• 제목/요약/키워드: GFR

검색결과 265건 처리시간 0.029초

신생아의 급성신손상 (Acute Kidney Injury in the Newborn: Etiology, Pathophysiology and Diagnosis)

  • 김소영
    • Neonatal Medicine
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    • 제17권2호
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    • pp.161-167
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    • 2010
  • Acute kidney injury (AKI), formerly referred to as acute renal failure (ARF) is defined as the sudden impairment of kidney function (estimated from the glomerular filtration rate [GFR]) that results in the lack of excretion of waste products. More than 30 definitions of AKI exist in the literature, most of which are based on serum creatinine. Lack of a uniform and multidimensional AKI definition has led to failure to recognize significant renal injury, delays in treatment, and inability to generalize single-study results. The RIFLE criteria were developed to standardize the diagnosis of ARF and in the process the term AKI has been proposed to encompass the entire spectrum of the syndrome from minor changes in renal function to requirement for renal replacement therapy. Large prospective studies are needed to test definitions and to better understand risk factors, incidence, independent outcomes, and mechanisms that lead to poor short- and long-term outcomes. Early biomarkers of AKI need to be explored in critically ill neonates.

저령탕전탕액(猪令湯煎湯液)이 가토(家兎) 및 개의 신장기능(腎臟機能)에 미치는 영향(影響) (Effects of Jeo Ryong-tang water Extract on Renal Function in Rabbit and Dog)

  • 조상섭
    • 사상체질의학회지
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    • 제2권1호
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    • pp.213-221
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    • 1990
  • Effect of Jeo Ryong-Tang water Extract on Renal Function in Rabbit and Dog. In order to investigate the Pharmacological action of Jeo Ryoung-Tang on renal function, this study was performed in rabbit and dog, making use of it's water extract. Jeo Ryoung-Tang water extract (JRWE), when given into ear vein of rabbits, produced diuresis in a small dose, but antidiuresis in a large dose. Diuretic action of JRWE accompanied the increase of glomerular filtration rate (GFR), renal plasma flow (RPF) and amounts of $Na^+$ in exdreated in urin, but fractional excretion of filtered $Na^+$ was not changed. JRWE, when injected into proleg's vein of dog, produced diuresis, At this time, changes of renal function were similar to that of diuresis in rabbit. JRWE, when infused into a renal artery of dog, exhibited the diuresis in both kidney. It is thought that JRWE, when given into vein of rabbit or dog, induces the diuresis, and the mechanism of it's diuresis is the increase of renal plasma flow through secondary action by some endogenous humoural substance.

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약물상호작용(藥物相互作用)에 관(關)한 연구(硏究) -Furosemide의 동력학(動力學) 및 이뇨작용(利尿作用)에 미치는 Prazosin의 영향(影響)- (Drug Interaction Studies-Effects of Prazosin on Furosemide Kinetics and Diuretic Action-)

  • 강영숙;용재익
    • Journal of Pharmaceutical Investigation
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    • 제13권4호
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    • pp.173-182
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    • 1983
  • The influence of prazosin (0.1 mg/kg i.v.) on the excretion and diuretic action of furosemide (2mg/kg i.v.) in rabbits was studied to investigate an interaction between ${\alpha}-adrenergic$ blocking agent, prazosin and furosemide. The results were as follows; 1) With the combined administration of prazosin and furosemide, the plasma concentration of furosemide was increased, the urinary excretion rate and renal clearance of furosemide were reduced, and tile biological half-life of furosemide was increased. 2) The diuretic action of furosemide was significantly reduced with the combined administration of prazosin: maximal decrease in urine volume, urinary electrolytes, clearance of $Na^+$ and $Cl^-$, and GFR and RPF, as well as maximal increase in $Na^+$ reabsorption rate were noted 10 minutes after administration of furosemide (2mg/kg i.v.)

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Tubulogenesis of TM4 Sertoli cells in vitro

  • Park, Seung-Ho;Park, Jin-Kook;Gye, Myung-Chan
    • 한국발생생물학회:학술대회논문집
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    • 한국발생생물학회 2001년도 후기 제12차 학술대회 논문집
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    • pp.38-38
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    • 2001
  • TM4 Sertoli cell의 체외 관강형성 유도에 미치는 세포외기질 (ECM) 및 hepatocyte growth factor (HGF)의 역할과 세포분화 과정에서 MMP의 발현의 변화를 조사하였다. Matrigel bed(60%, v/v) 상에서 배양한 TM4 cell은 무혈청 조건하에서 chain 분화단계를 거쳐 cord의 구조로 분화하였다. 그러나 이후의 분화는 일어나지 않았다. TM4 cell에서 c-MET (HGF receptor)의 발현을 확인하였으며 HGF를 첨가한 배양액에서 분화가 촉진되었으며, cord에서 tubule로의 분화가 유도되었다. 또한 TM4 cell의 분화는 MMP-2 및 MMP-9의 발현이 증가를 수반하였으며 HGF는 MMPs의 발현을 증가시켰다. GFR-Matrigel과 성장인자인 HGF는 무혈청 배지에서 TM4 cell의 체외에서 관강형성에 필요한 환경을 제공하며, MMP-2 및 -9은 TM4 cell의 체외분화 과정에서 조절역할을 수행하는 것으로 사료된다.

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개의 신내 혈류에 미치는 Dopamine의 영향 (Influence of Dopamine on Intrarenal Blood Flow in Dog)

  • 고석태;강호연
    • 약학회지
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    • 제28권3호
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    • pp.149-160
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    • 1984
  • In order to certify the diuretic mechanism of dopamine, this study was performed in dog. The following results were obtained. Dopamine, when given intravenously, produced diuresis, and increased glomerular filtration rate (GFR), renal plasma flow (RPF), and amount of sodium excreted in urine. When infused directly into a renal artery, dopamine elicited a marked diuresis confined only to the infused side, with concomitant rises in osmolar clearance and sodium excretion as well as a slight increase in free water clearance. Simultaneously total renal plasma flow and medullary plasma flow increased markedly with a increase of glomerular filtration rate and renal plasma flow. Medullary concentration gradient of sodium also markedly lowered in the infused kidney. These changes were not observed during mannitol diuresis and renal action of dopamine were not apparent in dog pretreated with haloperidol. From the above experimental results, it is thought that dopamine, when given into a vien or infused directly into a renal artery, induces diuresis, and the mechanism of its action is due to dual actions which are hemodynamic effect along with glomerular filtraction rate, and the increased response in the medullary blood flow.

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고지방식이와 Adriamycin으로 유도된 신증후군 흰쥐 실험모델에 비타민 E 첨가 식이가 신장 기능에 미치는 영향 (Effects of Vitamin E Supplementation on Renal Function in a High Fat Diet and Adriamycin Induced Experimental Nephrotic Syndrome a Model Rats)

  • 박영주;박양자
    • 동아시아식생활학회지
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    • 제9권4호
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    • pp.427-434
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    • 1999
  • This study was conducted to investigate the effects of vitamin I supplementation on renal function in high fat diet and adriamycin (ADR) induced experimental nephrotic syndrome in model rats. The effects of vitamin E supplementation on renal function in high fat diet and ADR treated rats were as follows. Kidney weight was decreased by vitamin E supplementation. Serum total protein was increased by the excess supplementation. Blood urea nitrogen(BUN) was decreased by the high supplementation. However, serum albumin and creatinine showed no significant differences between groups. Urinary volume tended to increase by vitamin I supplementation. Urinary urea-N tended by vitamin I supplementation. Particularly glomerular filtration rate(GFR) was significantly decreased by vitamin E supplementation. These results suggested that vitamin E supplementation could alleviate the adverse effects caused in renal function by highfatdiet and ADR treatments.

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Vibration Control of a Intelligent Cantilevered Beam with a Distributed PVDF Sensor and PZT Actuator

  • Yun, Yeo-Hung;Kwon, Tae-Kyu;Lee, Seong-Cheol;Yu, Kee-Ho
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2001년도 ICCAS
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    • pp.22.5-22
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    • 2001
  • Robust control of a GFR composite beam with a distributed PVDF sensor and piezo-ceramic actuator is presented En this paper. Modal analysis method and modal coordinates are introduced to obtain the state educations of the structural system. 1st and 2nd natural frequencies are considered In the modeling, because robust control theory which is robustness to structured uncertainty is adopted to suppress the vibration. If the controllers designed by H$\^$$\infty$/ theory do not satisfy control performance, it is improved by ${\mu}$-synthesis method with D-K Iteration so that the ${\mu}$-controller based on the structured singular value satisfies the nominal performance and robust performance.

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Vibration Control of a Flexible Cantilevers Beam with Added Mass

  • Kwon, Tae-Kyu;Park, Byeong-Yong;Lim, Suk-Jeong;Yun, Yeo-Hung;Lee, Seong-Cheol
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2001년도 ICCAS
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    • pp.71.5-71
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    • 2001
  • This paper presents the vibration control of a flexible intelligent beam with added mass. The materials which is a glass fiber reinforced(GFR) thermoplastic composite is employed to achieve vibration characteristics according to added mass induced end of composite beam. In the experiments of forced vibration control, the -controller are employed to achieve vibration suppression in forced vibration situations. Also, in the controller design, 1st and 2nd´s natural frequencies are considered in the modeling, because robust control theory which has robustness to structured uncertainty is adopted to suppress the vibration. By designing a controller using mu-synthesis, robust performance against measurement noise, various modeling.

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사구체 여과율 측정을 위한 한국인의 신장 깊이에 관한 방정식 도출과 이용 (Development of Formulas for the Estimation of Renal Depth and Application in the Measurement of Glomerular Filtration Rate in Koreans)

  • 유이령;김성훈;정용안;정현석;이해규;박영하;이성용;손형선;정수교;김현미;이형구
    • 대한핵의학회지
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    • 제34권5호
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    • pp.418-425
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    • 2000
  • 목적: 감마카메라를 이용한 사구체 여과율 측정에 필요한 신장 깊이에 관한 자료는 대부분 Tonnesen 등이 서양인의 신장 깊이를 토대로 작성한 방정식을 채용하고 있는데 이 방법은 신장 깊이를 과소 평가하는 것으로 알려져 있다. 이에 저자들은 서양인과 체격 조건이 다른 한국인의 신장 깊이에 관한 방정식을 도출하여 다른 방법과 비교하고 이를 사구체 여과율 측정에 이용하고자 하였다. 대상 및 방법: 신장에 이상 소견이 없는 성인 300명(남:여=167:133, 평균나이, 50.9세)의 복부 CT 사진 중 신문이 나온 영상에서 피부면으로부터 신장의 최전면과 최후면까지의 깊이를 각각 측정하여 평균 깊이를 구하였다. 대상이 된 300명중 200명을 무작위 추출하여 성별, 나이, 체중, 키를 변수로 하여 방정식을 도출하였고, 이를 토대로 산출한 신장 길이와 대조군 100명의 신장 길이 측정치를 비교하였다. 이어 Tc-99m DTPA 신장 신티그람을 시행한 또 다른 48명(남:여=25:23, 평균나이: 50.6세)에서 Tonnesen, Taylor와 저자들의 방정식으로 각각 산출한 신장 깊이를 사용하여 Gates 방법으로 사구체 여과율을 측정하여 비교 분석하였다. 결과: CT로 측정한 신장 깊이의 평균은 남자 우신; 6.9 좌신; 6.7, 여자 우신: 6.7 좌신: 6.6 cm이었다. 저자들의 측정치와 비교할 때 Tonnesen 방정식으로 구한 산출기(남자 우신: 5.5 좌신: 5.5, 여자 우신: 5.4 좌신: 5.4 cm)는 낮았고 그 차이는 통계적으로 유의하였다. Taylor 방정식의 산출치(남자 우신: 6.8 좌신: 6.4, 여자 우신: 6.6 좌신: 6.1 cm)는 여자 좌신을 제외하고는 모두 비슷하였다. 저자들이 도출한 방정식은 남자 우신: 12.813(체중/키)+0.002(나이)+2.264, 좌신: 15.344(체중/키) +0.011(나이) +0.557, 여자 우신: 12.936(체중/키)+0.014(나이)+1.462 좌신: 13.488(체중/키)+0.019(나이)+0.762 이었다. 이 방정식의 산출치를 대조군의 측정치와 비교한 결과 남자 우신과 좌신, 여자 우신과 좌신에서의 상관계수 r은 각각 0.529, 0.729, 0.601, 0.724 이었다. 3가지 방정식을 이용하여 측정한 사구체 여과율 중 저자들의 방정식으로 구한 것이 가장 큰 값을 보여 정상 사구체 여과율에 가장 가까웠고 Tonnesen 방정식으로 구한 것이 가장 낮았다. 결론: 한국인 신장 깊이를 토대로 만든 방정식을 이용하여 한국인의 사구체 여과율을 비롯한 신장 청소율과 Tc-99m DMSA 신장 섭취율 등을 보다 정확하게 측정할 수 있을 것으로 기대된다.

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