• 제목/요약/키워드: urinalysis

검색결과 313건 처리시간 0.028초

고성능 CNN 기반 정밀 요검사 판별 기법 (Accuracy Urinalysis Discrimination Method based on high performance CNN)

  • 백승혁;최홍락;김경석
    • 한국인터넷방송통신학회논문지
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    • 제21권6호
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    • pp.77-82
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    • 2021
  • 요검사는 물리적 성상 검사, 화학적 검사, 현미경 검사 세 가지가 있다. 이 중에서 화학적 요검사는 일반인이 쉽게 접근하는 방법으로 요검사지의 화학반응을 눈으로 표준비색표와 비교하거나 휴대용 요검사기를 별도로 구매하여 검사를 진행한다. 현재는 스마트폰의 보급이 대중화되어 스마트폰을 활용한 요검사 서비스 연구가 높아지고 있다. 요검사 스크리닝 애플리케이션은 스마트폰을 활용한 요검사 서비스 중 하나이다. 그러나 요검사 스크리닝 애플리케이션으로 촬영한 요검사 패드 RGB 값은 조명영향으로 인해 큰 편차가 발생한다. 요검사 패드 RGB 값의 편차는 요검사 판별의 정확도를 떨어뜨린다. 따라서 본 논문에서는 스마트폰 기반 요검사 스크리닝 애플리케이션으로 촬영한 요검사지를 검사 항목별 요검사 패드로 분류한 후 CNN을 통해 요검사 패드 이미지 판별의 정확도를 높인다. 요검사지는 다양한 배경에서 촬영하여 CNN 이미지를 생성하였으며 ResNet-50 CNN 모델을 사용하여 요검사 판별을 분석하였다.

기본 요분석검사의 임상적 이용 (The Clinical Use of Routine Urinalysis)

  • 이승주
    • Childhood Kidney Diseases
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    • 제17권2호
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    • pp.35-41
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    • 2013
  • Routine urinalysis is a simple, economical, and useful test that facilitates the detection of urinary system diseases and monitoring of renal disease progression. It consists of 4 parts of specimen evaluation, gross examination, a dipstick urinalysis, and a sediment microscopic urinalysis. Urine specimens should first be evaluated in terms of acceptability, and thereafter, the gross appearance is examined for color, turbidity, and odor. In particular, a dipstick urinalysis is an easy and rapid test that provides information on the multiple physicochemical properties of the urine sample. Moreover, although a sediment microscopic urinalysis is time-consuming, it provides information on the cells, microorganisms, casts, and crystals. In the present report, the clinical significance of the routine urinalysis and the problems concerning interpretation are summarized.

스마트폰 기반 요검사 스크리닝 애플리케이션 (Urinalysis Screening Application based on Smartphone)

  • 백승혁;최홍락;김경석
    • 한국인터넷방송통신학회논문지
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    • 제21권5호
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    • pp.95-102
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    • 2021
  • 일반인이 보편적으로 접근할 수 있는 요검사는 사람의 눈으로 판단하여 객관성이 떨어지고 별도의 휴대용 요검사기를 구매해야 하는 단점이 있다. 하지만 이동 통신 기술의 발전으로 탄생한 스마트폰의 높은 보급률과 성능 향상으로 스마트폰을 활용한 요검사 서비스에 관한 연구가 진행되었다. 본 논문에서는 앞서 연구된 요검사 서비스들에 대한 제한 사항을 보완하여 새로운 스마트폰 기반 요검사 스크리닝 애플리케이션을 개발하였다. 애플리케이션의 핵심 기술은 이미지 처리와 윤곽선 검출을 통한 요검사지 인식 알고리즘과 요검사 패드 색상 판별 알고리즘이다. 개발한 애플리케이션의 성능을 확인하기 위하여 다양한 배경과 각도에서 요검사지를 촬영하고 분석하였다.

티베트 의학과 한의학의 요진법에 대한 비교 고찰 (A Comparative Study on the Urinalysis of the Tibetan Medicine and the Traditional Korean Medicine)

  • 김현구;안상우;한창현
    • 한국한의학연구원논문집
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    • 제16권3호
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    • pp.53-66
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    • 2010
  • This study focuses on the contents about the Urinalysis which is the most representative one of the Tibetan medicine. Also, this study compares it with the Urinalysis of Traditional Korean medicine. This study focuses on the simple history, the theoretical system, the diagnosis and the urinalysis mainly based on the documents related to the Tibetan medicine. Also, through the comparison with the contents of textbook of Traditional Korean Medicine and the urinalysis shown in the Dongeuibogam(東醫寶鑑) which is the representative Korean medical book, the difference between Tibetan Medicine and Traditional Korean Medicine will be observed. The contents related about the urinalysis of the Tibetan medicine are more specific than those of Traditional Korean Medicine. By observing the color, scent, vapor and sediment of one's urine together with periodic changes more thoroughly, it is possible to find out the cause of a certain disease. However, Traditional Korean Medicine examines the medical conditions mainly based on the state of discharge and fever, showing a clear difference. The Tibetan medicine has an extremely specific type of urinalysis in comparison with that of Traditional Korean Medicine. It is the only characteristic of the Tibet medicine, which cannot be found in any other traditional medicine. By applying the viewpoint of the doctor who diagnoses the patient by measuring his or her pulse, it is possible to make the diagnosing process more specific and accurate. It is expected that the follow-up study will be continuously executed with the introduction of the system for the urinalysis of the Tibetan medicine to Traditional Korean medicine.

급성 발열 환아에서 요로감염 선별검사로서 Dipstick 요분석(Leukocyte esterase와 Nitrite)의 진단적 가치 (Diagnostic Value of Dipstick Urinalysis (Leukocyte Esterase and Nitrite) as a Screening Test for Urinary Tract Infection in Acute Febrile Children)

  • 황수자;박소영;김혜순;박은애;김호성;서정완;이승주
    • Childhood Kidney Diseases
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    • 제2권1호
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    • pp.1-8
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    • 1998
  • 목적 : 급성 발열 환아에서 요로감염의 조기 진단과 신속한 치료는 신손상을 예방한다는 점에서 매우 중요하다. 최근 개발된 dipstick 요분석($Multistix^{(R)}$)은 간편 신속하고 저렴하여 성인 요로감염의 선별검사로서 가치가 있을 뿐만 아니라 음성 검사시에는 보다 시간이 걸리고 비용이 드는 현미경적 요분석이나 요배양 검사를 대치할 수 있다고 하였으나 소아에서는 연령과 증상 유무에따라 상반괸 결과가 보고되어 있다. 이에 저자들은 발열을 보인 영유아에서 요로감염의 신속한 선별검사로 dipstick 요분석의 진단적 가치를 평가하고자 한다. 방법 : 1994년 10월부터 1996년 2월까지 이화여자대학 부속병원 소아과에 발열을 주소로 입원한 영유아 685명(남 392명, 여 293명)을 대상으로 하였다. 방광 천자나 2회의 중간뇨 배양검사에 의해 요로감염으로 확진된 80명(11.6%)과 타 질환으로 판명된 605명 (88.4%)에서 dipstick 요분석 ($Multistix^{(R)}$)의 leukocyte esterase(LE), nitrite 검사를 현미경적 요분석(백혈구, 세균)및 요배양 검사와 비교하였다. 결과 : 1) Dipstick 요분석상 요로감염 환아에서의 LE 양성율은 38.7% (31/80), nitrite 양성율은 13.8% (11/80)로 낮았고 비요로감염 환아에서도 LE 양성율 2.1% (31/605), nitrite 양성율 1.2% (7/605)가 관찰되었다. 2) 현미경적 요분석상 요로감염 환아에서의 백혈구 양성율은 31.2% (25/80), 세균 양성율은 17.5% (14/80)로 낮았고 비요로감염 환아에서도 백혈구 양성율이 4.1% (25/605) 세균 양성율이 0.6% (4/605)가 관찰되었다. 3) Dipstick 요분석의 LE 검사 양성율 38.7%는 현미경적 요분석의 백혈구 양성율 31.2%보다 유의하게 높았고 (P<0.05), dipstick 요분석의 nitrite 검사 양성율 13.8%는 현미경적 요분석의 세균 양성율 17.5%와 유의한 차이가 없었다(P>0.05). 4) Dipstick 요분석은 민감도 43.7%, 특이도 98.3%, 양성 예측치 63.6%, 음성 예측치 92.9%로 현미경적 요분석의 40.0%, 99.0%, 54.0%, 92.3%, 60.0%, 4.5%와 유의한 차이가 없었다 (P>0.05). 두 검사를 상호보완 하더라도 민감도는 50.0%로 여전히 낮았다. 5) Dipstick 요분석에서 음성이나 현미경적 요분석에 양성인 경우는 5례로 현미곁적 요분석에 의하여 6.3% (5/80)에서 추가 진단되었다. 결론 : 급성 발열을 보이는 영유아에서 요로 감염의 선별 검사로서 dipstick 요분석의 민감도는 낮았고 현미경적 요분석으로 보완하여 약간 상승하였다. 그러나 상호 보완 하여도 민감도는 여전히 낮기 때문에 두 검사가 음성이어도 요배양 검사는 필수적이어야 한다.

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Ultrasonographic and Clinical Findings in Cats with Feline Lower Urinary Tract Disease

  • Seo, Seongeun;Na, Hyemin;Choi, Sooyoung;Choi, Hojung;Lee, Yungwon;Lee, Kija
    • 한국임상수의학회지
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    • 제38권2호
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    • pp.63-68
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    • 2021
  • Urethral obstruction is a life-threatening feline lower urinary tract disease (FLUTD). The rate of recurring urethral obstruction was 14.8-58.1% after the first occurrence. Ultrasonographic findings associated with reobstruction had been rarely reported although ultrasonography was a valuable technique for diagnosing urinary bladder calculi and distinguishing different FLUTD causes. This retrospective study aims to describe the ultrasonographic findings, urinalysis, and serum chemistry profile in cats with FLUTD and determine the associations of reobstruction with ultrasonographic findings, urinalysis, and serum chemistry profile. The present study included 141 cats that were followed up for more than 1 year. The ultrasonographic criteria included the presence of cystolithiasis, urine echogenicity, sediment, suspended linear strand, pericystic effusion, hyperechoic pericystic fat, ureteral dilation, pyelectasia, and perirenal effusion. The urinalysis criteria included hematuria, urine-specific gravity, pH, sediment, and proteinuria. The most common ultrasonographic findings in cats with FLUTD were echogenic urine and sediment. However, this study did not find an association between reobstruction and ultrasonographic findings, urinalysis, and serum chemistry profiles. Thus, an ultrasonographic examination may be insufficient to predict the risk of reobstruction although it is a useful modality for diagnosing FLUTD and making treatment direction.

소변검사의 검체 채취 방법에 관한 임상실험연구 (A Clinical Trial on the Method of Urine Sampling for Urinalysis)

  • 안혜성;이성은;박현옥
    • 기본간호학회지
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    • 제2권2호
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    • pp.131-137
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    • 1995
  • Improving validity and reliability is the important components of clinical laboratory tests. And the quality control of the test should be started with the accurate collection of specimen. Urinalysis is one of the useful and common tests in diseases diagnosis and determining the process of medical treatment. Since urinalysis is requested routinely in hospital setting, the importance of the quality control for urine specimen is often ignored. To improve the validity of urinalysis, a clinical trial was done on the method of collecting urine specimen. The result was as follows : 1. The rate of presumtive UTI(urinary tract infection) was decreased in 21.6% with experiment method for collecting urine specimen. 2. The rate of presumtive UTI in female patients was decreased in 43.2% with the experiment method. 3. The rate of negative urine culture was decreased in 6.6% with the experiment method.

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뇨검사용 스트립의 분광학적인 특성 분석을 위한 시뮬레이션 (Simulation for Spectroscopic Characteristic Analysis of the Urinalysis Strip)

  • 조진욱;김재형;이승진;김건우;전계록
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1998년도 추계학술대회
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    • pp.143-144
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    • 1998
  • The spectroscopic characteristic of 9 items in the urinalysis strip are measured to develop the urine analysis system. From experimental results, we determined the wavelength range which could accurately distinguish the degrees of 9 test items. Simulation is performed to distinguish the primary color reaction in the urinalysis strips using reflectance of urine strips, luminous intensity of LEDs, and spectral sensitivity of photodiodes. The simulation results agree well with experimental results by using UV-Visible spectrophotometer.

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복합 유기용제 취급 근로자의 혈액 및 뇨검사 결과 분석 (Hematologic Findings & Urinalysis of Workers Exposed to Mixed Organic Solvents)

  • 정귀원;김대환;엄상화;김성준;김정호;문선순;전진호;김용완
    • Journal of Preventive Medicine and Public Health
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    • 제24권3호
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    • pp.314-327
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    • 1991
  • To evaluate the effects on health by exposure to mixed organic solvents, the author analyzed some labortory findings of blood (hemoglobin, hematocrit RBC, WBC, SGOT, SGPT) and urine (protein, blood, sugar) that were obtained from 722 workers (male:446, female:276) who worked in plywood, painting and shoes factories in Pusan area from January to December, 1990. The result were as follows ; 1. The mean values of each hematologic findings were all within normal limit but there were significant differences at hematocrit, RBC, WBC, SGOT in male and at WBC, SGPT in female at the comparison of the mean values and the distribution according to the normal criteria by type of work. 2. There were no differences in urinalysis(protein, blood, sugar) by type of work. 3. In stepwise multiple regression, analysis of hematologic findings on age, working duration and type of work, regression coefficients on age and type of work were relatively high in male and female sub1, respectively. As a result of this study, it is considered that the measurement of WBC with morphology is significant in hematologic findings and instead of spot urine and urinstix, 24 hours urine and quantitative analysis is required in urinalysis in screening test for healthy status of workers who deal with the organic solvents.

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응급실과 일반병동 간호사의 밤번 근무시 Circadian rhythm과 피로도 비교 (The Difference in Circadian Rhythm and Level of Fatigue Between ER and General Ward Nurse)

  • 최선윤;홍해숙
    • Journal of Korean Biological Nursing Science
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    • 제1권1호
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    • pp.86-99
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    • 1999
  • The purpose of this study is to find out the difference in circadian rhythm and level of fatigue between ER and General Ward Nurse. This study was done through analyzing body temperature, heart rate and major electrolytes such as $Na^+$ and $K^+$ concentration on urinalysis, which are related to factors of circadian rhythm and level of fatigue. The subjects, 17 nurses from Emergency Room and 25 nurses from general ward, were selected from a General Hospital in Taegu City on August 8 to 23, 1998. And the data were analyzed by proportion, t-test, chi-square and Pearson's Correlation, ANCOVA, using SAS program. The results of this study were shown as follows: First, The difference of Maximal and minimal heart rate was significant between ER group and general ward group. However, body temperature difference wasn't notable. Second, Urine $Na^+$ concentration on urinalysis was lower and $K^+$ concentration on urinalysis was higher in ER group than general ward group significantly. Third, Fatigue level was higher in ER group than general ward group significantly. Fourth, through urine concentration, significant relations in circadian rhythm of ER nurse group and general ward group and their fatigue level were found. Urine $Na^+$ concentration on urinalysis of ER nurse was significant related with their fatigue level. In conclusion, the effect of fatigue on circadian rhythm is greater in ER group than general ward group during night shift. This study could be a help in improvement of nurse's health and understanding the effect of fatigue on health.

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