• Title/Summary/Keyword: 인산뇨

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Osteomalacia and Hypophosphatemia Caused by Phosphaturic Mesenchymal Tumor Mixed Connective Tissue Variant (PMTMCT) -A Case Report- (골연화증과 저인산혈증을 유발한 인산뇨성 간엽성 종양 -증례 보고-)

  • Jeong, Jae-Yun;Kim, June-Hyuk;Lee, Sang-Hoon;Kim, Han-Soo
    • The Journal of the Korean bone and joint tumor society
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    • v.10 no.2
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    • pp.124-129
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    • 2004
  • The phosphaturic mesenchymal tumor mixed connective tissue variant (PMTMCT) is an extremely rare disease, and is frequently associated with oncogenic osteomalacia showing an paraneoplastic syndrome, which is characterized by phosphaturia, hypophosphatemia, normocalcemia and decreased levels of 1,25-dihydroxyvitamin D3 associated with a tumor. We experienced a 45-year-old female who had a soft tissue tumor on her right buttock causing oncogenic osteomalacia, which was satisfactorily treated by surgical excision of the mass.

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A Case of Struvite Urolithiasis in a One-month-old Korean Sapsal Dog (1개월령 삽살개에서 발생한 Struvite요도결석 1례)

  • Oh, Won-Seok;Oh, Tae-Ho
    • Journal of Veterinary Clinics
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    • v.27 no.4
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    • pp.453-456
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    • 2010
  • A one-month-old, 0.9 kg BW, male Korean Sapsal dog with anorexia, anuria, ataxia and depression was referred. On physical examination, the dog was showed tachycardia, hypothermia and pale mucous membrane. Hematologic values showed leukocytosis and mild anemia. Serum chemistry profile results revealed increased BUN (57.3 mg/dl) and $NH_3$ ($584\;{\mu}g/dl$), decreased albumin, sodium and potassium. Urinalysis showed hematuria, proteinuria, glucosuria, bacteriuria (Staphylococcus spp.) and magnesium ammonium phosphate crystalluria. On radiographic finding, urinary bladder was enlarged and 2 mm diameter radiopaque urolith was showed between os penis and prescrotal region. Urolithiasis was surgically corrected by urethrostomy.

STUDY ON THE NUISANCE IN THE ANIMAL FARM (축산공해(畜産公害)에 관(關)한 연구(硏究) -양돈업(養豚業)을 중심(中心)으로)

  • Jeon, C.G.;Kim, J.W.;Ra, G.Y.;Kim, K.J.
    • Korean Journal of Agricultural Science
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    • v.2 no.1
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    • pp.233-240
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    • 1975
  • This excrement was conducted to investigate the nuisance of swine excrement. And excrements were collected from 27 heads of swine Euseong swine breeding center and Hongdo-dong swine farm and amounts of faces and urine, nitrogen, phosphorus, and kalium contents and number of parasite were investigated, and for the purpose to clean of excrementing matter, ferment substance and moist soil added to swine excreting matter and floating matter. Heat decresement amount and biological oxygen demand were investigated. And the result obtained were as follows. 1) Average amount of daily excreting faces per swine was 500-2700g from Euseong swine breeding center and 450-2500g from Hongdo-dong swine farm and a mount of excreting urine was 450-4500g from both of farms. The rate of excrements between faeces and urine was 1:1 2) Nitrogen contents were 0.802 ppm in urine and 0.514 ppm in faces, phosphorus were 2.261 % in urine and 0.073% in faeces and kalium contents were 1.094% in and 6.0467% in faeces. 3) Strongyloides ransomi and intestinal modular worm eggs showed the highest of eggs number was the result of observation in parasites, and ascaris showed the next it, whip worm and lung worm showed the lowest. 4) The effect ferment substance additive, amount of dry matter, floating matter, heat decreasement amount and biological oxygen demand was decreased but not significant was appeared. And the effect of moist soil additive, it was more effective that fermented substance additive for the fermentation of swine excrement.

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Anatrophic Nephrolithotomy; Experience in 55 Cases (비위축성 신절석술 55례)

  • Kim, Tae-Jin;Park, Tong-Choon
    • Journal of Yeungnam Medical Science
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    • v.9 no.1
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    • pp.149-155
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    • 1992
  • 55 consecutive anatrophic nephrolithotomies on 53 patients performed between July, 1983 and June, 1990 were reviewed. The patients(36 male and 19 female) ranged in age from 3 to 72years. The operation time averaged 219.8 minutes with a range of 120-330 minutes, and the ischemic time ranged between 20 and 90 minutes, with a mean of 43.5 minutes. Postoperative complications developed in 18 patients, which were such as persistent urinary tract infection in 5cases(9.4%), atelectasis in 4(7.5%), transient urine leak in 2(3.8%), delayed bleeding in 2(3.8%) and urinary retention in 2(3.8%), Postoperative residual stones were identified in 15(27.3%), but in 8 of these 15patients stones were delivered spontaneously and thus 48 of 55 cases(87.3%) became stone free, The recurrence of stone was noted in 2 out of 48 patients during the short followup period. Anatrophic nephrolithotomy seems to be an effective method compared to other procedure because of decreasing recurrence of stone by complete stone removal and reconstruction of abnormal collecting system.

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Analysis of the Metabolites of 1,2,4-Trimethylbenzene by Capillary Electrophoresis (모세관 전기영동법을 이용한 1,2,4-트리메틸벤젠 대사체의 분석)

  • Kang, Jong-Seong;Hong, Cheong-Hee;Lim, Jeong-Mi;Lee, Yong-Moon;Jang, Jae-Yeon
    • Analytical Science and Technology
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    • v.12 no.4
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    • pp.326-331
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    • 1999
  • The metabolites of 1,2,4-trimethylbenzene (TMB) were synthesized and determined by capillary electrophoresis (CE). The optimum conditions of CE for the separation and determination of 3,4-, 2,4-, 2,5-dimethylbenzoic acid and 3,4-, 2,4-, 2,5-dimethylhippuric acid from the rat urine were as following: the fused silica capillary($75{\mu}m$ i.d. ${\times}$ 36 cm length, 29 cm to detector) was used and kept at $15^{\circ}C$. The applied voltage was 10㎸ and compounds were detected at UV 210 mnm and 254 nm. The running electrolyte was 0.1 M phosphate buffer (pH 7) containing 15 mM of ${\beta}-CD$ and 3% of 2-propanol. The relative amount of the metabolite of 1,2,4-TMB in the rat urine was 56.7% of 3,4-isomer, 30.5% of 2,4-isomer and 12.8% of 2,5-isomer. This method can be applied to the analysis of TMB-metabolites in human urine.

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TUMOR INDUCED OSTEOMALACIA : ASSOCIATED WITH GIANT CELL GRANULOMA ON THE GINGIVA (치은부에 발생한 거대세포육아종에 의한 골연화증)

  • Kim, Yeo-Gab;Ryu, Dong-Mok;Lee, Sang Chull
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.2
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    • pp.185-190
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    • 1991
  • Thr rickets or osteomalacia, that was induced by nonendocrine osseous or soft tissue tumor, is extremely rare disease and fourteen patients has been reported since 1947. The real nature of this disease is unknown, but postulated that unknown phosphaturic subtance which was elaborated from the tumor affect the renal tubule and produce hypophosphatemia and failure of calcification of osseous tissue. This case presented is that of 41-year-old man who suffered from severe generalized aching pain, severe muscular dystrophy, and shortening of the stature 4 years prior hospitalization. The causal coexisting tumor is walnut sized peripheral giant cell granuloma on the upper gingiva. After surgical removal of the tumor, patient's biochemical findings of the serum and urine were returned to the normal limits 12 days later, and clinical symptoms were marked relieved at 6 weeks later. The dental radiograms which were obtained 4 months later revealed remarkable bone regeneration and newly formed alveolar lamina dura.

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Effect of Salviae Radix on Impairment of Membrane Transport Function in Rabbits with Myoglobinuric Acute Renal Failure (마이오글로빈뇨성 급성 신부전 토끼에서 신장 세포막 수송 기능 장애에 대한 단삼의 효과)

  • Ji-Cheon, Jeong;Hyun-Soo, Kim
    • The Journal of Korean Medicine
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    • v.21 no.3
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    • pp.119-128
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    • 2000
  • This study was carried out to determine if Salviae Radix extract (SRE) exerts protective effect against alterations in membrane transport function in rabbits with rhabdomyo lysis-induced acute renal failure. Acute renal failure was induced by intramuscular administration of glycerol (50%, 10 ml/kg). GFR in the glycerol-injected animals was reduced to 11% of the basal value and the fractional $Na^{+}$ excretion was increased to 7.8-fold, indicating generation of acute renal failure. When animals received SRE pretreatment for 7 days prior to glycerol injection, such changes were significantly attenuated. The fractional excretion of glucose and phosphate was increased more than 43-fold and 27-fold, respectively, in rabbits treated with glycerol alone. However, they were increased to 17-and 4.3-fold, respectively, in SRE-pretreated rabbits, and these values were significantly lower than those in rabbits treated with glycerol alone. Uptakes of glucose and phosphate in purified isolated brush-border membrane, the $Na^{+}-K^{+}-ATPase$ activity in microsomal fraction, and cellular ATP levels all were reduced in rabbits treated with glycerol alone. Such changes were prevented by SRE pretreatment. Uptakes of organic ions, PAH and TEA, in renal cortical slices were inhibited by the administration of glycerol, which was prevented by SRE pretreatment. Pretreatment of an antioxidant DPPD significantly attenuated the increase in the fractional excretion of glucose and phosphate induced by rhabdomyolysis. These results indicate that rhabdomyolysis causesimpairment inreabsorption of solutes in the proximal tubule via the generation of reactive oxygen species, and SRE pretreatment may provide the protection against the rhabdomyolysis-induced impairment by its antioxidant action.

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Effect of Nitrogen Source on Growth and Nutrient Content of Panax Ginseng (인삼(人蔘)의 생육(生育)과 양분조성(養分組成)에 대(對)한 질소형태(窒素形態)의 영향(影響))

  • Park, Hoon;Tsho, Kyong-Sik;Choi, Bayung-Ju
    • Korean Journal of Soil Science and Fertilizer
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    • v.16 no.3
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    • pp.260-265
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    • 1983
  • Growth, content and partition of mineral nutrient of Panax ginseng (3 years old) were investigated with four levels of nitrogen source (ammonium sulfate, urea and calcium nitrate) under sand culture for one year. Growth of top and root was greatest at 50 ppm in all sources. Nitrate showed the greatest root weight and urea did the greatest top weight. Leaf width was large in without-nitrogen plot. The ratio of length to diameter (L/D) of stem was smaller with ammonium than with nitrate. Negative correlation was found between L/D of stem and that of tap root. Nitrogen application increased phosphorus content in leaf and stem but decreased calcium. Partition of P into leaf was smaller in 50 ppm than in without-nitrogen plot in all sources. While that of Mg, Ca and N was greater.

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Utilization of Industrial Wastes for Organic Fertilizer Use (유기질비료(有機質肥料) 자원(資源)으로서의 산업폐기물(産業廢棄物))

  • Han, Ki-Hak
    • Korean Journal of Soil Science and Fertilizer
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    • v.11 no.3
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    • pp.195-206
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    • 1979
  • Where the industrial waste is increasing in number of kind and in quantities by the industrialization and population increases, the pollution problem is not only national but grobal question of the day. This paper is trying to invite attentions by the people who are working in both sector-natural sciences and industries in reviewing limited reports and materials. 1. By the chemical evaluation of over 20 industrial waste produced in Korea, potential wastes for commercial fertilizer would be wastes from alcohol fermantation, beer brewery, leather processing, synthetic fiber, and coffee grounds. 2. The composition of city waste is differ from other countries and sludge cake from human feces processing is promising one in the organic matter and phosphate content particularly. However, the content of heavy matals, specific order, and availability of phosphate are the bottle-neck for the development. 3. There is one commercial fertilizer from industrial waste in the market. It is very reasonable in the content of nitrogen and organic matter, and its formulation and responeses on crops. 4. Discussions were also given on the general problems in processing and marketing of fertilizers from industrial waste, however, scientists and industrial owners have to pay more attention on the development of fertilizers from tire industrial wastes because of vital environmental protection view-point.

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Clinical Characteristics of Arthrogryposis, Renal Tubular Dysfunction, Cholestasis(ARC) Syndrome in Korea (ARC(Arthrogryposis, Renal Tubular Dysfunction, Cholestasis) 증후군의 발병양상에 관한 연구)

  • Lee Soon Min;Kim Ji Hong;Lee Jae Seung;Han Suk Joo
    • Childhood Kidney Diseases
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    • v.9 no.2
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    • pp.222-230
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    • 2005
  • Purpose : ARC syndrome refers to an association of arthrogryposis, renal tubular dysfunction, and cholestasis. The VPS33B gene was recently identified as the causative gene. So far, 41 cases of ARC syndrome have been reported worldwide, and it has rarely been reported in Korea. This study was conducted to report the clinical findings of seven ARC syndrome cases in Korean children, focusing especially on renal tubular dysfunction. Methods : The hospital records of 7 cases diagnosed as ARC syndrome at Severance Hospital between Mar. 1995 and Aug. 2005 were reviewed and analyzed. Results : Of the 7 cases, 4 were boys and 3 were girls. Six patients(85$\%$) were born with normal birth weight at term, and one was born at preterm. All cases presented with cholestasis and severe jaundice. According to the type of arthrogryposis described by Brown et al, type 3 and 4 were found in 2 patients and type,6, 7, and the undistributed type in one patient respectively. Other associated clinical findings were as follows : failure to thrive in 6(85$\%$), lax skin in 5(71$\%$), and gray platelet syndrome in 4(57$\%$). Urine analysis revealed 6 cases(85$\%$) with proteinuria, 3(43$\%$) with hematuria, 5(71$\%$) with glycosuria, 2(29$\%$) with phosphaturia and 2(29$\%$) with calciuria. Serum electrolytes showed 4 cases(57$\%$) with hyponatremia, 3(43$\%$) with hypokalemia, and 1(14$\%$) with creatinine elevation. Renal tubular dysfunctions were diagnosed as renal tubular acidosis in 6 cases(85$\%$), nephrogenic diabetes insipidus in 2(29$\%$), and Fanconi syndrome in 2(29$\%$). During the follow-up period, 2(29$\%$) had no treatment, 5(85$\%$) had continuous supplementation to correct the electrolyte imbalance and acidosis, and 1(14$\%$) had dialysis. Only one patient had a family history of ARE syndrome in a sibling. Four cases(57$\%$) were diagnosed at the mean age of 8.2 months, and one case was lost during follow-up. Ages of the survived 2 cases were 13 and 25 months, respectively. Conclusion : The rare disease of ARC syndrome Is associated with severe renal dysfunction. However, this study revealed that the renal manifestation of ARC syndrome in Korean children is relatively mild and survival rate is higher than that of previous studies. Contrary to previous reports, this study showed that familial cases are rare and sporadic occurence is possible in Korea. Thus, the diagnosis of this syndrome requires a careful evaluation of the venal function in cases of congenital arthrogryposis, and a mandatory genetic counseling of affected family for prevention of familial occurance. (J Korean Soc Pediatr Nephrol 2005;9:222-230)

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