• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제20권4호
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• pp.244-251
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• 2017

Purpose: We evaluated the efficacy and safety of combined oral and enema therapy using polyethylene glycol (PEG) 3350 with electrolyte solution for disimpaction in hospitalized children. Methods: We retrospectively studied 28 children having functional constipation who received inpatient treatment between 2008 and 2016. The amount of oral PEG 3350 electrolyte solution administered was 50-70 mL/kg/d (PEG 3350, 3-4.1 g/kg/d), and an enema solution was administered 1-2 times a day as a single dose of 15-25 mL/kg (PEG 3350, 0.975-1.625 g/kg/d). A colon transit time (CTT) test based on the Metcalf protocol was performed in some patients. Results: Administration of oral and enema doses of PEG 3350 electrolyte solution showed $2.1{\pm}0.3$ times and $2.9{\pm}0.4$ times, respectively. After disimpaction, the frequency of defecation increased from $2.2{\pm}0.3$ per week to once a day ($1.1{\pm}0.1$ per day). The number of patients who complained of abdominal pain was reduced from 15 (53.6%) to 4 (14.3%). Before hospitalization, nine patients underwent a CTT test, and 5 of 9 patients (55.6%) were classified as belonging to a group showing abnormalities. And in some patients, mild adverse effects were noted. We examined electrolytes and osmolality before and after disimpaction in 16 of 28 patients, and no abnormalities were noted. Conclusion: In terms of therapeutic efficacy and safety, combined oral and enema therapy using high-dose PEG 3350 with electrolytes is considered superior to conventional oral monotherapy or combined oral and enema therapy on an outpatient basis.

• 생태와환경
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• 제37권3호통권108호
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• pp.313-318
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• 2004

Di-2-ethylhexyl Phthalate (DEHP)는 내분비장애물질로 분류되어 있는 플라스틱 가소제로서 in vitro에서 혈구세포막에 영향을 주는 것으로 알려져 있다. 본 연구는 동자개, Pseudobagrus fulvidraco를 대상으로 DEHP 급성 노출에 따른 혈액학적 영향을 파악하기위하여 어체중 당 300 및 1,000 mg의 DEHP를 복강주사하였다. DEHP (1,000 mg b.w. $^{-1}$에 노출된 동자개는 적혈구수와 혈색소 농도 및 적혈구 용적이 감소하는 경향을 나타내었다. 또한, 혈청 내 유기성분인 총단백질량, 콜레스테를 수치는 300 및 1,000 mg 주사구에서 유의적으로 감소하였으며 지방산의 농도는 1,000 mg 주사구에서 대조구와 비교하여 유의적으로 감소하였다. 혈청 무기성분인 칼슘농도와 혈액 삼투압 농도는 1,000 mg DEHP 노출구에서 유의적인 감소가 관찰되었다.

• Journal of Korean Neurosurgical Society
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• 제38권6호
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• pp.431-434
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• 2005

Objective : Subarachnoid hemorrhage[SAH] is commonly associated with polyuria [solute diuresis or water diuresis]. The authors investigate the incidence and clinical characteristics of polyuria with special reference to the administration of osmotic diuretics. Methods : One hundred and forty eight patients with high urine output [>200ml/hr] after ruptured cerebral aneurysm operated early from Jan 1998 to Jun 2003 were selected. Water diuresis [diabetes insipidus, DI] was differentiated from solute diuresis by lower urine specific gravity [<1.005] and higher plasma osmolality. The incidence and mode of onset of polyuria were compared between two types of diuresis. Additionally, the relationships between development of polyuria and clinical features including aneurysm location, clinical grade, Fisher grade, and outcome were analyzed. Osmotic diuretics were not routinely used in patients with Hunt-Hess grade I-III since July 2001. Results : Annual incidence of polyuria decreased markedly since July 2001 : 45.2% in 1998, 34.5% in 2001, 11.9% in 2003. Postoperative DI occurred in $2.4{\sim}11.1%$. DI developed mainly from ruptured anterior communicating artery aneurysm. The mean interval between the last SAH and the onset of DI was 7.1 days [range $1{\sim}27$ days] and lasted mean 4.6 days. When compared with solute diuresis, the development of DI was significantly delayed. Other clinical features were not closely related to polyuria. Conclusion : Uncontrolled polyuria may lead to cerebral ischemia and electrolyte imbalance because SAH patients are already predisposed to hypovolemia, and will risk precipitating the opposite situation with overhydration. We can decrease the development of polyuria without routine use of osmotic diuretics, by avoiding the increased intracranial pressure such as the intraoperative ventriculostomy and gentle brain retraction in good grade patients.

• Journal of Nutrition and Health
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• 제23권6호
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• pp.401-407
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• 1990

본 연구에서는 식이단백질 수준이 성장기 흰쥐의 신장 발달과 기능에 미치는 영향을 조사하기 위해 평균체중이 97.5$\pm$1.9g인 숫컷 흰쥐를 5%, 15% 그리고 50% casein 식이로 6주간 사육하였다. 체중증가량은 단백질 수준이 높을수록 높았으며 특히 단백질수준이 신장무게에 미친영향이 간, 비장, 흉선 등이 다른 장기에 비해 컸다. 신장내 총 DNA와 RNA 함량에서는 유의적인 차이가 없었다. 총 protein과 단위 g당 protein 함량은 식이내 단백질수준이 높을 수록 증가했다. 사구체여과율(GFR)은 식이단백질 수준이 높을수록 높았으나 신혈류(RBF)는 각 군 사이에 유의적인 차이를 보이지 않았다. 뇨질소배설량은 단백질 수준에 비례하여 유의적인 차이를 보였고 노칼슘배설량은 5%군이 낮은 경향을 보였다. 본 연구 결과로 성장기의 흰쥐에서 고단백식이는 신장의 무게증가를 촉진하며 사구체여과율을 증가시킴을 알 수 있다.

• 임상간호연구
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• 제21권2호
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• pp.188-195
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• 2015

Purpose: The purpose of this study was to evaluate the appropriateness of the replacement time intervals of 18 gauge peripheral intravenous catheters (PICs) by investigating the development of phlebitis. Methods: The subjects were 200 hospitalized patients over 18 yrs old aged who have 18 gauge PICs placed for surgery. After the insertion of PICs, the researcher monitored the insertion site daily for 96 hours for any signs of phlebitis. Results: Phlebitis developed in 25.7% of patients. Patients who developed phlebitis were significantly older and were receiving fluids with faster infusion rate. However, patients with and without phlebitis were not different by gender, insertion site, fluid osmolality, or pH of drugs administered. The incidence rate of phlebitis was higher than 10%(12.9%) starting 24~48 hours after the insertion of 18 gauge PICs. Conclusion: It is recommended to replace 18 gauge PICs within 24~48 hours after insertion. Close monitoring of the PICs insertion site for the signs of phlebitis is recommended.

• 한국수산과학회지
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• 제54권4호
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• pp.426-433
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• 2021

This study aimed to determine the appropriate salinity condition for optimal cultivation of the juvenile hybrid grouper Epinephleus akaara♀×E. lanceolatus♂ in conditions of decreasing salinity. The survival, growth, metabolic rate, stress, and histological response were investigated in juvenile hybrid grouper exposed to different salinities for 30 days. At 0 psu, the survival rate of the juvenile hybrid grouper was 60% on the 2nd day of exposure and all individuals died on the 3rd day of exposure. At salinities above 3 psu, all animals survived throughout the exposure period. Growth rate for body weight of the juvenile hybrid grouper was the highest in the control and the lowest at 10 psu. Plasma osmolality of the juvenile hybrid grouper exposed to different salinities was 313-355 mg Osmol/kg at salinities above 10 psu, and then decreased to 225-264 mg Osmol/kg at salinities below 5 psu. The oxygen consumption rate tended to decrease as the salinity decreased. Stress responses of the juvenile hybrid grouper were analyzed with decreasing salinity. Therefore, it is considered that a salinity of more than 20 psu is suitable for the culture of the juvenile hybrid grouper.

• Fisheries and Aquatic Sciences
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• 제24권2호
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• pp.99-107
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• 2021

Water temperature (WT) is a major environmental factor of metabolic rate in fish; it directly affects food intake, ammonia excretion, oxygen consumption (OC), growth, and survival. Thus, the purpose of this study was to investigate changes in the OC and the hematological response of olive flounder Paralichthys olivaceus because of WT changes. In Exp. I, WT was increased from 20℃ to 29℃ within 18 h and maintained at 29℃ for 96 h. Then, WT was decreased from 29℃ to 20℃ within 18 h and maintained at 20℃ for 24 h. In Exp. II, WT was decreased from 20℃ to 11℃ within 18 h and maintained at 11℃ for 96 h. Then, WT was increased from 11℃ to 20℃ within 18 h and maintained at 20℃ for 24 h. The Exp. III maintained that the Exp. I and II was consecutively. In Exp. I, the OC increased from 116.7 mg O₂ kg^-1 hr^-1 to 317.5 mg O₂ kg^-1 hr^-1 with increasing WT. In Exp. II, the OC decreased from 96.5 mg O₂ kg^-1 hr^-1 to 71.3 mg O₂ kg^-1 hr^-1 with decreasing WT. In Exp. III, OC tended to increase or decrease in inverse proportion to temperature. In Exp. I, cortisol, glucose, and aspartate aminotransferase (AST) values increased with increasing WT. In Exp. II, Cl^-, osmolality, AST, and alanine aminotransferase (ALT) values significantly changed during the experimental period: glucose values increased, whereas cortisol values decreased with decreasing WT. Exp. III was shown to be a more stressful environment to olive flounder than Exp. I and Exp. II. The results of our study will be useful for evaluating current aquaculture procedures of olive flounder and developing techniques to minimize stress in aquaculture farms.

• Journal of Oral Medicine and Pain
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• 제46권4호
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• pp.117-124
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• 2021

Purpose: Salivation is considered to be an important factor in the control of halitosis, and the amount of salivation has been shown to be closely related to the level of hydration. The purpose of our study was to evaluate the relationship between dehydration and halitosis. Methods: Twenty healthy young females with no dental problems were recruited. All participants were induced to become dehydrated and then over-hydrated. After inducing each hydration state, the severity of hydration and halitosis factor (organoleptic scores, amounts of resting and functional saliva, gas examinations, and tongue coatings) were measured. Hydration statuses were graded as dehydration, normal, or over-hydration according to urine osmolality. This was a cross sectional study with a cross over design. Results: The dehydrated status was associated with higher organoleptic scores than the normal or over-hydrated status (1.75±0.75 vs. 0.87±0.63, and 0.65±0.53, respectively. p<0.05). Mean values of CH₃SH, (CH₃)₂S in portable gas chromatography for the dehydrated, normal, and over-hydrated status were 11.70±37.00, 6.75±13.50, and 2.80±5.87 nmol/mol, 10.50±15.59, 7.25±10.87, and 1.50±2.55 nmol/mol, respectively. p>0.05). (CH₃)₂S (r=0.410, p=0.009) showed a moderate positive correlation with dehydration status. The resting salivation rates were relatively lower for the dehydrated status than for the normal or overhydrated status (p>0.05), and tongue coating results were also higher for the dehydrated status (p>0.05). Conclusions: Dehydration status appears to be positively correlated with a low resting salivation rate and high portable gas chromatography results. This shows that dehydration might be an etiologic factor of halitosis.

• 한국수산과학회지
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• 제30권2호
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• pp.216-224
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• 1997

숭어, Mugil cephalus의 염분별 삼투조절 능력을 알아보기 위하여, 전장 $13.6{\pm}0.2cm$, 체중 $20.0{\pm}0.5g$ 크기의 재료를 해수 (SW)에 담수를 첨가하여 만든 $0\%SW\~100\%SW$에 수용한 다음, 60일간 사육하면서 염분별 혈액의 이온 농도와 삼투질 농도 변화를 조사하고, 아가미와 염세포의 조직학적 변화 및 근육의 수분함량을 비교하였다. $0\%SW\~25\%SW$에서 숭어 혈장의 $Na^+$와 $K^+$ 농도는 실험개시후 8일째부터 안정되었다. $0\%SW$에서의 혈장 $Cl^-$ 농도는 실험개시후 0.5일째 가장 낮았으며 2일 이후부터 안정되었다. 실험종료시에 있어서 숭어 혈장의 삼투질 농도는 저염분 일수록 낮아지는 경향을 보여, $100\%SW$부터 $0\%SW$까지 각각 340, 334, 322 및 316 mOsm/kg 수준으로 안정됨으로써, 저염분에서는 저삼투 조절을 하는 것으로 나타났다. 이와 함께 hematocrit도 염분이 낮아짐에 따라 감소하는 경향이었다. $0\%SW\~50\%SW$에 10일째 노출된 숭어의 아가미에서는 2차새변이 손상되었으며, 특히 $0\%SW$에서는 2차새변의 박리, 유착 및 괴사 등이 관찰되었다. 그러나 손상된 아가미는 이후부터 회복되기 시작하여 사육 15일째에 정상적인 조직상을 나타냈다. 염분에 따른 각 염분구별 어체 근육의 수분함량에는 차이가 없었다.

• 한국가금학회지
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• 제30권4호
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• pp.259-267
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• 2003

비태인의 산란계 급여가 산란율과 지질 대사, 삼투압 조절에 미치는 영향을 구명하기 위하여 18주령 ISA Brown 산란계를 이용하여 42주령까지 두 번의 사양실험을 실시하였다. 실험 1에서, 산란계 360수를 공시하여 조단백질 16%와 대사에너지 2,800 kcal/kg, methionine 0.33%를 함유한 옥수수-대두박 위주의 실험사료에 비태인 0, 300, 600, 1200 ppm을 첨가 급여하였다. 8주마다 산란율과 난중, 사료섭취량, 사료 요구율, 난품질을 측정하였으며 간과 계란의 비태인 함량과 복강지방, 혈중 cholesterol, total protein, albumin 함량을 측정하였다. 실험 2에서 33주령 ISA Brown 산란계 20수를 케이지에 개체수용하여 2주간 사료와 물 섭취량을 측정하였으며 급여한 사료는 실험 1과 같다. 실험 종료후 산란계를 모두 희생시켜 혈청과 회장 내용물의 삼투압, arginine vasotocin(AVT), 간의 수분함량을 측정하였다. 실험 1에서, 초기 8주간은 산란율에 차이를 보이지 않았으나 산란율이 최고에 달한 이후 비태인 600ppm 이상 급여구에서 산란율이 현저히 증가하였다(P<0.05). 그러나 난중은 초기 8주간은 현저히 감소하였으나 이후 차이를 보이지 않았다. 사료요구율은 비태인 급여구에서 개선되는 경향을 보였으나 난품질은 차이를 보이지 않았다. 간의 비태인 함량은 비태인의 급여로 대조구보다 증가하였으나 계란의 비태인 함량은 비태인의 급여로 감소하였다. 비태인의 급여는 혈중 총콜레스테롤과 중성지방을 증가시켰으나 비태인 급여 수준에 따라서는 차이를 보이지 않았다. 복강지방 함량은 비태인의 급여로 증가하였으나 간 지방은 감소하였다. 실험 2에서 음수량은 비태인 300과 600ppm 급여구에서 현저히 증가하였으며(P<0.05) 회장 소화물의 삼투압도 증가하였다. 그러나 간의 수분함량은 영향을 받지 않았으며 AVT는 비태인의 급여로 증가하였다. 이상의 결과에서 비태인의 급여는 산란율을 증가시키고 지질 대사를 개선할 수 있을 것으로 사료된다.