• Journal of Korean Neurosurgical Society
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• 제67권4호
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• pp.451-457
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• 2024

Objective : Exploring protein requirements for critically ill patients has become prominent. On the other hand, considering the significant impact of coma therapy and targeted temperature management (TTM) on the brain as well as systemic metabolisms, protein requirements may plausibly be changed by treatment application. However, there is currently no research on protein requirements following the application of these treatments. Therefore, the aim of this study is to elucidate changes in patients' protein requirements during the application of TTM and coma therapy. Methods : This study is a retrospective analysis of prospectively collected data from March 2019 to May 2022. Among the patients admitted to the intensive care unit, those receiving coma therapy and TTM were included. The patient's treatment period was divided into two phases (phase 1, application and maintenance of coma therapy and TTM; phase 2, tapering and cessation of treatment). In assessing protein requirements, the urine urea nitrogen (UUN) method was employed to estimate the nitrogen balance, offering insight into protein utilization within the body. The patient's protein requirement for each phase was defined as the amount of protein required to achieve a nitrogen balance within ±5, based on the 24-hour collection of UUN. Changes in protein requirements between phases were analyzed. Results : Out of 195 patients, 107 patients with a total of 214 UUN values were included. The mean protein requirement for the entire treatment period was 1.84±0.62 g/kg/day, which is higher than the generally recommended protein supply of 1.2 g/kg/day. As the treatment was tapered, there was a statistically significant increase in the protein requirement from 1.49±0.42 to 2.18±0.60 in phase 2 (p<0.001). Conclusion : Our study revealed a total average protein requirement of 1.84±0.62 g during the treatment period, which falls within the upper range of the preexisting guidelines. Nevertheless, a notable deviation emerged when analyzing the treatment application period separately. Hence, it is recommended to incorporate considerations for the type and timing of treatment, extending beyond the current guideline, which solely accounts for the severity by disease.

• 한국식품위생안전성학회지
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• 제26권2호
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• pp.182-185
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• 2011

본 연구는 학교 주변에서 판매되고 있는 어린이기호식품의 정확한 실태 파악과 위해분석을 통하여 어린이 기호식품의 적절한 관리방안을 마련하기 위해 수행되었다. 현재 학교 주변에서 판매되고 있는 과자류, 캔디류, 초콜릿류, 빙과류, 음료류의 어린이기호식품 총 598종을 구매하여 시료로 사용하였으며, 미생물학적 위해요소(일반세균, 진균, 대장균군, 대장균, Bacillus cereus)에 대해 식품공전법을 사용하여 분석하였다. 과자류는 일반세균, 진균이 각각 2.69, 2.65 $log_{10}$ CFU/g 이하 수준으로 검출되었고 검출율은 각각 54.55, 62.12%이었다. 파자 1개 제품에서 Bacillus cereus가 검출되었으나(1.39 $log_{10}$ CFU/g), 법적 허용기준(3 log) 이하였다. 캔디류는 일반세균, 진균이 각각 최대 2.86, 3.36$log_{10}$ CFU/g 검출되었고 검출율은 각각 46, 8%였다. 초콜릿류는 일반세균, 진균이 각각 최대 2.52, 1.87 $log_{10}$ CFU/g 검출 되었고, 검출율은 각각 33, 22%로 나타났다. 빙과류와 음료류는 일반세균이 각각 최대 3.39, 1.35 log10CFU/mL 검출되었고, 검출율은 각각 82, 5%였으며, 빙과류 1개 제품에서 대장균군이 1.00 $log_{10}$ CFU/mL 수준으로 검출되었다. 본 연구결과, 시판되는 모든 어린이 기호식품이 미생물기준에 적합한 것으로 나타났다. 그러나 대부분의 학교 주변 어린이기호식품 판매점이 보관 온도나 취급조건 등을 갖추지 못한 채 제품이 유통, 판매되어지기 때문에 어린이기호식품에 대한 지속적인 미생물 관리가 필요할 것으로 판단된다.