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| Name | Provider | Purpose | Maximum Storage Duration | Type |
|---|---|---|---|---|
| CookieConsent [x25] | bps.healthcare.siemens-healthineers.com breast-imaging-world.event.siemens-healthineers.com Cookiebot fleet.siemens-healthineers.com live.cardiovascularwebinars.event.siemens-healthineers.com live.hemostasis-institute.event.siemens-healthineers.com shs-cms.login.siemens-healthineers.com | Stores the user's cookie consent state for the current domain | 1 year | HTTP Cookie |
| locale [x6] | breast-imaging-world.event.siemens-healthineers.com cardiovascularwebinars.event.siemens-healthineers.com hemostasis-institute.event.siemens-healthineers.com live.cardiovascularwebinars.event.siemens-healthineers.com live.hemostasis-institute.event.siemens-healthineers.com mrinsightsinrt.event.siemens-healthineers.com | The cookie determines the preferred language and country-setting of the visitor - This allows the website to show content most relevant to that region and language. | Persistent | HTML Local Storage |
| registrationFormId [x4] | breast-imaging-world.event.siemens-healthineers.com cardiovascularwebinars.event.siemens-healthineers.com hemostasis-institute.event.siemens-healthineers.com mrinsightsinrt.event.siemens-healthineers.com | Holds the selected registrationFormId in browser tab RAM. | Session | HTML Local Storage |
| _cfuvid | Matterport | Pending | Session | HTTP Cookie |
| PHPSESSID | EQS Group | Preserves user session state across page requests. | Session | HTTP Cookie |
| s_cc [x9] | static.adlytics.net | Used to check if the browser of the user supports JavaScript. | Session | HTTP Cookie |
| __cf_bm | Auth0 | This cookie is used to distinguish between humans and bots. This is beneficial for the website, in order to make valid reports on the use of their website. | 1 day | HTTP Cookie |
| WalkMeStorage_c97a2ecef42240998dfbfd774130973c | Walkme | The cookie is responsible for the overall storage method of WalkMe, it tracks user information for completion of WalkMe contents like Walk-Thrus or PopUps. | 2 years | HTTP Cookie |
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| _legacy_auth0.54brjgoPJcj5Ia9Ln4yWpWWOfcCOQwrl.is.authenticated | events.siemens-healthineers.com | Boolean cookie that holds the information about the possibility of the user to have a valid session | Session | HTTP Cookie |
| _legacy_auth0.54brjgoPJcj5Ia9Ln4yWpWWOfcCOQwrl.organization_hint | events.siemens-healthineers.com | Boolean cookie that holds the information about the possibility of the user to have a valid session | Session | HTTP Cookie |
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| auth0.54brjgoPJcj5Ia9Ln4yWpWWOfcCOQwrl.organization_hint | events.siemens-healthineers.com | Boolean cookie that holds the information about the possibility of the user to have a valid session | Session | HTTP Cookie |
| browser-tabs-lock-key-auth0.lock.getTokenSilently [x2] | events.siemens-healthineers.com www.siemens-healthineers.com | Pending | Persistent | HTML Local Storage |
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| wm_load_test_c97a2ecef42240998dfbfd774130973c_0 | Walkme | Test the impact of WM player on the website loading performance, by randomly delaying loading WM, and measuring the load times with/without WM | Session | HTTP Cookie |
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| 1.gif [x2] | Usercentrics GmbH Cookiebot | Used to count the number of sessions to the website, necessary for optimizing CMP product delivery. | Session | Pixel Tracker |
| IRPages2_Session | EQS Group | Pending | Session | HTTP Cookie |
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| ASP.NET_SessionId | Postclickmarketing.com | Preserves the visitor's session state across page requests. | Session | HTTP Cookie |
| KeyGrip.ashx | Postclickmarketing.com | Pending | Session | Pixel Tracker |
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| ss-id | Postclickmarketing.com | Necessary for the shopping cart functionality on the website. | Session | HTTP Cookie |
| ss-pid | Postclickmarketing.com | Necessary for the shopping cart functionality on the website. | 20 years | HTTP Cookie |
| _vs | siemens-healthineers.com | Cookie identifies User as a ‘not yet authenticated’ (aka User is not signed into Eightfold) | 1 year | HTTP Cookie |
| dtCookie | siemens-healthineers.com | Pending | Session | HTTP Cookie |
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| termsandconditionsflag | siemens-healthineers.com | User accepted terms and conditions of the forum. | Session | HTTP Cookie |
| test | static.adlytics.net | Used to detect if the visitor has accepted the marketing category in the cookie banner. This cookie is necessary for GDPR-compliance of the website. | Session | HTTP Cookie |
| sc_anonymous_id | Matterport | Used in context with the 3D-view-function on the website. | Persistent | HTML Local Storage |
| _legacy_auth0.FCUyIe4TQtwkeyVk351gWOUvCKGSSR5F.is.authenticated [x2] | www.cspartnerportal.siemens-healthineers.com www.siemens-healthineers.com | Boolean cookie that holds the information about the possibility of the user to have a valid session | Session | HTTP Cookie |
| _legacy_auth0.FCUyIe4TQtwkeyVk351gWOUvCKGSSR5F.organization_hint [x2] | www.cspartnerportal.siemens-healthineers.com www.siemens-healthineers.com | Boolean cookie that holds the information about the possibility of the user to have a valid session | Session | HTTP Cookie |
| auth0.FCUyIe4TQtwkeyVk351gWOUvCKGSSR5F.is.authenticated [x2] | www.cspartnerportal.siemens-healthineers.com www.siemens-healthineers.com | Boolean cookie that holds the information about the possibility of the user to have a valid session | Session | HTTP Cookie |
| auth0.FCUyIe4TQtwkeyVk351gWOUvCKGSSR5F.organization_hint [x2] | www.cspartnerportal.siemens-healthineers.com www.siemens-healthineers.com | Boolean cookie that holds the information about the possibility of the user to have a valid session | Session | HTTP Cookie |
| /idbfs#FILE_DATA | www.siemens-healthineers.com | Pending | Persistent | IndexedDB |
| UnityCache#WebAssembly | www.siemens-healthineers.com | Pending | Persistent | IndexedDB |
| UnityCache#XMLHttpRequest | www.siemens-healthineers.com | This cookie is necessary for the cache function. A cache is used by the website to optimize the response time between the visitor and the website. The cache is usually stored on the visitor’s browser. | Persistent | IndexedDB |
Preference cookies enable a website to remember information that changes the way the website behaves or looks, like your preferred language or the region that you are in.
| Name | Provider | Purpose | Maximum Storage Duration | Type |
|---|---|---|---|---|
| CookieConsentBulkSetting-# | Cookiebot | Enables cookie consent across multiple websites | Persistent | HTML Local Storage |
| visitorId | coveo | The visitor ID is a random and unique value generated when a user visits the search site for the first time. Similar to the client ID, it uses the related metric, the unique visitor ID, and lets you know the number of distinct browsers in which a query was sent or an item was clicked, counting them only once even if the same search actions were recorded over the course of many visits. | Session | HTTP Cookie |
| kndctr_#_AdobeOrg_cluster | static.siemens-healthineers.com | This cookie stores the Edge Network region that is serving the current user’s requests. The region is used in the URL path so that the Edge Network can route the request to the correct region. This cookie has a 30 minutes lifetime, so that if a user connects with a different IP address, the request can be routed to the closest region. | 1 day | HTTP Cookie |
Statistic cookies help website owners to understand how visitors interact with websites by collecting and reporting information anonymously.
| Name | Provider | Purpose | Maximum Storage Duration | Type |
|---|---|---|---|---|
| ste_p [x15] | static.adlytics.net | This cookie contains information like the timestamp of the first, the current and the last visit. | 1 year | HTTP Cookie |
| ste_s [x15] | static.adlytics.net | This cookie contains information like the last placement ID, the last used search phrase and the network attribution of the visitor. The data is used to analyze the internal search and to improve the website and other communication activities. | 1 day | HTTP Cookie |
| b/ss/#/1/#/s# | Adobe Inc. | Registers data on visitors' website-behaviour. This is used for internal analysis and website optimization. | Session | Pixel Tracker |
| s_vi_x7Edhx60hcx7Ex20ex20gx7Eh | Adobe Inc. | Pending | 400 days | HTTP Cookie |
| AMCV_# [x2] | static.adlytics.net | Unique user ID that recognizes the user on returning visits | 2 years | HTTP Cookie |
| AMCVS_#AdobeOrg | static.adlytics.net | Pending | Session | HTTP Cookie |
| com.adobe.alloy.getTld | static.siemens-healthineers.com | The cookie is used to find the top level domain. | Session | HTTP Cookie |
| kndctr_#_AdobeOrg_identity | static.siemens-healthineers.com | The identity cookie stores the ECID, as well as other information related to the ECID. | 13 months | HTTP Cookie |
| ste_cds | static.adlytics.net | This cookie contains the last visited page, the last used navigation element and the scroll depth of the previous page. This data is used to improve the usability and the navigation of the Healthineers website. | 1 day | HTTP Cookie |
| ste_pr | static.adlytics.net | This cookie saves data like the previous placement ID. | Session | HTTP Cookie |
| ste_survey | static.adlytics.net | This cookie saves data like if the visitor completed, declined or deferred the survey. | Session | HTTP Cookie |
| ste_vi | static.adlytics.net | This cookie contains a pseudonymous ID to recognize the visitor on his next visit. | 1 year | HTTP Cookie |
| kndctr_FB0F6F405BD83AE40A495E84_AdobeOrg_consent | static.siemens-healthineers.com | This cookie stores the user’s consent preference for the website. | Session | HTTP Cookie |
Marketing cookies are used to track visitors across websites. The intention is to display ads that are relevant and engaging for the individual user.
| Name | Provider | Purpose | Maximum Storage Duration | Type |
|---|---|---|---|---|
| _dp | Adobe Inc. | This cookie is set by the audience manager of a website in order to determine if any additional third-party cookies can be set in the visitor’s browser – third-party cookies are used to gather information or track visitor behavior on multiple websites. Third-party cookies are set by a third-party website or company. | Session | HTTP Cookie |
| demdex | Adobe Inc. | Via a unique ID that is used for semantic content analysis, the user's navigation on the website is registered and linked to offline data from surveys and similar registrations to display targeted ads. | 180 days | HTTP Cookie |
| dpm | Adobe Inc. | Sets a unique ID for the visitor, that allows third party advertisers to target the visitor with relevant advertisement. This pairing service is provided by third party advertisement hubs, which facilitates real-time bidding for advertisers. | 180 days | HTTP Cookie |
| ELOQUA [x2] | Oracle siemens-healthineers.com | Registers a unique ID that identifies the user's device upon return visits. Used for auto-populating forms and to validate if a certain contact is registered to an email group. | 1 year | HTTP Cookie |
| ELQSTATUS | Oracle | Used to auto-populate forms and validate if a given contact has subscribed to an email group. The cookie is only set if the user allows tracking. | 1 year | HTTP Cookie |
| everest_g_v2 | Adobe Inc. | Used for targeted ads and to document efficacy of each individual ad. | 1 year | HTTP Cookie |
| everest_session_v2 | Adobe Inc. | Used for targeted ads and to document efficacy of each individual ad. | Session | HTTP Cookie |
| NID | Registers a unique ID that identifies a returning user's device. The ID is used for targeted ads. | 6 months | HTTP Cookie | |
| efUserInteractionHistory | jobs.siemens-healthineers.com | Pending | Persistent | HTML Local Storage |
| mbox | Siemens | This cookie is used to collect non-personal information on the visitor's behavior and non-personal visitor statistics, which can be used by a third-party ad-targeting agency. | 2 years | HTTP Cookie |
| mboxEdgeCluster | Siemens | Stores visitors' navigation by registering landing pages - This allows the website to present relevant products and/or measure their advertisement efficiency on other websites. | 1 day | HTTP Cookie |
| #-# | YouTube | Used to track user’s interaction with embedded content. | Session | HTML Local Storage |
| __Secure-ROLLOUT_TOKEN | YouTube | Pending | 180 days | HTTP Cookie |
| iU5q-!O9@$ | YouTube | Registers a unique ID to keep statistics of what videos from YouTube the user has seen. | Session | HTML Local Storage |
| LAST_RESULT_ENTRY_KEY | YouTube | Used to track user’s interaction with embedded content. | Session | HTTP Cookie |
| LogsDatabaseV2:V#||LogsRequestsStore | YouTube | Used to track user’s interaction with embedded content. | Persistent | IndexedDB |
| nextId | YouTube | Used to track user’s interaction with embedded content. | Session | HTTP Cookie |
| remote_sid | YouTube | Necessary for the implementation and functionality of YouTube video-content on the website. | Session | HTTP Cookie |
| requests | YouTube | Used to track user’s interaction with embedded content. | Session | HTTP Cookie |
| ServiceWorkerLogsDatabase#SWHealthLog | YouTube | Necessary for the implementation and functionality of YouTube video-content on the website. | Persistent | IndexedDB |
| TESTCOOKIESENABLED | YouTube | Used to track user’s interaction with embedded content. | 1 day | HTTP Cookie |
| VISITOR_INFO1_LIVE | YouTube | Tries to estimate the users' bandwidth on pages with integrated YouTube videos. | 180 days | HTTP Cookie |
| YSC | YouTube | Registers a unique ID to keep statistics of what videos from YouTube the user has seen. | Session | HTTP Cookie |
| yt.innertube::nextId | YouTube | Registers a unique ID to keep statistics of what videos from YouTube the user has seen. | Persistent | HTML Local Storage |
| yt.innertube::requests | YouTube | Registers a unique ID to keep statistics of what videos from YouTube the user has seen. | Persistent | HTML Local Storage |
| ytidb::LAST_RESULT_ENTRY_KEY | YouTube | Used to track user’s interaction with embedded content. | Persistent | HTML Local Storage |
| YtIdbMeta#databases | YouTube | Used to track user’s interaction with embedded content. | Persistent | IndexedDB |
| yt-remote-cast-available | YouTube | Stores the user's video player preferences using embedded YouTube video | Session | HTML Local Storage |
| yt-remote-cast-installed | YouTube | Stores the user's video player preferences using embedded YouTube video | Session | HTML Local Storage |
| yt-remote-connected-devices | YouTube | Stores the user's video player preferences using embedded YouTube video | Persistent | HTML Local Storage |
| yt-remote-device-id | YouTube | Stores the user's video player preferences using embedded YouTube video | Persistent | HTML Local Storage |
| yt-remote-fast-check-period | YouTube | Stores the user's video player preferences using embedded YouTube video | Session | HTML Local Storage |
| yt-remote-session-app | YouTube | Stores the user's video player preferences using embedded YouTube video | Session | HTML Local Storage |
| yt-remote-session-name | YouTube | Stores the user's video player preferences using embedded YouTube video | Session | HTML Local Storage |
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糖尿病性腎症の初期には「微量アルブミン尿」現象が現れます。尿中微量アルブミンのみが認められる早期腎症期を的確に診断し、血糖コントロール等の適切な治療を行うことで進行を阻止することができ、糖尿病合併症予防につながります。
医療社団法人瀬尾医院（広島県世羅町）は、大正時代から110年以上にわたり、地域に根差した医療に取り組まれてきました。地域の方にとって健康と心の支えになる「かかりつけ医」として、一般内科と一般外科を基本に、小さなお子さんからご年配の方まで、幅広く診察を行っています。現在2台の小型HbA1c、尿中アルブミン/クレアチニン測定アナライザー「DCAバンテージ」を設置して尿中アルブミン測定を院内で実施し、日々の診療に活かしている同院の瀬尾泰樹先生にそのメリットや活用方法、専門医への紹介タイミングなどを伺いました。
糖尿病患者の多くは糖尿病性腎症の予備軍であり、その早期発見に尿中微量アルブミンの測定が有効とされています。糖尿病性腎症は日本において透析導入患者の原因疾患の1位と言われており、早期発見・早期治療が重要です。また、慢性腎臓病（CKD）の患者は尿中微量アルブミンの現出段階から心血管イベント（CVD）の発症リスクが高いという報告がされています。
早期腎症の段階でわずかに排出される尿中微量アルブミンをいち早くキャッチし、運動療法や薬物療法など適切な処置を早期に行えば、糖尿病の症状をコントロールすることで腎症以外の合併症予防効果が期待できます。糖尿病性腎症の早期発見の指標として広く認識されている尿中微量アルブミンについて、クリニックの事例とともにわかりやすく解説します。
クリニックで尿中アルブミンも測定を実施している先生方のインタビュー記事をご覧ください。
開業医の現場で広く網をかけてスクリーニングすることで患者さんの状態をいち早く把握
地域密着型の竹ノ塚診療所では、糖尿病や高血圧患者様の治療や経過観察の指標として尿検査を活用されています。気軽にできる尿中アルブミン定性検査は、糖尿病患者に限らず高血圧患者の動脈関連疾患の合併症を早期発見するためのスクリーニング用ツールとして、また、患者さんに納得して治療を受けていただくためのコミュニケーション用ツールとしても役に立っています。
キャピラリでアルブミン試薬を簡単採取できる点が良いです。大きな病院施設では1台だと処理速度に物足りなさを感じる施設があるかもしれませんが、一般のクリニックではストレスなく操作できるはず！
尿中アルブミンとクレアチニンの定量検査の多くは汎用の生化学装置を使って測定しているため、採尿から測定値が得られるまで時間がかかります。DCAバンテージを使えば、尿中アルブミン／クレアチニンを同時測定、しかもその場で測定結果が得られます。
慢性腎臓病は心血管イベントの独立した危険因子といわれていますが、我々開業医は、血清クレアチニンは測定しても、尿中のアルブミンの測定はあまり行っていません。微量アルブミン尿がみられる症例は、心血管イベントの発症頻度が高いことが報告されています。
ハートクリニックは通常のクリニックより微量アルブミン尿を呈する患者様の頻度が高い可能性があるため、平光ハートクリニックの外来で治療通院中の高血圧患者を対象に、顕性蛋白尿と微量アルブミン尿の頻度を検討しました。驚きの結果は？
「尿中アルブミン定量検査を受けた糖尿病患者の34.2％ がアルブミン尿陽性」という驚きのデータ* があります。
糖尿病性腎症を早期発見し、治療を開始することで重症化を予防することができます。また、定期的に検査することにより患者様の治療に対する意識も向上するため、定期的に通院してくれます。
診療所・クリニックで簡単操作で手軽に尿中微量アルブミン測定ができる測定装置と尿検査試験紙があります。アルブミン／クレアチニン比の自動計算や目視検査を機械化するなど、多忙な看護師の皆さまの負荷軽減をサポートしながら、糖尿病性腎症の早期発見と心血管イベント発症リスクの低減にぜひご活用ください。
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