• 제목/요약/키워드: Late effect

검색결과 1,514건 처리시간 0.033초

후기 급성호흡곤란증후군환자에서 스테로이드의 사용 효과 (The Effect of Steroid Therapy in Patients with Late ARDS)

  • 허진원;임채만;제갈양진;이상도;김우성;김동순;김원동;고윤석
    • Tuberculosis and Respiratory Diseases
    • /
    • 제52권4호
    • /
    • pp.376-384
    • /
    • 2002
  • 연구배경: 급성호흡곤란증후군(ARDS)환자에서의 고용량 및 단기간이 스테로이드의 사용은 사망률은 감소시키지 못하나 최근 섬유증식기로 진행한 후기 급성호흡곤란증후군 환자의 일부에서 스테로이드의 투여가 환자의 예후를 개선시킨다는 몇몇 연구 보고가 있었다. 이에 후기 급성호흡곤란증후군 환자에게 투여한 스테로이드가 사망률 및 호흡 역학에 미치는 영향을 후향적으로 분석하였다. 방 법: 1998년 1월부터 2001년 7월까지 서울중앙병원 내과계 중환자실에 입원한 급성호흡곤란증후군 환자들 중 일주일 이상 기계호흡을 했고 이전에 스테로이드를 쓴 적이 없으면서 기계환기, 복와위, 폐포모집술(recruitment maneuver), 산화질소 흡입 요법 등의 치료에도 급성호흡곤란증후군 진단 8일째 PF ratio가 200이하인 48명 중 스테로이드 치료군 14명과 비치료군 34명의 임상적, 생리적 지표들을 비교 분석했다. 평균${\pm}$표준편차로 표기했다. 결 과: 스테로이드 치료군과 비치료군 사이의 급성호흡곤란증후군의 원인, 연령, 급성호흡곤란증후군 진단 당시와 8일째 PF ratio, LIS, 폐 정적 탄성(static compliance), SAPS II score들의 통계학적 차이가 없었다. 스테로이드 치료군과 비치료군의 생존군만 비교시 치료 후 7일째 PF ratio, GOCA, APACHE III score가 스테로이드 치료군에서 의미 있게 호전되었고 사망률 역시 치료군에서 유의하게 낮았다(42.4% vs 73.5% p=0.02). 결 론: 후기 급성호흡곤란증후군 환자에서 스테로이드의 사용은 호흡역학 및 예후를 개선시킬 것으로 사료된다.

중년후기 여성의 건강증진행위 모형구축 (A Model for Health Promoting Behaviors in Late-middle Aged Woman)

  • 박재순
    • 여성건강간호학회지
    • /
    • 제2권2호
    • /
    • pp.298-331
    • /
    • 1996
  • Recent improvements in living standard and development in medical care led to an increased interest in life expectancy and personal health, and also led to a more demand for higher quality of life. Thus, the problem of women's health draw a fresh interest nowadays. Since late-middle aged women experience various physical and socio-psychological changes and tend to have chronic illnesses, these women have to take initiatives for their health control by realizing their own responsibility. The basic elements for a healthy life of these women are understanding of their physical and psychological changes and acceptance of these changes. Health promoting behaviors of an individual or a group are actions toward increasing the level of well-being and self-actualization, and are affected by various variables. In Pender's health promoting model, variables are categorized into cognitive factors(individual perceptions), modifying factors, and variables affecting the likelihood for actions, and the model assumes the health promoting behaviors are affected by cognitive factors which are again affected by demographic factors. Since Pender's model was proposed based on a tool broad conceptual frame, many studies done afterwards have included only a limited number of variables of Pender's model. Furthermore, Pender's model did not precisely explain the possibilities of direct and indirect paths effects. The objectives of this study are to evaluate Pender's model and thus propose a model that explains health promoting behaviors among late-middle aged women in order to facilitate nursing intervention for this group of population. The hypothetical model was developed based on the Pender's health promoting model and the findings from past studies on women's health. Data were collected by self-reported questionnaires from 417 women living in Seoul, between July and November 1994. Questionnaires were developed based on instruments of Walker and others' health promotion lifestyle profile, Wallston and others' multidimensional health locus of control, Maoz's menopausal symptom check list and Speake and others' health self-rating scale. IN addition, items measuring self-efficacy were made by the present author based on past studies. In a pretest, the questionnaire items were reliable with Cronbach's alpha ranging from .786 to .934. The models for health promoting behaviors were tested by using structural equation modelling technique with LISREL 7.20. The results were summarized as follows : 1. The overall fit of the hypothetical model to the data was good (chi-square=4.42, df=5, p=.490, GFI=.995, AGFI=.962, RMSR=.024). 2. Paths of the model were modified by considering both its theoretical implication and statistical significance of the parameter estimates. Compared to the hypothetical model, the revised model has become parsimonious and had a better fit to the data (chi-square =4.55, df=6, p=.602, GFI=.995, AGFI=.967, RMSR=.024). 3. The results of statistical testing were as follows : 1) Family function internal health locus of control, self-efficacy, and education level exerted significant effects on health promoting behaviors(${\gamma}_{43}$=.272, T=3.714; ${\beta}_[41}$=.211, T=2.797; ${\beta}_{42}$=.199, T=2.717; ${\gamma}_{41}$=.136, T=1.986). The effect of economic status, physical menopausal symptoms, and perceived health status on health promoting behavior were insignificant(${\gamma}_{42}$=.095, T=1.456; ${\gamma}_{44}$=.101, T=1.143; ${\gamma}_{43}$=.082, T=.967). 2) Family function had a significance direct effect on internal health locus of control (${\gamma}_{13}$=.307, T=3.784). The direct effect of education level on internal health locus of control was insignificant(${\gamma}_{11}$=-.006, T=-.081). 3) The directs effects of family functions & internal health locus of control on self-efficacy were significant(${\gamma}_{23}$=.208, T=2.607; ${\beta}_{21}$=.191, T=2.2693). But education level and economic status did not exert a significant effect on self-efficacy(${\gamma}_{21}$=.137, T=1.814; ${\beta}_{22}$=.137, T=1.814; ${\gamma}_{22}$=.112, T=1.499). 4) Education level had a direct and positive effect on perceived health status, but physical menopausal symptoms had a negative effect on perceived health status and these effects were all significant(${\gamma}_{31}$=.171, T=2.496; ${\gamma}_{34}$=.524, T=-7.120). Internal health locus and self-efficacy had an insignificant direct effect on perceived health status(${\beta}_{31}$=.028, T=.363; ${\beta}_{32}$=.041, T=.557). 5) All predictive variables of health promoting behaviors explained 51.8% of the total variance in the model. The above findings show that health promoting behaviors are explained by personal, environmental and perceptual factors : family function, internal health locus of control, self-efficacy, and education level had stronger effects on health promoting behaviors than predictors in the model. A significant effect of family function on health promoting behaviors reflects an important role of the Korean late-middle aged women in family relationships. Therefore, health professionals first need to have a proper evaluation of family function in order to reflect the family function style into nursing interventions and development of strategies. These interventions and strategies will enhance internal health locus of control and self-efficacy for promoting health behaviors. Possible strategies include management of health promoting programs, use of a health information booklets, and individual health counseling, which will enhance internal health locus of control and self-efficacy of the late-middle aged women by making them aware of health responsibilities and value for oneself. In this study, an insignificant effect of physical menopausal symptoms and perceived health status on health promoting behaviors implies that they are not motive factors for health promoting behaviors. Further analytic researches are required to clarify the influence of physical menopausal symptoms and perceived health status on health promoting behaviors with-middle aged women.

  • PDF

Effect of Feeding Urea Treated Rice and Wheat Straw on Intake and Milk Yield of Lactating Buffaloes under Farmers Conditions

  • Khanal, R.C.;Gurung, D.B.;Kadariya, R.K.
    • Asian-Australasian Journal of Animal Sciences
    • /
    • 제12권8호
    • /
    • pp.1200-1204
    • /
    • 1999
  • Two experiments were conducted to study the effect of urea treatment of rice and wheat straw on feed intake, dry matter (DM) digestibility and milk yield of lactation buffaloes in their late lactation under farmers' management conditions in the western hills of Nepal during 1995 and 1997. Dry matter intake (DMI) from urea treated rice and wheat straw was not improved significantly (p<0.05) nor the total DMI of the lactating buffaloes was improved significantly. However, feeding urea treated rice straw increased straw DMI by 14.2% and total DMI by 10.63% units over the untreated rice straw. Similarly, the increase in straw and total DMI were 20.18 and 17.40% units over the untreated wheat straw fed animals. Although there was no significant effect of urea treatment of both straw on DM digestibility, it was higher for treated than untreated straw at all locations. An overall increment of 18.1% units for rice straw and 13.3% units for wheat straw was observed. There was a significant effect (p<0.01) of feeding urea treated rice and wheat straw on the milk yield of lactating buffaloes during late lactation under farmers conditions. Post experiment milk yield was also significantly (p<0.05) higher for the animals fed treated straw in both the experiments. Buffalo milk yield was also significantly affected by breed (p<0.01), location (p<0.01) and parity (p<0.01) of the animals. General response of the farmers about the technology and their observed effect on animal performance was also very positive.

부모의 자아존중감이 학령후기 아동의 미디어기기 중독에 미치는 영향: 부부갈등과 아동의 자아존중감의 매개효과 (The Influence of Parental Self-Esteem on Late School-Aged Children's Media Device Addiction: The Mediating Effect of Marital Conflict and Children's Self-Esteem)

  • 허다연;김석선
    • 대한간호학회지
    • /
    • 제52권4호
    • /
    • pp.421-434
    • /
    • 2022
  • Purpose: This study aimed to examine the effect of parental self-esteem on late school-aged children's media device addiction by mediating marital conflict and children's self-esteem. Methods: This study used data from the 11th (2018) Panel Study on Korean Children. The participants consisted of 1,082 family triads (fathers, mothers, and children). Data were collected using the Rosenberg Self-Esteem Scale, Marital Conflict Scale, and K-Internet Addiction Scale. The data were analyzed using structural equation modeling with SPSS/WIN 27.0 and Mplus 8.7. Results: The final model showed a good fit for the data. Children's media device addiction was directly related to mothers' self-esteem, mothers' marital conflict, and children's self-esteem. Fathers' self-esteem had a significant indirect effect on children's media device addiction by mediating both fathers' and mothers' marital conflict. In addition, mothers' self-esteem had a significant indirect effect on children's media device addiction by mediating mothers' marital conflict. Conclusion: The findings indicates that self-esteem and marital conflict for both fathers and mothers have a significant effect on children's media device addiction. It suggests that more attention might be given to fathers and mothers in developing interventions to prevent children's media device addiction.

The potential interaction between ewe body condition score and nutrition during very late pregnancy and lactation on the performance of twin-bearing ewes and their lambs

  • Cranston, L.M.;Kenyon, P.R.;Corner-Thomas, R.A.;Morris, S.T.
    • Asian-Australasian Journal of Animal Sciences
    • /
    • 제30권9호
    • /
    • pp.1270-1277
    • /
    • 2017
  • Objective: The present study aimed to determine the impact of ewe body condition score (BCS) (over a range of 2.0 to 3.0) and nutritional treatments (consisting of differing herbage masses) during very late pregnancy and lactation and their potential interaction on the performance of twin-bearing ewes and their lambs to weaning. Methods: On day 142 of pregnancy, twin-bearing ewes with a BCS of 2.0, 2.5, or 3.0 were allocated to a "Moderate' or 'Unrestricted' nutritional treatment until day 95 of lactation (weaning). The nutritional treatments aimed to achieve average herbage masses of 1,200 to 1,300 kg dry matter (DM)/ha (Moderate) and 1,500 to 1,800 kg DM/ha (Unrestricted). Results: There were no three-way interactions between ewe BCS group, nutritional treatment and time for any ewe or lamb parameter. The nutritional treatments had no effect (p>0.05) on lamb birth or weaning weight. Lambs born to Moderate ewes had greater survival and total litter weight at weaning (p<0.05). Regardless of BCS group, Unrestricted treatment ewes had greater body condition and back-fat depth at weaning than Moderate treatment ewes (p<0.05). Ewes of BCS 2.0 group reared lighter lambs to weaning (p<0.05) and tended to have a lower total litter weight (p = 0.06) than BCS 3.0 group ewes. Conclusion: This study suggests farmers should aim to have all ewes with a BCS of 2.5 or 3 in late pregnancy for optimal lamb weaning performance. Furthermore, there is no benefit to lamb production of offering ewes pasture masses >1,200 kg DM/ha during very late pregnancy and lactation.

Effect of Maternal Under-nutrition during Late Pregnancy on Lamb Birth Weight

  • Gao, F.;Hou, X.Z.;Liu, Y.C.;Wu, S.Q.;Ao, C.J.
    • Asian-Australasian Journal of Animal Sciences
    • /
    • 제21권3호
    • /
    • pp.371-375
    • /
    • 2008
  • This study investigated the effects of maternal undernutrition during late pregnancy on lamb birth weight. 45 Mongolian ewes, synchronized for oestrus and then mated, were divided into four groups and offered 0.86 MJME/kgw-0.75d-1 (control group; CG : ad libitum access to feed), $0.44MJME/kgw^{-0.75}d^{-1}$ (Restricted Group 3; R3), $0.33MJME/kgw^{-0.75}d^{-1}$ (Restricted Group 2; R2) and $0.20MJME/kgw^{-0.75}d^{-1}$ (Restricted Group 1; R1) respectively during late pregnancy (90-150 days). During restriction, maternal net body weight loss, insulin and NEFA concentrations and lamb birth weight were measured. The results indicated that loss of maternal body weight in R3, R2 and R1 was 4.42, 7.23, 11.13 kg respectively, which was significantly (p<0.01) higher than that in CG (0.93 kg). Insulin concentrations of the ewes in R1, R2 and R3 were lower and were significantly different (p<0.05) between restricted groups and CG at 124 d of pregnancy. NEFA concentrations in all groups tended to decrease from 90d of gestation to parturition and in R1 were significantly (p<0.05) lower than in CG at 124 d of gestation. Lamb birth weight in R1 was significantly lower than in R2, R3 and CG (p<0.05). In conclusion, with decreasing supply of maternal nutrition, the retardation of fetal growth became worse. When the plane of nutrition was below $0.33MJME/kgw^{-0.75}d^{-1}$, significant effects of maternal undernutrition on lamb birth weight were observed.

Seizures after Spontaneous Intracerebral Hemorrhage

  • Woo, Kwang-Moo;Yang, Seung-Yeob;Cho, Keun-Tae
    • Journal of Korean Neurosurgical Society
    • /
    • 제52권4호
    • /
    • pp.312-319
    • /
    • 2012
  • Objective : In patients with spontaneous intracerebral hemorrhage (ICH), the risk factors for seizure and the effect of prophylactic anticonvulsants are not well known. This study aimed to determine the risk factor for seizures and the role for prophylactic anticonvulsants after spontaneous ICH. Methods : Between 2005 and 2010, 263 consecutive patients with spontaneous ICH were retrospectively assessed with a mean follow-up of 19.5 months using medical records, updated clinical information and, when necessary, direct patient contact. The seizures were classified as early (within 1 week of ICH) or late (more than 1 week after ICH). The outcomes were measured with the Glasgow Outcome Scale at discharge and the modified Rankin Scale (mRS) at both 2 weeks and discharge. Results : Twenty-two patients (8.4%; 9 patients with early seizures and 13 patients with late seizures) developed seizures after spontaneous ICH. Out of 263 patients, prophylactic anticonvulsants were administered in 216 patients. The prophylactic anticonvulsants were not associated with a reduced risk of early (p=0.094) or late seizures (p=0.326). Instead, the factors associated with early seizure were cortical involvement (p<0.001) and younger age (60 years or less) (p=0.046). The risk of late seizure was increased by cortical involvement (p<0.001) and communicating hydrocephalus (p=0.004). The prophylactic anticonvulsants were associated with a worse mRS at 2 weeks (p=0.024) and at last follow-up (p=0.034). Conclusion : Cortical involvement may be a factor for provoked seizures. Although the incidence of early seizures tended to decrease in patients prescribed prophylactic anticonvulsants, no statistical difference was found.

본논초기 해충군과 비래성 멸구류의 밀도억제를 위한 살충제의 체계적 처리에 관한 연구 (A Systematic Application of Insecticides to manage Early Season Insect Pests and Migratory Planthoppers on Rice)

  • 배윤환;이준호;현재선
    • 한국응용곤충학회지
    • /
    • 제33권4호
    • /
    • pp.270-280
    • /
    • 1994
  • 우리나라의 본농초기 해충군과 비래성 멸구류를 통합관리할 수 있는 살충제의 체계적 처리법을 확립하기 위하여 이앙직접 carbofuran 토양혼화처리후에 벼멸구 비래시기와 buprofezin 처리시기 및 처리약량을 달리하였을때의 벼멸구 밀도 억제효과를 조사하였다. 이앙직전 carbofuran (3G) 토양혼화처리의 효과로부터 벗어난 7월중 비래 벼멸구에 대한 buprofezin (25% WP)의 적정처리시기는 7월말~8월초이었다. 이때 buprofezin 의처리약량은 관행처리량보다 훨씬 낮은 수준인 7.0 g a.i./10a으로도 벼멸구의 증식밀도를 효과적으로억제할 수 있었다. 이와 같은 carbofuran 토양혼화처리와 buprofezin 처리는 흰등멸구에 대해서도 탁월한 방제효과를 나타내었으며 멸구류를 천적인 거미밀도에 대해서는 영향을 미치지않았다. 따라서 우리나라의 수도해충 발생특성을 고려할 때 carbofuran 과 buprofezin을 이용한 살충제 체계적 처리 즉, 이앙직전 carbofuran 토양혼화처리후 7월말-8월초 bupro-fezin처리는 본 논초기 발생해충들 및 비래성 멸구류를 효과적으로 방제할 수 있는 방제체계로 생각된다.

  • PDF