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포착신경병증의 약침치료에 대한 국내 임상 연구 동향: 주제범위 문헌고찰 (Domestic Clinical Research Trends of Pharmacopuncture Treatment for Nerve Entrapment Syndroeme: A Scoping Review)

  • 이원형;우현준;한윤희;최승관;조정호;전병현;하원배;이정한
    • 한방재활의학과학회지
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    • 제33권4호
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    • pp.31-44
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    • 2023
  • Objectives The purpose of this study is to check the research trends of pharmacopuncture treatment in nerve entrapment syndrome, identify specific techniques, identify which pharmacopuncture are used, and provide directions for future research. Methods This study was conducted based on the five steps suggested by Arksey and O'Malley. We searched five domestic databases (Research Information Sharing Service, Oriental Medicine Advanced Searching Integrated System, Korean studies Information Service System, Science ON, and KMBASE) and identified studies with key search terms like "nerve entrapment" And "pharmacopuncture" until June 23, 2023. Results Twenty-nine studies were finally selected. among them, 25 papers were non-comparative studies (86.2%). The most common disease was carpal tube syndrome (n=10). All the investigated studies were treated by injecting pharmacopuncture into the pathway of the entraped nerve. The depth of pharmacopuncture injection was mentioned only in 13 studies. As for the pharmacopuncture used, sweet bee venom was 8 studies and bee venom was 6 studies, and about half of the pharmacopuncture manufactured with Bee venom as the main component accounted for. Conclusions This study is a scoping review of the pharmacopuncture treatment for nerve entrapment, which was first conducted in Korea. The treatment is mainly performed on the path way of the entraped nerve. After that, it is necessary to study the standardization of the specific technique method of pharmacopuncture and the uniformity of evaluation criteria.

신바로 약침의 국내 임상 연구 동향: 스코핑 리뷰 (Domestic Clinical Research Trends of Shinbaro Pharmacopuncture: Scoping Review)

  • 김영민;한윤희;최승관;조정호;전병현;우현준;하원배;이정한
    • 한방재활의학과학회지
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    • 제33권4호
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    • pp.125-144
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    • 2023
  • Objectives This study aimed to investigate domestic clinical research trends in Shinbaro pharmacopuncture, identify diseases managed using Shinbaro pharmacopuncture, and suggest the direction for future studies to increase its clinical utilization. Methods This study used five steps proposed by Arksey and O'Malley and the PRISMA-extension for scoping reviews checklist. We examined published literature on Shinbaro pharmacopuncture studies reported until June 5, 2023, in the following eight databases (Research Information Sharing Service, Science ON, Oriental Medicine Advanced Searching Integrated System, KMBASE, The Society of Internal Korean Medicine, PubMed, EMBASE, and the Cochrane Library). The search terms used were 'Shinbaro' or 'Sinbaro'. Results A total of 47 studies were included in our analysis. Of these, 37 (78.7%) were interference time series studies. Shinbaro pharmacopuncture was the most frequently used treatment for lumbosacral disease (n=15). In the facial area, ST4 and ST6 were used in five out of six studies, and in the shoulder area, TE14 and LI15 were used in all studies. Nine of the 15 studies in the lumbosacral area used the EX-B2. The other parts mostly used the pressure points. Compared to other pharmacopuncture methods, the treatment effect was similar to that of bee venom, and faster than that of jungsongouhyul. Conclusions This is the first scoping review of Shinbaro pharmacopuncture therapy in South Korea. Studies with a high level of evidence based on sole treatment, large capacities, and standardization of Shinbaro pharmacopuncture need to be conducted to increase its clinical utilization.

Butyric acid and prospects for creation of new medicines based on its derivatives: a literature review

  • Lyudmila K. Gerunova;Taras V. Gerunov;Lydia G. P'yanova;Alexander V. Lavrenov;Anna V. Sedanova;Maria S. Delyagina;Yuri N. Fedorov;Natalia V. Kornienko;Yana O. Kryuchek;Anna A. Tarasenko
    • Journal of Veterinary Science
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    • 제25권2호
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    • pp.23.1-23.15
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    • 2024
  • The widespread use of antimicrobials causes antibiotic resistance in bacteria. The use of butyric acid and its derivatives is an alternative tactic. This review summarizes the literature on the role of butyric acid in the body and provides further prospects for the clinical use of its derivatives and delivery methods to the animal body. Thus far, there is evidence confirming the vital role of butyric acid in the body and the effectiveness of its derivatives when used as animal medicines and growth stimulants. Butyric acid salts stimulate immunomodulatory activity by reducing microbial colonization of the intestine and suppressing inflammation. Extraintestinal effects occur against the background of hemoglobinopathy, hypercholesterolemia, insulin resistance, and cerebral ischemia. Butyric acid derivatives inhibit histone deacetylase. Aberrant histone deacetylase activity is associated with the development of certain types of cancer in humans. Feed additives containing butyric acid salts or tributyrin are used widely in animal husbandry. They improve the functional status of the intestine and accelerate animal growth and development. On the other hand, high concentrations of butyric acid stimulate the apoptosis of epithelial cells and disrupt the intestinal barrier function. This review highlights the biological activity and the mechanism of action of butyric acid, its salts, and esters, revealing their role in the treatment of various animal and human diseases. This paper also discussed the possibility of using butyric acid and its derivatives as surface modifiers of enterosorbents to obtain new drugs with bifunctional action.

정신과간호 실습에 대한 간호 학생들의 태도 조사연구 (A Study of the Attitudes of Nursing Students toward Their Clinical Affiliation in a Mental Hospital)

  • 김소야자
    • 대한간호학회지
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    • 제3권3호
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    • pp.15-26
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    • 1973
  • (Directed by Professor Hong, Shin Yong) Today, over seventy five Percent of the schools of nursing in Korea Provide a psychiatric experience in the basic curriculum. The psychiatric presents numerous major problems of adjustment to the student. The importance of positive attitudes toward the nursing care of psychiatric patients is recognized by the nursing profession. The purpose of this study was to determine the expressed attitudes of fifty-three nursing students toward their psychiatric affiliation. An attempt, also, was made to determine what implications these attitudes revealed relative to future program planning for students during the psychiatric nursing affiliation. A questionnaire, a Korean translation of the "psychiatric Nursing Attitude Questionnaire" by Milder Elizabeth Fletcher, was administered to fifty-three nursing students from three schools of nursing in Seoul, Who had completed a four-week psychiatric affiliation in a large mental hospital during Mar. 19, 1973 to May 19, 1973. The questionnaire of 100 statements was administered in the following way: (1) Part 1, Preconceptions. was. given in individual conferences with each subject, during the first few days of their affiliation, and again during the final week of the affiliation. The responses to Part Ⅰ were oral. (2) Part Ⅱ , Expectations, Part Ⅱ, Personal Relations, Part Ⅳ, Personal Feelings, and Part V , Attitudes and Activities of Patients were given to all of the subjects in a group meeting during the second week of the affiliation, and again. during the fourth week at the termination of the affiliation. Responses to Parts B, B, n, and f, wire written. Each of the 100 statements of the questionnaire was considered to be either Positive or Negative. A favorable response was assigned the Positive value of land an unfavorable response was assigned the Negative value of O. The coefficient of correlation was computed between the two sets of scores for the fifty-three nursing students., The mean score, the standard deviation, and the differences in the means on each of the five parts of the questionnaire were computed and the relationships calculated by a t-test. The results. of the study were as follows: 1. There was no significant correlation between the two sets of scores for the fifty-three nursing students during the four-week psychiatric affiliation. (r=573) 2. There was no significant difference in the mean scores between the first and final tests for any of the five parts of the questionnaire. 3. The Part.1, Preconceptions, data indicated nursing students enter the psychiatric affiliation with certain attitudes and preconceptions toward tile psychiatric affiliation which affect their psychiatric nursing experience, 4. The Part Ⅰ, Expectations, data indicated inappropriate expectations of students related to lack of experience, Lack of pre-psychiatric affiliation orientation, lack of social understanding, and feelings of insecurity. 5. The Part Ⅲ, Personal relations, data indicated some students have negative attitudes in personal relations with normal people in respect to psychological security and social responsibilities. 6. The Part Ⅳ, Personal feelings, data indicated nursing students have psychological insecurity & inappropriateness. 7. The Part Ⅴ, Attitudes and activities of patients, data indicated nursing students have negative attitudes of fear and frustration due to the psychotic behavior of certain patients in certain situations. 8. The data indicated preconceptions are predominate in unfavorable attitudes of students toward psychiatric nursing affiliation. Further researches indicated in the following areas: 1. Because of the limited number of students in this study, similar studies should be performed with larger groups for further validation of the results. 2. Because of the findings concerning the influence of the opinions of people in close contact with the students, similar studies of the attitudes of the staff in nursing schools, attitudes of graduate nurses and attitudes of the public should be done to determine weakness and strengths of present programs.

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시설재배 오이의 생육시기별 엽 중 다량요소와 미량요소 함량 (Macro and Micro Nutrient Contents in Leaves of Greenhouse-grown Cucumber by Growth Stages)

  • 이주영;성좌경;이수연;장병춘;김록영;강성수
    • 한국토양비료학회지
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    • 제44권2호
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    • pp.215-220
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    • 2011
  • 시설오이 재배작형에 따른 시기별 잎의 무기성분의 지표를 설정하기 위하여 촉성재배 지역 5농가, 반촉성재배 지역 5농가, 전체 10 농가포장을 대상으로 재배현황 및 수량성을 조사하였으며, 잎을 채취 분석하여 생육단계별 엽 중 무기성분 함량을 제시하였다. 작형별 수량은 생육기간이 9개월인 촉성재배가 14.8 톤 $10a^{-1}$, 생육기간이 6개월인 반촉성재배가 10.7 톤 $10a^{-1}$으로 촉성재배에서 현저히 높았다. 오이의 생육초기에 있어서 토양의 pH, 유기물, 치환성 칼륨 등 염기함량은 작형 간에 큰 차이가 없었으나 EC와 질산태질소, 유효인산 함량 등은 대체로 높은 함량을 보이면서 촉성재배지가 반촉성재배지에 비하여 적정수준이거나 적정수준에 근접하였다. 토양온도 역시 대체로 수량이 많았던 촉성재배지에서 적정수준으로 유지되었다. 엽 중 무기성분함량 중 다량요소인 NPK의 최고함량은 촉성재배에서 정식후 60~80일, 반촉성재배는 100일에서 높았으며, 최고함량으로 볼 때 촉성재배에서 다소 높았다. 촉성재배에서 Ca과 Mg함량은 생육시기별 큰 차이가 없으나 반촉성재배에서 정식 후 80~100일에서 최고값을 보였다. 엽 중 Fe, Mn, Zn 등의 미량요소 함량은 생육기간 간에 일정한 경향이 없었으나 Mn함량은 토양 pH가 다소 낮은 촉성재배에서, B함량은 토양의 유효 B함량이 높았던 반촉성재배에서 높은 결과를 보였다.

조기퇴원 수술환자의 병원중심 가정간호 효과 및 비용분석에 관한 연구 (A Study on Effectiveness of the Hospital-based Home Nursing Care of the Early Discharged Surgical Patients and its Cost Analysis)

  • 박경숙;정연강
    • 대한간호학회지
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    • 제24권4호
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    • pp.545-556
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    • 1994
  • Medical insurance and health care delivery system enabled Korean people to get the necessary medical service, but it caused increased needs for medical service, and resulted in the occurence of some problems such as a lack of manpower and medical facilities. In order to solve these problems, many countries, which already had medical insurance system had developed home care system and it has been regarded effective both in reducing costs and in increasing the rates of turnover of bed. Recently, Korea has included home nursing care in its health care delivery system, and some models of the hospital based home nursing care had been tried and its effects had been evaluated. So, author tried to run a home nursing care for the Cesarean section mothers and evaluate Its effects both in the mother's health and costs. This study was designed as a Quasi-experimental study. Subjects were thirty mothers who got Cesarean section operation in hospital in Seoul. Experimental group consisted of 15 volunteers, and control group were selected by means of matching technique. Data were gathered from February 1st to March 26th by two assistants who were trained by author. Experimental group were discharged on the 4th day after their operation, and got nursing care and assessment about their home three times on the 5th, 6th, and 7th day. Control group stayed in the hospital until 7th day as usual and were checked on the same day as above mentioned To evaluate the state of physiological recovery, vital signs, H.O.F, presence of edema in the legs, bathing, appetite, sleep, presence of pain or discomfort in the breasts, amount of lochia, color of lochia, defecation urination. To compare incidence of complication in experimental group with that in control group, specific assessment was done such variables as smell of lochia, presence of inflammation of operation wound, dizziness, and presence of immobilization in the extremities. The activities of daily living were checked Satisfaction of nursing were checked To calculate costs, author asked subjects to specify expenditure including hospital charge, traffic enpenses, and food expenses. The results were as fellows. 1. On effectiveness of home nursing careThere were n significant differences between experimental and control group in incidence of abnormal symptoms and any complication. The number of taking a bath [POD #5 P=0.001, #6 P=0.0003, #7 P=0.001] and the degree of appetite [POD #5 P=0.03, #6 P=0.02, #7 P=0.013] were significantly higher in experimental group than in control group. Contrary to author's expectation, the degree of the activities of daily living in experimental group was not higher than that of control group. All of the experimental group said they were satisfied with the home nursing care. 2. Cost analysis 1) Hospital charge of experimental group was lower than that of control group. [P=0.009] By taking home nursing care, average period of hospitalization was shortened to 3.1 days, and family members could save 22.8 hours. Total amount of money saved by early discharge was 3,443,093 Won. It is estimated that total amount of money saved by early discharge in a year will be 40,398,956 Won. 2) Home nursing care charge of 15 mothers was 1,781,633 Won. It is estimated that total amount of money Saved by it in a year Will be 20,904,493 Won. It was lower altogether than hospital charge of the three days which is 5th, 6th, 7th day of operation. The average cost of single home visit was calculated 10,940 Won. It took 87 minutes per round and it costed 1,017.3 Won. The average hour of home care was 39.0 minutes. 3) It is expected that early discharge can bring forth the increase of hospital income. On the condition that the rate of running bed is 100%, the expected increase of hospital income will be 202,374, 026 Won in a year. Suggestions for further study and nursing practice are as follows : 1. For the welfare of patients and the increased rates of running bed, home nursing care system should be included in the hospital nursing care system. 2. Studies to test effect of home nursing care on the patients with other diseases are needed. 3. Establishment of law on the practice of home nursing care is strongly recommended.

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급성 저산소증 상태에서 심장 내 전사인자 NF-κB의 기능 (Role of the Nuclear Transcription Factor NF-κB Caused by Acute Hypoxia in the Heart)

  • 주찬웅;정우석;김재철;이호근
    • Clinical and Experimental Pediatrics
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    • 제45권9호
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    • pp.1106-1113
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    • 2002
  • 목 적: 전사인자 $NF-{\kappa}B$는 스트레스 등으로부터 세포 자멸사를 조절하여 적응을 유지하는 기본적인 분자로 인식되고 있다. 저산소증 상태는 많은 심장병에서 동반되는 병변으로 성장인자 VEGF와 IGF-I는 저산소증 시에 심장을 보호하는 작용을 할 것으로 추측되고 있다. 본 연구에서는 저산소증과 같은 자극으로부터 심장의 보호 기능이 추정된 $NF-{\kappa}B$의 발현과 함께 VEGF와 IGF-I의 발현 연관성을 검토하여 분자 생물학적인 기전을 이해하고자 하였다. 방 법 : 실험동물로 Sprague Dawley rat을 이용하여, 저산소 자극은 8%의 산소와 92% 질소를 hypoxic chamber로 관류시키며 유도하였다. 심장에 대한 저산소증 자극 후 심근세포로부터 측정 인자들과 관련된 핵 내 단백질, 전단백질 그리고 mRNA를 분리하였다. 핵 내의 전사인자는 EMSA로 측정하였으며, VEGF와 IGF-I의 발현은 competitive-PCR, Western hybridization, Northern hybridization으로 확인하였다. 또한 이러한 성장인자의 발현과 관련된 $NF-{\kappa}B$의 기능을 확인하기 위하여 $NF-{\kappa}B$의 핵 내 이동 억제제인 DDTC를 전 처치로 복강 내 주사하여 그에 따른 VEGF 및 IGF-I의 발현 양상을 비교하였다. 결 과 : 저산소 자극 후에 심근 세포 내에 전사인자 $NF-{\kappa}B$, AP-1, NF-ATc의 활성이 증가되었다. VEGF와 IGF-I의 발현도 저산소증 자극 시 증가되었지만, DDTC 전 처치에 의한 $NF-{\kappa}B$의 핵 내 이동 차단 후 이들 인자의 발현은 의의 있게 감소하였다. 결 론 : 전사인자 $NF-{\kappa}B$는 저산소증 상태에서 그 활성이 증가하고 저산소증 상태와 같은 심장에 대한 이상 자극 시 VEGF와 IGF-I의 발현을 증가시켜 심장을 보호하는 것으로 추정된다.

전통정원에서 '오동(梧桐)'의 수종, 식재 위치와 경관적 활용 (Species, Planting Position and Scenic Utilization of 'Paulownia Tree(梧桐)' in the Traditional Garden)

  • 홍형순
    • 한국전통조경학회지
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    • 제31권2호
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    • pp.20-30
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    • 2013
  • 인류 문명과 함께해 온 나무 중 하나인 '오동'은 정원수로도 널리 사용되어왔다. 본 연구의 목적은 우리나라의 전통 정원에 '오동'이 어디에 어떻게 식재되었는가? 또 그로부터 취한 효용성은 무엇이었는가를 규명하는데 있다. 본 연구를 통해 규명하고자 한 것은 다음과 같다. 첫째, 우리나라의 전통 정원에서 '오동나무'와 '벽오동' 등 수종을 명확히 구분하고, 또 이들을 방위에 따라 가려서 식재하였는가? 둘째, 의기(宜忌)에 준해서 정전(庭前)에 오동나무 식재를 금기시했다면 어떤 위치에 식재하였는가? 셋째, 옛 사람들은 왜 오랜 기간에 걸쳐 오동을 즐겨심고 가꾸었으며, 이를 통해 어떠한 효용을 취하고자 했는가이다. 본 연구의 방법은 여러 사료들에 담긴 내용과 의미를 고찰하고 해석하는 기술(description)적 연구방법이 사용되었다. 연구의 결과를 요약하면 다음과 같다. 1. 백과사전류와 농서, 원예서 등 고문헌을 고찰한 결과, '오동'에 대한 설명이 편찬자에 따라 차이가 있으며, 구체적인 수종의 구분도 모호하다. 따라서 방위에 따라 '오동'의 수종을 가려서 식재하는 등의 제한이 적용되지는 않았던 것으로 판단된다. 다만 '오동'의 식재와 관련된 의기 사항은 "산림경제"가 아닌 "증보산림경제"와 "임원경제지"에서 확인할 수 있었다. 2. 옛 정원을 묘사한 시문을 통해서도 오, 동, 오동, 벽동 등의 어휘가 큰 구분 없이 사용되었음을 다시 한 번 확인할 수 있었다. 그러나 실제적으로 정원에 도입된 '오동'의 수종은 오동나무와 벽오동을 비롯해 개오동나무도 활용되었을 것으로 추측된다. 3. '오동' 식재와 관련된 의기 사항이 보편적으로 적용되지는 않은 것으로 판단된다. '정전(庭前)' 즉, 뜰 앞이나 뜰 가 등 집 가까이에도 오동이 즐겨 식재되었던 것으로 판단된다. 4. 옛 정원의 정원수로서 오동의 효용성은 '가을의 전령'으로서 계절감을 강조하는 수목으로서의 역할을 하였다. 5. 오동은 일시적 경관의 정취를 더하는 수목으로서의 효용성도 있었다. 즉, 옛 사람들은 '달'과 가장 잘 어울리는 사물을 '오동'이라고 보았고, 이 둘이 병치된 운치를 즐겼다. 또 '오동'은 잎에 떨어지는 빗소리를 즐기는 등 비오는 날의 정취를 더해주는 수목 중 하나로 활용되었다. 본 연구의 한계는 많은 한문 자료 중 번역물에 국한하여 연구가 진행되었다는 점이다. 추후 연구과제는 새로운 사료의 발굴과 번역 성과물이 축적됨으로써 보다 심도 있는 연구가 필요하다는 점이다.

한국재래닭 1번 염색체내 초위성체 유전표지를 이용한 경제형질 연관 지역 탐색 (Potential Allelic Association of Microsatellite Markers on Chromosome 1 with Economic Traits in Korean Native Chicken)

  • 김학규;오재돈;강보석;박미나;채은진;정한민;서옥석;최호성;전광주;이학교;공홍식
    • 한국가금학회지
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    • 제35권2호
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    • pp.163-169
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    • 2008
  • 본 연구는 한국재래닭의 1번 염색체내 존재하는 17개의 MS(microsatellite) marker를 이용하여 경제형질과 관련하여 유의적인 연관성을 가진 지역을 탐색하기 위하여 실시하였다. 1번 염색체내 경제형질과의 유의적인 연관성을 가진 지역을 탐색하기 위하여 분석된 17개의 MS marker를 대상으로 각 marker별 대립 유전자의 최다 출현 빈도를 지닌 두 개의 대립 유전자를 선발하였다. 선발된 각각의 대립 유전자는 각 경제형질별 성적을 바탕으로 고능력 집단과 저능력 집단으로 나누었으며, 두 집단간의 Chi-squire 검정을 통해 경제형질과의 연관성을 확인하였다. 분석된 결과에 따르면 난중의 경우 94 cM에 위치한 MCW0106, 1개의 지역에서 유의적인 연관성이 탐색되었다. 시산일령의 경우, 3개의 지역(ADL0234, UMA 1.125, ADL0101)에서 유의적인 연관성이 탐색되었고, 체중의 경우 6개의 지역(UMA1.117, ADL0020, UMA1.019, LAMP1, ADL0101, ADL0238)에서 유의적인 연관성이 탐색되었으며, 마지막으로 산란수의 경우 2개의 지역(ADL0101, ADL0238)에서 유의적인 연관성을 확인하였다. ADL0101는 시산일령, 체중 그리고 산란수에서의 유의적인 연관성이 확인되었으며, 산란수에서는 두개의 대립 유전자(174, 178) 모두에서 유의적인 연관성이 탐색되었음을 확인하였다.

지열 냉방시스템을 이용한 분만돈사의 냉방효과 분석 (Evaluation on Cooling Effects of Geothermal Heat Pump System in Farrowing House)

  • 최희철;송준익;나재천;김민지;방한태;강환구;박성복;채현석;서옥석;유영선;김태원;박재홍
    • 한국축산시설환경학회지
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    • 제16권2호
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    • pp.99-108
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    • 2010
  • 지열냉방시스템을 분만돈사에 적용하여 냉방효과 및 분만돈과 자돈의 생산성을 조사하였다. 처리구는 지열냉방돈사와 관행돈사로 2개로 나누였으며, 돈사당 각각 모돈 48두씩를 수용하여 하절기 4주간 시험을 실시하였다. 시험결과, 외부기온이 $33.0^{\circ}C$ 이상으로 더운 날에는 냉방을 위한 지하수 순환량이 많이 소요되어 최고기온과 지하수 순환량이 아주 밀접한 정의 상관관계가 있는 것으로 나타났다. 지열냉방 돈사의 온 습도 변화의 경우 최고기온은 관행돈사에 비하여 낮게 유지되고, 최저기온도 많이 떨어지지 않아 일교차가 훨씬 적었다. 미세먼지 입자가 상대적으로 큰 PM 10은 지열냉방돈사가 관행돈사에 비하여 최고 61.4% (111.1 vs 42.9) 까지 감소되었다. 그러나 작은 입자의 분진은 오히려 지열 냉방구에서 약간 높은 경향이었다. 암모니아가스 배출량의 경우 지열냉방돈사는 관행돈사에 비하여 유의하게 (p<0.05) 감소하였다. 총 3회에 걸쳐 측정된 임신돈의 호흡수는 지열냉방돈사에서 유의적으로 (p<0.05) 감소하였고, 에피네프린과 노르에피네프린 호르몬의 경우에 지열냉방돈사에서 감소하는 경향을 보였다. 이유시 체중은 지열 냉방돈사가 관행돈사에 비하여 유의적으로 (p<0.05) 증가하였으며, 여름철 모돈의 사료 섭취량은 관행돈사에서 유의적으로(p<0.05) 감소하였다. 따라서 지열냉방시스템은 여름철 분만사의 온 습도를 낮게 유지시킬 수 있을 뿐만 아니라 분진, 암모니아 가스 발생량 빛 모돈의 호흡수 감소에 영향을 주어 모돈과 포유자돈의 생산성을 개선시킬 수 있다.