• Title/Summary/Keyword: 위잔여량

Search Result 8, Processing Time 0.029 seconds

Nutritional Support, Gastric Residual Volume and Nutritional Status during Enteral Nutrition in Intensive Care Unit Patients (중환자실 경장영양 환자의 영양지원, 위 잔여량 및 영양상태)

  • Lee, Minju;Kang, Jiyeon
    • Korean Journal of Adult Nursing
    • /
    • v.26 no.6
    • /
    • pp.621-629
    • /
    • 2014
  • Purpose: The purpose of this study was to investigate the nutritional support, gastric residual volume, and nutritional status of the intensive care unit (ICU) patients on enteral feeding. Methods: A descriptive longitudinal design was used to collect 5 day data on enteral nutrition of 52 ICU patients in an university hospital. Nutritional support was calculated with actual caloric intake compared to individual caloric requirement. Residual volumes were measured prior to routine feedings, and the serum albumin levels and the total lymphocyte counts were checked to evaluate nutritional status. The data were analyzed using one group repeated measures ANOVA, paired t-test, and Spearman's bivariate correlation analysis. Results: The subjects received their first enteral feeding on the $5.75^{th}$ day of ICU admission. The mean nutritional support rate was 49.1% of the requirement, however prescription rate and support rate were increased as time goes by. Gastric residual volumes were less than 10 cc in 95% cases. A significant negative correlation was found between nutritional support and nutritional status. Conclusion: The nutritional support for ICU patient was low compared to the requirement, and their nutritional status was worse than at the time of ICU admission. Further studies are necessary to develop nursing interventions for improving nutritional support for ICU patients.

비가법성에 대한 Tukey의 통계량에 관하여

  • Paik, U.B.
    • Journal of the Korean Statistical Society
    • /
    • v.4 no.1
    • /
    • pp.9-17
    • /
    • 1975
  • A, B 두 요인의 영향을 받고 있다고 생각되는 rc개 측정치가 있고 이것이 다음과 같이 $r\timesc$ 이차분류표로 정리되었다고 하자. 여기에서 $$y_{ij} = \mu + \alpha_i + \beta_j + \epsilon_{ij}$$ 와 같은 가법모형을 생각한다. 그리고 $\epsilon_{ij}$는 잔여항으로써 평균이 0, 분산이 $\sigma^2$인 정규분포를 한다고 가정하는 것이 보통이다. 또 이것은 모수모형인 경우 $E(y_{ij}) = \mu + \alpha_i + \beta_i, v(y_{ij}) = \sigma^2$임을 의미하는 것으로 생각된다. 그러나 자료에 따라서는 위에서와 같은 가법적 모형을 적용한다는 것이 적당하지 못한 경우가 있다.

  • PDF

Performance Analysis of Service Model on Parallel VOD Environment (병렬 VOD 환경에서의 서비스 모델의 성능분석)

  • Lee, Min-Hong;Kim, Kyung-Hun;Nam, Ji-Seung
    • Proceedings of the Korea Information Processing Society Conference
    • /
    • 2003.05a
    • /
    • pp.145-148
    • /
    • 2003
  • 본 논문은 단일 VOD 환경에서의 서버/클라이언트 간 데이터 서비스 모델을 분석하고 이를 병렬 VOD 환경에 적용함으로써 보다 나은 사용자 QoS(Quality of Service)를 제공하고자 한다. 이를 위해 단일 VOD 환경에서는 클라이언트가 데이터를 요청하고 서버가 전달해주는 Client Pull 모델과 서버 측에서 일방적으로 데이터를 전달해주는 Server Push 모델을 네트워크상 전달지연 측면에서 분석하고 위 두 모델.을 통합한 IPP(Interleaving Pull & Push) 서비스 모델과 Client Pull 모델을 전달지연과 클라이언트 버퍼 내 데이터 잔여량 측면에서 병렬 VOD 환경에서 적용 및 비교하였다. 시뮬레이션을 통해 병렬 VOD 환경에서 IPP 서비스 모델이 가장 적은 전달지연과 보다 안정적인 클라이언트 버퍼를 유지함을 알 수 있으며 이를 동해 사용자에게 보다 나은 서비스를 제공할 수 있다.

  • PDF

The Finite Element Formulation and Its Classification of Dynamic Thermoelastic Problems of Solids (구조동역학-열탄성학 연성문제의 유한요소 정식화 및 분류)

  • Yun, Seong-Ho
    • Journal of the Computational Structural Engineering Institute of Korea
    • /
    • v.13 no.1
    • /
    • pp.37-49
    • /
    • 2000
  • This paper is for the first essential study on the development of unified finite element formulations for solving problems related to the dynamics/thermoelastics behavior of solids. In the first part of formulations, the finite element method is based on the introduction of a new quantity defined as heat displacement, which allows the heat conduction equations to be written in a form equivalent to the equation of motion, and the equations of coupled thermoelasticity to be written in a unified form. The equations obtained are used to express a variational formulation which, together with the concept of generalized coordinates, yields a set of differential equations with the time as an independent variable. Using the Laplace transform, the resulting finite element equations are described in the transform domain. In the second, the Laplace transform is applied to both the equation of heat conduction derived in the first part and the equations of motions and their corresponding boundary conditions, which is referred to the transformed equation. Selections of interpolation functions dependent on only the space variable and an application of the weighted residual method to the coupled equation result in the necessary finite element matrices in the transformed domain. Finally, to prove the validity of two approaches, a comparison with one finite element equation and the other is made term by term.

  • PDF

Clinical Usefulness of Gastric Residual Volume as An Indicator to Provide Approximately Enteral Nutrition for Patients in Intensive Care Units: A Systematic Literature Review (중환자의 경관영양 공급 지표로서 위 잔여량의 임상적 효용성: 체계적 문헌고찰)

  • Kim, Hyunjung;Chang, Sun Ju
    • Journal of Korean Biological Nursing Science
    • /
    • v.16 no.4
    • /
    • pp.267-275
    • /
    • 2014
  • Purpose: The practice of enteral nutrition with gastric residual volumes (GRVs) as a clinical indicator is poorly standardized in intensive care units. This study aims to summarize the results from studies that evaluated the clinical outcomes related to the GRVs. Methods: This systematic review study analyzed 11 studies consisting of four randomized controlled trials, one non-randomized controlled trial, and six observational studies. Results: No consistent relationship between GRV thresholds and clinical outcomes was observed. Higher GRVs were not consistently correlated with clinical outcomes such as higher gastrointestinal complications, aspiration pneumonia, or mortality. Higher GRVs significantly generate complications more often. Findings show that a single GRV more than 200 mL or two consecutive GRVs more than 150 mL should raise concern about negative consequences. Conclusion: Critical care nurses need to monitor GRVs closely during their practice of enteral nutrition. For critically ill patients receiving enteral nutrition, a GRV threshold of 200 ml would be a desirable limit to provide safe and adequate nutrition with a conservative approach.

Effects of Feeding Heat Treated Protein and Mineral Complex on In Vitro Fermentation Characteristics, Milk Production and Composition of Holstein Dairy Cows (열처리 단백질-광물질 복합제제 첨가가 In Vitro 발효성상과 착유우의 유량 및 유성분에 미치는 영향)

  • Choi, N.J.;Bae, G.S.;Nam, K.P.;Chang, M.B.;Um, J.S.;Ko, J.Y.;Ha, J.K.
    • Journal of Animal Science and Technology
    • /
    • v.44 no.5
    • /
    • pp.541-548
    • /
    • 2002
  • This study, consisting of two experiments, was conducted to determine the effects of feeding heat treated protein and mineral complex (HPM) on milk production and composition, and ruminal fermentation of Holstein dairy cows. In in vitro experiment, HPM levels were 0, 0.2, 1 and 2%, and Timothy hay, which was substrate, was milled as 1 mm size, and the effects of HPM on pH, ammonia and VFA were analyzed after incubation times of 0, 6, 12, 24 and 48 h, respectively. The pH and ammonia production were not significantly different between treatments during the incubation. In addition, generally, total VFA and individual VFA were not affected by HPM on 0, 6 and 24 h. While, total VFA and individual VFA were increased in 0.2% and 1% of HPM supplemented treatments, but decreased in 2% of HPM treatment compared with control on 12 h. On 48 h, total VFA and individual VFA were increased in HPM treatments compared to control (P<0.05). However, A/P ratio was not affected by HPM supplementation. Gas production was higher in HPM treatment compared to control on 24 h (P<0.05) and 48 h (P<0.05). In lactating experiment, fourteen lactating Holstein cows were used for 4 months in a cross over experimental design. There were two treatments; no added HPM as a control and 0.2% of HPM added as a test treatment. Daily milk yield (P<0.001), 4% FCM (P<0.001), milk protein (P<0.05) and SNF (solid not fat; P<0.05) were increased in HPM treatment compared to control. While, milk fat, MUN (milk urea nitrogen) and SCC (somatic cell count) were not significantly different between treatments.

Drought Estimation Model Using a Evaporation Pan with 50 mm Depth (50mm 깊이 증발(蒸發) 팬을 이용한 한발 평가 모델 설정)

  • Oh, Yong Taeg;Oh, Dong Shig;Song, Kwan Cheol;Um, Ki Cheol;Shin, Jae Sung;Im, Jung Nam
    • Korean Journal of Soil Science and Fertilizer
    • /
    • v.29 no.2
    • /
    • pp.92-106
    • /
    • 1996
  • Imaginary grass field was assumed suitable as the representative one for simplified estimation of local drought, and a moisture balance booking model computing drought was developed with the limited numbers of its determining factors, such as crop coefficient of the field, reservoir capacity of the soil, and the beginning point of drought as defined by soil moisture status. The maximum effective rainfall was assumed to be the same as the available free space of soil reservoir capacity. The model is similar to a definite depth evaporation pan, which stores rainfall as much as the available free space on the water in it and consumes the water by evaporation. When the pan keeps water less than a certain defined level, it is droughty. The model simulates soil moisture deficit on the assumed grass field for the drought estimation. The model can assess the water requirement, drought intensity, and the index of yield decrement due to drought. The influencing intensity indices of the selected factors were 100, 21, and 16 respectively for crop coefficient, reservoir capacity, and drought beginning point, determined by the annual water requirements as influenced by them in the model. The optimum values of the selected factors for the model were respectively 58% for crop coefficient defined on the energy indicator scale of the small copper pan evaporation, 50 mm for reservoir capacity on the basis of the average of experimentally determined values for sandy loam, loam, clay loam, and clay soils, and 65% of the reservoir capacity for the beginning point of drought.

  • PDF

Effects of Rubus coreanus and Artemisia princeps Extracts on the Ultraviolet B-Induced DNA Damage Responses in HaCaT Cells (HaCaT 세포에서 자외선 B에 의해 유도된 DNA 상해반응에 대한 복분자와 쑥 추출물의 효과)

  • Lee, Seok Hee;Ha, Se Eun;Lee, Jun Kyoung;Park, Jong Kun
    • Journal of Life Science
    • /
    • v.24 no.2
    • /
    • pp.112-117
    • /
    • 2014
  • We investigated the effects of extracts from Rubus coreanus (RC) and Artemisia princeps var. orientalis (AP) on DNA damage response in ultraviolet B (UVB)-exposed HaCaT cells. Cell activity upon treatment for 24 h with RC or AP alone was similar to or greater than that of the nontreated control. When UVB-exposed cells were postincubated for 24 h in medium containing RC or AP, cell activity increased in a concentration-dependent manner. Nuclear fragmentation analysis showed that postincubation with RC or AP decreased UVB-induced apoptosis by about 20% and 15%, respectively, of that in cells postincubated with growth medium. When UVB-exposed cells were postincubated for 24 h in medium containing RC or AP, the level of cyclobutane pyrimidine dimer decreased in a concentration- dependent manner. Western blot analysis showed that treatment of cells not exposed to UVB with RC or AP alone did not significantly change the levels of phospho-p53 and GADD45 protein. Interestingly, when UVB-exposed cells were postincubated for 24 h in medium containing RC or AP, phospho-p53 and GADD45 levels decreased in a concentration dependent manner. Our results suggest that RC and AP extract assist the survival of UVB-exposed cells in parallel with a decrease in levels of UVB-induced DNA damage and damage-response proteins, such as p53 and GADD45.