Background: Non-conversion of sputum smear and culture prolongs the infectivity of the patient and has been associated with unfavorable outcomes. We aimed to evaluate factors associated with persistent sputum positivity at the end of two months of treatment of new case pulmonary tuberculosis (TB). Methods: Data of 87 human immunodeficiency virus-negative patients with culture-positive drug-susceptible pulmonary TB admitted to local university hospital between September 2015 and September 2016 were reviewed. Factors associated with sputum smear and/or culture positivity at the end of the second month of treatment were analyzed. Results: Twenty-two patients (25.3%) remained smear and/or culture-positive. Male sex, lower body mass index (BMI), unemployment, alcohol abuse, higher number of lobes involved and cavities on chest X-rays, shorter time to detection (TTD) on liquid cultures, higher respiratory sample smear grading and colony count in solid cultures, higher C-reactive protein, erythrocyte sedimentation rate, leukocytosis, thrombocytosis, and anemia were all significantly associated with persistent sputum positivity. However, in the logistic regression analysis only male sex, lower BMI, alcohol abuse, higher radiological involvement, cavitation, higher smear grading, higher colony count in solid cultures and shorter TTD were determined as independent factors associated with persistent sputum positivity at the end of 2 months of treatment. Conclusion: In conclusion, higher sputum smear and culture grading at diagnosis, shorter TTD, higher number of lobes involved, cavitation, male sex, alcohol abuse, and lower BMI were independently associated with persistent sputum positivity. These factors should be sought when distinguishing which patients will remain infectious longer and possibly have worse outcomes.
Purpose: Smoking has more injurious impacts on teenagers compare to adults in that they are in the growing stage with incomplete cells, tissues, and organs. Usually smoking among adolescent group is closely related to illegal drug uses. Also, smoking in the youth drives them to ill health in adulthood, so that they will pay future national health cost. The purpose of this study was to evaluate the impacts of school life and home surroundings on adolescent's smoking. The result of this study will be utilized to promote antismoking moods in schools and homes. Method: Samples of the study are all middle and high school students in one community. The surveys were conducted from May 13th to October 29th, 2004 using the questionnaire developed by researchers. T-test, ANOVA test, Chi-square test and logistic regression analysis were performed to identify the differences of teenagers' school life and their home surroundings between smoking and non-smoking groups using SPSS 12.0 English version. Results: The findings were that there was a significant difference between smoking groups and non-smoking groups related to school life and home surroundings. Smokers were less satisfied with their school work and had poor school record and poor relationships with their friends. Smokers had more smoking parents and don't set along with and less satisfied with their parents. Conclusion: In conclusion, the teenagers' school lives and home surroundings have impacts on adolescent's smoking. Therefore, it is very important to include the factors related to the teenagers' school lives and home surroundings in the smoking prohibition program in order to promote antismoking.
The experiment was conducted to examine the varietal variation in gelatinization of rice flour and adaptability to rice bread processing, and the interrelation among the relevant properties. IR 44 showed the lowest temperature of gelatinization onset(T$_{o}$ ) and the highest gelatinization enthalphy(ㅿH) measured by differential scanning calorimetry (DSC). The following lower T$_{o}$ was found with the order of Suweon 230<Pusa-33-30<T(N) 1, Daeribbyeo 1 and the next higher ㅿ.H was followed by the order of Pusa-33-30>Suweon 230. IRAT 177 revealed the highest temperature of gelatinization onset and conclusion(T$_{c}$) and the following higher T$_{c}$ was found with the order of Pusa-33-30>AC 27>Nonganbyeo. The varietal range of T$_{o}$ and T$_{c}$ was 50.0~72.5$^{\circ}C$ and 70.2~87.4$^{\circ}C$, respectively. The rice materials tested can be classified by scatter diagram on the plane of upper two principal components contracted from DSC thermogram and various characteristics relevant to processing and sensory preference of rice bread by principal component analysis. AC27, Suweonjo and IR 44 among high-amylose rices showed better suitability to rice bread processing. The temperatures of gelatinization peak and conclusion of rice flour checked by DSC were significantly negatively associated with springiness of rice bread. The most properties relevant to processing and sensory preference of rice bread such as hardness, moistness, springiness, cohesiveness, specific loaf volume and distribution or size of air cell revealed the close correlation between each other.other.
Background: Cold blood cardioplegic solution has been used to protect myocardium during open heart surgery with the hypothesis stating that it provides more oxygen supply to myocardium compared to crystalloid caridoplegic solution. We repeatedly infused cold blood cardioplegic solution to achieve myocardial protection. We biopsied a small portion of papillary muscle of patients with mitral valve replacement or double valve replacement during aortic cross-clamp time and evaluated the method of myocardial protection through the observation of changes in ultrastructure. We then analysed the relationship between changes in ultrasructure and peak postoperative CK-MB value and SGOT value. Material and method: We report observation on changes of myocardial ultrastructure, postoperative CK-MB and SGOT, and electrocardiogram in 31 patients who underwent cardiac operation. There were 11 males and 20 females, and they ranging in age from 28 to 69 years(mean score was 2.08$\pm$0.560, it was 2.37$\pm$0.558 at 40 minutes, and it was 2.36$\pm$0.523 at 70minutes. Mitochondrial score increased significant at 40 minutes. Mean value of postoperative peak CK-MB and SGOT were 37.3$\pm$17.061IU, 144.5$\pm$125.5IU respectively. We were not able to find any new Q were in EKG after the operation. There was no significant relationship between myocardium mitochondrial score and mean value of postoperative peak CK-MB and SGOT. Conclusion: In conclusion, with this study the cold blood cardioplegic solution was incomplete in preserving ultrastructure of myocardium even with satisfactory results in serum enzyme and EKG evaluation.
Kim, So-Hui;Kim, Yu-Suk;Jang, Young-Hee;Park, Jong;Ryu, So-Yeon
Journal of the Korean Society of School Health
/
v.25
no.1
/
pp.51-58
/
2012
Purpose: This study aims to discover the relation between the sleep duration and quality of adolescents and their body mass index. Methods: The study used data obtained through the 2009 online survey on adolescents health behaviors, targeting a total of 75,066 middle and high school students (39,612 of male students and 35,454 of female students). We first performed t-test, ANOVA and Scheffe's test and then the potential variables which was possibly related to the body mass index are determined from the tests. Using the potential variable, we performed the multiple regression analysis to finally identify the relation between the duration and quality of sleep. Results: As a result, the 39.8% of male students and the 46.5% of female students most frequently respond that the sleep duration was less than 6 hours, and 36.4% of male students and the 45.3% of female students respond that the quality of sleep was not good enough. The body mass index of both the male and the female students portionally decreases to their sleep duration, but the better quality of sleep makes their body mass index higher. Conclusion: In conclusion, the body mass index has some notable relationship with the sleep duration and quality for adolescents. It is advised to consider the sleep duration and quality in the business plans for adolescents in order for the prevention of their body mass index.
Purpose: The purpose of this study was to examine the relationship between perceived job stress and work environmental factors related with socioeconomics factors and physical burden in the golf caddies. Methods: Job stress in golf caddies was estimated by using the Karasek's job content questionnaire (JCQ) and work environmental factors were estimated by self-reported questionnaire and interview. Results: The subjects were 316 woman caddies who had never been occupationally exposed to hazardous chemicals, was mean age 31.1 years. Mean work duration was 6.44 years and working hours per day on low- and high-demand season were 6.16 and 10.51, respectively. The golf caddies displayed higher scores of job stress due to multiple factors such as working hours and frequency of rounding per week, physical burden, confliction, income satisfaction and employment stability. We found that high strain group was positive correlation with age, career, working hour (including frequency of rounding) and job demand, however, showed negative correlation with job decision latitude and support of supervisor and coworker. Conclusion: In conclusion, we suggest that the golf caddies be regard divided into high strain group as appropriate. Thus, stress management and health promotion program for golf caddies should be developed.
This study was conducted to investigate the growth performance between six different Korean crossbred native chickens. A total of 312 one-day-old male chickens from the same paternal line with six different maternal lines were allocated into six groups (1A, 2A, 3A, 4A, 5A, and 6A) to give four replicate cages (13 birds per cage). Corn soybean meal based diets were provided as a starter (0 - 5 weeks: 20% crude protein [CP] and 3,050 kcal/kg metabolizable energy [ME]), grower (5 - 8 weeks: 18% CP, 3 and 100 kcal/kg ME) and finisher (8 - 12 weeks: 17% CP and 3,150 kcal/kg ME) diet. Chickens were able to access their respective feed and water ad libitum. In week 2, 2A had a lower body weight (p < 0.05) than that of the other groups. In contrast, in weeks 4 and 8, 2A had a higher body weight (p < 0.05). Similarly, in week 6, 2A had a higher body weight (p = 0.76) than that of the others. However, no difference (p > 0.05) was observed in the body weight after week 10. Meanwhile, 2A had a lower feed conversion ratio (FCR) than that of the other groups (p < 0.05) and a higher average daily feed intake (ADFI; p < 0.05) compared to the other groups in week 6. In conclusion, crossbred 2A had a lower growth performance in week 2; however, in weeks 4 and 6, 2A had a higher growth performance than that of the other groups. Based on this conclusion, we can use those results as a basis for further study.
Purpose: This study examined the most efficient exercise position to activate the gluteus medius (GM) and tensor fascia latae (TFL) in hip abduction in side-lying (HA-SL), clam in side-lying (CL-SL), and sling bridging in side-lying (SB-SL), which are the most representative GM exercises. Methods: Twenty-four healthy male adults aged from 20 to 40 years, whose body mass index was under 25, participated in this experiment. While all participants conducted three different positions with a counterbalanced manner, such as in AB, CL, and BR, activation of the GM and TFL was measured using 8-channel wireless EMG. Exercise was performed for 10 seconds three times in total with a five minute-break session. Results: Significant differences in GM and TFL activation were observed among the three positions (p<0.05). The highest activation of 60.69 was observed in BR followed in order by 46.03 and 12.92 in HA-SL and CL, respectively. TFL activation in HA-SL was 42.01, followed in order by 35.98 and 14.01 in BR and CL, respectively. On the other hand, there was no significant difference in TFL muscle activation between BR and HA-SL. Conclusion: These findings suggest that both BR and HA-SL in GM can be done selectively. CL has remarkably low muscle activation in GM and TFL, which makes it less valuable in GM and TFL exercise. In conclusion, selective BR and HA-SL exercise should be applied to maximally and effectively activate the GM.
Journal of The Korean Society of Integrative Medicine
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v.7
no.3
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pp.149-157
/
2019
Purpose : This study aims to check the relationship between the size of curvature in scoliosis patients and the reduction rate of curvature after wearing a brace and the relationships of the size of curvature and correction angle with Body Mass Index (BMI). Methods : With 30 adolescent girls who had never worn a brace, their Cobb angle and BMI were measured before manufacturing braces, and their corrected Cobb angle was measured after wearing the manufactured scoliosis braces. Results : The size of the major curvature before wearing the brace and the reduction rate of the curvature after putting it on had a negative correlation in both the major curvature (r=-.465, p<.01) and the minor curvature (r=-.516, p<.01). The size of the minor curvature and the reduction rate of the minor curvature before and after putting it on also had a negative correlation (r=-.429, p<.05). As for the relationship between the size of curvature and BMI, they had a negative correlation in both the major curvature (r=-.141) and the minor curvature (r=-.123), and as for the relationship between the reduction rate of curvature and BMI after wearing the brace, they had a positive correlation in both the major curvature (r=.251) and the minor curvature (r=.136); however, it was not statistically significant (p>.05). Conclusion : In conclusion, the larger the size of curvature, the lower the reduction rate of curvature after wearing the brace became. The larger the size of curvature, the lower the BMI became. The higher the BMI, the higher the correction ratio of the brace became. Therefore, it is judged that it is necessary to provide early treatment and manage body composition before scoliosis progresses.
Pratomo, Hadi;Amelia, Tiara;Nurlin, Fatmawati;Adisasmita, Asri C.
Clinical and Experimental Pediatrics
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v.63
no.11
/
pp.433-437
/
2020
Background: Indonesia is one of the countries with the highest preterm birth rate. Preterm infants are more likely than term and normal weight infants to experience neonatal mortality and morbidity due to acute respiratory, gastrointestinal, immunologic, central nervous system, hearing, and vision problems. Kangaroo mother care (KMC) is a proven cost-effective intervention to help reduce mortality rates among preterm infants; however, it has not been fully implemented in hospitals. Purpose: Assess KMC knowledge and perceptions among health providers. Methods: This qualitative study was conducted from December 2015 to April 2016 and consisted of 21 in-depth interviews and 3 focus group discussions (FGDs). The 3 categories of health personnel in the study were clinical providers, hospital management representatives, and Indonesian Midwife Association members. Results: Most health providers know about the benefits of KMC including stabilizing temperatures, weight gain, and maternal-infant bonding and reducing human resources and labor costs. They were also aware of which newborns were eligible for KMC treatment. Their knowledge was mostly gained from observation or obtained from pediatricians and personal experience. They believed that a low birth weight infant in an incubator could not be treated with KMC and that it could only be practiced if a special gown was used when holding the baby. This perception could be caused by a lack of formal KMC training, leading to misunderstanding of its aspects. Conclusion: In conclusion, KMC knowledge of clinical providers in the 2 hospitals was sufficient, primarily due to their health-related educational background. Some perceptions could be potential barriers to or facilitate the implementation of KMC practice. These perceptions should be considered in future KMC training designs.
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