• 대한한방내과학회지
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• 제21권4호
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• pp.683-686
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• 2000

Vesicoureteral reflux(VUR) is a state that urine regurge from bladder to ureter and kidney because of congenital, structural, functional abnormality of ureterovesical junction and lower urinary tract than bladder. It may be the primary cause of recurrent urinary tract infection(UTI) in chindhood, If urine regurge with UTI, it can cause renal damage, leading to scar formation, hypertension, chronic renal failure, But upper complications can be prevented by early diagnosis and proper treatment of VUR and UTI, so clinician must focus on them in treatment of VUR. We had experienced a case of recurrent UTI with VUR regardless of consistent antibiotics therapy in 7 years old boy, Chief complain was urinary frequency, The symptom of urinary frequency was successfully treated by herb medicine(Gamijihwag-tang), So, we report this case with a brief review of related literatures.

• Childhood Kidney Diseases
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• 제21권2호
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• pp.94-100
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• 2017

Purpose: The American Academy of Pediatrics provides guidelines for managing febrile urinary tract infection (UTI) in infants and children 2-24 months old, but little guidance is offered regarding UTIs in those younger than 8 weeks of age. The definition of UTI is unclear and whether to proceed with micturating cystourethrography (MCUG) or $^{99m}$technetium-dimercaptosuccinic acid (DMSA) scintigraphy scan in this age group is controversial. Methods: We retrospectively analyzed 29 neonates and infants younger than 2 months of age who underwent late DMSA scans 9 months following the first episode of febrile or symptomatic UTI between July 2009 and June 2016. Results: In total, 192 children aged 0-24 months underwent ultrasound and DMSA scans (MCUG in 174/192). Neonates and infants younger than 2 months of age were significantly less likely to develop fever, and had a lower fever peak, shorter duration of fever before admission and after starting antibiotics, longer hospitalization period, lower C-reactive protein, and greater incidence of nonEscherichia coli infection. There was no difference in pyuria response at diagnosis. The prevalence rates of an ultrasound abnormality (28%), vesicoureteral reflux (28%), UTI recurrence (38%), and renal scarring (10%) in infants younger than 8 weeks of age were similar to those in children 2-24 months old. Conclusion: Neonates and infants younger than 2 months of age with UTI warrant special consideration because the fever response used for diagnosis in older children may be absent or blunted. Clinical guideline is needed for the diagnosis and management of UTI in this age group.

• 대한간호학회지
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• 제39권1호
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• pp.116-123
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• 2009

Purpose: The study was done to identify lower urinary tract symptoms (LUTS) and to evaluate the factors affecting LUTS for the people with Parkinson's disease. Methods: The research design was a cross-sectional study with interviews using a structured questionnaire. The participants were 72 patients with Parkinson's disease who were seen in the Neurology clinic of a university hospital from September to November 2005. Results: Mean score of LUTS for the participants was 10.11. In each symptom score of LUTS (range 0-5), weak stream was the highest 2.06, followed by nocturia 1.71, and urgency 1.61. The severity of LUTS was moderate to severe group for 51%. LUTS were significantly different by regular exercise. Positive correlations were observed between Hoehn and Yahr stage (stage of disease severity) and frequencyand between Hoehn and Yahr stage and urgency (r=.280, p=.018; r=.328, p=.005). LUTS were significantly predicted by regular exercise (p=.001) which explained 15.0% of the variance in LUTS. Conclusion: Regular exercise was found to be a very important factor associated with LUTS for patients with Parkinson's disease.

• Childhood Kidney Diseases
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• 제28권1호
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• pp.35-43
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• 2024

Purpose: Recurrent urinary tract infections (UTIs) in children is a major challenge for pediatricians. This study was designed to investigate the risk factors for recurrent UTIs and determine the association between recurrent UTIs and clinical findings, including growth patterns in infants and children younger than 24 months of age. Methods: We retrospectively reviewed the medical records of 147 patients <24 months of age with UTIs who were hospitalized between August 2018 and October 2021. The patients were divided into recurrent and single UTI episode groups. Clinical findings and anthropometric and laboratory data were compared between the two groups. Results: In the recurrent UTI group, the weight-for-length (WFL) percentile at the first UTI diagnosis was lower compared to the single UTI episode group, and the weight-for-age percentile at 3-month and 6-month follow-ups after the first UTI decreased (all P<0.05). In univariable logistic regression analysis, higher birth weight, lower WFL percentile, the presence of hydronephrosis, acute pyelonephritis or vesicoureteral reflux, the use of prophylactic antibiotics, and non-Escherichia coli infections were associated with the development of recurrent UTIs (all P<0.05). However, in the multivariable analysis, only the presence of hydronephrosis and prophylactic antibiotic use were independently related to UTI recurrence (P<0.05). Conclusions: The presence of hydronephrosis at the first UTI can be helpful for predicting UTI recurrence in young children aged <24 months. Antibiotic prophylaxis may be associated with UTI recurrence. Potential growth delay should be carefully monitored in infants with recurrent UTI.

• 융합신호처리학회논문지
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• 제8권1호
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• pp.6-14
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• 2007

요역동학검사는 하부요로계의 이상증상을 진단하기위하여 수행된다. 일반적으로 임상에서 행해지는 요역동학검사에서는 침습적인 방법으로 방광을 채운 후 배뇨하는 절차를 거친다. 하지만 이러한 방법은 카테터를 삽입해야하므로 환자에게 고통을 수반하게 한다. 본 연구에서는 비침습적이고 보다 편리한 방법으로 하부요로계의 기능을 평가할 수 있는 시스템을 구현하고자 하였다. 비침습적인 방법으로 하부요로증상(lower urinary tract symptoms, LUTS)의 진단을 위하여 배뇨시 요속, 요류음, 비침습적 방광내압을 측정할 수 있는 시스템을 구현하였다. 구현된 시스템은 센서부, 신호처리부, FPGA를 이용한 시스템 제어부 그리고 PC모니터링 프로그램으로 구성하였다. 그리고 구현된 계측시스템의 평가를 위하여 FPGA 시스템 제이부의 시뮬레이션을 수행하였고 인체의 하부요로계를 모식화한 실험장치를 구현하였다. 실험장치를 이용한 측정부의 평가결과 요속측정부의 평균에러율이 1.08%, 계수변화율이 1.48로 평가되었다. 그리고 비침습적 방광내압부는 평균에러율이 2.41%, 계수변화율이 2.81로 나타났다. 요류음신호의 시간영역과 주파수영역에서의 분석위해 평균실효치전력(average RMS power)과 주파수영역에서의 중심주파수(median frequency, MF)를 분석하였으며, 그 결과 $60{\sim}160Hz$의 중심주파수대에서 폐색을 가장 잘 반영하였다.

• 간호행정학회지
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• 제21권1호
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• pp.64-76
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• 2015

Purpose: To implement evidence-based nursing, it is important to know where and how to find the best available evidence. This study was conducted to identify the results of a search from Ovid MEDLINE and to compare the results from Ovid MEDLINE with those from PubMed MEDLINE. Methods: Four different approaches via Ovid MEDLINE were used to search for guidelines on preventing catheter-associated urinary tract infections. Outcomes of this study were the number of records and relevant literature, and the sensitivity and precision of the search methods via Ovid MEDLINE. Results: The number of retrieved items ranged 23 to 6,005 and that of relevant studies, 5 to 8 of 8. Simple searches resulted in the highest sensitivity of 100.0%. When using MeSH terms and limits feature, the precision was highest (21.7%) among four approaches for literature searches. Simple searches in Ovid had higher sensitivity and lower precision than those in PubMed. Conclusion: Simple searches in Ovid may be inefficient for busy clinicians compared to PubMed. However, to ensure a comprehensive and systematic literature search, using Ovid MEDLINE in addition to PubMed is recommended.

• Clinical and Experimental Pediatrics
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• 제50권5호
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• pp.457-461
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• 2007

목 적 : 요로 감염은 소아에서 흔한 세균성 감염 질환이다. 특히 영아나 어린 소아에서의 감염은 수신증이나 방광 요관 역류와 같은 요로의 동반 기형과 관련성이 높다. 이 연구의 목적은 영아와 어린 소아에서 E. coli 에 의한 요로 감염과 E. coli 외의 다른 균에 의한 요로 감염사이의 임상소견과 검사실 소견, 요로계 영상 검사 소견을 비교해 보는 것이다. 방 법 : 2003년 1월부터 2005년 12월까지 부산 일신 기독 병원 소아과에 요로감염으로 입원한 170명의 환아들의 임상 기록을 후향적으로 분석하였다. 모든 환아들은 E. coli 요로 감염과 non-E. coli 요로 감염의 두 그룹으로 나뉘었고 각각의 인구학적 자료, 임상 자료(발열 정도와 기간, 해열 기간, 입원 기간), 요로계 동반 질환(병력과 초음파를 통해)과 감염의 재발(병력과 과거 의무 기록을 통해), 검사실 소견[요 침사 현미경 검사, 말초혈액 백혈구 수, 적혈구(ESR), CRP, 혈청 크레아티닌 수치]을 비교하였다. 결 과 : 요로 감염으로 진단된 170명의 환아 중 114명(67.1%)은 E. coli에 의한 요로 감염이었고 나머지 56명(32.9%)은 다른 요로 감염 균에 의한 감염이었다. Non-E. coli 그룹은 E. coli 그룹에 비해 발병 연령이 더 낮고($0.52{\pm}0.59$세 vs $0.84{\pm}1.39$세, P<0.05), 요로 기형의 동반률이 높고[46례(82.1%) vs 53례(46.5 %), P<0.001], 재발률이 높고, 해열까지의 기간이 더 짧으며, 말초혈액 백혈구수가 더 적고, CRP 수치가 더 낮고, ESR 수치가 더 낮다. 결 론 : Non-E. coli 요로 감염은 E. coli 요로 감염에 비해 발병 연령이 더 어리고, 경한 임상 양상과 검사실 소견을 보이며, 요로 기형의 동반률이 높고 재발률도 높다.

• 한국임상수의학회:학술대회논문집
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• 한국임상수의학회 2009년도 춘계학술대회
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• pp.266-266
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• 2009

• 임상간호연구
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• 제23권3호
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• pp.332-340
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• 2017

Purpose: This study was to identify the quality of life and its related factors in patients with benign prostatic hyperplasia. Methods: A cross-sectional survey design was utilized. Data were collected using questionnaires from 128 patients with benign prostatic hyperplasia who visited an outpatient department at one general hospital in 2016. Data were analyzed using Mann-Whitney U test, Kruskal Wallis test, Pearson's correlation coefficient and hierarchical multiple regression analysis. Results: Mean age of the participant was $67.81{\pm}6.94$. Mean years since diagnosis was $6.41{\pm}5.20$. The mean score of quality of life was $0.82{\pm}0.09$, indicating that QOL was relatively low. Lower urinary tract symptoms (p=.029), anxiety, depression, Activities of daily living were significantly correlated to with quality of life (p<.001). Activities of daily living accounted for 54% (p<.001) of the variance in quality of life as a result of hierarchical multiple regression analysis. Conclusion: The results of the study showed that nursing intervention may improve the quality of life of patients with benign prostatic hyperplasia by increasing their Activities of daily living.

• Journal of Trauma and Injury
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• 제29권4호
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• pp.201-203
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• 2016

Rectal injury is seen in 1-2% of all pelvic fractures, and lower urinary tract injury occurs in up to 7%. These injuries are rare, but if missed, can lead to a severe septic response. Rectal injury may be suspected by the presence of gross blood on digital rectal examination. However, this classic sign is not always present on physical examination. If an Antero-Posterior Compression type pelvic fracture is seen, we should consider the possibility of rectal and lower urinary tract injury. It is important to define the anatomic location of the rectal injury as it relates to the peritoneal reflection. Trauma to the intraperitoneal rectum should be managed as a colonic injury. Extraperitoneal rectal injury should be managed with fecal diversion regardless of primary repair. We present the case of a 46-year-old man who was referred to our hospital following a major trauma to the pelvis in a pedestrian accident.