• Title/Summary/Keyword: 저신장

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Evaluation on Reproducibility of Low-Dose Kidney Scan in Dynamic Kidney Scan (동적신장검사에서 저선량을 사용한 신장검사의 재현성 평가)

  • Lee, Jaesang;Lee, Kyuchan;Lee, Seunghwan;Bae, Seongbok;Park, Jongyeop
    • The Korean Journal of Nuclear Medicine Technology
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    • v.20 no.1
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    • pp.59-65
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    • 2016
  • Purpose Dynamic kidney scan is a typical imaging technique that visualizes kidney function. Reproducibility of dynamic kidney scans has been evaluated by comparing low-dose kidney scans with low-dose radiopharmaceutical and standard dynamic kidney scan. With this comparative study, if reproducibility is superb, the dynamic kidney scan method with reduced radioactivity to patients is to be utilized and radiation exposure to patient is to be reduced. Materials and Methods For gamma camera, Orbiter, SymbiaE (Siemens, Germany) was used. Among patients who had used 370 Mbq (10 mCi) from January of 2013 to February 2014 and other patients who had used 185 Mbq (5 mCi) from March of 2014 to July of 2015 with identical condition, 21 subjects using DTPA and 20 subjects using $MAG_3$, 41 subjects in total, had been selected as subjects for data. From renogram of the result image, frame of the peak point was selected. Then, region of interest of kidney and background had been selected and Kidney to Background Ratio has been calculated for comparison. Results In tests using DTPA, kidney to background ratio when using 370 Mbq was $5.67{\pm}0.8$ at average while it was $5.62{\pm}0.87$ when using 185 Mbq, which didn't show much difference. Also in the tests using $MAG_3$, kidney to background ratio when using 370 Mbq was $14.95{\pm}2.58$ at average and $14.56{\pm}2.02$ in 185 Mbq, which neither showed much difference. In paired sample t-test, p-value was 0.566 in DTPA and 0.363 in $MAG_3$, which confirmed that there was no difference between the groups. Conclusion In identical patients, when dose was decreased from 370 Mbq to 185 Mbq, reproducibility of dynamic kidney scan was proven to be excellent. Low-dose Dynamic kidney scan can achieve results with fine reproducibility without improvement in performance of gamma camera and is expected to reduce radiation exposure to patient.

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A Case of Oligomeganephronia of the Solitary Kidney, Presented with Isolated Proteinuria (단독 단백뇨로 발현된 단일신의 oligomeganephronia 1례)

  • Park Soeun;Lee Jung Won;Cho Su Jin;Yoo Eun Sun;Kim Hae Soon;Sung Soon Hee;Lee Seung Joo
    • Childhood Kidney Diseases
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    • v.6 no.1
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    • pp.92-96
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    • 2002
  • Oligomeganephronia is rare congenital anomaly characterized by striking reduction of the number of nephrons, which are markedly hypertrophied in renal hypoplasia. Since the first description of oligomeganephronia in bilateral renal hypoplasia in 1962, dozens of cases were reported. Van Acker reported the first case of oligomeganephronia developed in the solitary kidney and 8 cases were searched in the literature. We report a case of oligomeganephronia in the solitary kidney in 13 years old boy, presented with isolated proteinuria as a first case in Korea. (J Korean Soc Pediatr Nephrol 2002 ; 6:92-6)

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Current Status of Children Born from Renal Transplanted Mother (신이식을 받은 산모로부터 출생한 소아의 성장상태)

  • Ki Mina;Yook Jinwon;Kim Ji Hong;Kim Pyung-Kil;Moon Jang Il;Kim Soon Il;Kim Yu Seun;Park Kiil;Park Young Won
    • Childhood Kidney Diseases
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    • v.4 no.1
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    • pp.77-83
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    • 2000
  • Purpose: Pregnancy in transplanted mother is considered as a high-risk pregnancy, and significant incidences of prematurity and low-birthweight(LBW) infants have been reported. The objective of this study is to examine the outcome of pregnancy in transplanted mothers and to evaluate the current growth status in their children. Patients and Methods: We retrospectively reviewed 54 pregnancies in 40 kidney recipients until June 1999. Outcomes of pregnancy were reviewed and assessment of the current growth status in children was performed. Results: 54 pregnancies in 40 recipients were identified; 22 ended in termination of pregnancy because of unwanted pregnancy or therapeutic purposes. And of the other 32, 29 livebirths resulted in 28 recipients. The mean age of conception was $30.3{\pm}3.8$ years, with a mean interval from transplantation to conception of $35.9{\pm}23.2$ months. All patients were maintained on immunosuppressive regimens. Incidence of drug-treated hypertension(HTN) prior to pregancy was $52\%$, HTN during pregnancy, $48\%$; preeclampsia, $41\%$; urinary tract infection, $48\%$; oligohydramnios $4\%$; and no rejection during pregnancy and up to 3month post delivery. Of the 29 liveborn infants, prematurity(<37wk) occurred in $52\%$, LBW(<2500g) in $62\%$, VLBW(<1500g) in $7\%$ and $48\%$ born intrauterine growth retardation(IUGR). Mean gestational age was $36.3{\pm}3.0\;wk$; a mean birthweight, $2.23{\pm}0.6\;kg$; a mean birth-height, $45.1{\pm}3.6cm$. Current mean height standard deviation score (height SDS) was $0.29{\pm}0.91$ and mean weight SDS was $0.62{\pm}1.34$. Only one child($4\%$) under 1 year of age was below 10 percentile in height. Most of children had no medical problems except for 4 children; cleft palate(1), tuberous sclerosis(1), essential hematuria(1), and one child expired due to sepsis. Conclusion: This study showed similar incidence of premaure birth($57\%$) and low birth weight infants($62\%$), but lower incidence of spontaneous abortion($5.6\%$) was observed and compared to other studies. Postnatal growth in majority of children($96\%$) achieved catch-up growth before 1 year. Present study supports a more optimistic view of pregnancy in renal transplant mother and normal growth in their children.

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Effects of Dietary Protein on the Progression of Early Chronic Renal Failure in Subtotally Nephrectomizid Rats (저단백식이의 투여가 만성신부전증의 진행에 미치는 영향에 관한 실험적 연구)

  • Kim, Kyo-Sun;Kim, Kee-Hyuk;Kim, Sang-Yun;Kang, Yong-Joo;Maeng, Won-Jae
    • Childhood Kidney Diseases
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    • v.3 no.1
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    • pp.64-71
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    • 1999
  • Purpose : The protective effects of dietary protein on the progression of renal failure were studied in subtotally nephrectomized rats. Methods : Treatment groups were as follows; 5/6 nephrectomy and a normal protein ($18.5\%$) diet (NP); 5/6 nephrectomy and a low protein ($6\%$) diet (LP): 5/6 nephrectomy, a normal protein diet and converting enzyme inhibitor, enalapril (NPE): 5/6 nephrectomy, a low protein diet and enalapril (LPE). Both diets were isocaloric and had the same phosphorus content. Proteinuria, remnant kidney weight, mesangial matrix expansion score and glomerular volume were assessed at 4, 12 and 16 weeks after renal ablation. Results : LP and NP developed progressive hypertension. Eight weeks after surgery, LPE and NPE controlled hypertension. LP, LPE, and NPE had significantly less proteinuria than NP at 16 weeks (P<0.05). Kidney weight in LP were markedly less enlarged than NP (P<0.05). There was no difference in kidney weight between LPE and NPE. At 12 and 16 weeks the mesangial matrix expansion score was significantly less in LP, LPE, and NPE compared to NP (P<0.05). At 12 and 16 weeks mean glomerular volume was significantly less in LP compared to NP (P<0.05). At 12 and 16 weeks mean glomerular volume in LPE was significantly less compared to NPE. Conclusion : Dietary protein restriction afforded considerable protection from renal injury in the rat remnant kidney model. During the enalapril treatment, there was no additional protective effect of dietary protein restriction against the development of renal lesions.

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Design and Implementation of a web courseware to extend self-learning ability in concrete operation age (구체적 조작기 아동의 자기 주도적 학습능력 신장을 위한 웹기반 학습 프로그램의 설계와 적용 -초등학교 3학년 수학 '자료 정리하기' 단원을 중심으로-)

  • Lee, Dong-Gi;Lee, Jae-Inn
    • 한국정보교육학회:학술대회논문집
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    • 2004.08a
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    • pp.650-659
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    • 2004
  • 21세기의 세계화, 정보화 시대를 주도할 자율적이고 창의적인 한국인을 육성하기 위하여 제7차 교육과정은 자율과 창의에 바탕을 둔 학생 중심의 교육과정을 표방하고 자기 주도적 학습 능력의 신장에 역점을 두고있다. 이에 따라 자기 주도적 학습 능력신장을 위한 수학과 교수 학습 자료들이 제작되어 보급 활용되고 있으나 구체적 조작기 아동의 특성에 맞는 초등학교 저학년 수학교과의 자기 주도적 학습 능력 신장을 위한 효과적인 프로그램은 부족한 실정이다. 이에 본 연구는 선행 연구 사례들을 분식하여 나타난 단점들을 수정, 보완하고, 초등학교 '확률과 통계'영역 중 3학년 나 단계의 '자료 정리하기' 단원을 재구성하였다. 그리고 이를 웹기반 학습 프로그램으로 개발하여 현장에 적용해 봄으로써 그 효과를 검증하고자 한다.

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Effects of Thidiazuron and Paclobutrazol on the Induction and Elongation of Shoots in Rehmania glutinosa Lib. (지황 신초의 유도와 신장에 미치는 Thidiazuron과 Paclobutrazol의 영향)

  • Koh, E.J.;Chae, Y.A.
    • Korean Journal of Medicinal Crop Science
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    • v.9 no.2
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    • pp.146-149
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    • 2001
  • This experiment was carried out to find the proper way of shoot induction and elongation of shoots in Rehmannia glutinosa. Shoot induction and multiplication rate from stem explants were significantly improved in the induction media with 1.0mg/L thidiazuron compared to BA and NAA combinations. Shoot elongation was better in the media with thidiazuron 1.0mg/L alone than in the presence of paclobutrazol.

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저경도 할로겐프리 난연 재료 특성 연구

  • Yang, Jong-Seok;Choi, Eun-Ho;Lee, Si-Eun;Bae, Hye-Yeon;Jeon, Geun-Bae;Seong, Baeng-Nyong;Park, Dong-Ha
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2010.06a
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    • pp.75-75
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    • 2010
  • 기존 할로겐프리 제품은 PVC와 비교하여 유연성이 크게 떨어져 PVC 사용에 대한 규제가 강화되고 있음에도 불구하고, 이를 쉽게 대체하기 곤란하다는 문제점이 있다. 이에 할로겐프리 재료만 사용하여 고난연성, 예를 들면 UL 1581 에 따른 VW-1 규정을 충족하는 고난연성을 가지면서도 경도가 낮아(경도 70수준, Shore A) 재질의 유연성이 확보된 고분자 재료를 개발하는 것이 요구된다. 실험 결과로부터 인장강도 11[Mpa], 신장율 720[%], 가열후 인장강도 잔율 90[%], 가열후 신장잔율 88[%], 산소지수 38.0, 수직난연시험 합격, 경도(Shore A) 70, 백화현상이 나타나지 않는 등 우수한 특성을 보였다.

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HYPOPHOSPHATEMIC RICKETS : CASE REPORT (저인산혈증성 구루병 환아의 증례 보고)

  • Park, Yoon-Hee;Choi, Byung-Jai;Lee, Jong-Gap
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.1
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    • pp.108-112
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    • 2000
  • Hypophosphatemic rickets is lack of reponse to physiologic doses of vitamin D, different from the vitamin D-dependent rickets. It is inherited in an X-linked dominant fashion. The prime features of this disorder are lowered serum phosphate levels, elevated serum alkaline phosphatase and normal serum calcium levels. The dental manifestation often include apical radiolucencies, abscess and fistulas of clinically sound teeth. Dental radiographs show ricketic bone trabeculations, abscent or abnormal lamina dura and abnormal cementum. This case which was diagnosed to hypophosphatemic rickets, showed multiple spontaneous periapical abscess and gingival fistula enlarged pulp chambers, extension of the pulp horns into the cusp tips and delayed eruption.

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