• Title/Summary/Keyword: 신장도

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Two Cases of Renal and Perinephric Abscesses in Children (소아에서 신피막 외 침범을 동반한 신장 농양 2례)

  • Sim, Ji Hyun;Yim, Hyung Eun;Yoo, Kee Hwan
    • Childhood Kidney Diseases
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    • v.18 no.2
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    • pp.116-122
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    • 2014
  • Renal and perinephric abscesses are a rare but potentially fatal complication of urinary tract infection (UTI). Diagnosing renal and perinephric abscesses has been known to be difficult. These abscesses may occur when the appropriate antibiotic treatment for a UTI is delayed, or in cases with a congenital malformation of the urinary system, especially in children. In the present report, we describe 2 cases of renal abscesses with extra-capsular invasion in children with febrile UTI. A 4-month-old male infant with vesicoureteral reflux developed a renal abscess that infiltrated the perinephric area and the left psoas muscle, despite early antibiotic treatment. A 9-year-old boy with prolonged fever also showed a multi-loculated renal abscess that infiltrated the spleen and diaphragm. Both patients were successfully treated with appropriate antibiotics and percutaneous drainage.

A Design of Kidney Diseases Diagnosis Method Using Formant Frequency Bandwidth Extraction and Analysis (포먼트 주파수 대역폭 추출 및 분석을 이용한 신장 질환 진단 방법의 설계)

  • Kim, Bong-Hyun;Cho, Dong-Uk
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.34 no.10B
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    • pp.1062-1069
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    • 2009
  • The kidney diseases is a big social problem what is suffering sequela of metabolic syndrome due to obesity. Therefore, it is most important that early to take the appropriate action; it does not have symptoms Abnormalities of the kidney. With this, in mind, this paper wish to propose the method to can diagnosis by non self-consciousness, non-imprisonment, analgesia of kidney disease through the voice analysis. To configure the entire system is developed to combines the voice analysis, watching the face color and this paper is designed the method to diagnosis kidney disease based on labial. In this paper, organized each kidney disease patients and healthy people group and we would like to analyze, compare with output in experiment morphology analysis and numerical value analysis of voice information. Secondly, auscultation theory of Oriental medicine and linguistic, phonetics analyze out interrelation to extraction peculiar elements of kidney about voice deduction deduced relation of the first formants frequency. Such result of experimentation, deduced widely to be formed the first formants frequency bandwidth value of kidney patients group than normal group. Finally, diagnosing an kidney diseases in only labial sound, calculated about misdiagnosis probability.

Morpho-Physiological Studies on Elongation of Mesocotyl and Seminal Root in Rice Plant II. Effects of Seed Treatment and Soil Moisture Content on Mesocotyl Elongation (수도 중배축 종근 생장의 형태.생리학적 연구 II. 종자처리와 토양수분이 유묘의 중배축 신장에 미치는 영향)

  • 김진호;이성춘;송동석
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.34 no.4
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    • pp.325-330
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    • 1989
  • This study was undertaken to assess the effects of seed treatment and soil moisture content on mesocotyl elongation in rice seedlings. The effect of the high temperature pre-treatment on the mesocotyl elongation was 7 times as great as the control (non treatment). The mesocotyl lengths were of maximum value at the 8% soil moisture, but of minimum value at the 16% soil moisture plot, showing decreasing trend of mesocotyl length as soil moisture increases. The mesocotyl elongations were much greater at the ABA treated plot than at the GA$^3$, IAA and Kinetin plots. The relationship between the mesocotyl and excised root elongations was not evident, but the weight of excised roots became heavier with longer mesocotyl length.

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Analysis of Kidney Function States Based on Face Color Observation by Kidney Ear Acupuncture Point Irritation (신장 이혈 상응점 자극에 따른 얼굴 색상 기반의 신장 기능 상태 분석)

  • Kim, Bong-Hyun;Cho, Dong-Uk
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.35 no.12B
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    • pp.1192-1198
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    • 2010
  • As indicators of life quality have recently shown great improvement, alternative medicine is becoming a mainstream health care pattern, in which early stage medical examinations and treatments are usually preformed before diseases occur. In this context, the ear-acupuncture method is increasingly used these day as one of important alternative medicine treatments. In this paper, we performed an experiment of facial region color analysis with kidney ear acupuncture point irritation. For this, we collected facial image samples before and after kidney ear acupuncture point irritation under the same condition. From the samples, the change rates of K, L values of CMYK color system and Lab color system, respectively, on kidney related facial parts were extracted and analyzed to investigate kidney function improvement.

Myofascial Pain, and the Spraying and Stretching Technique (근막동통과 분사신장요법)

  • Kim, Byung-Gook;Lim, Young-Gwan
    • Journal of Oral Medicine and Pain
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    • v.25 no.3
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    • pp.325-329
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    • 2000
  • 근막동통은 발통점과 중추흥분효과가 나타나는 국소적 근육성 동통이다. 발통점은 근육의 일부나 건 부착점에 나타나는 부위로서 단단한 띠로서 느껴지고 촉진시 통증을 유발한다. 통증은 관련된 발통점의 위치에 따라 연관된 부위에 나타난다. 이러한 근막 발통점에 따른 증상은 약한 기능이상부터 일상생활이 어렵게 되는 정도의 심한 통증까지 다양하다. 이의 발생에는 국소적 근육이상, 심부 동통, 심리적 스트레스의 증가, 수면장애와 전신적인 요인들도 관여한다. 일반적으로 치료는 보존적인 처치로써, fluoro-methane 같은 vapocoolant spray를 사용하는 사용하여 분사신장하는 방법이 있으며, 국소적인 주사, 마사지, 초음파, 온열요법등이 있다. 여러 환자에서 근막동통을 가지는 환자에 분사신장요법을 시행한 결과 대부분 환자에서 증상의 개선을 보였다. 근막동통의 치료시 분사신장요법은 매우 보존적인 처치로 임상가의 적용과 접근이 쉬우며, 환자로 하여금 치료에 따른 불안감을 줄이면서 만족을 느낄 수 있는 치료로 사료된다. 그러나 만성 환자의 경우 분사신장요법의 치료결과에 대한 만족도가 높지 않았다. 분사신장 용법은 근막동통을 가진 환자 모두에서 효과적이지는 않으나 치료의 도입으로, 근막동통을 진단시에 일차적으로 사용할 수 있는 안정한 보존적인 용법으로 사료된다.

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Careful Approach for Ureteronephrectomy in a Dog with Hydronephrosis causing Dense Adhesion (치밀한 유착조직을 형성한 수신증을 가진 개에서 신요관절제술을 위한 세심한 접근)

  • Kim, Young-Ki;Uhm, Mi-Young;Lee, Scott-S.;Wang, Ji-Hwan;Park, Kee-Tae;Jin, Yeung-Bae;Lee, Hee-Chun;Lee, Hyo-Jong;Yeon, Seong-Chan
    • Journal of Veterinary Clinics
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    • v.26 no.4
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    • pp.353-358
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    • 2009
  • Unilateral ureteronephrectomy was performed in a dog presented with unilateral hydroureter and hydronephrosis. On laparotomy, severe adhesion of the dorsomedial border of the affected kidney to the abdominal aorta longitudinally and caudal pole of the kidney firmly to the ipsilateral ovary were observed. Since it was not possible to ligate the renal artery and vein separately due to severe adhesion tissue, two mass ligations were applied in the medial border of kidney, and the adhesion tissue was transected distal to each ligature. Then, blunt and sharp dissections were performed to isolate dorsomedial border of the kidney from the abdominal aorta, but they brought out unexpected hemorrhage caused by incision of renal artery and it has been suspected that two mass ligations could not include renal artery, which was adhered to dorsomedial border of the kidney. The hemorrhage was controlled by double ligations and electrocautery. In this case report, we recommend that if isolation of renal vessels is impossible due to strict adhesion of kidney to adjacent tissue, the mass ligation could be chosen to isolate and exteriorize the kidney and placed carefully not only at medial border of the kidney, where the renal vessels come into the kidney anatomically but also additional border of the kidney where adhesion tissues are formed.

Effects on Tensile Strength and Elasticity after Treatment with Glutaraldehyde, Solvent, Decellularization and Detoxification in Fresh Bovine Pericardium (소의 심낭 고정에서 용매 처치, 무세포화 혹은 항독성화 처치가 조직의 장력 및 신장도에 미치는 영향)

  • Jang, Woo Sung;Kim, Yong Jin;Kim, Soo Hwan
    • Journal of Chest Surgery
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    • v.43 no.1
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    • pp.1-10
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    • 2010
  • Background: Bioprosthetic materials have been made using glutaraldehyde fixation of porcine or bovine pericardium during cardiovascular surgery. But these bioprostheses have the problems of calcification and mechanical failure. We determined changes in tensile strength and elasticity of pericardium after glutaraldehyde, solvent, decellularization and detoxification. Material and Method: Tissues were allocated to four groups: glutaraldehyde with and without solvent, decellularization, and detoxification. We studied tensile strength and strain on tissues. We measured the tensile strength of fresh pericardium stretched in six directions (with 5 mm width), and % strain, which we calculated from the breaking point when we pulled the pericardium in two directions. Result: Tensile strength was reduced when we used the usual concentrated glutaraldehyde fixation (n=83, $MPa=11.47{\pm}5.40$, p=0.006), but there was no change when we used solvent. Elasticity was increased after glutaraldehyde fixation (n=83, strain $(%)=24.55{\pm}9.81$, p=0.00), but there was no change after solvent. After decellularization of pericardium, the tensile strength was generally reduced. The decrease in tensile strength after concentrated glutaraldehyde fixation for a long time was significantly greater less than after concentrated solvent (p=0.01, p=0.00). After detoxification, the differences in strength and strain were not significant. Conclusion: After glutaraldehyde treatment of pericardium there is no loss in tensile strength (even though we did the glutaraldehyde, solvent and detoxification treatments LOGIC IS UNCLEAR). Also, these treatments had a tendency to increase elasticity. Although post-treatment decellularization led to a significant loss in strength, this effect could be attenuated using a low concentration of solvent or hypertonic solution.

Optimization of GFR value according to Kidney Depth Measurement Methods (신장 Depth 측정 방법에 따른 GFR 값의 최적화)

  • Kwon, Hyeong-Jin;Moon, Il-Sang;Noh, Gyeong Woon;Kang, Keon Wook
    • The Korean Journal of Nuclear Medicine Technology
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    • v.23 no.2
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    • pp.25-28
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    • 2019
  • Purpose In patients with unusual kidney position after $^{99m}Tc-DTPA$ renal dynamic imaging study, the GFR(Glomerular Filtration Rate) values are significantly different according to the depth of the kidney. Thus, we tried to compare the difference of the GFR values between the depth measurement methods and in-vitro test. 30 adult patients who were subjected to renal study. 27 patients were in usual position and 3 patients were in unusual. $555{\pm}37MBq$ of $^{99m}Tc-DTPA$ was administrated to all patients. GE infinia gamma camera was used. GFR values were obtained in-vivo(gates method) and in-vitro(blood). The kidney depth in-vivo was calculated by three methods(tonnensen, manual, taylor). In-vitro, GFR was performed by blood test. Differences in the mean values of GFR and correlation between depth and GFR values were evaluated using the SPSS 12.0 statistical program. The GFR values for 27 patients with kidney in the usual position are as follows(1.tonnensen 2.manual 3.taylor 4.invitro); $69.3{\pm}4.2$, $88.2{\pm}5.6$, $77.8{\pm}4.3$, $82.2{\pm}5.8ml/min$. The three unusual cases are as follows, first(congenital renal anomaly): 66.4, 101.24, 69.07, 94.8 ml/min. second(transplantation kidney): 12.22, 29.99, 19.36, 23.5 ml/min. third(horseshoe kidney): 37.37, 93.54, 35.9, 92.5 ml/min. There was a difference between tonnensen and manual in the usual position of the kidney(p<0.05). There was no significant difference between the other methods. However, there was a significant difference in case of the unusual position of the kidneys. Correlation analysis between both kidney depth and GFR value shows person correlation as follows; Rt kidney: 0.298, Lt kidney: 0.322. When compared with the GFR values in-vitro test, it was useful to calculate the GFR value by measuring the kidney depth using a manual formula in the unusual position of the kidneys. GFR values and kidney depth were significantly related.

The long-term follow-up of height in children with epilepsy (소아 간질 환자에서 장기적인 신장 변화의 추적 관찰)

  • We, Ju Hee;Nam, Sang Ook
    • Clinical and Experimental Pediatrics
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    • v.51 no.10
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    • pp.1090-1095
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    • 2008
  • Purpose : To assess the height growth of children with epilepsy receiving antiepileptic drugs (AEDs) and the related factors. Methods : The subjects were 148 children diagnosed with epilepsy at Pusan National University Hospital between January 1996 and December 2003, who received AEDs for more than 3 y. We measured height at the initiation of AED medication and at the last visit during AED medication. We analyzed the mean height standard deviation score (SDS) according to several factors, including sex, age at initial medication, seizure type, underlying causes of epilepsy, seizure frequency before AED medication, seizure control, number of AEDs, height SDS before medication, and duration of medication. Results : In the total population, height SDS at initial therapy and last follow-up were $-0.06{\pm}1.39$ versus $0.10{\pm}1.12$ (P=0.09). Children with controlled seizures showed a significant increase in height SDS, from $-0.12{\pm}1.39$ to $0.10{\pm}1.09$ (P=0.04), and children on medication for less than 6 y showed a significant increase in height SDS, from $-0.09{\pm}1.54$ to $0.21{\pm}1.07$ (P=0.03). Also, children with negative initial height SDS showed a significant increase in height SDS (P<0.05). No height SDS changes were observed in any of the other groups, regardless of sex, seizure type, underlying causes of epilepsy, or age at initial medication. Conclusion : Neither epilepsy nor AED medication affects long-term height growth. Controlled seizure and short duration of AED medication are positive factors for height growth in children with epilepsy.

Attenuation of Ischemia-Reperfusion Injury by Antioxidant Vitamins in a Pig Model of Renal Auto-Transplantation (돼지의 신장 자가이식에서 Ascorbic Acid와 Alpha-tocoperol 의한 허혈 및 재관류 손상의 감소)

  • Kim, Myung-Jin;Lee, Jae-Yon;Cho, Sung-Whan;Park, Chang-Sik;Jun, Moo-Hyung;Jeong, Seong-Mok;Kim, Myung-Cheol
    • Journal of Veterinary Clinics
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    • v.26 no.1
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    • pp.29-35
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    • 2009
  • This study was to determine the effects of ascorbic acid and alpha-tocopherol on the attenuation of an ischemia-reperfusion injury (IRI) after renal auto-transplantation in a pig model. In the treatment group, three pigs were subjected to a renal auto-transplantation followed by the administration of ascorbic acid and alpha-tocopherol and the flushing of ascorbic acid plus hepa-saline solution. Otherwise, the control group used only flushing of hepa-saline solution. Blood samples were collected from these pigs for measurement of serum blood urea nitrogen (BUN) and creatinine values on the day before surgery and day 1, 3, 5 and 7 after surgery. The kidneys were taken for histopathological evaluation following euthanasia on day 14 after surgery. Serum creatinine and BUN values showed a significantly difference between control and treatment group on day 1, 3 and 5 (P<0.05). In histopathologic findings, treatment group showed less damage than that of the control group on the basis of renal tubular damage. As a result, this study suggests that the exogenous ascorbic acid and alpha-tocopherol pretreatment therapy with ascorbic acid irrigation-aspiration has a role of attenuation of renal I/R injury and recovery of renal function in a pig transplantation model.