http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
당뇨병성 신부전의 관리와 최신 치료 ; 당뇨병성 신증의 병태생리
박정탁 ( Jung Tak Park ),강신욱 ( Shin Wook Kang ) 대한내과학회 2009 대한내과학회지 Vol.77 No.6
Diabetic nephropathy, the leading cause of end stage renal disease in many countries, is pathologically characterized by glomerular and tubular hypertrophy, extracellular matrix accumulation, inflammatory cell infiltration, and podocytopenia associated with foot process effacement, which eventually results in glomerulosclerosis and tubular atrophy. The pathogenesis of diabetic nephropathy comprises both metabolic and hemodynamic factors related to diabetes. Hemodynamic factors include intraglomerular hypertension which is associated with the activation of both systemic and local renin-angiotensin system. Hyperglycemia per se, advanced glycation end-products and glucose-dependent aldose reductase pathways, as metabolic factors, is also known to contribute to the development and progression of diabetic nephropathy. All of these factors induce various cytokines and activate intracellular signal transduction pathways such as protein kinase C and mitogen-activated protein kinase, ultimately leading to diabetic nephropathy. (Korean J Med 77:670-677, 2009)
The Electrical and Mechanical Properties for Nano/Micro Alumina Composites used GIS Spacer
Park Jae Jun(박재준),Lee Kang Won(이강원),Cho Gyu Beom(조규범),Choi Jeong Wook(최정욱),Oh Seung Soo(오승수),Yoon Hyeon Mun(윤현문),Kim Young Hoon(김영훈),Park Jung Tak(박정탁),Jang Hong Joon(장홍준) 대한전기학회 2015 대한전기학회 학술대회 논문집 Vol.2015 No.11
말기 신부전증으로 투석을 받는 환자에서 발생한 신종괴의 임상적 특징
이미정 ( Mi Jung Lee ),신동호 ( Dong Ho Shin ),김현민 ( Hyun Min Kim ),박현성 ( Hyun Sung Park ),박정탁 ( Jung Tak Park ),장태익 ( Tae Ik Chang ),유태현 ( Tae Hyun Yoo ),강신욱 ( Shin Wook Kang ),최규헌 ( Kyu Hun Choi ) 대한내과학회 2010 대한내과학회지 Vol.79 No.3
Background/Aims: End-stage renal disease (ESRD) patients are at a higher risk for cancer, especially renal cell carcinoma RCC). Acquired cystic kidney disease (ACKD) and long duration of dialysis predict RCC in these patients. We explored the cilnical and pathologic characteristics of renal masses and the factors predicting malignant tumors. Methods: The study examined the medical records of 38 ESRD patients who underwent partial/total nephrectomy due to renal masses diagnosed by abdominal ultrasound and computed tomography at YUHS from January 1995 to December 2009. Results: Renal masses were recorded in 38 patients (21 males) with a mean age of 48.3±13.2 years. Twenty patients (52.6%) were on hemodialysis and 18 patients (47.4%) were on peritoneal dialysis, for a mean period of 106.4±62.5 months. ACKD was reported in 23 patients (67.6%). Of the 38 renal masses, 23 (60.5%) were diagnosed as malignant tumors and 15 (39.5%) were benign tumors. Clear cell RCC (n=16) and hematoma (n=6) was the predominant respective types. The patients with malignant tumors had a significantly longer duration of dialysis (122.3±61.8 vs. 81.1±56.7 months, p<0.05) and a higher prevalence of ACKD (87.0 vs. 46.7%, p<0.01) compared to the patients with benign tumors. Conclusions: The most common renal mass in ESRD patients was RCC. Malignant tumors were significantly associated with a longer duration of dialysis and ACKD. Therefore, early evaluation and treatment of RCC are mandatory in long-term dialysis patients with ACKD. (Korean J Med 79:263-270, 2010)