1.Energy Expenditure in Young Adults and Newborns by Indirect Calorimetry.
Jeong HONG ; Young Min KWON ; Myoung Wook KIM
Journal of the Korean Surgical Society 2000;58(4):459-464
PURPOSE: Providing an adequate amount of energy is important in patients with depleted nutrition. Indirect calorimetry is a portable tool that can measure the resting energy expenditure, the respiratory quotient, and the ratio of substrate utilization. Another way of getting the energy expenditure is through the use of equations, and that has been a more common way to get the basal energy expenditure. However, there has been a controversy that the energy expenditures calculated from equations are not the same as the values measured by indirect calorimetry. METHODS: Our study was to clarify this difference in two different groups with different physical conditions and growth. One was a normal-adult group (n=18), and their energy expenditure was calculated using the Harris-Benedict equations. The other was a normal-newborn group (n=7), and their energy expenditure was calculated using the Schofield equations. Calculated values were compared with the resting energy expenditure from indirect calorimetry (Deltatrac Metabolic Monitor, Datex Inc. Finland). RESULTS: In the adults, the basal energy expenditure was 1703.3+/-100.2 kcal/d according to the Harris-Benedict equations, and the resting energy expenditure was 1701+/-289.6 kcal/d according to indirect calorimetry (p>0.1). VO2 was 245.7+/-42.8 ml/min, VCO2 was 210+33.4 ml/min, and RQ was 0.86+/-0.05. In the neonates, the basal energy expenditure was 184.1+/-15.1 kcal/d according to the Schofield equations, and the resting basal energy expenditure was 154.3+/-32.1 kcal/d (p<0.05). VO2 was 21.9+/-4.3 ml/min, VCO2 was 18.7+/-4.0 ml/min, and RQ was 0.85+/-0.02. The ratios of substrate utilization were 192.1+/-58.8 g/d (48.03+/-16.8%) for carbohydrates, 69.7 +/-35.6 g/d (37.8+/-17.2%) for fats, and 55.8+/-14.9 g/d (14.3+/-3.9%) for proteins in the adults. In the neonates, the ratios were 18.6+/-5.6 g/d (50.3+/-7.0%) for carbohydrates, 18.6+/-1.1 g/d (47.7+/-6.2%) for fats, and 1+/-0 g/d (3.0+/-0.73%) for proteins. CONCLUSION: The difference between the basal energy expenditure obtained from equations and the resting energy expenditure obtained from indirect calorimetry could be identified only in the neonate group, but not in the adult group. It is speculated that resting energy expenditure was more reliable than the basal energy expenditure in neonates. Indirect calorimetry canbe a useful tool to correct the errors in the values obtained from equations, and other parameters, such as the respiratory quotient and the ratio of substrate utilization, should be evaluated in nutritional support.
Adult
;
Calorimetry, Indirect*
;
Carbohydrates
;
Energy Metabolism*
;
Fats
;
Humans
;
Infant, Newborn*
;
Nutritional Support
;
Young Adult*
2.Anti-M antibody identified in patients: 20 cases-.
Hyun Ok KIM ; Min Ja CHOI ; Seong Geun HONG ; Oh Hun KWON
Korean Journal of Blood Transfusion 1992;3(2):173-177
No abstract available.
Humans
3.Significance of serum CA19-9, CA125, CEA and ?FP in gastric cancer.
Ho Yul YE ; Sun Kyo SONG ; Hong Jin KIM ; Min Chul SHIM ; Koing Bo KWON
Journal of the Korean Cancer Association 1993;25(3):325-333
No abstract available.
Stomach Neoplasms*
4.Molecular Cloning of Mouse Interleukin-2 Receptor bata-Chain Gene Promoter.
Chang Kwon KO ; Sang Kyu YE ; Bon Hong MIN ; Kwang Ho LEE
Korean Journal of Immunology 1998;20(3):285-288
No abstract available.
Animals
;
Cloning, Molecular*
;
Interleukin-2*
;
Mice*
5.Clinical Analysis on Organisms Isolated from Blood Culture.
Dong Min KANG ; Jong Seo LEE ; Hong Dae CHA ; Tae Chan KWON ; Chin Moo KANG
Journal of the Korean Pediatric Society 1988;31(1):40-47
No abstract available.
6.The significance of sepsis severity score in multiple organ failure due to sepsis.
Ki Hoon JUNG ; Seung Kwon OH ; Yun Sik HONG ; Sae Min KIM
Journal of the Korean Surgical Society 1991;40(6):758-764
No abstract available.
Multiple Organ Failure*
;
Sepsis*
7.Lesions in the splenium of the corpus callosum: Clinical and radiological implications
Min-Keun Park ; Sung-Hee Hwang ; San Jung ; Seong-Sook Hong ; Seok-Beom Kwon
Neurology Asia 2014;19(1):79-88
Background: Brain MRI may unexpectedly display abnormalities in splenium of the corpus callosum
(SCC). However, the clinical implications of this lesion are unclear and are not always consistent
with ischemic infarctions. We performed this study to clarify the clinical and radiological implications
in patients with SCC lesions. Methods: We retrospectively reviewed consecutive patients with MRIreported
SCC changes between 2009 and 2012. We analyzed clinical and radiological findings,
etiologies, cognitive impairment, and clinical outcomes. Results: We found 30 patients (16 females;
mean 50.5 years) who had SCC lesions on MRI. Confusion was the most common clinical finding
in 50% of cases. Cerebral infarction was the most common etiology (50%). The most consistent
SCC changes on MRI were low signal in T1WI, high signal on T2WI and FLAIR, and high signal
on DWI. We classified SCC lesions into in situ SCC lesions (SCC only) and multiple (SCC plus)
lesions for patients with multiple lesions. The clinical symptoms of SCC only lesions were relatively
mild. Cognitive functions were evaluated by Mini Mental State Examination (MMSE) and clinical
dementia rating (CDR) scale at the time of discharge and patients with SCC only lesions showed less
impaired cognition compared with those with SCC plus lesions. Clinical outcomes were evaluated
by the modified Rankin scale at 1 month and patients with SCC only lesions revealed good clinical
outcomes compared with those with SCC plus lesions.
Conclusions: MRI-reported SCC lesions may have heterogeneous etiologies and present with various
symptoms. The clinical course and outcome are relatively good, particularly in small isolated and
oval shaped SCC lesions.
8.A Clinical Study of the Myositis Ossificans Traumatica of Quadiceps Femoris
Kwon Ick HA ; Sung Ho HAN ; Min Young CHUNG ; Sung Eiy HONG
The Journal of the Korean Orthopaedic Association 1985;20(1):111-117
Myositis Ossificans Traumatica, ossifying hematoma and calcifying hematoma have been used interchangeably to dcscribe the process of calcification and ossification occuring within muscle tissue in response to trauma. Authors analysed 27 cases of traumatic myositis ossificans of the Quadriceps who were diagnosed and treated at the department of orthopaedic surgery, National Police Hospital from January 1978 to June 1984. The results are as follows: 1. In sex distribution, in all cases 27 were males, in age distribution they were between 19 and 25 years old. 2. The causes of trauma consisted of 11 in kicking and treading, 6 in falling and slipping, 6 in football, 4 in demonstration injury. 3. The duration from injury to initial visit was variable. The average duration was 2 weeks. 4. Quadriceps contusions in all cases were grouped according to severity of trauma as mild, moderate and severe. Among 27 cases, 4 cases were mild, 11 cases were moderate, 12 cases were grouped as severe. According to the severity of trauma, duration of treatment and restoration of affected knee joint motion were more prolonged. 5. Among 27 cases, 6 cases sustained reinjury. 6. Total 27 cases, average duration of treatment was 4.6 weeks. 7. In those patients presenting after 2 weeks from injury, the duration of treatment was 3.8 weeks, and in those patients presenting within 2 weeks it was 5.4 weeks. Thc moderate cases were required 3.8 weeks of the duration of treatment, severe cases were required 6.5 weeks. Reinjury cases, 6 cases required more prolonged treatment, 6.8 weeks. These results suggest that early treatment, low violence of trauma and prevention of reinjury were the factor of minimizing the impairment of knee joint motion and shortening the duration of treatment. 8. The earlist X-ray change was found of the 14th day from injury. (average the 27th day from injury). 9. Within 6 months, all cases regained full range of motion of knee joint. 10. With only conservative treatment applied on all cases, we get the satisfactory result.
Accidental Falls
;
Age Distribution
;
Clinical Study
;
Contusions
;
Dronabinol
;
Football
;
Hematoma
;
Humans
;
Knee Joint
;
Male
;
Myositis Ossificans
;
Myositis
;
Police
;
Quadriceps Muscle
;
Range of Motion, Articular
;
Sex Distribution
;
Violence
9.Influences of positive psychological capital, interpersonal competence, and character on caring efficiency in nursing students
Suhye KWON ; Minjoo HONG ; Min RYU ; Haeyun SHIN
Journal of Korean Academic Society of Nursing Education 2022;28(4):411-420
Purpose:
The purpose of this study was to identify the factors influencing nursing students’ caring efficiency.
Methods:
This study included 212 nursing students from three University nursing departments in Busan metropolitan city. Data were collected from September 1 to September 29, 2021, using self-report questionnaires. For data analysis, descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression analyses were conducted with SPSS version 24.0.
Results:
Positive psychological capital and interpersonal competence on the relationship and character of nursing students were positively correlated with caring efficiency. The variables affecting the caring efficiency of the subjects were character (β=.60, p<.001), amount of participation in a character development program (5 times or more) (β=.16, p=.023), levels of stress (moderate β=.13, p=.037; low β=.15, p=.015), motivation to apply to a nursing program (β=.12, p=.024), and volunteer experience (β=.11, p=.038). The total explanatory power of the variables was 50.0% (F=14.69, p<.001).
Conclusion
Character was one of the biggest influential factors on caring efficiency. In order to improve nursing students' caring efficiency, above all, it is necessary to make efforts to raise the level of individual character.
10.Ultrasound features of secondary appendicitis in pediatric patients.
Lyo Min KWON ; Kwanseop LEE ; Soo Kee MIN ; Soo Min AHN ; Hong Il HA ; Min Jeong KIM
Ultrasonography 2018;37(3):233-243
PURPOSE: The purpose of this study was to evaluate the ultrasonographic findings of secondary appendicitis (SA) and to discuss the differential findings compared with primary appendicitis. METHODS: In this study, we analyzed the ultrasonographic findings of 94 patients under 15 years old of age treated at our institution from May 2005 to May 2014 who had bowel inflammation and an inflamed appendix with a maximal outer diameter >6 mm that improved with nonsurgical treatment (the SA group). Ninety-nine patients with pathologically proven acute appendicitis (the primary appendicitis [PA] group) from June 2013 to May 2014 and 44 patients with pathologically negative appendectomy results from May 2005 to May 2014 were also included to compare the ultrasonographic features of these conditions. A retrospective review of the ultrasonographic findings was performed by two radiologists. The clinical and laboratory findings were also reviewed. The results were statically analyzed using analysis of variance, the Pearson chi-square test, and the two-tailed Fisher exact test. RESULTS: Compared with PA, cases of SA had a smaller diameter (9.8 mm vs. 6.6 mm, P < 0.001), and were less likely to show periappendiceal fat inflammation (98% vs. 6%, P < 0.001) or an appendicolith (34% vs. 11%, P < 0.001). SA showed mural hyperemia on color Doppler ultrasonography as frequently as PA (P=0.887). CONCLUSION: The ultrasonographic features of SA included an increased diameter compared to a healthy appendix and the same level of hyperemia as in PA. However, the diameter was commonly in the equivocal range (mean diameter, 6.6 mm), and periappendiceal fat inflammation was rarely present in SA.
Appendectomy
;
Appendicitis*
;
Appendix
;
Humans
;
Hyperemia
;
Inflammation
;
Pediatrics
;
Retrospective Studies
;
Ultrasonography*
;
Ultrasonography, Doppler, Color