• 제목/요약/키워드: PR interval

검색결과 71건 처리시간 0.024초

Prevalence and Predictors of Complementary Feeding Practices Among Children Aged 6-23 Months in Indonesia

  • Siti, Nurokhmah;Lucinda, Middleton;Aryono, Hendarto
    • Journal of Preventive Medicine and Public Health
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    • 제55권6호
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    • pp.549-558
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    • 2022
  • Objectives: Poor complementary feeding practices have consistently contributed to the burden of child undernutrition in Indonesia. This study aimed to estimate the prevalence and predictors of the time of the introduction of solid, semi-solid, and soft foods (ISSSF), minimum dietary diversity (MDD), minimum meal frequency (MMF), and minimum acceptable diet (MAD). Methods: We analyzed 4804 last-born infants aged 6-23 months from the 2017 Indonesia Demographic and Health Survey, which employed multistage cluster random sampling. The outcomes were calculated based on the 2021 World Health Organization/United Nations Children's Fund guidelines. The predictors of the 4 complementary feeding indicators were assessed using multivariate Poisson regression with robust variance adjusting for potential confounders and study design. Results: The prevalence of ISSSF, MDD, MMF, and MAD was 86.1%, 54.3%, 71.8%, and 37.6%, respectively, with younger children less likely to meet 3 out of the 4 outcomes. Parental education, the presence of a birth attendant, and maternal media consumption were among the predictors of MDD and MAD. Children from families with higher income were more likely to meet MDD than those from low-income households (adjusted prevalence ratio [aPR], 1.16; 95% confidence interval [CI], 1.05 to 1.28). Living in an urban area was positively associated with MMF (aPR, 1.09; 95% CI, 1.04 to 1.15) and MAD (aPR, 1.12; 95% CI 1.02 to 1.24). In eastern regions, the prevalence of children achieving MDD and MAD was lower than in those living in Java and Bali. Conclusions: It is crucial that more attention and efforts are made to improve the recommended practices throughout Indonesia, since the prevalence of adequate complementary feeding practices remains low.

원발성 다한증 환자에서 흉부 교감 신경 차단술 후의 심박동수 및 심전도 변화 (The Heart Rate and ECG Changes after Endoscopic Thoracic Sympathectomy in Patients with Primary Hyperhidrosis)

  • 김재준;김영두;박찬범;문석환;조덕곤;사영조;서종희;김치경
    • Journal of Chest Surgery
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    • 제42권2호
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    • pp.214-219
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    • 2009
  • 배경: 일차성 다한증은 교감신경의 과도한 활성을 특징으로 하고 흉강경을 통한 흉부 교감신경차단 술은 효과적, 안정적으로 시행되고 있다. 수술로 인한 교감신경과 부교감 신경의 불균형은 심장, 폐, 그 외 다른 여러 흉부장기에 영향을 준다. 저자들은 수술 후 나타나는 심박수와 심전도 변화를 분석하였다. 대상 및 방법: 우리는 1996년 10월부터 2006년 10월까지 수술 받은 263 명의 환자 중에 130명의 환자를 분석하였고 주된 수술부위에 따라 1, 2, 3군(1군: T2, 2군: T3, 3군: T4)으로 나누었고 수술 전과 후의 심전도를 비교하였다. 결과: 수술후 사망과 큰 합병증이 있는 환자는 없었고 심박수는 $71.6{\pm}10.6$회/분에서 $66.8{\pm}10.2$회/분으로 수술 후 감소하였고 PR 간격은 $148.6{\pm}21.2$ msec에서 $152.8{\pm}20.5$ msec으로 QTc 간격은 $399.2{\pm}15.4$ msec에서 $404.0{\pm}15.1$ msec으로 증가하였다. 흉부교감신경 차단부위에 따라 제1군에서는 심박동수와 QTc 간격이, 제2군에서는 심박동수와 PR간격이, 그리고 제 3군에서는 단지 QTc 간격이 수술전후에 의미 있게 변화하였다. 결론: 수술후 심박수와 심전도에 변화가 있었고 T2, T3, T4의 차단에 의하여 안정시 심장의 전기적 활성에 영향이 있었다.

리스페리돈이 심혈관계에 미치는 영향 (The Cardiovascular Effect of Risperidone)

  • 최세진;전진숙;최영태
    • 생물정신의학
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    • 제7권2호
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    • pp.191-197
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    • 2000
  • Objectives : Risperidone is a new antipsychotic drug developed to overcome the therapeutic limitation of conventional antipsychotics. It responses to negative as well as positive symptoms by blocking both dopaminergic and serotonergic receptors, causing no significant side effects such as agranulocytosis and seizure. It is, however, not known whether it induces any serious cardiovascular side effects as evoked by other conventional antipsychotic drugs. The aims of this study were to evaluate the effect of risperidone on cardiovascular function, and to discuss the factors affecting the cardiovascular function. Methods : For 42 patients(22 males and 20 females) diagnosed as schizophrenia, schizophreniform disorder or schizoaffective disorder according to the DSM-IV classification, the cardiovascular fuctions such as heart rate, systolic and diastolic blood pressure, PR interval, QRS interval and QT interval were successively checked before and after 2 weeks and 4 weeks risperidone administration. Furthermore, variables such as body weight, Brief Psychiatric Rating Scale(BPRS), Clinical Global Impression(CGI), Extrapyramidal Symptom Rating Scale(ESRS), Anticholinergic Rating Scale(ARS), serum cholesterol level, serum triglyceride level, serum high-density-lipoprotein level, serum WBC, serum Hb, serum platelet level, prothrombin time and partial thromboplastin time were also analyzed before and after 2 weeks and 4 weeks risperidone administration. Results : 1) Risperidone treatment resulted in a significantly decreased heart rate and increased QT interval after 4 weeks administration(p<0.005 respectively). 2) The scores of BPRS and CGI were significantly decreased after 2 weeks and 4 weeks risperidone administration as compared with baseline(p<0.001 respectively). The scores of ESRS and ASRS were significantly increased after 2 weeks and 4 weeks risperidone administration as compared with baseline(p<0.001 respectively). 3) There were positive correlations between heart rate after 4 weeks and total dose(P<0.05). Blood pressure was significantly(p<0.05) correlated with sex(higher in male) and significantly(p<0.05) positive correlated with body weight. QT interval was significantly(p<0.05) correlated with sex(longer in female) and smoking history(shorter in smokers). Conclusions : Risperidone could induce significant change in heart rate and Q-T interval. Therefore, the cardiovascular safety for risperidone should be reconsidered according to the duration and dosage increase.

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새로운 항암성 항생물질 DA-125의 심장독성에 대한 평가 (A Study on Cardiotoxicity of DA-125, a New Anticancer Antibiotic)

  • 백남기;안병옥;이순복;김원배;양중익
    • Biomolecules & Therapeutics
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    • 제1권1호
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    • pp.9-19
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    • 1993
  • DA-125, a new anthracycline antibiotic, showed antitumor activity against animal tumors and human tumors. Therefore we studied the cardiotoxic potential of DA-125 in hamsters and rats as a part of safety research, and compared it with that of doxorubicin(DXR). In acute cardiotoxicity test model used hamsters DA-125 was administered intravenously at a dose of 6, 9, 12 mg/kg, and DXR at 3 mg/kg was given. The electrocardiogram(ECG) of hamsters was recorded for 30 minutes after administration. The DA-125 caused slight ECG alterations at a dose of 6 mg/kg. At a dose of 12 mg/kg DA-125 induced moderate to remarkable changes in ECG like decrease of heart rate, widening of PR interval and 07 interval, and A-V block in 3 out of 5 animals. The severity of ECG alteration at 12 mg/kg of DA-125 was similar to that at 3mg/kg of DXR and these changes caused by DA-125 and DXR recovered within 10 minutes after injection. In chronic cardiotoxicity test model used rats, DA-125 was administered intravenously once a week for three weeks at a dose of 6, 9mg/kg and DXR was given at a dose of 6mg/kg. Electrocardiogram was recorded every week from the start of administration to 2 weeks after the last administration and the animals were sacrificed for histological heart examination at 1 week or 2 weeks after the last administration. DA-125 did not cause any abnormal changes in ECG and in histological heart examination due to administration, but DXR caused widening of ST segment, QRS complex, and QT interval from 1 week after administration and these changes were continued to necropsy. These alterations in ECG were accompanied by cardiac histological lesions such as vacuolation in myocardiac cells, interstitial edema and necrosis of myocytes. These results suggest that DA-125 is less cardiotoxic than DXR.

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건강한 너구리(Nyctereutes procyonoides)들의 심전계 지표에 대한 평가 (Evaluation of Electrocardiographic Index in Healthy Raccoon Dogs (Nyctereutes procyonoides))

  • 홍원우;김종택;양동근;남효승;현창백
    • 한국임상수의학회지
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    • 제30권6호
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    • pp.456-458
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    • 2013
  • 포획된 건강한 너구리들의 심전도의 기준값을 평가하는 것이 본 논문의 주된 목적이다. 41마리의 방목되고 있는 다 자란 너구리들이 강원대학교 야생동물구조센터에 의해 구조되었으며 본 논문에 이용되었다. 어떠한 화학적 보정도 사용하지 않고 6-유도 심전도를 측정하였다. 평균 심박수는 $146.10{\pm}43.31$ 박동수/분 이었다(95% 신뢰구간 132.84~159.36 박동수/분). 평균 호흡수는 $35.73{\pm}11.56$ 호흡수/분 이었다(95% 신뢰구간 32.19~39.27 호흡수/분). 평균 수축기 압력은 $136{\pm}29.26mmHg$ 이었다(95% 신뢰구간 127.99~145.91 mmHg). 모든 너구리들의 심전계의 특징들을 또한 평가하였다. P-파의 평균 너비와 높이는 $38.2{\pm}4.0ms$ (범위 28-40 ms) 와 $0.128{\pm}0.039mV$ (범위 0.09~0.20)이었다. QRS파의 평균 너비와 높이는 $48.5{\pm}7.2ms$ (범위 36-60 ms) 와 $1.330{\pm}0.650mV$ (범위 0.15~2.30)이었다. 평균전기축 (QRS)은 $-91^{\circ}{\sim}+96^{\circ}$ ($10^{\circ}{\sim}60^{\circ}$; 95% 신뢰구간)이었다. 평균 교정 QT 간격(QTc)은 $273.7{\pm}32.7ms$ (범위 212-333 ms)이었고, PR간격은 $76.1{\pm}10.0ms$ (범위 50-82 ms)이었다. 본 논문은 포획된 건강한 너구리들의 심전도(ECG)의 기준값을 제공하는 최초의 논문이다.

사우디아라비아 태양광 발전 시스템의 성능 분석 (Performance Analysis of Photovoltaic Power System in Saudi Arabia)

  • 오원욱;강소연;천성일
    • 한국태양에너지학회 논문집
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    • 제37권1호
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    • pp.81-90
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    • 2017
  • We have analyzed the performance of 58 kWp photovoltaic (PV) power systems installed in Jeddah, Saudi Arabia. Performance ratio (PR) of 3 PV systems with 3 desert-type PV modules using monitoring data for 1 year showed 85.5% on average. Annual degradation rate of 5 individual modules achieved 0.26%, the regression model using monitoring data for the specified interval of one year showed 0.22%. Root mean square error (RMSE) of 6 big data analysis models for power output prediction in May 2016 was analyzed 2.94% using a support vector regression model.

개의 대동맥협착증 (Subaortic Stenosis in Dogs.)

  • 허진영;최지혜;최호정;이희천;이영원;박수원;엄기동;한정희;윤화영
    • 한국임상수의학회지
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    • 제16권2호
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    • pp.523-528
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    • 1999
  • Subaortic stenosis in a 2.9kg, 3-month-old pug dog and a 11 kg, 4-month-old Rott -weiler dog showing signs of dyspnea, tachypnea, anorexia, exercise intolerance and depression was diagnosed with electrocardiography, thoracic radiography and ultrasonographic evaluation. In electrocardiography, PR interval widening, R wave amplitude increase in lead II in case 2, ST segment depression and left axis deviation in case 1 and 2 were identified. In thoracic radiographs, enlarged left ventricle and atrium, caudal displacement of left crus of diaphragm and caudal part of cranial mediastinum widening were identified in ventrodorsal view. In lateral view, left ventricular enlargement, secondary dorsal deviation of trachea and post-stenotic dilation of aorta were seen. Also, edematous pulmonary changes were shown in peri-hilar area. In ultrasonographic examination, left ventricular dilatation, pericardial effusion and subaortic valvular ridge were seen with real time B-mode in right parasternal long axis view. Aortic valve regurgitation was identified in color-Doppler mode.

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특성점 추출에 의한 P파 검출 알고리즘에 관한 연구 (P-wave Detection Algorithm by Significant Point Extraction Method)

  • 황선철;정희교;이명호
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 1989년도 하계종합학술대회 논문집
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    • pp.162-165
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    • 1989
  • This paper describes an algorithm of P-wave detection by significant point extraction method with digital differentiation. P-waves are detected by pattern matching algorithm with significant points. By means of defecting onset and offset points of P-waves, this algorithm can measure the PR intervals exactly which is important to diagnosis the atrial arrhythmia. Because P-wave duration is changed according to heart-rates, we calculate the R-R interval prior to the determination of P-wave duration threshold values in order to actively adapt to the change of P duration The results obtained from the proposed algorithm have defected successfully P-wave almost more than 90%.

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Long-term measurement of physiological cardiovascular parameters using telemetry system in dosgs.

  • Kim, Eun-Joo;Seo, Joung-Wook;Choi, Gyu-Kap;Park, Eun-Kyung;Kim, Ki-Suk;Shin, Won-Ho;Han, Sang-Seop
    • 대한약학회:학술대회논문집
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    • 대한약학회 2003년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.2-2
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    • pp.87.1-87.1
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    • 2003
  • With the issuance of the ICH “Guidance for industry S7A Safety Pharmacology Studies For Human Pharmaceuticals” in July 2001 came the preference for the use of unanesthetized animals when evaluation the safety profile of new pharmaceutical agents. Telemetry provides a means of obtaining measurements of physiological functions in conscious animals without the problems associated with classical cardiovascular measuring methods. The Korea Institute of Toxicology (KIT) established the telemetric measurement of cardiovascular parameters, such as Blood pressure, Heart rate, ECG (PR, RR, QRS, QT and QTcB interval) under GLP conditions. (omitted)

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Physical Activity in Adolescence Has a Positive Effect on Bone Mineral Density in Young Men

  • Kim, Jinhyun;Jung, Moonki;Hong, Yeon-Pyo;Park, Jung-Duck;Choi, Byung-Sun
    • Journal of Preventive Medicine and Public Health
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    • 제46권2호
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    • pp.89-95
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    • 2013
  • Objectives: Little is yet known about the determinants of bone mineral density (BMD) in young adults. Thus, in this study, we aimed to determine the factors that have an impact on BMD in young men. Methods: Questionnaires were sent out to 111 male medical students. Information on age, socio-economic status, medical history, lifestyle, physical activity during adolescence, school club participation, current physical activity, and dietary intake were collected by the survey. Height, weight, percent body fat and muscle mass were estimated by bioelectrical impedance, and BMD was obtained using calcaneal quantitative ultrasound. Using the Poisson regression model, prevalence ratios (PRs) were used to estimate the degree of association between risk factors and osteopenia. Results: The height and current physical activity showed a correlation to the Osteoporosis Index. Among the categorized variables, past physical activity during adolescence (p= 0.002) showed a positive effect on the bone mineral content. In the multivariate model, past physical activity (${\geq}1$ time/wk) had a protective effect on osteopenia (PR, 0.37; 95% confidence interval [CI], 0.18 to 0.75) and present physical activity (1000 metabolic equivalent of task-min/wk) decreased the risk of osteopenia (PR, 0.64; 95% CI, 0.44 to 0.91). Conclusions: Past physical activity during adolescence is as important as physical activity in the present for BMD in young men.