reduction of excessive retention of salt and water
-enhancement of myocardial contractility
4.심장 기능 악화의 예방
-ACE inhibitor
-AT receptor antagonist
-Aldosterone Antagonist
-Beta-blocker
심부전의 단계적 치료
Pharmacologic Tx. for CHF
Control of Excess Fluid
1. Diet
저염식이 : Salt intake to < 3g/d in mild HF
500-1000mg in chronic severe HF
2. Diuretics
British medical journal 2009;339:b4567
Introduction
International recommendation (salt intake) < 5~6g/day
Adult, average > 6g/day
Eastern Europe, Asia > 12g/day
Excess salt consumption risks on human health
Relation between habitual dietary salt intake and blood pressure
Population based intervention studies, RCTs
It is possible to achieve significant reductions in BP with reduced salt intake w
reduction of HAuCl4 with borohydride ions have traditionally been chosen as seeds for gold nanorod growth. Addition of silver nitrate during Au nanorod growth from penta-twinned seeds leads to an increase in the gold nanorod yield and greatly improves control over the aspect ratio. Contrary to the results obtained with citrate-capped Au nanoparticle seeds, when CTAB is used during borohydride red
■ Physical examination
External wound(+): knee
Swelling : spine, hip, knee
Tenderness : spine, hip, knee, foot
Limitation of Motion due to pain : hip, knee, foot
■ Impression
Sacrum fracture
Patella fracture, right side
Base 5th MT, foot fracture, right side
Scaphoid fracture, right side
■ Plan
Bed rest
Operation: open reduction & internal fixation
Pre-Operatio
reduction)가 인체시험을 통해 확인됐다.
3. Component analysis
3.1 CLA(Conjugated linoleic acids)
자연에 존재하는 지방에 함유되어 있는 linoleic acid는 이중결합이 9번과 12번 탄소에 존재하지만 고열이나 반추동물의 rumen에 존재하는 linoleic acid isomerase에 의하여 여러 가지 형태의 공액화 된 형태, 즉 CLA가 만들어진
significantly weaken individuals–and, in particular children–to the point where the effectiveness of investment in human capital is diminished
“ Reductions in mortality brought about the majority of the increase in population in the past two centuries .” (Preston, 1980)
Reductions in mortality
Increase in population
Lead to accumulation of human capital
reduction.
It can also be reduced to nitrite and nitrous oxide gas by abiotic reactions, but in the subsurface these reactions are minor compared to biological denitrification.
Denitrification tends to be ubiquitous in surface water, soil, and groundwater.
It is controlled by the local biogeochemical conditions.
Denitrifying bacteria consume organic pollutants during denitrification. Thus, den
reductions will lessen the burden of tire manufacturers. Besides the reductions, the new registration tax on cars, which will be imposed according to the type of engine, model and the level of environment pollution, will increase the demand of new cars. It will increase the demand of tires in Hungary. Also, there are about 150 duty free zones in Hungary; so many companies that are in manufacturin