• Title/Summary/Keyword: Re-feeding

검색결과 75건 처리시간 0.026초

식도 내 금속 스텐트 삽입 후 발생한 대동맥 식도 누공 -치험 1례- (Aorto-Esophageal Fistula Complicated by Esophageal Metalic Stent -A case report-)

  • 윤영철;조광현;김기봉;전희재;최강주;이양행;황윤호
    • Journal of Chest Surgery
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    • 제35권6호
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    • pp.479-482
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    • 2002
  • 식도 내 스텐트에 의한 대동맥 식도 누공은 매우 드문 질환이며, 사망률이 높아 생존자에 대한 보고가 아주 가끔 있을 뿐이다. 본 교실에서는 사고로 양잿물 음독 후 발생한 식도 협착 환자에서 식도 내 스텐트 삽입 후 발생한 대동맥 식도 누공 환자에 대하여 내시경적 진단과 2단계에 걸친 수술로 성공적인 치료를 경험하였다. 수술은 일차적으로 식도 재거술, 하행 흉부 대동맥 누공 부위의 일차 봉합 그리고 위루술을 실시하였다. 환자가 일차 수술 후 회복된 다음 식도 재건술의 일환으로 우측 대장을 흉골 후면으로 위치시키는 경부 식도-대장-위 문합술을 성공적으로 실시하였다.

육계의 에너지 제한 사양에 따른 지방 합성 및 근육 발달 관련 유전자의 발현 양상 비교 분석 (Analysis of Lipogenic and Myogenic Gene Expressions in Energy Restricted Broiler Chickens)

  • 문양수
    • 한국가금학회지
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    • 제36권4호
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    • pp.301-309
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    • 2009
  • 본 연구는 육계에서 사료의 제한 급이 조건과 생체 내 지방 합성 및 근육 발달 관련 유전자들의 발현 양상을 비교 분석하기 위해여 실시하였다. 본 시험은 육계 Ross 종을 3처리 5반복 반복당 4수씩 완전 임의 배치하였으며, 7일령에 에너지제한 15%(ER85)와 30%(ER70)으로 하여 1주일간 제한 사양을 실시하였다. 제한 급이 이후 시험 종료까지(35일령)는 자유 급이를 실시하였다. 대조구는 전 사양 기간 동안 자유급이를 실시하였다. 에너지를 8일령부터 1주일간 제한 급이한 결과 대조구에 비하여 11.0%(ER85)와 30.8%(ER70) 각각 체성장이 낮게 나타났다. 제한 사양 후 3주간의 자유 급이 결과 ER85는 대조구와 같이 체성장을 이루어 보상 성장이 유도되었으나, ER70의 경우 대조구의 체성장보다 약 7.3% 낮게 나타나 보상 성장이 충분히 이루어지지 않았다. 제한 사양 후 콜레스테롤의 함량은 대조구에 비하여 40.6%(ER85)와 38.1%(ER70) 감소하였으나(P<0.05), 처리구간에는 유의적 차이를 나타내지 않았다. 중성지방 또한 대조구와 비교하여 64.5%(ER85), 49.5%(ER70) 각각감소하였다. 혈중포도당은 지방 성분들과 같은 경향으로 대조구에 비하여 34.5%(ER85), 27.7%(ER70) 각각 낮은 수준을 보였다. 보상 성장의 결과 혈중 콜레스테롤의 함량은 제한 사양 직후 대조구보다 낮은 수준에서 대조구와 같은 수준을 보였다. 혈중 중성지방은 대조구와 비교하여 처리구에서 102.3%(ER85)와 72.1%(ER70)의 높은 함량을 보여주어 제한 사양 직후와 상반된 결과를 보여 주었다. 혈중 포도당의 경우 ER70 처리구에서 비교적 높은 혈중 함량을 보였으며, 대조구와 ER85 그리고 처리구 간에는 유의적 차이를 보이지 않았다. 제한 사양 직후 FAS와 SREBP와 PPARr의 발현 양상은 ER70구에서 이들 유전자들의 발현이 감소하였을 뿐 대조구와 ER85구에서는 서로간의 차이를 볼 수 없었다. 제한 사양 후 14일령에 근육관련 유전자의 발현 양상은 대조구에 비해 모든 처리구에서 발현율이 낮게 나타났다. 보상 성장 후 ER85 처리군에서 Myogenin은 대조구와 ER70에 비하여 높은 발현을 보였다. 이상의 결과로부터 육계에서 보상 성장 및 근육 발달 관련 유전자들의 발현 양상을 고려할 때, 에너지 제한 15%(ER85) 수준이 적절한 제한 급이 방법으로 사료된다.

서비스요인이 재이용의도에 미치는 영향 : 급식만족도의 매개효과를 중심으로 (Service Factor is Effect on Revisiting for Old People : Centering around Mediator Effect for Feeding Satisfaction)

  • 김윤희;하규수
    • 벤처창업연구
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    • 제10권2호
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    • pp.59-67
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    • 2015
  • 본 연구는 서울시 Y구의 노인복지관 및 종합사회복지관에서 운영하고 있는 경로식당의 서비스요인(위생상태, 종사자, 편리성, 음식, 접근성, 환경, 사회적 관계)이 재이용의도에 미치는 영향력과, 이 과정에서 급식만족도가 갖는 매개효과를 파악하고자 하였다. 연구대상은 경로식당을 이용하는 65세 이상 노인으로, 총 310명이 최종 유효표본으로 적용되었다. 분석은 SPSS 19.0을 활용하였고, 연구결과 첫째, 인구사회학적 특성 중 임대주택/기타, 서비스요인의 모든 요인이 급식만족도에 영향을 미치는 것으로 나타났다. 둘째, 인구사회학적 특성 및 서비스요인, 급식만족도와 재이용의도의 관계를 파악한 결과, 인구사회학적 특성 중 학력, 서비스요인 중 모든 요인이 재이용의도에 영향을 미치는 것으로 나타났다. 셋째, 인구사회학적 특성 및 서비스요인과 재이용의도의 관계에 있어 급식만족도의 매개효과를 검증한 결과, 서비스요인 중 종사자와 급식만족도가 재이용의도에 정(+)의 영향을 미치는 것으로 나타났다. 따라서 경로식당 서비스의 질적 제고 및 만족도 향상을 위한 각 지자체의 지속적인 관심과 투자, 노력이 요구되며, 나아가 급식환경 개선을 위한 다각적 방법이 모색되어야 할 것이다.

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일개 시 보건소의 모자보건 선도보건사업 평가에 대한 연구 (A Study on the Evaluation of Maternal Child Health Services in Public Health Centers)

  • 김용순;박지원;방경숙;정순이;우혜숙;이혜정;장현순
    • 지역사회간호학회지
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    • 제13권2호
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    • pp.280-291
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    • 2002
  • Objectives: This study was conducted to evaluate the maternal child health services provided by public health centers in Pyungtaek city. Methods: Data were collected based on multiple sources of official records. A questionnaire survey was obtained from 50 mothers with premature babies, and 89 mothers with full- term babies, in order to compare their demographic factors, and physical, obstetrical, and emotional status. In addition, the investigators collected data on pre and post follow-up care for the remature group to evaluate the effects of home visiting services on them. Moreover, additional data were collected from 135 pregnant women and 315 mothers with infants, to assess their degree of satisfaction for prenatal education course and breast feeding practices. Results: 1) The pregnant women's satisfaction for the prenatal education course, knowledge, and practices on self care were considered to be high. 2) Of the mothers with infants, 62.9% experienced breast feeding, but only 35.9% of them did it for six months. 3) Premature birth rate in the region was 5.6%, and 75.6% of all premature babies received follow-up care. 4) The mothers with premature babies experienced premature rupture of membrane. placenta previa, preeclampsia, and cesarean section more frequently than the mothers with full-term babies. 5) At the pre-intervention data collection point. mothers with premature babies experienced significantly less social support than mothers with full-term babies. In addition, mothers with premature babies reported higher levels of stress and care-giving burdens, and lower level of self esteem, than mothers with full-term babies, although the differences were not statistically significant. 6) In the premature group, stress, care giving burdens, and postpartum depression decreased after the intervention, whereas maternal self esteem, and the husband's support were increased after the intervention. Social support from significant others were somewhat decreased. 7) Satisfaction for the home visiting service in the mothers with premature babies was very high. Conclusion: These results showed a possibility that the recently started maternal child health services provided by the public health centers may be efficient. Although statistically significant differences were not found, the investigators found a potential for changes in a positive direction. Long-term effects of the health services on maternal child health needs should be addressed in future studies.

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Re-evaluation of the Optimum Dietary Vitamin C Requirement in Juvenile Eel, Anguilla japonica by Using L-ascorbyl-2-monophosphate

  • Bae, Jun-Young;Park, Gun-Hyun;Yoo, Kwang-Yeol;Lee, Jeong-Yeol;Kim, Dae-Jung;Bai, Sung-Chul C.
    • Asian-Australasian Journal of Animal Sciences
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    • 제25권1호
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    • pp.98-103
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    • 2012
  • This study was conducted to re-evaluate the dietary vitamin C requirement in juvenile eel, Anguilla japonica by using L-ascorbyl-2-monophosphate (AMP) as the vitamin C source. Five semi-purified experimental diets were formulated to contain 0 ($AMP_0$), 30 ($AMP_{24}$), 60 ($AMP_{52}$), 120 ($AMP_{108}$) and 1,200 ($AMP_{1137}$) mg AMP $kg^{-1}$ diet on a dry matter basis. Casein and defatted fish meal were used as the main protein sources in the semi-purified experimental diets. After a 4-week conditioning period, fish initially averaging $15{\pm}0.3$ g (mean${\pm}$SD) were randomly distributed to each aquarium as triplicate groups of 20 fish each. One of five experimental diets was fed on a DM basis to fish in three randomly selected aquaria, at a rate of 3% of total body weight, twice a day. At the end of the feeding trial, weight gain (WG) and specific growth rate (SGR) for fish fed $AMP_{52}$ and $AMP_{108}$ were significantly higher than those recorded for fish fed the control diet (p<0.05). Similarly, feed efficiency (FE) and protein efficiency ratio (PER) for fish fed $AMP_{52}$ were significantly higher than those for fish fed the control diet (p<0.05). Broken-line regression analysis on the basis of WG, SGR, FE and PER showed dietary vitamin C requirements of juvenile eel to be 41.1, 41.2, 43.9 and 43.1 (mg $kg^{-1}$ diet), respectively. These results indicated that the dietary vitamin C requirement could range from 41.1 to 43.9 mg $kg^{-1}$ diet in juvenile eel when L-ascorbyl-2-monophosphate was used as the dietary source of vitamin C.

Earlier Metabolizable Energy Intake Level Influences Heat Production during a Following 3-Day Fast in Laying Hens

  • Ning, D.;Guo, Yuming;Wang, Y.W.;Peng, Y.Z.
    • Asian-Australasian Journal of Animal Sciences
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    • 제26권4호
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    • pp.558-563
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    • 2013
  • The present study was conducted to estimate energy requirements for maintenance in laying hens by using indirect calorimetry and energy balance. A total of 576 28-wk-old Nongda-3 laying hens with dwarf gene were randomly allocated into four ME intake levels (86.57, 124.45, 166.63 and 197.20 kcal/kg body weight $(BW)^{0.75}$ per d) with four replicates each. After a 4 d adaptation period, 36 hens from one replicate were maintained in one of the two respiration chambers to measure the heat production (HP) for 3 d during the feeding period and subsequent 3 d fast. Metabolizable energy (ME) intake was partitioned between heat increment (HI), HP associated with activity, fasting HP (FHP) and retained energy (RE). The equilibrium FHP may provide an estimate of NE requirements for maintenance (NEm). Results showed that HP, HI and RE in the fed state increased with ME intake level (p<0.05). Based on the regression of HP on ME intake, the estimated ME requirements for maintenance (MEm) was 113.09 kcal/kg $BW^{0.75}$ per d when ME intake equals HP. The FHP was decreased day by day with the lowest value on the third day of starvation. Except for lowest ME intake level, the FHP increased with ME intake level on the first day of starvation (p<0.05). The FHP at the two higher ME intake levels were greater than that at the two lower ME intake levels (p<0.05) but no difference was found between the two lower ME intake levels. Linear regression of HP from the fed state to zero ME intake yielded a value of 71.02 kcal/kg $BW^{0.75}$ per d, which is higher than the extrapolated FHP at zero ME intake (60.78, 65.23 and 62.14 kcal/kg $BW^{0.75}$ per d for the first, second and third day of fasting, respectively). Fasting time, lighting schedules, calculation methods and duration of adaptation of hens to changes in ME intake level should be properly established when using indirect calorimetry technique to estimate dietary NE content, MEm and NEm for laying hens.

디지털콘텐츠산업 활성화를 위한 국가적 통합협력 시스템 (A National Integrated Cooperation System for Invigorating the Digital Content Industry)

  • 김선배
    • 디지털융복합연구
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    • 제6권3호
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    • pp.45-52
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    • 2008
  • For the domestic digital contents, it is particularly important that the planning and mediating functions should cover the whole Industries so that dividends and assistance to reach all the way back to the primary contents-creating level, where economic risks are especially high. A proactive cooperation system or framework between the government, the businesses and research institutions, which would allow for free flow of interaction among these players, can play that role. We can broadly define cooperation frameworks into two; one between the central and the local governments and another among private-sector groups, such as companies, associations and groups. These players in the framework have differing, sometimes, conflicting views regarding the digital contents industry whether the digital contents should aim for skilled applicability or the abstract or whether the emphasis should rest on public interest or profitability. Immature competition and lack of trust among these players also give rise to such inefficiencies as overlap in investments, inexpertness and inefficient use of resources. We have proposed and realized the National Integrated Cooperation System to bridge these gaps among the major players in the industry. The National Integrated Cooperation System rests on the following major functions. The first major function of the NICS is to decipher any ambiguity that may be embedded in external Inputs by stratified role and bias. The second function is to create cooperative groups that will deal with the ambiguities based on its consequent situation. The third is a feedback function that will draw out a new cooperative way by re-feeding the capacities and the conflicts that stem from the existing organizations and strategies into cooperation and adjustment process. Our NICS has compared and evaluated with England and Australia digital content industry models under AHP(Analytic Hierarchy Process) method. NICS has turned out to be well designed and have strong points based on OECD innovation and cooperation criteria.

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Single Nucleotide Polymorphisms of NLRP12 Gene and Association with Non-specific Digestive Disorder in Rabbit

  • Liu, Yun-Fu;Zhang, Gong-Wei;Xiao, Zheng-Long;Yang, Yu;Deng, Xiao-Song;Chen, Shi-Yi;Wang, Jie;Lai, Song-Jia
    • Asian-Australasian Journal of Animal Sciences
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    • 제26권8호
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    • pp.1072-1079
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    • 2013
  • The NLRP12 (NLR family, pyrin domain containing 12) serves as a suppressor factor in the inflammatory response and protects the host against inflammation-induced damage. In the present study, we aimed to study the polymorphisms of NLRP12 gene and its association with susceptibility to non-specific digestive disorder (NSDD) in rabbits. We re-sequenced the entire coding region of the rabbit NLRP12 gene and detected a total of 19 SNPs containing 14 synonymous and five non-synonymous variations. Among them, the coding SNP (c.1682A>G), which would carry a potential functional implication, was subsequently subjected to genotyping for case-control association study (272 cases and 267 controls). The results revealed that allele A was significantly protective against NSDD with an odds ratio value of 0.884 (95% confidence interval, 0.788 to 0.993; p = 0.038). We also experimentally induced NSDD in growing rabbits by feeding a fibre-deficient diet and subsequently investigated NLRP12 mRNA expression. The mRNA expression of NLRP12 in healthy status was significantly higher than that in severe NSDD (p = 0.0016). The highest expression was observed in individuals carrying the protective genotype AA (p = 0.0108). These results suggested that NLRP12 was significantly associated with the NSDD in rabbits. However, the precise molecular mechanism of NLRP12 involving in the development of rabbit NSDD requires further research.

Effects of Rumen Protozoa of Brahman Heifers and Nitrate on Fermentation and In vitro Methane Production

  • Nguyen, S.H.;Li, L.;Hegarty, R.S.
    • Asian-Australasian Journal of Animal Sciences
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    • 제29권6호
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    • pp.807-813
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    • 2016
  • Two experiments were conducted assessing the effects of presence or absence of rumen protozoa and dietary nitrate addition on rumen fermentation characteristics and in vitro methane production in Brahman heifers. The first experiment assessed changes in rumen fermentation pattern and in vitro methane production post-refaunation and the second experiment investigated whether addition of nitrate to the incubation would give rise to methane mitigation additional to that contributed by defaunation. Ten Brahman heifers were progressively adapted to a diet containing 4.5% coconut oil distillate for 18 d and then all heifers were defaunated using sodium 1-(2-sulfonatooxyethoxy) dodecane (Empicol). After 15 d, the heifers were given a second dose of Empicol. Fifteen days after the second dosing, all heifers were allocated to defaunated or refaunated groups by stratified randomisation, and the experiment commenced (d 0). On d 0, an oral dose of rumen fluid collected from unrelated faunated cattle was used to inoculate 5 heifers and form a refaunated group so that the effects of re-establishment of protozoa on fermentation characteristics could be investigated. Samples of rumen fluid collected from each animal using oesophageal intubation before feeding on d 0, 7, 14, and 21 were incubated for in vitro methane production. On d 35, 2% nitrate (as $NaNO_3$) was included in in vitro incubations to test for additivity of nitrate and absence of protozoa effects on fermentation and methane production. It was concluded that increasing protozoal numbers were associated with increased methane production in refaunated heifers 7, 14, and 21 d after refaunation. Methane production rate was significantly higher from refaunated heifers than from defaunated heifers 35 d after refaunation. Concentration and proportions of major volatile fatty acids, however, were not affected by protozoal treatments. There is scope for further reducing methane output through combining defaunation and dietary nitrate as the addition of nitrate in the defaunated heifers resulted in 86% reduction in methane production in vitro.

PIN 다이오드를 이용한 WLAN용 재구성 모노폴 안테나 (Dual-band reconfigurable monopole antenna using a PIN diode)

  • 문승민;윤중한;김기래
    • 한국정보통신학회논문지
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    • 제20권9호
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    • pp.1633-1640
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    • 2016
  • 본 논문에서는 WLAN 대역에서 동작하는 오픈된 사각 모양의 마이크로스트립패치 안테나를 제안하였다. 제안된 안테나는 단일 공진 또는 다중 공진 주파수를 가변하여 유효 대역폭을 가지고 있으며 WLAN대역(2.4 - 2.484, 5.15 - 5.35, 5.25-5.825 GHz)을 만족하는 마이크로 스트립 선로를 갖는 평면형 모노폴 구조로 설계된다. 안테나는 FR-4 기판에 제작되었고 두께는 0.8 mm이다. 안테나의 동작모드와 재구성 특성을 분석하기 위해 전류분포와 전자계 분포를 분석하기 위해 상용 툴을 사용하였다. 최적화된 수치를 얻기 위해 각 패치의 길이에 따른 시뮬레이션 반사손실을 비교하였다. 최적화된 수치를 사용하여 스위치가 off 되었을 때 WLAN 밴드 (2.380 - 2.710 GHz)을 얻었으며, 스위치가 on 되었을 때 2.4 GHz 밴드 (2.380 - 2.710 GHz)을 얻었다. 제작 및 측정결과로부터 제안된 안테나의 반사손실 특성, 측정된 이득과 방사패턴 특성 결과를 얻었다.