• 제목/요약/키워드: Feeding tube

검색결과 209건 처리시간 0.024초

인공 항문계를 이용한 대두박 isoflavones의 생체 이용성 평가

  • 김경진;지규만
    • 한국가금학회:학술대회논문집
    • /
    • 한국가금학회 2000년도 제17차 정기총회 및 학술발표
    • /
    • pp.91-93
    • /
    • 2000
  • Soybean meal(SMB) has not only been an important source of protein, but also a major source of isolfavones(IF) for poultry diet. Since the IF is one of effective phytoestrogens, evaluation of bioavailability of the phytochemicals for poultry and development of an animal model for assessment of the availability should be essential for its practical application. Present study was to develop bird model for assessing their bioavailability. No reports for such measurments with poultry could have every been found. Eight, 6-wk-old, layer-type, male birds were divided into two groups of four birds; normal (N) and colostomized(COL). Each bird was tube-fed a SMB sample at a level of 1% body weight. Samples from blood, urine and feces(COL birds) or urine+feces (N) were collected at 0, 2, 8, 15, 24 and 48 hours after the feeding. Plasma and urine samples were treated with -glucuronidase and fecal samples with 4N HCl for measurement of genistein(GE) and daidzein (DA) with HPLC set with an electrochemical detector. Maximum peaks of plasma IF appeared at 2 h after the meal for both birds groups. However the IF peak for N group was GE, while that for COL group was DA. Plasma DA levels for COL birds were always higher than those of GE, which was in opposite trend for N birds. This trend observed in the N birds is in accordance with those reported in rats fed SBM. In conclusion the results seem to suggest that colostomy as an attempt to separate urine from feces in birds affected the IF metabolism in the intestine and may not be a proper bird model to measure the IF bioavailability.

  • PDF

가정용 인공호흡기 장착 아동의 재입원 영향 요인 (Factors Influencing Readmission of Home Ventilator-Assisted Children)

  • 김미화;김희순;박준동
    • Child Health Nursing Research
    • /
    • 제18권1호
    • /
    • pp.9-18
    • /
    • 2012
  • Purpose: This study was conducted to analyze factors affecting readmission of children with home ventilator care. Methods: To collect patient data, a retrospective chart review was done of medical records of children admitted between June 1, 2007 and May 31, 2010 at one children's hospital located in Seoul. During that period 30 children were discharged with a home ventilator. Results: Twenty-one of these children had a total of 63 readmissions during the study period, averaging 2.1 readmissions per child with a mean duration of hospitalization of 7.4 days. Children with nasogastric tubes were more frequently readmitted (t=7.232, p=.012) and duration of hospitalization was significantly longer (t=4.761, p=.038). Children who had cardio-pulmonary comorbidity were more frequently readmitted and had longer hospitalization than children without comorbidity (t=5.444, p=.027). When home ventilator assisted children were admitted via emergency room, they were hospitalized longer (t=14.686, p=<.001). Cardio-pulmonary morbidity and readmission via ER explained 38.1% of variation for readmission. Feeding method explained 15.0% of variation in length of hospitalization. Conclusion: The results suggest that health care providers must give individualized education on home ventilator care to parents with children who are at risk for readmission due to cardio-pulmonary comorbidities, nasogastric tube, or readmission via ER.

바륨 현탁액과 메틸셀룰로스(Methylcellulose)를 사용한 변형 상부위장관조영술 :전통적 바륨조영술과의 비교 (Modified Upper Gastrointestinal Study Using Methylcellulose After Administration of Barium Suspension : Comparison with Conventional Series)

  • 이기창;최민철;서민호;정주현;윤정희
    • 한국임상수의학회지
    • /
    • 제17권2호
    • /
    • pp.411-415
    • /
    • 2000
  • For comparison with conventional barium-gastrointestinal study, modified method using barium and methylcellulose was performed in 16 normal dogs (4-8 kg) divided into two groups. The group 1 received 8ml/kg of 40% w/v barium suspension only, and group 2 had taken 15 ml/kg of 0.6% w/v methylcellulose after administration 4 ml/kg of 40% w/v barium suspension by feeding tube. The barium suspension was prepared mixing full strength-barium suspension with water and methylcellulose solution was produced by blending methylcellulose sterilized water Sequential radiographs, lateral and ventrodorsal projections were obtained at 5 minute, 20 minute,40 minute. 60 minute and every 30 minutes thereafter, until the contrast is seen in the large intestine Inage qual- ity was rated by three veterinary radiologists as " poor" " fair ". "good", or "excellent" We analyzed the relationship between image quality,, transit time. Between two techniques, the modified method with 4ml of 40% w/v barium suspension and 15 ml of 0.6% w/v methylcellulose showed much better image quality ["excellent" result in 7 of the 8 subjects (88%)] and shorter transit time (107 minutes) toe the cecum. In addition, the best image quality was obtained at 20 and 40 minutes after admin-istration of contrast agent. It call be concluded the modified gastrointestinal study using methylcel-lulose after administration of barium suspension was a simple technique and easily improved the image quality and diagnostic accuracy of gstrointestinal disorders in small animal.racy of gstrointestinal disorders in small animal.

  • PDF

선천성 식도 폐쇄 수술 후 시행한 재 수술의 성적 (Result of Secondary Surgery after Primary Surgery for Esophageal Atresia Anomalies)

  • 임수찬;문석배;정성은;이성철;박귀원
    • Advances in pediatric surgery
    • /
    • 제13권2호
    • /
    • pp.105-111
    • /
    • 2007
  • We reviewed the records of 25 patients who were re-operated upon after primary repair of esophageal atresia with or without fistula at the Department of Pediatric Surgery, Seoul National University Children's Hospital, from January 1997 to March 2007. Types of the esophageal atresia anomalies were Gross type A in 5 patients, C in 18, and E in 2. The indications for re-operation were anastomosis stricture (n = 14), tracheo-bronchial remnant (n = 4), persistent anastomosis leakage (n = 3), recurrent tracheo-esophageal fistula (n = 2) and esophageal web (n = 2). The interval between primary and secondary surgery was from 48 days to 26 years 5 months (mean: 2 years and 4 months). Four patients required a third operation. The interval between the second and third operation was between 1 year 1 month and 3 year 10 month (mean: 2 years 5 months). Mean follow up period after last operation was 35 months (1 years-8 years 6 months). The secondary surgery was end-to-end esophageal anastomosis in 15, esophagoplasty in 5, gastric tube replacement in 5. After secondary operation, 6 patients had anastomosis stricture (4 patients were relieved of the symptoms by balloon dilatation, 2 patients underwent tertiary operation). Five patients had leakage (sealed on conservative management in all). Two patients had recurrent tracheo-esophagel fistula (1 patient received chemical cauterization and 1 patient underwent tertiary operation). Currently, only one patient has feeding problems. There were no mortalities. Secondary esophageal surgery after primary surgery for esophageal atresia was effective and safe, should be positively considered when complications do not respond to nonoperative therapy.

  • PDF

증기발생기 세관 와전류 탐상신호의 모델링기반 해석 및 실험적 검증 (Model-Based Interpretation and Experimental Verification of ECT Signals of Steam Generator Tubes)

  • 송성진;김의래;임창재;이진호;김영환
    • 비파괴검사학회지
    • /
    • 제24권1호
    • /
    • pp.8-14
    • /
    • 2004
  • 증기발생기 세관의 결함을 정량적으로 평가하기 위해서 신경회로망과 전자기 유한요소 모델링을 사용한 모델링기반 와전류 신호해석기법을 개발해왔다. 본 연구에서는 개발된 신호해석 기법을 검증하기 위해서 실제로 얻어진 와전류 신호를 해석하였다. 유한요소 모델링을 이용하여 생성된 모사 와전류 신호로 데이터베이스를 구성하였으며, 이들을 사용하여 PNN 분류기와 BPNN 크기 산정 신경회로망을 학습시켰다. 축대칭 가공 결함에서 실험 와전류 신호를 획득하였으며, 이 신호를 신경회로망에 입력시켜서 신호를 해석하였다. 신호 해석 결과는 매우 우수하여, 모델링을 이용하여 개발한 신호해석기법은 실제 와전류 신호 해석에 활용할 수 있음을 알았다.

Laparoscopic-Assisted Percutaneous Endoscopic Gastrostomy Reduces Major Complications in High-Risk Pediatric Patients

  • Balogh, Brigitta;Szucs, Daniel;Gavaller, Gabriella;Rieth, Anna;Kovacs, Tamas
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • 제24권3호
    • /
    • pp.273-278
    • /
    • 2021
  • Purpose: Percutaneous endoscopic gastrostomy (PEG) is a safe method to feed patients with feeding difficulty. This study aimed to compare the outcomes of conventional PEG and laparoscopic-assisted PEG (L-PEG) placement in high-risk pediatric patients. Methods: In our tertiary pediatric department, 90 PEG insertions were performed between 2014 and 2019. Children with severe thoracoabdominal deformity (TAD), previous abdominal surgery, ventriculoperitoneal (VP) shunt, and abdominal tumors were considered as high-risk patients. Age, sex, diagnosis, operative time, complications, and mortality were compared among patients who underwent conventional PEG placement (first group) and those who underwent L-PEG placement (second group). Results: We analyzed the outcomes of conventional PEG placement (first group, n=15; patients with severe TAD [n=7], abdominal tumor [n=6], and VP shunts [n=2]) and L-PEG placement (second group, n=10; patients with VP shunts [n=5], previous abdominal surgery [n=4], and severe TAD [n=1]). Regarding minor complications, 1 (6.6%) patient in the first group underwent unplanned PEG removal and 1 (10%) patient in the second group had peristomal granuloma. We observed three major complications: colon perforation (6.6%) in a patient with VP shunt, gastrocolic fistula (6.6%) in a patient with Fallot-tetralogy and severe TAD, and pneumoperitoneum (6.6%) caused by early tube dislodgement in an autistic patient with severe TAD. All the three complications occurred in the first group (20%). No major complications occurred in the second group. Conclusion: In high-risk patients, L-PEG may be safer than conventional PEG. Thus, L-PEG is recommended for high-risk patients.

A case of TBC1D32-related ciliopathy with novel compound heterozygous variants

  • Ahn, Ji Ye;Kim, Soo Yeon;Lim, Byung Chan;Kim, Ki Joong;Chae, Jong Hee
    • Journal of Genetic Medicine
    • /
    • 제18권1호
    • /
    • pp.64-69
    • /
    • 2021
  • Primary cilium has a signal transduction function that is essential for brain development, and also determines cell polarity and acts as a mediator for important signaling systems, especially the Sonic Hedgehog (SHH) pathway. TBC1D32 is a ciliary protein, implicated in SHH signaling. Biallelic mutations in the TBC1D32 gene causes a kind of ciliopathy, heterogeneous developmental or degenerative disorders that affect multiple organs, including the brain. Here we report a boy who carried compound heterozygous variants in TBC1D32. The patient showed hypotonia, respiratory difficulty, and multiple anomalies at his birth. He was diagnosed with congenital hypopituitarism and treated with T4, hydrocortisone, and growth hormone. Despite the hormonal replacement, the patient needed long-term respiratory support with tracheostomy and nutritional support with a feeding tube. His developmental milestones were severely retarded. Hydrocephalus and strabismus developed and both required surgery, during the outpatient follow-up. Whole-exome sequencing indicated compound heterozygous variants, c.2200C>T (p.Arg734*) and c.156-1G>T, in TBC1D32 gene. This is the first Korean case of TBC1D32-related ciliopathy and we reported detailed and sequential clinical features. This case demonstrated the utility of whole-exome sequencing and provided valuable clinical data on ultra-rare disease.

신생아 중환자실에 입원한 환아 어머니의 스트레스 (A Study on the Perceived Stress of Mothers in Neonatal Intensive Care Unit)

  • 최성희
    • Child Health Nursing Research
    • /
    • 제4권1호
    • /
    • pp.60-75
    • /
    • 1998
  • The parents have much expectation upon the pregnancy and child birth, and in most cases, they expect the healthy parturient child. However, we can be placed on the high-risk conditions which have the physical, social and immature infant, due to the unexpected results, among the new-born. Accordingly, these high-risk newborn and premature infants will be mostly in NICU, which the concentrated medical treatment can be given, upon their conditions. After their birth and during these periods, they will be divided from the parents, and the nurse will accomplish the bringing-up activities which they can take care of the infant, expected by the parents after their birth. The hospitalization of high-risk newborn including these premature infants is the shocking experience to the parents of family, and thus they can feel the fear and uneasiness, and these reactions of parents are troubled in the behavior at the usual days, and cause the disorder and spiritless status, and these results break the supporting ability of parents, and cause the obstruction. Also, the unavoidable division between the parents and the children as like hospitalization of children can make the parents to feel the alienation emotionally, and this causes the results which the pride on the bringing-up ability of baby gets to be lost. These problems can cause the difficulties on the bonding or the parenting in the further days, and can be related to the neglect and abuse of children. Also, it is gradually increased to study and report which the emotional division by the physical division between the mother and the baby obstructs the normal affection course between the parent and the infant. The stress caused by the birth and the hospitalization of high-risk newborn, as like this, is important in the points which it can uncertainly affect the potential energy for the relationship of parent-child who are finally healthy. Accordingly, the significance and purpose of this study are to understand the contents and degree of stress which the parents of high-risk newborn including the immature child can be experienced from the hospitalization of ICU for their new borns, and thus to offer the basic program to the nursing intervention program for these. The subject of this study is the mother of newborn in NICU of 10 General Hospitals located at the 3one of Pusan, Korea from September 1997 to October 1997, and thus makes the subject of 95 person of parents who agreed to take part in the study and it is descriptive study related to the stress of mother having the newborn in NICU. The method is based on the preceding study related to the stress of mother having the experience of child hospitalization and chronic disease child, and then acquires the advice of specialists group as like 5 nursing professors, and then is amended and supplemented. Total number of questions is 43 items and consists of 5 factors as like medical treatment &nursing procedures, disease status & prognosis, role of parents, communication & inter-personal relationships, hospital environment, and is 5 point Likert Scale. The reliability of this study method is very highly shown to be Cronbach α=0.95. The collected data is analysed as Average, Frequency, Standard Deviation, T-test, ANOVA, Pearson Correlation Coefficient, Duncan multifulrange test by use of SPSS /PC (V7.5). The results of this study is summarized as under. 1. Every characteristics of subject is which the party of mother is 28.70age(±7.48) in the average ages, 51% in the high-school graduate, 38.5% in the christianity, total monthly income is 212.55 thousand won(±1.971), 74.5% in the housewife, 72.9% in the parents and children together living and the number of children to be 1.48person(± 0.6) in average, the recognition on the prognosis of baby is 74.0% in 'Don't know', the relationship with the husband after the hospitalization of babyis 37.3% in 'More Intimate', the relationship with the family of husband to be 48% in 'No-change', and the degree which is consulted with the husband about the baby is 55% in 'very frequently' and the visiting number per week is 4.59(±1.63) in average and the accompanying person in the time of visiting is which the number of husband is 56.3% and thus is the highest. The characteristics of baby is which the age is 21.88days(±16.47) after the birth in average, the sex to be 50 person in the female 52.1% and the order of birth to be 54.2% in the first chid, and the weight in the birth to be 2770gm(±610) and the height in the birth to be 46.26cm(±7.62) in aver age. The medical diagnosis is 37.5% in the premature infant, the career of hospitalization is 96.9% in 'None', and the operation plan is 90.6% in 'None' and the execution of operation is 88% in 'None' and the nursing of incubator is 55.2% in 'Yes', and the method of feeding is 50.5% in 'Oral' and the contents of feeding is 46.9% in the 'Milk'. 2. The total stress degree of subject is almost highly shown to be as 3.36(±0.86). If it is compared upon each cause, 'stress on disease status & prognosis' is highest 3.79(±1.28), and it is in the order of 'stress on medical treatment & nursing procedures' 3.70(±0.93), 'stress on hospital environment' 3.14(±0.86), 'stress on role of parents' 3.18(±0.92) and 'stress on communication & inter personal relationship' 2.62(± 0.77) 3. As the results of checking the notworthiness of stress degree upon each variable of subject, the variable showing the noted difference was the birth weight(γ=-0.16, P=0.04), birth height(γ=-0.23, P=0.03), nursing in the incubator(F=8.93, P=0.04), feed method(F=2.94, P=0.04). That is to say, it is shown which the smaller the birth weight is, the higher the stress degree of mother is noteworthily. Also, the smaller the birth height baby is, the higher the stress of mother is. In the incubator, it os shown which the mother whose baby is nursing in the incubator is higher in the stress degree than other mothers. Upon the feeding method of baby, that is to say, TPNis the highest, and it is shown in the order of NPO, Tube feeding, and P.O. feeding. When we review the above-mentioned results, as the status is serious, it is thought which we include the supporting nursing for coping with the stress of parents in the setting-up od nursing plan for the baby in the NICU.

  • PDF

천마성분이 본태성고혈압쥐의 혈압과 혈청지질 농도에 미치는 영향 (Effect of Gastrodiae elata Blume Components on Systolic Blood Pressure and Serum Lipid Concentrations in Spontaneously Hypertensive Rats Fed High Fat Diet)

  • 홍희도;심은정;김경임;최상윤;한찬규
    • 한국식품영양과학회지
    • /
    • 제36권2호
    • /
    • pp.174-179
    • /
    • 2007
  • 본 연구는 천마분획물이 본태성고혈압쥐(SHR/NCrj)의 혈압과 혈청지질 농도에 미치는 영향을 평가하기 위하여 수행하였다. 실험은 1기와 2기로 나누어 수행하였는데, 실험 1기는 3주 동안 흰쥐사료에 유지(lard : corn oil : cholesterol=10 : 2 : 1%, w/w)를 첨가한 고지방식이를 급여하였고, 실험 2기는 5주 동안 천마분획물로서 저분자분획(GR-1), 다당체분획(GR-2), 단백질분획(GR-3)을 경구투여하였다. 시험종료 체중은 고지방대조군(D)이 천마분획물군(A, B, C)보다 통계적으로 높았고, 식이섭취량은 D군이 천마분획물군보다 많았으며(p<0.05), 식이효율은 차이가 없었다. 혈청지질 중 총콜레스테롤(TC) 농도는 천마분획물군에서는 비슷하였고, D군이 유의하게 높았다(p<0.05). 중성지방(TG) 농도는 천마분획물중 A군과 B군이 D군에 비해 각각 16, 19% 낮았다. 고밀도지단백-콜레스테롤(HDL) 농도는 다당체분획(B)이 D군에 비해서 각각 21% 높았으며(p<0.05), 저밀도지단백-콜레스테롤(LDL) 농도는 약 25% 정도 낮았다. 동맥경화위험지수(AI)는 천마분획물이 유의하게 낮았고, 특히 다당체분획은 고지방대조군에 비해 42%정도 낮았다(p<0.05). 시험개시후 측정한 기준혈압(RBP)은 $180.0\sim190.0mmHg$로 나타났고, RBP 대비 5주후 혈압은 천마분획물에서 각각 1.7, 5.5, 3.6% 감소한 반면, 고지방대조군(D)은 2.6% 증가하였다. 시험 5주의 고지방대조군 대비 천마분획물의 최종혈압을 비교했을 때 다당체분획(B)이 22 mmHg 낮았다. 이상의 결과에서 천마성분중 특히 다당체분획은 TG를 감소시키는 반면, HDL과 LDL은 각각 증가, 감소시키므로 인해 혈압감소에 유의한 영향을 미친 것으로 사료되었다.

수직형 순환식 수은 모세관 다발체 전극 전해계의 개발과 그 특성 연구 (A Study on the Development of Electrolysis System with Vertically Circulating Mercury Capillary Bundle Electrode and its Characteristics)

  • 김광욱;이일희;신영준;유재형;박현수
    • 공업화학
    • /
    • 제7권2호
    • /
    • pp.228-236
    • /
    • 1996
  • 본 연구에서는 고밀집 섬유다발체 내에 수은과 금속이온을 함유한 수용액을 동시에 주입시켜 최소 공간에서 최대한의 수은전극 면적을 갖는 수직형 순환식 수은 모세관 다발체 전극 전해반응 장치가 개발되었다. 이 장치의 특성과 안정성을 평가하기 위해 수은과 수용액의 유량 변화에 따른 철(III)과 우라늄(VI)이온의 환원 voltammogram이 측정되었다. 수용액의 유속은 장치 내 전해반응에 큰 영향을 미쳤으며, 잘 발달된 한계전류를 얻기 위해서는 정밀한 유속조절이 필요하였다. 측정된 voltammogram의 한계전류는 수용액 유속에 선형적으로 비례하였으며, 한계전류를 보이는 전위에서 연속적으로 우라늄(VI)과 철(III) 이온을 100% 환원시킬 수 있었다. 고밀집 섬유집합체 내에서 수은이 모세관 연속체를 유지하는데 필요로 하는 수은유속 이상에서는 수은유속의 변화는 장치 내의 전해반응에 큰 영향을 미치지 않았다. 본 연구에서 개발된 수직형 순환식 수은 모세관 다발체 전극 전해계는 정확히 제어되는 수용액 유량조건에서 수용액 내의 금속이온의 산화수 상태 및 농도의 연속적인 분석 및 전해반응 기구 해석에 효과적으로 사용될 수 있음을 알 수 있었다.

  • PDF