• Title/Summary/Keyword: 腎臟(kidney)

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Radiation Dose during Fluoroscopy at the Organ from Extracorporeal Shock Wave Lithotripsy (체외충격파쇄석술에서 투시 시 주요 장기별 방사선 피폭선량)

  • Moon, Sung-Ho;Jung, Hong-Ryang;Lim, Cheong-Hwan
    • The Journal of the Korea Contents Association
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    • v.10 no.5
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    • pp.343-350
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    • 2010
  • We measured the radiation exposure for 55 persons (male: 36, female: 19) who was diagnosed with kidney and ureter stones and received ESWL. The absorbed dose was measured at the organ which is expected to absorb relatively much radiation (kidney, bladder, liver). The radiation dose measurement voltage 80kVp, current of 5mA as a fixed model of the human body by using the Rando phantom with Radiophotoluminescent Glass Dosimeter. Absorbed dose was measured for two times (5 minute and 10 minute, each) and converted to effective dose. Mean number of treatment was 1.8 times (1~4) per patient was the mean time of radiation exposure533 seconds (248-2516). For the treatment of right renal stone, the effective dose of right kidney, left kidney, liver and bladder was 2.458mSv, 0.152mSv, 1.404 mSv and 0.019mSv, respectively. For the treatment of left renal stone, the effective dose of right kidney, left kidney, liver and bladder was 2.496mSv, 0.252mSv, 0.178 mSv, and 0.017mSv, respectively. For the treatment of distal ureter stone, the effective dose of right kidney, left kidney and bladder was 0.009mSv, 0.01mSv and 3.742mSv, respectively.

A Scoping Review on Educational Programs Provided to Kidney Transplant Patients in Korea (국내 신장이식 환자에게 제공된 교육 프로그램에 대한 주제범위 문헌고찰)

  • Yeon Ju Baek;Gi-Ran Lee
    • Journal of Industrial Convergence
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    • v.21 no.11
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    • pp.85-95
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    • 2023
  • The purpose of this study is to provide evidences throught scoping review of education intervention studies for post kidney transplantation management in the kidney transplant patients in Korea. Through the search engines RISS, KISS, DB pia and Pubmed, 13 articles were selected by searching for theses and academic journals published prior to the search date of May 21, 2023. According to the study result, relevant studies were 13, and the education programs provided to kidney transplant patients were classified into 1) overall health management after transplantation, 2) self-efficacy promotion exercise program, 3) exercise therapy, 4) drug education, and 5) stress coping. Knowledge, implementation, self-efficacy, anxiety, uncertainty, stress, and quality of life were confirmed as effects of the intervention. Based on the results of this study, it is necessary to develop integrated educational materials and systematic self-management programs that can manage various health problems that may occur after kidney transplantation, and it is suggeste that research on educational interventions for kidney transplant patients in nursing.

Convergence Analysis of Metabolic Syndrome Risk and Related Factors among Kidney Transplantation Recipients (신장이식 수혜자의 대사증후군 발생 위험 관련 요인에 대한 융복합적 조사연구)

  • Chong, Hye Jin
    • Journal of Digital Convergence
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    • v.18 no.5
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    • pp.375-382
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    • 2020
  • The purpose of this study was to analyze the prevalence, and determine factors associated with metabolic syndrome risk among kidney transplantation recipients. This study data were collected by means of retrospective chart reviews for 111 kidney recipients at an organ transplantation center in South Korea. Data were analyzed using descriptive statistics, t-test or chi-squared test, and Pearson's correlation or Point biserial correlation. The prevalence of metabolic syndrome in our subjects was 65.8%. Metabolic syndrome was related with age, body mass index of before and after Kidney transplantation, and smoking. Study results indicate that intervention for modifying individual lifestyle behaviors is required to prevent and reduce their prevalence of metabolic syndrome after kidney transplantation.

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.

The Influence of Vocal Cords and Intensity by Hemodialysis in End Stage Renal Disease (말기 신부전 환자에서 혈액투석 치료가 성대 및 강도의 변화에 미치는 영향)

  • Kim, Bong-Hyun;Cho, Dong-Uk;Kang, Eung-Taek
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.35 no.7B
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    • pp.1066-1072
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    • 2010
  • Kidney diseases rates in modern Korean society, which is entering an aging society, are growing. These diseases diagnosed at early stage can be cured with the drug or dietary treatment. If, however, at worsening stage, kidney dialysis or transplant is needed. In this context, we analyzed the relationship between kidney and voice by measuring and analyzing the changing rate of the vocal chord and intensity according to hemodialysis. For this, we collected voice samples before and after hemodialysis, and compared and analyzed them through application of vocal analytical element. Namely, based on oriental medical diagnosis theory that voice is quieted down when kidney is abnormal, we collected voice samples before and after hemodialysis, and applied trembling and intensity analysis of vocal chord.

Traumatic Complete Renal Avulsion Herniating into the Left Pleural Cavity -A case report- (외상성 횡경막 탈장을 통한 신장손상 -1예 보고-)

  • Chon Soon-Ho;Lee Chul Burm
    • Journal of Chest Surgery
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    • v.38 no.5 s.250
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    • pp.400-402
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    • 2005
  • Herniation of the kidney through a traumatic diaphragmatic rupture in itself is rare. However, complete avulsion of the renal pedicle implies not only a more rare event, but also a surgical emergency. We report a case of a patient with complete avulsion of renal vessels and ureter of an intrathoracic kidney herniated through a diaphragmatic rupture caused by blunt trauma. Prompt diagnosis with a computer tomographic scan and immediate surgery saved the patient's life.

Utility of Ultrasonography for Urinary Tract Infections of Infants (소아 요로 감염의 초음파 검사 유용성 검토)

  • Yoon, Chul-Ho;Kim, Yun-Jeong
    • Journal of radiological science and technology
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    • v.32 no.2
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    • pp.153-160
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    • 2009
  • In this study, we investigated utility of ultrasonography for urinary tract infections of infants. The results of the research is as follows : 1. The number of infants under one year old was 100 out of 122 infants who were diagnosed as a unitary infection. The ratio of males to females was 1.7 : 1. Seventy-seven infants who underwent three kinds of radiologic examinations such as kidney sonography (51%), $^{99m}TC$ DMSA-scan (42%), and VCUG (22%). 2. In comparison of correlation between kidney sonography and VCUG, the sensitivity of kidney sonography was 82% while the specificity of kidney sonography was 58%. In comparison of correlation between kidney sonography and $^{99m}TC$ DMSA-scan, the sensitivity of kidney sonography was 66% while the specificity of kidney sonography was 67%. 3. Utility of kidney sonography showed the highest efficiency when we considered pain, discomfort, a sense of shame, psychological stress when infants may undergo at the examination, side-effect of a contrast agent after the examination, and complication of exposure to radiation.

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Analysis of the Relationship between Abdominal Ultrasound Based Kidney Stones, Obesity and Metabolic Syndrome (복부 초음파 검사 기반 신장결석과 비만 및 대사증후군 관련성 분석)

  • Kim, Ju Hee;Jang, Hyon Chol;Cho, Pyong Kon
    • Journal of the Korean Society of Radiology
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    • v.14 no.4
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    • pp.495-502
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    • 2020
  • Kidney stones are a common disease with an annual prevalence of about 30,000 people in Korea, and are deeply related to an increase in chronic kidney disease, high blood pressure, coronary artery disease, metabolic syndrome, type 2 diabetes, hyperlipidemia, and abdominal obesity. Therefore, in this study, 135 examinees who visited a general hospital in Dalseong-gun from May 2019 to June 2020 for a medical examination were examined. The relationship between kidney stones and factors related to obesity and metabolic syndrome were found in abdominal ultrasound. I tried to find out the relevance. As a result of the study, the risk of kidney stones in the abnormal group was increased by 4.255 times compared to the normal group in total cholesterol factor, and the risk of kidney stones in the abnormal group was increased by 2.072 times compared to the normal group in the low-density lipoprotein cholesterol factor. Total cholesterol factor and low-density lipoprotein cholesterol It was found that the factor affects the prevalence of kidney stones and metabolic syndrome. Since the risk of kidney stones is related to total cholesterol and low-density lipoprotein cholesterol factors, active attention should be paid to preventive purposes through health check-ups.

Convergence for adherence: Subjectivity of immunosuppressive medication adherence after kidney transplantation patient (이행증진을 위한 융복합: 신장이식 환자의 면역억제제 투약이행에 대한 주관성)

  • Kim, Min-Young;Lee, Eun-Ju;Park, Euna
    • Journal of Digital Convergence
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    • v.13 no.6
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    • pp.235-246
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    • 2015
  • After kidney transplantation, immunosuppressive medication is essential to enhance the quality of life and survival of the transplanted patient. To promote the medication adherence, subjects are required to have converged attitude with open mind. Medication adherence will depend on the attitude of the psychosocial characteristics and treatment guidelines. The purpose of this study was to identify the specific types and characteristics of medication adherence in the view of kidney transplanted patients. Q-methodology, a technique for extracting subjective opinions, was used. Forty participants completed the Q-sort activity, rating each statement relative to the others. The collected data were analyzed by QUANL PC program. Four types of medication adherence of kidney transplanted patients were identified: 'positive lifestyle management type', 'vigilant appearance management type', 'somber oblivion type', 'vigilant family support type'. Through the identification of attitudes to medication adherence, repeated and individualized medication adherence program will help to prevent graft rejection.

The Influence of Hemosialysis to the Face Color of Patients in End Stage Renal Disease (말기신부전 환자의 혈액투석 치료가 안면 색에 미치는 영향)

  • Lee, Se-Hwan;Cho, Dong-Uk
    • The KIPS Transactions:PartB
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    • v.17B no.6
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    • pp.437-444
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    • 2010
  • In this paper, we propose a method of analysing the relation between the patient's face color and his(her) kidney disease using image processing technology. This method is based on the ocular inspection which is one of the most famous diagnosis methods used in the oriental medical system. The way of processing and analysing the face image, which is for visualization and objectification of the color difference, is included. The objects are selected from the patients who suffer the kidney disease and use the hemodialyzer. Their facial images and clinical data are collected. From these data, we propose a hypothesis that the color of the patient's face is changed according to the patient's kidney state. At the same time, we present two algorithms of extracting the specific part of face which can identify the state of the patient's kidney and tracing the history of the color's change. This proposed method is evaluated through the practical experiments and their analysis.