• Title/Summary/Keyword: weaning rate

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기계적 호흡 치료로부터의 이탈방법으로서 Intermittent Mandatory Ventilation 단독 사용과 Pressure Support를 병용한 Intermittent Mandatory Ventilation의 비교 (A Comparison of Clinical Efficacy of Weaning Method Between the Mode of Intermittent Mandatory Ventilation and Intermittent Mandatory Ventilation Plus Pressure Support)

  • 최정은;고윤석;조원경;임채만;김우성;박평환;최종무;김원동
    • Tuberculosis and Respiratory Diseases
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    • 제41권4호
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    • pp.372-378
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    • 1994
  • 연구배경 : PSV는 시술자가 정해준 만큼의 양압으로 기관 삽관 환자의 자발적 흡기 노력을 도울 수 있는 새로운 기계 호흡 방식으로서 5~10cm $H_2O$로 적용시 기관내 삽관으로 인한 기도 저항 및 인공 호흡기 회로에서 발생하는 저항을 극복할 수 있다. 저자들은 기계호흡 이탈시 IMV 단독적용과 IMV에 10cm $H_2O$ 압력의 PSV 병용시 이탈성공률 및 이탈과정 중 나타나는 생리적인 변화를 비교하고자 하였다. 방법 : 기계호흡을 받는 환자로 기저질환이 안정되고 활력징후 및 동맥혈 가스교환 지표가 안정된 환자에게 IMV와 IMV + PSV를 무작위 적용하였다. 각 환자의 임상적 특성, APACHE II score 및 영양상태를 조사하였고 이탈시도 후 48시간까지 맥박수, 평균혈압 및 호흡수를 측정하였다. 결과 : 총이탈시도는 37회였고 이중 IMV 단독적용군은 18회, IMV+PSV 동시적용군은 19회의 이탈시도가 있었다. 양 군간에 연령, 총 기계 호흡시간, 평균 APACHE II score, 영양 상태에 있어 통계적으로 유의한 차이는 없었고, 이탈 성공률은 IMV군이 38.4%(7/18), IMV+PSV군이 42.1%(8/19)로 통계적으로 유의한 차이는 없었다(p value=0.84). 이탈 시도 중의 평균 혈압, 맥박수, 호흡수의 이탈 시도전 기저치에 대한 변동량 역시 양군간에 유의한 차이는 없었다. 결론 : IMV에 PSV 10cm $H_2O$를 병용하는 것은 IMV 단독 이탈 방법에 비하여 이탈 성공률에 있어 더 나은 점은 없었으며 10cm $H_2O$ PSV는 이탈과정 중 유의한 생리적 변화는 일으키지 않았다.

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영유아 어머니의 이유식에 대한 지식정도 및 실태조사 (A Study on the Mothers' Knowledge and Practice about the Infant Weaning Diet)

  • 김미숙;최경숙
    • 한국간호교육학회지
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    • 제7권1호
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    • pp.38-53
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    • 2001
  • The main purpose of this study was to present the basic materials that help the nursing of the infants and consultation of childcare by examinating the knowledge and practice of the mothers about the weaning diet. The data for this study was collected from 205 mothers with infants(6-36 months) who visited two hospitals or one university hospital in Seoul, who were living in one apartment Suwon area between July. 7. and September 10, 2000. The 57 questionnaires were used for collecting the data and SAS program was used to analyse the data. The results are as follows. 1. The items of low score in the result of the knowledge data were as follows. [Initial weaning time, the important nutritional problem in infant, considering factor during feeding, the relation of proper weaning food & age, the time of used by cup, to apply of proper spicies in weaning food, the time of completing weaning, the time of stopping weaning at abnormal sign, and the inappopriate reason of dry mixed powdered food (Sunsik) as a weaning food.] 2. Higher educated mothers presented more high score than lower educated mothers in the knowledge about the weaning. (p<0.05) 3. Before the weaning, more mothers were using the commercial milk (51.2%) than the breast milk (13.2%). 4. Mothers get the knowledge about the weaning from the infants care book of cook books(26.4%). 68% of mothers had not received any consulting service with regard to the weaning, 10.2% of them consulted Pediatrician about the weaning and 0.5% of them with nurse. 5. Most mothers began supplymentary food, from four to six months (65.4%). the ratio was about the same as the ratio of mothers who knEw the appropriate time for the introduction of supplymentary food(83.2%) 6. The main solid food was commercial food, not home-prepared food. 7. Higher educated mothers used home-prepared weaning food more often than lower educated mothers(P<0.05). 8. The used rate by spoon was 57.4%, but the rate of mother's knowledge data was 95.0%. 9. The time of completing the weaning was in 12-18 months(53.8%). It is similar to the mother's knowledge data(52.7%) Conclusion ; According to knowledge data, it turns out that most mothers know moderatly about the weaning (everage 60/100). However their knowledge and practice on the methods & procedures on the weaning were inadquate. Especially, most mothers did not consult with those qualification about the weaning. Therefore, the role of the nurse as a provider of information on the weaning should be emphasized with varied educational programs in many health care center.

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광주${\cdot}$전남지역 주부들의 이유식에 대한 인식 및 이용 실태 (Perception and Use of Weaning Diets by Housewives in Gwangju-Jeonnam Regions)

  • 박영희;이성숙;정난희
    • 한국식품조리과학회지
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    • 제22권6호통권96호
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    • pp.799-807
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    • 2006
  • This study was designed to assess the perception and use of weaning diets and to serve as a guideline of processed weaning diets through a survey focused on the Gwangju-Jeonnam regions. The following results were obtained. Most subjects mixed 'home-made' and 'commercial' weaning diets and considered weaning diets as 'a diet for supplementing insufficient nutrition'. The most frequently used type of weaning diet was 'a kind of gruel with vegetables or meat', followed by 'boiling powder with water' and 'grinding or crushing fruits'. Two thirds (68%) of subjects had experienced buying weaning diets, mainly a powder type. The most common reason to buy weaning diets was 'troublesome', followed by 'excellent nutrition', 'convenient to go out', and 'don't know how to make'. The following results according to factors were found. The types of provided and of weaning diets were significantly different by age; the understanding of weaning diets, by education and mothers' employment; and where to get information about weaning diets, by economic status. The highest request for developing weaning diets was a type of 'powder' and 'gruel', and the highest cooking type was 'adding boiling water', followed by 'a semi-cooking product' and 'a finished product'. 'Retort pouch' package, a 'single' package unit, and 'keeping cold' were also requested by the participants. A desirable package unit in developing weaning diets was significantly different by mother's employment; the cooking type of product, by economic status; a way to keep product, by mother's employment; and package types, by education and economic status. When weaning diets were made by environmentally friendly agriculture, 69.5% of subjects were willing to purchase them. With the increase in economic status, education, and employment rate, the use of weaning diets on the market will increase. For this reason, correct nutrition education is needed. With the increasing demand for environmentally friendly agriculture, a variety of weaning diets should be developed to meet this demand.

강릉지역 영유아의 이유 실태에 관한 조사연구 (A Study on Weaning Practice of Infants in Kangnung Area)

  • 김은경;이선희;박계월;지경아
    • 한국식생활문화학회지
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    • 제14권5호
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    • pp.555-563
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    • 1999
  • This study was executed for 300 mothers bringing up a child below 3 years in the area of Kangnung to assess the current weaning practice of infants. 24.6% of mother surveyed were breast-fed, 57.8% were formula-fed and 17.5% were mixed-fed. The rate of breast feeding was lower and the rate of bottle feeding was higher in infants whose mothers had more income or higher educational period or full-time job. Most of the respondents knew the significance of supplementary food. 41.4% of the subjects started weaning of their infants at 3-4 months, and 84.1% of them set on weaning in less than 7 months after babies were born. And 39.4% of the subjects finished weaning of their infants in less than one year. The infants of this study preferred the fruits and fishes to meats, vegetables and beans that served to them as supplementary food. Mothers showed deep interest in recipe of weaning food(48.5%), adequate quantity of weaning food(36.3%), information on commercial food for infants(32.2%), and sequence in which semi-solid food are introduced(31.9%). From these results, it is suggested that education program in primary health center for improvement of weaning practice of infants should be implemented reflecting needs of mothers.

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The Influence of Weaning Time on Deer Performance

  • Bao, Y.M.;Ru, Y.J.;Glatz, P.C.;Miao, Z.H.
    • Asian-Australasian Journal of Animal Sciences
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    • 제17권4호
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    • pp.569-582
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    • 2004
  • Current growth in the deer industry is 20% per annum as the demand increases for venison in Europe, including the increased use in Asia of antlers as a natural medicine by humans. The deer industry in Australia has developed rapidly, but farm profitability has fluctuated markedly. The knowledge on deer farming has largely been adopted from New Zealand (NZ) and the United Kingdom (UK) although the environmental conditions in these deer growing countries differ markedly from Australia. The practice used for weaning is one of the key factors influencing the profitability of the industry. However, a wide range in weaning dates are practised by farmers leading to the question of whether deer should be weaned after mating to reduce the stress during weaning or should they be weaned in the pre-rut period to allow does to recover their body condition for the next reproduction cycle. This review examines the effect of weaning time on the performance of does and hinds and the subsequent growth rate of the fawns and calves. Gaps in knowledge of weaning procedures and nutritional management for early weaned deer are identified.

동결정액과 PG600의 이용이 이유종빈돈의 번식능력에 미치는 영향 (Reproductive Performance in Post-weaning Sows Using PG600 and Inseminated with Frozen Semen)

  • 정홍기;김홍주;송우석;박창식
    • 한국가축번식학회지
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    • 제12권1호
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    • pp.15-19
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    • 1988
  • This study was carried out to investigate the fertility and farrowing date in post-weaning sows using PG600 and inseminated with frozen semen. A total of 48 sows of Landrace, Large White and Duroc after 7-week lactation were used at the Chungnam Provincial Animal Breeding Station. The results obtained were summarized as follows: 1. Motility had no significant differences between the breeds, but NAR acrosome was highest in Landrace, followed by Duroc and Large White(p<.01). 2. Interval from weaning to estrus and length of estrus were, respectively, 3.7 days and 52.6hours of sows treated with PG600, and 6.5 days and 53.8 hours for control sows. The average interval from weaning to onset of estrus was significantly(p<.01) shorter by 2.8 days in PG600 treated sows compared to control sows. 3. In Landrace, Duroc and Large White, farrowing rate and number of pigs born alive per litter were 55.0%, 10.0; 43.8%, 8.1; and 16.7%, 3.5, respectively. Average pig weight at birth and survival rate at 56 days had no significant differences between the breeds. 4. Farrowing rate, number of pigs born alive per litter, average pig weight at birth and survival rate at 56 days were, respectivey, 45.8%, 101, 1.56kg and 94.5% for sows treated with PG600, and 37.5%, 7.0, 1.66kg and 93.8% for control sows. Sows treated with PG 600 had an average of 3.1 more pigs at farrowing compared to control sows.

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SPF ICR 마우스에 있어서 1:1 상시동거 교배에 의한 번식성숙 (Reproductive Performance of SPF ICR Mice under Single Paired Mating)

  • 송창우;이상준;김정란;한상섭
    • 한국가축번식학회지
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    • 제16권3호
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    • pp.261-267
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    • 1992
  • The reproductive performance of SPF ICR mice under single paired mating were examined to get reproductive background data and to establish single paired rotational mating system. The results obtained were as follows : average litter size was 15.4$\pm$2.0 heads ; average weaning rate was 95.7$\pm$4.9% ; sex ratio(male/female) was 1.09$\pm$0.26 ; aveage delivery interval was 23.0$\pm$2.4 days. It was given the largest litter size at the age of 121~150 days and in 2nd~4th parities, but at the age of under 90 days and in 1st parity weaning rate and delivery interval were higher and shorter than those of the other ages and parities, respectively. In sex ratio, the number of male litters was slightly increased from that of female litters. The weaning rate of litters from dams which nuresed 12 litters was the highest among those of different litter sizes, and it was decreased dependent upon increment of litter size. There were no difference among 4 groups for reproductive performance, therefore the present study could have important sources for animal breeders who produce mice using the single paired rotational mating system.

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기계환기기 이탈의 성공과 관련된 생리적${\cdot}$심리적 요인에 관한 조사 연구 (A Study on the Physiological and Psychological Factors related to Successful Weaning from a Mechanical Ventilator)

  • 김조자;김화순;장연수;김은성
    • 대한간호학회지
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    • 제30권4호
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    • pp.995-1005
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    • 2000
  • This study was performed to identify the physiological and psychological variables related to successful weaning from a mechanical ventilator. The subjects of this study were 22 patients who received mechanical ventilation therapy for more than 3 days in intensive care units. Before the weaning trial, baseline data for following physiologic variables were obtained: spontaneous respiration rate, blood pressure, pulse rate, PaO2, PaCO2, PEEP, static compliance, minute ventilation, tidal volume, rapid shallow breathing index(f/VT), SaO2, PaO2/FiO2 and mean arterial pressure. During spontaneous breathing, physiologic and psychologic variables such as vital signs, ABG, perspiration, chest retraction, paradoxical respiration, dyspnea, anxiety, confidence and efficacy were measured. Successful weaning was defined as sustaining spontaneous respiration over 24 hours after extubation. Weaning failure was defined as the development of more than one of following signs: (1) hypoxemia, (2) CO2 retention or (3) perspiration, tachypnea, chest retraction, tachycardia, arrhythmia, hypotension or hypertension. Subjects (N=18) who successfully weaned from mechanical ventilator were compared with subjects (N=4) who failed. The results are as follows; Eighteen percents of the subjects failed during the weaning trial. Most subjects in the failed group were mechanically ventilated for long-time. This result shows that the success of weaning is more difficult in long-term ventilation patients. In the baseline data that was measured before weaning trial, the mean score of PaO2 in the successfully weaned group was 121mmHg. This is significantly higher than the mean score of PaO2 in the failed group(95mmHg). However, the scores of pH, tidal volume, f/VT, pulse rates, blood pressure, mean airway pressure, SaO2, and PaCO2 were similar between the two groups. Specially the scores of f/VT index as a predominant predictor for successful weaning were not significant (f/VT=44.4) and (f/VT=47). During spontaneous breathing, the scores of dyspnea and anxiety level in the successfully weaned group were less than those of the failed group. On the contrary, the scores of confidence and efficacy in the successful group were greater than those of the failed group. In conclusion, the baseline data that were measured before weaning trial were similar between the both groups, therefore future studies are needed to focus on searching other variables besides physiological parameters related to weaning outcome.

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대전지역 영유아의 수유 및 이유실태 조사 (A Study on Infant Feeding and Weaning Practice in Taejon)

  • 왕수경;김지현
    • 대한지역사회영양학회지
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    • 제4권4호
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    • pp.489-495
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    • 1999
  • This study was conducted to investigate the weaning practice of 198 infants in Taejon city in October, 1998. Information on infant feeding and weaning practices were obtained by interviewing mothers in gynecologist and pediatric clinics located in Taejon. The results obtained were as follows : In the survey 37.4% of the infants were breast-feeding, while 31.3% of them were bottle-feeding and 29.3% of them were mixed-feeding. The reason for bottled-feeding was due either to the lack of breast-milk secretion or motner’s job. The educational level of the mother and maternal job affected the feeding methods before weaning. Lower rates of breast-feeding were found among mothers witn a lover level of education. The breast-feeding rate was lower in full-time and part-time job worker groups than in housewife. There was no significant difference in the feeding methods according to family income. Among the subjects, 71.5% of infants began to be weaned within 7 months. The onset of weaning was delayed in the full-time worker group. There was no significant difference in the onset time of weaning according to feeding method, the educational level of the mother, and family income. 60.6% of infants received fruit juice and 29.6% of them received cereals for first-given-supplementary food. ‘For baby’s nutritional status’ was the most common motivation for the onset of weaning. Commercially prepared foods were used more than home-made food for supplementary food.

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우리나라 이유기 어린이의 영양상태 및 저소득층을 위한 이유 보충식 개발 가능성 검토 (Nutritional Status for Weaning Children and Suggested Introducing Method for Weaning Food at Low Income and Village Level Home)

  • 문수재
    • 한국식품영양과학회지
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    • 제15권1호
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    • pp.90-97
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    • 1986
  • Timing of weaning is later in Korean rural and lower urban classes compared with middle and upper classes. Weaning after the international standard of six months of age has adverse effects on the growth rate of children. This occurs because supplementary foods are not provided for the child during the weaning period; rather, the infant goes directly from nursing(or bottle feeding) to the cereals and solid foods of the adult diet. Consequently, all nutrient and calorie intake, with the exception of thiamin, in Korean rural children had not yet attained the Recommended Dietary Allowance (RDA). This situation bas created an urgent need for easy to prepare, low priced. highly nutritious supplementary foods. The research team of Yonsei University developed 3 formulas prepared from rice, soybeans, sesame, dry skim milk and fish which are all plentiful and inexpensive items in Korea. A proximate analysis and amino acid determination were performed on three formula. These formulas were prepared and used as exprimental diet for an animal assay. In the animal assay, growth rate, PER evaluated and biochemical analyses were also carried out. A safety storage assay and the cost evaluation were also conducted.

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