• 제목/요약/키워드: Respiratory rate

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Epidemiology of Lung Cancer in Korea: Recent Trends

  • Park, Ji Young;Jang, Seung Hun
    • Tuberculosis and Respiratory Diseases
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    • 제79권2호
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    • pp.58-69
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    • 2016
  • Lung cancer causes the most cancer deaths in Korea. Although the smoking rate has begun to decrease, the prevalence of lung cancer is still increasing. We reviewed the national lung cancer registry data and the data published about lung cancer in Korea. In 2012, the crude incidence rate of lung cancer was 43.9 per 100,000. The age-standardized mortality rate of lung cancer was 19.8 per 100,000. The 5-year relative survival rate for lung cancer was 11.3% from 1993 to 1995 and increased to 21.9% in the period from 2008 to 2012. Lung cancer occurring in never-smokers was estimated to increase in Korea. Adenocarcinoma is steadily increasing in both women and men and has replaced squamous cell carcinoma as the most common type of lung cancer in Korea. In patients with adenocarcinoma, the frequency of EGFR mutations was 43% (range, 20%-56%), while that of the EMK4-ALK gene was less than 5%.

Urinary Trypsin Inhibitor (UTI)의 일반약리작용 (General Pharmacology of Urinary Trypsin Inhibitor (UTI))

  • 성연희;조순옥;이선애;임화경;장춘곤;김학성;강종구
    • Biomolecules & Therapeutics
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    • 제4권4호
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    • pp.385-390
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    • 1996
  • General pharmacological properties of urinary trypsin inhibitor (UTI) following intravenous administration of 1,000,000 units/kg were examined in terms of effects on central nervous system, cardiovascular system, respiratory system, gastrointestinal system in mice, rats and rabbits. Administration of UTI (1,000,000 units/kg, iv) had no effect on central nervous system; no influences on pentobarbital sleeping time, spontaneous activity, normal body temperature, chemoshock produced by pentylenetetrazole solution, writhing syndromes induced by 0.6% acetic acid solution, and motor coordination of mice. The administration of UTI (1,000,000) units/kg, iv) in rats had no effect on systolic blood pressure and pulse rate. UTI (500,000 units/kg, iv) given to anesthetized rabbits showed no effect on respiratory rate. However, it showed significant elevation of respiratory rate at the concentration of 1,000,000 units/kg. Gastric secretion of rat and intestinal motility of mice were not influenced by the dose of 1,000,000 units/kg. In terms of autonomic nervous system, the material did not show direct effect and inhibitory or augmentative action of histamine- or acetylcholine-induced contraction at the concentration of 2,000 units/ml in the isolated ileum of guinea pig.

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RENAL REGULATION OF UREA EXCRETION DURING UREA INFUSION IN ACUTE HEAT EXPOSED BUFFALOES

  • Chaiyabutr, N.;Buranakarl, C.;Loypetjra, P.
    • Asian-Australasian Journal of Animal Sciences
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    • 제5권1호
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    • pp.81-90
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    • 1992
  • Five buffaloes kept in normal ambient temperature ($30^{\circ}C$) showed no significant changes in the heart rate, respiratory rate, packed cell volume, plasma constituents and renal hemodymics during intravenous infusion of urea for 4 h. The rate of urine flow, fractional urea excretion, urinary potassium excretion and osmolar clearance significantly decreased while the renal urea reabsorption markedly increased during urea infusion. The decrease of fractional potassium excretion was concomitant with the reduction of the rate of urine flow and urine pH. In animals exposed to heat ($40^{\circ}C$) the rectal temperature heart rate and respiratory rate significantly increased while no significant changes in GFR and ERPF were observed. An intravenous infusion of urea in heat exposed animals caused the reduction of the rate of urine flow with no changes in renal urea reabsorption, urine pH and fractional electrolyte excretions. During heat exposure, there were marked increases in concentrations of total plasma protein and plasma creatinine whereas plasma inorganic phosphorus concentration significantly decreased. It is concluded that an increase in renal urea reabsorption during urea infusion in buffaloes kept in normal ambient temperature depends on the rate of urine flow which affect by an osmotic diuretic effect of electrolytes. The limitation of renal urea reabsorption in heat stressed animals would be attributed to an increases in either plasma pool size of nitrogenous substance or body metabolism.

평류안뜰자극이 자율신경성 반응에 미치는 영향 (The Effect of Galvanic Vestibular Stimulation on Autonomic Nervous System Response)

  • 문화영;강솔;김화성;허소영;손유리;이정우
    • 대한임상전기생리학회지
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    • 제8권2호
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    • pp.19-24
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    • 2010
  • Purpose : This study aims to examine the influences of galvanic vestibular stimulation on autonomic reaction of normal adults. Methods : Participants in this research totaled 28 (14 men and 14 women). Galvanic vestibular stimulation was conducted with a binaural electrode configuration for 60 sec. Galvanic vestibular stimulation measurements were conducted with the subjects in a prone position. Measured items included skin conductance, blood flow, pulse rate, and respiratory rate. Measurements were repeated for a total of five times, before application, during application, after application, 5 minutes after application and 10 minutes after application. Results : Skin conductance reaction showed statistically significant differences in changes depending on time after galvanic vestibular stimulation and there were statistically differences in changes of blood flow, pulse rate and respiratory rate after galvanic vestibular stimulation. Conclusion : Blood flow, pulse rate and respiratory rate of autonomic reactions were not influenced by galvanic vestibular stimulation, but skin conductance reaction was influenced by it and it was found that it was reduced during and after stimulation rather than before stimulation. Consequently, it was considered that galvanic vestibular stimulation affected the autonomic reaction.

질소시용량에 따른 수도의 수잉기 내랭성과 약의 호흡활성 변화 (Cool Tolerance at Booting Stage and Respiration of Anther as Affected by Nitrogen in Rice Plant)

  • 최장수;이선용
    • 한국작물학회지
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    • 제35권1호
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    • pp.23-27
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    • 1990
  • 질소시용량의 차이가 수도의 수잉기 내랭성과 출수기에 있어서 약의 호흡활성에 미치는 영향을 구명하고자, 여명벼, 운봉벼, 밀양 2003를 공시하여 소포자초기의 엽신 및 엽소+경의 질소함량, 출수기의 약의 호흡활성 및 내랭성 지표인 임실지수를 조사하여 이들의 상호간계를 검토한 결과를 요약하면 다음과 같다. 1. 소포자초기 엽신질소함량과 임실지수, 약의 호흡량과는 부의 상관관계가 인정되었다. 2. 약의 호흡활성은 100ppm 질소처리보다 10ppm 질소처리에서 높았다. 3. 출수기 약의 호흡활성에 대한 Arhenius plot 분석에서 여명벼, 운봉벼는 100ppm 질소처리에서는 각각 18$^{\circ}C$, 18.5$^{\circ}C$에서 변환점을 나타내었으나, 10ppm 질소처리에서는 온도차이에 따른 변화가 없었으며, 밀양 2003는 10ppm, 100ppm 질소처리에서 각각 20.5$^{\circ}C$, 21$^{\circ}C$에서 변환점을 나타내었다. 4. 15-3$0^{\circ}C$ 온도범위중 2$0^{\circ}C$에서의 약의 호흡량과 임실비율과의 상관계수가 가장 컸었다.

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심박변이도 측정을 통한 두한증(頭汗證) 환자의 자율신경계 기능 평가 (Evaluation of Autonomic Function in Patients with Head-Hyperhidrosis by Power Spectral Analysis of Heart Rate Variability)

  • 이건영;황준호;이성헌;정승연;이형구;정승기;정희재
    • 대한한방내과학회지
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    • 제27권4호
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    • pp.822-826
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    • 2006
  • Objectives : Essential hyperhidrosis is a socially and occupationally disabling disorder. There are many suggestions that hyperhidrosis is associated with the autonomic nervous system, especiallythe sympathetic system. This study was designed to investigate the autonomic nerve system in patients with essential hyperhidrosis and healthy controls by the frequency domain analysis of heart rate variability (HRV). Methods : 17 head-hyperhidrosis patients in the ambulatory care were investigated. All were inspected at the first medical examination. using the PSA of HRV. HRV was measured for minutes after 5 minutes bed rest. We checked the frequency domain analysis of HRV (i.e. TP, VLF, LF, HF) which were transformed into natural logarithm of patients against the standard measures of the HRV components. Then we compared the values of patients with means of normal Korean subjects. Results : The values of natural logarithmic measure of HRV (LnTP, LnHF, LnLF, LnVLF) of patients With head-hyperhidrosis we examined were $6.85{\pm}1.61$, $4.93{\pm}$2.00, $5.40{\pm}1.83$, and $6.13{\pm}1.37$, respectively. None of these values were higher than means of normal subjects. Conclusions : This study suggests that the function of the autonomic nervous system does not increase in patients with head-hyperhidrosis.

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Increasing Recovery of Nontuberculous Mycobacteria from Respiratory Specimens over a 10-Year Period in a Tertiary Referral Hospital in South Korea

  • Koh, Won-Jung;Chang, Boksoon;Jeong, Byeong-Ho;Jeon, Kyeongman;Kim, Su-Young;Lee, Nam Yong;Ki, Chang-Seok;Kwon, O Jung
    • Tuberculosis and Respiratory Diseases
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    • 제75권5호
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    • pp.199-204
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    • 2013
  • Background: The number of patients with pulmonary disease caused by nontuberculous mycobacteria (NTM) has been increasing worldwide. The aim of this study was to evaluate long-term trends in the NTM recovery rate from respiratory specimens over a 10-year period in a tertiary referral hospital in South Korea. Methods: We retrospectively reviewed the records of mycobacterial cultures of respiratory specimens at Samsung Medical Center from January 2001 to December 2011. Results: During the study period, 32,841 respiratory specimens from 10,563 patients were found to be culture-positive for mycobacteria. These included 12,619 (38%) Mycobacterium tuberculosis and 20,222 (62%) NTM isolates. The proportion of NTM among all positive mycobacterial cultures increased from 43% (548/1,283) in 2001 to 70% (3,341/4,800) in 2011 (p<0.001, test for trend). The recovery rate of NTM isolates from acid-fast bacilli smear-positive specimens increased from 9% (38/417) in 2001 to 64% (1,284/1,997) in 2011 (p<0.001, test for trend). The proportion of positive liquid cultures was higher for NTM than for M. tuberculosis (p<0.001). The most frequently isolated NTM were Mycobacterium avium-intracellulare complex (53%) and Mycobacterium abscessus-massiliense complex (25%). Conclusion: The recovery rate of NTM from respiratory specimens in South Korea has increased steadily.

Comparative study: nonsynonymous and synonymous substitution of SARS-CoV-2, SARS-CoV, and MERS-CoV genome

  • Sohpal, Vipan Kumar
    • Genomics & Informatics
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    • 제19권2호
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    • pp.15.1-15.7
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    • 2021
  • The direction of evolution can estimate based on the variation among nonsynonymous to synonymous substitution. The simulative study investigated the nucleotide sequence of closely related strains of respiratory syndrome viruses, codon-by-codon with maximum likelihood analysis, z selection, and the divergence time. The simulated results, dN/dS > 1 signify that an entire substitution model tends towards the hypothesis's positive evolution. The effect of transition/transversion proportion, Z-test of selection, and the evolution associated with these respiratory syndromes, are also analyzed. Z-test of selection for neutral and positive evolution indicates lower to positive values of dN-dS (0.012, 0.019) due to multiple substitutions in a short span. Modified Nei-Gojobori (P) statistical technique results also favor multiple substitutions with the transition/transversion rate from 1 to 7. The divergence time analysis also supports the result of dN/dS and imparts substantiating proof of evolution. Results conclude that a positive evolution model, higher dN-dS, and transition/transversion ratio significantly analyzes the evolution trend of severe acute respiratory syndrome coronavirus 2, severe acute respiratory syndrome coronavirus, and Middle East respiratory syndrome coronavirus.

호흡부전 환자에서 비침습적 양압환기법의 적용 (Application of Noninvasive Positive Pressure Ventilation in Patients with Respiratory Failure)

  • 설영미;박영은;김서린;이재형;이수진;김기욱;조진훈;박혜경;김윤성;이민기;박순규;김영대
    • Tuberculosis and Respiratory Diseases
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    • 제61권1호
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    • pp.26-33
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    • 2006
  • 연구배경: 다양한 원인에 의한 호흡부전증에서 중환자실뿐만 아니라, 응급실, 일반병실에서 호흡보조와 이탈방법으로 NPPV를 사용한 환자에 대해서 임상상을 조사하고, 유용성 및 예후를 조사하고자 하였다. 방 법: 2003년 6월부터 2005년 5월까지 부산대학교병원에서 NPPV로 치료한 34명(남자 16명, 여자 18명,평균연령 58세)을 대상으로 하였다. 모든 환자의 원인질환, 치료기간, 적응 유무, 합병증 및 치료에 대한 성공 여부, NPPV 적용 전과 적용 후 2시간과 24시간 후에 생체징후, 동맥혈 가스검사를 조사하였다. 결 과: 성공 군은 24명(71%), 실패 군은 10명(29%)이었다. 성공 군은 실패 군에 비해 평균 연령, 성별, 치료기간, 생체 징후, $PaO_2$, $PaCO_2$, $SaO_2$는 큰 차이가 없었으나, 적용 전의 pH는 유의하게 높았다. 만성폐쇄성 폐질환환자의 성공률이 비만성폐쇄성 폐질환환자보다 높았으며(86% vs 53%), 2시간후 동맥혈 가스검사도 유의하게 향상하였다. 비만성폐쇄성 폐질환환자에서도 기계환기 이탈 후 NPPV를 적용하였을 때 2시간후 동맥혈검사가 유의하게 향상되었다. 합병증은 총 5건으로 안면 피부 발적 3건, 복부팽만 1건, 구강 건조가 1건이 있었으나 이로 인한 중단 예는 없었다. 결 론: 다양한 원인에 의한 호흡부전증 환자에서 호흡보조와 이탈방법으로 NPPV의 적용은 유용한 방법으로 생각되며, 적용 전의 pH와 적용 2시간 후 분당 호흡수, 동맥혈 이산화탄소 분압,동맥혈 산소 분압, 산소포화도의 향상이 성공 여부에 중요한 인자로 생각된다. NPPV 적용의 성공률을 높이기 위해 적절한 기준 및 기계를 다루는 기술과 경험, 성공 인자에 대한 평가가 필요하다.

신생아의 통증완화를 위한 자당(sucrose) 경구투여 효과 (Pain Relieving Effect of Intraoral Sucrose Replacement in Neonates)

  • 윤혜봉
    • Child Health Nursing Research
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    • 제7권1호
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    • pp.35-50
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    • 2001
  • The ability of neonates to perceive and react to pain, has been acknowledged recently. Recent researches have been shown that even short term pain can have lasting negative effects. We know that most of the anatomical pathway and neurotrans-mitter function necessary for pain perception are fully or nearly fully developed in the neonatal period. Many people are still reluctant to believe that pain felt by neonates may be as severe as that felt by older children or adults yet. The objective of the study is to assess and compare the analgesic effects of orally administered sucrose and pacifiers. And to determine the synergistic analgesic effects of sucrose and pacifiers. The tools for this study is Lawrence's NIPS (neonatal infant pain scale) with behavioural pain responses and index for pain physiological reponses as heart rate, respiratory rate and degree of SaO₂. The participants are 96 healthy infants of neonatal age 1-7days and randomised to receive heel prick before 2minutes to blood sampling and physiological test in Nursery of K Medical University Hospital on May-July, 2000. The experimental group assigned to one of three treatment groups : no treatment; a pacifier; placebo(2ml 25% sucrose). Collected data were analyzed with the SAS program using X²-test, ANOVA and Duncan's multiple range test as post hoc. The results were as follows. 1) Pain behaviour responses: The pain score of placebo group(2ml 25% sucrose) is lower than no treatment group and pacifier group significantly(P=.000). Placebo group is different from no treatment and pacifier group with Duncan's multiple range test. 2) Pain physiologic responses (1) heart rate: The heart rate of placebo group(2ml 25% sucrose) is different from that of no treatment group and pacifier group significantly(P=.000). The heart rate change of placebo group is less than the other groups. (2) respiratory rate: The respiratory rate of placebo group(2ml 25% sucrose) is different from that of no treatment group and pacifier group insignificantly (P=.2340). But, the respiratory rate of placebo group is lower than the other groups. (3) SaO₂: The SaO₂ score of placebo group(2ml 25% sucrose) is different from that of no treatment group and pacifier group insignificantly (P=.3265). But, the change of SaO₂ score of placebo group is less than the other groups. In conclusion, the sucrose placebo showed pain relief effect in behavior responses and less physiological responses. Accordingly, the sucrose placebo should be applied nursing intervention for simple pain management as heel prick.

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