<31352DB1E8BCBCC1DF2DC6EDC1FD2DBDBD2D4F4B2E687770>
|
|
- 아성 박
- 6 years ago
- Views:
Transcription
1 혈뇨와단백뇨, 안심하고추적하는법 서울대학교의과대학내과학교실분당서울대학교병원신장내과 김세중 혈뇨 (hematuria) 198 분당서울대학교병원
2 제 8 회분당서울대학교병원내과연수강좌 2012 중요한병력및이학적소견 Recent sore throat, skin infection, Weight change, Trauma, exercise, menstruation, Recent bladder catheterization Dysuria, frequency, urgency Abdominal pain, CVA pain, suprapubic pain, Medication, passage of calculus 중요한병력및이학적소견 Family History hematuria, deafness, renal failure, hypertension, hemophilia, hemoglobinopathy Physical Exam fever, arthritis, rash, nephromegaly, hypertension, CVAT 분당서울대학교병원 199
3 1. Drugs Analgesics Anticoagulants Anticonvulsants Antiinfective Antiinfectives Antiparkinson 2. Vegetable dyes and foods 가성혈뇨 acetoanilid, aminopyrine, ethoxazene, phenacetin mets, acetophenetidine, phenazopyridine warfarin, phenidione diphenylhydantoin, phenylsuximide azo grantrisin, azo grantanol aztrex, chloroquine, flurazolidone, metronidazole, nitrofurantoins, primaquine, pyrogallol, quinine, rifampin, sulfasalazine levodopa 3. Urinary pigment bile, melanin, porphyrins, urorosein, Serratia marscens 4. Metabolic disease alcaptonuria, urates, phosphates When the Urine is Red 가성혈뇨 vs 진성혈뇨 : dipstick 검사, microscopy Hemoglobinuria, Myoglobinuria 의감별 신성혈뇨의확인 비신성혈뇨 : 출혈부위진단 200 분당서울대학교병원
4 제 8 회분당서울대학교병원내과연수강좌 2012 혈뇨검사법 소변의채취 morning first voided urine midstream catch Avoid catheterization 2 시간이내검사시행 냉장보관은피한다. Dipstick test False positive Hemoglobinuria Myoglobinuria High concentration of pseudoperoxidase activity (Enterobacteriaceae, staphylococci, streptococci) False-negative Ascorbic acid: missed low-grade microscopic hematuria protein, high S.G., increased nitrite High specificity and low sensitivity 분당서울대학교병원 201
5 혈뇨의정의 정상 : RBC output <1,000/min 혈뇨 : 1-13% prevalence in adults - microscopic >3/HPF (2-5/HPF) >3,000/min >8,000/ml - gross >10,000/min 202 분당서울대학교병원
6 제 8 회분당서울대학교병원내과연수강좌 2012 Red Urine Occult blood(+) Occult blood(-) RBC Hgb Mgb Drug, dye etc hematuria Hemoglobinuria Spun serum clear red clear U/A benzidine dipstick test + RBC in urine - - microscopy + Myoglobinuria Additive data haptoglobin elevated CK urine hemosiderin aldolase 분당서울대학교병원 203
7 Causes of hematuria according to persistency and age 혈뇨의원인 : 신장실질질환 1) idiopathic GN: IgA N, MPGN, FSGS, thin GBM disease 2) secondary GN HBGN, LN, PSGN, Alport syndrome polyarteritis nodosa (vasculitis) 3) tubulointerstitial disease acute or chronic tubulointerstitial nephritis 204 분당서울대학교병원
8 제 8 회분당서울대학교병원내과연수강좌 2012 Microscopy Isomorphic dysmorphic Urine microscopy Erythrocytes Isomorphic: from urinary excretory system Dysmorphic: glomerular origin >80% of total erythrocytes 분당서울대학교병원 205
9 Dysmorphic RBC at fresh urine, s.g. >1.015 Wright stain Phase contrast microscope 일반적으로 >75% 이면 nephronal RBC cast 206 분당서울대학교병원
10 제 8 회분당서울대학교병원내과연수강좌 2012 Nephronal vs non-nephronal hematuria Nephronal Non-nephronal color dark Fresh red clot - + RBC cast + - proteinuria > ~500 mg/day < ~500 mg/day Dysmorphic RBC >80% <80% 혈뇨의원인 : 상부요로 (I) Vascular disease Renal infarction, sickle cell trait, AV malformation, Nutcracker syndrome, renal vein thrombosis, Loin pain-hematuria syndrome Cystic disease of the kidney: ADPKD 분당서울대학교병원 207
11 Nutcracker syndrome (renal vein entrapment syndrome) 혈뇨의원인 : 상부요로 (II) Nephrolithiasis, nephrocalcinosis Infections: pyelonephritis, Tbc Tumors: renal cell ca., angiomyolipoma Trauma (including renal biopsy) 208 분당서울대학교병원
12 제 8 회분당서울대학교병원내과연수강좌 2012 혈뇨의원인 : 하부요로 Stone: UVJ stone, bladder stone Trauma sport-related hematuria marathon runner s hematuria Tumor: bladder ca., prostate ca. Infection: cystitis, prostatitis, urethritis, True hematuria Culture (-) Urine culture Culture (+) Check PT/aPTT CBC, platelets normal abnormal Bacterial cystitis, urethritis Tbc, pyelonephritis, proteinuria RBC RBC cast, dysm RBC RBC Coagulation disorder nephronal non-nephronal 분당서울대학교병원 209
13 Glomerular hematuria Isolated microscopic hematuria Proteinuria or or renal insufficiency Periodic medical F/U F/U (for (for proteinuria or or renal insufficiency) Nephrology Referral Glomerulonephritis Vasculitis Tubulointerstitial nephritis Alport syndrome Benign familial hematuria Non-nephronal hematuria Helical CT CT Referral based on on lesion Cytologic analysis of of urine Cystoscopy Yr Yr age age or or risk risk facotors for for bladder cancer Cystoscopy <50 <50 Yr Yr of of age age without risk risk factors for for bladder cancer Workup ends 210 분당서울대학교병원
14 제 8 회분당서울대학교병원내과연수강좌 2012 Malignancy risk in Older Patients Even transient hematuria carries an appreciable risk of malignancy, Particularly in older individuals with risk factors Hematuria, often transient/gross in 23 patients over age 50: 5 had cancers of UT Another study with 1930 hematuria patients mean age 58 12%: bladder cancer 0.7%: kidney and upper tract tumors Urine cytology Urothelial cell Sensitivity 40-76% (stage, grade, expertise) High in bladder ca (~90%) Limited in upper tract TCC High false negative rate Exclude high grade tumor 15% atypical/suspicious Proved to have malignancy Cystoscopy is warranted in (+) cytology 분당서울대학교병원 211
15 Cystoscopy Bladder pathology diagnostic image with limited role Indication Gross hematuria and/or irritative symptoms (in the absence of UTI) High risk group High risk patients (Cystoscopy recommended) Age over 50 Prolonged heavy phenacetin use Heavy smoking Exposure to certain dyes Long-term administration of cyclophosphamide Analgesic abusers Pelvic irradiation 212 분당서울대학교병원
16 제 8 회분당서울대학교병원내과연수강좌 2012 Renal Biopsy Not recommended in isolated microscopic hematuria except, evidence of progressive disease Renal dysfunction, azotemia, etc Proteinuria Hypertension Follow Up in Undiagnosed Hematuria To exclude undiagnosed malignancies After (-) result of radiologic studies, cytology, cystoscopy Risk: 1% at 3-5 years in old age In high risk patients Periodic: urinalysis with cytology (6, 12, 24, 36 m) Yearly US and Cystoscopy (optional) To detect the glomerular disease 분당서울대학교병원 213
17 Hematuria itself is not dangerous unless extraglomerular bleeding is so brisk that it causes clots that obstruct the ureter May be a symptom of an underlying serious condition Particularly in age >50 단백뇨 (proteinuria) 214 분당서울대학교병원
18 제 8 회분당서울대학교병원내과연수강좌 2012 Measurement of urine protein Semiquantitative tests precipitation tests (5 to 10 mg/dl) adding 5% sulfosalicylic acid or concentrated nitric acid heating the urine and adding glacial acetic acid dipstick test (10 to 15 mg/dl) tetrabromphenol blue Comparison of Semiquantitative Methods of Measuring Urinary Protein Concentration Protein Concentration dipstick* Sulfosalicylic Acid (mg/dl) 0 0 No turbidity 1 10 Trace Slight turbidity Turbidity through which print can be read White cloud without precipitate through which heavy black lines on white background can be seen White cloud with fine precipitate through which heavy black lines cannot be seen > Flocculent precipitate * The dipstick readings are graded from 0 to 4+ depending on the color change produced. 분당서울대학교병원 215
19 Protein quantification Protein:creatinine ratio >24 HU collection 24 HU collection Still widely used but time-consuming, errors of overcollection and under-collection, impractical for many patients Spot urine protein: creatinine ratio Circadian rhythm of protein excretion (lowest overnight) and fairly constant creatinine excretion over 24 hours : at the same time of the day for f/u Anti-proteinuric Barrier of GBM Charge selective barrier: negatively charged sialoglycoprotein Size selective barrier: 44A Fractional Clearance Effective molecular radius Anionic Neutral Cationic 216 분당서울대학교병원
20 제 8 회분당서울대학교병원내과연수강좌 2012 Normal physiology Definition of proteinuria Proteinuria: >150 mg/day in adults Overt proteinuria >500 mg/day Nephrotic proteinuria >3.5 g/day 분당서울대학교병원 217
21 Albuminuria >30 mg/day Microalbuminuria: albuminuria which is not detected by routine urine dipstick test Albumin excretion between mg/day Represents early endothelial injury in DM nephropathy or cardiovascular disease 단백뇨의접근 Proteinuria Repeat Repeat U/A U/A Proteinuria(+) Proteinuria(-) Persistent proteinuria Transient proteinuria By fever, exercise, stress W/U W/U for for Orthostatic proteinuria Pathologic Proteinuria Orthostatic Proteinuria 218 분당서울대학교병원
22 제 8 회분당서울대학교병원내과연수강좌 2012 Mechanism of proteinuria Mechanism of proteinuria 분당서울대학교병원 219
23 단백뇨의평가 1. Initial screening studies R/O false (+) result; highly concentrated urine, exercise, fever urinary sediment; glomerular origin associated systemic disease; DM, HBGN, LN repeat qualitative test if false (+) test or transient 2. Preliminary quantification PEP/IEP in elderly orthostatic proteinuria in young 3. Definitive kidney biopsy in glomerular proteinuria (>1 g/day), hematuria 단백뇨의종류와 Urine PEP γ β α2 α1 alb γ β α2 α1 alb Normal Glomerular proteinuria Tubular proteinuria (b2 microglobulin) Overproduction Proteinuria (multiple myeloma, hemoglobinuria, rhabdomyolysis) 220 분당서울대학교병원
슬라이드 제목 없음
Hematuria and proteinuria Tae-Hyun Yoo Department of Internal Medicine, College of Medicine Yonsei University, Seoul, Korea Case I 남자 74 세, microscopic hematuria 로의뢰됨 병력상고혈압 3 년, 전립선비대증 흡연력 -, 음주력 social
More information한국성인에서초기황반변성질환과 연관된위험요인연구
한국성인에서초기황반변성질환과 연관된위험요인연구 한국성인에서초기황반변성질환과 연관된위험요인연구 - - i - - i - - ii - - iii - - iv - χ - v - - vi - - 1 - - 2 - - 3 - - 4 - 그림 1. 연구대상자선정도표 - 5 - - 6 - - 7 - - 8 - 그림 2. 연구의틀 χ - 9 - - 10 - - 11 -
More informationPharmacotherapeutics Application of New Pathogenesis on the Drug Treatment of Diabetes Young Seol Kim, M.D. Department of Endocrinology Kyung Hee Univ
Application of New Pathogenesis on the Drug Treatment of Diabetes Young Seol Kim, M.D. Department of Endocrinology Kyung Hee University College of Medicine & Hospital E mail : ycell2@yahoo.co.kr Abstract
More information저작자표시 - 비영리 - 변경금지 2.0 대한민국 이용자는아래의조건을따르는경우에한하여자유롭게 이저작물을복제, 배포, 전송, 전시, 공연및방송할수있습니다. 다음과같은조건을따라야합니다 : 저작자표시. 귀하는원저작자를표시하여야합니다. 비영리. 귀하는이저작물을영리목적으로이용할
저작자표시 - 비영리 - 변경금지 2.0 대한민국 이용자는아래의조건을따르는경우에한하여자유롭게 이저작물을복제, 배포, 전송, 전시, 공연및방송할수있습니다. 다음과같은조건을따라야합니다 : 저작자표시. 귀하는원저작자를표시하여야합니다. 비영리. 귀하는이저작물을영리목적으로이용할수없습니다. 변경금지. 귀하는이저작물을개작, 변형또는가공할수없습니다. 귀하는, 이저작물의재이용이나배포의경우,
More information슬라이드 1
Proposed Korean guideline for the diagnosis of BPH Hyun Woo Kim The Catholic University of Korea BPH Guideline AHCPR guideline on BPH (1994) AUA guideline on BPH (2003) EAU guideline on BPH (2004) International
More informationÀ̱ٿµ
607 Table 1. Diagnostic Accuracy in the Detection of Urinary Stone Between CT Urography (CTU) and Intravenous Urography (IVU) (n=34) CTU Urinary stone (+) Urinary stone ( ) (n=27) (n=7) IVU Urinary stone
More information전립선암발생률추정과관련요인분석 : The Korean Cancer Prevention Study-II (KCPS-II)
전립선암발생률추정과관련요인분석 : The Korean Cancer Prevention Study-II (KCPS-II) 전립선암발생률추정과관련요인분석 : The Korean Cancer Prevention Study-II (KCPS-II) - i - - ii - - iii - - iv - - v - - vi - - vii - - viii - - ix - -
More information김범수
Analysis of Outcomes after Resection of Sarcomatous Hepatocellular Carcinoma Purpose: Sarcomatous hepatocellular carcinoma (HCC) is rare. Therefore, the clinicopathologic characteristics and prognosis
More information<B0E6C8F1B4EBB3BBB0FA20C0D3BBF3B0ADC1C E687770>
심전도연수강좌 : 처음시작하는사람들을위한심전도 연세대학교원주의과대학순환기내과학교실 안민수 Cardiac Electrophysiology I : Automaticity : 60-100 회 /min, His bundle : 40-60 회 /min Bundle branch : 20-40 회 /min Purkinje fiber : 20 회 /min Cardiac Electrophysiology
More information(Microsoft PowerPoint - S13-3_\261\350\273\363\307\366 [\310\243\310\257 \270\360\265\345])
Cardiovascular Disease in Metabolic Syndrome 김상현 보라매병원내과 서울대학교의과대학내과학교실 Contents Metabolic syndrome and Cardiovascular system CVD Mortality Coronary artery disease Heart failure Atrial fibrillation Management
More information- i - - ii - - iii - - iv - - v - - vi - - 1 - - 2 - - 3 - 1) 통계청고시제 2010-150 호 (2010.7.6 개정, 2011.1.1 시행 ) - 4 - 요양급여의적용기준및방법에관한세부사항에따른골밀도검사기준 (2007 년 11 월 1 일시행 ) - 5 - - 6 - - 7 - - 8 - - 9 - - 10 -
More information대한한의학원전학회지26권4호-교정본(1125).hwp
http://www.wonjeon.org http://dx.doi.org/10.14369/skmc.2013.26.4.267 熱入血室證에 대한 小考 1 2 慶熙大學校大學校 韓醫學科大學 原典學敎室 韓醫學古典硏究所 白裕相1, 2 *117) A Study on the Pattern of 'Heat Entering The Blood Chamber' 1, Baik 1
More informationRisk of Developing Hypertension by Daily Intake of Alcohol
JNC 7 ESH/ESC (Guidelines) Guidelines 2003. 5 JNC 7 Guidelines ; The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure JAMA. 2003;289:2560-2572.
More information<B0E6C8F1B4EBB3BBB0FA20C0D3BBF3B0ADC1C E687770>
2012 개원의와함께하는임상강좌 경희대학교의과대학감염내과학교실 문수연 F/29 CC: fever, headache, multiple cervical lymph node onset) 5 days ago 1 cm sized Bilateral, mild tender, movable, soft Reactive LN with viral infection 2012 개원의와함께하는임상강좌
More information서론 34 2
34 2 Journal of the Korean Society of Health Information and Health Statistics Volume 34, Number 2, 2009, pp. 165 176 165 진은희 A Study on Health related Action Rates of Dietary Guidelines and Pattern of
More informationLumbar spine
Lumbar spine CT 32 111 DOI : 10.3831/KPI.2010.13.2.111 Lumbar Spine CT 32 Received : 10. 05. 23 Revised : 10. 06. 04 Accepted : 10. 06. 11 Key Words: Disc herniation, CT scan, Clinical analysis The Clinical
More information내시경 conference
부울경소화기내시경학회 6월집담회 고신대학교복음병원소화기내과전임의서광일 F/63 CASE C.C) epigastric pain for 2 wks P. I) 2014.04.16 EGD at LMC adm via OPD for further evaluation. P. Hx) CASE HTN/DM/Hepatitis/Tbc (+/+/-/-) S. Hx) N-S ROS)
More informationγ
경락경혈학회지 Vol.27, No.1, pp.87 106, 2010 Journal of Meridian & Acupoint Dept. of 1 Meridian & Acupoint, 3 Acupuncture & Moxibustion, College of Oriental Medicine, Daejeon University 2 Division of Clinical
More informationÀÇÇа�ÁÂc00Ì»óÀÏ˘
Common Allergic Diseases in Children Sang - Il Lee, M.D. Department of pediatrics Sungkyunkwan University School of Medicine, Samsung Medical Center E - mail : silee@smc.samsung.co.kr Abstract Allergy
More information현재도 피운다. (a) Half pack a day (b) half to one pack a day 반 갑 미만 반 갑 ~ 한 갑 (c) one to two packs a day (d) more than 2 packs a day 한 갑 ~ 두 갑 두 갑 이상 5. Ho
Name: Preliminary Medical Examination (Female) 문진표(여성) 1. Have you ever suffered from or been treated for below diseases for more than 3 months? 과거에 다음과 같은 질병으로 3개월 이상 앓았거나 진단(치료)을 받은 적이 있습니까? 1 diabetes
More informationK O R E A C E N T E R S F O R D I S E A S E C O N T R O L & P R E V E N T I O N PHWR Vol. 5 No. 41 www.cdc.go.kr/phwr 2012 10 12 5 41 ISSN:2005-811X Comparison of drug-susceptibility test to the anti-tuberculosis
More informationAbstract Background : Most hospitalized children will experience physical pain as well as psychological distress. Painful procedure can increase anxie
Volume 12, Number 1, 92~102, An Intervention Study of Pain Reduction during IV Therapy in Hospitalized Children Myo-Jin Kim 1), Joung-Hae Bak 1), Won-Seok Seo 2) Mi-Young Kim 3), Sun-Kyoung Park 3), Jai-Soung
More information012임수진
Received : 2012. 11. 27 Reviewed : 2012. 12. 10 Accepted : 2012. 12. 12 A Clinical Study on Effect of Electro-acupuncture Treatment for Low Back Pain and Radicular Pain in Patients Diagnosed with Lumbar
More informationAbstract Musculoskeletal Symptoms and Related Factors for Nurses and Radiological Technologists Wearing a Lead Apron for Radiation Pro t e c t i o n Jung-Im Yoo, Jung-Wan Koo 1 ) Angio Unit, Team of Radiology,
More information00약제부봄호c03逞풚
경희대학교 동서신의학병원 약품 정보지 2 0 0 7. S P R I N G. V O L. 0 1 신약 소개 02 Journal Review 03 Special Subject 04 복약 지도 06 의약품 안전성 정보 07 약제부 알림 07 약제부 업무 소개 08 E A S T - W E S T N E O M E D I C A L C E N T E R 본 약품
More informationePapyrus PDF Document
Introduction 373 374 Definition of Child Abuse 375 376 Current Status of Child Abuse 377 378 Causes of Child Abuse 379 Signs and Sequelae of Child Abuse 380 A B C 381 382 383 384 385 Clinical Evaluation
More information#Ȳ¿ë¼®
http://www.kbc.go.kr/ A B yk u δ = 2u k 1 = yk u = 0. 659 2nu k = 1 k k 1 n yk k Abstract Web Repertoire and Concentration Rate : Analysing Web Traffic Data Yong - Suk Hwang (Research
More information388 The Korean Journal of Hepatology : Vol. 6. No COMMENT 1. (dysplastic nodule) (adenomatous hyperplasia, AH), (macroregenerative nodule, MR
6 3 2000 ; 387-392 (3) Dysplastic Nodule Young Nyun Park, M.D., Chanil Park, M.D. Department of Pathology, Yonsei University College of Medicine BRIEF HISTORY 56. AST/ALT 72/73 IU/L, total bilirubin 0.7
More information페링야간뇨소책자-내지-16
야간뇨의진단과치료 - 실제적접근 - Reference 1. Choo MS, Ku JH, Park CH et al. Prevalence of Nocturia in a Korean Population Aged 40 to 89 Years. Neurourol Urodyn 2008; 27:60-64. 2. Weiss JP. Prevalence
More information16(2)-7(p ).fm
w wz 16«2y Kor. J. Clin. Pharm., Vol. 16, No. 2. 2006 ü t xy y w tœ ½ BÁ x BC B y w w w C y w w w Current Status and Expectations of Orphan Drugs in Korea -In point of supplying medicines for the rare
More informationMay 10~ Hotel Inter-Burgo Exco, Daegu Plenary lectures From metabolic syndrome to diabetes Meta-inflammation responsible for the progression fr
May 10~12 2012 Hotel Inter-Burgo Exco, Daegu Plenary lectures From metabolic syndrome to diabetes Meta-inflammation responsible for the progression from obesity to metabolic syndrome originates in the
More information1..
Volume 12, Number 1, 6~16, Factors influencing consultation time and waiting time of ambulatory patients in a tertiary teaching hospital Jee-In Hwang College of Nursing Science, Kyung Hee University :
More information- iii - - i - - ii - - iii - 국문요약 종합병원남자간호사가지각하는조직공정성 사회정체성과 조직시민행동과의관계 - iv - - v - - 1 - - 2 - - 3 - - 4 - - 5 - - 6 - - 7 - - 8 - - 9 - - 10 - - 11 - - 12 - - 13 - - 14 - α α α α - 15 - α α α α α α
More information( )Kju225.hwp
비임균성비뇨생식기감염에서 의진단적효용성 Usefulness of the Mycofast Test (MYCOFAST Evolution 2) for the Diagnosis of Nongonococcal Genitourinary Infections Hang Ro Park, Yang Hyun Kim, Ho Jae Lee, Jea Sang Oh, Hyoung Jin
More informationl l l l l l l l l Lee, Geon Kook None This project was designed to establish the Tumor Bank of National Cancer Center in 2000. From the first tumor sample in 2000, the total of tumor and tumor-related
More information저작자표시 - 비영리 - 변경금지 2.0 대한민국 이용자는아래의조건을따르는경우에한하여자유롭게 이저작물을복제, 배포, 전송, 전시, 공연및방송할수있습니다. 다음과같은조건을따라야합니다 : 저작자표시. 귀하는원저작자를표시하여야합니다. 비영리. 귀하는이저작물을영리목적으로이용할수없습니다. 변경금지. 귀하는이저작물을개작, 변형또는가공할수없습니다. 귀하는, 이저작물의재이용이나배포의경우,
More information석사논문.PDF
ABO Rh A study on the importance of ABO and Rh blood groups information in Public Health 2000 2 1 ABO Rh A study on the importance of ABO and Rh blood groups information in Public Health 2000 2 2 ABO Rh
More information한약치료와표적항암요법 ( 아피니토 ) 을병행하여부분관해된신세포암간전이환자 1 례 Abstract Sung-Hwan Chang 1, Ji-Hye Park 1,2, Hwa Seung Yoo,2*
https://doi.org/10.15432/jkto.2017.22.2.013 한약치료와표적항암요법 ( 아피니토 ) 을병행하여부분관해된신세포암간전이환자 1 례 Abstract Sung-Hwan Chang 1, Ji-Hye Park 1,2, Hwa Seung Yoo,2* 1 JangDeuk Integrative Medical Center, Korean Medicine
More information歯1.PDF
200176 .,.,.,. 5... 1/2. /. / 2. . 293.33 (54.32%), 65.54(12.13%), / 53.80(9.96%), 25.60(4.74%), 5.22(0.97%). / 3 S (1997)14.59% (1971) 10%, (1977).5%~11.5%, (1986)
More information임상병리검사과학회지 : 제 28 권제 1 호 이형적혈구출현의의의와증례보고 서울중앙병원임상병리과 양회주 검덕희 백명윤 나종규 Implication of Dysmorphic RBCs in Patient s Urine Yang, Hae Joo., Kim, Duck
임상병리검사과학회지 : 제 28 권제 1 호 1996. 이형적혈구출현의의의와증례보고 서울중앙병원임상병리과 양회주 검덕희 백명윤 나종규 Implication of Dysmorphic RBCs in Patient s Urine Yang, Hae Joo., Kim, Duck Hee., Baik, Byung Yoon., La, Jong Kyu Dept. of Clinical
More information기관고유연구사업결과보고
기관고유연구사업결과보고 작성요령 2001 ~ 2004 2005 ~ 2007 2008 ~ 2010 2001 ~ 2004 2005 ~ 2007 2008 ~ 2010 1 2/3 2 1 0 2 3 52 0 31 83 12 6 3 21 593 404 304 1,301 4 3 1 8 159 191 116 466 6 11 (`1: (1: 16 33 44 106
More information노영남
Purpose: Delayed massive hemorrhages from pseudoaneurysm rupture of the peripancreatic large arteries, after pancreaticoduodenectomy, are fatal. We reviewed the clinical course and outcome of bleeding
More informationMicrosoft PowerPoint - Labs and Lupus Bev2 24
Beverly Johnson MD Rheumatologist Urban Health Plan 1 In the US, it is estimated as many as 1.5 million people have lupus. 1.8 to 7.6 people per 100,000 are diagnosed with lupus each year. Most cases are
More information연하곤란
2015.03.04 부울경소화기내시경지회 Intramucosal gastric cancer: The rate of lymph node metastasis in signet ring cell carcinoma was as low as that in welldifferentiated adenocarcinoma 인제대부산백병원 소화기내과 지삼룡 Signet ring
More information황지웅
Comparison of Laparoscopy and Exploration in the Distal Pancreatectomy BACKGROUND: To determine the benefits of laparoscopic surgery compared with exploration, the clinical outcomes of open and laparoscopic
More informationSpecial Issue Urologic Diseases in Elderly Men Choong Hyun Lee, M.D. Department of Urology Kyung Hee University School of Medicine & Hospital E mail :
Urologic Diseases in Elderly Men ChoongHyun Lee, M.D. Department of Urology Kyung Hee University School of Medicine & Hospital Email : chlee@khu.ac.kr Abstract WWith the increasing life expectancy, health
More informationRheu-suppl hwp
Objective: This paper reviews the existing Korean medical and public health, and nursing academy articles on disease-specific and domain-specific quality of life, and provides recommendations for the universally
More informationStudy on the Improvement of Management System through Analysis of golf semi- market: Focus on Physical Education Facility Act Ji-Myung Jung 1, Ju-Ho Park 2 *, & Youngdae Lee 3 1 Korea Institute of Sport
More information( )Jkstro011.hwp
비인강암의방사선치료결과및생존율에관한예후인자분석 2005 2 1 2005 3 28. :, Tel: 053)250-7665, Fax: 053)250-7984 E-mail: jhkim@dsmc.or.kr 정영연외 2 인 : 비인강암의예후인자분석 정영연외 2 인 : 비인강암의예후인자분석 Carcinoma of the nasopharynx treated by radiotherapy
More information2009¿©¸§È£ÃÖÁ¾
2009 여름호 / 통권 04 www.kuh.co.kr 포커스 충청해바라기 아동센터 개설 건국대학교충주병원은 여성부와 2009년 5월 15일 성폭력으로 부터 아동을 보호하고 치료할 수 있는 전문 의료기관으 로 협약체결 하였다. 이번에 설립하는 충청해바라기 아동센터에서는 최고의 인프라구축을 통한 One-stop서비스를 제공하며, 충청남북도 아 동들의 성학대 예방
More informationuntitled
Case Report : Asan Medical Center Cardiac Rehabilitation AACVPR (http://www.aacvpr.org/) KACVPR (http://www.kacvpr.com/) Backgrounds PCI 2,395 consecutive patients in Minnesota (Mayo Clinic) Between1994
More informationJkcs022(89-113).hwp
대한배뇨장애 및 요실금 학회지 J. Korean Continence Society 2004;8:89-113 Bristol Female Lower Urinary Tract Symptom 설문지의 한국어 번역 및 번역본의 언어 타당도 Seung-June Oh*, Hyung Geun Park*, Sung Hyun Paick, Won Hee Park and Myung-Soo
More information( )Kju269.hwp
만성세균성전립선염모델흰쥐에서 의항염효과 Anti-inflammatory Effect of Lycopene on Chronic Bacterial Prostatitis Rat Model Cho Hwan Yang, Dong Wan Sohn, Yong-Hyun Cho From the Department of Urology, The Catholic University
More information한국 출산력의 저하 요인에 관한 연구
가족계획실천율 가족계획실천자 세 유배우부인 조출생률 년간 총출생아수 연앙인구수 일반출산율 년간 총출생아수 가임연령 여자연앙인구수 합계출산율 세 연령층 여성이 출산한 출생아수 세 연령층 여성의 연앙인구수 즉 합계출산율 합 6 계 출 산 율 5 4 3 2 1 1960 1973 1977 1981 1985 1989 1993 1997 2001
More informationY 1 Y β α β Independence p qp pq q if X and Y are independent then E(XY)=E(X)*E(Y) so Cov(X,Y) = 0 Covariance can be a measure of departure from independence q Conditional Probability if A and B are
More informationDBPIA-NURIMEDIA
The e-business Studies Volume 17, Number 4, August, 30, 2016:319~332 Received: 2016/07/28, Accepted: 2016/08/28 Revised: 2016/08/27, Published: 2016/08/30 [ABSTRACT] This paper examined what determina
More informationÀÇ»çȸº¸-1202-443È£-14, page 1-12 @ Normalize ( 1202-443È£-14 )
THE DAEGU MEDICAL ASSOCIATION NEWS THE DAEGU MEDICAL ASSOCIATION NEWS THE DAEGU MEDICAL ASSOCIATION NEWS (월간) (제443호 / 광역시 제33호) 0년 월 8일 3 인도 캘커타 외각 오지서 의료봉사 ➊ ➏ ➋ ➌ ➍ ➎ ➐ ➊ 캘커타 라자핫 지역 고등학교 앞 ➋ ➌ 진료를 하는
More information2 1896 2 26 ( ) 2 7-20 2) 1897 1898 ( )3) 6 1902 8 1904 10 10 (19 05-1914 ) ( ) ( ) 4) 1915 ( ) ( ) 1917 2) 3) 4) 285
13 2 ( 25 ) 2004 12 Korean J Med Hist 13 284 296 Dec 2004 ISSN 1225 505X 1) * ** ** 1 1920 1930 40 ( 1896-1973) 80 * ** 1) 2003 284 2 1896 2 26 ( ) 2 7-20 2) 1897 1898 ( )3) 6 1902 8 1904 10 10 (19 05-1914
More informationA Study on the Relationships between Self-Differentiation and Adaptability Factors for Senior Dementia Patients Care Givers Department of Social Welfare, Seoul Welfare Graduate University Full-time Lecturer
More informationYI Ggodme : The Lives and Diseases of Females during the Latter Half of the Joseon Dynasty as Reconstructed with Cases in Yeoksi Manpil (Stray Notes w
497 의사학 제24권 제2호(통권 제50호) 2015년 8월 Korean J Med Hist 24 ː497-532 Aug 2015 c대한의사학회 http://dx.doi.org/10.13081/kjmh.2015.24.497 pissn 1225-505X, eissn 2093-5609 역시만필( 歷 試 漫 筆 ) 의 사례로 재구성한 조선후기 여성의 삶과 질병
More information<B0E6C8F1B4EBB3BBB0FAC0D3BBF3B0ADC1C E687770>
개원의와함께하는임상강좌 2011 신기능저하환자에서의약물처방 경희대학교의과대학신장내과학교실 정경환 내용 1. 국내만성콩팥병환자현황 2. 만성콩팥병환자에서의약물대사 3. 신기능의판단 4. 신기능감소에따른약물처방의실제 국내만성콩팥병환자현황 68 개원의와함께하는임상강좌 2011 정경환 : 신기능저하환자에서의약물처방 Prevalence of ESRD, 2008 1031.6
More informationMicrosoft PowerPoint - 발표자료(KSSiS 2016)
Sang Jun Kim, MD, PhD Application of 3D Printing in the Orthotic Fields Hallux Valgus, Charcot Marie Tooth, ADL Kit, Foot Insole, Wrist Pain, Foot Drop Development of Automated Program for Ankle Foot Orthosis
More informationPowerPoint 프레젠테이션
1) INTRODUCTION 소변 (urine) 을만들고이를운반하여체외로배설 1. 콩팥 (kidney) 2. 요관 (ureter) 3. 방광 (urinary bladder) 4. 요도 (urethra) 콩팥의기능이저하되면노폐물이체내에머물러요독증 (uremia) 으로사망 1) INTRODUCTION 1) INTRODUCTION < 콩팥의기능 > 1. 혈액노폐물을걸러주고체액량과체액의
More informationVol.259 C O N T E N T S M O N T H L Y P U B L I C F I N A N C E F O R U M
2018.01 Vol.259 C O N T E N T S 02 06 28 61 69 99 104 120 M O N T H L Y P U B L I C F I N A N C E F O R U M 2 2018.1 3 4 2018.1 1) 2) 6 2018.1 3) 4) 7 5) 6) 7) 8) 8 2018.1 9 10 2018.1 11 2003.08 2005.08
More information歯채민병.PDF
Patient number Sex Age Animal contact 1 F 36 No 2 F 31 Cat scratch Result of biopsy/aspiration cytology of lymph nodes Chronic granulomatous inflammation with caseation necrosis, compatible with tuberculous
More information590호(01-11)
T H E K O R E A N D O C T O R S W E E K L Y www.docdocdoc.co.kr I N S I D E 38 3 5 6 7 10 13 28 29 30 31 38 41 42 2 Advertisement Government & Medicine 3 Government & Medicine 4 Government & Medicine Government
More information<B0E6C8F1B4EBB3BBB0FA20C0D3BBF3B0ADC1C E687770>
2012 개원의와함께하는임상강좌 경희대학교의과대학신장내과학교실 정경환 When to Call Nephrology delayed referral of patients with late-stage chronic kidney disease is associated with suboptimal outcomes, including increased mortality.
More informationPrimary glomerulonephritis
2012 년 10 월 26 일 2012 년추계전공의연수강좌 일차성사구체신염 경북대학교의학전문대학원내과학교실 박선희 사구체신염의임상증후군 사구체신염임상증후군 급성신염증후군급속진행성사구체신염폐신증후군신증후군기저막증후군사구체혈관증후군감염병관련증후군 사구체신염환자의진단적접근 General category of syndrome Bedside with history and
More information11¹Ú´ö±Ô
A Review on Promotion of Storytelling Local Cultures - 265 - 2-266 - 3-267 - 4-268 - 5-269 - 6 7-270 - 7-271 - 8-272 - 9-273 - 10-274 - 11-275 - 12-276 - 13-277 - 14-278 - 15-279 - 16 7-280 - 17-281 -
More informationuntitled
대한수혈학회지:제권 제호, 0 한 대학병원의 혈액 폐기 분석 김병철ㆍ서영익ㆍ채금란ㆍ신정원ㆍ최태윤 = Abstract = 순천향대학교 의과대학 서울병원 진단검사의학교실 Analysis of Discarded Blood Components at a University Hospital in Korea Byung Chul Kim, Young Ik Seo, Gum Ran
More informationTreatment and Role of Hormaonal Replaement Therapy
Treatment and Role of Hormone Replacement Therapy Chung-Ang University Hospital Chee Jeong Kim 7.2 5.3 6.4 5.6 7.3 5.5 1 1 2 3 4 10 11 7 34 49 122 123 1.0 - - 10. 2001 1998 1998 Improvement of postmenopausal
More information<B0E6C8F1B4EBB3BBB0FAC0D3BBF3B0ADC1C E687770>
개원의와함께하는임상강좌 2011 역류성식도질환제대로이해하기 Division of Gastroenterology, Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea Jae-Young Jang, M.D., PhD. 개원의와함께하는임상강좌 2011 109 최신치료
More information<B8F1C2F72E687770>
제1장 제17장 성홍열 및 사슬알균 감염증 사슬알균 (Streptococci)은 증식 중의 특징적으로 쌍 또는 사슬모양의 그람양성 알균 으로 catalase 음성, 통성혐기성균이며, 보통 한천배지에서는 발육이 어렵고 혈액이나 혈청 등을 첨가한 배지에서 잘 발육한다. 포도당이나 다른 탄수화물을 분해하나 포도당 을 분해하여 가스를 생성하지 않는다. 이들은 최소
More information달생산이 초산모 분만시간에 미치는 영향 Ⅰ. 서 론 Ⅱ. 연구대상 및 방법 達 은 23) 의 丹 溪 에 최초로 기 재된 처방으로, 에 복용하면 한 다하여 난산의 예방과 및, 등에 널리 활용되어 왔다. 達 은 이 毒 하고 는 甘 苦 하여 氣, 氣 寬,, 結 의 효능이 있
대한한방부인과학회지 THE JOURNAL OF ORIENTAL OBSTETRICS & GYNECOLOGY VOL.17, NO.2 : 115-122 (2004) 달생산이 초산모 분만시간에 미치는 영향 * 북경한의원, ** 윤산부인과의원, *** 최은림산부인과의원, 상지대학교 한의과대학 부인과학교실 ****, 경희대학교 동서의학대학원 김성준 *****, 윤왕준
More information(Microsoft PowerPoint - CXBTUEOAPVQY.ppt [\310\243\310\257 \270\360\265\345])
당뇨병환자에서항혈소판제사용 - 아스피린일차예방을중심으로 - 경희대학교강동경희대병원 황유철 말씀드릴내용 당뇨병및심혈관질환의역학 아스피린의심혈관질환 1차, 2차예방효과 아스피린부작용및용량에따른효과차이 당뇨병환자에서아스피린사용의적응증 사망원인순위, 2010 년 25.6% 통계청 심혈관질환에의한의료비추세 6 조 1400 억 국민건강보험공단, 2002-2009 Multidisciplinary
More informationCan032.hwp
Chromosomal Alterations in Hepatocellular Carcinoma Cell Lines Detected by Comparative Genomic Hybridization Sang Jin Park 1, Mahn Joon Ha, Ph.D. 1, Hugh Chul Kim, M.D. 2 and Hyon Ju Kim, M.D. 1 1 Laboratory
More information¼Û±âÇõ
223 Table 1. Results of FEV 1.0, Methacholine Challenge Test, and Exercise Provocation Test in Eight Patients Who Performed PFT Pts Tests 1 2 3 4 5 6 7 8 FEV 1.0 (%pred) 66.6 88.8 120 101 90.5 95.4 91.6
More information<C7D1B9CEC1B7BEEEB9AEC7D0363528C3D6C1BE295F31392EB9E8C8A3B3B22E687770>
정지용의 시어 조찰한 의 의미 변화 연구 배호남 *1) 차례 Ⅰ. 머리말 Ⅱ. 종교적 순수성의 정신세계 : 勝 利 者 金 안드레아 의 경우 Ⅲ. 차가운 겨울밤의 정신세계 : 溫 井 과 長 壽 山 1 의 경우 Ⅳ. 명징한 여름 낮의 정신세계 : 白 鹿 潭 의 경우 Ⅴ. 맺음말 국문초록 본 논문은 정지용 연구의 새로운 지평으로 개별 작품에서 보다 더 미시적으로
More information975_983 특집-한규철, 정원호
Focused Issue of This Month Gyu Cheol an, MD Department of Otolaryngology ead & Neck Surgery, Gachon University of College Medicine E - mail : han@gilhospital.com Won-o Jung, MD Department of Otolaryngology
More information조기 위암 집담회 부산대학교 병원 CASE
부산대학교병원 CASE PRESENTATION 전임의이현정 2013.10.02 CASE PRESENTATION F/79 C.C) Epigastric soreness P.I) 2011년 4월외부병원시행한 EGD 상병변보여본원의뢰됨 P.Hx) HT / DM / Hepa / Tbc - / - / - / - S.Hx) smoking (-), alcohol (-) F.Hx)
More information03±èÀçÈÖ¾ÈÁ¤ÅÂ
x x x x Abstract The Advertising Effects of PPL in TV Dramas - Identificaiton by Implicit Memory-based Measures Kim, Jae - hwi(associate professor, Dept. of psychology, Chung-Ang University) Ahn,
More informationJournal of Educational Innovation Research 2018, Vol. 28, No. 2, pp DOI: : - Qualitative Met
Journal of Educational Innovation Research 2018, Vol. 28, No. 2, pp.369-397 DOI: http://dx.doi.org/10.21024/pnuedi.28.2.201806.369 : - Qualitative Meta-Synthesis on Child-Nurturing Experiences of Female
More informationca
Towards Global Eminence Renal Cancer Kidney Transplant JIA LEE College of Nursing Science Kyung Hee University 1 Contents Kidney Cancer Risk factor Symptom Diagnosis Treatment Nursing Kidney Transplantation
More informationECG & EP CASES Young-Keun On, MD, PhD Division of Cardiology, Department of Medicine Cardiac & Vascular Center, Samsung Medical Center Sungkyunkwan University School of Medicine, Seoul, Korea A case of
More information- i - - ii - - iii - - iv - - v - - 1 - - 2 - - 3 - - 4 - - 5 - - 6 - - 7 - - 8 - - 9 - - 10 - - 11 - - 12 - - 13 - - 14 - - 15 - - 16 - - 17 - - 18 - - 19 - α α - 20 - α α α α α α - 21 - - 22 - - 23 -
More information歯간학회지6-2.PDF
6 2 2000 ; 223-228 IgA 1 A bs tract Primary Biliary Cirrhosis Associated with Multiple Renal Abscess and IgA Nephropathy : A Case Report Jung Woo Shin, M.D., Il Han Song, M.D., Myoung Ju Ki, M.D., Chang
More informationA 617
Special Issue Diabetic Retinopathy Won Ki Lee, M.D. Department of Ophthalmology The Catholic University of Korea College of Medicine Kangnam St. Mary s Hospital E mail : wklee@catholic.ac.kr Abstract R
More informationuntitled
CLEBO PM-10S / PM-10HT Megapixel Speed Dome Camera 2/39 3/39 4/39 5/39 6/39 7/39 8/39 ON ON 1 2 3 4 5 6 7 8 9/39 ON ON 1 2 3 4 10/39 ON ON 1 2 3 4 11/39 12/39 13/39 14/39 15/39 Meg gapixel Speed Dome Camera
More information<35312DBCB1C8A3B5B52E687770>
논문접수일 : 2011.09.25 심사일 : 2011.10.07 게재확정일 : 2011.10.24 선호도 높은 웹페이지의 디자인요소 분석연구 - 그래픽이미지, 색채, 레이아웃, 배경을 중심으로 - A study on the Design Factor Analysis in a High Preferable Web site Design - With a focus on
More information2014_........pdf
1, 1, 2, 1 (1, 2 ) Jin Suk Suh 1, Jong In Kim 1, Ryeong Jae Park 2, Sang Bum Park 1 (1 Korea Forest Research Institute, 2 Korea Traditional Dye Institute) Introduction (2011-2013), (VOCs)., (7 ),,. Materials
More informationuntitled
DOI: 10.3857/JKSTRO.2008.26.2.113 노령의 피부암에서 방사선치료 계명대학교 의과대학 동산의료원 방사선종양학교실 김 진 희 목 적: 노령의 피부암에서 방사선치료 후 국소 제어률, 생존율, 실패양상, 부작용을 알아보기 위해 이 연구를 시행 하였다. 대상 및 방법: 1990년 1월부터 2002년 10월까지 계명대학교 동산의료원 방사선종양학과에서
More information원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 연세대학교대학원 의학과 남상현
원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 연세대학교대학원 의학과 남상현 원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 연세대학교대학원 의학과 남상현 원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 지도김석원교수 이논문을석사학위논문으로제출함
More information,,,.,,,, (, 2013).,.,, (,, 2011). (, 2007;, 2008), (, 2005;,, 2007).,, (,, 2010;, 2010), (2012),,,.. (, 2011:,, 2012). (2007) 26%., (,,, 2011;, 2006;
,,.. 400,,,,,,.,,, -, -, -., 3.. :, Tel : 010-9540-0640, E-mail : sunney05@hanmail.net ,,,.,,,, (, 2013).,.,, (,, 2011). (, 2007;, 2008), (, 2005;,, 2007).,, (,, 2010;, 2010), (2012),,,.. (, 2011:,, 2012).
More information(49-54)Kjhps004.hwp
Biliary Cystadenoma and Cystadenocarcinoma of the Liver Jae Hoon Lee, M.D., Dong Ho Choi, M.D. 1, Kyeong Geun Lee, M.D., Hwon Kyum Park M.D. and Kwang Soo Lee, M.D. Department of Surgery, College of Medicine,
More information2 min 응용 말하기 01 I set my alarm for 7. 02 It goes off. 03 It doesn t go off. 04 I sleep in. 05 I make my bed. 06 I brush my teeth. 07 I take a shower.
스피킹 매트릭스 특별 체험판 정답 및 스크립트 30초 영어 말하기 INPUT DAY 01 p.10~12 3 min 집중 훈련 01 I * wake up * at 7. 02 I * eat * an apple. 03 I * go * to school. 04 I * put on * my shoes. 05 I * wash * my hands. 06 I * leave
More information<30382EC0C7C7D0B0ADC1C22E687770>
대한내과학회지: 제 76 권 제 2 호 2009 의학강좌-개원의를 위한 모범처방(Current Clinical Practice) 간기능검사의 이해와 적용 인제대학교 의과대학 일산백병원 내과학교실 김 경 아 Understanding and application of liver function tests Kyung-Ah Kim, M.D. Department of
More informationKbcs002.hwp
Does Real-time Compound Imaging Improve Evaluation of reast Cancer Compared to Conventional Sonography? o Kyoung Seo, M.D., Yu Whan Oh, M.D., Kyu Ran Cho, M.D., Young Hen Lee, M.D., Hyung Joon Noh, M.D.,
More informationTrd022.hwp
김신태, 이선녕, 이석정, 정필문, 박홍준, 신명상, 김종환, 이부길, 김상하, 리원연, 신계철, 용석중 Shin-Tae Kim, M.D., Shun Nyung Lee, M.D., Seok Jeong Lee, M.D., Pil Moon Jung, M.D., Hong Jun Park, M.D., Myung Sang Shin, M.D., Chong Whan Kim,
More information<BFACBCBCC0C7BBE7C7D02831302031203139292E687770>
延 世 醫 史 學 제12권 제2호: 29-40, 2009년 12월 Yonsei J Med Hist 12(2): 29-40, 2009 특집논문 3 한국사회의 낙태에 대한 인식변화 이 현 숙 이화여대 한국문화연구원 1. 들어가며 1998년 내가 나이 마흔에 예기치 않은 임신을 하게 되었을 때, 내 주변 사람들은 모두 들 너무나도 쉽게 나에게 임신중절을 권하였다.
More informationJkbcs016(92-97).hwp
Expression of bcl-2 and Apoptosis and Its Relationship to Clinicopathological Prognostic Factors in Breast Cancer - A Study with Long Term Follow-up correlated with the survival rate.(journal of Korean
More information