• 제목/요약/키워드: urine excretion

검색결과 576건 처리시간 0.026초

Could Urinary Copper/Zinc Ratio Be a Newer Tool to Replace 24-Hour Urinary Copper Excretion for Diagnosing Wilson Disease in Children?

  • Fahmida Begum;Khan Lamia Nahid;Tahmina Jesmin;Md. Wahiduzzaman Mazumder;Md. Rukunuzzaman
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제27권1호
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    • pp.53-61
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    • 2024
  • Purpose: Although the 24-hours urinary copper excretion is useful for the diagnosis of Wilson disease (WD), there are practical difficulties in the accurate and timed collection of urine samples. The purpose of this study was to verify if the spot morning urinary Copper/Zinc (Cu/Zn) ratio could be used as a replacement parameter of 24-hours urinary copper excretion in the diagnosis of WD. Methods: A cross-sectional study was conducted at the Department of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, from June 2019 to May 2021 on 67 children over three years of age who presented with liver disease. Twenty-seven children who fulfilled the inclusion criteria for WD were categorized into the test group, and the remaining forty children were considered to have non-Wilsonian liver disease and were categorized into the control group. Along with other laboratory investigations, spot morning urinary samples were estimated for the urinary Cu/Zn ratio in all patients and were compared to the 24-hour urinary copper excretion. The diagnostic value of the Cu/Zn ratio was then analyzed. Results: Correlation of spot morning urinary Cu/Zn ratio with 24-hours urinary copper excretion was found to be significant (r=0.60). The area under ROC curve with 95% confidence interval of morning urinary Cu/Zn ratio measured using 24-hours urine sample was 0.84 (standard error, 0.05; p<0.001). Conclusion: Spot morning urinary Cu/Zn ratio seems to be a promising parameter for the replacement of 24-hours urinary copper excretion in the diagnosis of WD.

Development of objective indicators for quantitative analysis of sodium intake: the sodium to potassium ratio of second-void urine is correlated with 24-hour urinary sodium excretion

  • Kim, Jung Gon;Han, Sang-Woong;Yi, Joo Hark;Park, Hyeong Cheon;Han, Sang Youb
    • Nutrition Research and Practice
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    • 제14권1호
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    • pp.25-31
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    • 2020
  • BACKGROUND/OBJECTIVES: To date, sodium intake has been evaluated based on spot urine instead of 24-hour (hr) urine collection. Nevertheless, the optimal method for assessing daily sodium intake remains unclear. SUBJECTS/METHODS: Fifteen male (age 32.7 ± 6.5 years) participants were offered 3 meals with a total of 9-10 g salt over 24 hours, and 24-hr urine was collected from the second-void urine of the first day to the first-void urine of the second day. Twenty-four-hr urinary sodium (24UNa) was estimated using Tanaka's equation and the Korean formula, and spot urine Na, potassium (K), chloride (Cl), urea nitrogen (UN), creatinine (Cr), specific gravity (SG) and osmolality (Osm) were measured. The ratios of urinary Na to other parameters were calculated, and correlations with total measured 24UNa were identified. RESULTS: Average 24-hr urine volume was 1,403 ± 475 mL, and measured 24UNa was 143.9 ± 42.1 mEq (range, 87.1-239.4 mEq). Measured 24UNa was significantly correlated with urinary Na/UN (r = 0.560, P < 0.01), urinary Na/Osm (r = 0.510, P < 0.01), urinary Na/Cr (r = 0.392, P < 0.01), urinary Na/K (r = 0.290, P < 0.01), 24UNa estimated using Tanaka's equation (r = 0.452, P < 0.01) and the Korean formula (r = 0.414, P < 0.01), age (r = 0.548, P < 0.01), weight (r = 0.497, P < 0.01), and height (r = 0.393, P < 0.01) in all spot urine samples. Estimated 24UNa based on the second-void spot urine of the first day tended to be more closely correlated with measured 24UNa than were estimates from the other spot urine samples. The significant parameters correlated with the second-void urine of the first day were urinary Na/K (r = 0.647, P < 0.01), urinary Na/Cr (r = 0.558, P < 0.05), and estimated 24UNa using Tanaka's equation (r = 0.616, P < 0.05) and the Korean formula (r = 0.588, P < 0.05). CONCLUSIONS: Second-void urine is more reliable than first-void urine for estimating 24UNa. Urinary Na/K in the second-void urine on the first day is significantly correlated with 24UNa. Further studies are needed to establish the most reliable index and the optimal time of urine sampling for predicting 24UNa.

GC-FID에 의한 Rat 뇨중 Tranylcypromine의 분석 (GC-FID Analysis of Tranylcypromine in Rat Urine)

  • 강건일;전순영
    • 약학회지
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    • 제29권5호
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    • pp.260-267
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    • 1985
  • A gas chromatography with flame ionization detection was developed to measure tranylcypromine in rat urine. The method involves extraction of the drug and the internal standard, phenylpropylamine from the urine using ethyl acetate and back extraction into 0.5N $H_{2}SO_{4}$. Following final extraction using dichloromethane, both the drug and the internal standard were converted to trifluoroacetyl derivatives and analyzed using a column of 3% SE-30 on 80/100 mesh Chromosorb W(HP). A calibration curve was constructed in the range of $5~50{\mu}g$tranylcypromine sulfate in 0.5ml urine and found to be linear. The detection limit was $2{\mu}g$. The tranylcypromine could be analyzed with the percent recovery of $100.81{\pm}8.13$ (SD) ina concentration range of $8-40{\mu}g$ in 0.5ml urine. When 0.4mmol/kg dose of the drug was administered through, an oral route, excretion percent of tranylcypromine in rat urine over 36hr was found to be $11.90{\pm}6.04$ (SD) for tranyleypromine sulfate and $2.23{\pm}0.63$ (SD) for benzyl trans-2-phenylcyclopropanecarbamate.

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호도약침(胡桃藥鍼)이 Glycerol에 의한 급성신부전(急性腎不全) 유발(誘發)시 요농축능(尿濃縮能)의 장애(障碍)에 대한 영향(影響) (The Effect of Juglandis Semen Aquacupuncture on Urine Concentrating Defect in Glycerol-induced Acute Renal Failure)

  • 이병훈;서정철;윤현민;송춘호;안창범;장경전
    • Journal of Acupuncture Research
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    • 제18권3호
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    • pp.114-122
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    • 2001
  • Objective : The present study was carried out to determine if Juglandis Semen Aquacupuncture(JSA) exerts beneficial effect against the urine concentrating defect induced by glycerol injection in rabbits. Methods : In order to test the effect of JSA, rabbits were acupunctured with $0.5m{\ell}$ of 1%JSA for 7days at both sides of $Sh{\grave{e}}ns{\bar{u}}$(BL23) before the glycerol injection. The other animals were pretreated with an equal volume of saline instead of JSA. Results : The urine flow was reduced, but the urine osmolality was significantly lower than the basal period in glycerol-injected animals, indicating that glycerol causes the urine concentrating defect. The fractional excretion of Na and K was increased in glycerol-treated animals. The Free-water clearance and fractional water excretion(V/GFR) were increased in animals treated with glycerol. Conclusion : These results indicate that glycerol injection resulted an impairment in the urine concentrating ability in rabbits. Such changes were prevented by JSA. JSA may be used as a method to treat and prevent glycerol-induced acute renal failure.

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Effect of Dietary Concentrate:forage Ratios and Undegraded Dietary Protein on Nitrogen Balance and Urinary Excretion of Purine Derivatives in Dorper×thin-tailed Han Crossbred Lambs

  • Ma, Tao;Deng, Kai-Dong;Tu, Yan;Jiang, Cheng-Gang;Zhang, Nai-Feng;Li, Yan-Ling;Si, Bing-Wen;Lou, Can;Diao, Qi-Yu
    • Asian-Australasian Journal of Animal Sciences
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    • 제27권2호
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    • pp.161-168
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    • 2014
  • This study aimed to investigate dietary concentrate:forage ratios (C:F) and undegraded dietary protein (UDP) on nitrogen balance and urinary excretion of purine derivatives (PD) in lambs. Four Dorper${\times}$thin-tailed Han crossbred castrated lambs with $62.3{\pm}1.9$ kg body weight at 10 months of age were randomly assigned to four dietary treatments in a $2{\times}2$ factorial arrangement of two levels of C:F (40:60 and 60:40) and two levels of UDP (35% and 50% of CP), according to a complete $4{\times}4$ Latin-square design. Each experimental period lasted for 19 d. After a 7-d adaptation period, lambs were moved into individual metabolism crates for 12 d including 7 d of adaption and 5 d of metabolism trial. During the metabolism trial, total urine was collected for 24 h and spot urine samples were also collected at different times. Urinary PD was measured using a colorimetric method and creatinine was measured using an automated analyzer. Intake of dry matter (DM) (p<0.01) and organic matter (OM) (p<0.01) increased as the level of UDP decreased. Fecal N was not affected by dietary treatment (p>0.05) while urinary N increased as the level of UDP decreased (p<0.05), but decreased as dietary C:F increased (p<0.05). Nitrogen retention increased as dietary C:F increased (p<0.05). As dietary C:F increased, urinary excretion of PD increased (p<0.05), but was not affected by dietary UDP (p>0.05) or interaction between dietary treatments (p>0.05). Daily excretion of creatinine was not affected by dietary treatments (p<0.05), with an average value of $0.334{\times}0.005$ mmol/kg $BW^{0.75}$. A linear correlation was found between total PD excretion and PDC index ($R^2$ = 0.93). Concentrations of creatinine and PDC index in spot urine were unaffected by sampling time (p>0.05) and a good correlation was found between the PDC index (average value of three times) of spot urine and daily excretion of PD ($R^2$ = 0.88). These results suggest that for animals fed ad libitum, the PDC index in spot urine is effective to predict daily excretion of PD. In order to improve the accuracy of the spot sampling technique, an appropriate lag phase between the time of feeding and sampling should be determined so that the sampling time can coincide with the peak concentration of PD in the urine.

Plasma Aminogram and Urinary Excretion of Free Amino Acids in Adult Vegetarians Compared with AGe-Matched Omnivores in Korea

  • Park, Tae-Sun;Chang, Jun-Sung;Sung, Mi-Kyung
    • Preventive Nutrition and Food Science
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    • 제3권4호
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    • pp.368-373
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    • 1998
  • Plasma amino acid concentration and Urinary exretion of free amino acids were measured in health female vegetarians(n=20, 19.9 $\pm$0.43 years old ) and age-mateched imnivores(n=20, 21.9$\pm$0.38years old) in Korean. differences infasting plasma amino acid concentrations and plasma aminogram pattern were not spectacular between the vegetarian and omnivore controls. Compared to the omnivores, vegetarians showed significantly lower plasma levels of methionine , phenylalanine, $\alpha$-aminobutyrate, citrulline, phosposerine and tarurine, and significantly higher plasma concentrations of arginine, $\alpha$-aminobutyrate, cirtrulline, phosphosierine and taurine, and significantly higher plasma concentrations of arginine, $\alpha$-aminoadipate, asparagine, aspartate, glutamate and ornithine. Although these differences were statistically significant, they were all within the normal range (21~70% differences )for human adults. Most of the urinary amino acids (nmol/mg creatinine or $\mu$mol/24 hr urine) were excreted to significantly lesser degree in vegetarians than was the case in omnivore controls. For almost every individual free amino acid, plasma concentration did not significantly correlate with urinary excretion level. These results indicate that vegetarians excreted less amino acids in their urine than did dominivores, most probably in an effort to maintain amino acid homeostasis to an altered dietary protein intake level and/or amino acid composition of their diets.

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우리나라 정상인의 혈중 수은량 (Mercury Contents in Normal Blood of Koreans)

  • 김용선;정규철
    • Journal of Preventive Medicine and Public Health
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    • 제15권1호
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    • pp.75-82
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    • 1982
  • Normal range of mercury contents in blood and its relationship with urinary mercury excretion were studies with 68 healthy male adults living in Seoul city, who had no obvious evidence of .either occupational exposure to mercury or therapeutic use of mercurial agents. Mercury analysis was made by means of dithizone colorimetric method with coefficient of variation of 10.9% in .an average ranging from 5.1% to 18.0%. 1. Mercury contents in normal human blood were both normally and log-normally distributed, and better fitted to the latter. 2. Geometric mean and standard deviation of the mercury contents were $24.0(log^{-1}1.38){\pm}1.66{\mu}g/100ml(log^{-1}0.22{\mu}g/100ml)$ ranging from 7.2 to 79.7 ${\mu}g/100ml$ with 95% confidence interval. 3. Mercury contents in normal human blood differed from person to person (p<0.01), and the variability of the measurements was negligible (p>0.05). 4. Mercury in the blood was contained much higher in erythrocytes than in plasma (p<0.01), showing the geometric means of $21.0{\pm}1.25{\mu}g/100ml$ in red blood cells and $14.3{\pm}1.62{\mu}g/100ml$ in plasma, respectively. 5. Mercury contents in normal human blood had a relationship of power function with mercury excretion in urine corrected with a gram of creatinine excretion per liter of urine (p<0.10).

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재래산양(在來山羊)에 있어서 PBI131 Conversion Ratio 와 I131의 대사(代謝) (Protein-Bound Iodine-131 and Metabolism of Iodine-131 in Korean Native Goats)

  • 권종국;성재기;이영소;이용빈
    • 대한수의학회지
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    • 제6권1호
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    • pp.18-23
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    • 1966
  • The protein-bound iodine-131, the concentration of iodine-131 in blood, and the excretion rate of I-131 through urine and feces were observed in nine Korean native goats, 3 months age, following administration of $3{\mu}C$ of I-131 per kg of body weight. No signiant differences were found due to sex and castration. 1. The average protein-bound iodine-131 conversion ratio of goats was 16.7% in 24 hours. In castrated group, the lowest proteinbound iodine-131 conversion ratio was observed. 2. The average concentration of iodine-131 in bleed, increased very rapidly by 2 hours(4.75%) and rapidly decreased within 6 hours(0.73%). 3. The average excretion rate of I-131 through urine was highest in 24 hours(19.00%) and decreased rapidly within 48 hours(5.32%). 4. The average excretion ration rate of I-131 though feces was highest in 24 hours(2.55%), and decreased slowly.

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인삼사포인의 흡수 및 배설에 관한 연구 (Studies on the Absorption and Excretion of Ginsenosldes)

  • 한병훈;박만기;이은실
    • Journal of Ginseng Research
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    • 제15권2호
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    • pp.112-116
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    • 1991
  • The metabolic fate of ginsenosides including gastrointestinat absorption, organ distribution, excretion and metabolism in liver was investigated by tracer studies using the radio-labeled ginsenosides. 3H-ginsenosides were shown to be absorbed from the mouse digestive tract and then to be excreted rapidly into urine and/or bile. Bile juice was concluded to play a significant role in absorption of ginsenosides. The total concentration of radioactivity persisted in tissues 24 hrs after oral administration was less than 1.3% of the administered dose and Rbl showed the highest value. The concentrations of radioactivity were relatively high in the liver and kidney. After administration of Rbl radioactivity was detected in the brain. After oral administration of 8H-ginsenosides, major component excreted into urine was found to be the intact ginsenosides and decomposed and/or metabolized products were found in GIT in the case of Rbl. 3H-ginsenoside Rbl was shown to be metabolized in the liver and the metabolite was suggested to be an acylated compound of Rbl by a certain organic acid.

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Purine Derivatives Excreted in Urine as an Indicator Estimating Microbial Yield from the Rumen: A - Review

  • Kanjanapruthipong, J.;Len, R.A.
    • Asian-Australasian Journal of Animal Sciences
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    • 제11권3호
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    • pp.209-216
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    • 1998
  • The paper presented here is aimed at increasing knowledge on purine metabolism in ruminants and hence the quantification of microbial cells entering the small intestine from urinaη excretion of purine derivatives. Nucleic acid metabolisms of micro-organisms in the rumen, digestion and absorption of nucleic acids entering the intestines, metabolisms of absorbed and endogenous purines involving de novo synthesis of nucleic acids in the ruminants host, and the relationship between absorbed and excreted purines are reviewed. Principal concerns about an amount of purine derivatives excreted in urine in relation to a change in purine-N: total-N ratios in rumen microbes that leave the rumen are discussed. The use of urinary excretion of purine derivatives as an indicator of the amount of microbial biomass leaving the rumen has to be done with some caution since it may be impossible to get a representative sample of microbes entering the intestine and thus yield estimates are relative rather than absolute.