• Title/Summary/Keyword: 호흡 일

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Reye syndrome after acute enteritis during the neonatal period (신생아기 장염에 의하여 발병된 Reye 증후군)

  • Bang, Jun Suck;Nam, Sang Jung;Lee, Kyung Hwa;Bae, Eun Joo;Park, Won-Il;Lee, Hyun Sook;Son, Bae Young;Choi, Hwan Suck;Lee, Hong Jin
    • Clinical and Experimental Pediatrics
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    • v.49 no.3
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    • pp.273-277
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    • 2006
  • Purpose : The prevalence of Reye syndrome has decreased since late 1980's. But we report that recently there were concentrative attacks of Reye syndrome after acute enteritis during the neonatal period. Methods : Clinical symptoms and laboratory results(quantitative organic acid analysis, routine chemistry, arterial blood gas analysis, serum ammonia) of seven patients admitted at the Samsung Medical Center, Sanggye Paik Hospital, Wonju Christian Hospital and Chuncheon Sacred Heart Hospital, referred from Jan. 2005 to Apr. 2005, were analysed retrospectively. The major clinical symptoms were derived from the patients' clinical records sended with urine samples and quantification of organic acids were done with gas chromatography and mass spectrometry. Results : The mean age of seven cases is 18 days and the major preceding symptoms were gastrointestinal symptoms(vomiting, diarrhea, refusal to feeding). The major clinical symptoms were clouded conciousness, repiratory difficulty, vomiting, seizures, and diarrhea. One patient died; that patient's serum ammonia was twenty times higher than normal. Conclusion : The seven patients were neonates. Reye syndrome has been known to be closely related with upper respiratory infections as a preceding disease and to internal use of aspirin, but in our study, the major preceding disease of the seven cases was gastrointestinal infection and none of these used aspirin.

Gastroesophageal Reflux in Mechanically Ventilated Preterm Infants (기계적 환기 요법이 미숙아 위식도 역류에 미치는 영향)

  • Ku, Hye Jin;Park, Su Eun;Park, Jae Hong
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.7 no.1
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    • pp.48-53
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    • 2004
  • Purpose: Besides interferencence of esophageal motor function by the nasogastric tube, a decline of the positive gastro-esophageal pressure gradient caused by intermittent positive pressure ventilation seems to have a major role in the pathogenesis of gastroesophageal reflux (GER) in mechanically ventilated preterm infants. The aim of this study was to determine the incidence of GER and associated risk factors in mechanically ventilated preterm infants. Methods: Twenty four hour esophageal pH monitorings were performed using a antimony electrode on 11 mechanically ventilated preterm infants in Neonatal Intensive Care Unit in Pusan National University Hospital. We evaluated the following reflux parameters; reflux index, reflux episodes/hour, reflux episodes ${\geq}5min/hour$, duration of longest episode, and percent episodes ${\geq}5min$. Patients were considered to have significant GER if more than 2 among 5 parameters were satisfied. Results: The mean gestational age of the patients was 30.9 weeks, mean birth weight was 1,568 g, and mean age at the time of pH monitoring was 2.8 days. Significant GER was detected in 4 patients (36.4%). There was no relationship between the incidence of GER and gestational age, birth weight, postnatal age, or the ventilator settings. Conclusion: The incidence of GER in mechanically ventilated preterm infants was similar, compared with other previous studies. Associated risk factors of GER in these patients were not detected. Therefore, mechanical ventilation in preterm infants does not seem to be the high risk factor of GER.

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Study on the Smart 1RM System Development and Effect Verification for Health Improvement and Management of National Healthcare (국민 건강관리 및 체력증진을 위한 스마트 1RM 시스템 개발 및 효과 검증에 관한 연구)

  • Woo, Kyung-Min;Shin, Mi-Yeon;Yu, Chang-Ho
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.12 no.1
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    • pp.53-62
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    • 2018
  • In this study, we developed a smart 1RM system for national health management and physical fitness, which enables quantitative 1RM measurement in various types of exercise using digital pulley technology, and to test the effect on training by using it. We developed the smart 1RM system, which is composed of portable muscle strength measuring device, Bluetooth communication based mobile phone data transmission and circuit diagram, and height adjustable system body. We recruited the 30 participants with 20th aged and divided into training and non-performing groups with 15 participants randomly. The participants performed 5 sets of elbow, lumbar, knee extension / flexion 10 times using smart 1RM system and the experimental period was 3 days a week for a total of 8 weeks. The experimental results showed that the maximum strength of the elbow, lumbar, and knee joints was significantly improved before and after maximal muscle strength training in the training group. Oxygen intakes during 1RM exercise mode showed 10.91% than endurance. To verify the validity of the smart 1RM maximal strength data, the reliability was 0.895 (* p <0.00). This study can be applied to the early rehabilitation treatment of the elderly and rehabilitation patients more quantitatively using the national health care.

Sick Sinus Syndrome (SSS) in a Maltese Dog Concurrent with Mitral Valve Endocardiosis (MVE) (말티즈견에서 발생한 Mitral Valve Endocardiosis (MVE)를 동반한 Sick Sinus Syndrome (SSS)에 대한 증례)

  • Park Chul;Jung Dong-in;Kim Ha-Jung;Kang Byeong-Teck;Kim Ju-Won;Lim Chae-Young;Yoo Jong-Hyun;Park Hee-Myung
    • Journal of Veterinary Clinics
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    • v.22 no.4
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    • pp.396-400
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    • 2005
  • A 13-year old, female Maltese dog was presented due to a five-month history of episodic syncope. A diagnosis of sick sinus syndrome (SSS) with mitral valve endocardiosis (MVE) was made based on history takings, physical and cardiac examination, complete blood count (CBC), serum chemistry profiles, radiography, electrocardiography (ECG), atropine response test, hormonal assay, and echocardiography. In this case, SSS was definitely diagnosed by evaluation of ECG recording following atropine administration. Clinical signs were improved with medical management of theophylline (THEOLAN, KunWha Pharm, Seoul, Korea, 20 mg/kg, PO, BID). After 10 more month survival, the dog, died of respiratory distress and shock during the operation of abdominal mass removal in local animal hospital. Unfortunately, we were not able to perform necropsy after death due to owner's decline. This case demonstrates that theophylline can be used in management oF dog with SSS.

Atmosphere and Green Pepper Quality Influenced by Active Air Flushing in Fresh Produce Container Controlled in Real-time $O_2$ Concentration (실시간 $O_2$ 농도 제어 풋고추 용기에서 능동기체치환 시스템이 기체조성과 품질보존에 미치는 효과)

  • Jo, Yun Hee;An, Duck Soon;Lee, Dong Sun
    • KOREAN JOURNAL OF PACKAGING SCIENCE & TECHNOLOGY
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    • v.20 no.2
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    • pp.29-33
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    • 2014
  • Active air flushing mini-pumps were installed in a rigid polypropylene container ($32cm{\time}23cm{\time}18cm$) containing 900 g of fresh green peppers for effectively controlling its $O_2$ concentration on real time basis to preserve the product quality. The performance of the constructed system was compared to that of the modified atmosphere (MA) container system with gas diffusion tube controlled in close/open cycles responding to real time $O_2$ concentration at 10 and $20^{\circ}C$. In the control logic, the $O_2$ concentration was programmed to be located exactly at 13% or stay in the range of 13-15%. The active air flushing system could control the $O_2$ concentration in the desired level or range at both temperatures, while the passive diffusion system could work only under the low temperature condition of $10^{\circ}C$. At higher temperature of $20^{\circ}C$, the passive diffusion system could not manage the produce respiration increased more highly than the gas transfer through the diffusion tube, resulting in too low $O_2$ concentration and too high $CO_2$ concentration which would be injurious to the green pepper. When tested at $20^{\circ}C$, the MA container system could preserve the green pepper better than the perforated air package in terms of weight loss, ascorbic acid and chlorophyll contents and firmness.

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Clinical Analysis of Spontaneous Pneumomediastinum (자발성 종격동기종의 임상적 고찰)

  • Chon Soon-Ho;Wee Jang Seop;Lee Chul Burm;Kim Hyuck;Kim YoungHak
    • Journal of Chest Surgery
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    • v.39 no.1 s.258
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    • pp.56-59
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    • 2006
  • Background: Spontaneous pneumomediastinum (SPM) is a relatively rare and benign condition that generally occurs in young adults without any precipitating factor or disease. The purpose of this study was to assess whether more uncomforting diagnostic procedures are necessary and to establish standards in the diagnosis and treatment of spontaneous pneumomediastinum. Material and Method: A retrospective study was done on 18 patients from the hospitals of Hanyang University Seoul Hospital and Hanyang University Guri Hospital between February, 1997 and June, 2004. All patients had presence of mediastinal air without a pneumothorax and no evidence of trauma or barotrauma. Result: Among the 18 patients, the majority were male patients with only two female patients. Their mean age was 20.95 years old with standard deviation of 14.3 years. The most common complaints were chest pain, dyspnea, and coughing. Evaluation included simple chest roentgenogram in all patients, 10 patients had a chest tomographic scan, 10 patients had an esophagoscopic exam, 6 patients had a bronchofiberoscopic exam, and 3 patients had an esophagogram done. The mean hospital stay was 10.9 days. All patients were treated conservatively and in a follow-up of 1 $\∼$ 8 years only one recurrence was found. Conclusion: SPM is caused by alveolar rupture in the pulmonary interstitium leading to dissection of air towards the hilum and mediastinum. Although SPM is a self-limiting condition, evaluation should include chest roentgenogram and chest tomographic scans to rule out any other secondary condition. More aggressive evaluation seems unnecessary.

Panperitonitis with Advanced Gastric Cancer - Based on Seminar of Korean Family Medicine Palliative Medicine Research Group - (진행된 위암 환자에게 발생한 범복막염 치료의 완화의학적 접근 - 대한가정의학회 완화의학연구회 세미나를 기초로 하여 -)

  • Jung, Yun-Joo;Kim, Dae-Kyun;Choi, Youn-Seon;Korean Palliative Medicine Research Group, Korean Palliative Medicine Research Group;Shim, Jae-Yong
    • Journal of Hospice and Palliative Care
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    • v.9 no.1
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    • pp.35-39
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    • 2006
  • A 77-year-old female presented panperitonitis due to advanced gastric ranter during palliative care. In the case of panperitonitis following obstruction or perforation, surgical treatment is vital to avoid fatal sepsis and dehydration. However, the risk of surgery and the residual life of a patient must be carefully considered because of high mortality and complication rate in those patients with advanced disease due to the poor condition. The therapeutic value of aggressive hydration, nasogastric tube insertion, and the use of antibiotics is also questionable. Palliative surgery was not performed on this case, and she passed away peacefully in the presence of family after 4 days of palliative medical care. Here is the appropriate management for this kind of patients we would like to recommend through review of relevant references and long discussions. Firstly, we need to predict survival time using clinical variables. Secondly, considering patient status and risk of surgery, non surgical palliative care such as pain control, transient nasogastric tube insertion, and parenteral hydration is recommended. Minimal use of fluid is desirable to minimize complications such as edema and dyspnea if massive hydration in the beginning of treatment is not proved to be effective. Even though started earlier in the course of disease, discontinuation of antibiotics could be discussed with patients and their caregiver if patient status is not improved.

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Comparison of the Ventilatory Volume and Airway Pressures using Oxylator EM-100, MicroVenT CSI-3000, OXY-LIFE II -A manikin study - (산소소생기 Oxylator EM-100, MicroVenT CSI-3000, OXY-LIFE II의 환기량과 기도내압 비교 - 마네킨 연구 -)

  • Shim, Gyu-Sik;Kim, Eun-Mee;Roh, Sang-Gyun
    • Fire Science and Engineering
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    • v.31 no.2
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    • pp.113-118
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    • 2017
  • The purpose of this study was to compare the ventilatory volume and airway pressure using Oxylator EM-100, MicroVenT CSI-3000, OXY-LIFE II. The data were obtained from February 13 in 2017 andanalyzed using the SPSS WIN 18.0 program. The results of theventilatory volume showed the Oxylator EM-100 551.44 ml (${\pm}18.70$), MicroVenT CSI-3000 527.26 ml (${\pm}17.98$), and OXY-LIFE II 369.46 ml (${\pm}12.30$). The airway pressure showed the Oxylator EM-100 $11.89cmH_2O$ (${\pm}.41$), MicroVenT CSI-3000 $11.66cmH_2O$ (${\pm}.34$), and OXY-LIFE II $8.02cmH_2O$ (${\pm}.25$). This study will provide the basic data for an appropriate ventilation method by an oxygen supply device including Oxylator EM-100, MicroVenT CSI-3000, and OXY-LIFE II.

Changes of Carassius auratus Tissues by Zn Accumulation (아연 축적으로 인한 붕어(Carassius auratus) 조직의 변화)

  • Shin, Myung-Ja;Lee, Jong-Eun;Seo, Eul-Won
    • Korean Journal of Ecology and Environment
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    • v.44 no.1
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    • pp.85-94
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    • 2011
  • Present study aimed to investigate the effect of zinc accumulation on the tissues of Carassius auratus with various rearing condition. Heavy metal, Zn, was accumulated in the gill, bone and muscle increased for exposure period of 40 days. Moreover, the accumulated concentration of Zn in the gill showed relatively higher than that in other tissues. Also, activities of antioxidant enzymes in the gill, kidney, liver and muscle tissues after exposure to Zn were increased in the manner of exposure period. Antioxidant enzyme activities were shown higher in the gill and muscle than those in the kidney and liver tissues. The gill of C. auratus showed abnormal shapes in its secondary lamellae by long time exposure condition and determined the increased numbers of mucous cells in gill exposed to Zn. In addition, the edema, the exfoliation of epithelial cell was shown in the gill and membrane damages were observed in mitochondria and nucleus. In the kidney, we observed not only the atrophied glomerulus, but the expansion of empty space in Bowman's capsule. Based on the above results, it is considered that the exposure to the high level of Zn for long period possibly involves in the decrease of respiratory and excretory rates, giving rise to secondary lesion of tissues.

Difference of Growth and Yield among Rice Cultivars and Direct Seeding Methods as Affected by Yearly Variation Weather (연차간 기상조건에 따른 벼 품종의 담수직파재배 양식간 생육 및 수량)

  • Choi, Weon-Young;Kang, Si-Yong;Lee, Jeong-Taek
    • Korean Journal of Environmental Agriculture
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    • v.18 no.3
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    • pp.229-235
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    • 1999
  • To identify the differences on plant growth and yield of two rice cultivars among direct water-seeding methods broadcasting on flooded paddy surface(BF), drilling on flooded paddy surface(DF), and puddled-soil drill seeding(PD) under markedly different weather condition between 1995 and 1996. The mean air temperature for duration from May to June, early growth stage of rice in 1995 was lower $1{\sim}3^{\circ}C$ than that in normal or 1996. In 1995 the respiratory consumption index during panicle formation stage and early ripening stage was higher than those of in 1996 or normal year. Number of seedling stand among the methods of direct seeding rice appeared slightly higher in order of BF>DF>PD. Properly in Nonganbyeo, the number of seedling stand was much low in 1995 compared with in 1996. The leaf area index and shoot dry weight at early growth stage of rice plant and culm length at mature in 1995 were larger in direct water seeding rice than those of machanical transplanting rice, but in 1996. Faster ripening speed and shorter ripening period of rice crop appeared in 1996 compared to in 1995. It was due to higher growing degree-days, sunshine hours and solar radiation during rice growing season in 1996. Dongjinbyeo rice showed higher yield than Nonganbyeo which had lower ripened grains especially in 1995.

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