• Title/Summary/Keyword: Urinary Bladder

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비확장성 요관결석에 대한 컬러 도플러의 유용성 (Usefulness of Color Doppler for Non-dilatational Ureteral Stone)

  • 심현선
    • 한국콘텐츠학회논문지
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    • 제17권1호
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    • pp.120-128
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    • 2017
  • 요로결석증으로 인한 급성 옆구리 통증은 환자들이 응급실로 방문하는 가장 흔한 질병이다. 연구의 목적은 수신증이 동반되지 않은 환자에서 컬러 도플러를 이용하여 요관결석 검출의 유용성에 대하여 알아보고자 한다. 신장, 요관, 방광의 단순 x-ray 검사에서 요로결석 의심 소견자 또는 소변검사에서 혈뇨 양성반응을 보인 161명의 환자를 대상으로 초음파 검사를 시행하고 후향적으로 분석하였다. 초음파검사에서 진단된 요관결석은 161명 환자 중 154례 (95.6%) 이었다. 수신증이 없고 컬러 도플러 초음파검사에서 섬광인공물(TA)을 동반한 요관결석은 21명 중 18례 (85.7%)이었다(p<0.001). 초음파는 비교적 저렴하고, 보편적으로 사용하므로 옆구리 통증을 갖는 환자의 요로결석 진단에 우선적으로 이용할 수 있다. 컬러 도플러를 이용하여 구분되지 않은 결석, 비확장성 요관결석, 중간요관 결석 검출에 높은 진단 효과를 갖는다.

경혈탐측기를 이용한 말초성 안면신경마비환자의 족부반사구 변화에 대한 임상적 고찰 (The Clinical Study on Measurement of Foot Reflex Zone Acupoint Detection of Facial Paralysis Patients by Acupoints Detector)

  • 왕개하;이은솔;황지후;김유종;김경호;김승현;윤인애;조현석
    • Journal of Acupuncture Research
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    • 제29권1호
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    • pp.1-8
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    • 2012
  • Objectives : We investigate the characteristics of foot reflex zone acupoint of facial paralysis patients. Methods : In order to make a comparison between facial nerve paralysis patient group and non-facial paralysis group, we measured foot reflex zone acupoint detection in both group of 18 patients who were diagnosticated to facial nerve paralysis and 18 persons who were not. Results : 1. In comparing the means of the foot reflex zone, the measurements of facial nerve paralysis group is different significantly from non-facial paralysis group(p<0.05). 2. The measurement of detection of foot reflex zone acupoints, such as hypophysis(垂體), nose(鼻), cerebrum(大腦), neck(頸項), Trapezius muscle(僧帽筋), eye(眼) and ear(耳) of the facial nerve paralysis group is different significantly in comparison with non-facial paralysis group(p<0.05). But the measurement of detection of foot reflex zone acupoints, such as trigeminal nerve(三叉神經), cerebellum (小腦), kidney(腎), ureter(輸尿管) and urinary bladder(膀胱) of the facial nerve paralysis group is not defferent significantly in comparison with non-facial paralysis group(p>0.05). Conclusions : The results suggest that foot reflex zone can be used in the diagnosis and treatment of facial nerve paralysis.

전립선암 근접시료시 주변 장기 선량 평가 (Radiation Dose Calculation in the Surrounding Organs during Brachytherapy of Prostate Cancer)

  • 김정훈;임창선;황주호
    • 한국의학물리학회지:의학물리
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    • 제19권3호
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    • pp.172-177
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    • 2008
  • 정량적인 방사선치료 선량을 예측하기위한 일환으로 한국표준남성에 기초하여 수학적 모의피폭체를 제작하였다. 이후 전립선을 선원장기로 하여 전립선암 근접치료 시 발생할 것으로 예상되는 전립선 및 주변장기의 흡수선량을 산정하였다. 모의모사를 위하여 방사성핵종은 전립선 근접치료에 유용하게 사용되는 $^{25}I$$^{103}Pd$선정하였고, 초기 방사능을 1 Ci를 투여하는 것으로 가정하였다. 그 결과 선원장기인 전립선이 $^{125}I$$^{103}Pd$ 경우 각각 101 Gy/Ci와 7.24 Gy/Ci를 나타냈으며, 전립선을 제외하고 흡수선량이 높은 장기는 비교적 전립선과 인접되어 있는 장기 즉 음경과 음낭, S자결장, 정소, 방광순으로 나타났다.

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원발성 기관지 반지세포암 1예 (A Case of Primary Signet Ring Cell Carcinoma of the Lung)

  • 최원일;손정호;권오영;허정숙;황재석;한승범;송홍석;전영훈;권건영
    • Tuberculosis and Respiratory Diseases
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    • 제41권5호
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    • pp.562-567
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    • 1994
  • 반지세포암은 과거에 여러 장기에서 보고되어졌으며 위에서 가장 많이 발생하며 드물게 대장, 직장, 담낭, 췌장, 유방, 전립선, 방광 그리고 요관 등에서 발생하는 것으로 알려져 있다. 폐에서 특히 작은 조직검사에서 반지세포가 나올 경우 일반적으로 전이에 의해 발생한 것으로 믿어져 왔다. 저자들의 경우 기관지경직시하 조직생검상 반지세포암으로 진단되었으며 다른 여러장기를 비침습적으로 조사한 결과 정상소견이어서, 원발성 폐의 반지세포암으로 추정되어 cisplatin과 etoposide의 복합 항암화학요법과 국소방사선조사를 시행하였으며 진단 후 176일째 급성호흡부전으로 사망하였다.

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동의보감(東醫寶鑑) 중(中) 목통(木通)이 주약(主藥)으로 배오(配伍)된 처방(處方)의 활용(活用)에 대한 고찰(考察) (Study on Application of Lignum akebiae Main Blended Prescription from Dongeuybogam)

  • 이상민;권택현;옥인수;윤용갑
    • 대한한의학방제학회지
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    • 제13권1호
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    • pp.195-213
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    • 2005
  • This report describes the remedial fields, symptoms, pathology, dosage, prescriptional constitution of 46 studies related to the use of Lignum akebiae main blended prescriptions from Dongeubogam. The following conclusions were reached through investigations on the prescriptions that use Lignum akebiae as a key ingredient. Lignum akebiae blended prescriptions are utilized 17.4% of prescriptions appear in the chapter of urine. Prescriptions that utilize Lignum akebiae as the main ingredient are used commonly in the treatment of the symptoms of a urine and a cystic disease related to the urinary organs, or the diseases of eye, ear, nose, throat and the symptoms of a tumor, abscess. Lignum akebiae is utilized for an etiological and pathologenic fators related to heat, dampness, phlegm and summer heat such as excessive fever of heart and bladder, fever of small intestine, lower energizer dampness and heat, fever due to blood deficiency, phlegm fire, affection by summer heat and dampness etc. The clinical dosage of Lignum akebiae is 1 don(about 3.75gram), according to symptoms, it has ranged at a wide variety of amounts from 3 pun(about 1.13gram) to 1.5 don(about 11.25gram). Lignum akebiae is widely applied with base prescriptions such as Dozuksan, Moktongchajuntang, Manjunmoktongtang. etc.

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PCR for Diagnosis of Male Trichomonas vaginalis Infection with Chronic Prostatitis and Urethritis

  • Lee, Jong-Jin;Moon, Hong-Sang;Lee, Tchun-Yong;Hwang, Hwan-Sik;Ahn, Myoung-Hee;Ryu, Jae-Sook
    • Parasites, Hosts and Diseases
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    • 제50권2호
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    • pp.157-159
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    • 2012
  • The aim of this study was to assess the usefulness of PCR for diagnosis of Trichomonas vaginalis infection among male patients with chronic recurrent prostatitis and urethritis. Between June 2001 and December 2003, a total of 33 patients visited the Department of Urology, Hanyang University Guri Hospital and were examined for T. vaginalis infection by PCR and culture in TYM medium. For the PCR, we used primers based on a repetitive sequence cloned from T. vaginalis (TV-E650). Voided bladder urine (VB1 and VB3) was sampled from 33 men with symptoms of lower urinary tract infection (urethral charge, residual urine sensation, and frequency). Culture failed to detect any T. vaginalis infection whereas PCR identified 7 cases of trichomoniasis (21.2%). Five of the 7 cases had been diagnosed with prostatitis and 2 with urethritis. PCR for the 5 prostatitis cases yielded a positive 330 bp band from bothVB1 and VB3, whereas positive results were only obtained from VB1 for the 2 urethritis patients. We showed that the PCR method could detect T. vaginalis when there was only 1 T. vaginalis cell per PCR mixture. Our results strongly support the usefulness of PCR on urine samples for detecting T. vaginalis in chronic prostatitis and urethritis patients.

고선량율 질강 근접조사를 위한 새로운 적용구의 제작 (Design of a New Applicator for High-Dose Rate Vaginal Brachytherapy)

  • 신세원
    • Journal of Yeungnam Medical Science
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    • 제17권2호
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    • pp.123-128
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    • 2000
  • 본 연구에서 인체공학적으로 개선된 새로운 2-채널 고선량을 근접치료용 적용구(Shin's Applicator)를 개발하였으며, 기존의 단일 선원 근접치료 적용구와 비교하여 질벽에 더 균등한 방사선치료가 가능하고 방광과 직장선량이 적어 근접치료 후 발생할 수 있는 부작용이 감소될 가능성을 확인하였다. 임상적으로 Shin's Applicator는 자궁 경부암이나 자궁 체부암의 수술 후 국소재발이나, 절강에 발생한 다발설 악성종양을 효과적으로 치료하는 데 유용하게 사용될 수 있을 뿐 만 아니라, 방사선 치료 후 흔히 나타나는 질강의 협착을 예방할 수 있는 질 확장기(vaginal dilator)로도 사용 가능하였다. 이상의 결과에서 Shin's Applicator는 부인과 종양환자들의 방사선치료 뿐만 아니라 치료 후 삶의 질의 개선에도 크게 기여할 것으로 생각되었다.

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Primary Splenic Paraganglioma in a Dog

  • An, Su-Jin;Moon, Jong-Hyun;Hwang, Tae-Sung;Lee, Hee-Chun;Yu, Do-Hyeon;Sur, Jung-Hyang;Jung, Dong-In
    • 한국임상수의학회지
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    • 제35권4호
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    • pp.155-160
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    • 2018
  • A 6-year-old intact female Shih-tzu dog was referred due to anorexia. Physical examination, complete blood count, serum chemical analysis, radiography, and ultrasonography were evaluated. Physical examination and hematological analysis showed normal findings. Abdominal radiographs and ultrasound revealed well-defined masses in the spleen. Other abdominal organs showed no significant abnormalities. Tissue samples taken via sono-guided fine needle aspiration of the splenic mass showed many bare nuclei, which were variable in size. Results of histopathological and immunohistochemical (IHC) analyses performed after splenectomy were consistent with paraganglioma. Based on these findings, we diagnosed this patient with a paraganglioma of splenic origin. Two months after splenectomy, abdominal ultrasonography revealed a new neoplastic lesion in the liver. The clients refused further management and the patient expired three months after initial diagnosis. Necropsy as well as histopathological and IHC examinations of other systemic organs including the liver, adrenal gland, kidney, brain, urinary bladder, lung, aortic body, carotid body, and pancreas were performed. The neoplastic tissue in the liver also demonstrated features of a paraganglioma, and there were no remarkable findings in all other organs.

Incidence of Cancer in Basrah: Results of a Household Survey

  • Hussain, Riyadh Abdul-Ameer;Habib, Omran S.
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권1호
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    • pp.163-167
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    • 2015
  • Background: Cancer is a major health problem at global level. It is increasingly registered in Iraq and Basrah but the epidemiological situation, though becoming better documented, is still questionable regarding the adequacy of data. Objective: The study aimed to measure the incidence of cancer in Basrah. Materials and Methods: The results presented in this paper are part of a large household survey carried out in Basrah governorate-southern Iraq over a 12 month period (January to December 2013). It involved a detailed interview with adult respondents from each and every household enrolled in the study during a three-year recall period about the incidence of cancer. A total of 6,999 households were covered yielding 40,684 persons. Results: The total number of new cancer cases reported over the three- year recall period (2010-2012) was 112. The average annual incidence rate of all cancers was 91.8 per 100,000 population with a higher rate for females (109.7) compared to males (74.3) The overall age standardized rate was 150.7 per 100,000. The highest incidence rate was recorded for the Southern part of the governorate (Abul-Khasib and Fao ) at 138.8 per 100,000 and the lowest was for East of Basrah (Shatt-Arab District) at 78.0 per 100,000. With respect to cancer types, the main cancers were those of breast, lung, larynx-pharynx, leukaemia, colon-rectum and urinary bladder. These six cancers accounted for 51.5% of all reported cases. Other important cancers were those of brain, bones, pancreas and liver, accounting for a further 17.9%. Conclusions: The pattern of cancer in Basrah is generally similar to the pattern at the national level in terms of age, sex and topography but the incidence rate according to the present household survey is higher than any previously reported figures. Household surveys for cancer seem feasible albeit difficult and costly.

비박형 사구체 기저막 질환이 동반된 중복 자궁 일측성 폐쇄질 및 동측 신장 무형성 증후군 ( Herlyn - Werner- Wunderlich syndrome ) 1례 (Thin Glomerular Basement Membrane Disease with Herlyn-Werner-Wunderlich Syndrome : Uterus Didelphys, Blind Hemivagina and Ipsilateral Renal Agenesis)

  • 김명수;박용준;박영준;박노혁;송지선;김병길
    • Childhood Kidney Diseases
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    • 제11권2호
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    • pp.299-305
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    • 2007
  • HWW(Herlyn-Werner-Wunderlich) 증후군은 중복자궁, 일측성 폐쇄질 및 동측 신장 무형성을 보이는 비뇨생식기계의 선천성 기형으로 매우 드문 질환 중 하나이다. 대부분 초경 이후 발생하는 월경통이나 복강내 종물등으로 발견되지만, 본 증례는 소아에서 반복되는 요로 감염과 현미경적 혈뇨로 인해 진단된 경우이다. 복부 초음파 검사에서 일측 신무형성이나 중복 자궁의 소경이 보일 때는 이러한 뮬러관 기형의 가능성을 염두에 두어야 보다 빠른 진단이 가능하고, 환자의 고통 또한 중여줄 수 있을 것이다. 특히 반복되는 요로 감염시에도 단순한 감염 치료보다 정밀검사를 항상 염두에 두어야 할 것이다.

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