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Prevalence and factors associated with hyponatremia in older adults who visited emergency department (응급실을 방문한 노인 환자의 저나트륨혈증 유병률 및 위험인자 분석)

  • Kim, Geonnyeon;Shin, Sangmi;Suh, Yewon;Namgung, Hyungwook;Lee, Jeonghwa;Lee, Euni;Lee, Ju-Yeun
    • Korean Journal of Clinical Pharmacy
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    • v.32 no.2
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    • pp.67-73
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    • 2022
  • Objectives: Hyponatremia is prevalent electrolyte disorder and can be fatal in older adults. Evaluative studies on hyponatremia among older adults are scarce, especially targeting for those who visited emergency department (ED). We aimed to estimate the prevalence and to identify risk factors of hyponatremia among elderly patients visiting the ED. Methods: A retrospective chart review was completed including 65 or older patients who visited ED at Seoul National University Bundang Hospital from September to December 2019. Patients with the serum sodium concentration of less than 130mEq/L was defined as a hyponatremia group. Logistic regression analysis was conducted to assess predictive factors for hyponatremia. Results: Of the total 2,445 patients, 155 (6.3%) were confirmed to have hyponatremia at the time of ED visits. Risk factors for hyponatremia identified in logistic regression analysis were thiazides (aOR=2.64, 95% CI 1.66-4.21), opioids (exclude tramadol) (aOR=3.45, 95% CI 1.72-6.94), and desmopressin (aOR=6.98, 95% CI 2.45-19.84). Compared to the use of thiazides alone, it was confirmed that the possibility of hyponatremia was more than quadrupled when proton pump inhibitor (PPI) was used together (aOR=4.08, 95% CI 1.74-9.55). Conclusions: About 6.3% of older adults visiting the ED had hyponatremia. Age, number of medications taken, previous history of hyponatremia, heart failure, cirrhosis, pneumonia, sepsis, prescribed drugs including thiazides, opioids (exclude tramadol), or desmopressin or taking PPI together with thiazides was confirmed to correlate with the risk of hyponatremia.

Identification of the geographical origin of cheonggukjang by using fourier transform near-infrared spectroscopy and energy dispersive X-ray fluorescence spectrometry (근적외선분광분석기 및 에너지 분산형 X선 형광분석기를 이용한 청국장 원산지 판별)

  • Kang, Dong-Jin;Moon, Ji-Young;Lee, Dong-Gil;Lee, Seong-Hun
    • Korean Journal of Food Science and Technology
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    • v.48 no.5
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    • pp.418-423
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    • 2016
  • This study was conducted to identify the geographical origin of soybeans in Cheonggukjang by analyzing its organic components and inorganic elements with Fourier transform near-infrared spectroscopy (FT-NIRS) and with energy dispersive X-ray fluorescence (ED-XRF) coupled with multivariate statistical analysis. For method development, 280 samples from various regions were collected and analyzed. The discriminant accuracy for the developed methods was 97.5% for FT-NIRS and 98.0% for ED-XRF with multivariate statistical analysis. A validation test confirmed the discriminant accuracy to be 96.3% for FT-NIRS and 95.0% for ED-XRF. Overall, the results showed that methods using FT-NIRS and ED-XRF could be used to identify the geographical origin of Cheonggukjang.

Clinical features related to alcohol co-ingestion of deliberate self-poisoning patients visiting the emergency department (의도적 음독 후 응급실에 내원한 환자의 음주 여부와 관련된 임상 양상)

  • Gyu Won Kim;Woon Jeong Lee;Daehee Kim;June Young Lee;Sang Yun, Kim;Sikyoung Jeong;Sungyoup Hong;Seon Hee Woo
    • Journal of The Korean Society of Clinical Toxicology
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    • v.20 no.2
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    • pp.58-65
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    • 2022
  • Purpose: Alcohol is one of the most commonly co-ingested agents in deliberate self-poisoning (DSP) cases presenting at the emergency department (ED). The increased impulsivity, aggressiveness, and disinhibition caused by alcohol ingestion may have different clinical features and outcomes in cases of DSP. This study investigates whether alcohol co-ingestion affects the clinical features and outcomes of DSP patients in the ED. Methods: This was a single-center retrospective study. We investigated DSP cases who visited our ED from January 2010 to December 2016. Patients were classified into two groups: with (ALC+) or without (ALC-) alcohol co-ingestion. The clinical features of DSP were compared by considering the co-ingestion of alcohol, and the factors related to discharge against medical advice (AMA) of DSP were analyzed. Results: A total of 689 patients were included in the study, with 272 (39.5%) in the ALC+ group. Majority of the ALC+ group patients were middle-aged males (45-54 years old) and arrived at the ED at night. The rate of discharge AMA from ED was significantly higher in the ALC+ group (130; 47.8%) compared to the ALC- group (p=0.001). No significant differences were obtained in the poisoning severity scores between the two groups (p=0.223). Multivariate analysis revealed that alcohol co-ingestion (odds ratio [OR]=1.42; 95% confidence interval [CI], 1.01-1.98), alert mental status (OR=1.65; 95% CI, 1.17-2.32), past psychiatric history (OR=0.04; 95% CI, 0.01-0.28), age >65 years (OR=0.42; 95% CI, 0.23-0.78), and time from event to ED arrival >6 hrs (OR=0.57; 95% CI, 0.37-0.88) were independent predictive factors of discharge AMA (p=0.043, p=0.004, p=0.001, p=0.006, and p=0.010, respectively). Conclusion: Our results determined a high association between alcohol co-ingestion and the outcome of discharge AMA in DSP patients. Emergency physicians should, therefore, be aware that DSP patients who have co-ingested alcohol may be uncooperative and at high risk of discharge AMA.

Studies on Seed Production of Rainbow Trout, Oncorhynchus mykiss - Hatching rate and early stage performance of USA strain rainbow trout, Oncorhynchus mykiss - (무지개송어, Oncorhynchus mykiss의 종묘생산에 관한 연구 - 미국산 무지개송어의 부화 및 자치어 성장 -)

  • Baik, Kook-Ki;Choi, Young-Hee;Lee, Joong-Chul;Park, In-Sik;Kim, Young-Kil;Kim, Doo-Youn;Lee, Chae-Sung
    • Journal of Aquaculture
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    • v.20 no.2
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    • pp.85-89
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    • 2007
  • This study examined the hatching rate of eyed-eggs and growth of fingerlings of USA strain rainbow trout, Oncorhynchus mykiss, which were transplanted on Nov. 17, 2005 from the USA for improvement of breeding. The diameter and weight of eyed-eggs were $4.95{\pm}0.34\;mm$ and $0.07{\pm}0.003\;g$, respectively. The eyed-eggs were hatched in 8 days later and hatching rates were $77.3{\sim}98.6%$. After 56 days from hatching, the fingerlings grew to $4.0{\pm}0.7$ cm and 0.62 g in total length and body weight, respectively. The relationships between total length (TL) and elapsed days (ED) were expressed as TL=0.0366ED+1.8645 ($r^2=0.928$, n=350). The relationships between body weight (BW) and elapsed days (ED) were expressed as following; $BW=0.0638e^{0.0408ED}\;(r^2=0.9917,\;n=350)$. And survival of rainbow trout was $64.5{\pm}1.3%$ in 56 days after hatching.

Antinociceptive effect of intrathecal sec-O-glucosylhamaudol on the formalin-induced pain in rats

  • Kim, Sang Hun;Jong, Hwa Song;Yoon, Myung Ha;Oh, Seon Hee;Jung, Ki Tae
    • The Korean Journal of Pain
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    • v.30 no.2
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    • pp.98-103
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    • 2017
  • Background: The root of Peucedanum japonicum Thunb., a perennial herb found in Japan, the Philippines, China, and Korea, is used as an analgesic. In a previous study, sec-O-glucosylhamaudol (SOG) showed an analgesic effect. This study was performed to examine the antinociceptive effect of intrathecal SOG in the formalin test. Methods: Male Sprague-Dawley rats were implanted with an intrathecal catheter. Rats were randomly treated with a vehicle and SOG ($10{\mu}g$, $30{\mu}g$, $60{\mu}g$, and $100{\mu}g$) before formalin injection. Five percent formalin was injected into the hind-paw, and a biphasic reaction followed, consisting of flinching and licking behaviors (phase 1, 0-10 min; phase 2, 10-60 min). Naloxone was injected 10 min before administration of SOG $100{\mu}g$ to evaluate the involvement of SOG with an opioid receptor. Dose-responsiveness and ED50 values were calculated. Results: Intrathecal SOG showed a significant reduction of the flinching responses at both phases in a dose-dependent manner. Significant effects were showed from the dose of $30{\mu}g$ and maximum effects were achieved at a dose of $100{\mu}g$ in both phases. The ED50 value (95% confidence intervals) of intrathecal SOG was 30.3 $(25.8-35.5){\mu}g$ during phase 1, and 48.0 (41.4-55.7) during phase 2. The antinociceptive effects of SOG ($100{\mu}g$) were significantly reverted at both phases of the formalin test by naloxone. Conclusions: These results demonstrate that intrathecal SOG has a very strong antinociceptive effect in the formalin test and it seems the effect is related to an opioid receptor.

Recovery of Valuable Metals from the Desulfurizing Spent Catalyst Used in Domestic Petrochemical Industry (국내 석유공장의 탈황 폐촉매로부터 유가금속의 회수에 관한 연구)

  • 김종화;양종규
    • Resources Recycling
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    • v.4 no.3
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    • pp.2-9
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    • 1995
  • The rccoverg and separation pracess of nikcl, vanadium and molybdenum from spent dcsulfilrizing catalyst ofpetrochemical rndustries was studied. Tnis process was canied out wet process which is consist of roasting, ammonialeaching and solve111 exDaction techniqcs. The metal ions of NI, V and Mo as vduable compollents were treated byroasting them a1 low lernperatuc, 400$^{\circ}$C in first dep, and then dlssah'ed nu1 at 80$^{\circ}$C wlth ammonium cabonate mlulion.Aftcr cooling them a1 room tempertaure, vanadium wa rccavered from mathcr iiquur in thc f n m of precipitate, sodiumvanadales The Secand slep, roasting the catalyst which is added sodium carbonate ul IOOO"C, was employed. Leachingwith distilled ~ a l e rga ve a iwo phase resultant, solutio~c~a ntaning Ni, V and Mo and solid residue containing sibca,alurmniu~n and iron. A solvcnt exlclction technique uslng vvriuus extractanls, MSP-8, TOIUC, LIX64Pi was eflecnve farthc extraclion and scparation ol thrcc mcfals from thc ammonical 11qou1 thc ammonical 11qou1.

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Assessment of Pollutant Loads for Water Enhancement in the Jeongeupcheon of Dongjin River (동진강 정읍천 유역 오염부하량 평가)

  • Lee, Kyeong-Bo;Kim, Jong-Cheon;Park, Ji-Hye;Lee, Deog-Bae;Kim, Jong-Gu
    • Korean Journal of Environmental Agriculture
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    • v.23 no.1
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    • pp.41-46
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    • 2004
  • The influence of pollutant loads on the water quality in Jeongeupcheon of Dongjin river was evaluated from Jan. 2002 to Dec. 2003 for two years. The range of pH in water was $6.87{\sim}7.53$. The EC level in upstream ranged from 83 to $95\;{\mu}s/cm$ with the highest value in autumn. The BOD level in upstream rang ed from 0.61 to 1.27 mg/L, which would be I grade according to water quality criteria by Ministry of Environment, but that in downstream was III grade. The average T-N level in midstream ranged from 6.10 to 10.84 mg/L which was the highest values throughout the stretch of the river. The average T-P levels ranged from. 0.41 to 0.98 mg/L Jeongeupcheon was suitable for the agricultural usage based upon one year analysis of river water quality. The effluent loads of BOD was high in midstream (J4) with 553 kg/day. The major sources of T-N loads were livestock, population, land use, and industry in order. The effluent loads of T-N was high in J4 by population and industry while that of T-N was high in J5 and J6 by livestock and land use. The delivered loads of T-N was high in downstream The delivered loads of T-P was low as compared with those of BOD and T-N. The delivery ratio of T-N ranged from 6 to 38%.

Discrimination of Geographical Origin for Scutellaria baicalensis Using Energy Dispersive X-ray Fluorescence Spectrometer (에너지 분산형 X-선 형광분석기를 이용한 황금의 원산지 판별)

  • Moon, Ji-Young;Lee, Ye-Ji;Kang, Jung-Mi;Cho, Soon-Jun;Noh, Bong-Soo
    • Korean Journal of Food Science and Technology
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    • v.44 no.4
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    • pp.484-487
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    • 2012
  • A discrimination technique for domestic and imported Scutellaria baicalensis was developed using an energy dispersive X-ray fluorescence spectrometer (ED-XRF). Mineral content ratios, of a total of 43 species, including P, S, Cl, K, Ca, Mn, Fe, Cu, and Zn, were measured among 204 samples. Macro element content ratios and trace element content ratios were determined using the standardless fundamental parameters (SLFP) analysis. Inorganic element ratios of P, S, K, Ca, Cl, Mn, and Fe were significantly different between domestic and imported samples. The result from the canonical discriminant analysis showed that the accuracy of geographical origin discrimination was 95.15%; the correlation coefficient was 0.888. It was concluded that this technique could be used as a useful method in discriminating the geographical origins between domestic and imported Scutellaria baicalensis.

Effect of Cryoprotectant Kinds and Cell Stages on the Viability of Mouse Embryos Cryopreserved by OPP Vitrification (동결보호제의 종류 및 배발달단계가 OPP Vitrification 동결보존시 생쥐수정란의 생존성에 미치는 영향)

  • 공일근;조성균;조성근
    • Korean Journal of Animal Reproduction
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    • v.23 no.1
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    • pp.85-92
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    • 1999
  • This study was designed to determine effect of cryoprotectant kinds and cell stages on OPP vitrification method in mouse embryos. The freezing speed, cryoprotectants and cell stage could affect of embryo viability following various vitrification methods. The vitrification solution used were consisting of 40% (v/v) ethylene glycol, 18% (w/v) Ficoll, 0.3 M sucrose solution in holding medium (D-PBS supplemented with 5% FCS: HM) (EFS) or 16.5% ethylene glycol , 16.5% dimethyl sulfoxide, 0.5 M sucrose in HM (EDS). The embryos were collected from oviduct at 18 h after hCG injection and then washed and cultured in mHTF medium until use. In experiment 1, the blastocysts were vitrified by OPP straw to determine the optimal vitrification solution of EFS or EDS. The post-thaw survival rates at re-expanded stage rates were significantly different between EFS and EDS (95.0 vs 100%), but at hatching stage was not different between EFS and EDS (90.0 vs 95.0%). respectively. In experiment 2, zygotes, 2-, 4-cell, morula and blastocysts were vitrified by OPP method to determine the acceptable of early stage embryos. The development rates to expanded blastocyst in zygote (70.0%) were significantly lower rather than those in 2-, 4- 8-cell, compacted morula or blastocyst (89.7, 90.0, 92.8, 97.6 or 97.5%), respectively. However, the cell number of post-thaw developed to expanded blastocyst in blastocyst and control blastocyst stage (39.6$\pm$2.81, 35.7$\pm$2.98) were significanty higher than those in zygote, 2-, 4-, 8-cell, compacted morula (29.8$\pm$3.21, 31.3$\pm$3.83, 29.3$\pm$3.58, 28.9$\pm$3.21 or 30.8$\pm$2.93). In experiment 3, the zygotes were exposed in VSl for 1, 2, and 3 min to the optimal exposed time. The cleavage rates (91.6, 88.5, 88.9%) and develop mental rates to blastocyst (83.3, 74.3 and 69.4%) depends on the exposed time in VSl were not significantly different among 1, 2, or 3 min, respectively. The cell number also were not significantly different among exposed time in VS1. respectively. These results indicate that OPP method could be useful for vitrification either EFS or EDS vitrification solution. The post-thaw survival rates at zygote were significantly lower than those at 2-, 4-, 8-cell, morula or blastocyst, respectively. The zygote stage were more sensitive rather than late stage embryos. The exposing time in VS1 for 1 min was better than that for 2 or 3 min, even it was not significantly different. The OPP vitrification method could be useful of mouse embryos either with EFS or EDS vitrification solution.

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