm{g}$/kg), at this time, the decreased rates of both Vol. and $C_{H_2O}$) were more prominent in control kidney rather than that elicited in experimental kidney, and then only via was decreased in control kidney but increased in experimental kidney. Raclopride administered via carotid artery (30-200$\mu\textrm{g}$/kg) did not influence at all on renal function. Antidiuretic action induced by raclopride given intravenously was not affected by renal denervation. Raclopride given into carotid artery was little effect on renal function without relation to renal denervation. Above results suggest that raclopride produces antidiuresis by potentiation of antidiuretic hormone (ADH) action in blood without increase of ADH secretion in posterior pituitary gland, it is not related to renal nerve function in dogs.ogs.s.

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한국인의 Aldosterone 대사 제거율에 미치는 Na 섭취제한, K 보충투여 및 이뇨의 영향 (Effects of Na Restriction, K Supplement and Diuresis on Aldosterone Metabolic Clearance in the Normal Korean)

  • 성호경
    • The Korean Journal of Physiology
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    • 제11권1호
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    • pp.37-44
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    • 1977
  • In the previous study of the release, excretion, and plasma concentration of aldosterone in normal Koreans, the author found that urinary aldosterone excretion and aldosterone secretion rate of the Korean who usually take high amount of salt are significantly lower, in compared to Americans, although the plasma concentration is only tended to be low. The control of plasma aldosterone level depends on the secretion rate and the metabolic clearance of the hormone. In this experiments, the metabolic clearance rate of aldosterone was determined in normotensive korean and the effects of adrenal stimulations on the rates were also studied in the same subjects. The metabolic clearance rate of the normal Korean was not significantly different from those of the American, and shown a little increase in response to sodium restriction. These results indicate that the decrease in secretion rate rather than the increase in metabolic clearance Tate is the major factor maintaining lower plasma aldosterone level. After furosemide diuresis, on the contrary, the removal of aldosterone showed significant the decrease despite slight increase of secretion rate. This suggest that the reduction in metabolic clearance rate of the hormone during volume depletion found to be major cause of high plasma concentration. Additional potassium supply produced detectable decrease of metabolic clearance rate, but the changes were smaller than that of secretion rate, which suggested that the higher secretion rate could account for elevated plasma concentration of aldosterone rather than metabolic clearance. Above results also support author's previous evidences that the normal Korean who already adapted to a high sodium diet have ability to produce adequate aldosterone activity without producing detectable changes on the metabolic clearance rate under the condition of sodium restriction with approp riate potassium intake.

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뇌졸중 환자 가족과 정상인에 있어서 혈압과 Na, K 섭취경향간의 상관관계 연구 (A Study on Correlation between Blood Pressure and Dietary Na, K Intakes Pattern in the Family Members of Normal and Cerebrovascular Disease Patients)

  • 김종대;최면;주진순
    • 한국식품영양과학회지
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    • 제24권1호
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    • pp.24-29
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    • 1995
  • Purpose of this study was to investigate correlation between blood pressure (systolic and diastolic) and dietary sodium, potassium intake pattern in the family members of normal cerebrovascular (CVA) disease, excluding patients themselves. Both mean values of systolic (125.8$\pm$23.7 vs 119.3$\pm$19.2mmHg) and diastolic(76.1$\pm$16.7 vs 71.6$\pm$12.5mmHg) bllood pressure in the family members of cerebrovascular disease patients were significantly higher than those of normal subjects. Systolic blood pressure was positively correlated with age, weibght, sodium in soybean paste, potassium in hotpepepr paste, soybean paste and meats in normal subjects group. In the family members of cerebrovascular patient, systolic blood pressure was possively correlated with age, weight, sodium in soy sauce, drinking water and potassium in soups. Interestingly, table salt intake was positively correlated with systosolic blood pressure in the family members of cerebrovascular disease patients. Diastolic bolld pressure was positively correlated with age, weight, table salt intake potassium in hotpepper paste and soybean paste in normal subjects group. Diastolic blood pressure was positively correlated with age, weight and table salt intake in the family members of cerebrovascular disease patients. Urinary potassium excretion was negatively correlated with both systolic and diastolic blood pressure in the family members of cerebrovascular disease patients.

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한국여승(韓國女僧)의 수분(水分) 및 전해질대사(電解質代謝) (Water and Electrolyte Metabolism of Korean Buddhist Nuns)

  • 최흥교;윤진숙;주영은;이원정
    • The Korean Journal of Physiology
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    • 제16권2호
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    • pp.187-193
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    • 1982
  • 장기간(長期的)인 채식섭취(菜食攝取)가 인체(人體)의 수분(水分) 및 전해질대사(電解質代謝)에 미치는 영향(影響)을 알아보기 위하여 젊은 여승(女僧) 45명(名)($20{\sim}30$세(歲))과 대조군(對照群)으로는 기숙사생활(寄宿舍生活)하는 여대생(女大生) 28명(名)($20{\sim}22$세(歲))을 연구대상(硏究對象)으로 하였다. 열량섭취(熱量攝取)는 여승(女僧)들이 하루에 1947 kcal였고 여대생(女大生)은 1815 kcal였다. 열량구성(熱量構成) 비율(比率)은 여승(女僧)들이 탄수화물(炭水化物) : 단백질(雲白質) : 지방(脂肪)=85 : 11 : 5였고 학생(學生)은 70 : 15 : 15였으며 이는 여승(女憎)들의 탄수화물(炭水化物) 편중(偏重) 및 지방섭취(脂肪攝取) 부족(不足)을 보여준다. 신체계측(身體計測) 결과(結果) 여승(女僧)들이 여대생(女大生)보다 신장(身長)은 낮은 반면(反面), 체중(體重) 및 지방층(脂肪層)두께는 높았다. 1일(日) 뇨량(尿量)은 여승(女僧)들이 $1,697{\pm}68\;ml/day$로서 여대생(女大生)의 $1505{\pm}67\;ml/day$보다 유의(有意)하게 높았으며(P<0.05), 요삼투질농도는 여승(女憎)이 $617{\pm}18\;mOsm/kg\;H_2O$로 학생(學生)의 $688{\pm}36\;mOsm/kg\;H_2O$보다 유의(有意)하게 (P<0.05) 낮았다. 그러나 두 실험군(寶驗群)사이에 뇨중(尿中) $Na^+$이나 $K^+$의 배설율(排泄率)에는 차이(差異)가 없었으며 뇨중(尿中) 요소배설율(尿素排泄率)은 여승군(女僧群)이 $5.0{\pm}0.2\;g/day$로서 여대생(女大生)의 $6.4{\pm}0.5g/day$보다 유의(有意)하게 (P<0.01) 낮았다. 여승(女僧)들의 free water clearance는 $-1.82{\pm}0.08\;ml/day$로서 여대생(女大生)의 $-2.16{\pm}0.1\;4ml/day$보다 높았으나(P<0.05) osmolar clearance는 차이(差異)가 없었다. 혈청(血淸) creatinine농도(濃度)나 뇨중(尿中) creatinine배설율(排泄率)은 양군(兩群)사이에 차이(差異)가 없었고 신사구체(腎絲毬體) 여과률(濾過率)을 나타내는 creatinine clearance도 차이(差異)가 없었다. 1일(日) 요배설양(尿排泄量)은 요소배설양(尿素排泄量)(r=0.42), $Na^+$배설량(排池量)(r= 0.76)이 나 osmolar clearance (r=0.57)와 유의(有意)한 상관관계(相關關係)가 있었으나, free water clearance(r=0.06)와는 유의(有意)한 상관관계(相關關係)가 없었다. 이상(以上)의 결과(結果)에서 여승(女僧)은 여대생(女大生)보다 뇨농축능력(尿濃縮能力)이 낮았으며 이는 여승(女僧)들의 저단백섭취(低蛋白攝取)로 인(因)한 요소(尿素), 대사(代謝)와 관계(關係)있음을 시사(示唆)해 주고 있다.

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전립샘 샘암종의 뇨 세포학적 소견 -1예 보고- (Urine Cytology of Prostatic Adenocarcinoma -A Case Report-)

  • 이원애;권미선;고재향;명나혜
    • 대한세포병리학회지
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    • 제14권2호
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    • pp.82-85
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    • 2003
  • Prostatic adenocarcinoma cells can be detected in urine cytology specimens when the tumor extends to the bladder mucosa. We report a case of prostatic adenocarcinoma diagnosed by urine cytology. A 70-year-old man presented with urinary frequency and low back pain On rectal examination, a nodular mass was palpated in the left side of prostate. Bone scan revealed multifocal hot lesions suggesting metastasis. Urine cytology revealed hypocellular smear on clean or bloody background. Tumor cells were mainly arranged in syncytial or papillary clusters which occasionally contained fool of luminal formation The cytoplasm of tumor cells was finely granular. The nuclei of tumor cells revealed evenly distributed fine chromatin and large prominent nucleoli without nuclear pleomorphism. In needle biopsy specimen of prostate, tumor cells were detected in entire prostatic tissue with extension to pericapsular soft tissue. The tumor cells infiltrated individually or in a cord-like fashion with fool of cribriform pattern. Inconspicuous nuclear pleomorphism and prominent nucleoli were also noted.

분리 대두단백질 섭취와 염분 제한이 Streptozotocin으로 유도된 당뇨 횐쥐의 혈청 지질 수준 및 신장기능에 미치는 영향 (The Effects of Isolated Soyprotein and Salt Restriction on Serum Lipid and Kidney Function of Streptozotocin-Induced Diabetic Rats)

  • 정수현;박양자
    • 동아시아식생활학회지
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    • 제11권5호
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    • pp.368-378
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    • 2001
  • This study was performed to investigate the effects of isolated soyprotein and salt (NaCl) restriction on the serum lipid and the kidney functions of streptozotocin-induced diabetic rats. Sprague-Dawley males of normal and streptozotocin-induced diabetic rats were raised for 6 weeds divided into 4 groups each according to protein sources and salt levels. The sources of protein were isolated soyprotein and casein. Salt levels tested were 0.1% (normal) and 0.01% (low). The results are summarized as fellows: kidney weight, blood glucose, hemoglobinAlc, GFR and urinary protein of diabetic groups were higher than those of normal groups. Isolated soyprotein lowered total lipids, triglycerides, and total cholesterol in serum and plasma angiotensin II concentration as well as alleviated kidney enlargement and GFR in diabetic rats. Salt restriction didn\\`t affect serum lipid level but decreased GFR and increased angiotensin If concentration. In conclusion, isolated soyprotein decreased serum lipids, plasma angiotensin II concentration, sidney enlargement and GFR, while salt restriction increased plasma angiotensin II concentration. The results suggest that isolated soyprotein and salt restriction seem to cause different effects on plasma angiotensin II concentration and that isolated soyprotein might be of value in the prevention of diabetic artherosclerosis and diabetic hypertension.

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전립선비대증환자의 건강 관련 삶의 질 영향 요인 (Factors Influencing Health-related Quality of Life in Patients with Benign Prostatic Hyperplasia)

  • 김정선;문빛나
    • 대한간호학회지
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    • 제40권2호
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    • pp.287-297
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    • 2010
  • Purpose: This study was done to examine the relationship of low urinary tract symptoms (LUTS), depression, sexual function, and health-related quality of life (HRQoL), and to identify factors influencing HRQoL in patients with benign prostatic hyperplasia (BPH) living in the community. Methods: A total of 218 patients with BPH were recruited into the study. The data were collected by personal interviews using questionnaires and were analyzed with SPSS (version 17.0) computer program, and included descriptive statistics, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple regression analysis. Results: The relationship between HRQoL and LUTS with depression had a significant negative correlation, whereas the relationship between HRQoL and sexual function had a significant positive correlation. Depression, age, LUTS, number of chronic disease, and excercise were found to be significant predictors (35.6%) of the Physical Component Summary of HRQoL. Depression, stress, smoking, LUTS, and sexual function were found to be significant predictors (48.2%) of the Mental Component Summary of HRQoL. Conclusion: To improve HRQoL of patients with BPH, nurses should focus on the factors identified in this study when doing nursing assessments, and should develop nursing intervention programs for BPH prevention and symptoms management in primary care settings.

Effect of Laparoscopic Nerve-sparing Radical Hysterectomy on Bladder Function, Intestinal Function Recovery and Quality of Sexual Life in Patients with Cervical Carcinoma

  • Chen, Long;Zhang, Wei-Na;Zhang, Sheng-Miao;Yang, Zhi-Hao;Zhang, Ping
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권24호
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    • pp.10971-10975
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    • 2015
  • Objective: To investigate bladder and intestinal function recovery and quality of sexual life after laparoscopic nerve-sparing radical hysterectomy (LNRH) for treatment of early invasive cervical carcinoma. Methods: Subjects included patients who underwent radical hysterectomy by laparotomy who were randomly assigned to 2 groups: 30 patients who underwent LNRH and 35 classical laparoscopic radical hysterectomy (LRH). We assessed the patients general clinical information, surgical characteristics, pathological findings, and adjuvant therapies. A urodynamic study was used to assess bladder function. Intestinal function recovery and quality of sexual life were evaluated by questionnaire. Results: No significant differences were found in age, surgery characteristics, pathological findings, adjuvant therapies, and main adverse effects between the 2 groups. The mean duration of the postoperative catheterization (DPC) in group LNRH was shorter than that in group LRH (P < 0.001). The maximum flow rate, maximum cystometric capacity, maximum detrusor pressure and urinary complications in group LNRH were better than those in group LRH. The quality of sexual life evaluated according to the female sexual function index (FSFI) was better in group LNRH than in those who underwent LRH. The intestinal function of patients in group LNRH also recovered better compared with patients in group LRH.

클로르프로마진의 클로르프로마진 설폭시드로의 대사동태 (Metabolite Kinetics of Chlorpromazine to Chlorpromazine Sulfoxide in Rats)

  • 정숙진;나한광;이용복
    • Journal of Pharmaceutical Investigation
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    • 제28권4호
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    • pp.215-221
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    • 1998
  • In order to elucidate the fraction of sulfoxidation in the over all in vivo metabolism of chlorpromazine (CPZ), the sulfoxidation of CPZ to chlorpromazine sulfoxide (CPZSO) was studied in rats. CPZ (10 mg/kg) and CPZSO (1 mg/kg) were injected into the rat femoral vein, respectively. And the pharmacokinetic parameters were obtained from the plasma concentration-time profiles of CPZ and CPZSO determined by the simultaneous analysis using high-performance liquid chromatography. It was supposed that these drugs were almost metabolized in vivo because the total excreted amounts of CPZ and CPZSO via urinary and biliary route were lower than 1.4% and 10.61% of the administered dose, respectively. And also, it was found that the fraction of systemic clearance of CPZ which formed CPZSO $(F_{mi})$ was 0.115. These results showed that CPZ was sulfoxized by 11.5% in rats and the residue would be metabolized via the other routes.

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Study on diuretic activity and electrolytes excretion of methanol extract of Lippia nodiflora (Verbenaceae) in rats

  • D., Ashok Kumar;GP, Senthilkumar;V., Thamil selvan;UK, Mazumder;M., Gupta;SK, Ray
    • Advances in Traditional Medicine
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    • 제8권1호
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    • pp.39-46
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    • 2008
  • In the Indian traditional medicine, Lippia nodiflora (Verbenaceae) whole plant is claimed to possess powerful diuretic activity. However, the diuretic potential of this plant is not yet investigated. The aim of this study was to evaluate the diuretic potential of methanol extract of Lippia nodiflora (MELN) in rats. Control (0.9% saline solution, 25 ml/kg, b.w) or urea (1 g/kg b.w) or frusemide (5 mg/kg b.w) and different concentrations of MELN (200 and 400 mg/kg b.w) were intraperitoneally administered (n = 6 per each treatment group) to hydrated rats and their urine output was monitored over a period of 5 h and 24 h after drug administration. The diuretic responses with its electrolyte excretion potency of the extract were highly remarkable in comparison with control animals. The extract at doses of 200 and 400 mg/kg shows a significant increase in volume of urine with increase in $Na^{+}$, $Ca^{2+}$ and $Cl^{-}$ excretion accompanied by the excretion of $K^{+}$ in dose dependent manner. This study suggests that the active component(s) in MELN had similar diuretic effect to that of frusemide. These results validate the traditional use of Lippia nodiflora as a diuretic agent.