• 제목/요약/키워드: vitamin protocol

검색결과 13건 처리시간 0.025초

패혈증 및 패혈성 쇼크로 진단 받은 소아 중환자에서 vitamin protocol의 효과 비교 (The Effect of the Vitamin Protocol for Treating Sepsis or Septic Shock in Pediatric Intensive Care Unit)

  • 고현정;정민재;김재송;손은선;유윤미
    • 한국임상약학회지
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    • 제30권3호
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    • pp.161-168
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    • 2020
  • Background: Recently, a study comprising adult patients with sepsis admitted in the intensive care unit (ICU) was conducted. The patients were treated with high doses of intravenous ascorbic acid, thiamine, and hydrocortisone; the clinical outcomes demonstrated significant therapeutic benefits. The mortality rate in children with sepsis is approximately 25%. However, the effects of additional treatment with ascorbic acid and thiamine ("vitamin protocol") in children are rarely investigated. Methods: A retrospective analysis was performed using medical records of patients diagnosed with sepsis and admitted to the pediatric ICU (PICU) between September 2016 and June 2019. The control group received treatment only as per sepsis protocol, whereas the treated group received both sepsis protocol and the vitamin protocol. The primary endpoint was change in Vasoactive-Inotropic Score (VIS) for 5 days. The secondary endpoints included the length of stay in the PICU, duration of using mechanical ventilators and vasopressors, and mortality rate. Results: The number of patients in the treated and control groups was 33 and 24, respectively. The treated group showed greater decrease in their VIS for 5 days than the control group (44.4 vs 18.6); however, the difference was not statistically significant. The length of stay in the PICU was significantly longer for the treated group than for the control group [10.0 days (Interquartile range (IQR), 6-18) vs 4.5 days (IQR, 4-10.3); p=0.004]. Conclusions: No significant treatment benefits were observed following vitamin protocol administration to the pediatric patients with sepsis. Further studies are necessary for improving the efficacy and safety of the vitamin protocol.

Role of vitamin C and rectal indomethacin in preventing and alleviating post-endoscopic retrograde cholangiopancreatography pancreatitis: a clinical study

  • Amir Sadeghi;Rana Jafari-Moghaddam;Sara Ataei;Mahboobe Asadiafrooz;Mohammad Abbasinazari
    • Clinical Endoscopy
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    • 제56권2호
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    • pp.214-220
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    • 2023
  • Background/Aims: This study aimed to determine whether vitamin C in addition to indomethacin decreases the occurrence and severity of post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP) occurrence and severity. Methods: This randomized clinical trial included patients undergoing ERCP. The participants were administered either rectal indomethacin (100 mg) plus an injection of vitamin C (500 mg) or rectal indomethacin (100 mg) alone just before ERCP. The primary outcomes were PEP occurrence and severity. The secondary amylase and lipase levels were determined after 24 hours. Results: A total of 344 patients completed the study. Based on intention-to-treat analysis, the PEP rates were 9.9% for indomethacin plus vitamin C plus indomethacin and 15.7% for indomethacin alone. Regarding the per-protocol analysis, the PEP rates were 9.7% and 15.7% in the combination and indomethacin arms, respectively. There was a remarkable difference between the two arms in PEP occurrence and severity on intention-to-treat and per-protocol analyses (p=0.034 and p=0.031, respectively). The post-ERCP lipase and amylase concentrations were lower in the combination arm than in the indomethacin alone arm (p=0.034 and p=0.029, respectively). Conclusions: Vitamin C injection in addition to rectal indomethacin reduced PEP occurrence and severity.

The Relationship between Depressive Symptoms and Modifiable Lifestyle Risk Factors in Office Workers

  • Jin, Youngyun;Ha, Changduk;Hong, Hyeryun;Kang, Hyunsik
    • Journal of Obesity & Metabolic Syndrome
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    • 제26권1호
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    • pp.52-60
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    • 2017
  • Background: This study investigated the relationship between depressive symptoms and physical fitness, obesity indices, and vitamin D status in office workers. Methods: The subjects were 514 adults with more 30 years of experience as office workers in the city of Seoul. Lifestyle risk factors, obesity indices, physical fitness, and serum vitamin D levels were assessed with a standardized protocol. The Beck Depression Inventory (BDI) was used to assess depression status. Vitamin D status was assessed by measuring serum 25-hydroxyvitamin D concentrations. Based on the BDI scores, participants were classified into no depression (ND, $BDI{\leq}9$), mild depression (MiD, $10{\leq}BDI{\leq}15$), and moderate depression (MoD, $16{\leq}BDI{\leq}23$) groups. Results: Compared with the high cardiorespriatory fitness group, the low cardiorespiratory fitness (men OR=2.618, women OR=1.596) an middle cardiorespiratory fitness group (men OR=1.256, women OR=1.110) had significantly higher odds ratio for having depressive symptoms, even after adjustment for age, hypertension, diabetes, hyperlipidemia, cardiovascular disease, alcohol intake, smoking, body mass index (BMI), percent body fat (%BF), and waist circumference (WC). Compared with the insufficient or deficient vitamin D group , the sufficient vitamin D group had significantly lower odds ratios for having depressive symptoms (men OR=0.121, women OR=0.114), even after adjustment for age, hypertension, diabetes, hyperlipidemia, cardiovascular disease, alcohol intake, smoking, BMI, %BF, and WC. Conclusion: Vitamin D supplementation and outdoor activities should be key components of a lifestyle intervention against office workers' depression.

발정동기화 처리한 홀스타인 처녀소의 수태율 향상을 위한 비타민 ADE 또는 미네랄의 투여 효과 (Effects of Vitamin ADE or Mineral Supplement on Conception Rates of Estrus Synchronized Holstein Heifers)

  • 이승진;신상태
    • 한국수정란이식학회지
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    • 제31권3호
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    • pp.255-260
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    • 2016
  • The aim of this study is to evaluate the effects of vitamin or mineral supplements on the conception rates of dairy heifers when replacing the last injection of GnRH with hCG in ovsynch protocol (experiment 1) and also to investigate whether the estrus synchronization treatment in the heifer stage affects the conception rates after $1^{st}$ parturition (experiment 2). In experiment 1, 50 heifers were randomly assigned into 3 groups: 20 heifers each in groups 1 and 2, and 10 in group 3. All three groups were treated with an intramuscular injection of GnRH on day 0 (day 0 = the day of program start), $PGF_{2{\alpha}}$ on day 7 and hCG on day 9, and were inseminated on day 10, 12~16h after hCG injection. In group 1 (vitamin group), the heifers were treated with an intramuscular injection of 5 ml of vitamin-ADE $500^{(R)}$, and group 2 (mineral group) was treated twice with an intramuscular injection of 30 ml of mineral supplement-LAPTOVET$^{(R)}$ on a one-week interval beginning on the day of hormone treatment (day 0 and day 7 respectively). Group 3 (control) was treated only with hormones. Pregnancy diagnosis was performed by ultrasonography through a rectal probe. First service conception rates (FSCR) and average services per conception (ASPC) were recorded for all subjects. Of the total 50 heifers, 6 (2 in group 1, 3 in group 2, and 1 in group 3) heifers were eliminated due to accidents during experiment 1. FSCRs were 58.8% (10/17), 66.7% (12/18) and 44.4% (4/9) in groups 1, 2 and 3, respectively. ASPCs were $1.53{\pm}0.72$, $1.27{\pm}0.59$ and $1.63{\pm}0.74$ in groups 1, 2 and 3, respectively. Although there were no significant difference between the groups, relatively good results (higher FSCR and lower ASPC) were obtained in both group 1 and 2. In experiment 2, 11 primiparous cows from group 2 of experiment 1 in heifer stage which had been treated both with the hormones for estrus synchronizing and mineral supplements (ES group), and 12 primiparous cows treated only with minerals (non-ES group) were compared to examine the effects of estrus synchronization program on conception rates after $1^{st}$ parturition. Following the examination, postpartum ASPCs were $1.55{\pm}0.82$ and $2.17{\pm}1.47$ in ES group and non-ES group, respectively. The postpartum average days open (ADO) were $116{\pm}56$ and $197{\pm}93$ in ES group and non-ES group, respectively. Although there were no significant difference between the two groups, desirable results (lower ASPC and shorter ADO) were found in ES group after $1^{st}$ parturiton. In conclusion, experiment 1 indicates that vitamin or mineral supplement with ovsynch protocol may have some positive effect on FSCR and ASPC of dairy heifers, and in experiment 2, ES program in heifer stage had a positive effect on ASPC and ADO following $1^{st}$ parturition.

Effect of curcumin in the prevention of experimentally induced nephrolithiasis in rats by ethylene glycol and Vitamin D3

  • Gandhi, Chintan N;Balaraman, R
    • Advances in Traditional Medicine
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    • 제9권3호
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    • pp.259-267
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    • 2009
  • Curcumin (CMN) is known to have beneficial role in anorexia, coryza, cough, diabetic wounds, and hepatic disorders apart from its inherent antioxidant effects. Therefore, the present study was aimed to evaluate antioxidant effect of CMN in prevention of nephrolithiasis in rats-induced by ethylene glycol (EG) and Vitamin D3 (Vit. D3). Male Wistar rats (175 - 200 g) were randomized in groups like control, EG + Vit. D3 induced nephrolithiatiatic rats, CMN treated rats, CMN + EG + Vit. D3 treated rats, Vit. E + EG + Vit. D3 treated rats. Urine was collected weekly throughout the experimental protocol and estimated for calcium oxalate (CaO) count. After completion of experimental protocol serum was estimated for blood urea nitrogen and creatinine. Both the kidneys were excised and used to evaluate levels of biomarkers of oxidative stress and calcium oxalate crystal deposition by histopathological studies. Administration of EG and Vit. D3 to rats resulted in increased oxidative stress, hyperoxaluria and renal deposition of CaO crystals. Supplementation with CMN improves kidney function, reduces elevated oxidative stress, urinary oxalate level and renal deposition of CaO which shows its protective action in nephrolithiasis. The increased deposition of stone in the kidney and stone forming constituents of nephrolithiatic rats were effectively lowered by treatment of CMN.

The impact of probiotics and vitamin C on the prevention of upper respiratory tract symptoms in two preschool children cohorts

  • Zuzana Paduchova;Zuzana Nagyova;Duolao Wang;Jana Muchova
    • Nutrition Research and Practice
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    • 제18권1호
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    • pp.98-109
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    • 2024
  • BACKGROUND/OBJECTIVES: The efficacy of Lab4 probiotic and vitamin C combination on the prevention of upper respiratory tract infections (URTIs) was investigated in two studies with children. Our objective was to pool dataset of 57 preschool children from the PROCHILD study (ISRCTN28722693) and the dataset of 50 preschool matched cohort from the PROCHILD-2 study (ISRCTN26587549) to evaluate the impact of probiotic/vitamin C combination on the prevention of upper respiratory tract symptoms and provide a more robust assessment of effect using detailed individual level data. SUBJECTS/METHODS: The children were supplemented daily for 6 months with either the multistrain probiotic (1.25×1010 cfu/tablet consisting of two strains of Lactobacillus acidophilus CUL21 and CUL60, Bifidobacterium bifidum CUL20 and Bifidobacterium animalis subsp. lactis CUL34) plus 50 mg vitamin C or a placebo. RESULTS: In the pooled analysis of the individual participant data (per protocol population), significant reductions were observed for the incidence (-25%; 95% confidence interval [CI], 0.66, 0.85; P < 0.0001) and duration (-14.9 days; 95% CI, -24.8, -5.1; P = 0.0030) of typical URTI symptoms in the active group compared with the placebo. The incidence rates of absenteeism from preschool (IR ratio, 0.75; 95% CI, 0.66, 0.86; P < 0.0001), paediatric visits (IR ratio, 0.56; 95% CI, 0.47; 0.68; P < 0.0001) and antibiotic usage (IR ratio, 0.53; 95% CI, 0.39, 0.71; P < 0.0001) were also significantly reduced. CONCLUSION: The pooled analysis findings of comparable preschool cohorts from two studies indicate that the supplementation with probiotic and vitamin C combination is beneficial in the prevention and management of URTI symptoms.

대규모 GMO 포장에서 비타민 A 강화 벼의 농업특성 검정 (Characteristics of agronomy to vitamin A strengthening rice at large scale GMO field)

  • 이현숙;류태훈;정희영;박순기;박규환;손재근;김경민
    • 한국육종학회지
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    • 제42권1호
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    • pp.56-60
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    • 2010
  • 본 연구는 대규모 GMO 격리포장에서 비타민 A 영양성분이 강화된 황금벼의 안정성 평가에 대한 가이드라인 및 프로토콜의 개발하고자 수행하였다. GM 작물의 상업화는 환경과 인간건강에 대한 영향을 포함하여 GM 작물에 대한 신뢰성을 구축하기 위해서도 GM 작물을 상업화하기 이전에 보다 체계적인 과학적인 검증자료가 제공되어야 한다. 경북대학교 농업생명과학대학 GMO 실습격리포장에서 총 사용면적 $4,700m^2$에서 비타민 A 강화벼(황금벼)와 모품종인 '낙동'에 대해 농업적인 특성과 병 발생양상을 조사하였다. 일반적으로 포장에서 형질전환체 작물의 수장, 수수 등은 '낙동'과는 차이가 났다. 황금벼와 '낙동'의 간장, 미립특성은 '낙동'과 유사하지만, 수량은 등숙율과 1,000립중의 감소에 기인된 것으로 조사되었다. 잎도열병과 잎집무늬마름병의 병방제가의 차이는 났지만 유의성은 나지 않는 것으로 나타났다. 이 실험결과는 GM 작물에 대한 환경과 인간과의 그 밖의 위해성에 대한 농업적인 특성, 병 발생양상을 일차적으로 안정성 평가를 위한 체계적인 프로토콜로 도출할 수 있을 것이다.

비타민 A 강화 벼의 대규모 GMO 포장에서 곤충다양성 분석 (Studies on Insect Diversity Related to Genetically Engineered Vitamin A Rice under Large Scale Production)

  • 김경민;류태훈;서상재
    • 한국육종학회지
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    • 제42권2호
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    • pp.157-162
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    • 2010
  • 본 연구는 대규모 GMO 격리포장에서 비타민 A 영양성분이 강화된 황금벼의 안정성 평가에 대한 가이드라인 및 프로토콜을 개발하고자 모본으로 사용된 '낙동'을 대조로하여 수행하였다. 경북대학교 농업생명과학대학 GMO 실습격리포장 에서 총 사용면적 4,700 $m^2$에서 황금벼와 모품종인 '낙동'에 대해 거미류를 포함한 곤충류 다양성을 조사하였다. 조사기간 동안 채집된 개체들은 기능별로 해충군, 천적군, 거미군으로 크게 구분하여 계수하였으며, 조사된 개체군의 해충군, 천적군, 거미류 등의 밀도는 기능군 별로 황금벼와 '낙동'간에 유의성을 보이지 않았다. 해충의 발생양상을 비교 분석한 결과 전반적으로 '낙동'에서 발생량이 다소 많은 경향으로 나타났으며, 일부 시기를 제외하고는 대부분의 시기별 평균 간의 차이는 없는 것으로 나타나 황금벼와 '낙동'과의 해충 발생양상에는 유의성을 찾기가 어렵다고 판단된다. 또한 천적류 발생 양상은 해충과는 달리 황금벼에서 발생량이 다소 많은 경향으로 나타났으나, 시기별 평균 간 차이는 없는 것으로 분석되어 천적 발생양상에는 특이한 유의성을 없다고 판단된다. 따라서 비타민 A 영양성분이 강화된 황금벼에서의 해충 및 천적의 개체군 밀도 및 발생양상은 모본인 '낙동'에서와 차이가 없는 것으로 조사되었다.

홍고추의 저장온도 및 해동조건에 따른 물리화학적 특성 변화 (Changes of Characteristics in Red Pepper by Various Freezing and Thawing Methods)

  • 이혜은;임채일;도경란
    • 한국식품저장유통학회지
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    • 제14권3호
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    • pp.227-232
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    • 2007
  • 홍고추를 원료형태에 따라 원형, 세절, 분쇄로 제조하여 $-5^{\circ}C,\;-20^{\circ}C$$-40^{\circ}C$ 저장고에 보관하였다. 고추의 표면색도는 저장온도 조건에 따라 저장일수가 증가할수록 약간 감소하는 경향을 보였으며, 비타민 C 함량은 원형 홍고추가 세절고추나 분쇄고추보다 저장기간 동안 완만하게 감소하는 경향을 보였다. 저장온도별로는 $-40^{\circ}C$ 저장군에서 비타민 C 함량이 가장 높게 유지되었으며, $-5^{\circ}C$ 저장군에서 저장 2개월째 50% 이하로 급격히 감소하였다. 유리당 함량은 저장일수가 증가할수록 모든 처리구에서 저장 2개월까지 약간 증가하다가 점차적으로 감소하였으며 $-5^{\circ}C$ 저장온도 처리군에서의 감소변화가 $-20^{\circ}C,\;-40^{\circ}C$ 저장온도 처리군보다 심하게 나타났다. 냉동고추를 실온 해동시 드립로스의 양이 냉장 해동, microwave oven 해동시보다 약 2배 가까이 드립로스양이 발생하였으며, 표면색도는 고온 해동시 갈색화가 심하게 나타났다. 해동조건에 따른 냉동고추의 성분 변화는 냉장 해동과 microwave oven 해동시 가장 적게 나타났으며, 해동 시간을 고려한다면 microwave oven 해동이 가장 실용적인 방법이라고 여겨진다.

붉은목왈라비에서 발생한 포획근병증 (Capture Myopathy in a Red-Necked Wallaby (Macropus rufogriseus))

  • 김지용;오석현;김양범;권수완;지향;김대영;신남식
    • 한국임상수의학회지
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    • 제27권2호
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    • pp.198-201
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    • 2010
  • 본 증례는 8개월령의 암컷 붉은목왈라비에서 발생한 포획근병증으로, 피부병 치료를 위하여 약욕 후 침울, 파행, 기립불능증의 임상증상을 보이다 14일 후에 폐사하였다. 왈라비가 기립불능 증상을 보인 다음날 실시한 혈액검사 에서, CK, ALT, AST의 상승을 확인하였다. 폐사 후 실시한 조직검사에서, 골격근과 심근의 근섬유가 퇴행되고, 괴사 된 소견을 발견할 수 있었다. 동거 개체로부터의 압박과 비타민 E의 부족이 의심되는 급여력, 약욕시의 스트레스등과혈액검사와 조직검사 결과 포획근병증으로 진단하였다. 포획근병증은 유대류에서 호발하는 질병으로 알려져 있으나 국내에서의 발병보고는 본 증례가 최초로, 포획근병증의 관리에 도움이 될 것이다.