• 제목/요약/키워드: death rate

검색결과 1,653건 처리시간 0.029초

한국에 있어서의 파상풍에 대한 고찰 (최근 10년간을 중심으로) (Current Status of Tetanus in Korea)

  • 김명호;오정진;김윤수;김기순;강진무
    • 보건교육건강증진학회지
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    • 제2권1호
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    • pp.122-132
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    • 1984
  • Aiming to obtain knowledge and information on tetanus occurrence in Korea, an analystical survey was carried out for registered and admitted patients in four large hospitals in Korea during January 1, 1974 through December 31, 1983. Tile results showed as follows: 1. 175 among total 453 tetanus patients died in the hospitals, therefore fatal rate showed as 24.1%. However, the discharged patients against doctors' advices were not included in these died cases. 2. Sex ratio of admitted tetanus patients between male and felame was shown as 3 : 1. 3. Home delivery in neonate tetanus and laceration and abrasion in non-neonate tetanus were observed as the most dominant cause of death respectively and the wound of foot lead the most dominant cause of death in the latter. 4. Clinical features of the tetanus patients on admission showed the following order in the frequency: sucking and disphagia failure(50.8%), convulsion (53.8%), trismus (50.8%). 5. The tetanus patients were terminated with mainly respiratory ani cardiac failure. 6. In the treatment for tetanus patients, airway (58.3%), intubation (45.3%) and tracheostomy(9.7%) were applied respectively.

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Effect of Neurotrophic Factors on Neuronal Stem Cell Death

  • KimKwon, Yun-Hee
    • BMB Reports
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    • 제35권1호
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    • pp.87-93
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    • 2002
  • Neural cell survival is an essential concern in the aging brain and many diseases of the central nervous system. Neural transplantation of the stem cells are already applied to clinical trials for many degenerative neurological diseases, including Huntington's disease, Parkinson's disease, and strokes. A critical problem of the neural transplantation is how to reduce their apoptosis and improve cell survival. Neurotrophic factors generally contribute as extrinsic cues to promote cell survival of specific neurons in the developing mammalian brains, but the survival factor for neural stem cell is poorly defined. To understand the mechanism controlling stem cell death and improve cell survival of the transplanted stem cells, we investigated the effect of plausible neurotrophic factors on stem cell survival. The neural stem cell, HiB5, when treated with PDGF prior to transplantation, survived better than cells without PDGF. The resulting survival rate was two fold for four weeks and up to three fold for twelve weeks. When transplanted into dorsal hippocampus, they migrated along hippocampal alveus and integrated into pyramidal cell layers and dentate granule cell layers in an inside out sequence, which is perhaps the endogenous pathway that is similar to that in embryonic neurogenesis. Promotion of the long term-survival and differentiation of the transplanted neural precursors by PDGF may facilitate regeneration in the aging adult brain and probably in the injury sites of the brain.

Factors Affecting Primary Cultures of Abalone Haliotis discus hannai Ovary-dissociated Cells and General Culture Aspects

  • Ryu, Jun Hyung;Nam, Yoon Kwon;Gong, Seung Pyo
    • Fisheries and Aquatic Sciences
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    • 제18권1호
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    • pp.81-88
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    • 2015
  • We investigated factors affecting primary cultures of Pacific abalone Haliotis discus hannai ovary-dissociated cells to identify general aspects of their early-phase culture. Ninety-seven cell populations derived from 30 individuals were cultured in different media with varying compositions of medium supplements, and initial attachment, subculture, and survival for ${\geq}10$ weeks were assessed according to medium composition and individual. We also examined the time required for subculture and the rate of cell death according to both culturing period and passage number within 10 weeks. A lack of fetal bovine serum (FBS) and hemolymph significantly inhibited the growth of cultured cells, while we detected no significant effect of medium composition on initial cell attachment. Through data reallocation, with the omission of data from cell populations cultured in FBS-free and hemolymph-free media, we showed that growth inhibition was also affected by individual differences among the abalones used. During the culture, we observed four different types of cell morphology. Moreover, considerable time was required for subculture-18.4 and 19.5 days for first and second subcultures, respectively-and cell death did not occur within 30 days or for passage 0. Our results will provide valuable information for developing universal cell culturing guidelines in abalone species and suggest the feasibility of culturing abalone ovary-dissociated cells.

기관지 흉막루의 외과적 치료 (Surgical Treatment of Empyema with Bronchopleural Fistula)

  • 신형주
    • Journal of Chest Surgery
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    • 제23권4호
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    • pp.750-757
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    • 1990
  • Empyema with bronchopleural fistula is an uncommon, but serious problem. Early diagnosis and adequate drainage of the empyema cavity are well established principles for the initial management of this condition and will enable patient to recover from the toxic effects of loculated pus. 37 patients of empyema with bronchopleural fistula were treated at the department of the chonbuk National University Hospital between 1981 and 1988. The age group of fifty and sixty decades occupied 64.8%. Bacteriologic cultures of the pus were postive in 56.8%. The most common organism of the culture was staphylococci(42.9%). And the others were Pseudomonas(19%). Klebsiella(14.3%), and E. doli. No growth of pathologic organism was reported 43.2%. 24 patients of empyema with bronchopleural fistula were nonoperative causes : There were 10 pulmonary tuberculosis, 3 abscess, 9 ascending infection, one bronchiectasis and one tumor, respectively. The remaining 13 were occurred as postoperative complications ; pneumonectomy in 6, lobectomy in 4, decortication in 2, and lobectomy with segmentectomy in 1. When used as the initial mode of drainage, closed thoracostomy was performed to almost all of the patients, but 4 patients were died during this treatment. Main operations were performed except 4 died patients ; open thoracostomy in 21, open thoracostomy with myoplasty in 3, decortication in 5, decortication with resection in 3, and completion pneumonectomy in 1. Open thoracostomy was performed in 21 patients which results were favorable except one death. Permanent open thoracostomy is an old but still useful minor operation in patients with empyema with bronchopleural fistula. The overall mortality rate was 15% (6 patients) and the causes of the death were respiratory insufficiency or sepsis, or both.

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가상공간 시뮬레이션을 활용한 고령자 행동특성 기반 계단 낙상사고 평가 (Evaluation of staircase accidents using 3D virtual simulation based on behavioral characteristics of the elderly)

  • 양현철;나선철;김동현;이재욱
    • 한국BIM학회 논문집
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    • 제7권4호
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    • pp.21-30
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    • 2017
  • Due to the rapidly aging population, the death rate of elderly people by safety accidents has been increasing. In particular, precautions are needed for falls prevention because they either directly or indirectly cause death. In the case of elderly people, most of the fall accidents occur in dense residential areas, and particularly, the staircase poses a risk of falling. Therefore, a safety assessment should be performed from the design phase. However, in general, staircases are designed using existing stair data or only aims to satisfy the installation criteria. Laws and regulations only define minimum requirements for safety, so it is not possible to prevent fall accidents even if they satisfy the requirements. Therefore, this study proposes a simulation-based method for evaluating the safety of staircases. The behavioral characteristics of the elderly are implemented to an virtual user in a virtual space including staircases, and fall accidents are evaluated by the evaluation logic related to the behavioral characteristics. The result shows that the safety of staircases can be preevaluated and reflected on the design to reduce the possibility of fall accidents of the elderly.

Kainic acid 유발 간질 생쥐모델에서 소부혈(少府穴) 침치료의 해마 신경세포 보호효과연구 (The Neuroprotective Effect of Acupuncture Treatment at Shaofu (HT8) on Kainic Acid-induced Epilepsy Mouse Model.)

  • 김윤영;민상연;김지용;김장현
    • 대한한의학회지
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    • 제31권5호
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    • pp.167-178
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    • 2010
  • Objectives: The present study investigated the effects of acupuncture treatment and their mechanism by using the kainic acid (KA)-induced epilepsy mouse model. Materials and Methods: The seizure was induced by an intraperitoneal (i.p.) injection of 30 mg/kg KA, and the acupuncture treatment was subsequently administered to acupoint Shaofu(HT8) bilaterally with two pretreatment sessions before injection (total 3 times over 3 days). Twenty four hours after injection, we observed the survival of neuronal cells in the CA3 region of the hippocampus. In addition, the activation of microglia and astrocytes was observed by using CD11b and GFAP immunohistochemistry in the same region. Results: The results indicate that acupuncture treatment reduced the rate of neural cell death in the CA3 region of the hippocampus and decreased the activations of microglia and astrocytes in this region. Conclusion: These results demonstrate that acupuncture treatment protects hippocampal neuronal cell death from KA-induced epileptic seizure by inhibiting the activations of microglia and astrocytes.

Takayasu 동맥염의 외과적 경험 (Surgical Experience of Takayasu` Arteritis)

  • 김욱성
    • Journal of Chest Surgery
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    • 제26권12호
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    • pp.926-933
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    • 1993
  • We experienced 20 patients with Takayasu`s disease who required 22 surgical procedures for critical arterial stenoses, aneurym of descending thoracic aorta, and aortic regurgitation from 1986 to 1993.Five patients had type I arteritis, seven patients had type II , seven patients had type III, and one patients had type IV.15 patients were female and 5 patients were male.Patients` ages ranged from 17 to 47 years and mean age was 29.1 years. The surgical procedures were as follows;autotransplantations of kidney[3], aortic valve replacements[2], ascending aorta-bilateral internal carotid artery bypasses[2], unilateral renal artery bypasses[2], bilateral renal artery bypasses[3], replacement of descending thoracic aorta[1], ascending aorta-abdominal aorta bypass[1], ascending aorta-right internal carotid artery bypass[1], ascending aorta-right internal carotid artery and left subclavian artery bypass[1], left common carotid artery-left-subclavian artery bypass[1], pulmonary artery angioplasty[1], left femoro-bilateral axillary bypass[1] and others[2]. There was no hospital death.Mean duration of follow-up was 42.7 months[ranged from 3 to 96 months].There was one late death and late mortality rate is 5.9%.Two patients was underwent second vascular procedures, one after 5 years and the other after 5 months.The other patients have done well after surgery.

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Clostridium perfringens 감염에 의한 한우 집단 폐사 증례 (Mass mortality of Clostridium perfringens infection in Hanwoo)

  • 이정원;김지영;곽길한;육현수;손구례;고원석
    • 한국동물위생학회지
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    • 제34권1호
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    • pp.31-35
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    • 2011
  • This is a case report that 24 heads of cattle suddenly died without clinical signs in a Hanwoo farm. The cause of death was Clostridium perfringens enterotoxemia resulted from them with feeding leftover food. The clinical signs were observed just before the death; increase of heart rate, shallow and rapid respiration, amyostasia, spasm and so forth. In autopsy, blood coagulation disorder, a little abdominal inflation, hepatomegaly and different size of red spots, congestion hemorrhage and undercurrent of bloody exudation were observed in the entire parts of small and large intestines. C. perfringens were isolated from the substantive organs, and a unique fragment of 405bp C. perfringens was amplified by PCR. Therefore, this case was diagnosed as enterotoxemia caused by ${\alpha}$-toxin of C. perfringens A type.

심장판막질환의 수술성적 (Early and Late Clinical Results of Cardiac Valvular Surgery)

  • 김형묵
    • Journal of Chest Surgery
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    • 제14권3호
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    • pp.247-253
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    • 1981
  • A total and consecutive 46 patients have undergone cardiac valvular surgery including 8 open mitral commissurotomy and 38 mitral, aortic, mitral-aortic, mitral-tricuspid, tricuspid valve replacements using 46 artificial valves in a period between September 1976 and July 1981. They were 19 males and 27 females with the age ranging from 16 to 50 (mean 32.6) years. Out of 46 valves replaced, 6 were prosthetic valves and 40 were tissue valves, and 33 were replaced in mitral, 9 in aortic and 3 In tricuspid position. Isolated replacements were 33 mitral valves, 6 aortic valves and 1 tricuspid valve; double valve replacements were 6 mitral-aortic valves and 2 mitral-tricuspid valves. . Early mortality within 30 days after operation was noted in 4 cases; 3 after MVR and 1 after open mitral commissurotomy. Causes of death were thrombus obstruction of Beall-Surgitool, Cerebral air embolism, acute renal shut down due to low output syndrome, and left upper pUlmonary vein rupture after open mitral commissurotomy (early mortality 8.7%). 3 late deaths were noted during the follow-up period from 2 to 59 months; 1 due to cerebral hemorrhage from warfarin overdose 3 months, 1 due to miliary tuberculosis 9 months, and another 1 due to cardiac failure after open mitral commissurotomy 42 months postoperatively. Total survival rate 59 months after valvular surgery was 84.8%; there were no early and late death in the group of AVR, TVR and double valve replacements. Preoperative NYHA Class III & IV were 35 cases (76%) out of total 46 cases, and 38 cases (94.8%) out of 39 survival cases were included In NYHA Class I & II during the follow-up period.

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태아 포노그램을 위한 전자청진장치의 개발 (Development of Electronic Stethoscope System for Fetal Phonogram)

  • 김동준
    • 한국정보전자통신기술학회논문지
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    • 제2권3호
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    • pp.9-15
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    • 2009
  • 분만시 국내에서 영아 사망률은 약 1%에 이르고, 태아의 질병 발생과 사망은 계속적으로 일어나고 있으므로 저가의 태아 모니터링기술의 개발이 절실하다. 이를 위하여 본 연구에서는 임산부의 복부로부터 태아의 움직임과 심음을 검출할 수 있는 증폭기를 설계하여 고성능 태아 포노그램용 전자청진장치를 개발하고자 한다. 장치로부터 검출된 태아의 청진 신호는 듣거나 녹음할 수 있으며, PC에서 태아의 심음을 분석할 수도 있다. 개발된 증폭기를 이용하여 잡음에 노출된 일반 대학병원 환경에서 30명의 임산부를 대상으로 임상실험을 수행한 결과, 개발된 증폭기는 저잡음, 고이득의 특성을 나타내고, 임산부 중에서 빠른 경우 22주에서도 태아의 심음을 검출할 수 있었고, 심음의 주기검출이 가능하였다.

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