• 제목/요약/키워드: Acid Base Status

검색결과 28건 처리시간 0.028초

Relationship between the values of blood parameters and physical status in Korean native calves with diarrhea

  • Lee, Sung-Hwan;Choi, Eun Wha;Kim, Doo
    • Journal of Veterinary Science
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    • 제21권2호
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    • pp.17.1-17.11
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    • 2020
  • Dehydration, electrolyte disturbance, and acid-base imbalance are the most significant consequences of diarrhea in calves. We aimed to determine blood gas, hematological, electrolyte, and biochemical values and investigate the relationship between the physical status and blood parameters in Korean native calves (KNCs) with diarrhea. One hundred eighty KNCs with diarrhea (age < 75 days) were investigated. Blood samples were collected from the external jugular vein and analyzed using a portable clinical blood gas analyzer. The measured parameters were statistically compared according to the status of physical activity, dehydration, or prognosis. The mean values of parameters in the Calves with diarrhea showed metabolic acidosis, hyponatremia, and azotemia. The mean values of potassium, chloride, hematocrit, and hemoglobin were in the upper limit of their reference ranges. More than 75% of the calves had metabolic acidosis caused by bicarbonate loss, and 63.6% had high blood urea nitrogen (BUN) values. Moreover, BUN showed the highest correlation with the physical activity status and dehydration. pH, base excess of the extracellular fluid (BE), anion gap, potassium, hematocrit, bicarbonate, and hemoglobin were closely correlated with physical deterioration and dehydration (p < 0.001). BUN, pH, BE, and anion gap were closely correlated with physical deterioration and dehydration. These correlations between clinical symptoms and blood gas parameters can be clinically relevant in predicting the status of parameters according to clinical symptoms.

Detomidine이 한국재래산양의 혈압 및 산ㆍ염기 평형에 미치는 영향 (Effects of Detomidine HCI on Blood Pressure and Acid-Base Balance in Goats)

  • 장광호;남치주;권오경
    • 한국임상수의학회지
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    • 제6권1호
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    • pp.199-208
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    • 1989
  • This study was carried out to Investigate the effects of detomidine and xylazine on physical sign, electrocardiogram, blood pressure, acid-base status and the antagonistic effect of yohimbine on detomidine in goats. Yohimbine was administered 10 minutes after detomidine injection. Maintenance time of sedation was remarkably decreased in yohimbine-treated group(59.5${\pm}$3.8min). compared with detomidine-treated group(99.8 ${\pm}$ 14.7min). Body temperature was slightly decreased, heart rate was markedly decreased in all experimental groups and respiratory rate increased in detomidine-treated group and decreased in zylazine-treated group. However they were recovered rapidly after yohimbine administration In electrocardiogram, there were no significant changes except T waves and RR intervals. T waves showed negative form and RR intervals were increased but they were recovered rapidly in yohimbine-treated group compared with detomidine-treated group. Blood pressure was decreased after detomidine administration but recovered faster in yohimbine-treated group than in detomidine alone group. Blood pH was increased in detomidine-treated and yohimbine-treated groups but unchanged in xylazine-treatd group. It is considered that the effects of detomidine are similar to those of xylaxine and yohimbine is effective antagonist to detomidine in goats.

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수유기에 식이와 함께 섭취한 DHA가 산모의 혈액과 모유의 지질조성에 미치는 영향 (The Influence of DHA Supplementation in Maternal Diets on Fatty Acid Compositions of Plasma Lipids and Human Milk)

  • 조여원
    • Journal of Nutrition and Health
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    • 제29권2호
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    • pp.213-222
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    • 1996
  • The most abundant long-chain polyunsaturated fatty acid in brain lipids is docosahexaenoic acid(C22 : 6 N-3, DHA). It is incorporated into nerve tissues mostly in utero and during the first year of life. DHA in brain is derived from either pre-formed DHA in human milk or by infant hepatic synthesis from linolenic acid in milk. This study was designed to investigate the effects of DHA supplementation on fatty acid profiles in maternal plasma lipid and breast milk. Twenty lactating women participated in the study. Seven women took 3g of fish oil per day and vitamin E for 28 days starting from the day of giving birth. Five women consumed 1.5g of fish oil as well as tivamin E, and the rest took vitamin E supplements for the same period of time. Dietary questionnaires and 3 consecutive 24-h recalls were collected to evaluate theri nutritional status and food habits. Finding that DHA intake from fish was not significantly different among three experimental groups, the partcipants were instructed to continue eating their usual home diets. Milk samples were taken on the day of giving birth, as well as the 7th, 14th and 28th day being the supplement phase, and finally 2 weeks after the cessating of DHA supplements. The amounts of the fish oil supplements produced significant dose-dependent increased in the DHA content of milk and plasma, but to a lesser degree. Base-line for 28 days raised the level to 2.05$\pm$0.43% and 1.5g/day supplement produced DHA levels of 1.02$\pm$0.19%. The results of this study indicated that relatively small amount of dietary DHA supplementation significantly elevats DHA content in milk. This would clearly elevate the infant's DHA intake which in turn may have implications for the infant's brain development.

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소아의 만성신장질환의 치료 (Treatment of chronic kidney disease in children)

  • 이주훈
    • Clinical and Experimental Pediatrics
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    • 제52권10호
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    • pp.1061-1068
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    • 2009
  • 만성 신질환 환아들의 치료는 신대체 요법과 더불어 적절한 식이 요법, 수분, 전해질 및 산-염기의 관리, 신장 골형성 장애의 예방 및 치료, 빈혈과 고혈압, 성장 지연의 치료 등으로 이루어진다. 식이 요법은 환아들의 성장이 충분히 이루어질 수 있도록 탄수화물, 지방, 단백질 및 열량의 공급이 적절하게 이루어져야 한다. 수분, 전해질 및 산-염기의 상태를 확인하고 적절하게 관리해야 한다. 혈청 칼슘, 인, 부갑상선 호르몬 농도가 사구체 여과율에 따른 적절한 목표치 안에서 유지될 수 있도록 인 결합 제제와 비타민 D 제제를 투여하여 신장 골형성 장애를 예방하여야 한다. 적혈구 생산 촉진제와 철분 제제를 투여하여 혈색소 값을 11-12 g/dl로 유지하여야 한다. 수분 및 염분의 균형과 적절한 항고혈압제의 투여로 고혈압을 조절해야 한다. 사람 재조합 성장 호르몬을 투여하여 최종 성인 키를 호전시키도록 한다.

Current aspects and prospects of glass ionomer cements for clinical dentistry

  • Park, Eun Young;Kang, Sohee
    • Journal of Yeungnam Medical Science
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    • 제37권3호
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    • pp.169-178
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    • 2020
  • Glass ionomer cement (GIC) is a tailor-made material that is used as a filling material in dentistry. GIC is cured by an acid-base reaction consisting of a glass filler and ionic polymers. When the glass filler and ionic polymers are mixed, ionic bonds of the material itself are formed. In addition, the extra polymer anion reacts with calcium in enamel or dentin to increase adhesion to the tooth tissue. GICs are widely used as adhesives for artificial crowns or orthodontic brackets, and are also used as tooth repair material, cavity liner, and filling materials. In this review, the current status of GIC research and development and its prospects for the future have been discussed in detail.

Tubulopathy: the clinical and genetic approach in diagnosis

  • Jinwoon Joung;Heeyeon Cho
    • Childhood Kidney Diseases
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    • 제27권1호
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    • pp.11-18
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    • 2023
  • Remarkable advances in genetic diagnosis expanded our knowledge about inherited tubulopathies and other genetic kidney diseases. This review suggests a simple categorization of inherited tubular disease, clarifies the concept of autosomal dominant tubulointerstitial kidney disease (ADTKD), and introduces novel therapies developed for tubulopathies. Facing patients with suspicious tubular disorders, clinicians should first evaluate the status of volume and acid-base. This step helps the clinicians to localize the affected segment and to confirm genetic diagnosis. ADTKD is a recently characterized disease entity involving tubules. The known causative genes are UMOD, MUC1, REN, and HNF1β. Still, only half of ADTKD patients show mutations for these four identified genes. Whole exome sequencing is a suitable diagnostic tool for tubulopathies, especially for ADTKD. Genetic approaches to treat tubulopathies have progressed recently. Despite the practical obstacles, novel therapies targeting inherited tubulopathies are currently in development.

Comparison Between Sodium Acetate and Sodium Chloride in Parenteral Nutrition for Very Preterm Infants on the Acid-Base Status and Neonatal Outcomes

  • Ali, Adli;Ong, Ee-Yan;Singh, Birinder Kaur Sadu;Cheah, Fook-Choe
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제23권4호
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    • pp.377-387
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    • 2020
  • Purpose: To compare between sodium acetate (SA) and sodium chloride (SC) in parenteral nutrition (PN) with associated metabolic acidosis and neonatal morbidities in preterm infants. Methods: Preterm infants below 33 weeks gestational age, and with a birth weight under 1,301 g were enrolled and further stratified into two groups: i) <1,000 g, or ii) ≥1,000 g in birth weight. The subjects were randomized to receive PN containing SA or SC within the first day of life. The results of routine blood investigations for the first 6 days of PN were collated, and the neonatal outcomes were recorded upon discharge or demise. Results: Fifty-two infants entered the study, with 26 in each group: 29 infants had extremely low birth weight (ELBW). There were no significant differences in birth weight, gestation, sex, exposure to chorioamnionitis and antenatal steroids, surfactant doses and duration of mechanical ventilation between groups. The SA group had significantly higher mean pH and base excess (BE) from days 4 to 6 than the SC (mean pH, 7.36 vs. 7.34; mean BE -1.6 vs. -3.5 [p<0.01]), with a two-fold increase in the mean BE among ELBW infants. Significantly fewer on SA required additional bicarbonate (n=4 vs. 13, p=0.01). The rate of bronchopulmonary dysplasia (BPD) was approximately four-fold lower in SA than SC (n=3 vs. 11, p<0.01). No significant differences were observed in necrotizing enterocolitis, patent ductus arteriosus, retinopathy of prematurity, cholestatic jaundice, and mortality between groups. Conclusion: The use of SA in PN was associated with reduced metabolic acidosis and fewer BPD.

글리세롤 키나제 단독결핍증 (Isolated Glycerol Kinase Deficiency)

  • 이종윤;김희권;배은주;오필수;박원일;이홍진
    • 대한유전성대사질환학회지
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    • 제12권1호
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    • pp.54-57
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    • 2012
  • 3세된 환아가 응급실에 혼수와 복통을 주소로 전원되었다. 응급실에서 시행한 신체 진찰에서 drowsy한 정신상태를 나타내었으나 다른 신경학적 검사에서 특별한 이상 소견을 보이지는 않았다. 시행한 혈액 및 소변 검사에서 고글리세롤혈증(hyperglycerolemia), 케톤혈증(ketonemia) 및 케톤요증(ketonuria)이 있었다. 아침 첫 소변으로 시행한 소변 유기산 검사에서 현저한 고글리세롤요증이 발견되었으며, 암모니아의 상승, 음이온차의 상승, 전해질의 이상 등의 소견이 없어 단독성 GKD를 의심하였다. GK 유전자 검사를 시행한 결과 exon 11 주위 인트론에서 4염기가 삽입된 새로운 돌연변이를 확인하여 문헌고찰과 함께 보고하는 바이다.

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Nutrient Intake, Acid Base Status and Growth Performance of Thalli Lambs Fed Varying Level of Dietary Cation-anion Difference

  • Sarwar, M.;Shahzad, M. Aasif;Nisa, Mahr-un
    • Asian-Australasian Journal of Animal Sciences
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    • 제20권11호
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    • pp.1713-1720
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    • 2007
  • Influence of -110, +110, +220 and +330 mEq/kg of dry matter (DM) dietary cation-anion difference (DCAD) on growth performance of Thalli lambs were examined in a randomized complete block design. Four DCAD diets were randomly allotted to four groups, with ten lambs in each group. A linear increase in nutrient intake was recorded with increasing DCAD level. The digestibilities of nutrients were higher in lambs fed -110 DCAD diet than those fed +110, +220 and +330 DCAD diets. Lambs fed +330 DCAD diet had higher nitrogen balance than those fed -110 and +110 DCAD diets. Blood pH and serum $HCO_3$ increased with increasing DCAD level. Serum chloride was higher in lambs fed -110 DCAD diet, while serum (Na+K)-(Cl+S) increased linearly with increasing DCAD level. Serum calcium increased with decreasing DCAD level while serum magnesium and phosphorus remained unaffected. Lambs fed -110 DCAD diet had higher Ca balance than those fed +110, +220 and +330 DCAD diets. Urine pH increased with increasing DCAD level. Lambs fed +220 and +330 DCAD diets gained more weight than those fed -110 and +110 DCAD diets. In conclusion, increased DCAD level not only increased the dry matter intake but also improved the weight gain of growing Thalli lambs.

채식선호자와 육식선호자의 식사의 질 및 비타민 K 섭취 비교 연구 (A Study for Comparison of Dietary Quality and Vitamin K Intake of Vegetarians with Carnivores)

  • 손금희;조여원
    • Journal of Nutrition and Health
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    • 제39권6호
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    • pp.529-538
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    • 2006
  • The prevalence of chronic diseases have been rising in the developing countries because of their increased animal foods consumption and Western lifestyle. Lately, vegetarian diet that exclude animal products get public attention. The purpose of this study was to evaluate the nutritional status and dietary quality of vegetarians, and their consumption of vitamin K and was also assessed. Vegetarians including strict vegan and lacto-ovo-vegetarian consumed their diet at least over 6 months. Carnivores were gender and age matched with vegetarians and they consumed over 50% of protein and fat from animal sources. Current nutrient intakes and dietary quality were assessed using 3-day food records and intake of vitamin K was calculated from the data base of 'Provisional Table on the vitamin K contents of foods, USA'. Blood sample were collected and biochemical parameters and plasma phylloquinone concentrations were analyzed. Anthropometric data from vegetarian and carnivore were not significantly different. The intake of calories, protein, vitamin $B_2$, Ca and Zn of the vegetarians were remarkably lower than RDA for each nutrient. Moreover, index of nutritional quality and nutrient adequacy ratio of vegetarians were lower than those of carnivore. Vegetarian consumed less fat and the ratio of n-6/n-3 fatty acid was lower in vegetarian. The intake of essential amino acids in vegetarian was significantly lower than that of carnivore. The vitamin K consumption and plasma phylloquinone concentration of vegetarian were significantly higher than those of carnivore (p<0.05). The dietary vitamin K consumption was positively correlated with plasma phylloquinone levels in vegetarian (p<0.01).