• 모자간호학회지
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• 제2권1호
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• pp.21-33
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• 1992

This study was done to investigate how importantly midwives thought of Lamaze Method of Childbirth, how satisfactorily they performed their Lamaze Method of Childbirth and what inhibited their activities from being performed if not done satisfactorily. The subjects of this study were 76midwives at midwifery in Pusan, Deagu, Kyungnam and Kyungbok. Data were collected by using questionaire from Sep. 1 to Sep.30, 1991. The measurement tools was maded by the researcher based on Kim's scale for prenatal nursing activities. The statistical analysis was done with based statistical values likes frequencies, means, standard deviations and advanced methods such as Pearson's correlation coefficient, 1-test, F-test, F-test by using SPSS package program. The results of this study can be summarized as follows ; 1. The results of Investigating perception according to importance degree and performance degree of Lamaze Method of Childbring showed that midwives were slightly below both perception according to importance(2.17) and performance(2.16) of Lamaze Method of Childbirth 2. Inhibiting factors of Lamaze Method of Childbirth were abscence of husband(3.08), lack of teaching room(2.71), and lack of books or literature of Lamaze Method (2.58). 3. There appears to be a positive relation between perception according to importance degree and performance degree of Lamaze Method of Childbirth (r=0.69, P<0.01). There appears to be a negative relation between perception according to importance degree and inhibit factors of performance (r=-0.38, P<0.01). There appears to be a negative relation between performance and inhibit factors of performance (r=-0.22. P<0.01). 4. The item of highest perception defree in prenatal education is 1st, Consultation about sexual life (2.53), End, illustration of the importance of a bath and perinal cleanliness and Avoidance of excessive respiration method and also its comfortable application during uterine contractility(2.45). The item of lowest perception degree is about pregnant symptom sign and predicted date of birth (E.D.C.). On the other hand, The item of highest performance degree is education about nurtrition during pregnacy. 2nd, Illustration of the Importance of a bath and perineal cleanness(2.45). The lowest one is leaching the pregnant woman and her family about the role of husband and her family and also teaching the couple to learn exercise and respiration method (1.84). Though importance perception degree and performance degree is low. Midwives who wert subject in this research shoves that they perform general items concerning prenatal education well. 5. In the relationship between perception according to importance degree of Lamaze Method of Childbirth and the general characteristics of subjects, the differences in mean number of visiting pregnacies for 1 month. 6. In the relationship between performance degree of Lamaze Method of Childbirth and the general characteristics of subjects, the differences in age, marriage, and mean number of visiting pregnancies for 1 month. With the above information we see the importance of midwife prenatal care education and high correlation between performance degree and perception degree. When Lamaze prenatal education is well performed the number of pregnant woman who have follow-up, check-ups increase. Therefore in this research we can validity that there is a relation between Lamaze prenatal education and patient follow-up. This research showes in a situation where if one does not maximally perform a prenatal education there is a possibility that the popular use of midwife activities may encounter obstacles so the education to save new knowledge and training for prenatal education is needed as a function of Lamaze prenatal education, when a special Lamaze education is well performed for the pregnant woman, who follows-up at amidwife clinic. With the above conclusion we can suggest : 1. Continued research which minimized obstacles to Lamaze prenatal education is needed. 2. The official method of midwives is necessary.

• 대한약리학회지
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• 제29권1호
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• pp.97-105
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• 1993

흰쥐의 지방세포에 존재하는 아데노신 수용체는 $A_{1}$, subclass로 알려져 있다. 따라서 효현제 (Agonist)에 의해 자극되면 adenylyl cyclase가 억제되고 결과적으로 지방분해가 억제된다. 본 연구에서는 당뇨병으로 인하여 생기는 쥐의 지방세포의 $A_{1]$, 아데노신 수용체-adenylyl cyclase 시스템의 변화를 규명하고자 하였다. 흰쥐에 streptozotocin을 투여하여 당뇨병을 유발시킨 후 1주일이 되는 날, 굶기지 않은 쥐에 서 collagenase를 사용하여 지방세포를 분리하였다. 분리한 지방세포에 1 unit/ml adenosine deaminase와 $1\;{\mu}M$ isoproterenol을 가한 후 $37^{\circ}C$에서 1시간 동안 incubation하여 생성되는 glycerol을 측정하였을 때, 당뇨병군에서는 대조군에 비해 $A_{1}$, 아데노신 수용체의 효현제인 $(-)-N^{6}-(R-phenylisopropyl)$ adenosine (PIA)에 의해 지방분해가 약 두배 더 억제되었다. 그 기전을 밝히기 위하여 지방세포막의 $[{^3}H]PIA$ binding을 측정하였는데, 친화력이나 수용체의 수는 당뇨병군과 대조군 사이에 통계적으로 유의한 차이가 없었다 (대조군의 $K_{d}$는 $0.51{\pm}0.09\;nM$이었고 $B_{max}$는 $1.60{\pm}0.12\;pmoles/mg$ protein이었다. 당뇨병군의 $K_{d}$는 $0.54{\pm}0.21\;nM$이었고 $B_{max}$는 $1.72{\pm}10.31\;pmoles/mg$ protein이었다). 그러나 $100\;{\mu}M$ isoproterenol 자극에 의한 adenylyl cyclase activity의 PIA에 의한 억제를 비교하여 보았을 때 당뇨병군에서의 억제는 대조군의 1.9배로 나타났다. 이상의 결과로 보아 당뇨병군의 지방세포에 나타나는 변화, 즉 지방 분해가 PIA와 같은 $A_{1}$, 아데노신 수용체의 효현제에 의해 더욱 억제되는 것은 지방세포막의 수용체 자체의 변화때문이 아니라 수용체 이후의 신호전달 체계의 변화때문인 것으로 생각된다.

• IMMUNE NETWORK
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• 제1권1호
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• pp.87-94
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• 2001

목적 : 제대혈의 조혈모세포 체외확장 시 조혈세포 증폭과 더불어 조혈미세환경의 변화가 일어난다. 이때 제대혈 $CD34^+$ 세포에서 유래되는 지지세포의 계열 분석조혈성장인자 분비능력을 알아보고 지지세포 증식 조건을 확립하여 효과적인 제대혈의 체외증폭을 제시하고자 하였다. 방법 : 제대혈부터 $CD34^+$ 세포를 분리하여 실험에 사용하였다. 무혈청배지에서 각종 조혈성장인자를 다양한 조합으로 첨가하여 배양하였고 증식정도는 현미경으로 관찰하여 배양용기를 점유한 면적 비율로 계산하였다. 세포외간질 단백의 효과를 분석하기 위하여 collagen S, fibronectin, laminin 및 poly-L-ly sine를 미리 coating한 용기에 배양하여 분석하였다. 제대혈 $CD34^+$ 세포를 조혈성장인자의 첨가 없이 3주간 액체배양하였다. 배양 시, 1주, 2주 및 3주에 상층액을 얻어 $-80^{\circ}C$에 보관하였다가 한꺼번에 IL-3, IL-6, GM-CSF, IL-$1{\beta}$ 및 TNF-$\alpha$등을 ELISA 방법으로 내부적으로 분비되는 량을 측정하였다. 분화된 지지세포의 계열을 분석하기 위해 E-selectin, VCAM-1, ICAM-1, PECAM-1, vWF, vimentin 및 CD 14 항체를 이용하여 면역화학염색 후 형광현미경으로 관찰하였다. 결과 : 제대혈 $CD34^+$ 세포 체외증폭시키는 과정에서 배양 4일에 지지세포가 출현하기 시작하여 7-10일이 지나면서 증식하기 시작하였고 14-2 1일 경에 서로 뭉치는 양상을 보여주었다. 제대혈 $CD34^+$ 세포 배양하면서 내부적으로 분비되는 GM-CSF, IL-6의 측정치는 시간이 지남에 따라 증가되었다. 제대혈 $CD34^+$ 세포 체외확장 시 지지세포의 증식 정도는 TPO+FL+SCF+LIF의 조합의 조혈성장인자가 첨가되었을 때 그리고 세포외간질 단백 성분 중 1% poly-L-lysine으로 처리한 경우 가장 효과적이었다. 결론 : 체외 증폭시 제대혈 $CD34^+$ 세포로부터 지지세포가 나타났으며 적절한 조혈성장인자의 첨가나 세포외간질 단백의 첨가에 의해 증폭될 수 있다.

• Asian-Australasian Journal of Animal Sciences
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• 제28권7호
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• pp.1006-1013
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• 2015

Heat-stress remains a costly issue for animal production, especially for poultry as they lack sweat glands, and alleviating heat-stress is necessary for ensuring animal production in hot environment. A high ${\gamma}$-aminobutyric acid (GABA)-producer Lactobacillus strain was used to investigate the effect of dietary GABA-producer on laying performance and egg quality in heat-stressed Hy-line brown hens. Hy-Line brown hens (n = 1,164) at 280 days of age were randomly divided into 4 groups based on the amount of freeze-dried GABA-producer added to the basal diet as follows: i) 0 mg/kg, ii) 25 mg/kg, iii) 50 mg/kg, and iv) 100 mg/kg. All hens were subjected to heat-stress treatment through maintaining the temperature and the relative humidity at $28.83{\pm}3.85^{\circ}C$ and 37% to 53.9%, respectively. During the experiment, laying rate, egg weight and feed intake of hens were recorded daily. At the 30th and 60th day after the start of the experiment, biochemical parameters, enzyme activity and immune activity in serum were measured. Egg production, average egg weight, average daily feed intake, feed conversion ratio and percentage of speckled egg, soft shell egg and misshaped egg were significantly improved (p<0.05) by the increasing supplementation of the dietary GABA-producer. Shape index, eggshell thickness, strength and weight were increased linearly with increasing GABA-producer supplementation. The level of calcium, phosphorus, glucose, total protein and albumin in serum of the hens fed GABA-producing strain supplemented diet was significantly higher (p<0.05) than that of the hens fed the basal diet, whereas cholesterol level was decreased. Compared with the basal diet, GABA-producer strain supplementation increased serum level of glutathione peroxidase (p = 0.009) and superoxide dismutase. In conclusion, GABA-producer played an important role in alleviating heat-stress, the isolated GABA-producer strain might be a potential natural and safe probiotic to use to improve laying performance and egg quality in heat-stressed hens.

• 대한치과교정학회지
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• 제22권1호
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• pp.109-121
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• 1992

Temporomandibular joint is a major structure to play an important role in the function & stability of the occlusion as well as the stomatognathic system. Therefore, the TMJ is the structure that requires the complete analysis for diagnosing and planning treatment of pathologic changes by TMJ dysfunction and malocclusion. So, in this study, to evaluate TMJ situation in Korean malocclusion, based on the previous accomplishments, students of the dental college of Won-Kwang Univ. are surveyed and selected in terms of Angle's classification of malocclusion, whose TMJ radiographs were taken in the centric occlusion and centric relation. In each maiocclusion groups, the mean and standard deviation of anterior, posterior and superior joint space of the right, left and both side in CO & CR are evaluated and also those of the fossa height and the articular eminence angle of the right, left and both sides are evaluated. The obtained results were as follows: 1. In the correlation coefficient between the malocclusion groups, no other items except the posterior joint space of the right side in CR between in class I and class III are significant. 2. In the correlation coefficient between the right and left side, the each joint space in class I malocclusion group and class II malocclusion group are significant. 3. In the change of each joint space during the transmit from CO to CR, there is a tendency of increasing anterior joint space and decreasing posterior, superior joint spaces in class I, II malocclusion and increasing superior joint space and decreasing anterior, posterior joint space in class III malocclusion, which is significant in the correlation coefficient, but not significant in the T-test. 4. In each malocclusion group, the correlation coefficient between the posterior joint space and the superior joint space in C.R is highly significant. 5. The fossa height of class II malocclusion group is lesser than that of class I or class III, which is not significant in T-test. 6. In the correlation coefficient between Rt. and Lt. side in the fossa height, it is not significant in class I and class III group, but significant in class II malocclusion group. 7. The articular eminence angle of class II malocclusion group is larger then that of class I or class III groups, which is fairly significant. 8. In the correlation coefficient between Rt. and Lt. side in the articular eminence angle, it is significant in each malocclusion group.

• 한국수정란이식학회지
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• 제6권2호
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• pp.1-17
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• 1991

It is widely recognized that the embryonic or fetal loss after breeding is common in the cattle and that it is an important factor affecting reproductive efficiency. The causes of this loss have been subject of extensive researches and the results indicate that the embryonic mortality may he primary factor responsible for low pregnancy rates in non-embryo transfer bovine populations as well as embryo transfer programs. However, it's causes are still not clearly understood. The embryonic mortality or pregnancy rate has been influenced by various embryonic and maternal effects related to genetic and environmental factors. The timing and extent of embryonic mortality vanes greatly according to authors and estimating methods, because it is difficult to make direct measurements. The major important factors that may influence the embryonic losses or pregnancy rates after embryo transfer can be summeirized. 1.When an embryo is transferred to unmated recipients, the contralateral transfer to corpus luteum results in a lower survival rate than ipsilateral deposition. When the embryos are transferred for the production of twin calves, their survivals and twin pregnancies have quite inconsistent according to the transfer methods either to the unmated-synchronized or already mated recipients and more works are needed to accurrately clarify the previous results. 2.Although embryos can be cultured in vitro some hours without the great declines in pregnancy rates, the rates differ markedly among culture times and media but may be improved by co-transfer systems. 3.Embryo developmental stages and quality grades clearly affect the survival rate following freezing and the pregnancy rate after transfer and the selection of embryos without chromosome abnormalities and of high fertile semen may also be considered to increase the pregnancy rates. 4.Many researches have attempted to relate the plasma progesterone levels to pregnancy rates and others have done either direct progesterone supplementation or luteal stimulation by hCG treatment in order to increase the pregnancy rates. However, these effects on pregnancy rates are inconsistent and also contradictory. 5.The asynchrony between donors or embryos and recipients may he a major cause of embryo death and low pregnancy rate and the sensitivity to uterine asynchyony differs in according to the quality and stages of embryos. 6.The extremes of poor or over nutrition during early pregnancy in the recipients are detrimental to the survival of embryos and the good body condition is required to prevent a reduejion of pregnancy rates. The uterine pathogens in embryonic mortality or fertility have been questioned but the infection of C.pyogenes and Campylobacter fetus is still important pathogens. 7.The heat stress during early pregnancy may reduce conceptus weight and possibly increase the embryonic mortality.

• 대한소아치과학회지
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• 제32권2호
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• pp.217-223
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• 2005

매복치란 정상적으로 맹출해야 하는 시기를 지나서도 맹출되지 않고 구강점막하 또는 악골내에 묻혀 있는 치아로 대부분 영구치에서 발생하며, 유치의 매복은 매우 드물게 나타난다. 유치의 매복은 제2유구치에서 가장 많이 나타난다. 매복된 유치는 계승 영구치의 발육 및 맹출을 방해하고, 인접치의 경사이동을 야기해 부정교합을 일으킬 수 있다. 증례 1은 하악 좌측 제2유구치의 조기 유착으로 인해 해당 치아와 계승 영구치인 하악 좌측 제2소구치가 매복된 증례로, 유착된 유구치를 발거한 후에 상실된 공간을 회복함과 동시에 계승 영구치의 자발적 맹출을 기대하며 관찰 중이다. 증례 2는 상악 우측 제2유구치의 치근 발육부전에 따른 맹출력 부족으로 매복된 증례이다. 상실된 공간확보 후 자발적 맹출을 기대하였으나 유구치가 맹출되지 않았고, 초진시 선천적 결손으로 진단된 계승 영구치인 상악 우측 제2소구치가 매복된 유구치를 우회하여 맹출하였다. 증례 3은 맹출 중인 유구치가 유착된 증례로, 주기적 방사선 검사를 통해 유착된 유구치의 흡수 과정과 계승 영구치의 맹출 양상을 관찰하기로 하였다. 증례 4는 맹출 중인 유구치의 치근발육부전 및 맹출 경로 이상으로 해당 유구치의 매복 및 계승 영구치가 변위된 증례로 계승 영구치의 발육을 위해 매복된 유구치를 발거하기로 하였다. 유치의 매복은 매우 드물고 발병 원인에 대해서는 다양한 의견이 있다. 치료법으로는 매복된 유치가 계승 영구치의 발육 및 맹출을 방해한다면 외과적 발거를 우선 고려 할 수 있고, 발거가 인접치의 발육에 영향을 줄 수 있다면 인접치 맹출 후로 그 발거 시기를 늦출 수 있다. 또한 맹출공간 확보를 통해 자발적 맹출을 기대할 수 있다.

• 대한지역사회영양학회지
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• 제19권2호
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• pp.187-197
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• 2014

Objectives: This study was carried out to determine nutritional status of elderly patients in a long-term care hospital according to meal type and eating ability. Methods: Subjects were 47 female patients aged over 65 ($79.3{\pm}7.1$ years) who resided in a long-term care hospital in Seoul. Thirty seven patients who ate diet orally were grouped according to meal type (27 general diet and 10 soft diet) and eating ability (26 eating by oneself and 11 eaten with help) and 10 were on tube feeding. Nutritional status was determined by food consumption and mid-arm circumference. Results: The mean adequacy ratios (MARs) of 12 nutrients (protein, calcium, phosphorus, zinc, vitamin A, vitamin $B_1$, vitamin $B_2$, vitamin $B_6$, niacin, folic acid, vitamin C) were 0.687 for general diet, 0.565 for soft diet, 0.680 for eating by oneself and 0.677 for eaten with help, which were significantly lower than 0.982 for tube feeding (p < 0.05 or p < 0.01). The patients on tube feeding had significantly lower % arm circumference compared to those who ate general diet (84.0% vs. 95.4%, respectively, p < 0.05). Nutrients intakes, nutrient adequacy ratio (NAR) and index of nutritional quality (INQ) were not different between meal types as well as eating ability. The most insufficiently consumed nutrients by the patients on diet were folic acid, vitamin $B_2$, and calcium (NAR 0.334~0.453, 0.515~ 0.539, and 0.516~0.533, respectively). Conclusions: The results suggested that regardless of meal type or eating ability, the subjects who were on diets in this study might have inadequate intake of folic acid as well as vitamin $B_2$, and calcium, which need to be reflected on menu planning. The measurement of mid-arm circumference presented more risk of malnutrition of patients on tube feeding than those on diets, despite apparently better nutrient consumption.

• Radiation Oncology Journal
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• 제34권1호
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• pp.34-44
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• 2016

Purpose: A prospective phase II trial was conducted to evaluate the effectiveness and toxicity of regional hyperthermia and whole liver irradiation (WLI) for numerous chemorefractory liver metastases from colorectal cancer. Materials and Methods: Enrolled patients had numerous chemorefractory hepatic metastases from colorectal cancer. Five sessions of hyperthermia and seven fractions of 3-gray WLI were planned. Health-related quality of life (HRQoL) was determined using the Korean version of the European Organization for Research and Treatment of Cancer quality of life questionnaire C-30 and the Functional Assessment of Cancer Therapy-Hepatobiliary version 4.0. Objective and pain response was evaluated. Results: A total of 12 patients consented to the study and the 10 who received WLI and hyperthermia were analyzed. WLI was completed as planned in nine patients and hyperthermia in eight. Pain response was partial in four patients and stable in four. Partial objective response was achieved in three patients (30.0%) and stable disease was seen in four patients at the 1-month follow-up. One patient died 1 month after treatment because of respiratory failure related to pleural metastasis progression. Other grade III or higher toxicities were detected in three patients; however, all severe toxicities were related to disease progression rather than treatment. No significant difference in HRQoL was noted at the time of assessment for patients who were available for questionnaires. Conclusion: Combined WLI and hyperthermia were well tolerated without severe treatment-related toxicity with a promising response from numerous chemorefractory hepatic metastases from colorectal cancer.

• 한국축산시설환경학회지
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• 제14권3호
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• pp.201-210
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• 2008

본 연구는 가축분 퇴비의 가공에 따른 품질 및 이용성을 향상시키는 기술을 개발하는 목적으로 수행되었다. 펠렛퇴비의 가공효과 개선 및 관련 기술 개발 그리고 퇴비 이용성 개선이 본 과제 수행에 있어 핵심적 해결요소이다. 본 과제 수행에 있어 지금까지 도출된 주요 결과는 다음과 같다. 1 펠렛퇴비 최적가공조건 설정시험 결과, 돈분발효퇴비의 펠렛가공 효과는 재료의 구성과 혼합을 그리고 퇴비원료의 수분함량에 큰 영향을 받는 것으로 나타났다. 2. 스쿠루 형태의 제조방법이나 펄렛밀 형태의 제조방법을 취하는 경우, 두 방법 모두 펠렛화 과정에 따른 퇴비중의 양분손실 현상은 크게 나타나지 않았다. 3. 가공온도가 높고 계분이 함유된 처리구에서 암모니아 발생정도가 가장 높았고 동일한 수준의 돈분뇨 퇴비를 함유한 시험구의 경우, 가공온도와 암모니아 발생량이 정의 상관관계를 보이는 것으로 판단된다. 단 첨가재로 이용된 물질이 가공단계에서 퇴비재료의 pH를 상승시키는 역할을 할 경우 암모니아 발생을 촉진한다. 4. 정상상태의 실온에 보관하였을 경우 펄렛퇴비의 중량은 점차 감소하는 경향을 보인다. 펠렛퇴비 중량의 경우 가공 후 최초 15일 까지는 시간의 흐름에 비례하는 감소하는 경향을 보이고 그 이후부터는 감소율이 낮아지는 결과를 보인다. 펠렛퇴비의 중량감소 정도는 원재료의 구성보다는 경과일수에 영향을 더 받는다. 부피도 시간의 흐름에 따라 감소하는 경향을 보이는데 중량변화보다는 그 변이가 크지 않은 결과를 보였다. 5. 돈분퇴비와 패각을 혼합한 처리구의 내압축력이 상대적으로 낮았던 반면에 돈분과 계분퇴비에 버섯배지와 패각 그리고 미강을 혼합하여 제조한 펠렛퇴비의 내압축적이 가장 우수한 것으로 나타났다.