• 제목/요약/키워드: 신부

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Clinical Analysis of Arteriovenous Fistula in Chronic Renal Failure Patients (만성 신부전 환자에서의 동정맥루 조성술의 임상고찰)

  • Song Chang-Min;Ahn Jae-Bum;Kim In-Sub;Kim Woo-Sik;Shin Yong-Chul;Yoo Hwan-Kuk;Kim Byung-Yul
    • Journal of Chest Surgery
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    • v.39 no.9 s.266
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    • pp.692-698
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    • 2006
  • Background: Owing to the fact that the average life span has increased and the progress in medical science has been made, the number of patients with chronic renal failure (CRF) who have to take hemodialysis (HD) has been going up gradually. Accordingly, it is considered to be as a significant issue to obtain blood vessels which can be used repetitively and supply enough blood flows. Therefore, there have been various kinds of study on an inosculation rate andfactors influencing it following an arteriovenous fistula (AV fistula) and lots of studies are ongoing for the purpose of escalating the inosculation rate. The authors analyzed the effects of short-term result, age, sex, diabetes and hypertension on arteriovenous inosculations in 134 anatomical snuffbox operated subjects among the patients who have taken an AV fistula at this center. Material and Method: Based on 134 patients who underwent an AV fistula at the department of thoracic surgery of this center from July, 2000 to May, 2004, the difference in arteriovenous inosculation rate was compared and analyzed depending or age (discriminated by 65-year-old), sex and the condition of the presence or absence of diabetes and hypertension. Correlation analyses were conducted for each parameter and statistical tests were performed by using SPSS for windows Release 11.0.1, which were determined to be statistically significant if p value was below 0.05. Result: The total number of operations was 169 including 35 of re-operations. The male/female rate was 70 : 64 (52% : 48%). The average age was $56.3{\pm}12.26$ years and there were 33 (24%) old aged patients above 65-year-old; there were 103 (71%) patients with hypertension and 90 (67%) patients with diabetes. Overall arteriovenous inosculation rate was $93{\pm}2.4%,\;91{\pm}2.7%,\;89{\pm}3.0%$ at 6, 12, 24 months, respectively. The arteriovenous inosculation rate of above 65-year-old patient group was $85{\pm}4.8%,\;80{\pm}5.8%,\;80{\pm}5.8%$ and below 64-year-old patient group's was $85{\pm}4.8%,\;80{\pm}5.8%,\;80{\pm}5.8%$ at given time points, respectively, which showed higher inosculation rate in below 64-year-old patient group with a statistical significance (p=0.0034). However, no statistical significance was found between the patients with hypertension and diabetes and the patients with no complication. In addition, there was no statistical significance in inosculation rate between male and female. Conclusion: The arteriovenous inosculation ratewas higher in the treated patient below 64-year-old than in the treated patient above 65-year-old. Thus it is advantageous for increase in long-term inosculation rate to obtain hemodialysis routes at an early age. The conditions of sex and the presence or absence of diabetes and hyper- tension do not make statistically significant effect on the arteriovenous inosculation rate.

Two-Case Report on Chronic Renal Failure Treated with Herbal Enteroclysis (한약 관장법으로 호전된 신부전 환자 2례)

  • Cho, Min-Jung;Oh, Jae-Joon;Joo, Ye-Jin;Jung, Hye-Mi;Yoon, Cheol-Ho
    • The Journal of Internal Korean Medicine
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    • v.29 no.4
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    • pp.1115-1122
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    • 2008
  • Chronic renal failure (CRF) is defined as a permanent reduction in glomerular filtration rate (GFR) sufficient to produce detectable alterations in well-being and organ function. This usually occurs at GFR below 25 ml/min. In this report, is a 75-year-old woman who had back pain and diarrhea as chief complaints. She was diagnosed with CRF on March. 2008. is a 62-year-old man who had whole body weakness, anorexia and dyspepsia as chief complaints. He was diagnosed with CRF on 2008. We used herbal enteroclysis solution. which consists of Radix et Rhizoma Rhei. Concha Ostreae and Radix Glycyrrhizae or Radix Salviae Miltiorrhizae. Herbal enteroclysis was done for 15 min once a day. Enteroclysis solution was controlled at 37-39 $^{\circ}C$ and inserted 15-20cm depth for intubation. We found the patient's BUN, creatinine and GFR were improved through enteroclysis. In both and , the patient's BUN and creatinine decreased, and GFR increased favorably. This result suggests that herbal enteroclysis used for CRF is effective in clinical therapy.

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The Effects of Gypsum Fibrosum on Renal Functional and Histopathological Disorder in Chronic Renal Failure Rat Model (석고(石膏)가 만성 신부전 Rat의 신기능 보호 및 조직학적 변화에 미치는 영향)

  • Byun, Sang-Hyuk
    • The Journal of Internal Korean Medicine
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    • v.29 no.4
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    • pp.871-886
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    • 2008
  • Objective : Gypsum fibrosum has been traditionally used in treatment of febrile diseases and recently been shown to have anti-inflammatory effect. Chronic renal failure has a serious clinical symptoms including proteinuria, azotemia, anemia, and hyperlipidemia and has characteristic histopathological changes, glomerular hypertrophy, infiltration of inflammatory cells, and crescentic sclerosis, We investigated the effects of gypsum fibrosum on renal functional and histopathological disorder in chronic renal failure rat model induced 5/6 nephrectomy. Methods : Using Sprague-Dawley rats, CRF was induced by 5/6 nephrectomy. The rats were divided into 3 groups, normal, conrol, and gypsum administered orally with gypsum fibrosum 500mg/kg/day. Body weight, 24 hr proteinuria, hematologic analysis, and histological morphologic changes were followed up after 8 weeks. The glomerular macrophage/monocyte infiltration, $TGF-{\beta}_1$, type IV collagen, and angiotensin II type1 receptor($AT_1$) were evaluated by immunohistochemistry. Resuls : In the CRF control group, functional parameters and histopathologic changes clearly indicated the development of CRF. 24 hr proteinuria significantly increased in the CRF control group over the normal group, and serum creatinine level was lower in the gypsum group than in the control group, LDL-cholesterol was significantly lower in the gypsum group than in the control group. Morphological investigations showed a variety of characteristic features of CRF, glomerular hypertrophy, increasing cellular density of glomerulus, deposition of extra-cellular matrix, fibrotic change, and glomerular sclerosis in the control group, but in the gypsum group, these features diminished significantly. In observation of renal type IV collagen and $AT_1$ expression, positive area significantly increased in the control group over the normal group, and it significantly decreased in the gypsum group compared to the control group. Conclusions : Our findings suggest that gypsum fibrosum inhibits $AT_1$ and type IV collagen expression in renal tissues and attenuates progression of glomerulosclerosis and interstitial fibrosis in chronic renal failure rats, which lead to amelioration of renal function. From these results, we suggest that gypsum fibrosum may have renoprotective effects and could be a useful remedy agent for treating chronic renal failure.

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A Case of Juvenile Glomerulonephropathy in a Cocker Spaniel Dog (어린 cocker spaniel 종에서 발생한 신부전증)

  • Kwon, O-Serng;Yi, Jung-Yeon;Kwak, Ho-Hyun;Woo, Heung-Myung;Han, Jeong-Hee;Yoon, Byung-Il
    • Journal of Veterinary Clinics
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    • v.24 no.4
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    • pp.647-652
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    • 2007
  • In the present study, we address systemically a case of renal disease developed in a 1 year-old male cocker spaniel dog in terms of clinical signs, clinical pathology and pathological examinations. The animal has been suffered from renal dysfunction signs such as polyuria, anorexia, vomiting, diarrhea and weight loss. The dog was very weak and emaciated and had foamy contents with foul-smell in oral cavity. The animals showed notable decrease in the number of red blood cells and severe decreases of hemoglobin and hematocrit with or without changes of mean corpuscular volume and mean corpuscular hemoglobin concentration values, indicating microcytic or normocytic hypochromatic anemia. In serum chemistry, blood urea nitrogen, creatinine, phosphorous, Na and Cl, which are associated with renal function, were dramatically increased. In addition, alanine aminotransferase, aspartate transferase, alkaline phosphatase, cholesterol, lipase and amylase were also significantly elevated, while K concentration was notably decreased. Urinalysis indicated prominent proteinuria with increase of bilirubin. Despite of symptomatic treatments, the dog was getting worse in healthy condition and dead in the end. At necropsy, both kidneys were brownish, pale, slightly small, and have diffuse, firm and subcapsular pits. Histologically, the kidneys indicated prominent segmental or diffuse interstitial fibrosis in cortex and medulla as well as glomerulonephritis. The clinical signs, clinical pathology and histopathological abnormalities of the young dog presented were consistent with chronic glomerulonephropathy, which was suspected to be a case of familial renal disease in the juvenile cocker spaniel dog.

Specification and Testing Method of WHW ex. for Chronic Renal Failure (만성신부전 치료제 개발을 위한 WHW 엑스의 기준 및 시험방법 설정)

  • So, Jae-Woo;Kang, Hee-Chul;Seo, Chang-Gyo;Lim, Ji-Ho;Park, Yong-Ki;Lee, Young-Jae;Kim, Young-Ho;Kang, Jong-Seung;Cho, Cheong-Weon
    • Journal of Pharmaceutical Investigation
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    • v.39 no.3
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    • pp.161-166
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    • 2009
  • This study is to specify the criteria and testing methods of WHW extract which has a potency as a therapeutic agent for chronic renal failure. The determination of specifications of WHW extract is mostly important because of the quality assurance. Three batches of WHW extract were obtained by the extraction at $98^{\circ}$C for 3 hr using water from mixture of 15 herbal medicines including Codonopsis Pilosulae Radix, Salviae Radix, Pinelliae Rhizoma, Coptidis Rhizoma, Evodiae Fructus, Epimedii Herba, Rhei Rhizoma, Perillae Herba, Glycyrrhizae Radix, Artemixiae capillaris Herba, Alimatis Rhizoma, Hoelen, Atractylodies Rhizoma alba, Polyporus and Cinnamomi Ramulus, subsequently, vaccum-dried for 15 hr. The yield of WHW extracts was 24.53% on the average. The identification of each herbal medicine of WHW extract was performed by modification of Korean Pharmacopeia IX (KP IX). The assay of WHW extract was performed using standard such as berberine, icariin, glycyrrhizin, and cinnamic acid of indicative herbal medicines by modification of KP IX, too. As well as, paticle size classification test was carried out to indicate the boundary of particle size of WHW extract and the particle size of WHW extract more than 50% showed the 140 ${\mu}$m. Taken together, WHW extract could be prepared reproducibly and assurable if follows the presented extraction and drying steps and its specifications were satisfied with the indicated criteria.

X-band CW Doppler Radar Development for Measurement of Muzzle Velocity (포구 속도 측정을 위한 X-band CW 도플러 레이더 개발)

  • Kim, Jae-Heon;Koh, Yeong-Mok;NamGung, Sung-Won;Jang, Yong-Sik;Park, Yong-Seok;Ra, Keuk-Hwan;Choi, Ik-Kwon
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.20 no.5
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    • pp.460-470
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    • 2009
  • In this paper, we described the implementation of the X-Band continuous-wave doppler radar for muzzle velocity measurement. The radar is consisted of microwave transceiver, signal processor, power board, and the measuring program was developed for the operating and field test. The operating frequency of doppler radar is able to set ${\pm}3\;MHz$ with 5 channel from the center frequency, and the output power is 25 dBm. The minimum receiving power is -117 dBm. The radar would obtain the doppler frequency from the artillery, and calculate accurate velocity point and then estimate muzzle velocity. The performance test for this radar was done with 155 mm at barrel and tripod mounted, and also compared the performance with the reference radar. As a result, the performance of the our new radar is equal with the reference one.

Thermal and Rheological Properties, and Biodegradability of Chemically Modified PLA by Reactive Extrusion (반응압출법에 의해 화학적으로 개질된 PLA의 열적 특성, 유연학적 성질 및 생분해도)

  • Jang, Woo-Yeul;Hong, Ki-Heon;Cho, Baek-Hee;Jang, Sang-Hee;Lee, Sang-Il;Kim, Bong-Shik;Shin, Boo-Young
    • Polymer(Korea)
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    • v.32 no.2
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    • pp.116-124
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    • 2008
  • A commercialized biobased and biodegradable poly(lactic acid)(PLA) containing the functional monomer of glycidyl methacrylate (GMA) was chemically modified using reactive extrusion to enhance its melt strength. Modified PLAs were prepared with various contents of GMA and initiator, and were characterized by observing their gel fraction, thermal properties, melt viscoelasticity and biodegradability. The complex viscosity and storage modulus of chemically modified PLA with the initiator alone was increased by addition of initiator and were more increased in the presence of GMA. There was a optimum content of GMA showing the maximum complex viscosity with the amount of initiator. The biodegradebility of modified PLA was slightly decreased by addition of GMA.

Airborne Pulsed Doppler Radar Development (비행체 탑재 펄스 도플러 레이다 시험모델 개발)

  • Kwag, Young-Kil;Choi, Min-Su;Bae, Jae-Hoon;Jeon, In-Pyung;Yang, Ju-Yoel
    • Journal of Advanced Navigation Technology
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    • v.10 no.2
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    • pp.173-180
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    • 2006
  • An airborne radar is an essential aviation electronic system of the aircraft to perform various missions in all weather environments. This paper presents the design, development, and test results of the multi-mode pulsed Doppler radar system test model for helicopter-borne flight test. This radar system consists of 4 LRU units, which include ANTU(Antenna Unit), TRU(Tx Rx Unit), RSDU(Radar Signal & Data Processing Unit) and DISU(Display Unit). The developed technologies include the TACCAR processor, planar array antenna, TWTA transmitter, coherent I/Q detector, digital pulse compression, DSP based Doppler FFT filtering, adaptive CFAR, IMU, and tracking capability. The design performance of the developed radar system is verified through various helicopter-borne field tests including MTD (Moving Target Detector) capability for the Doppler compensation due to the moving platform motion.

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Design of Electromagnetic Moving-coil type Voice Coil Motor for Scanning mirror of Barcode reader (바코드 리더용 스캐닝 미러를 위한 무빙 코일 타입 VCM 설계)

  • Shin, Bu Hyun;Lee, Jeong Woo;Shim, Hyun Ho;Park, Sang Goo;Lee, Seung-Yop
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.40 no.1
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    • pp.17-22
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    • 2016
  • A voice coil actuator with moving coil type for scanning mirror system of barcode reader has been developed. The actuator has a simple structure including a magnet, a coil and a pin. The performance of the actuator is analyzed by a linearized theoretical model. And the dynamic performance of the proposed actuator is predicted through motor constant and restoring constant obtained by finite element simulations. The theoretical model was verified by the prototype which has 64 Hz resonance frequency and 60 deg reflecting angle. We also discovered that that 3 V input can make the actuator rotate over 61.8 deg reflecting angle at 50 Hz resonance frequency. The proposed actuator can simplify its driving configuration because of its implementation of open-loop control.

Design and Implementation of Fire distress Detection and Rescue user Terminal (소방조난 탐지구조 단말장치 설계 및 제작)

  • Kim, Kun-Joong;Na, Sang-Guen;Kim, Young-Wan
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2012.05a
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    • pp.557-559
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    • 2012
  • The fire distress detection and rescue user terminal, which rescue the survivor by using the direction finding of distress place and sensing techniques, was design and implemented. The user terminal provides the rescue function in the place of evil surroundings that can not be available the communication facilities. The rescue user terminal provides the portable configuration, which consists of a RF board with radio frequency of 2.45 GHz and inner antenna, and a control board. The inner antenna with $60^{\circ}$ or $120^{\circ}$ directivity, which use the triangulation, detects the rescue signal from survivor. The rescue was managed by allotment of user ID and can use the bidirectional audio channel using radio frequency of 5.8 GHz.

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