• Title/Summary/Keyword: Mortality Improvement

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Vitamins and minerals for women: recent programs and intervention trials

  • Greiner, Ted
    • Nutrition Research and Practice
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    • v.5 no.1
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    • pp.3-10
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    • 2011
  • Women's nutrition has received little attention in nutrition programming, even though clinical trials and intervention trials have suggested that dietary improvement or supplementation with several nutrients may improve their health, especially in low-income settings, the main focus of this paper. Most attention so far has focused on how improvements in maternal nutrition can improve health outcomes for infants and young children. Adequate vitamin D and calcium nutrition throughout life may reduce the risk of osteoporosis, and calcium supplementation during pregnancy may reduce preeclampsia and low birth weight. To reduce neural tube defects, additional folic acid and possibly vitamin $B_{12}$ need to be provided to non-deficient women before they know they are pregnant. This is best achieved by fortifying a staple food. It is unclear whether maternal vitamin A supplementation will lead to improved health outcomes for mother or child. Iron, iodine and zinc supplementation are widely needed for deficient women. Multimicronutrient supplementation (MMS) in place of the more common iron-folate supplements given in pregnancy in low-income countries may slightly increase birth weight, but its impact on neonatal mortality and other outcomes is unclear. More sustainable alternative approaches deserve greater research attention.

Mitral Valve Reconstruction; Result of Operation Using Prosthetic Ring (승모판막 재건술;인공판륜[prosthetic ring]을 이용한 수술례)

  • 이재원
    • Journal of Chest Surgery
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    • v.26 no.3
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    • pp.191-195
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    • 1993
  • Among 25 consecutive cases having undergone mitral valve surgery between March 1991 and June 1992 in Gill General Hospital, 11 patients[44%] who had undergone mitral valve reconstruction using prosthetic rings is evaluated and presented. Patients` mean age is 43 + 19 years[range:16-72], and they are consisted with 4 males and 7 females. Mitral valve insufficiency is due to degenerative disease in 6 cases[55%] and rheumatic disease in 5 patients[45%]. Carpentier`s functional classification I is 2 cases, II is 6 cases, and III is 2 cases. Surgical techniques include prosthetic ring annuloplasty[11 patients, 100%], chorda shortening[6, 55%], leaflet mobilization[4,36%], new chorda formation[2, 18%], chorda transposition[1, 9%] commissurotomy[3, 27%], and papillary muscle splitting[3, 27%]. Average number of mitral anatomic lesions per patient are 2.7 and we used average 2.8 procedures upon mitral valve apparatus per patient. There were no surgical mortality and no late valve related admission during the mean follow up period of 17 months. The mean functional class[NYHA] is 2.81 preoperatively and improved to 1.10 postoperatively. Doppler echocardiography showed much improvement from grade II MR [1 case], grade III MR [1 case] and 9 cases of grade IV MR to 6 cases of patients showed no MR, only trace MR in 4 cases, and grade I MR was found only in one patient with NYHA functional class II postoperatively. The postoperative mean mitral valve area is $2.10+0.28cm^2$. We conclude that mitral reconstruction is a predictable and stable operation.

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A Study on Operation Status of Syndromic Surveillance System for Early Detection of Adverse Disease Events (증후군감시 조기경보시스템의 국내외 운영현황에 관한 연구)

  • Yang, Eunjoo;Park, Hyun Woo;Ryu, Keun Ho
    • Journal of Digital Contents Society
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    • v.19 no.3
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    • pp.587-593
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    • 2018
  • The syndromic surveillance system is designed to identify illness clusters before diagnoses are confirmed and reported to public health agencies, to provide rapid public health response, and thereby to reduce morbidity and mortality. Korea Centers for Disease Control and Prevention (KCDC) has implemented the emergency department-based syndromic surveillance system. To design upgraded and enhanced functions of the current syndromic surveillance system in KCDC for the early warning of adverse disease events, we surveyed many papers. This paper describes the operation status of syndromic surveillance system in other countries and the improvement of the syndromic surveillance system in KCDC.

Phlegmonous Gastritis with Early Gastric Cancer

  • Kim, Kyung Hee;Kim, Chan Gyoo;Kim, Young-Woo;Moon, Hae;Choi, Jee Eun;Cho, Soo-Jeong;Lee, Jong Yeul;Choi, Il Ju
    • Journal of Gastric Cancer
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    • v.16 no.3
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    • pp.195-199
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    • 2016
  • Phlegmonous gastritis is a rare and rapidly progressive bacterial infection of the stomach wall, with a high mortality rate. Antibiotics with or without surgical treatment are required for treatment. We present a case in which phlegmonous gastritis occurred during the diagnostic evaluation of early gastric cancer. The patient showed improvement after antibiotic treatment, but attempted endoscopic submucosal dissection failed because of submucosal pus. We immediately applied argon plasma coagulation since surgical resection was also considered a high-risk procedure because of the submucosal pus and multiple comorbidities. However, there was local recurrence two years later, and the patient underwent subtotal gastrectomy with lymph node dissection. Considering the risk of incomplete treatment immediately after recovery from phlegmonous gastritis and that recurrent disease can be more difficult to manage, delaying treatment and evaluation until after complete recovery of PG might be a better option in this particular clinical situation.

HEALTH PROMOTION - A NEW CHALLENGE IN THE 21ST CENTURY (건강증진-21세기의 새로운 도전)

  • 한상태
    • Korean Journal of Health Education and Promotion
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    • v.9 no.2
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    • pp.1-11
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    • 1992
  • For the world as a whole, many of the trends in health are towards improvement, especially in terms of increasing life expectancy and decreasing infant mortality. By the year 2000 we expect some diseases such as poliomyelitis to be eradicated, and others, such as leprosy, measles and iodine deficiency disorders, to have been brought under virtually complete control. For this country, the situation will probably soon be like that of the OECD-countries, with a life expectancy for both men and women of over 75 years, 12% or more of the population in the age group of 65 and over, and 75% of the population living in cities. Once those levels have been reached, however, change becomes much more gradual. In this paper I will mention some of the health benefits we now enjoy as a result of rapid development, as well as some of the new problems we now face. I will then attempt to show how health promotion is a response to this new situation and how it can be used in some particular dimensions of modem life. (omitted)

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A Case Report of Lupus Nephritis in a Child Patient Treated with Jasinwhalhyul-tang and Steroid Therapy (자신활혈탕(滋腎活血湯)과 스테로이드 병합요법으로 관해를 보인 소아 낭창성 신염 환자 1예)

  • Chang, Sun-Kyu;Choi, Jeong-Sik;Ann, So-Hyun;Cho, Chung-Sik;Kim, Cheol-Jung
    • The Journal of Internal Korean Medicine
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    • v.29 no.3
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    • pp.819-826
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    • 2008
  • In childhood systemic lupus erythematosus patients, renal involvement is closely related to mortality and morbidity of the disease. Therefore early diagnosis and treatment are essential to improving prognosis. We saw a child who had hematuria, albuminuria, anorexia, fatigue, and light hyper sensitiveness. He was diagnosed as lupus nephritis (WHO Class II+IV) and treated with ACE inhibitor and steroid therapy for 12 months. However, clinical improvement was not shown. So we treated him with herbal formula (Jasinwhalhyul-tang: Zishenhuoxue-tang) and steroid therapy. After 17 months of treatment, hematuria disappeared and clinical symptoms and albuminuria had improved significantly.

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A Research Review of Village Chicken Production Constraints and Opportunities in Zimbabwe

  • Mapiye, C.;Mwale, M.;Mupangwa, J.F.;Chimonyo, M.;Foti, R.;Mutenje, M.J.
    • Asian-Australasian Journal of Animal Sciences
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    • v.21 no.11
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    • pp.1680-1688
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    • 2008
  • Development of village chicken production can be a sustainable way of helping to meet the welfare needs of rural populations and raise their living standards. There is a dearth of information on research conducted to characterize, understand and develop the village chicken production systems in Zimbabwe. This review focuses on constraints, opportunities and research needs for the improvement of village chicken productivity in Zimbabwe. Village chicken production in Zimbabwe is extensive and dominated by indigenous chickens that exhibit remarkable adaptation to local environments. The multitude functions of village chickens, which include the provision of high quality protein meat and eggs, cash through sales and socio-cultural roles, are discussed in detail. Human gender aspects in village chicken production are highlighted. The factors that hamper village chicken productivity are reviewed together with opportunities and research needs. The major constraints include shortage of feed, poor health and housing management. Any improvements in these constraints may lead to sustainable increase in village chicken productivity.

Study on Kidney Toxicity of BDR-29 for Treatment Vascular Diseases in Rats (혈관질환 억제 효능이 있는 BDR-29의 백서 신장 독성연구)

  • Kim, Eun-Ju;Kang, Dae-Gill;Lee, An-Sook;Choi, Deok-Ho;Cho, Kuk-Hyun;Kim, Sung-Yun;Lee, Ho-Sub
    • Herbal Formula Science
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    • v.16 no.2
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    • pp.163-169
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    • 2008
  • The kidney toxicities of BDR-29 used for improvement of the vascular diseases, was examined using male and female Sprague-Dawley rats. The male and female rats were divided into 4 groups for intragastrical treatment with doses of 0, 5, 50, and 500 mg/kg/day for 13 weeks, respectively. In all male and female rats treated with BDR-29, no mortality and gross pathological findings were shown for 13 weeks. There substantially was no change in body weight in all rats with treatment of BDR-29. The renal functional parameters including urinary volume, urine osmolality, electrolytes excretory rate, creatinine clearance, and solute-free water reabsorption were not exchanged in all rats treated with BDR-29. Taken together, these results suggest that BDR-29 has no toxicity on kidney in all male and female rats.

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PIV measurement of oscillatory flow in a micro-channel as a bronchiole model

  • LEE Won-je;KAWAHASHI Massaki;HIRAHARA Hiroyuki
    • 한국가시화정보학회:학술대회논문집
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    • 2004.12a
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    • pp.125-134
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    • 2004
  • The improvement of artificial respiration method has brought about the decrease in mortality of pulmonary diseases patients. Various respiratory curative methods, inclusive of HFOV (High Frequency Oscillatory Ventilation), have been developed for more effectual and less harmful management of acute respiratory failure. However, the mechanism of gas transfer and diffusion in a bronchiole has not yet been clarified in detail. As a first approach to the problem, we measured oscillatory flows in a Y-shaped micro-channels as bronchiole model by micro Particle Image Velocimetry(micro PIV). In order to establish the fundamental technique of PIV measurements on oscillatory air flow in a micro-channel, we used about 500-nm-diameter incense smoke particles, a diode laser, a high speed camera including an objective lens, and a HFOV, which is effective technique for medical care of pulmonary disease patients, especially, infants. The bronchiole model size is that parent tube is $500\{mu}m$ width and $500\{mu}m$ depth, and daughter tubes are $450\{mu}m$ width and $500\{mu}m$ depth. From this study made on the phenomenon of fluid in micro size bronchus branch of a lung, we succeeded to get time series velocity distribution in a micro scale bronchial mode. The experimental results of velocity distribution changing with time obtained by micro PIV can give fundamental knowledge on oscillatory airflow in micro-channel.

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Mid-term Experience with the Pyrolytic Carbon Bileaflet Mechanical Valves (쌍엽 기계판막에대한 임상연구)

  • 박계현
    • Journal of Chest Surgery
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    • v.25 no.2
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    • pp.137-148
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    • 1992
  • Until March 1991, 435 St. Jude Medical valves and 330 CarboMedics valves were implanted in 358 and 251 patients, respectively. 300 patients were male and 309 were female with the mean age of 35.6 years[from 2 month to 68 years]. 458 valves were implanted in the mitral, 272 in the aortic, 25 in the tricuspid, and 10 in the pulmonic position. Postoperatively, all patients except for very young patients were given coumadin with or without dipyridamole for anticogulation Operative mortality was 7.3%[45 deaths per 618 operations]. A total follow-up of 1244.8 patient-years was achieved for the operative survivors with a follow-up rate of 96.8%, [mean follow-up period=26.3 months /patient, ranging from 1 to 80 months]. Functional improvement was evident; 66.7% of these patients were in NYHA functional class III or IV preopratively, whereas 98.4% are in class I or II pos-toperatively. There occurred 13 late deaths[7 valve-related] and 55 valve-related complications. Linearized rates of late death and valve-related complications were 1.0%/ patient-year, 4.42%/patient-year, respectively. Rates of thromboembolism, anticoagluation-related hemorrhage were 1.12%/patient-year, 1.69% /patient-year, respectively. Actuarial survival at 5 years is 96.0% and complication-free survival at 5 years is 83.9%. No difference in survival and incidence of complications was found between the St. Jude and CarboMedics valves. On the basis of this experience, we believe that the pyrolytic carbon bileaflet mechanical valves are safe and preferable choice among current valve prostheses.

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