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말기암환자 가족에 대한 호스피스 케어의 정보적 지지 제공 효과

  • Kim, Hyeon-Suk
    • Korean Journal of Hospice Care
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    • v.2 no.1
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    • pp.21-40
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    • 2002
  • Cancer is the second leading cause of the death in Korea. Family caregivers of dying patients manifest many psychological and physical symptoms of stress, and they often seek for informational support from health care providers. Unfortunately, however, few systematic studies identify the actual effect of such support on family caregivers. This study, thus, intends to evaluate the effect of informational support for hospice care. One group pretest-posttest design was used, employing the stress-coping model by Cohen and Wills as a conceptual framework. This research was conducted from July 1 to November 15, 1998, initially with 32 subjects sampled from hemato-oncology department of two general hospitals in Seoul, but reduced to 18 at the end due to the untimely death of patients or caregiver's refusal during the course of study. Informational supports were programmed to provide the family caregivers with 8 times of education and counseling as well as 24-hour hot-line for 4 weeks. A booklet that explains the various problems of hospice care was also prepared and distributed to all subjects. Data were collected by using self-report questionnaires and reviewing medical records. The tools used in this study were based on the Weinert's PRQ-II(scale of perceived social support), Spielberger's state anxiety inventory, and CES-D. Also included in the data collection were the general characteristics of family caregivers and patients, and the pain intensity and the performance status of patients. The data were analyzed with descriptive statistics, Wilcoxon sign rank test and paired t-test using SPSSWIN program. The results of the study were as follows: 1.The perceived social support of family caregivers was not significantly increased with informational support for hospice care(t=1.64, one tailed p=.060). 2.The anxiety of family caregivers was significantly reduced following informational support for hospice care(t=3.48, one tailed p=.002). 3.The depression of family caregivers was significantly reduced following informational support for hospice care(t=-2.18, one tailed=.022). 4.The pain intensity of patients with terminal cancer was significantly reduced following informational support for hospice care(t=-2.41, two tailed p=.027). The results suggest that the informational support provided to family caregivers of patients with terminal cancer reduced not only their anxiety and depression but also the pain intensity of patients. Further study is necessary to consolidate the conceptual framework of this study with expanded number of subjects. Nevertheless, it was certain that the informational support program for hospice care was very helpful to both caregivers and patients. Thus, the informational support program is strongly recommended for the hospitals which have no hospice unit yet.

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Inheritance of Tetradifon Resistance in Two-spotted Spider Mite (Acari: Tetranychidae) and Its Cross Resistance (Tetradifon에 대한 점박이응애(Tetranychus urticae Koch) 저항성의 유전양식과 교차저항성)

  • 박정규;이상계;최병렬;유재기;이정운
    • Korean journal of applied entomology
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    • v.35 no.3
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    • pp.260-265
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    • 1996
  • A field colony of the two-spotted spider mite, Tetranychus urticae Koch, was selected with tetradifon for 4 mousing whole-plant residual method. This strain showed 371-fold resistance to tetradifon. The log dosehatchability lines of $F_{1}$ eggs(RS cross; Td5female$\times$Smale, and SR cross; Sfemale$\times$Td5male) were closer to the line of the resistant colony than to that of the susceptible. These differences could be due to cytoplasmic inheritance or maternal effect. The estimate of dominance index (D) for the $F_{1}$ eggs of RS cross was 0.998 and that for $F_{1}$ eggs of SR cross was 0.262. This indicates that tetradifon resistance is completely dominant in RS cross and incompletely dominant in SR cross. Td5 strain exhibited high levels of resistance to clofentezine, benzoximate, and chlorfencon, and no cross resistance to fenazaquin, pyridaben, flufenoxuron, tebufenpyrad, and fenothiocarb.

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Designing of the Statistical Models for Imprinting Patterns of Quantitative Traits Loci (QTL) in Swine (돼지에 있어서 양적 형질 유전자좌(QTL) 발현 특성 분석을 위한 통계적 검정 모형 설정)

  • Yoon D. H.;Kong H. S.;Cho Y. M.;Lee J. W.;Choi I. S.;Lee H. K.;Jeon G. J.;Oh S. J.;Cheong I. C.
    • Journal of Embryo Transfer
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    • v.19 no.3
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    • pp.291-299
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    • 2004
  • Characterization of quantitative trait loci (QTL) was investigated in the experimental cross population between Berkshire and Yorkshire breed. A total of 512 F$_2$ offspring from 65 matting of F$_1$ parents were phenotyped the carcass traits included average daily gain (ADG), average backfat thickness (ABF), tenth rip backfat thickness (TRF), loin eye area (LEA), and last rip backfat thickness (LRF). All animals were genotyped for 125 markers across the genome. Marker linkage maps were derived and used in QTL analysis based on line cross least squares regression interval mapping. A decision tree to identify QTL with imprinting effects was developed based on tests against the Mendelian mode of QTL expression. To set the evidence of QTL presence, empirical significance thresholds were derived at chromosome-wise and genome-wise levels using specialized permutation strategies. Significance thresholds derived by the permutation test were validated in the data set based on simulation of a pedigree and data structure similar to the Berkshire-Yorkshire population. Genome scan revealed significant evidences for 13 imprinted QTLs affecting growth and body compositions of which nine were identified to be QTL with paternally expressed inheritance mode. Four of QTLs in the loin eye area (LEA), and tenth rip backfat thickness (TRF), a maternally expressed QTL were found on chromosome 10 and 12. These results support the useful statistical models to analyse the imprinting far the QTLs related carcass trait.

Estimation of Slime Thickness of Bored Piles by Using Borehole Electrical Resistivity Method (시추공 전기비저항 기법을 활용한 현장타설말뚝의 슬라임층 두께 평가)

  • Chun, Ok-Hyun;Lee, Jong-Sub;Park, Min-Chul;Bae, Sung-Gyu;Yoon, Hyung-Koo
    • Journal of the Korean Geotechnical Society
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    • v.29 no.3
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    • pp.51-60
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    • 2013
  • The slime, deposited in the bored pile due to falling soil particle, reduces the bearing capacity of bored pile and thus the stability of construction also decreases. The weight pendulum and iron have been used for estimating the slime thickness based on the subjective judgment and thus the previous method has a limitation of reliability. The objective of this paper is to suggest the method for estimating the slime thickness by using characteristics of electrical resistivity as scientific method. The temperature-compensation resistivity probe (TRP), which has a conical shape and the diameter of 35.7mm, is applied to the measurement of the electrical resistivity in the borehole during penetration. The field tests are carried out for estimating the slime thickness in the application site of bored pile. The slime thickness is calculated through the difference between excavation depth of borehole and measured data. Furthermore, the laboratory tests are also conducted for investigating effects of casing, time elapsing and relative density by using the specimen of slime. The laboratory test supporting the suggested method is reasonable for determining the slime depth. The paper suggests that the electrical resistivity method may be a useful method for detecting slime thickness and the method is expected to be applicable to various sites of bored piles.

Treatment of Human Thyroid Carcinoma Cells with the G47delta Oncolytic Herpes Simplex Virus

  • Wang, Jia-Ni;Xu, Li-Hua;Zeng, Wei-Gen;Hu, Pan;Rabkin, Samuel D.;Liu, Ren-Rin
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.3
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    • pp.1241-1245
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    • 2015
  • Background: Thyroid carcinoma is the most common malignancy of the endocrine organs. Although the majority of thyroid cancer patients experience positive outcomes, anaplastic thyroid carcinoma is considered one of the most aggressive malignancies. Current therapeutic regimens do not confer a significant survival benefit, and new therapies are urgently needed. Oncolytic herpes simplex virus (oHSV) may represent a promising therapy for cancer. In the present study, we investigated the therapeutic effects of a third-generation HSV vector, $G47{\Delta}$, on various human thyroid carcinoma cell lines in vitro. Two subcutaneous (s.c.) models of anaplastic thyroid carcinoma were also established to evaluate the in vivo anti-tumor efficacy of $G47{\Delta}$. Materials and Methods: The human thyroid carcinoma cell line ARO, FRO, WRO, and KAT-5, were infected with $G47{\Delta}$ at different multiplicities of infection (MOIs) in vitro. The survival rates of infected cells were calculated each day. Two s.c. tumor models were established using ARO and FRO cells in Balb/c nude mice, which were intratumorally (i.t.) treated with either $G47{\Delta}$ or mock. Tumor volumes and mouse survival times were documented. Results: $G47{\Delta}$ was highly cytotoxic to different types of thyroid carcinomas. For ARO, FRO, and KAT-5, greater than 30% and 80% of cells were killed at MOI=0.01 and MOI=0.1, respectively on day 5. WRO cells displayed modest sensitivity to $G47{\Delta}$, with only 21% and 38% of cells killed. In the s.c. tumor model, both of the anaplastic thyroid carcinoma cell lines (ARO and FRO) were highly sensitive to $G47{\Delta}$; $G47{\Delta}$ significantly inhibited tumor growth and prolonged the survival of mice bearing s.c. ARO and FRO tumors. Conclusions: The oHSV $G47{\Delta}$ can effectively kill different types of human thyroid carcinomas in vitro. $G47{\Delta}$ significantly inhibited growth of anaplastic thyroid carcinoma in vivo and prolonged animal survival. Therefore, $G47{\Delta}$ may hold great promise for thyroid cancer patients.

The Development of Signal Processing Software for Single-and Multi-Voxel MR Spectroscopy (단위용적 및 다용적 기법 자기공명분광 신호처리 분석 소프트웨어의 개발)

  • Paik, Moon-Young;Lee, Hyun-Yong;Shin, Oun-Jae;Eun, Choong-Ki;Mu, Chi-Woong
    • Journal of the Institute of Electronics Engineers of Korea SP
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    • v.39 no.5
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    • pp.544-555
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    • 2002
  • The aim of this study is to develop the $^1H$-MRS data postprocessing software for both single-voxel and multi-voxel technique, which plays and important role as a diagnostic tool in clinical field. This software is based on graphical user interface(GUI) under windows operating system of personal computer(PC). In case of single-voxel MRS, both of raw data in time-domain and spectrum data in frequency-domain are simultaneously displayed in a screen. Several functions such as DC correction, zero filling, line broadening, Lorentz-Gauss filtering and phase correction, etc. are included to increase the quality of spectrum data. In case of multi-voxel analysis, spectroscopic image reconstructed by 3-D FFT was displayed as a spectral grid and overlapped over previously obtained T1- or T2-weighted image for the spectra to be spatially registered with the image. The analysis of MRS peaks were performed by obtaining the ratio of peak area. In single-voxel method, statistically processed peak-area ratios of MRS data obtained from normal human brain are presented. Using multi-voxel method, MR spectroscopic image and metabolite image acquired from brain tumor are demonstrated.

A Study of the Proper Sizing of a Subway Station Waiting Area (도시철도 대기공간의 적정규모 산정에 관한 연구)

  • Kim, Jonghwang;Baek, Sungjoon;Nam, Doohee
    • Journal of the Korean Society for Railway
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    • v.19 no.2
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    • pp.262-269
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    • 2016
  • Subway station scales are determined by peak predictions. In this study, the purpose behind the installation of a subway is public transportation convenience and public interest, but economic validity is also important. By proving that the scale of the station is excessive with regard to the target station size for Seoul subway Line 5-8, a reasonable plan. can be sought. According to station installation standards, the area of the station under investigation here is out of the service levels by six stages (A~F), and it must be four or more levels (D). The Actual level for the B level is a two-step design. The Actual ratio for over- Peak predictions is only 17.8% on average. The results of measurements of the excess area and determination of the excessive costs were analyzed by subdividing the area and by calculating it based on the B level, finding that it is possible to provide benefits for customers only in the current design, with an area ratio of 16.3%. Given the weight, it was estimated that current conditions can meet the needs of only 18.6% of the current area. Simplifying the scale calculation method of the station, it is convenient, safe, and advantageous to move citizens only if the scale can be streamlined. Then, with a reduced initial investment, maintenance costs during the operation can be reduced.

A Design Study on Seoul CheongGye Plaza (서울 청계광장 설계 연구)

  • Shin, Hyun-Don
    • Journal of the Korean Institute of Landscape Architecture
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    • v.40 no.3
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    • pp.12-21
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    • 2012
  • The proximities of Cheonggye creek was a maj or space for the gathering of large populations from the past times and it is also a place containing the joy, anger, sorrow, pleasure and lives of the citizens. The Cheonggye creek which flowed downtown of Seoul throughout many historical events had disappeared into history completely in the modernization process due to the contamination with life sewages and overflow. However, the city authority of Seoul decided to restore it to its shape before covering the creek by means of dismantling the old elevated ways in Cheonggye creek in line with the Large Scale City Movement Project to revive the grey city and to improve the quality of the city landscape in 2002. The cultural space was created by activating the old town sphere in Cheonggye Creek and the amenities of the giant city was improved by the cultural and natural wave created along the creek. In addition, the educational opportunity has been provided to the citizens by means of reviving its historical nature. The design and cultural value of the Cheonggye Plaza were restored for the mean time and the urban environment requested during modem times was established. The Cheonggye Plaza which heightened the balanced development in Seoul which has been developed in an unbalanced way by dividing into northern and southern area of the river is very meaningful in the viewpoint of the landscape architect who designs the urban space. The re-birth as a cultural space of downtown owing to the efforts of the said cultural catalysts is meaningful.

Dexamethasone Induces $Fc{\gamma}RIIb$ Expression in RBL-2H3 Cells

  • Silwal, Prashanta;Lee, Mi-Nam;Lee, Choong-Jae;Hong, Jang-Hee;NamGung, Uk;Lee, Zee-Won;Kim, Jinhyun;Lim, Kyu;Kweon, Gi Ryang;Park, Jong Il;Park, Seung Kiel
    • The Korean Journal of Physiology and Pharmacology
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    • v.16 no.6
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    • pp.393-398
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    • 2012
  • Mast cells are involved in allergic responses, protection against pathogens and autoimmune diseases. Dexamethasone (Dex) and other glucocorticoids suppress $Fc{\varepsilon}RI$-mediated release of inflammatory mediators from mast cells. The inhibition mechanisms were mainly investigated on the downstream signaling of Fc receptor activations. Here, we addressed the effects of Dex on Fc receptor expressions in rat mast cell line RBL-2H3. We measured mRNA levels of Fc receptors by real-time PCR. As expected, Dex decreased the mRNA levels of activating Fc receptor for IgE ($Fc{\varepsilon}R$) I and increased the mRNA levels of the inhibitory Fc receptor for IgG $Fc{\gamma}RIIb$. Interestingly, Dex stimulated transcriptions of other activating receptors such as Fc receptors for IgG ($Fc{\gamma}R$) I and $Fc{\gamma}RIII$. To investigate the mechanisms underlying transcriptional regulation, we employed a transcription inhibitor actinomycin D and a translation inhibitor cycloheximide. The inhibition of protein synthesis without Dex treatment enhanced $Fc{\gamma}RI$ and $Fc{\gamma}RIII$ mRNA levels potently, while $Fc{\varepsilon}RI$ and $Fc{\gamma}RIIb$ were minimally affected. Next, we examined expressions of the Fc receptors on cell surfaces by the flow cytometric method. Only $Fc{\gamma}RIIb$ protein expression was significantly enhanced by Dex treatment, while $Fc{\gamma}RI$, $Fc{\gamma}RIII$ and $Fc{\varepsilon}RI$ expression levels were marginally changed. Our data showed, for the first time, that Dex regulates Fc receptor expressions resulting in augmentation of the inhibitory receptor $Fc{\gamma}RIIb$.

Development of a 300W Generator for Lightweight Wind Turbine

  • Lee, Hee-Kune;Lee, Hee-Joon;Kim, Sun-Hyung
    • The Journal of Korean Institute of Information Technology
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    • v.15 no.12
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    • pp.181-188
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    • 2017
  • As a population of leisure activities grows and diversifies, there is a great demand for portable and environment-friendly power generation systems. A small wind power generation system is emerging as a suitable power generation equipment to meet these needs. The most important thing when developing a small portable wind turbine is to reduce the weight of the generator and increase the efficiency. The existing 300W wind turbine generator weighs about 10kg, which is heavy to carry. Therefore, a new generator weighing less than 4kg to make it easy to carry with high efficiency has been developed. In addition, considering complicated characteristics of wind volume and topography of Korea, a small wind turbine that can be used in urban and rural areas individually was constructed. Through basic designing and optimization, the lightweight and efficient generator was manufactured. It is a 300W wind turbine designed and fabricated with reduced weight as a prototype. The average output voltage of the generator was 24.7V at 900rpm no-load test. On a load test with the average line voltage 36.8V and the average phase current 2.62A, when the mechanical input was 339.84W, an average voltage output of the generator was measured as 289.5W with efficiency of 85.18%. The generator weight was 3.84kg.