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Outcomes of Patients with COPD Requring Mechanical Ventilation (만성폐쇄성폐질환 환자의 기계호흡시 생존 예측 인자 분석)

  • Baik, Jae-Joong;Kim, Sang-Chul;Lee, Tae-Hoon;Chung, Yeon-Tae
    • Tuberculosis and Respiratory Diseases
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    • v.49 no.2
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    • pp.179-188
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    • 2000
  • Background : The decision to institute mechanical ventilation for patients with COPD is very difficult. The accurate information regarding weaning success and long-term survival will improve communication with patients and family and enhance informed consent. The aims of this study are to describe outcomes and identify variables associated with survival for patients experiencing mechanical ventilation with an acute respiratory failure of COPD. Methods : The 53 cases of mechanical ventilation in the intensive care unit in the National Medical Center from 1989 to 1998 were included. Data were collected retrospectively from medical records. Weaning success rate and 3 month and 1 year survival rates were estimated. Factors associated with weaning success and survival were determined. Results : Weaning sucess was 55%. For success group with 29 cases, 3 months survival rate was 61% and 1 year survival rate 37%. APACHE II scores in weaning success group were significantly lower than those in the failure group. Factors such as age, sex, comorbid-illnes. previous steroid use, causes of respiratory failure, RVH or arrhythmia on EKG, serum albumin level, arterial blood pH, $PaO_2$, $PaCO_2$, $FEV_1$ duration of mechanical ventilation and steroid use during mechanical ventilation were not associated with weaning success. Only age and serum albumin level were associated with 3 month and 1 year survival. No COPD patients of age more than 75 years and serum albumin level less than 3g/dl had survived at 1 year after weaning success. Conclusion : While weaning success from mechanical ventilation can be predicted by APACHE II score in COPD patients, long-term outcomes of survivors may be influenced by nutritional status and age.

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Exploratory Study of Person Centered Care Practice in Korean Long-term Care Facilities using DCM(Dementia Care Mapping) as a tool (DCM(Dementia Care Mapping)을 활용한 한국 요양시설에서의 사람중심케어 실천의 탐색적 연구)

  • Kim, Dongseon
    • 한국노년학
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    • v.41 no.2
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    • pp.197-215
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    • 2021
  • This study aims to evaluate Person Centered Care practice and characteristics of care services in Korean long-term care facilities using Dementia Care Mapping as a tool. DCM, systematic observational evaluation tool for measuring dementia patients' QOL, was transformed into self-report rating scale. The process of transforming DCM into a scale of 34 items involves operationalization of DCM concepts and it's adaptation into Korean long-term care practices. Review by research team of Bradford university was added to maintain DCM concept and meaning in this scale. The scale with Cronbach alpha of .88 was surveyed on 343 care workers. Survey result shows PCC value practiced by them is 3.77(of 5 likert scale) and values on each categories of PCC reveal the characteristics of care in Korean facilities; attachment(4.02), comfort(3.95), inclusion(3.89), identity(3.67) and occupation(3.41). Dementia care in Korean facilities focuses on recipients'safety, comfort but lacks individualistic care and the meaningful and fulfilling occupation for patients. Looking at the organizational and individual factors influencing DCM values, the small facilities showed higher PCC values and there are no significant difference in PCC values between public and private facilities. Managers and care workers with career of 1~2 years showed higher PCC values compared to other career ranks and lengthes. This study suggests care practice should be centered on personhood of patients in long-term care facilities, for which introduction of unit care and education of PCC for service providers including support personnel are needed. DCM and Korean DCM scale developed in this study are suggested for the PCC-based assessment on care quality.

Physicochemical Characteristics and Biological Activities of Rice and Amaranth Fermented by Bacillus subtilis KMKW4 (Bacillus subtilis KMKW4를 이용한 백미 및 아마란스 발효물의 이화학적 특성 및 생리활성)

  • Yang, Su-Jin;Lee, Rea-Hyun;Hong, Joo-Heon
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.44 no.4
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    • pp.540-548
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    • 2015
  • This study examined the cultural characteristics and biological activities of fermented rice and amaranth with Bacillus subtilis KMKW4. These samples were made with various amounts of rice and amaranth [100:0 (R100), 90:10 (R90), 80:20 (R80), and 70:30 (R70)]. B. subtilis KMKW4 was used as starter for the fermentation, and its cultures at the lated logarithmic growth were inoculated for final concentration of 2% (v/v). Number of viable cells of fermented R80 (7.67 log CFU/mL) was greater than those of R100, R90, and R70 (7.48 log CFU/mL, 7.38 log CFU/mL, and 7.09 CFU/mL, respectively) during the fermentation period (120 h). Amylase activities of fermented R80 and R100 were 57.77 U/mL and 19.91 U/mL, respectively. Furthermore, amylase activities of fermented freeze-dried powders of R100 and R80 were 24.31 U/g and 9.12 U/g, respectively. Free sugar contents of R100 and R80 increased after fermentation, and that of R80 (5,454.15 mg/100 g) significantly increased compared to that of R100 (4,274.85 mg/100 g). The free amino acid content of R80 was higher than that of R100. DPPH and superoxide radical scavenging activities of 5 mg/mL of fermented freeze-dried powder (R80) were 44.21% and 89.76%, respectively. ACE inhibition rates and ${\alpha}$-glucosidase inhibitory activities were significantly higher in R80 than R100. This study suggested that fermentation of R80 might be a new potential source of antioxidant, anti-diabetic, and anti-hypertensive agents applicable to grain enzyme-containing foods.

Comparison of total parenteral nutrition-associated cholestasis according to amino acid mixtures in very low birth weight infants (총정맥영양 연관 담즙정체증)

  • Choi, Jin-Sung;Bae, Yun-Jin;Lee, Young Ah
    • Clinical and Experimental Pediatrics
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    • v.49 no.9
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    • pp.972-976
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    • 2006
  • Purpose : The purpose of this study was to evaluate the effect of amino acid mixtures on incidence and severity of total parenteral nutrition associated-cholestasis(PNAC) in very low birth weight infants. Methods : Retrospective review of 63 very low birth weight infants(birth weight ${\leq}1,500g$) who received total parenteral nutrition(TPN) in our neonatal intensive care unit from January 2000 to December 2004 was performed. Patients were divided into 2 groups : Group I(n=32, Jan 2000-Jun 2002) and Group II(n=31, Jul 2002-Dec 2004), where infants in Group II received taurine and glutamic acid-rich amino acid mixtures. PNAC was defined as serum direct bilirubin(DB) level greater than 2.0 mg/dL. The incidence and severity of PNAC were compared between these groups. Results : The incidence of PNAC was significantly lower in Group II than in Group I(21.9% vs 6.5%, P<0.148). Maximum and mean DB levels were also significantly lower in Group II(P<0.05). Conclusion : The incidence and severity of PNAC in very low birth weight infants may be reduced with different composition of amino acid mixtures in TPN. Further prospective randomized controlled studies are needed to determine an ideal composition of acid mixtures to prevent the development of PNAC.

Physico-chemical Characteristics of used Plug Media and its Effect on Growth Response of Tomato and Cucumber Seedlings (재사용 플러그 상토의 이화학적 특성 및 재사용 상토가 토마토와 오이의 묘소질에 미치는 영향)

  • Byun, Hyo-Jeung;Kim, Young Shik;Kang, Ho-Min;Kim, Il Seop
    • Journal of Bio-Environment Control
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    • v.21 no.3
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    • pp.207-212
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    • 2012
  • The objective of the present study is to identify the physico-chemical characteristics of used plug media (UPM) and its effect on growth response of tomato and cucumber seedlings. The UPM from commercial media Mix#5 (Sungro co., Ltd.) was used in this study. This media was sterilized by sterilizer at $120^{\circ}C$ in 30 minutes at 1.5 atm. Physicochemical properties of UPM was compared with new plug media (NPM). Physical properties such as air volume, particle density, solid volume, bulk density were investigated by three phase device (DIK-1130, Japan). And chemical characteristics such as $NO_3$-N, $P_2O_5$, K, Mg, Ca, $SiO_2$, CEC, OM were investigated by soil spectrophotometer (PTIZEN 1412SA, Mecasys Co., Ltd). The result indicates that air volume and water holding capacity of UPM are lower than NPM (25%, 15%, respectively). Bulk density and soil weight are more than two times higher than NPM per unit volume. Compared to NPM, there were no significant different for pH and EC. But CEC of UPM is lower than NPM 40%. In order to compare growth response and ability absorption of inorganic elements by plants, cucumber and tomato seedlings were used and chemical characteristics after growing of mediums were determined. The result indicated that seeding quality of tomato and cucumber in UPM is less than in NPM and almost inorganic ions of UPM are lower than NPM. So it is necessary to improve physicochemical properties of UPM.

Changes of Chlorophyll and SOD-like Activities of Chinese Chives Dehydrated at Different Heat Treatments (부추의 건조 온도 조건별 클로로필, Superoxide Dismutase 유사활성의 변화)

  • Kwak, Yeon-Ju;Kim, Jong-Sang
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.38 no.7
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    • pp.879-884
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    • 2009
  • Allium tuberosum Rotter (Liliaceae, Chinese chives) is a perennial herb of which leaves are used for food. This study investigated the effect of pretreatment on quality of dehydrated Chinese chives. Chinese chives was blanched at $80^{\circ}C$ for 20 sec, followed by drying at $70^{\circ}C$, $80^{\circ}C$, $100^{\circ}C$, or drying at $100^{\circ}C$ for 30 min and subsequent drying at $70^{\circ}C$, or $100^{\circ}C$ for 60 min and subsequent drying at $70^{\circ}C$. Optimum drying temperature and time was $100^{\circ}C$ for 30 min and subsequent drying at $70^{\circ}C$, or $100^{\circ}C$ for 60 min and subsequent drying at $70^{\circ}C$. These conditions were shortened time for dehydration and showed smaller decrease than others in Hunter color L, a, b. Dehydrated Chinese chives showed a constant decrease in greenness with storage, probably due to destruction of chlorophyll by light. In the measurement of Hunter color L, a, b, these conditions showed smaller decrease than others in Hunter color for 15 week storage. Chlorophyll content and SOD (superoxide dismutase)-like activity in that condition was higher than others. It was assumed that a phenolic compound that forms its thermostable activity. The fitness of drying models was conducted in order to explain reducing chlorophyll loss and SOD (superoxide dismutase)-like activity loss. Based upon the chlorophyll content, SOD-like activity, and retention of green color of the vegetable, optimum drying conditions was $100^{\circ}C$ for 30 min followed by $100^{\circ}C$ for 30 min and subsequent drying at $70^{\circ}C$, or $100^{\circ}C$ for 60 min and subsequent drying at $70^{\circ}C$.

Soil Physical and Chemical Properties with Plantation Regions and Stand Age in Pinus rigida and Larix kaempferi Plantations (리기다소나무와 낙엽송 인공림의 지역 및 임령에 따른 토양 특성)

  • Yang, A-Ram;Hwang, Jaehong;Cho, Minseok;Song, Sun-Wha
    • Journal of Korean Society of Forest Science
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    • v.102 no.4
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    • pp.578-586
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    • 2013
  • This study was performed in Pinus rigida and Larix kaempferi plantations which occupy approximately 60% of artificial forest area in Korea. The objective of this study was to know the differences in soil physical and chemical properties between both plantations. Soil physical and chemical properties from published literature and analyzed soil data in national forest in 2010 and 2011 were analyzed by plantation regions and stand age of 5 years unit. Jeollanamdo in Pinus rigida plantations and Gyeongsangbuk-do in Larix kaempferi plantations showed higher soil chemical properties than those of other regions. Soil texture in both plantations was almost loam and sandy loam. Mean soil pH in Pinus rigida and Larix kaempferi plantations were 4.86 and 4.87, respectively and there was no relationship between soil pH and stand age. The mean concentrations of total nitrogen (%) and available phosphorus (mg $kg^{-1}$) were 0.21 and 11.00 for Pinus rigida plantation and 0.28 and 13.32 for Larix kaempferi plantation. In Larix kaempferi plantation, total nitrogen, available phosphorus and organic matter concentrations and C.E.C. were higher than those in Pinus rigida plantation and showed positive relationship with stand age. This positive relationship was also revealed between the exchangeable cations and soil pH. The results of this study provide an informative data in selecting tree species for planting and contribute to the establishing forest management plan for the maintenance of sustainable forests resources.

Response of Grain Protein Content to Nitrogen Topdress Rate at Panicle Initiation Stage under Different Growth and Plant Nitrogen Status of Rice (벼 유수분화기 생육 및 질소영양 상태에 따른 쌀 단백질함량의 수비 질소 반응)

  • Kim, Min-Ho;Lee, Kyu-Jong;Lee, Byun-Woo
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.52 no.1
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    • pp.104-111
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    • 2007
  • As protein content of milled rice, generally used as a benchmark for rice eating quality, is greatly affected by N fertilization and nutrition status of rice plant, understanding its response to nitrogen rate and plant nitrogen status at different growth stage is important for recommending N fertilizer management for high quality rice production. The responses of milled-rice protein content were compared and quantified under various combinations of basal+tillering and panicle N application levels in 2001 and 2002. Protein content of milled rice was ranged from 6 to 9%, increasing significantly with increasing basal+tillering and panicle N rates. However, milled rice protein content was raised much greater by panicle N than by basal+tillering N fertilization. Even though basal+tillering N increased up to 20 kg/ha, protein content of milled rice was observed less than 7% in case that panicle N was applied below 1.8 kg/10a. Regression analysis revealed that nitrogen accumulated until harvest was partitioned with almost constant rates of 58.3% and 46.5% to panicle and milled rice, respectively. The partitioning rates was slightly but not significantly different between experimental years. Protein content of milled rice showed linear and quadratic responses to the shoot N accumulation until panicle initiation stage (PIS) ant shoot nitrogen accumulation from PIS to harvest, respectively. The increment of milled-rice protein content per unit N increase was much greater in shoot N accumulation from PIS to harvest than in that until PIS. Regardless of shoot N accumulation until PIS upto 8 kg/10a, protein content of milled rice was lower than 7% and ranged from 6.5 to 7.5% in case that shoot N accumulation from PIS to harvest was below 3.0 kg/10a and below 6.0 kg/10a respectively. It would be concluded that even under the same N accumulation until harvest milled rice protein content could be different according to the N fertilizer management and weather condition especially during ripening, providing rooms for controlling protein content by N fertilizer management without damage to grain yield.

Effects of Sowing Mixed Legume Forage and Applying Cattle Manure on the Productivity and Organic Hanwoo Feeding Capacity of Whole Crop Wheat (콩과 사료작물의 혼파와 우분의 시용이 총체 밀의 생산성과 유기한우 사육능력에 미치는 영향)

  • Jo, Ik-Hwan
    • Korean Journal of Organic Agriculture
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    • v.23 no.2
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    • pp.359-372
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    • 2015
  • This study was to assess the effects of sowing mixed legume forage and applying fermented cattle manure on the productivity and feed value of whole crop wheat (WCW) as a representative of winter crops and also to estimate feeding capacity of Korean native cattle (Hanwoo) per unit area by defining optimal application levels of cattle manure for more fertile soil and manure recycling for the purpose of reduced environmental pollution and efficient production of organic forage contributable to production of organic animal products. Sowing mixed legume forage significantly (p<0.05) increased yields of dry matter (DM), crude protein (CP) and total digestible nutrients (TDN) for WCW compared to WCW alone sowing, but there were no differences between mixed sowing treatments. The yields of DM, CP and TDN were significantly (p<0.05) higher in 100~150 kg N/ha. The CP and acid detergent fiber (ADF) contents were highest in mixed sowing with hairy vetch, followed by sowing mixed forage pea and WCW alone (p<0.05). There were no differences in CP among cattle manure application levels. As nitrogen application level increased, ADF content increased (p<0.05), but TDN content decreased (p<0.05). Feeding capacity of organic Hanwoo (head/ha) weighing 450 kg of body weight with 400 g of daily gain significantly (p<0.05) increased due to mixed sowing with legume forage, and with increasing application levels of fermented cattle manure, feeding capacity significantly (p<0.05) increased. The results indicated that mixed-sowing of WCW and legume forage not only reduced nitrogen application level of fermented cattle manure by over 50 kg per ha but also increased their feed value and productivity, and feeding capacity. This would be contributable to diversity of forage resources as well as production of organic animal product by creating low cost and high quality of forage.

Comparison of Performance of Laying Hens in Molting Methods (유도 환우 방법에 따른 산란계의 생산성 비교)

  • Hong, E.C.;Na, J.C.;Kim, H.K.;Park, H.D.;Choi, Y.H.;Kang, G.H.;Suh, O.S.;Choi, H.C.;Nho, W.G.;HwangBo, J.
    • Korean Journal of Poultry Science
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    • v.35 no.4
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    • pp.391-398
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    • 2009
  • The objective of the present study was to compare of the effects of four molting methods on performance of laying hens. In total, 120 White Leghorn layers (62 weeks of age) were used. The four molting methods consisted of 10 days of feeding and the first 3 days of water withdrawal (FW1, 2) followed by ad libitum access to a layer diet 1 and 2 from day 11; 28 days of restricted feeding (NFW1); 28 days without withdrawing their feed (NFW2). Egg production of postmolt decreased until $3{\sim}4$ days at FW1 and FW2 treatments and until $16{\sim}18$ days at NFW1 and NFW2. 50% recovery of egg production were 7, 6, 7 and 5 week at FW1, FW2, NFW1, and NFW2 treatments, respectively. At day 14 of postmolt, the weight of livers, hearts, and oviducts decreased at molting treatments (P<0.05). Egg quality was improved on egg weight, eggshell thickness, eggshell break strength, and Haugh unit except egg yolk color (P<0.05).