• 제목/요약/키워드: Urinary Urea

검색결과 120건 처리시간 0.021초

노인 뇌졸중환자의 수분섭취교육 프로그램의 적용 효과 (Effects of Fluid Therapy Education Program for Aged Stroke Patients)

  • 임지선;조현숙
    • Journal of Korean Biological Nursing Science
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    • 제17권3호
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    • pp.277-285
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    • 2015
  • Purpose: This study was to verify the effects of a fluid therapy education program for aged stroke patients for preventing dehydration, pyuria and bacteriuria. Methods: The study employed a non-equivalent control group pretest-posttest design in quasi experimental basis. Subjects were 38 stroke patients (20 in the experimental group and 18 in the control group) older than 65, hospitalized in a senior care center in S city, Korea. Results: The amount of daily average fluid intake, normal ratio of blood urea nitrogen-creatinine ratio, serum $Na^+$ and urine white blood cells were increased significantly in the experimental group. Normal ratio of bacteriuria increased in the experimental group, but not significantly. Conclusion: The education program is considered to be an effective nursing intervention tool for preventing dehydration and urinary tract infections which related to the secondary wellness of aged stroke patients. However, longer term study is necessary for better quality of nursing and developing more specific education programs for aged stroke patients usually hospitalized for a long period of time.

Comparisons of Renoprotective Activities between White Ginseng Radix and Rootlet in Spontaneously Hypertensive Rats with Diabetes

  • Chung, Sung-Hyun;Ko, Sung-Kwon;Park, Se-Ho
    • The Korean Journal of Physiology and Pharmacology
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    • 제6권1호
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    • pp.57-61
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    • 2002
  • The renoprotective activities of white ginseng radix and rootlet were compared in spontaneously hypertensive rat (SHR) with diabetes. During oral administration of white ginseng radix (Ginseng Radix Alba, GRA) and white ginseng rootlet (Ginseng Radix Palva, GRP) for four weeks, arterial blood pressure and blood glucose levels were determined at every 10 days. In both GRA- and GRP-treatment groups, arterial blood pressures started to go down after 10 days of administration and maintained throughout the study period. After four weeks administrations of GRA and GRP, diastolic blood pressures were significantly decreased with 17% and 9%, respectively. GRA treatment also decreased blood glucose levels after 10 days of administration when compared with diabetic SHR group. At the end of the experiment, serum creatinine (Scr) and blood urea nitrogen (BUN) were not significantly different between the groups, except 62% higher value of BUN in diabetic SHR group when compared with SHR group. In the diabetic SHR group, the excretion of urinary albumin was increased significantly when compared with SHR. The level of urinary albumin in GRA treated group was markedly reduced when compared with diabetic SHR group $(67.8{\pm}4.7\;vs.\;131.3{\pm}13.5\;mg/24\;h).$ To examine the effects of ginseng radices on an overt diabetic nephropathy, index of kidney hypertrophy and transforming growth $factor-{\beta}1\;(TGF-{\beta}1)$ protein levels were evaluated. The glomerular and tubular cells stained positive for $TGF-{\beta}1$ seemed to be more abundant in diabetic SHR than in those with SHR, and GRA treated rats showed somewhat less $TGF-{\beta}1$ protein in glomerular and tubular cells when compared with diabetic SHR. Our results suggest that GRA might be a useful antihypertensive and antidiabetic agent with renoprotective effect.

Application of Cornell Net Carbohydrate and Protein System to Lactating Cows in Taiwan

  • Chiou, Peter Wen-Shyg;Chuang, Chi-Hao;Yu, Bi;Hwang, Sen-Yuan;Chen, Chao-Ren
    • Asian-Australasian Journal of Animal Sciences
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    • 제19권6호
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    • pp.857-864
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    • 2006
  • The aim of this study was to apply the Cornell net carbohydrate and protein system (CNCPS) in subtropical Taiwan. This was done by means of 3 trials, viz, in situ, lactation and metabolic trials, the latter using the urinary purine derivatives (UPD) to estimate the ruminal microbial yield. Dietary treatments were formulated according to different nutrient requirement systems including, (1) a control NRC78 group on NRC (1978), (2) a NRC88 group on NRC (1988), and (3) a CNCPS group on Cornell Net carbohydrate and protein system model. Results from the lactation trial showed that DM intake (DMI) was higher (p<0.05) in the NRC78 than the other treatment groups. The treatments did not significantly influence milk yield, but milk yield after covariance adjustment for DMI was higher in the CNCPS group (p<0.05). The FCM, milk fat content and yield were greater in both the NRC78 and the NRC88 group over the CNCPS group (p<0.05). The treatments did not significantly influence the DMI adjusted FCM. The solid-non-fat and milk protein contents were higher in the CNCPS group (p<0.05) with or without DMI covariance adjustment. Lactating efficiency was higher in the CNCPS group (p<0.05) compared to the other groups. The significantly lowest milk urea-N (MUN) with better protein utilization efficiency in the CNCPS group (p<0.05) suggested that less N would be excreted into the environment. Cows in the CNCPS group excreted significantly more and the NRC88 group significantly less urinary purine derivatives (UPD) implying that more ruminal microbial protein was synthesized in the CNCPS over the NRC88 group. The CNCPS could become the most useful tool in predicting the trends in milk yield, microbial yield and MUN.

Cyclophosphamide유발 방광염에 대한 활석의 효능 (Effects of Talc on Cyclophosphamide-Induced Cystitis in the Rat)

  • 유지원;홍은숙;최영현;이용태;최병태
    • 동의생리병리학회지
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    • 제19권2호
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    • pp.429-433
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    • 2005
  • We investigated the effects of aqueous extract from talc for suppression in the process of cyclophosphamide-induced cystitis in the rat. The weight of urinary bladder was increased in the cyclophosphamide-injected rat compared with normal, but the increase of weight was arrested by intake of talc. More similar results showed in the uric test involving nitrate content and blood cell number and serum analysis involving the content of blood urea nitrogen and uric acid in the talc challenged rat compared with control one. More severe histological changes of urinary bladder such as edema, wall thickness, bleeding, vacuolation in mucosal epithelium were demonstrated in the rat injected with cyclophosphamide compared with normal. Fewer scores of these changes such as edema and bleeding were observed in rats treated with talc. In the immunohistochemical analysis, the expression of inflammatory-related protein examined tended to increase in the urinary bladder of cyclophosphamide-injected rat, especially COX-2 and $TNF-{\alpha}$ in mucosal epithelium and iNOS and $IL-1{\beta}$ in mucosal and muscular layer. The decline of these immunoreation were observed in the talc treated rat, significant decrease of COX-2 was detected in mucosal epithelium and iNOS in submucosal layer. These results suggest that talc may use as a useful therapeutic agent for noninfectious cystitis.

한국대학생(韓國大學生)의 Sodium과 Potassium섭취량(攝取量) 및 대사(代謝)에 관(關)한 연구(硏究) (A Study on the Sodium and Potassium Intakes and Their Metabolism of University Students in Korea)

  • 박태선;이기열
    • Journal of Nutrition and Health
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    • 제18권3호
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    • pp.201-208
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    • 1985
  • 본 연구에서는 한국인 남녀 대학생 집단의 1인 1일 Sodium(Na) 및 Potassium(K)섭취량을 뇨 성상분석과 식이 조사방법에 의해 평가하고 이들과 혈압 및 기타 요인들과의 상관성 유무를 검토하였다. 조사 결과를 요약해 보면 다음과 같다. 1) 1일 뇨중의 Na 배설량은 남자 대학생의 경우 199.1mEq(11.63g NaCl), 여자 대학생의 경우 174.5mEq(10.21g NaCl)이었고 식이 조사법에 의해 산출된 1인 1일 Na 섭취량은 남녀 각기 218.5mEq(12.77g NaCl), 218.1mEq(12.75g NaCl)로 나타났다. 2) 1일 뇨중의 K 배설량은 남자 대학생이 48.3 rnEq(1889mg), 여자 대학생이 43.9mEq(1,772mg)로 추정되었고, 식이 조사법에 의한 1인 1 일 K 섭취량은 남녀 각기 48.6mEq(1,897mg), 47.4mEq(1,850mg)인 것으로 나타났다. 3) 뇨중 Na/K 비을은 남자 대학생이 $4.67{\pm}2.42$, 여자 대학생이 $4.58{\pm}2.22$로 나타나 평균 $4.62{\pm}2.3$이었다. 4) 1일 총 뇨량은 남자 대학생의경우 1,228ml$($677ml/m^{2}/24hr$), 여자 대학생의 경우 1,116m1$($703ml/m^{2}/24hr$)$인 것으로 나타났다. 5) 뇨중 Na 및 K 배설량, Na/K비율과 혈압간에는 상관 관계가 존재하지 않았다. 이상의 뇨 분석 결과와 식이 조사결과를 종합해 본다면 이전의 동일 연령의 한국인을 대상으로 한 보고에 비해 서울지역 대학생 집단의 Na 섭취량이 현저히 감소된 반면, K 섭취량은 증가하여 Na/K 비율이 크게 감소하였고, 또한 Na 섭취량의 감소로 인한 1일 뇨 부피의 감소가 있었다. 그러나 아직도 미국인에 비해 Na 섭취량은 높고 K 섭취량은 낮아 Na/K비율이 높은 경향에 있다고 보겠다.

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막성요도 근위부 완전폐쇄를 지닌 개에서 골반내 요도문합술 (Intrapelvic Urethral Anastomosis in a Dog with Complete Obstruction of Proximal Membranous Urethra)

  • 윤헌영;김준영;한현정;장하영;이보라;남궁효선;정순욱
    • 한국임상수의학회지
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    • 제23권1호
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    • pp.61-64
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    • 2006
  • 체중 4.65kg, 나이 13 개월의 수컷 페키니즈 견이 무뇨 증상으로 건국대학교 수의과대학 부속 동물병원에 내원하였다. 신체 검사상에서 복부 촉진을 통해 심각한 방광 팽창을 확인 하였다. 방광 내 요도 카테터 삽입을 시도 하였으나 실패 하였다. 혈액 화학 검사에서 BUN농도(35.6mg/dl)와 크레아틴농도(1.9mg/dl)가 각각 상승된 것으로 나타났다.단순 방사선 및 요도조영술에서 심한 방광팽창 및 막성 요도의 시작 부분이 폐쇄된 소견을 보였다. 수술동안 투시기를 이용 방광요도조영술과 요도조영술을 동시에 실시하여 본 바 폐쇄 부분 길이가 13mm임을 확인하였다. 골반강내 위치한 요도 폐쇄 부위가 피부절개선상까지 견인으로 노출이 가능하여 치골절골술 없이도 요도절제 및 요도문합을 실시할 수 있었다. 요도를 5-0 polyglycolic acid로 문합하고 이 부위를 대망막으로 감쌌다. 수술 후 첫째 날, 식욕이 회복 되었고, 5일 째 비정상 범위를 보였던 혈청 화학 수치들이 정상을 보였다. 그러나 요도 카테터를 제거한 후 약간의 요실금이 관찰 되었다. 7일 째 뇨 분석 결과가 정상 수치를 나타냈고, 14일 째 배설성 요로 조영술을 통해 수술 부위에 소변 누수가 없음을 확인 하였다. 21일 째, 더 이상의 요실금이 확인 되지 않았으며, 1년이 지난 현재 재발없이 정상적인 배뇨와 건강한 상태임을 확인할 수 있었다.

충북 괴산군 송면 중학생의 영양실태조사 (Nutrition Survey of Songmyun Middle School Students in Goisan Country, Chung Buk Province)

  • 이미숙
    • Journal of Nutrition and Health
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    • 제27권7호
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    • pp.760-775
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    • 1994
  • We evaluated the nutritional status of 116 Songmyun middle school students. The means of height and weight were similar to the standards published by the Ministry of Education(1991). The height of 79% of the subjects was in the normal range, and the height for 11% was below the normal range. While 27% of the subjects were underweight, 18% and 8% were overweight and obese, respectively. The percentage of anemia was 29%, and the mean urinary urea nitrogen to creatinine ratio was 8$\pm$4. Total daily energy and nutrient intake was 48-103% of RDAs, and especially calcium and iron intake was very low. Carbohydrate, protein and fat intake was 71%, 12% and 17% of total calories, respectively. Breakfast, lunch, dinner and the between meals provided 20%, 37%, 26% and 18% of total energy intake. Energy and nutrient intake from lunch box was 52-95% of the 1/3 RDAs. Our data suggest that the nutrition education for the meal planners of the subjects is necessary to improve the nutritional status of the subjects. In addition, the school lunch program is recommended.

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서울시내 일부 저소득층 비급식 국민학교 아동의 영양실태조사 1. 성장발육상태 및 생화학적 기초조사 (Nutrition Survey of Children Attending an Elementary School without a School Lunch Program, in a Low Income Group of Seoul 1. A Study on Anthropometry and Biochemical Test)

  • 정상진
    • Journal of Nutrition and Health
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    • 제23권7호
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    • pp.513-520
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    • 1990
  • A nutrition survey of 274 children, 6 to 12 years old, in the Nan Hyang elementary school, which offers no school lunch program and is situated in Shinllim 7-dong of Seoul, as the location of one of the socioeconomically vulnerable groups, was undertaken in July of 1989, to investigate nutritional status. anthropometric data of subjects surveyed slightly lower results than the Korean standards and further lower results than those of Yun Jung elementary school children of Youido, Seoul. 16.3% of subjects were proven to be anemic according to the hematocrit criterion established by the WHO. Mean urinary urea nitrogen/creatinine ration was 9.5$\pm$4.1. Family environment were positively correlated with anthropometric data and results of biochemical tests.

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경기도 용인군 농촌형 급식시범국민학교 아동의 영양실태 조사 (A Nutrition Survey of Children Attending a Model Elementary School of Rural Type School Lunch Programs)

  • 김복희
    • Journal of Nutrition and Health
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    • 제22권2호
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    • pp.70-83
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    • 1989
  • A nutrition survey of 209 children, 6 to 13 years old, in the namgok elemetnary school at Namsamyun, Yongin-gun, Kyonggi province, was undertaken in July of 1987, to investigate dietary and nutritional status. Mean value of hight was 98% of the Korean standard established by the Korean Standards Research Institute. However, in these terms, 7.7% of the subjects were proven to be short, mean value of weight was 94.5 of the Korean standard. However, in these terms, 9.3% of the subjects were proven to be moderatly underweight ; whereas 10.4% of the subjects were proven to be over weight. By the WHO criterion, 18.4% of the subjects showed lower figures of hemoglobin than anemic level of 12gm%/이. Mean urinary urea nitogen/creatinine ratio was 9.1$\pm$5.0 Carbohyudrate provided 68% of total energy intake ; protein accunted for 13% ; fat provided 19%. Energy intake was divided among breakfast, lunch, dinner and snacks in a percentage ratio of 22 : 44 : 24 : 13. The survey clarified that the elementary school feeding largely supplemented the inadequate intake of these chidren at home.

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백색 산란계의 단백질 및 에너지 대사에 미치는 성형 목탄가루, 목초액 및 양조식초 첨가사료의 영향 (Effect of Diets Containing Ground Charcoal Powder, Wood Vinegar and Fermented Acetic Acid on the Protein and Energy Metabolism in White Leghorn Strain Layer)

  • 고태송;최윤석;김동희
    • 한국가금학회지
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    • 제18권2호
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    • pp.85-95
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    • 1991
  • 성형목탄가루 함유사료(CPD)를 급여한 밝은 대조에 비해서 분질소(FN)는 유의하게 (P<0.05)많이 요질소(UN)는 유의하게(P<0.05) 낮게 배설하였다. 단백질 소화율은 88∼92%였으며 대조에 비해서 CPD를 급여하면 유의하게(P<0.05) 낮아졌으나 목초액 또는 양조식초의 영향은 관찰되지 않았다. 총질소섭취량(NI)에 대한 요질소(UN/NI)와 흡수질소(AN)에 대한 요질소(UN/AN)의 비율은 대조에 비해서 CPD를 급여하면 유의하게 (P<0.05) 낮아지나, 이에 비해서 목초액 함유사료(PWV)에서는 높아지는 경향이 있고 양조식초 함유사료(PFA)에서는 유의하게 (P<0.05) 높았다. 총질소 섭취량에 대한 요산태 질소(UAN/NI) 및 UAN/AN도 대조에 비해서 CPD를 급여하면 유의하게 낮아지나, 이에 비해서 PWV에서는 높아지는 경향이 있고 PFA에서는 유의하게 (P<0.05) 높아졌다. 그러나 총질소 또는 흡수된 질소에 대한 암모니아태 질소율은 대조에 비해서 실험사료를 급여하면 일반적으로 높아지는 경향이 있었고 PPA에서는 유의하게(P<0.05) 높았고, 크레아틴 및 요소태 질소의 배설은 실험사료의 영향이 관찰되지 않았다. 에너지 소화율(DE/GE)은 80∼84%로 실험사료 사이에 유의차가 발견되지 않았으나, 대사율(ME/GE또는 MEn/GE)은 대조사료를 급여한 것에 비해서 CPD및 V를 급여하면 높아지는 경향이 있었고 PFA를 급여한 것에서는 낮아지는 경향이 있었다. 한편 ME/GE는 PFA를 급여한 것에 비해서 PWV를 급여한 것에서 유의하게 (P<0.05) 높았고, MEn/GE는 PFA를 급여한 것에 비해서 대조 및 CPD를 급여한 것에서 유의하게 (P<0.05) 높았다. 이러한 대사율의 변화에 미치는 분에너지의 비율은 실험사료에 관계없이 16∼23%가 되었고, 요에너지는 2.3∼3.0%로 적었다. 그러나 대사율에 미치는 실험 사료의 영향은 분에너지의 변화보다는 주로 요에너지 변화에 기인하였고 요에너지 변화는 주로 요산에너지의 변화에 기인한다는 것이 관찰되었다.

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