• Title/Summary/Keyword: Indwelling

검색결과 167건 처리시간 0.024초

젖소에 있어 아급성제1위과산증(SARA)의 강도가 혈장 Lipopolysaccharide (LPS)의 농도에 미치는 효과 (Effect of Subacute Ruminal Acidosis on Plasma Concentrations of Lipopolysaccharide in Dairy Cattle)

  • 손혜인;백성광;문주연;안의영;이현준;손용석
    • 한국초지조사료학회지
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    • 제33권4호
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    • pp.313-318
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    • 2013
  • 본 시험은 젖소 4두에 대하여 제1위체류형 센서(Indwelling probe)를 정치시키고 이를 이용하여 아급성제1위과산증(SARA)의 강도를 조사함과 동시에 pH가 혈 중 내독소(Lipopolysaccharide; LPS)의 농도에 미치는 효과를 알아보기 위하여 수행되었다. 비섬유성탄수화물(Non-fiber carbohydrates, NFC)을 기준으로 적정 수준의 NFC를 포함하고 있는 정상 사료군(Normal diet, ND)과, 아급성제1위과산증(Subacute ruminal acidosis, SARA) 유발가능 사료군(Acidogenic diet, AD)의 2개 처리구에 각 2두씩 배치하여 Cross-over 설계로 사양실험을 반복 실시하였다. 제1위체류형 센서는 장시간에 걸친 제1위 내 pH의 변화를 추적하는 데 효과적이었다. 얻어진 결과에서 AD 급여는 반추위내용물의 pH를 낮추는 데 커다란 영향을 주었으며, 반추위 내 pH의 저하는 혈 중 LPS의 농도가 증가로 이어짐을 확인할 수 있었다. 따라서 혈 중 LPS 농도는 급성 또는 만성형을 불문하고 과산증을 확인하는 지표로 사용 가능할 것으로 판단된다. 또한 착유우용 사료첨가물로 많이 이용되는 소디움벤토나이트(NaB)와 프로필렌글리콜(PG)의 급여는 반추위 내 pH의 저하를 완충시켜 궁극적으로 SARA의 강도를 완화시키고 혈 중 Lipopolysaccharides (LPS) 농도의 증가를 줄여 줌으로써 내독소에 의해 발생하기 쉬운 제엽염 등의 부작용을 완화시키는 데 도움을 줄 수 있을 것으로 사료된다.

Fibrinolysis with Lower Dose Urokinase in Patients with Complicated Parapneumonic Effusion

  • Lee, Seul;Lee, Heock;Lee, Dong Hyun;Kang, Bo Hyoung;Roh, Mee Sook;Son, Choohee;Kim, Sung Hyun;Lee, Hyun-Kyung;Um, Soo-Jung
    • Tuberculosis and Respiratory Diseases
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    • 제84권2호
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    • pp.134-139
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    • 2021
  • Background: Intrapleural urokinase is one of the most widely used fibrinolytic agents in the treatment of complicated parapneumonic effusion (CPPE). However, little research has been performed on the optimal urokinase dosage. The aim of this study was to evaluate the treatment efficacy of half dose urokinase compared with conventional dose urokinase. Methods: We retrospectively enrolled 92 patients with CPPE or empyema who underwent intrapleural urokinase treatment at two tertiary hospitals. Patients received antibiotics, chest tube drainage, and other treatments as part of routine care. The primary outcome was the treatment success rate in the half dose urokinase group (50,000 IU daily for maximal 6 days) and the conventional dose urokinase group (100,000 IU daily). Treatment success was defined as clinical and radiological improvements without surgical treatment or re-admission within one month. Results: Forty-four patients received half dose urokinase, whereas 48 patients were treated with conventional dose urokinase. Both groups were relatively well matched at baseline, excluding higher serum white blood cell count and higher empyema prevalence in the half dose urokinase group. The treatment success rate was not different between the two groups (p=0.048). There were no differences in the rate of in-hospital death and surgical treatment, hospitalization duration, and indwelling catheter duration. In the multivariate analysis, urokinase dose was not a predictor of treatment success. Conclusion: Half dose intrapleural urokinase is equally effective conventional dose urokinase in treating patients with CPPE or empyema.

Gastrointestinal Absorption of Phenytoin from on Oil-in-water Microemulsion

  • Kwon, Kwang-Il;Bourne, David-W.A.
    • Archives of Pharmacal Research
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    • 제20권5호
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    • pp.480-485
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    • 1997
  • The absorption profile of phenytoin Na emulsion were examined compared to that of phenytoin suspension after oral administration in the rat. The corn oil-in-water emulsion, particle size of $184{\pm}$57.8 nm, was prepared using a microfludizer, and phenytoin Na added by shaft homogenizer. The phenytoin emulsion or suspension, 100 mg/kg, were intubated intragastrically using oral dosing needle and blood samples were withdrawn via an indwelling cannula from the conscious rat. Plasma concentrations of phenytoin were measured with HPLC using phenacetin as an internal standard. The plasma concentration versus time data were fitted to a one compartment open model and the pharmacokinetic parameters were calculated using the computer program, Boomer. The phenytoin plasma concentrations from the emulsion at each observed time were about 1.5-2 times higher than those from the suspension, significantly at time of 5, 6 and 7 hr after administration. The absorption $(k_a)$ and elimination rate constant $(k_e)$ were not altered significantly, however the AUC increased from 65.6 to $106.7{\mu}ghr/ml$ after phenytoin suspension or emulsion oral administration, respectively. From an equilibrium dialysis study, the diffusion rate constant $(k_{IE})$ was considerably higher from the phenytoin Na emulsion $(0.0439 hr{-1})$ than phenytoin suspension $(0.0014 hr{-1})$.

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신앙구조(信仰構造)를 통해 본 사찰공간(寺刹空間) 구성(構成)에 관한 연구(硏究) (A study on the Buddist Temple Space through the religious composition)

  • 김승제;김진덕
    • 한국농촌건축학회논문집
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    • 제4권3호
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    • pp.23-37
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    • 2002
  • Buddhist Architecture should be set for worship and an ascetic life, which is its main function as it is a religious facility and its space and form can be considered as means to achieve efficiently a religious function. Every religion concludes its religious function through its ideas and form of faith based on scriptures and religious precepts. The thing should be paid attention to from this point of view is how Buddhist doctrines are reflected on the architecture and the background recognition about the fundamental doctrines and religious system should be preceded to clarify it. Existing researches have studied the characteristics of Buddhist temples on the point of functional view and architectural spacial view through phenomenal ways. Though fruitful results bore about the Korean space through that way, more internal viewpoint is required to clarify the fundamental regularities and spatial concepts indwelling in temple architecture. Considering what structural elements were required to compose one space in traditional Korean architecture is the fundamental subject and important. This thesis searches architectural characteristics through inquiring about the main building and annexes and understanding symbolic characteristics about the arrangement of the Buddhist statue and solemn things in the Buddhist temples of tangible cultural assets or above located in Seoul area.

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전국 의료기관 가정간호이용 및 가정간호비용 (Current Status of Costs and Utilizations of Hospital Based Home Health Nursing Care in Korea)

  • 유호신
    • 대한간호학회지
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    • 제36권7호
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    • pp.1193-1203
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    • 2006
  • Purpose: The purpose of this study was to describe the current status of utilization and costs of home health nursing care by the levels of medical institutes in Korea. Method: A secondary analysis of existing data was used from the national electronic data information(EDI) of 148 home health agencies for 6 months from May to Oct 2005 in total. Result: The 148 agencies had multiple services in cerebral infaction, essential hypertension, sequoia of cerebrovascular disease, type 2 diabetes mellitus, etc.. The highest 10 rankings of 76 categories of home health nursing services were composed of 96.4% of the total services, such as simple treatment, inflammatory treatment, urethra & bladder irrigation, inserting indwelling catheter etc., in that order. The highest 20 rankings of 226 categories of home examination services were composed of 77.0% of the total home examination services. In addition, the average cost of home health care per visit was 46,088 Won (${\fallingdotseq}$ 48 $, 1 $=960 Won). The costs ranged from 74,523 Won (${\fallingdotseq}$78 $, loss of chronic kidney function, N18) to 32,270 Won (${\fallingdotseq}$34 $, other cerebrovascular diseases, 167). Conclusion: Results suggest that client characteristics of hospital based HHNC are not different from community based HHNC or visiting nursing services for elderly. The national results will contribute to baseline data used to establish a policy for the home health nursing care system and education.

Prevention of Catheter-related Infections (CRIs) using Ciprofloxacin

  • Jeon Sung Min;Kim Mal Nam
    • 대한의생명과학회지
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    • 제10권3호
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    • pp.245-251
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    • 2004
  • Microbial infection provokes one of the most serious complications to the patients with indwelling catheters. Ciprofloxacin (CFX) was added into the catheter materials (polyurethane or silicone) during the manufacturing process to avoid the microbial infection. Efficacy of the catheters containing CFX was investigated by using the in vitro zone of growth inhibition test method. The catheters made of polyurethane or silicone exhibited a strong antimicrobial activity against the major catheter-related microorganisms (S. aureus, S. epidermidis, P. aeruginosa and E. coli), when CFX was incorporated into the catheters. Fetal bovine serum (FBS) did not affected antimicrobial activities of the polyurethane catheters with CFX loading of 0.5 and 1.0% (W/W) against S. aureus and S. epidermidis. However, the polyurethane catheters with 1.0% (W/W) of CFX loading showed a significantly (P<0.05) reduced antimicrobial activity against E. coli when the catheters were exposed to FBS. Silicone catheters with 1.0 and 1.5% (W/W) of CFX loading demonstrated effective antimicrobial activity against S. epidermidis for at least 2 weeks. These results suggest that the use of catheters containing ciprofloxacin could be effective in preventing catheter-related infections.

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일차성 자연기흉에서 Naruke개흉기를 이용한 최소 액와절개술 (Transaxillary Minithoracotomy with Naruke Thoraco-opener in the Operative Treatments of Primary Spontaneous Pneumothorax)

  • 김병호;허동명
    • Journal of Chest Surgery
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    • 제32권7호
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    • pp.648-652
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    • 1999
  • 배경: 액와절개술을 통한 폐기포절제술은 일차성 자연기흉의 수술적 치료로 많이 사용되어왔다. 대상 및 방법: 액와절개술시 사용되는 개흉기의 종류에 따른 임상성적을 비교하기 위하여 Naruke개흉기(N군)와 Finochieto개흉기(F군)를 이용하였다. 1997년 9월부터 1998년 9월 까지 대구 파티마 병원에서 일차성 자연기 흉에 있어서 액와절개술로 교정한 46례 중 Finochieto개흉기를 이용한 군이 22례 였으며, Naruke개흉기를 이 용한 군이 24례 였다. 결과: 수술시간 및 입원기간, 술 후 입원기간, 술 후 흉관 삽관 기간, 술 후 재발율이나 합병증에는 두 군간에 유의한 차이가 없었다. 결론: 일차성 자연기흉의 수술적 치료에 있어서 Naruke 개흉기 를 이용한 방법이 매우 유용할 것이다.

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자연성 기흉에서 액와절개술과 비디오 흉강경을 이용한 수술의 비교 (The Comparison of Transaxillary Minithoracotomy Versus VATS in the Operative Treatments of Spontaneous Pneumothorax)

  • 정경영;김길동
    • Journal of Chest Surgery
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    • 제29권8호
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    • pp.910-915
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    • 1996
  • 액와절개술과 비디오흉강경을통한 폐기보절제술은 널리 알려진 자연성 기흉의 치료방법이다. 1992 년 1월부터 1994년 6월까지 신촌세브란스병원에서 액와절개술을 통한 폐기포 절제술(113예)과 영동세 브란스병원에서 비디오흉강경을 이용한 폐기포 절제술(129예)을후향적으로 비교분석 하였다 두군사 이에 수술시간, 흉관거치기간, 입원기간, 합병증 발생율 및 기층의 재발율에 있어서는 통계적 유의성이 없었으나 비경구용 진통제의 투여횟수 및 경제적 측면에서는 액와 절개술을 통한 폐기포절제술이 우수한 수술방법으로 나타났다.

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원발성 자연기흉의 폐기포절제술시 정중액와개흉술과 비디오흉강경수술의 임상적 비교 (A Comparison of Clinical Evaluation for the Management of Primary Spontaneous Pneumothorax Using the Video-Assisted Thoracic Surgery and Mid-Axillary Thoracotomy)

  • 서성구
    • Journal of Chest Surgery
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    • 제28권5호
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    • pp.471-474
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    • 1995
  • A total of 20 patients underwent bullectomy in the spontaneous pneumothorax between October 1993 and August 1994. The patients were divided into two groups: Control group; the patients who received with mid-axillary approach[n=10 , Experimental group; the patients who received with video-assisted thoracic surgery [n = 10 . The results were as follows; 1. The total sex distribution was male predominence [M :F=6:1 . Mean age of control group was 31.6$\pm$ 10.1 age and experimental group was 24.3$\pm$ 5.5 age. 2. The operative times were 117.0 $\pm$ 32.6min in control group and 102.5$\pm$ 38.4min in experimental group [not significant . 3. The indwelling period of postoperative chest tube and hospital stay were 4.5$\pm$ 2.6 days and 8.3 $\pm$ 1.8 days in control group, $1.5\pm$ 0.5 days and 3.1 $\pm$ 0.3 days in experimental group[p=0.0018, < 0.0001 . 4. In control group, injection times of pain-killer were 1.7$\pm$ 0.7 times/day at operative day and 0.4$\pm$ 0.6times/day at postoperative 1 day. In experimental group, there were 0.3$\pm$ 0.7times/day at operative day and 0.1 $\pm$ 0.3times/day at postoperative 1 day[p=O.O002 at operative day, not significant at postoperative 1 day .

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Multispecies Interactions in Biofilms and Implications to Safety of Drinking Water Distribution System

  • Reuben, Rine Christopher;Roy, Pravas Chandra;Sarkar, Shovon Lal;Ha, Sang-Do;Jahid, Iqbal Kabir
    • 한국미생물·생명공학회지
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    • 제47권4호
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    • pp.473-486
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    • 2019
  • In the aquatic environment, microorganisms are predominantly organized as biofilms. Biofilms are formed by the aggregation of microbial cells and are surrounded by a matrix of extracellular polymeric substances (EPS) secreted by the microbial cells. Biofilms are attached to various surfaces, such as the living tissues, indwelling medical devices, and piping of the industrial potable water system. Biofilms formed from a single species has been extensively studied. However, there is an increased research focus on multispecies biofilms in recent years. It is important to assess the microbial mechanisms underlying the regulation of multispecies biofilm formation to determine the drinking water microbial composition. These mechanisms contribute to the predominance of the best-adapted species in an aquatic environment. This review focuses on the interactions in the multispecies biofilms, such as coaggregation, co-metabolism, cross-species protection, jamming of quorum sensing, lateral gene transfer, synergism, and antagonism. Further, this review explores the dynamics and the factors favoring biofilm formation and pathogen transmission within the drinking water distribution systems. The understanding of the physiology and biodiversity of microbial species in the biofilm may aid in the development of novel biofilm control and drinking water disinfection processes.