• 제목/요약/키워드: age at onset

검색결과 602건 처리시간 0.023초

혈중 멜라토닌 혹은 에스트로겐과 광주기의 상호작용이 재래닭의 생산성에 미치는 영향 (Effect of Interrelationship between Blood Melatoni or Estrogen and Light Cycle on Performance of Korean Native Chicken)

  • 류경선;강창원
    • 한국가금학회지
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    • 제24권2호
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    • pp.85-90
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    • 1997
  • An experiment was conducted to investigate the relationship between blood hormone levels and light cycle on performance of Korean native chicken. One hundred and two Korean native chickens were grouped into three treatments of natural light cycle (Control), 13L:11D (T2), and 16L:8D (T3). The egg production, egg weight, feed intake, serum melatonin and estrogen level were periodically measured from 22 to 34 weeks, respectively. The laying rates of T2 and T3 were significantly higher than that of the Control (P

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산전 초음파에서 진단된 담도낭종의 수술적 치료 (Operative Management of the Prenatally Diagnosed Choledochal Cyst)

  • 최윤미;최재혁;서정민;이석구
    • Advances in pediatric surgery
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    • 제10권1호
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    • pp.17-21
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    • 2004
  • Improvement in prenatal ultrasonography is leading to diagnose choledochal cyst before birth and before onset of classical symptom more frequently. But, there is a controversy about optimal timing for Cyst excision of prenatally diagnosed asymptomatic choledochal cyst. To identify the most appropriate timing for surgery in prenatally diagnosed choledochal Cysts, we analyzed 6 patients who had operation for choledochal cysts within 30days after birth at the division of Pediatric Surgery, Samsung Medical Center and Inha University School of Medicine, from June 1995 to June 2002. Males were four and females 2, the mean age at operation was 11.2 days, and the median age 8.0 days. The range of gestational ages of the antenatal diagnosis of bile duct dilatation was 24 weeks to 32 weeks, mean was 38.3 weeks, and mean birth weight was 3,298.3 g. After birth, abdominal ultrasonography, hepatobiliary scintigraphy, and magnetic resonance cholangiopancratography (MRCP) were performed. Mean age at operation was 11.2 days. All patients had the cyst excision and Rouxen-Y hepaticojejunostomy. Immediate postoperative complication was not found. During the median follow-up period of 41 months, one patient was admitted due to cholangitis, and the other due to variceal bleeding. Early operative treatment of asymptomatic newborn is safe and effective to prevent developing complications later in life.

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A형 Niemann-Pick 병 1례 (A case of Niemann-Pick disease type A)

  • 유호연;오지은;박재선;김미향;김신동;정경순
    • Clinical and Experimental Pediatrics
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    • 제49권12호
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    • pp.1358-1362
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    • 2006
  • Niemann-Pick병은 lysosome내에 sphingomyelinase의 결핍으로 sphingomyelin이란 지질이 축적된 세포들이 간, 비장, 골수, 폐, 및 뇌 등에 침착되어 간, 비장 종대 및 신경증상을 나타내며, 상염색체 열성으로 유전되는 대사성 질환이다. 1914년 Niemann에 의해 처음 보고되어 Gaucher병의 한 변형으로 분류되어 있다가, 1927년 Pick에 의해 새로 분류되어 Niemann-Pick 병으로 명명되었다. 세계적으로도 희귀한 질환으로 국내에서는 1962년 정 등이 처음 보고한 이래 현재까지 저자가 조사한 바로 총 7례 정도가 보고되었다.저자들은 18개월 된 남아에서 임상증상 및 검사 소견으로 A 형 Niemann-Pick병으로 생각되는 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

한우 초발정 전후 혈중 Progesterone 및 Insulin-like Growth Factor-1 농도의 변화 (Change of Serum Progesterone and Insulin-like Growth Factor-1 Concentration during the First Oestrus in the Heifers of Hanwoo)

  • 고응규;성환후;백광수;나승환;최창용;신원집
    • 한국가축번식학회지
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    • 제22권4호
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    • pp.341-347
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    • 1998
  • 본 연구는 생후 33 주령부터 초발정이 시작될 때까지 한우육성빈우의 일당증체량 (0.5kg, 0.7kg) 에 따른 혈중 progesterone 과 IGF-1 농도를 분석하여 한우의 초발정시기 및 춘기발동기전후 혈중 progesterone 과 IGF-1 농도를 비교 검토하기 위하여 수행하였다. 모든 시험축에서, 초발정 직전까지는 혈중 progesterone 농도는 검출할 수 없었으며, 13 두의 육성빈우에서 첫발정 6일전에 미미한 혈중 progesterone 농도가 상승하기 시작하여 짧은 황체기를 보였다. 초발정시기의 일당증체량 0.7kg 구의 평균 나이는 331.0$\pm$15.0 일로 0.5kg 구의 358.9$\pm$7.9 일보다 빨랐고 이때 체중도 0.7kg 구가 236.0$\pm$4.7kg으로 0.5kg 구의 224.8$\pm$9.7 보다 무거웠다. 초발정이후 3~15 일까지 IGF-1 농도는 황체초기 (0~1) 와 황체퇴행기 (18일~20일) 보다 높은 경향을 보였고, 성장단계에 따라서 생후 37주령부터 57주령까지 조사한 IGF-1 농도 변화는 37주령에 93.2$\pm$63.4ng/$m\ell$ 에서 57 주령에 170.9$\pm$59.35ng/$m\ell$로 점차적으로 상승하였다. 이상의 결과 한우의 초발정 평균나이는 345일령 전후로 추정되며 이시기에 혈중 progesterone 농도는 IGF-l 농도와 밀접한 관련이 있는 것 같다.

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視力低下에 對한 臨床的 考察 (A Clinical Study on the Decreased Visual Acuity)

  • 최은성;류혜정;채병윤
    • 한방안이비인후피부과학회지
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    • 제9권1호
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    • pp.146-158
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    • 1996
  • We observed 79 patients, who visited the Department of Oph. & Otorhinolaryngology in Oriental medicine of Kyung Hee University Medical Center from July 1995 to June. 1996, with the complaint of decreased visual acuity. The results were as follows. 1. In the incidence of decreased visual acuity, men's was $46.84\%$(37 cases) and women's was $53.16\%$(42 cases), which showed that more women were suffering decreased visual acuity than men. In the incidence of myopic ametropia and astigmatic ametropia among the total patients, men's was $44.62\%$(29 cases) and $37.50\%$(9 cases) each, and women's was $55.38\%$(36 cases) and $62.50\%$( 15 cases) each, which also showed that more women were suffering myopia and astigmatism than men. 2. The average age of patients was 11.08 years at the first visit. The most were the patients from 6 to 15 years old, with 63 cases($79.74\%$). 3. The age of onset in the decreased visual acuity was mainly 6∼10 years with 45 cases($56.96\%$). In the case of myopic ametropia and astigmatic ametropia, the age of onset was also mainly 6∼10 years with 65 cases($60.00\%$), and with 12 cases($50.00\%$) each. 4. In ABO blood type, the frequency was, A type, O type, B type and AB type in order. In men, O type was the most, while in women, A type. 5. In the liking for cool or warm food or tepidity, the liking for cool food was the most in both men and women. 6. The type of decreased visual acuity was mainly myopic ametropia with 65 cases($82.28\%$). Astigmatic ametropia was $30.38\%$ with 24 cases, hyperopic ametropia $2.53\%$ with 4 cases, and the decreased visual acuity accompanied by amblyopia $7.59\%$ with 4 cases. 7. At the first visit, the average visual acuity of O.D. was 0.29 and that of O.S.. 0.24, which showed that O.S.. is worse than O.D.. The visual acuity below 0.2 was the most, $63.29\%\;in\;O.D..\;72.15\%$ in O.S.. 8. In the treatment period, 4∼7 weeks occupied $35.44\%$ with 28 cases, 8∼11 weeks $30.38\%$ with 24 cases, so the treatment period was mainly these two periods with 52 cases($65.82\%$). 9. The average frequency of acupuncture treatment per week was mainly 2.1∼3.0 times with 45 cases($56.96\%$). In this case, men was 24 cases($53.33\%$) and women 21 cases($46.67\%$), so men was more than women. 10. The frequency of herbal prescription was mainly Gamijungjitang and Gamijingjibogansan with 76 cases($85.39\%$).

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소아에서의 마이코플라스마 폐렴의 진단을 위한 항체 검사에 관한 연구 (Indirect Particle Agglutination Antibody Testing for Early Diagnosis of Mycoplasma pneumoniae pneumonia in Children)

  • 김진수;고정희;오성희
    • Pediatric Infection and Vaccine
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    • 제20권2호
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    • pp.71-80
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    • 2013
  • 목 적 : 이 연구의 목적은 항체 검사를 어느 시기에 검사해야 마이코플라스마 폐렴을 가장 적절하게 진단을 내릴 수 있는지를 파악하기 위함이다. 방 법 : 2011년 6월부터 2011년 10월까지의 한양대학교병원에서 진단받은 206 명의 폐렴 환아들을 대상으로 후향적으로 분석하였다. 결 과 : 마이코플라스마 폐렴으로 진단받은 160명의 평균 연령은 5.4세이었다. 마이코플라스마 간접입자 응집항체의 측정을 위한 혈청 획득 시간은 마이코플라스마 항체가가 1:640 이상인 혈청들과(8.58일) 1:640 미만인 혈청들(5.44일) 사이에서 통계학적으로 유의한 차이가 있었다(P<0.001). 결 론 : 본 연구의 결과는 폐렴 환아에서 증상 시작일로부터 8일 전에 획득한 마이코플라스마 항체가가 음성이면 확진을 위해 반복 검사가 필요한 것으로 보였다. 이 제안으로 마이코플라스마 폐렴에서 최적의 진단을 내릴 수 있게 도움을 줄 수 있을 것이다.

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폐경기 전.후 여성의 골다공증 영향요인 (Factors Influencing Osteoporosis)

  • 이진경;석민현;김은영;황라일;김은주
    • 지역사회간호학회지
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    • 제14권2호
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    • pp.253-262
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    • 2003
  • Purpose: This study was carried out to identify factors influencing osteoporosis in women at pre- and post-menopausal state. Methods: The subjects of this study were 52 pre-menopausal and 125 post-menopausal women who were assessed of bone density in one general hospital. The data were collected through review of clinical records and telephone interviews using a questionnaire. Results: In the pre-menopausal women, the factors influencing osteoporosis were regular exercise (protective factor) and age (risk factor). Regression analysis showed that the factors attributable to osteoporosis included educational level, weight, age and number of pregnancy, accounted for 41.89% of the total variance. In the post-menopausal women. the factors influencing osteoporosis were age (risk factor), low educational level (risk factor), low economical state (risk factor), high parity (risk factor), and intake of coffee (protective factor). Regression analysis also showed that factors attributable to their osteoporosis included age, educational level, number of delivery, intake of the coffee, regular exercise, number of pregnancy and duration of oral pill intake, accounted for 37.41 % of the total variance. Conclusion: In pre-menopausal women, regular exercise was one of the most powerful determinant of their bone mass. Therefore, it is necessary to participate in a regular exercise program to maintain peak bone mass density prior to the onset of menopause. In post-menopausal women, increased age was the most influencing factor of their bone mass. Therefore, it is essential to establish early diagnosis and management of osteoporosis after menopause.

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Determining the Onset Age for Early Intervention of Oral Frailty

  • Hye-Lim Hong;Nam-Hee Kim
    • 치위생과학회지
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    • 제24권1호
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    • pp.1-8
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    • 2024
  • Background: Oral frailty is defined as the functional decline of the oral function due to aging, and it is associated with frailty and chronic disease. Most of the frailty intervention is for adults aged 65 years and older. However, early intervention for preventive disorder is most important. The objective of this study was to identify the age at which oral frailty surpass the "normal" range. Methods: This cross-sectional study included 719 adults (aged 30~89 years) residing in Gangwon province in May 2023. Risk of oral frailty was assessed using criteria from The Korean Academy of Geriatric Dentistry including oral function such as swallowing and mastication, and frailty. Frailty was assessed using the Kihon Checklist. To determine when oral frailty surpass the "normal" status, statistical analysis including chi-squared tests and multiple logistic regression analysis were performed using R (ver. 4.3.1). Results: There were 388 (54.0%) individuals who had a "normal" status risk of oral frailty. The risk of oral frailty was higher in the 50~54 age group compared to the 30~34 age group (odds ratio [OR] 0.50, 95% confidence interval [CI] 0.28~0.91), after adjusting for gender, education, income, occupation, and frailty (OR 0.46, 95% CI 0.22~0.94). This means that from 50~54 years old, regardless of gender, education, income, occupation, or frailty condition, there is a distinction from the "normal" status. Conclusion: We found that intervention for oral frailty is needed starting from age 50 years. This is the stage where early indications of oral frailty become apparent. Early intervention for oral frailty can lead to a decrease in the prevalence of diseases and medical expenditure. Therefore, early intervention in middle-aged adults of oral frailty is necessary to improve the quality of life related to oral health.

Factors Influencing Discharge Destination and Length of Stay in Stroke Patients in Restorative Rehabilitation Institution

  • Gyu-Bum Lee;Jee-Sun Lee;Jeong Soo Kim
    • 한국전문물리치료학회지
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    • 제31권1호
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    • pp.48-54
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    • 2024
  • Background: Promoting patients' safe return home at discharge and reducing length of stay in hospital is key for Restorative Rehabilitation Institution (RMI). Objects: This study was designed to identify the factors influencing the return to home and length of stay among various factors. Methods: A total of 120 stroke patients (76 males and 44 females) who were hospitalized in an adult inpatient unit of a RMI for more than 2 months were retrospectively analyzed for this study (multivariate logistic regression analyses, p < 0.001). As predictor variables for assessing the return to home and length of stay, demographic data (sex, age, duration between onset and admission, length of stay, caregiver after discharge, occupation after discharge, reason for discharge, and household type after discharge) were collected. Additionally, following measurements were selectively collected from patient's medical records: scores of Mini-Mental State Examination Korean version (K-MMSE), modified Barthel Index Korean version (K-MBI), Berg Balance Scale and Functional Ambulation Category were obtained at admission and discharge. Results: The K-MMSE at admission and K-MBI at discharge were found to be the predictors of return to home. Additionally, K-MBI at admission influenced the length of stay. Conclusion: This study suggests cognitive functioning at admission and the level of activities of daily living at discharge predicted the return to home and length of stay.

심근경색증 환자의 증상발현과 치료추구행위에 관한 연구 (Treatment-seeking Behavior among those with Signs and Symptoms of Acute Myocardial Infarction)

  • 김조자;김기연
    • 대한간호학회지
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    • 제29권3호
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    • pp.605-613
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    • 1999
  • The main purposes of this study were to determine the time interval between the onset of symptoms of myocardial infarction and treatment-seeking time and to identify the factors related to the interval time. This study used a retrospective design. The sample consisted of 45 patients aged over 30 who were diagnosed with an acute myocardial infarction at two large university affiliated medical center from September 1, 1997 to June 30, 1998. Data was collected by using questionnaries, which included demographic data, permonitory clinical signs and symtoms of myocardial infarction, and a measure of the severity of the signs and symptoms. Also semi-structured interviews and chart reviews were used to obtain information related to treatment-seeking time. The results of this study are summarized as follows ; 1. The most frequent premonitory clinical symptom was chest pain(92.9%), the second, was perspiration(81.0%), and the next were nausea(40.5%) and dyspnea(38.1%). Thirty two patients reported having more than four premonitory signs and symtoms. Patients described the characteristics of chest pain as “somethings very heavy pressing down”(26.2%), “felt like my chest would burst”(24.4%), or “sharp pain”(16.7%), Over 95% of the sample reported having chest pain. 2. Twenty two (52.4%) patients reported to have “very severe” premonitory pain. 3. The mean time interval between the onset of signs and symptoms and the arrival at the medical center was 6.39$\pm$10.80 hours in 42 samples, the mean time from the onset to arrival at a local hospital was 3.27$\pm$5.39 hours and for transfer from a local hospital to the medical center was 4.75$\pm$9.87 hours in patients who had arrived at medical center via local hospital. 4. The severity of premonitory signs and symptoms did not differ significantly according to existence of premonitory signs and symptoms. 5. There was no significant relationship between treatment-seeking time and age, gender, marital status, economic status, occupation, or residence. But education had significant relationship(r=-0.51, p=0.01). Analysis of difference of the time interval according to the premonitory signs and symptoms showed that the time was shorter in patients who experienced nausea or dyspnea(U=115.50, p=0.01, U=132.00, p=0.04), however the severity of premonitory signs and symptoms did not have statistical significance.

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