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Feasibility Study of Dose Evaluation of Stereotactic Radiosurgery using GafChromic $EBT^{(R)}$ Film (GafChromic $EBT^{(R)}$ 필름을 이용한 뇌정위방사선치료의 선량분석 가능성 평가)

  • Jang, Eun-Sung;Lee, Chul-Soo
    • The Journal of Korean Society for Radiation Therapy
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    • v.19 no.1
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    • pp.27-33
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    • 2007
  • Purpose: We have performed SRS (stereotactic radiosurgery) for avm (arterry vein malformation) and brain cancer. In order to verify dose and localization of SRS, dose distributions from TPS ($X-Knife^{(R)}$ 3.0, Radionics, USA) and GafChromic $EBT^{(R)}$ film in a head phantom were compared. Materials and Methods: In this study, head and neck region of conventional humanoid phantom was modified by substituting one of 2.5 cm slap with five 0.5 cm acrylic plates to stack the GafChromic $EBT^{(R)}$ film slice by slice with 5 mm intervals. Four films and five acrylic plates were cut along the contour of head phantom in axial plane. The head phantom was fixed with SRS head ring and adapted SRS localizer as same as real SRS procedure. CT images of the head phantom were acquired in 5 mm slice intervals as film interval. Five arc 6 MV photon beams using the SRS cone with 2 cm diameter were delivered 300 cGy to the target in the phantom. Ten small pieces of the film were exposed to 0, 50, 100, 200, 300, 400, 500, 600, 700, 800, 900 cGy, respectively to calibrate the GafChromic $EBT^{(R)}$ film. The films in the phantom were digitized after 24 hours and its linearity was calibrated. The pixel values of the film were converted to the dose and compared with the dose distribution from the TPS calculation. Results: Calibration curve for the GafChromic $EBT^{(R)}$ film was linear up to 900 cGy. The R2 value was better than 0.992. Discrepancy between calculated from $X-Knife^{(R)}$ 3.0 and measured dose distributions with the film was less than 5% through all slices. Conclusion: It was possible to evaluate every slice of humanoid phantom by stacking the GafChromic EBT film which is suitable for 2 dimensional dosimetry, It was found that film dosimetry using the GafChromic $EBT^{(R)}$ film is feasible for routine dosimetric QA of stereotactic radiosurgery.

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The Role of Plasma B-type Natriuretic Peptide Measurements in the Differential Diagnosis of Acute Dyspnea (급성호흡곤란의 감별진단에서 혈장 B-type Natriuretic Peptide의 역할)

  • Moon, Ji Yong;Bae, Joong Ho;Kim, Tae Hyung;Sohn, Jang Won;Yoon, Ho Joo;Shin, Dong Ho;Park, Sung Soo
    • Tuberculosis and Respiratory Diseases
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    • v.59 no.6
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    • pp.656-663
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    • 2005
  • Background : The B-type natriuretic peptide (BNP) is a cardiac neurohormone that is specifically secreted from the ventricles in response to volume expansion and a pressure overload. Differentiating congestive heart failure from the pulmonary causes of dyspnea is very important for patients presenting with acute dyspnea. Methods : A retrospective study was carried out on 261 patients who were admitted to the emergency department of Hanyang University Hospital due to acute dyspnea from March to July 2004. The serum BNP levels of the patients were measured using the ELISA method. Results : The BNP levels were 382, 111-1140 pg/ml (median, interquartile range) in the heart failure group (n=119) and 29, 7-81 pg/ml in the non-heart failure group (n=142). The BNP levels according to the subgroups of heart failure were 820, 354-1620 pg/ml, 1650, 239-1990 pg/ml, and 378, 106-1120 pg/ml for the chronic obstructive pulmonary disease (COPD) with combined left heart failure (n=5), cor pulmonale (n=3), and left heart failure groups (n=111), respectively. The BNP levels according to the subgroups of non-heart failure were 39, 21-101 pg/ml, 59, 10-129 pg/ml, and 15, 6-47 pg/ml for the COPD (n=20), other pulmonary diseases (n=56), and other causes groups (n=66), respectively. The BNP levels were significantly different according to the underlying etiology (p<0.001), and were significantly higher in the COPD patients with left heart failure than in those without (p=0.002). When the patients with no cardiovascular risk factor such as diabetes mellitus, hypertension, smoking or renal failure were analyzed, the BNP levels were also significantly higher in the patients with heart failure than in those without(p<0.001). When 133 pg/ml was designated as the BNP cut-off level the sensitivity for predicting heart failure was 73 percent and the specificity was 87 percent. Conclusion : BNP measurements are useful for determining the presence of heart failure in the patients presenting with acute dyspnea. The possibility of heart failure must be seriously considered in patients with high BNP levels even when they have a pre-existing pulmonary disease such as COPD or no risk factors for heart failure.

A Study on the Production Structure and Biomass Productivity of Quercus variabilis Natural Forest (굴참나무천연림(天然林)의 생산구조(生産構造) 및 물질생산력(物質生産力)에 관(關)한 연구(硏究))

  • Kim, Si Kyung;Jeong, Jwa Yong
    • Journal of Korean Society of Forest Science
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    • v.70 no.1
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    • pp.91-102
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    • 1985
  • Growth and biomass production of natural stands of Quercus variabilis in relation to tree density were studied to obtain basic guide lines for future tending operation. Two natural stands of Quercus variabilis located at 900m (A stand: 6,600trees/ha, $15.84m^2/ha$, $\frac{19}{17-20}$) and 800m (B stand: 4,300trees/ha, $16.65m^2/ha$, $\frac{20}{17-21}$) elevation in Sancheong, Kyongnam Province were selected for the comparative study and following results were obtained through a sample plot method. After diameter of individual trees in the sample plots was measured, twelve average trees from each diameter class were cut felled to measure dry weight of $W_S$, $W_B$, $W_L$, $W_{Ba}$, and standing biomass and biomass production rates by a allometrior regressions related to $D^2H$. Vertical distribution of leaves along the stems indicated that photosynthesis was carried out 2.2m above the ground in Stand A and 1.2m in Stand B. Maximum photosynthesis was located 4.2m and 6.2m above the ground in Stand A and B, respectively. Leaf area index was 4.25ha/ha for Stand A, and 3.89ha/ha for Stand B. Above-ground standing biomass was 49.51 ton/ha for Stand A and 59.20 ton/ha and net annual production was 6.75 ton/ha/yr. for Stand A and 8.99 ton/ha/yr. for Stand B. The ratio of net annual production to standing biomass was 17.5% for Stand A and 16.7% for Stand B. Net assimilation rate was 2.75kg/kg/yr. for Stand A and 3.58kg/kg/yr. for Stand B. Stem wood production rate was 1.46kg/kg/yr. for Stand A and 2.09kg/kg/yr. for Stand B. Bark production rate was 0.60 kg/kg/yr. for Stand A and 0.34kg/kg/yr. for Stand B. Above data indicated that Stand B utilized growing spaces and sites more efficiently than Stand A. It is concluded chat productivity of natural stands of Quercus variabilis can be enhanced through optimization of basal areas and number of tree per hectare and that sound management of natural oak stands should be based on systematic sampling of the area for periodic productivity estimation.

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A Ethnographic Field Study for a Model Development of the Chronic Bed-ridden Patient s Home-ward (만성 재가 기동장애자의 가정병실 모델 개발을 위한 현장 연구)

  • 김태연;정연강
    • Journal of Korean Academy of Nursing
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    • v.24 no.4
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    • pp.597-615
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    • 1994
  • This study is designed to facilitate the creation of home environment conducive to the family taking care of chronic bed-ridden patients with more effective method. The need for this study has emerged against the background of marked changes in the structure of ailments and causes of death, resulting in the number and plights of chronic bed-ridden patients as well as of a rapid increase in demand for medical care and resulting premature discharge. Keeping these in mind, this study focused on home-wards where the majority of chronic bed-ridden patients are being cared for. Despite. their overriding importance, home-words are less than efficient in caring (or chronic bed-ridden patients. These circumstances require the designing of home-wards that can offer greater comfort to patients and at the same time make things easier for caregivers, on the basis of an overall analysis of patients' life and home - ward situation. According1y this study adopted a Participant Observation Method derived cultural anthropology, Toward this end, 3 patients were chosen as subjects of this study for intensive interviewing and participant observation. In the process of this field re-search efforts were made to collect emprical data, that is, to faithfully record the words of the subjects and their caregivers for analysis and interpretation. The findings of these analyses are as follows. Firstly, the chronic bed-ridden patients are mostly being taken care by close family members. Secondly, a room for the exclusive use of the patient, floor, kitchen, bathroom and multipurpose space were found to be necessary for proper caring of the patient. These spaces were respectively used with a view to 1) accomodating the patient as well as caregivers' activities, 2) keeping general and medical supplies and other appliances for patient's care and drying the patient's washing, 3) preparing and keeping the patient's foods and beverages, 4) keeping the supplies necessary for cleaning the patient's body and treating the patient's eliminations, 5) washing the patient's clothes, underwears and bedclothes. The patient's room in turn is subdivided into six portions in terms of uses : specifically the places for accomodating 1) the patient, 2) medical supplies, 3) medicines, 4) linens St clothes, 5) bedclothes and, 6) diapers. Thirdly, the activities of the caregiver are subdivided into seven key areas : hygiene, exercise, diet, elimination, therapeutic nursing, prevention of sore, and other activities. Each area is further classified into several different activities of caring. These activities we mainly carried out in the patient's room. Fourthly, the supplies for caring the chronic bed-ridden patient is divided into two large domains : medical and general supplies. Finally, three main problems areas were found in this study on the part of caregivers, that is, sore prevention, hygiene problem related frequent urination / defecation, the caregiver's physical, psych ological and emotional burden. In consideration of the aforesaid problem areas, a model home-ward was developed in this study. The newly-developed model has been found to have the following six advantages. Firstly, the time and effort required for maintaining the patient's hygiene are reduced, thus relievins the caregiver's physical and psychological bur-den. Secondly, the patient's hygiene can be maintained in satisfactory conditions, because the patient's eliminations are more easily removed. Thirdly, skin irritations caused by the patient's eliminations were remarkably reduced and so were the patient's sores due to moisture and bacteria. Fourthly, the home-ward have a tilt-table ef-fect thanks to the inclining room floor. This improves the patient's cardiovascular function as well as constantly changes pressed skin areas and thus prevents sores. Fifthly, improved shelf arrangements help make the best use of patient's supplies. Sixthly, the trouble of continuously changing clothes, underwears, diapers & bedclothes is remarkably reduced simply by covering the patient with cotton sheets when laid in bed. This is espected to cut down expenses by reducing the comsumptions of diapers and other disposable supplies.

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Microleakage of endodontically treated teeth restored with three different esthetic post and cores (심미적 포스트 코어의 종류에 따른 미세누출에 관한 연구)

  • Park, Ji-Geun;Park, Ji-Man;Park, Eun-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.47 no.1
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    • pp.53-60
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    • 2009
  • Statement of problem: At present, as the esthetic demands are on the increase, there are many ongoing studies for tooth-colored post and cores. Most of them are about fiber post and prefabricated zirconia post, but few about one-piece milled zirconia post and core using CAD/CAM (computer-aided design/computer-aided manufacturing) technique. Purpose: The objective of this study was to compare microleakage of endodontically treated teeth restored with three different tooth-colored post and cores. Material and methods: Extracted 27 human maxillary incisors were cut at the cementoenamel junction, and the teeth were endodontically treated. Teeth were divided into 3 groups (n=9); restored with fiber post and resin core, prefabricated zirconia post and heat-pressed ceramic core, and CAD/CAM milled zirconia post and core. After the preparation of post space, each post was cemented with dual-polymerized resin cement (Variolink II). Teeth were thermocycled for 1000 cycles between $5-55^{\circ}C$ and dyed in 2% methylene blue at $37^{\circ}C$ for 24 hours. Teeth were sectioned (bucco-lingual), kept the record of microleakage and then image-analyzed using a microscope and computer program. The data were analyzed by one-way ANOVA and Scheffe's multiple range test (${\alpha}=0.05$). Results: All groups showed microleakage and there were no significant differences among the groups (P>.05). Prefabricated zirconia post and heat-pressed ceramic core showed more leakage in dye penetration at the post-tooth margin, but there was little microleakage at the end of the post. Fiber post and resin core group and CAD/CAM milled zirconia post and core group indicated similar microleakage score in each stage. Conclusion: Prefabricated zirconia post and heat-pressed ceramic core group demonstrated better resistance to leakage, and fiber post and resin core group and CAD/CAM milled zirconia post and core group showed the similar patterns. The ANOVA test didn't indicate significant differences in microleakage among test groups. (P>.05)

Soluble Triggering Receptor Expressed on Myeloid cells-1: Role in the Diagnosis of Pleural Effusions (흉수의 감별 진단 시 Soluble Triggering Receptor Expressed on Myeloid Cells-1 (sTREM-1)의 유용성)

  • Kim, Jung-Hyun;Park, Eun-Young;Kim, Won-Hee;Park, Woong;Jeong, Hye-Cheol;Lee, Ji-Hyun;Kim, Eun-Kyung
    • Tuberculosis and Respiratory Diseases
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    • v.62 no.4
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    • pp.290-298
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    • 2007
  • Background: The currently available diagnostic markers for pleural effusion have a limited role. The soluble triggering receptor expressed on myeloid cells-1 (sTREM-1) is a molecule recently reported to play an important role in the myeloid cell mediated inflammatory response, and is up regulated in the body fluid by bacterial or fungal products. This study examined the expression of sTREM-1 in pleural effusion. Methods: Between April 2004 and December 2005, 48 patients with pleural effusions were enrolled in this study. The pleural fluids were taken and analyzed for the total protein, glucose, lactate dehydrogenase (LDH), adenosine deaminase (ADA), and sTREM-1. Bacterial cultures and cytology tests were also performed. Results: The clinical diagnoses were 17 parapneumonic, 14 tuberculous, and 13 malignant effusions. Four patients presented with transudates. The mean ages of the parapneumonic, tuberculous and malignant effusion groups were $57.1{\pm}19.7$, $49.5{\pm}18.6$, $66.9{\pm}15.5$, and $76.0{\pm}18.1$. respectively. The level of sTREM-1 expression was significantly higher in the parapneumonic effusions ($344.0{\pm}488.7$) than in the tuberculous effusions ($81.7{\pm}56.6$) and malignant effusions ($39.3{\pm}19.6$). With a cut-off value of 55.4pg/ml, the sensitivity and specificity for a parapneumonic effusion was 70.6% and 74.1%. Conclusion: sTREM-1 expression is significantly higher in parapneumonic effusions, suggesting its potential role as an additional diagnostic marker for pleural effusions.

Growth and Flowering of Standard Chrysanthemums according to the Light Source and Light Quality in Night Break Treatment (광중단 처리에 있어서 광원 및 광질이 스탠다드 국화의 생육 및 개화에 미치는 영향)

  • Kwon, Young Soon;You, Bong Sik;Jung, Jae A;Park, Sang Kun;Shin, Hak Ki;Kil, Mi Jung
    • Journal of Bio-Environment Control
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    • v.23 no.4
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    • pp.263-268
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    • 2014
  • This research was performed to investigate the effect of light source and light quality in night break treatment on the growth and flowering of standard chrysanthemum. It was processed 4 hours (22:00-02:00) night break using LED 590, 610, 630, 660, 680nm and fluorescent lamp (mixed light of 480+540+610nm) in standard chrysanthemum 'Baekma' and 'Jinba' for 40 days from transplanting. The days to flower budding from short-day treatment of 'Baekma' were the longgest at fluorescent treatment (21.3 days) and were the shorttest at LED 590nm treatment (15.8 days) among all treatments. The days to flower budding from short-day treatment of 'Jinba' was longger with 18.0 days, 17.8 days, and 17.7 days at the fluorescent, LED 610nm, and 660nm treatments. And it was the shortest with 15.1 days in LED 590nm treatment. Similarly, the days to flowering from short-day treatment of 'Baekma' was the longgest with 56.9 days at fluorescent treatment, and was the shorttest in 51.6 days about LED 590 nm treatment. The days to flowering from short-day treatment of 'Jinba' was longer at fluorescent (56.0 days) and LED 660nm (56.7 days) treatments and was shortest at LED 590nm (52.9 days) among all treatments. Therefore, inhibition of flower bud initiation and flowering were the most effective under fluorescent treatment in case of 'Baekma', and fluorescent and LED 660nm treatments in case of 'Jinba'. The length and weight of cut flower of 'Baekma' and 'Jinba' were most excellent in fluorescent treatment in which the floral differentiation suppression effect was the best. Consequently, as to the growth and flowering of standard chrysanthemum, the treatment which was suitable as the light source and light quality for night break is regarded as the fluorescent lamp, and also under LED 660nm up to a certain level.

Effect of Onion Peel Extracts on Blood Lipid Profile and Blood Coagulation in High Fat Fed SD Rats (고지방 섭취 흰쥐에서 양파 껍질 추출물의 보충 섭취가 혈중 지질농도와 혈행 개선에 미치는 효과)

  • Chung, Hye-Kyung;Shin, Min-Jeong;Cha, Yong-Jun;Lee, Kyung-Hea
    • The Korean Journal of Food And Nutrition
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    • v.24 no.3
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    • pp.442-450
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    • 2011
  • Numerous studies have suggested that dietary flavonoids contribute to prevent cardiovascular disease. Onion contains many functional phytochemicals such as quercetin. The aim of this study was to examine whether onion peel extracts supplementation affect blood lipid profiles and blood coagulation in animal model. Total 48 Sprague-Dawley male rats at 5 weeks old were divided into 6 groups with different diets(C: control, HF: high fat diet, HFOE 0.01%: high fat+onion peel extract 0.01% diet, HFOE 0.02%, HFOE 0.05%, HFOE 0.1%) for 8 weeks. Onion peel extract supplementation significantly decreased serum levels of LDL-cholesterol and increased HDL-cholesterol, while total cholesterol and triglyceride levels were not affected. Hematological parameters(hematocrit, white blood cell, red blood cell, and platelet count) and blood coagulation parameters(prothrombin time, activated partial thromboplastin time, thrombin time, and fibrinogen) were not significantly different among 6 groups. However, activated partial thromboplastin time of HFOE 0.05% group was significantly longer than that of HF group. These results indicate that onion peel extract supplementation displays hypocholestrolemic effects but does not seem to have anti-coagulation effects in high fat fed SD rats.

The Use of Green Manure Crops as a Nitrogen Source for Lettuce and Chinese Cabbage Production in Greenhouse (녹비작물의 토양환원이 상추 및 얼갈이 배추의 수량에 미치는 영향)

  • Lim, Tae-Jun;Kim, Ki-In;Park, Jin-Myeon;Lee, Seong-Eun;Hong, Soon-Dal
    • Korean Journal of Environmental Agriculture
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    • v.31 no.3
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    • pp.212-216
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    • 2012
  • BACKGROUND: Green manure and graminaceousmanure crops have several benefits, such as improving soil physical and chemical properties and utilizing excessive greenhouse nutrients that they have a potential to be a water pollutant source. METHODS AND RESULTS: The objective of this study was to investigate nitrogen (N) supplying capabilities of green manure and graminaceous manure crops for lettuce (Lactuca sativa L.) and Chinese cabbage (Brassica campestris L.) grown under greenhouse conditions. For this two leguminous manures (Crotalaria juncea (Cr.) and Sesbaniaexaltata (Se.)) and two graminaceous manures (Sorghum bicolor; Haussolgo(Ha.) and Sudangrass (Sg.)) in the greenhouse were grown, cut, and incorporated into the greenhouse soil before planting. Chemical nitrogen (N) fertilizer rate was estimated based on N recommendation for lettuce and Chinese cabbage. 100% of the N recommended rates (1N) were 70 kg N $ha^{-1}$ for lettuce and 60 kg N $ha^{-1}$ for Chinese cabbage and 50% of the N recommendation rates (0.5N) were 35 kg N $ha^{-1}$ for lettuce and 30 kg N $ha^{-1}$ for Chinese cabbage. Nitrogen treatments were control (0N), Cr., Se., Cr + 0.5 N, Se + 0.5 N, Ha + 0.5 N, Sg + 0.5 N, and N recommendation rate (1N). Incorporated N from green manure and graminaceous manure crops were 130, 116, 93, and 87 kg N $ha^{-1}$ for Cr., Se., Ha., and Sg., respectively. Lettuce and Chinese cabbage were grown after incorporated green manure crops into the greenhouse soil. There was no significant difference in lettuce and Chinese cabbage yields under N treatments except control (0 kg/ha). Nitrogen use efficiency (NUE)was from 44% to 73% and the highest NUE was under Se. treatment. Although yields were not statistically different under N treatments except control, actual yield increase ranged from 170 to 1,100 kg/ha for lettuce and ranged from 2,770 to 5,210 kg/ha for Chinese cabbage compared to yield under N recommendation rate. Estimated economic benefit from this would be higher approximately between \2,770,000 and \5,210,000/ha under N treatments except control than the N recommendation rate. CONCLUSION: These results suggest that incorporating green manure crops, such as Cr. and SeSe. into soil or adding 0.5 N after incorporation of them can be beneficial in many ways in that it increases economic return because of yield increase, reduces the use of chemical N, and decreases the negative environmental impact on water quality because excessive N in the greenhouse soil can be used by green manure crops during the fallow.

Clinicopathological Analysis of Glomerulonephritis in Children (소아 사구체신염의 임상 및 병리학적 분석)

  • Park Gwang-Yong;Yoon Hye-Kyoung;Chung Woo-Yeong
    • Childhood Kidney Diseases
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    • v.1 no.1
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    • pp.4-12
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    • 1997
  • Purpose: To evaluate the prevalence and clinical manifestations of various glomerulonephritis (GN) in children, a clinicopathological anlysis of 310 biopsied cases were performed. Method: We conducted retrospective study with review of histopathologic findings and clinical manifestations of the 310 cases diagnosed as glomerulonephritis by percutaneous renal biopsy which were done between January 1986 and December 1996 at department of pediatrics, Pusan Paik hospital. Results: 1) Male to female ratio was 1.54:1 and the range of age was from 13 months to 15 years 10 months. 2) Among these, 217 (70.0%) patients were belong to primary GN and 93 (30.0%) patients were belong to secondary GN. As a whole, the most common pathologic diagnosis was minimal change lesion (MC, 32.6%), which was followed by IgA nephropathy (IgAN, 15.8%), $Henoch-Sch\"{o}nlein$ purpura nephritis (HSPN, 13.5%), Poststreptococcal glomerulonephritis (PSAGN, 8.1%). 3) Clinical manifestations of patients were asymptomatic urinary abnormality (43.2%), nephrotic syndrome (41.0%), acute glomerulonephritis (14.2%), chronic glomerulonephritis (1.0%), rapidly progressive glomerulonephritis (0.6%). 4) In primary GN, the most common pathologic diagnosis was MC (46.5%), IgAN (22.6%), thin glomerular basement membrane (GBM) disease (7.8%), membranoproliferative glomerulonephritis (MPGN, 5.5%), mesangial proliferative glomerulonephritis (MesPGN,4.6%), focal segmental glomerulosclerosis (FSGS, 4.6%), membranous nephropathy (MN, 0.9%), sclerosing glomerulonephritis (SCGN, 0.9%), crescentic glomerulonephritis (CreGN, 0.5%) and non-specific glomerulonephritis (NonspGN, 6.0%). 5) Major causes of secondary GN were HSPN (45.2%), PSAGN (26.9%), hepatitis B associated glomerulonephritis (HBGN, 17.2%), lupus nephritis (LN, 6.5%), Alport syndrome (2.2%), hemolytic uremic syndrome (1.0%), fibrillary glomerulonephritis (1.0%) in descending order. Conclusions: There are some differences of the results of clinicopathological stuidies of glomerulonephritis in children because of its different indications of renal biopsy, pathologic classification of renal disease and methods of analysis among investigators. In order to establish more reliable data of incidence and classification of childhood glomerulonephritis in Korea, multicenter cooperative study were necessary.

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