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Relationship between nutritional therapy and beneficial bacteria ratio in severe disease

Journal of Acute Disease 2024年第1期13卷 26-30页

作者： Kento Nakayama hiroyuki koami Yuichiro Sakamoto Advanced Emergency Care Center Saga University HospitalSaga 849-0851Japan

Objective:To evaluate relationship between changes in the beneficial bacteria in intensive care unit(ICU)patients and nutritional therapy type.Methods:Ten patients aged≥18 years admitted to the ICU between January and December 2020,were included.Good enteral nutrition was defined as early achievement of target calorie intake through enteral feeding.The ratio of beneficial bacteria at the first and second bowel movements after each patient’s admission was calculated and the patients were classified into the increase or decrease group.Among all patients,five each were in the increase and decrease groups.We investigated patient background,changes in sequential organ failure assessment(SOFA)and acute physiology and chronic health evaluation(APACHE)Ⅱscores,nutritional doses or methods,and clinical outcomes.Results:No relationship was found between changes in the ratio of beneficial bacteria and changes in SOFA/APACHEⅡscores at the time of admission.The rate of good enteral nutrition was significantly higher in the increase group than in the decrease group(4/5 vs.0/5,P=0.01).Conclusions:An increase in beneficial bacteria may be significantly related to the early establishment of enteral nutrition.In the future,accumulating cases may make it possible to establish a new nutritional strategy for critically ill patients from an intestinal microbiota perspective.

关键词： Beneficial bacteria Enteral nutrition Parenteral nutrition Intensive care unit Good enteral nutrition Severe disease Nutritional therapy

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Prediction of return of spontaneous circulation in outof-hospital cardiac arrest with non-shockable initial rhythm using point-of-care testing: a retrospective observational study

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World Journal of Emergency Medicine 2023年第2期14卷 89-95页

作者： Kota Shinada hiroyuki koami Ayaka Matsuoka Yuichiro Sakamoto Department of Emergency and Critical Care Medicine Faculty of MedicineSaga UniversitySaga CitySaga Prefecture 849-8501Japan Division of Translational Research in Intensive Care Medicine Faculty of MedicineSaga UniversitySaga CitySaga Prefecture 849-8501Japan

BACKGROUND:Out-of-hospital cardiac arrest(OHCA) is a public health concern, and many studies have been conducted on return of spontaneous circulation(ROSC) and its prognostic factors.Rotational thromboelastometry(ROTEM?), a point-of-care testing(POCT) method, has been useful for predicting ROSC in patients with OHCA, but very few studies have focused on patients with non-shockable rhythm. We examined whether the parameters of POCT could predict ROSC in patients with OHCA and accompanying non-shockable rhythm.METHODS:This is a single-center, retrospective observational study. Complete blood count,blood gas, and ROTEM POCT measurements were used. This study included patients with nontraumatic OHCA aged 18 years or older who were transported to the emergency department and evaluated using POCT between January 2013 and December 2021. The patients were divided into the ROSC and non-ROSC groups. Prehospital information and POCT parameters were compared using receiver operating characteristic(ROC) curve analysis, and further logistic regression analysis was performed.RESULTS:Sixty-seven and 135 patients were in the ROSC and non-ROSC groups,respectively. The ROC curves showed a high area under the curve(AUC) for K^(+) of 0.77(95%confidence interval [CI]:0.71–0.83) and EXTEM amplitude 5 min after clotting time(A5) of 0.70(95%CI:0.62–0.77). The odds ratios for ROSC were as follows:female sex 3.67(95%CI:1.67–8.04);K^(+)0.64(95%CI:0.48–0.84);and EXTEM A5 1.03(95%CI:1.01–1.06).CONCLUSION:In OHCA patients with non-shockable rhythm, K^(+) level and the ROTEM parameter EXTEM A5 may be useful in predicting ROSC.

关键词： Rotational thromboelastometry Blood coagulation disorders Extrinsic pathway Potassium

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Wax Print Supply Chain Management Case Study of Vlisco and China

Wax Print Supply Chain Management Case Study of Vlisco and C...

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作者： koami Edem Essiomle（易可）南昌大学

学位级别：硕士

通过Nana Benz公司引进到多哥市场的蜡印织物生意曾经可谓是十分繁荣。由Nana Benz女士开启的蜡印织物生意由唯一的供应商—Vlisco公司供货。总部设在荷兰的Vlisco公司的客源大多来自多哥及周边邻国。但过去的十年间,Nana Benz公司逐渐... 详细信息

通过Nana Benz公司引进到多哥市场的蜡印织物生意曾经可谓是十分繁荣。由Nana Benz女士开启的蜡印织物生意由唯一的供应商—Vlisco公司供货。总部设在荷兰的Vlisco公司的客源大多来自多哥及周边邻国。但过去的十年间,Nana Benz公司逐渐丧失了在这一行业内的垄断地位,Vlisco公司替代品的出现,新竞争者的出现,中国产品的进入以及本行业企业家经营策略的改变,都使得多哥蜡印织物市场发生了很大的变化。从最初的荷兰Vlisco公司到目前涌现的中国供应商,本论文主要介绍了蜡印织物产业供应链管理问题。本分分析了Vlisco公司供应商是如何通过供应链的改变来保留自己在多哥市场蜡染市场的一席之地,以及中国供应商在多哥市场上的表现。

关键词：供应链 Vlisco 中国比较

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