• Journal of Korean Academy of Fundamentals of Nursing
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• v.17 no.2
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• pp.177-186
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• 2010

Purpose: The purpose of this descriptive study was to investigate the application of physical restraints in ICUs of a university hospital. Method: Data were collected from August 1 to October 1 2009, using a recording tool from Electric Nursing Records and an observation tool for physical restraints and related factors. Frequency, percentage, and paired t-test with the SPSS/WIN 16.0 program were used to analyze the data. Results: The application rate for physical restraints in 5 ICUs was 34.3%, the highest application rate was 48.4% in the neurosurgical ICU. The mean frequency for physical restraint application per patient was 1.14, and the mean hours of restraint application per incident was 113.01 hours. The most common complications of physical restraints were bruising and edema. Conclusion: Many ICU nurses use physical restraints when caring for patients who are at high risk for falls, including patients have high levels of acuity, decreased level of consciousness or increased irritability. When physical restraints are applied, patients show resistance against the use resulting in side effects of bruising and edema. Therefore, nurses should observe changes in restrain sites, perform nursing interventions to prevent complications, and minimize the use of physical restraints.

• Research in Plant Disease
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• v.29 no.3
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• pp.268-275
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• 2023

This study was conducted to confirm the utilization of Pleurospermum camtschaticum root extract as an organic agricultural material. Antioxidant activity of P. camtschaticum root extract, closely related to antibacterial activity, increased in a dose-dependent manner. In mycelial growth inhibitory activity, 100% P. camtschaticum root extract supressed over 70% for Colletotrichum coccodes and over 68% for Colletotrichum dematium. In the pepper fruit anthracnose development test, the size of the lesion decreased in a dose-dependent manner, which showed the same tendency as the previous results in inhibitory activity on mycelial growth. In the pepper seed germination and red pepper growth promotion test of P. camtschaticum root extract, oposite results was confirmed. The lower the concentration, the more the seed germination and growth promotion effects were shown. The phenol content of pepper leaves was also measured after pepper growth promotion test have been completed. The phenol content related to antibacterial activity increased in all treated groups compared to the untreated group. Therefore, the results of this study showed the possibility of development as an organic material.

• Korean Journal of Psychosomatic Medicine
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• v.27 no.1
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• pp.35-41
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• 2019

Objectives : Although delirium is a common complication among patients hospitalized in intensive care units(ICUs), little is known about the roles that diagnostic and therapeutic procedures play in its development. This study investigates the procedure-related risk factors of delirium in ICU patients. Methods : All the consecutive patients admitted to the ICU between June 2016 and May 2017 were routinely evaluated for delirium by psychiatrists. In total, 1156 patients met the inclusion criteria and were retrospectively analyzed. A multiple logistic regression analysis was conducted to investigate independent risk factors of delirium development while adjusting for other characteristics. Results : The age, Acute Physiology and Chronic Health Evaluation (APACHE II) score, proportion of patients who had undergone an operation, and proportion of patients who were foley catheterized, mechanically ventilated, and physically restrained were higher in the delirium group. The multiple logistic regression analysis confirmed that the use of restraint was an independent risk factor of delirium (odds ratio : 10.006 ; 95% confidence interval : 6.120-16.360 ; p<0.001). The patient factors independently associated with delirium were an advanced age and a higher APACHE II score. The incidence of delirium was 15.3%. Conclusions : There is a high prevalence of delirium influenced by potentially harmful procedures in patients in ICU settings. The use of physical restraint had the strongest association with the development of delirium. These findings advocate the need to target procedure-related risk factors such as the use of restraints as preventive intervention measures for ICU delirium.

• Proceedings of the Korean Institute of Surface Engineering Conference
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• 1998.05a
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• pp.108-108
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• 1998

일반적으로 탄소강은 수용액 중에 노출될 경우 전면부식에 의한 손상을 받는다. 그러나 부식방지를 위하여 부식억제제를 적용할 경우, 탄소강의 부식거동은 현저한 변화를 겪게된다. 이러한 부식거동의 변화는 첨가되는 부식억제제의 종류에 따라 분 류할 수가 있는데, 양극부식억제제, 음극부식억제제 그리고 이들의 혼합부식억제제로 분류할 수가 있다. 현장에 적용된 부식억제제 시스템 중에는 자동차용 부동액과 가스히터용 열전달 매체액이 있다. 이러한 부식억제제가 적용된 시스댐은 정확한 부식억제능의 평가에 의한 그 교체 시기의 결정이 매우 중요하다. 교체 시기가 빠를 경우, 유지비용이 과다하게 소요되는 문제가 있으며, 교체시기가 늦을 경우 설비의 부식을 초래하는 문제 가 있다. 따라서 부식억제제의 정확한 성능 평가법은 매우 중요하며, 이에 대한 다양 한 연구가 진행 중이다. 부식억제제가 함유된 용액의 부식억제성능을 평가하는 방법에는 대표적으로 무게 감량법을 이용하고 있다. 이 방법은 다종의 금속이 적용된 자동차용 부동액을 실제 사용조건과 유사한 실험 조건에서 단기간, 가혹조건에서의 무게 감량에 의해 부식억 제능을 평가하는 방법이다. 그러나 이러한 방법은 특히 국부부식이 진행될 경우 부 식억제능을 정량화 하는데 어려움이 있다. 한편 전기화학적 측정방법으로는 분극곡선법을 이용한 $E_P$(공식개시전위), $E_R$(재부동태 화전위)의 측정법이 있다. 또한 부식억제피막의 안정성을 측정하기 위한 방법으로 인 위적인 양극전류 인가에 의한 피막의 파괴후에 피막이 복원가능 여부 및 그 속도 측 정에 의해 부식억제제의 건전성을 확인할 수가 었다. 본 연구에서는 가스히터의 주구성 재료인 A210 Gr Al의 탄소강을 사용하여, 사용기간이 5년 이상되어 부식억제 기능을 거의 상실한 것으로 여겨지는 열전달 매체액 과 신규 부식억제제가 적용된 시스템 등 객관적으로 확인된 부식억제제 시스랩에 대 하여 다양한 평가 방법을 동원 비교분석하고자 하였다. 실험은 KSM 2142에 의한 무게감량법, 분극곡선 측정에 의한 $E_P$(공식개시전위), $E_R$(재부동태화전위) 측정, 시간에 따른 자연전위 변화 측정 빛 이때의 부식속도(선형분극법), 인위적인 피막 파괴 전,후 의 전위 변화 및 부식속도 측정법에 의한 국부부식 발달 저지능 등을 평가하여 각 실험결과를 비교분석하여 보았다.

• Journal of Life Science
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• v.30 no.5
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• pp.460-467
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• 2020

Hepatocellular carcinoma (HCC) is one of the most commonly diagnosed cancers in the word. Although radiation and chemotherapy are generally effective, there are various side effects that greatly limit the effectiveness of these treatments. Therefore, traditional herbs may have potential as important resources for the discovery of liver cancer therapeutics. In this study, we selected three Korean herbal medicine formulas from the Donguibogam, namely Bigihwan (BGH), Daechilgithang (DCGT), and Mokwhyangbinranghwan (MHBRH), and evaluated their anti-cancer effects on HCC cells. According to our results of three ethanol extracts, BGH was more effective at suppressing HCC growth than DCGT or MHBRH. Furthermore, flow cytometry analysis showed that inhibition of HCC proliferation by the three extracts was associated with the induction of apoptosis and autophagy. In particular, BGH significantly increased mitochondrial impairment and showed the possibility of inducing mitophagy in comparison with the other two extracts. BGH prominently upregulated the levels of microtubule-associated protein light chain-3 which was accompanied by a decrease in the expression of anti-apoptotic Bcl-2 without altering the expression of pro-apoptotic Bax. In addition, the levels of PTEN-induced kinase 1 were also markedly increased in BGH-treated HCC cells. Moreover, autophagy blocking improved cell viability and reduced apoptosis after the three treatments, indicating that autophagy by these extracts enhances HCC cells against cytotoxicity. In conclusion, our findings show that BGH demonstrates the highest anti-cancer activity among the three formulas and inhibits the proliferation of HCC cells through autophagy induction.

• Korean Journal of Clinical Pharmacy
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• v.21 no.3
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• pp.228-236
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• 2011

배경: 약물로 인한 Clostridium difficile-associated diarrhea (CDAD)는 널리 알려져 있으며 우리나라에서 항생제와 프로톤 펌프 억제제 소모량을 고려할 때 질환 치료과정에서의 CDAD 발생빈도 및 CDAD 유발 이전에 투여한 약물의 사용빈도와 CDAD의 치료방법을 조사할 필요성이 있다. 방법: 경상대학교 병원에서 2011년 1월부터 6월까지의 입원환자를 대상으로 대변 독소 검사에 의해 CDAD로 판명된 환자의 성별, 연령분포, 질환명, 입원병동, 재발률을 조사하였으며 CDAD 판명이전에 투여한 약제 및 CDAD 판명후 치료약제를 조사하였다. 결과: 연구기간 동안 CDAD 대변 독소 검사 의뢰된 환자수는 1,500명이었으며 CDAD 양성은 111명(9.3%)이었고, 재발은 29명(26.1%)이었다. CDAD를 주소로 입원한 환자는 17명 (15.3%)이었고, 나머지는 입원기간 중에 발생하였다. CDAD 양성인 환자의 연령대는 60대에서 32.4% (36/111명) 이었고, 내과병동에서 34.2%를 나타내었고, 재발률은 외과계 병동에서 41.4%로 가장 높게 나타났다. CDAD 환자의 17% (19/111명)은 항암제 투여 동안 발생하였으며 CDAD 발생 전 사용약물로는 세팔로스포린계 항생제가 162회로 가장 빈번하게 사용 되었으며, 히스타민2 수용체길항제 107회, 스테로이드 82회, 비 스테로이드 항염제 79회, 프로톤 펌프 억제제 77회, 하제 59회, 항암제가 33회 처방되었다. CDAD 치료약제로는 8종의 약제가 241회 처방 되었으며 metronidazole이 99회로 가장 빈번하게 사용되었고, vancomycin이 37회로 나타났다. 결론: 입원환자에 있어서 CDAD양성은 특히 고령의 암환자가 많아 항암제 투여 시에는 CDAD 발생에 주의해야 할것으로 보인다. CDAD의 치료약제로는 metronidazole이 vancomycin 보다 많이 사용되는 것으로 나타났다.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.13 no.4
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• pp.652-657
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• 2009

This paper proposes an adaptive noise suppression system based on human auditory model to enhance speech signal that is degraded by various background noises. The proposed system detects voiced, unvoiced and silence sections for each frame and implements an adaptive auditory process, then reduces the noise speech signal using a neural network including amplitude component and phase component. Based on measuring signal-to-noise ratios, experiments confirm that the proposed system is effective for speech signal that is degraded by various noises.

• Research in Plant Disease
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• v.16 no.1
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• pp.35-40
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• 2010

Suppression effect of the 12 bacterial isolates from plant rhizosphere against late blight caused by Phytophthora citrophthora were investigated on citrus fruits. Among the bacterial isolates, THJ609-3, TRH423-3, BRH433-2, Lyso-chit and KRY505-3 presented disease suppression after wound inoculation with the fungal pathogen in vivo. The anti-fungal activity was evaluated by measuring the length of inhibition zone of the mycelium P. citrophthora adjacent to the effective bacterial isolates in which all of the 5 bacterial isolates showed antagonistic effects. However, there was no positive correlations between the efficacy of disease suppression and the antagonistic effect. On the other hand, Lyso-chit and KRY505-3 were identified as Bacillus cereus, BRH433-2 as B. circulans and TRH423-3 as Burkholderia gladioli, respectively, by analysis of rDNA sequence on the internal transcript spaces. It is suggested that the effective bacterial isolates may be useful for finding biological control agents against late blight especially on environment-friendly farm where the application of fungicide is limited.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2017.05a
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• pp.712-713
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• 2017

Clinically applicable light emitting diode (LED) has been widely investigated because of relatively low heat generation, low cytotoxicity, and non-invasiveness compared to other therapeutic methods. Therefore, we investigated the therapeutic effects of several wavelengths of light emitting diode against human cervical cancer cells and analyzed the individual inhibitory effect for the cancer cell proliferation. In the experiment, prepared HeLa cells were exposed by red, green and blue light-emitting diode for 10 minutes each. Relatively short-wavelength light-emitting diode (blue) showed stronger therapeutic effects than relatively long-wavelength light-emitting diodes.

• Journal of Life Science
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• v.21 no.1
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• pp.102-109
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• 2011

The genioglossus muscle plays an important role in maintaining upper airway patency during inspiration; if this muscle does not contract normally, breathing disorders occur due to closing of the upper airway. These occur because of disorders of synaptic input to the genioglossus motoneurons, however, little is known about it. In this study, the distribution of GABA-, glycine-, and glutamate-like immunoreactivity in axon terminals on dendrites of the rat genioglossus motoneurons, stained intracellularly with horseradish peroxidase (HRP), was examined by using postembedding immunogold histochemistry in serial ultrathin sections. The motoneurons were divided into four compartments: the soma, and primary (Pd), intermediate (Id), and distal dendrites (Dd). Quantitative analysis of 157, 188, 181, and 96 boutons synapsing on 3 soma, 14 Pd, 35 Id, and 28 Dd, respectively, was performed. 71.9% of the total number of studied boutons had immunoreactivity for at least one of the three amino acids. 32.8% of the total number of studied boutons were immunopositive for GABA and/or glycine and 39.1% for glutamate. Among the former, 14.2% showed glycine immunoreactivity only and 13.3% were immunoreactive to both glycine and GABA. The remainder (5.3%) showed immunoreactivity for GABA only. Most boutons immunoreactive to inhibitory amino acids contained a mixture of flattened, oval, and round synaptic vesicles. Most boutons immunoreactive to excitatory amino acids contained clear and spherical synaptic vesicles with a few dense-cored vesicles. When comparisons of the inhibitory and excitatory boutons were made between the soma and three dendritic segments, the proportion of the inhibitory to the excitatory boutons was high in the Dd (23.9% vs. 43.8%) but somewhat low in the soma (35.7% vs. 38.2%), Pd (34.6% vs. 37.8%) and Id (33.1% vs. 38.7%). The percentage of synaptic covering of the inhibitory synaptic boutons decreased in the order of soma, Pd, Id, and Dd, but this trend was not applicable to the excitatory boutons. The present study provides possible evidence that the spatial distribution patterns of inhibitory and excitatory synapses are different in the soma and dendritic tree of the rat genioglussus motoneurons.