• 제목/요약/키워드: Kidney Size

검색결과 215건 처리시간 0.026초

8개월 여아에서 다발성 결석으로 진단된 시스틴뇨증 1례 (A Case of Cystinuria with Multiple Renal Stones in an 8-month-old Girl)

  • 강은구;이주훈;이범희;김구환;박영서
    • Childhood Kidney Diseases
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    • 제17권2호
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    • pp.122-126
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    • 2013
  • 8개월 여아가 지속적인 발열 및 다발성 요로 결석으로 입원하여 시행한 신장 초음파에서 오른쪽 신우 및 요관, 왼쪽 수질 부위의 다발성 요로 결석이 보였고, 자연 배출된 1 cm 크기의 결석이 100% 시스틴석으로 확인되었다. 소변 검사에서 시스틴을 비롯한 이염기 아미노산의 상승과 유전자 검사에서 SLC3A1의 c.1820del (p.L607fs)의 동형접합자로 확인되어 시스틴뇨증으로 진단되었다. 충분한 수분 섭취와 소변 알칼리화, 동물성 단백질 제한에도 불구하고 결석의 수와 크기가 증가하여 현재는 tiopronin으로 치료 중이다.

계란난황항체의 Edwardsiella tarda에 대한 효능 (Efficacy of Egg Yolk Immunoglobulin (IgY) against Edwardsiella tarda Infection)

  • 김영대;오명주;정성주
    • 한국해양바이오학회지
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    • 제1권3호
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    • pp.218-223
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    • 2006
  • 어류의 세균성질병 원인체인 Edwardsiella tarda 감염의 예방과 치료에 E. tarda로 면역한 계란으로부터 얻어진 난황항체 (IgY)의 잠정적인 사용을 평가하였다. PEG법으로 정제된 IgY는 64 kDa의 heavy chain과 27 kDa의 light chain을 가지고 있었다. IgY는 사료 공급 후 위의 pH가 3.4로 낮아지는 2시간째에는 대부분의 활성을 상실하였으나, 장내에서는 IgY의 활성이 나타났다. IgY의 효능 실험 결과 감염 초기에 IgY를 20 mg/fish로 공급한 그룹은 모든 실험에서 대조 그룹에 비해 높은 생존율을 나타내었으며, 장기 내에서 균의 감염 정도 역시 낮았다. 그러나 감염 후기에서는 생존율에 있어서의 유의적인 차이를 확인하기 힘들었다. 이는 넙치의 위에서 대부분의 IgY가 활성을 잃어 낮은 농도만이 장으로 이동하기 때문일 것으로 사료되며, 이 농도에서 IgY는 E. tarda에 대한 뚜렷한 예방이나 치료의 효과 보다는 감염시기를 어느 정도 연장시키는 역할을 하는 것으로 추정된다.

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앙고라 토끼의 급성폐사성질병(急性斃死性疾病)의 병인학적(病因學的) 연구(硏究) : 소위(所謂) 토끼의 바이러스성(性) 급사병(急死病) (Etiological Studies on the Acute Fatal Disease of Angora Rabbits : The So-Called Rabbit Viral Sudden Death)

  • 이차수;박청규
    • 대한수의학회지
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    • 제27권2호
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    • pp.277-290
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    • 1987
  • This paper dealt with etiological studies on the acute fatal disease of Angora rabbits occurring as a group in Korea. The disease was confirmed as an acute infectious disease caused by virus. The results obtained were summarized as follows: The disease produced a high morbidity in the rearing Angora rabbits and a high mortality in the infected rabbits, and was acute. The infected rabbits died soon without premonitory signs after inappetence. The body temperature of the affected rabbits rose to $40^{\circ}C$ and nearly all deaths occurred within 48 hours after inoculation. In many cases a bloody foam was visible from the nostrils after death. According to the progress of the disease the nervous signs, such as ataxia, paralysis of the legs, and torticollis could be recognized in the some cases. Rabbits that had recovered from the disease were severe emaciation, and bristly and sparse hairs. In macroscopical findings, there were hemorrhage and edema of the lung, hemorrhage or hyperemia of the tracheal and broncheal mucosae, appearance of blood-tinged effusion in the respiratory tract. The principal lesions were found in the liver. Usually the lobular necrosis of the liver cells was progressed, and focal necrosis and hemorrhagic spots of various sizes were often observed in the liver. Liver was as a whole pale. In chronic cases, however, there was a slight liver cirrhosis with the atrophy of the parenchymal cells. The other lesions encountered grossly consisted of swelling and petechiae of the kidney, hyperemia and hemorrhage of the spleen, catarrh of the small intestine, and hyperemia of the brain. The urinary bladder contained a lot of turbid urine or bloody urine and urinary cast, and was distended with the urine. In microscopical findings, the most striking lesions occurred in the liver and may be classified as viral hepatitis. The hepatic lesions were initially characterized by progression from periportal to peripheral necrosis of the lobules with the infiltration of mononuclear cells. Focal necrosis of various sizes, hemorrhage and hyperemia were often observed in the hepatic lobules. In chronic cases, there were intensive infiltration of lymphocytes, proliferation of fibroblasts, appearance of plasmal cells, and atrophy of parenchymal cells in the hepatic tissue. Perivascular lymphocytic infiltration and meningitis were seen in the brain and spinal cord. In the kidney, there were acute glomerulonephritis, hemorrhage, necrosis of the uriniferous tubules, and retention of eosinophilic substance within the renal tubules. Proliferation of fibroblasts and infiltration of mono-nuclear cells were found in the interstitial stroma of the kidney in chronic case. There were also hemorrhage and edema in the lung, hyperemia and hemorrhage in the trachea and bronchus, perivascular lymphocytic infiltration and focal myocardial necrosis in the heart, hyperemia and hemorrhage in the spleen, vacuolization and desquamation of mucous epithelia in the urinary bladder, catarrhal inflammation of the small intestine, hemorrhage in the adrenal cortex and hyperemia in the other organs. In the electron microscopical findings of the hepatic tissue, crystals of viral particles appeared in the cytoplasm of the hepatocytes and the sinusoidal endothelial cells, and the viral particles, were small in size and polygonal. The authors suppose the virus may belong to picornaviridae family of RNA viruses. Also immature virus-like particles, dilated rough endoplasmic reticulum and destruction of nuclear membrane were seen in the hepatocytes. From these results, it is concluded that the sudden death is an acute viral disease characterized by hepatitis and the affected rabbits may be died of viremia.

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발열성 요로감염 영아에서 방광요관역류와 연관된 흉선의 크기 (The Relationship between Thymic Size and Vesicoureteral Reflux in Infants with Febrile Urinary Tract Infection)

  • 정성관;박규희;임형은;유기환;홍영숙;이주원
    • Childhood Kidney Diseases
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    • 제13권2호
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    • pp.215-221
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    • 2009
  • 목적 : 흉선은 여러 생리학적, 병리학적 상태에 따라 크기가 변하는 면역학적 림프기관이다. 흉선은 스트레스 등에 의해 퇴축되는 반응을 보이며 흉선의 크기를 측정하는 것은 체내 스트레스를 유발하는 여러가지 질병에 대한 정보를 제공해준다. 요로감염은 영아에서 가장 흔한 세균성 감염이며 방광요관역류는 반복적인 요로감염과 연관성이 있다. 이번 연구에서는 요로감염 환아에서 방광요관역류가 동반되어 있을 때 요로감염이 단독으로 존재하는 경우보다 신체에 더 큰 스트레스로 작용할 것이라는 가정하에 흉선의 크기를 비교하였다. 방법 : 방광요관역류이외의 다른 생식기 기형을 동반하지 않은 발열성 요로감염 환아 99명의 자료를 후향적으로 분석하였다. 발열 기간, 방광요관역류 유무, 신결손, 신반흔 및 C반응성 단백과 백혈구수와 심흉선/흉곽의 크기와의 상관관계를 조사하였다. 결과 : 99명의 발열성 요로감염 환아 중 25명은 방광요관역류가 없었고 74명은 방광요관역류가 존재하였다. 방광요관역류가 있는 환아군에서 방광요관역류가 없는 환아군에 비해 심흉선/흉곽 비율이 적었다 ($0.382{\pm}0.048$ vs $0.439{\pm}0.079$, P<0.05). 반면, 방광요관역류가 있는 환아군에서 발열 기간, C반응성 단백과 백혈구수의 차이가 통계적으로 유의하지 않았다. 또한, 신결손 및 신반흔 유무에 따라 분류한 두 환아군에서는 심흉선/흉곽 비율의 차이는 없었다. 결론 : 요로감염 환아의 경우 방광요관역류를 동반하고 있는 경우가 있는데 방광요관역류를 가지고 있지 않은 환아들에 비해 흉선의 크기가 작아져 있는 것으로 관찰된다. 이에 흉선의 크기가 작아져 있는 요로감염 환아에게서 방광요관역류를 확인하기 위한 충분한 검사 및 치료가 필요하다.

폐주사(肺走査) - 심장질환(心臟疾患)의 폐관류주사(肺灌流走査) 소견(所見) - (Evaluation of Pulmonary Perfusion Scan in Heart Disease)

  • 이종태;김정규;박창윤;최병숙
    • 대한핵의학회지
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    • 제7권2호
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    • pp.27-34
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    • 1973
  • Pulmonary perfusion scan with radioactive $^{113m}In$-iron hydroxide particle was performed in the 25 cases of heart disease which had been diagnosed by cardiac catheterization prior to surgery from July, 1972 to July, 1973 at the Department of Radiology and Nuclear Medicine, Yonsei Medical College. It consists of 7 mitral stenosis, 2 mitral insufficiency, 1 aortic insufficiency, 3 atrial septal defect, 5 ventricular septal defect, 2 patent ductus arteriosus, 1 transposition of great vessel and 4 Tetralogy of Fallot. Findings of pulmonary perfusion scan in relation to hemodynamic data of cardiac catheterization were examined. 1) Out of 10 cases of acquired valvular heart disease, In 6 cases of mitral stenosis and 1 case of aortic insufficiency, radioactivity was increased at both upper lung. This finding is noted when pulmonary wedge or venous pressure was elevated above 22 mmHg and arterial systolic pressure above 33 mmHg. 2) Out of 15 cases of congenital heart disease. In almost all cases of atrial septal defect and ventricular septal defect except 2 cases, radioactivity was even at both entire lung. In 2 cases of patent ductus arteriosus, radioactivity was decreased especially at the left lung. It is observed that in acyanotic congenital heart disease, radioactivity of lung is not related with pulmonary arterial pressure. In 3 cases of Tetralogy of Fallot, radioactivity was even at both entire lung and in 2 of them, extrapulmonary radioactivity of liver or kidney which depends on size of defect and volume of right to left shunt reversible, was noted.

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한국의 광산물 HSK Code 개정방안 연구 (Study on Revision of Minerals HSK Code of Korea)

  • 이화석;김유정
    • 광물과산업
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    • 제27권
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    • pp.8-15
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    • 2014
  • 본 연구에서는 법정광물 및 정부비축광물을 대상으로 HSK Code 개정(안)을 수립하였다. 법정 광물 중 리튬 광, 희토류 광, 사문석, 연옥, 비축 대상 광종 중 인듐 괴, 페로텅스텐, 안티모니 괴, 셀렌 그래뇰, 갈륨, 산화란탄, 탄산세륨 등의 경우 타 품목과 혼합되어 HSK Code가 부여되어있어 세부 품목별로 정확한 무역통계를 파악하기가 어렵다. 또한 현재의 HSK Code 분류체계에서는 대략적인 품목의 명칭 정도만을 확보할 수 있을 뿐 용도, 규격, 성분, 타입 등 보다 구체적인 품목에 대한 정보는 확보하기가 어려운 상황이다. 법정광물, 정부비축 등 국가적 차원에서 관리되고 있는 광물자원에 대해서는 정확한 통계적 데이터 구축을 위해 품목분류를 세분화하여 단독으로 HSK Code를 관리하는 것을 원칙으로 하였다. 단, 국제 공통기준(HS Code 6단위)을 준수하는 범위 내에서 개정안을 마련하였으며, 수입규모가 일정규모 이상(금액기준 : 5천만불 이상, 물량기준 : 5천톤 이상)인 품목을 개정 대상으로 선정하였고 HSK Code간 Hierarchy의 균형을 고려하였다.

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Automatic Liver Segmentation on Abdominal Contrast-enhanced CT Images for the Pre-surgery Planning of Living Donor Liver Transplantation

  • Jang, Yujin;Hong, Helen;Chung, Jin Wook
    • Journal of International Society for Simulation Surgery
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    • 제1권1호
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    • pp.37-40
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    • 2014
  • Purpose For living donor liver transplantation, liver segmentation is difficult due to the variability of its shape across patients and similarity of the density of neighbor organs such as heart, stomach, kidney, and spleen. In this paper, we propose an automatic segmentation of the liver using multi-planar anatomy and deformable surface model in portal phase of abdominal contrast-enhanced CT images. Method Our method is composed of four main steps. First, the optimal liver volume is extracted by positional information of pelvis and rib and by separating lungs and heart from CT images. Second, anisotropic diffusing filtering and adaptive thresholding are used to segment the initial liver volume. Third, morphological opening and connected component labeling are applied to multiple planes for removing neighbor organs. Finally, deformable surface model and probability summation map are performed to refine a posterior liver surface and missing left robe in previous step. Results All experimental datasets were acquired on ten living donors using a SIEMENS CT system. Each image had a matrix size of $512{\times}512$ pixels with in-plane resolutions ranging from 0.54 to 0.70 mm. The slice spacing was 2.0 mm and the number of images per scan ranged from 136 to 229. For accuracy evaluation, the average symmetric surface distance (ASD) and the volume overlap error (VE) between automatic segmentation and manual segmentation by two radiologists are calculated. The ASD was $0.26{\pm}0.12mm$ for manual1 versus automatic and $0.24{\pm}0.09mm$ for manual2 versus automatic while that of inter-radiologists was $0.23{\pm}0.05mm$. The VE was $0.86{\pm}0.45%$ for manual1 versus automatic and $0.73{\pm}0.33%$ for manaual2 versus automatic while that of inter-radiologist was $0.76{\pm}0.21%$. Conclusion Our method can be used for the liver volumetry for the pre-surgery planning of living donor liver transplantation.

갱년기(更年期) 증후군(症候群)에 미치는 대조환(大造丸)의 효과에 대한 임상 연구 (A Clinical Study on the Effect of Daejo-hwan(DJH) on Climacteric Syndrome)

  • 김수민;신선미;김의일;이정은;유동열
    • 대한한방부인과학회지
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    • 제19권4호
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    • pp.225-244
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    • 2006
  • Purpose : This study was performed to assess the clinical effect of Daejo-hwan(DJH) on climacteric syndrome, not only common symptoms such as hot flushes, anxiety, palpitation and so on, but also urogenital tract disturbances like vaginal dryness and sexual problems. Methods : We randomly divided 120 women with the climacteric syndrome into two groups. One group received only DJH 2 pills(4g) a time, three times a day for 8 weeks and the other group didn't get any treatment for the same period. We evaluated sonography, DXA, blood test, female hormone test and questionnaires in the beginning as well as after 8 weeks of the treatment. Symptoms were measured by Kupperman's index, Menopausal Rating Scale and the Greene Climacteric Scale. Results : In this study, DJH was innoxious on liver and kidney. And DJH in the treated group reduced climacteric symptoms significantly as compared to the control group without enlargement of uterus myoma and the change of estradiol. In Kupperman's index and MRS, DJH in the treated group especially had effects on fatigue, shoulder pain. anxiety, headache, hot flushes as well as sexual problems. Conclusion : These results suggest that DJH can be useful in treating various climacteric symptoms including sexual problems without influences on the size of uterus myoma and estradiol.

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전신방사선조사 시 선속 스포일러에 따른 선량 분포 및 영향 평가 (Beam Spoiler-dependent Total Body Irradiation Dose Assessment)

  • 이동연;김정훈
    • 대한방사선기술학회지:방사선기술과학
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    • 제41권2호
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    • pp.141-148
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    • 2018
  • This study examined the properties of photons and the dose distribution in a human body via a simulation where the total body irradiation(TBI) is performed on a pediatric anthropomorphic phantom and a child size water phantom. Based on this, we tried to find the optimal photon beam energy and material for beam spoiler. In this study, MCNPX (Ver. 2.5.0), a simulation program based on the Monte Carlo method, was used for the photon beam analysis and TBI simulation. Several different beam spoiler materials (plexiglass, copper, lead, aluminium) were used, and three different electron beam energies were used in the simulated accelerator to produce photon beams (6, 10, and 15 MeV). Moreover, both a water phantom for calculating the depth-dependent dosage and a pediatric anthropomorphic phantom for calculating the organ dosage were used. The homogeneity of photon beam was examined in different depths for the water phantom, which shows the 20%-40% difference for each material. Next, the org an doses on pediatric anthropomorphic phantom were examined, and the results showed that the average dose for each part of the body was skin 17.7 Gy, sexual gland 15.2 Gy, digestion 13.8 Gy, liver 11.8 Gy, kidney 9.2 Gy, lungs 6.2 Gy, and brain 4.6 Gy. Moreover, as for the organ doses according to materials, the highest dose was observed in lead while the lowest was observed in plexiglass. Plexiglass in current use is considered the most suitable material, and a 6 or 10 MV photon energy plan tailored to the patient condition is considered more suitable than a higher energy plan.

Changes in hematoserological profiles and leukocyte redistribution in rainbow trout (Oncorhynchus mykiss) under progressive hypoxia

  • Roh, HyeongJin;Kim, Bo Seong;Kim, Ahran;Kim, Nameun;Lee, Mu Kun;Park, Chan-Il;Kim, Do-Hyung
    • 한국어병학회지
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    • 제33권1호
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    • pp.23-34
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    • 2020
  • In recent years, global warming is causing dramatic environmental changes and deterioration, such as hypoxia, leading to reduced survival rate and growth performance of farmed aquatic animals. Hence, understanding systemic immuno-physiological changes in fish under environmental stress might be important to maximize aquaculture production. In this study, we investigated physiological changes in rainbow trout exposed to hypoxic stress by monitoring changes in blood chemistry, leukocyte population, and expression levels of related cytokine genes. Hematological and serological factors were evaluated in blood obtained from rainbow trout sampled at a dissolved level of 4.6 mg O2 L-1 and 2.1 mg O2 L-1. Blood and head kidney tissue obtained at each sampling time point were used to determine erythrocyte size, leukocyte population, and cytokine gene expression. The level of LDH and GPT in fish under progressive hypoxia were significantly increased in plasma. Likewise, the (Granulocyte + Macrophage)/lymphocyte ratio (%) of fish exposed to hypoxia was significantly lower than that in fish in the control group. Such changes might be due to the rapid movement of lymphocytes in fish exposed to acute hypoxia. In this study, significant up-regulation in expression levels of IL-1β and IL-6 gene appeared to be involved in the redistribution of leukocytes in rainbow trout. This is the first study to demonstrate the involvement of cytokines in leukocyte trafficking in fish exposed to hypoxia. It will help us understand systemic physiological changes and mechanisms involved in teleost under hypoxic stress.