• 건강소식
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• v.36 no.3
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• pp.28-29
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• 2012

건강검진을 받으러 가면 가장 먼저 하는 것이 작은 컵에 소변을 담아 오는 소변검사다. 온몸을 돌고 돌아 배출된 소변은 내 몸 상태를 말해준다. 소변검사 후 소변 속 숨겨진 수치로 내 몸 상태를 점검해 보자.

• 건강소식
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• v.35 no.10
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• pp.24-25
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• 2011

나이가 들수록 '소변' 때문에 어려움을 겪는 사람들이 있다. 소변을 볼 때 통증을 느끼거나 하루에 소변보는 횟수도 부쩍 늘어 8회 이상 소변을 본다. 또한, 참지 못할 정도로 긴박한 요절박 현상을 겪고 있을 뿐만 아니라 소변을 보더라도 시원한 느낌이 들지 않는 방광염 증상이 나타나기도 하고, 더욱이 웃을 때나 기침할 때 가끔 소변이 나와 냄새가 나지 않는지 걱정이 되는 요실금 증상이 나타나기도 한다.

• The Journal of the Korea Contents Association
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• v.22 no.6
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• pp.619-628
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• 2022

In general, as a method to confirm a urinary tract infection (UTI) in a medical institutions, urine culture including a urinalysis and an antimicrobial susceptibility test is performed. It is important to disinfect the area around the urethra and perineum before collecting urine samples, and it is important to collect it intermediate urine, not the first-void urine. We invented a patent urine cup (Patent No. 10-1732843) that can automatically and easily separate first-void urine and midstream urine and using this, the patent cup and the general cup were compared and evaluated using this. Nitrite (P<0.001), WBC (P=0.005), Bacterial colony count (P=0.001), colony positivity rate (P=0.004) in first-void urine (N=24), midstream urine (N=24) separated by patent cup to obtain a significantly higher value. This can be seen from the fact that the first-void urine and midstream urine separated using the patent cup were well separated. Also, the number of Bacterial colonies was statistically significantly higher in the midstream urine isolated using a patent cup (N=24) than in the midstream urine collected using a general cup (N=24) (average 7.9 vs. 4.0 on average, P= 0.002). Which means that the midstream urine separated using the patent cup is more sensitive to the UTI test than the midstream urine collected using a general cup.

• Journal of Korean Medical classics
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• v.23 no.3
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• pp.13-21
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• 2010

"소변불리(小便不利)" "상한론(伤寒论)", "금궤요략(金匮要略)"의 수많은 원문(原文)에 기재되어 있지만 원문(原文)전체에 흩어져 있으며 그에 대한 자세한 해석 또한 논술되어있지 않다. 그리하여 본 논문은 "상한론(伤寒论)"과 "금궤요략(金匮要略)"중의 기재된 소변불리(小便不利)의 원문(原文)만을 체계적으로 정리하여 총결해 놓았다. 우선, 장중경(张仲景)이 말하는 소변불리(小便不利)를 범주화하여 병인, 병기, 치법, 방약의 정리분석을 통해, 소변불리(小便不利)가 단순한 증상만이 아닌 소변(小便)의 정황(情況)을 근거로 진액(津液)소갈의 정도, 방광(膀胱)의 기화(氣化)상태및 치료효과의 반응 등을 포괄한 것임을 주장하였으며, 장중경변치소변불리(张仲景辨治小便不利)의 치료법(治疗法)이 상한육경변증이론연구(伤寒六经辨证理论硏究와 잡병진단치료(杂病诊断治疗)중에 중요한 요소임을 전면적으로 논술하였다. 또한 근대의가(近代醫家)의 의안(醫案)의 문헌연구와 소변불리(小便不利)의 근대임상치료(近代臨床治療) 사례를 근거하여 장중경(张仲景)이 중시하는 인체수액대사(人体水液代谢)와 기화공능(气化功能)이 비뇨기 질병과 합병증으로 인한 소변불리(小便不利)증상 치료의 수준을 높일 수 있으며, 소변불리(小便不利)의 치료과정을 통하여 현대질병치료의 효과를 판단 할 수 있는 기준이 될 뿐만 아니라 그에 따른 예방의학의 충분한 이론근거가 됨을 정리하였다.

• 건강소식
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• v.35 no.11
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• pp.16-17
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• 2011

소변검사는 손쉽고 매우 간단한 검사로 우리 몸속 장기를 통해 노폐물을 걸러 배설하는 소변을 분석하여 여러 가지 질병 여부를 확인한다. 소변은 그저 냄새나는 노폐물이 아니라 몸 상태를 판별하는 시험지인 셈이다.

• Childhood Kidney Diseases
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• v.11 no.1
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• pp.9-15
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• 2007

Purpose : Edema is one of the cardinal features of nephrotic syndrome. Although the pathogenesis of edema is not entirely understood, it is caused by hypovolemia or hypervolemia by different mechanisms. Accordingly it is important to evaluate the volume status of patients in order to treat the edema, but it is difficult to evaluate the patient's volume status only by clinical parameters. The quotient of urine sodium and potassium excretion $U_K/(U_{Na}+U_K)$ is introduced as a more useful way to evaluate volume status. In this study we will propose the usefulness of $U_K/(U_{Na}+U_K)$ in evaluating the volume status of children with nephrotic syndrome. Methods : Primary nephrotic syndrome patients at Yeungnam University Hospital since January 1995 to June 2005, were included in the study. We analyzed clinical parameters such as tachycardia, cardiomegaly, pleural effusion, blood chemistry and urinalysis prospectively. We defined hypovolemia when $U_K/(U_{Na}+U_K)$ exceeded 60%. Intravenous albumin and diuretics were administered to hypovolemic edematous patients. On the other hand, hypervolemic edematous patients were treated only with diuretics. Results : There were 50 cases of primary nephrotic syndrome patients(hypervolemia: 29 vs hypovolemia: 21). There were no significant differences in clinical symptoms and laboratory findings except for FeNa While $F_eNa$ and $U_K/(U_{Na}+U_K)$ had a significant negative correlation, BUN and $U_K/(U_{Na}+U_K)$ had a significant positive correlation. Urine output after edema treatment was effective and there were no treatment-related side effects in both groups. Conclusion : FeNa, BUN and $U_K/(U_{Na}+U_K)$ are a useful parameters for evaluating volume status of edematous nephrotic syndrome patients. We could suggest a therapeutic option for using albumin and/or diuretics according to volemic status by means of measured $U_K/(U_{Na}+UK)$.

• Clinical and Experimental Pediatrics
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• v.52 no.3
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• pp.346-350
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• 2009

Purpose : Since children under two years with suspected urinary tract infections (UTIs) cannot control urination, urine cultures in such children are usually performed via urine bags. This method is noninvasive but has a high contamination rate. We studied the contamination rate of bag urine culture in diagnosing UTI in infants under two years and the factors responsible for contamination. Methods : We examined patients under 2 years in whom urine culture through the urine bag method yielded over 105 colonies of a single pathogen. We defined UTI by referring to the guidelines of The Korean Society of Pediatric Nephrology, 2005. We examined the factors responsible for contamination according to sex, duration of urine collection, and whether diarrhea took place with contamination rate. Results : We examined 717 patients (412 males and 305 females). The contamination rate of one bag urine culture was 37.9%. Gender was not related to the contamination rate (P>0.05). Duration of urine collection showed an association with the contamination rate. The longer the duration of collecting urine, the higher was the contamination rate. Duration of urine collection was divided into three groups: first group, <2 hours; second group, 24 hours; and third group, ${\geq}4$ hours. Contamination rates were 30.0%, 42.2%, and 43.7% for the first, second, and third groups, respectively, with statistical significance (P=0.001). Diarrhea at admission had no impact on the contamination rate (P>0.05). Conclusion : The contamination rate of urine culture in the examined patients was 37.9%. Gender and diarrhea symptoms were not responsible for contamination. In infants with a suspected UTI, urine should be collected within 2 hours through the urine bag method. If urine collection takes >2 hours, the urine bag should be resterilized and reattached to the patient.

• Vending industry
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• v.4 no.3 s.11
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• pp.66-68
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• 2004

자판기를 통해 건강검진까지 가능한 시대가 열렸다. J&S글로벌은 손쉽게 소변분석검사를 통해 건강검진을 할 수 있는 자판기를 출시하고 건강검진자판기 시대의 서곡을 알리고 있다. 응용 접목하기에 따라 다양한 분야로 확대가 될 수 있는 건강검진자판기 시장. 무한한 가능성을 지난 이 매혹적인 시장이 과연 얼마만큼의 시장파급력을 보여줄지 벌써부터 가슴을 설레게 한다. J&S글로벌의 소변검사자판기를 통해 건강검진자판기 시장 가능성을 전망해 봤다.

• The Monthly Diabetes
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• s.214
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• pp.19-24
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• 2007

혈관이 상하게 되고, 혈압이 낮아도 소변이 나오지 않게 됩니다. 또한 혈관뿐만 아니라 소변이 지나가는 관도 매우 작고 가늘어서 요세관이라고 합니다. 조그마한 혈관들이 빽빽하게 지나가는 자리 옆에 소변이 지나가는 자리 역시 매우 빽빽하게 들어차 있습니다. 한번 콩팥이 망가지면 잘 고쳐지지 않는 이유가 이러한 모습 때문입니다.

• Childhood Kidney Diseases
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• v.4 no.1
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• pp.6-10
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• 2000

Purpose: To evaluate whether the urinary creatinine concentration is a reliable reference value to standardize urinary solute excretion in a spot urine sample during the first week of life. Methods: Spontaneously voided urine specimens were obtained in 49 healthy full term neonates, and in 33 healthy older children with the median ages of $5.7{\pm}4.3$ years, two urine samples were available with an interval of 2 to 3 days. Urine creatinine concentration was determined by the Jaffe test(CoBAS, Integra, Roche, Swiss). Uurine osmolality was determined by the freezing point depression test(Multi-osmette, Precision, USA). Results: Mean urinary creatinine and osmolality values of the first urine samples were not significantly different with the second urine samples in each group. Mean urinary creatinine and osmolality values in neonates were significantly different from the older children of the each urine sample(P<0.01). In neonates, the mean of the urinary oreatinine/osmolality ratios was higher than that of the older children(P<0.01). The urinary creatinine and the creatinine/osmolality values of the first urine samples were closely correlated with those of the second samples in both two groups(P<0.001). Conclusion: The urinary creatinine concentration during the first day of life is relatively stable, even when corrected for urinary osmolality The urinary creatinine and the urinary creatinine/osmolality ratio, therefore, can be used to standardize the urinary excretion of solutes in the neonate.