• 제목/요약/키워드: Total body score

검색결과 592건 처리시간 0.022초

Are "Unstable" Burst Fractures Really Unstable?

  • Woo, Jun Hyuk;Lee, Hyun Woo;Choi, Hong June;Kwon, Young Min
    • Journal of Korean Neurosurgical Society
    • /
    • 제64권6호
    • /
    • pp.944-949
    • /
    • 2021
  • Objective : The stability is an important factor to decide the treatment plan in thoracolumbar burst fracture patients. Patients with an unstable burst fracture generally need operative management. Decrease in vertebral body height, local kyphosis, involvement of posterior column, and/or canal compromise are considered important factors to determine the treatment plan. On the other hand, in thoracolumbar injury classification system (TLICS), surgery is recommended in patients with TLICS of more than 5 points. The purpose of this study was to apply the TLICS score in patients with thoracolumbar burst fractures and to distinguish the differences of treatment plan on burst fracture. Methods : All patients, diagnosed as a thoracolumbar burst fracture between January 2006 and February 2019 were included in this study. Unstable thoracolumbar burst fracture was defined as burst fracture with neurologic deficit, three-column injury, kyphosis over 30 degrees, decrease of anterior body height over 40 percent and canal comprise more than 50%. TLICS score was measured with morphology, neurological involvement and posterior ligamentous complex integrity. The existence of instability was compared with TLICS score. Results : Total 233 patients (131 men, 102 women) were included in this study. In Denis classification, 51 patients (21.9%) diagnosed as stable burst fracture while 182 patients (78.1%) had unstable burst fracture. According to TLICS, 72 patients (30.9%) scored less than 4, while 161 patients (69.1%) scored 4 or more. All the patients with stable burst fracture scored 2 in TLICS. Twenty-one patients (9.0) scored 2 in TLICS but diagnosed as unstable burst fracture. Thirteen patients had over 40% of vertebra body compression, four patients had more than 50% of canal compromise, three patients had both body compression over 40% and kyphosis over 30 degrees, one patients had both body compression and canal compromise. Fifteen patients presented kyphosis over 30 degrees, and three (20%) of them scored 2 in TLICS. Seventy-three patients presented vertebral body compression over 40% and 17 (23.3%) of them scored 2 in TLICS. Fifty-three patients presented spinal canal compromise more than 50%, and five (9.4%) of them scored 2 in TLICS. Conclusion : Although the instability of thoracolumbar burst fracture was regarded as a critical factor for operability, therapeutic strategies by TLICS do not exactly match with the concept of instability. According to the concept of TLICS, it should be reconsidered whether the unstable burst fracture truly unstable to do operation.

Effect of Carcass Traits on Carcass Prices of Holstein Steers in Korea

  • Alam, M.;Cho, K.H.;Lee, S.S.;Choy, Y.H.;Kim, H.S.;Cho, C.I.;Choi, T.J.
    • Asian-Australasian Journal of Animal Sciences
    • /
    • 제26권10호
    • /
    • pp.1388-1398
    • /
    • 2013
  • The present study investigated the contribution of carcass traits on carcass prices of Holstein steers in Korea. Phenotypic data consisted of 76,814 slaughtered Holsteins (1 to 6 yrs) from all over Korea. The means for live body weight at slaughter (BWT), chilled carcass weight (CWT), dressing percentage (DP), quantity grade index (QGI), eye muscle area (EMA), backfat thickness (BF) and marbling score (MS), carcass unit price (CUP), and carcass sell prices (CSP) were 729.0 kg, 414.2 kg, 56.79%, 64.42, $75.26cm^2$, 5.77 mm, 1.98, 8,952.80 Korean won/kg and 3,722.80 Thousand Korean won/head. Least squares means were significantly different by various age groups, season of slaughter, marbling scores and yield grades. Pearson's correlation coefficients of CUP with carcass traits ranged from 0.12 to 0.62. Besides, the relationships of carcass traits with CSP were relatively stronger than those with CUP. The multiple regression models for CUP and CSP with carcass traits accounted 39 to 63% of the total variation, respectively. Marbling score had maximum economic effects (partial coefficients) on both prices. In addition, the highest standardized partial coefficients (relative economic weights) for CUP and CSP were calculated to be on MS and CWT by 0.608 and 0.520, respectively. Path analyses showed that MS (0.376) and CWT (0.336) had maximum total effects on CUP and CSP, respectively; whereas BF contributed negatively. Further sub-group (age and season of slaughter) analyses also confirmed the overall outcomes. However, the relative economic weights and total path contributions also varied among the animal sub-groups. This study suggested the significant influences of carcass traits on carcass prices; especially MS and CWT were found to govern the carcass prices of Holstein steers in Korea.

만성 뇌졸중 환자의 상지 기능과 ICF와의 상관관계 예비 연구 : ICF 활동, 참여 및 환경영역 중심으로 (A Preliminary Study on the Correlation Between ICF and Functions of Upper Limbs of Chronic Stroke Patients : ICF Activities, Participations, and Environmental Factors)

  • 임종우;윤성경;이영민
    • PNF and Movement
    • /
    • 제16권3호
    • /
    • pp.485-493
    • /
    • 2018
  • Purpose: This study provides a treatment for central nervous system development in patients with chronic stroke by investigating changes in the upper limb function over time. The correlations among the activities, participation, and environmental factors of the international classification of functioning (ICF), disability and health are also examined. Methods: The subjects of this study are 18 patients with chronic stroke who were hospitalized and treated at 00 hospital in the Chungcheongbuk-do province. Their upper extremity functions are evaluated using the manual function test (MFT). The activities, participation, and environmental factors are evaluated using the ICF generic form. The correlations between the total scores of the affected and unaffected sides and the ICF items are analyzed using the Pearson correlation analysis. The significance level is p<0.05. Results: When the correlations between the activities and participation areas of ICF and the total score of the affected side of MFT were examined, significant correlations (p<0.05) were found in the following items: changing basic body position (D410), lifting and carrying objects (D430), moving around using equipment (D465), using transportation (D470), washing oneself (D510), caring for body parts (D520), and dressing (D540). When the correlations between the activities and participation areas of ICF and the total score of the unaffected side of MFT were examined, significant correlations (p<0.05) were found among writing (D170), speaking (D330), eating (D550), and drinking (D560). In addition, when the correlation between the environment area of ICF and the total score of the unaffected side of the MFT were examined, significant correlations (p<0.05) were found between products and technology for personal use in daily living (E115) and immediate family (E310). Conclusion: The MFT of patients with chronic stroke is closely correlated with the activities, participation, and environmental factors of ICF. This result suggests that ICF can be used as a useful tool to comprehensively evaluate the abilities of the patient, including the upper extremity function.

한우 번식효율에 대한 Blood Urea Nitrogen과 Body Condition Score의 영향 (Blood Urea Nitrogen and Body Condition Score on Reproductive Efficiency in Korean Cattle)

  • 정영훈;이명식;전기준;장선식;서국현;박정준;이창우;나기준;노규진
    • 한국수정란이식학회지
    • /
    • 제19권1호
    • /
    • pp.53-59
    • /
    • 2004
  • 본 실험은 한우 400두를 공시하여 사양조건에 따른 blood urea nitrogen(BUN)의 농도가 암소의 번식에 미치는 영향을 조사하였으며 또한 body condition score(BCS)가 번식효율에 미치는 영향을 조사하였다. 1 화본과 식물이 주종인 초지에서 방목을 하였을 때 BUN의 평균농도는 7.39$\pm$2.65 mg/㎗ 이었으며 발정이 육안적으로 확인된 암소의 58.2%가 4∼8 mg/㎗ 사이에 분포하였으며 수태율도 높은 경향을 보였다. 2.사사기 농후사료를 급여하였을 때 BUN의 평균 농도는 12.36$\pm$2.92 mg/㎗이었으며 8∼14 mg/㎗사이에서 높은 수태율을 보였다. 3. BCS가 2.5∼3.5사이에 있을 때 분만 후 발정재귀가 가장 빠르게 나타났으며 수태율도 높은 경향을 나타내었다. 4. 방목기, 사사기에서 BUN과 BCS상호간의 다소의 차이는 있었으나 유의성은 인정되지 않았다. 이상의 결과를 종합해 보면 사양조건에 따라 적정 BUN및 BCS의 수준을 유지할 때 번식의 효율을 증대시킬 수 있을 것이라 사료된다.

초등학교 여학생의 섭식장애, 신체증상, 우울 및 건강통제위에 관한 연구 (Relationship between Eating Disorders, Physical Symptoms, Depression and Health Locus of Control among Elementary School Girls in South Korea)

  • 성미혜
    • 대한간호학회지
    • /
    • 제34권3호
    • /
    • pp.576-585
    • /
    • 2004
  • Purpose: The purpose of this study was to identify the relationship between eating disorders, physical symptoms, depression and health locus of control. Method: The research design was a descriptive study done by using a constructive self-report questionnaire. A total of 464 elementary school girls were measured. The instrument was a constructive questionnaire that consisted 136 items. The subjects were divided into 4 groups according to the Body Mass Index (BMI). Data analysis was done by SPSS/WIN Programs using frequency, percentage, mean, SD, ANOVA, Pearson correlation coefficient, and stepwise multiple regression. Result: The score of eating disorders differed significantly by BMI : the score was highest in the group of obese students(F=4.208, P=.015). Stepwise multiple regression analysis revealed that the most powerful predictor of eating disorders was BMI. Conclusion: These results indicate that Korean elementary school girls need more education and counseling on diet. Also, we should take systematic efforts to reestablish the social standard of beauty to promote normal growth development.

영양교육경험이 중학생의 식행동, 영양지식 및 체중조절에 미치는 영향 (The Effects of Nutrition Education on Dietary Behavior, Nutrition Knowledge and Weight Control of Middle School Students)

  • 이승교;박현애;정은희
    • 한국지역사회생활과학회지
    • /
    • 제18권3호
    • /
    • pp.469-480
    • /
    • 2007
  • The purpose of this study is to find out the effect of nutrition education on dietaty behavior, nutrition knowledge and weight control of middle school students. The study is based on the assumption that students' dietary behavior, nutrition knowledge and weight-control are considerably influenced by whether they get nutrition education or not. A total of 495 students aged between $14{\sim}16$ (249 boys and 246 girls) were surveyed one middle school located Siheungsi, Gyeonggido. The survey reveals that 55.4% of the boy students and 63.0% of the girl students have been provided nutrition education in curriculum related to nutrition, for instance home economics, technology class, and/or some other classes. The results showed that the students who have been provided nutrition education don't skip breakfast and have three meals regularly(p<0.05). The score of dietary behavior is based on Mini-Dietary Assessment. The average score of the students who have been provided nutrition education is higher than the students who have never been provided nutrition education(p<0.01), meaning the nutrition education are affected positively on dietary behavior. The average score of students' knowledge of nutrition is as follows. The average score of the students who have been provided nutrition education is 5.0/10, while the average score of the students who have never been provided nutrition education is 3.9/10. The gap of the average score does come up to an inevitable conclusion that the students who have been provided nutrition education are supposed to get higher score than those who have never been provided nutrition education(p<0.0001). And the students who have been provided nutrition education are more satisfied with their body shape than those who have never been provided nutrition education(p<0.05).

  • PDF

NANDA간호진단과 간호중재분류(NIC)의 연계에 관한 타당성 연구 (A Validity Study for Linkage of Nursing diagnosis and Nursing Interventions Classification)

  • 박성애;박정호;정면숙;주미경;김복자;이은숙;박성희;유미
    • 간호행정학회지
    • /
    • 제7권2호
    • /
    • pp.315-347
    • /
    • 2001
  • The purpose of this study was to validate the linkage of nursing diagnosis(NANDA) and Nursing Interventions Classification(NIC) for implementing the Nursing Diagnosis and Nursing interventions in Korea. 36 nurse experts with over the bacculate degree and over 15 years experiences working in tertiary hospitals participated in this study. 5 point Likert scales on each NIC linked 136 NANDA diagnoses were adopted. The results were as follows: 1. In a validity of linkage of nursing diagnosis and nursing interventions classification, the highest score is in 'Chronic low self esteem'(4.66), the lowest score is in 'sensory/Perceptual alterations; Auditory'(3.34) and the average validity score of the total items is 4.27. 2. There was significant differences by educational level and experience in validity score. 3. The nurses who have master degree have higher score than bachelor degree in the diagnoses; 'fatigue', 'health seeking behaviors', 'nutrition: potential for more than body requirements, altered', 'powerlessness'. 4. The nurses with experience over 20 years have higher validity score than less 15 years in 'breast-feeding, effective'. In conclusion, this research indicates that the linkage of NANDA diagnoses and NIC with high validity score can be applied to nursing practice in Korea. And further studies of nursing intervention are needed in Korean culture.

  • PDF

여대생 대상 체중조절 프로그램의 영양 교육 효과 평가 (Effectiveness of Nutrition Education in a Weight Control Program for Female College Students)

  • 이현정;이윤정;이경옥;김화영
    • 한국식생활문화학회지
    • /
    • 제24권5호
    • /
    • pp.570-580
    • /
    • 2009
  • The purpose of this study was to evaluate the multilateral weight control program provided by the university health care center for female college students. The program was 8weeks long and composed of nutrition consultation, exercise, and behavior modification. Nutrition education focused on a low calorie and balanced diet, increasing the intake of protein and micronutrients and reducing carbohydrate and fat consumption. Evaluations were made upon completion of an 8-week program and upon follow-up at 6 months after the end of program. A total of 92 women completed the 8-week program, while 20 completed the follow-up survey. Upon completion of the 8-week program, significant decreases in body weight, BMI, body fat (kg), and %body fat were observed, and muscle mass was also reduced. The total energy and carbohydrates intake were also significantly decreased in subjects with weight loss, while the percentage of subjects whose consumption of protein, calcium, iron, vitamin $B_1$, $B_6$, and niacin did not meet the EAR, were decreased. The blood values of glucose, total cholesterol and HDL-cholesterol were decreased. The follow-up survey revealed that the subjects continued to lose weight after completion of the program. In addition, a Mini nutrition assessment revealed that diet quality improved, especially with respect to reductions in the consumption frequency of fried, greasy and salty food. In conclusion, the multilateral weight control program with diet education for female college students was effective for long lasting weight control and improved dietary behavior. Nutrition education for weight reduction should focus on balanced nutrition as well as lowering the total caloric intake.

Development and evaluation of continuing education course in renal nutrition

  • Karavetian, Mirey;Rizk, Rana
    • Nutrition Research and Practice
    • /
    • 제10권1호
    • /
    • pp.99-107
    • /
    • 2016
  • BACKGROUND/OBJECTIVE: Competent renal dietitians are crucial for better patient compliance and clinical outcomes, specifically in critical settings. The aim of this study was to develop and evaluate an evidence-based course in renal dietetics for dietitians working in health care systems where dietetic specialization is absent. SUBJECTS/METHODS: Fifteen licensed dietitians working with hemodialysis patients in Lebanon were randomly recruited to participate in the course. The latter was developed by the study's primary investigator, according to evidence-based practice guidelines, and focused on all aspects of renal nutrition. Total course duration was 28 hours spread over a 2 month period. Dietitians' knowledge in renal nutrition was tested pre- and post-training through a 23-item questionnaire; the total score was expressed in percentage (< 60% score indicated insufficient knowledge). Paired-samples t test was used for statistical analysis. RESULTS: Overall knowledge of the dietitians significantly improved post-training and reached satisfactory levels (pre: $38.75{\pm}17.20%$, post: $62.08{\pm}21.85%$). Sub-analysis of the change in the knowledge showed significant and satisfactory improvement only in 3 topics: 1) correct body weight use in calculations, 2) energy estimation method and 3) phosphorus management. Knowledge in the fluid management significantly improved but did not achieve a satisfactory level. CONCLUSION: The course significantly improved dietitians' knowledge in renal nutrition. If adopted as part of the continuing education of dietitians in countries that lack dietetic specializations, it may serve the first step towards improving health care practice.

한방치료를 통해 호전된 COVID-19 백신 접종 이후 발생한 피부 발진을 동반한 결절성 양진 치험 1례 (A Case of Prurigo Nodularis with Skin Rash that Occurred after COVID-19 Vaccination)

  • 이주현;김환영;박민철;조은희
    • 대한한의학회지
    • /
    • 제44권3호
    • /
    • pp.117-125
    • /
    • 2023
  • Objectives: This study is to report a case of prurigo nodularis with skin rash that occurred after COVID-19 vaccination improved by Korean medicine treatment. Methods: The patient visited our hospital complaining of prurigo nodularis and skin rashes which occurred in various parts of the body (Total score 17). The patient complained of sleep disturbance (NRS 9) due to nighttime pruritus (NRS 7). Based on the patient's symptoms, herbal medicine Soshiho-tang and acupuncture on the left Triple Energizer Hangyeok was prescribed. Results: Most of the skin symptoms improved significantly leaving only scars, minor scratches and pigmentation (Total score 17 → 6). The patient's sleep condition improved (NRS 7 → 1) as the pruritus decreased from NRS 9 to 2. Conclusions: This study is significant in that the patient with prurigo nodularis accompanied by skin rash effectively improved by the Korean Medicine treatment.