• 제목/요약/키워드: 4P Analysis

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전자파에 노출된 토끼의 뇌신경조직의 반응과 Nimodipine 투여효과에 관한 연구 (A Study on the Reflection of Rabbit Nervous Tissue After Electromagnetic Irradiation and the Effect of Nimodipine Injection)

  • 이근호;김영태
    • 대한의용생체공학회:의공학회지
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    • 제19권1호
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    • pp.81-90
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    • 1998
  • 전자파는 열적 또는 비열적 작용에 의해 신경조직에 다양한 영향을 미친다. 본 논문에서는 미세한 전자파에 노출되기 전에 칼슘통로차단제인 nimodipine 처리를 한 토끼의 EEG를 측정함으로써 전자파 조사시 중추신경계의 반응 및 그것에 대한 nimodipine의 영향을 평가하려고 하였다. 10마리씩 이루어진 두 집단의 토끼에 각기 10dBm, 20dBm의 전력밀도를 가진 2,450 MHz의 전자파를 10분간 조사한 후 EEG 신호를 측정하여 전자파에 노출되지 않은 다른 10 마리의 토끼의 EEG 신호와 비교하였다. 그다음 20 dBm의 전자파에 노출시키기 전에 nimodipine을 정맥주사한 토끼의 뇌파를 생리식염수만 주사한 토끼의 뇌파와 비교하였다. 10dBm의 전자파 조사시에는 뇌파의 변화가 없었으나, 20 dBm의 전자파 조사시 EEG 전압의 감소 및 delta bank의 현저한 감소와 alpha 및 beta band 의 현저한 감소와 alpha 및 beta band의 증가를 알아낼 수 있었다. 그러나 국소적인 혈관 주위 염증반응 이외의 뇌세포의 이상소견은 관찰되지 않았다. 그리고 이러한 변화는 nimodipine 처리에 따른 차이를 보이지 않았다. 전자파조사시 nimodipine처리한 토끼의 뇌파에서 처리하지 않은 토끼와의 유의한 차이가 관찰되지 못했기 때문에 이러한 효과는 열적 효과로 보여진다.

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당뇨쥐 상악에서 발치후 즉시 식립 임플란트 주위골의 방사선 골밀도 (Radiographic Bone Density Around Immediately Placed Titanium Implant on the Extraction Socket of Diabetic and Insulin-Treated Rat Maxilla)

  • 박건현;박수현;이성휘;표성운
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제32권5호
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    • pp.389-395
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    • 2010
  • Purpose: Although it is generally accepted that patients with controlled diabetes have similar rates of success for dental implants as healthy individuals, the use of dental implants in diabetic patients is controversial. In addition, the impact of diabetes on the healing of bone associated with immediately place dental implants is not completely understood. The purpose of this study was to measure bone response to implants radiologically in uncontrolled and insulin-controlled diabetic rats. Materials and Methods: Twenty rats were divided into control, insulin-treated and diabetic groups. The rats received streptozotocin (60 mg/kg) to induce diabetes; animals in the insulin-treated group also received three units of subcutaneous slow-release insulin. Two titanium implants ($1.2{\times}3$ mm) were placed in the extraction socket of the maxillary first molars of the animals and were harvested at 3 days, 1, 2 and 4 weeks. The bone density was measured by digital radiography using gray-level analysis (histogram) in the regions of interest (ROI) at four points: two mesial and two distal to both sides of the implant. Results: The results showed that the osseointegration of the implants was impaired in the diabetic rats compared to the control and the insulin-treated rats. The radiographic evidence demonstrated marked destruction of bone around the implants in the diabetic group. Both the control and the insulin-treated groups had a significantly higher bone density on radiograph than the diabetic group from the 1 week of the experiment (P<0.05 for each comparison). Conclusion: The present study revealed that the immediate placement of titanium implants in the maxilla of diabetic rat lead to delay in the maturation of bone adjacent to implants. It is expected that the reduced predictability of success of immediate implantation in patient with the uncontrolled diabetes.

노인성 치매환자 가족간호 향상을 위한 교육프로그램 효과에 관한 연구 (Study on the Effectiveness of Care Giver Education Program on the Home Care of Senile Dementia Patients)

  • 홍여신;이선자;박현애;조남옥;오진주
    • 대한간호학회지
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    • 제25권1호
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    • pp.45-60
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    • 1995
  • This study investigated the effects of education program conducted through individual home visit by CHPs, which was developed ,by the operational re-search technique for families of dementia patients. (Yeo Shin Hong et at,1994) The study was conducted in the form of a primary experimental design with 43 people as subjects, including dementia patients and family member in several Myon areas of Chungcheong Namdo between June 10 and August 20, 1994. The data was collected by questionnaires through the home visit by the CHPs. The results of study are as follows. 1. There is no difference in the quality of life between before and after the education program. 2. Role stress 'before the education program' was significantly different than 'after the education program'. 3. There was no difference in the feeling of burden between before and after the education program. 4. There was a significant difference in the abnormal behaviors of patients between before and after the education program. 5. The knowledge of dementia by the patient's family increased significantly after the education program, compared to that of 'before the education program'. 6. There was a significant difference in the attitude of family members toward the education program on dementia between before and after the education program. 7. The results of analysis on the coefficient relationship of various variables showed that the age of patients and family members have a significant correlation with role stress(p=.01). 8. In the subjective evaluation of family members on changes in actual nursing actions and the improvement of knowledge and technique in terms of daily living, (including abnormal behavior of patients, adjustment of environment for patients, activity programs for patients, communication technique with patients, ensuring the safety of patients, clothing, meals and elimination, 60-65% of family members responded that their knowledge had increased. As for improvement in techniques for each item, the technique for communication with patients showed the greatest improvement while the action program method for patients showed the least change. As for the nursing service provided to patients, most respondents showed a positive change. The specific items for which more than 80% respondents answered positively were as follows : recognizing the demand of patients, getting patients to do simple house works, talking softly and gently, removing dangerous things, preparing comfortable clothes that are easy to put on and take off, and limiting water consumption at night. As a result of study, the following suggestions can be made. The purpose of the study was to examine the effect of an education program developed and applied for dementia patients and family members in the community. This needs to be compared with a similar study conducted in the urban setting. In addition, a community service program (ex : nursing hem and shelter) including the application of the education program should be developed and the study done to investigate its effect.

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비글견 경골에서 임플란트 식립 시 혈소판 농축 혈장이 골형성에 미치는 영향 (The effect of platelet rich plasma in bone formation on implant installation in the tibia of beagle dogs)

  • 국민석;정승곤;심경미;강성수;박홍주;유선열;오희균
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제36권2호
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    • pp.71-77
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    • 2010
  • Introduction: The purpose of this study is to evaluate the effect of platelet rich plasma in bone formation and osseointegration of implant installed in the bone marrow space. Materials and Methods: Five beagle dogs were used as experimental animals. Two implants were installed on each tibia in the dogs. Implants of the control group were installed with no additional graft. Those of the experimental group 1 were installed with autogenous bone graft from the ilium autogenous bone. Platelet rich plasma (PRP) alone was used in experimental group 2 and the mixture of PRP and autogenous bone was used in experimental group 3. The animals were sacrificed at 8 weeks after implantation. The parts of tibia containing implant were harvested and radiographs were taken for radiographic examination. The specimens were prepared for histological examination and histomorphometric analysis of implant-bone contact ratios. Results: 1. All implants showed sufficient osseointegration in the cortical bone radiographically and histologically, but osseointergration in the marrow space was not satisfactory. 2. Histomorphometrically, the implant-bone contact ratios in the bone marrow was sequentially high in the experimental group 3 (autogenous bone + PRP group), group 1 (autogenous bone group), group 2 (PRP group), and control group (non-additive). 3. It was verified that there was statistical significance between two experimental groups (group 1 and 3) and the other groups (group 2 and control group). (P<0.005) 4. However, there was no statistical significance between group 3 and group 1, also group 2 and control group respectively. Conclusion: These results suggest that platelet rich plasma is effective to osseointegration in the implant installation but there is no statistical significance.

입원 아동의 낙상 위험 예측 도구 (A Pediatric Fall-Risk Assessment Tool for Hospitalized Children)

  • 신현주;김영남;김주희;손인숙;방경숙
    • Child Health Nursing Research
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    • 제20권3호
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    • pp.215-224
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    • 2014
  • 목적 본 연구는 입원 환아의 낙상위험 요인을 확인하여 낙상위험 예측도구를 개발하고 민감도와 특이도를 확인하기 위한 것이다. 방법 문헌고찰과 서울시내 1개 어린이 병원에 2006년 1월부터 2009년 8월까지 3년 8개월 동안 입원한 환아 중 낙상한 경험이 있는 환아 48명 전체와 2009년 5월 25일부터 6월 24일까지 한 달 동안 입원한 환아 중 낙상 경험이 없는 환아 149명을 비교한 자료를 바탕으로 낙상위험요인 8개를 추출하였으며, 로지스틱 회귀분석을 통해 유의한 위험요인 5개를 확인하였다. 8개 문항과 5개 문항으로 구성된 도구를 이용하여 실제 낙상을 경험한 군과 비낙상군을 비교하여 민감도, 특이도, 양성예측도, 음성예측도를 확인하였다. 결과 로지스틱 회귀분석 결과 입원 환아의 낙상 발생 위험의 유의한 예측 요인은 다음의 5가지였다. 연령은 3세 미만인 경우 3.00배, 뇌신경질환 진단이 있는 경우 2.41배, 활동 및 기능은 도움이 필요한 경우 3.18배, 신체발달은 정상인 경우에 7.09배, 위험약품 처방 수가 3개 이상인 경우 3.475배로 낙상위험이 높은 것으로 나타났다. 8개 문항의 경우 12점 이상을 고위험으로 보았을 때 민감도는 76.6%, 특이도는 30.3%였으며, 5개 문항의 경우 7점 이상을 고위험으로 보았을 때 민감도는 93.6%, 특이도는 16.2%로 나타났다. 결론 입원환아의 낙상위험예측도구로서 8개 문항과 5개 문항의 도구 모두 민감도는 높으나 특이도는 낮은 제한점을 갖고 있다. 그러나 낙상위험을 예방하기 위한 목적으로 사용됨을 감안하면 특이도는 낮지만 민감도가 높으므로 임상현장에서 사용 가능할 것으로 판단된다.

노인의 체질별 건강증진 생활양식, 건강상태 및 생활만족도와의 관계 연구 (A Study of the Correlation of Lifestyle for Health promotion, Health status, and Degree of Life satisfaction based on Elderly's Constitution of the Korean)

  • 김귀분;권영숙;이은자;서은주;김인숙;오혜경;정미영;김세란
    • 동서간호학연구지
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    • 제4권1호
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    • pp.21-33
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    • 1999
  • This study is a descriptive research to identify lifestyle for health promotion, health condition, and degree of life satisfaction based on Korean elderly's physical constitution. The interviewee of this research was 53 outpatients of Oriental herbal medicine hospitals who are the residents either in Seoul or Taegu city. The data collection was performed during the March to the November of 1999. The research tools used for the measurement of the lifestyle for health promotion was "The Health Promoting Lifestyle Profile" developed by Walker, Sechrist and Pender. Measurement of the health condition was carried out using CMI(Cornell Medical Index) developed by Brodman, Erdmann, Lorge and Wolff. The Index for degree of the life satisfaction of elderly developed by Yun Jin was utilized to measure the degree of life satisfaction. Data analysis was performed using SPSSWin 9.0 software. In some cases, frequency, percentile, t-test, ANOVA or Pearson Correlation was also used to meet the specific research purposes when necessary. Tukey test was done for the post test. The conclusions are as follows. 1) The ANOVA test showed a significant difference in the lifestyle for the health promotion depending on physical constitutions of the interviewee. According to the Tukey test, 태음인 ($103.67{\pm}16.81$) performed better lifestyle for the health promotion than SOEMIN(少陰人, $85.34{\pm}12.69$) and 소양인($88.47{\pm}16.81$) (F=6.72, p=.003). 2) The result of the Pearson Correlation showed a positive correlation between the lifestyle for health promotion and health condition. As a result, the group practicing lifestyle for health promotion maintained a good health condition. Result of the Pearson Correlation also showed a proportional correlation between the lifestyle for health promotion and life satisfaction. Accordingly, the group practicing lifestyle for health promotion maintained a high degree of life satisfaction. Finally, the result of the Pearson Correlation showed a proportional correlation between the health condition and the degree of life satisfaction. Consequently, the group in a good health condition showed the high degree of life satisfaction.

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병원의 미래 현금흐름 정보예측 (A Study on the Predictability of Hospital's Future Cash Flow Information)

  • 문영전;양동현
    • 한국병원경영학회지
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    • 제11권3호
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    • pp.19-41
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    • 2006
  • The Objective of this study was to design the model which predict the future cash flow of hospitals and on the basis of designed model to support sound hospital management by the prediction of future cash flow. The five cash flow measurement variables discussed in financial accrual part were used as variables and these variables were defined as NI, NIDPR, CFO, CFAI, CC. To measure the cash flow B/S related variables, P/L related variables and financial ratio related variables were utilized in this study. To measure cash flow models were designed and to estimate the prediction ability of five cash flow models, the martingale model and the market model were utilized. To estimate relative prediction outcome of cash flow prediction model and simple market model, MAE and MER were used to compare and analyze relative prediction ability of the cash flow model and the market model and to prove superiority of the model of the cash flow prediction model, 32 Regional Public Hospital's cross-section data and 4 year time series data were combined and pooled cross-sectional time series regression model was used for GLS-analysis. To analyze this data, Firstly, each cash flow prediction model, martingale model and market model were made and MAE and MER were estimated. Secondly difference-test was conducted to find the difference between MAE and MER of cash flow prediction model. Thirdly after ranking by size the prediction of cash flow model, martingale model and market model, Friedman-test was evaluated to find prediction ability. The results of this study were as follows: when t-test was conducted to find prediction ability among each model, the error of prediction of cash flow model was smaller than that of martingale and market model, and the difference of prediction error cash flow was significant, so cash flow model was analyzed as excellent compare with other models. This research results can be considered conductive in that present the suitable prediction model of future cash flow to the hospital. This research can provide valuable information in policy-making of hospital's policy decision. This research provide effects as follows; (1) the research is useful to estimate the benefit of hospital, solvency and capital supply ability for substitution of fixed equipment. (2) the research is useful to estimate hospital's liqudity, solvency and financial ability. (3) the research is useful to estimate evaluation ability in hospital management. Furthermore, the research should be continued by sampling all hospitals and constructed advanced cash flow model in dimension, established type and continued by studying unified model which is related each cash flow model.

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한국산(韓國產) 맹종죽(孟宗竹) 죽순(竹筍)의 성분(成分)에 관(關)한 연구(硏究) (Nutritive Components of Edible Bamboo Shoots of Phyllostachys edulis Produced in Korea)

  • 정종성;박남창;이창우;원주상
    • 한국산림과학회지
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    • 제78권1호
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    • pp.55-60
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    • 1989
  • 진주시(晋州市) 가좌동(加佐洞) 산(山) 117림(林)에서 생산(生產)된 맹종죽(孟宗竹)의 죽순성분(竹筍成分)을 분석(分析)하기 위하여 생죽순(生竹筍)과 죽순(竹筍)통조림의 성분분석(成分分析) 및 생죽순(生竹筍)의 부위별(部位別) 성분함량(成分含量)을 비교분석(比較分析)한 결과(結果) 다음과 같다. 1) 생죽순(生竹筍)은 죽순(竹筍)통조림에 비(比)하여 주요성분(主要成分) 단백질(蛋白質), 지방(脂肪), 조섬유(組纖維), 회분(灰分) 및 열량(熱量)에서 성분함량(成分含量)이 높은 반면 수분(水分), 당분(糖分)의 함량(含量)은 낮았다. 2) 무기물(無機物) 성분(成分)은 공(共)히 K성분함량(成分含量)이 높았으며 특(特)히 Ca함량(含量)은 일본산(日本產) 성분분석치(成分分析値)보다 월등(越等)히 높았다. 3) Vitamin A, $B_1$, $B_2$ 및 C의 함량(含量)은 생죽순(生竹筍)에서 월등(越等)히 많이 함유(含有)하고 있었다. 4) 생죽순(生竹筍)의 부위별(部位別) 성분함량(成分含量)은 단백질(蛋白質), 당분(糖分), 회분(灰分) 및 열량(熱量)은 상부(上部)에서 가장 많이 함유(含有)하고 있으며 조섬유(組纖維) 및 수분(水分)은 하부(下部)에 많이 함유(含有)하고 있었다. 5) 생죽순(生竹筍)의 부위별(部位別) Vitamin 성분중(成分中) A및 C는 중앙부(中央部)에 $B_1$은 상부(上部) $B_2$는 하부(下部)에 각각(各各) 많이 함유(含有)하고 있었다.

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소나무의 몇가지 다형적(多形的) 동위효소(同位酵素)의 유전분석(遺傳分析)(II) - Acid phosphatase, alcohol dehydrogenase와 catalase 동위효소(同位酵素)의 유전양식(遺傳樣式) - (Genetic Analysis of Some Polymorphic Isozymes in Pinus densiflora(II) - Inheritance of acid phosphatase, alcohol dehydrogenase and catalase isozymes -)

  • 김진수;홍용표
    • 한국산림과학회지
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    • 제68권1호
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    • pp.32-36
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    • 1985
  • 소나무의 acid phosphatase (ACP), alcohol dehydrogenase (ADH)와 catalase (CAT) 동위효소(同位酵素) 유전양식(遺傳樣式)을 구명(究明)하기 위하여 배유조직(胚乳組織)을 수평식 감자전분 전기영동법에 의하여 분석(分析)하였다. ACT 동위효소(同位酵素)는 최소한 3~4개의 지역(地域)으로 분리(分離)되었으나 분리가 잘된 ACP-A 지역(地域)의 동위효소(同位酵素)만이 분석(分析)되었다. ACP-A 지역(地域)에서 관찰된 5개(A1-A5)의 동위효소(同位酵素) 표현형(表現型)들은 공히 Mendel의 분리비(分離比)를 보여 이들이 각각 ACP-A 유전자좌(遺傳子座)에 존재(存在)하는 5개의 대립유전자(對立遺傳子)에 의해 지배받고 있음을 알 수 있었다. 2개의 ADH 지역(地域)이 (ADH-A와 ADH-B) 분리(分離)되었으나, 양극(陽極)으로의 이동(移動)속도가 빠른 ADH-A 지역(地域)에서는 분석(分析)에 사용된 재료(材料)에서 변이(變異)가 발견(發見)되지 않았다. ADH-B 지역(地域)에서는 3개의 동위효소(同位酵素) 표현형(表現型) (B1-B3)들이 관찰되었고 이들이 공히 1:1의 분리비를 보여 ADH-B 유전자좌(遺傳子座)에 존재하는 3개의 대립유전자(對立遺傳子)에 의해 지배됨이 추정되었다. 수개의 band로 구성된 5개의 동위효소(同位酵素) 표현형(表現型)이 CAT에서 관찰되었으며, 이형접합성(異型接合性)인 모수(母樹)에서 이들 표현형간(表現型間)의 분리(分離)가 1:1 분리비(分離比)로부터 편차(偏差)를 보이지 않았으므로, 소나무에 있어서 CAT 동위효소(同位酵素)는 5개의 대립유전자(對立遺傳子)가 존재(存在)하는 하나의 유전자좌(遺傳子座)에 의해 지배되는 것으로 추정하였다.

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젖산 생성능이 우수한 김치 유래 젖산균의 분리 및 두유 발효 특성 (Isolation and Identification of Lactic acid Producing Bacteria from Kimchi and Their Fermentation Properties of Soymilk)

  • 이란숙;정경희;최웅규;조장원;김경임;김영찬
    • 한국식품영양과학회지
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    • 제42권11호
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    • pp.1872-1877
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    • 2013
  • 본 연구는 경기도 일대의 배추김치로부터 젖산 생성능이 우수한 젖산균주 분리 및 두유 발효 특성에 대해 조사하였다. 먼저 0.01% bromocresol green이 첨가된 MRS 한천 배지에서 clear zone의 size 측정을 통하여 우수한 젖산 생성능을 갖는 균주를 선발 후 탄수화물 이용성 조사 및 16S rRNA 염기서열 분석으로 L. plantarum Gk04, Ped. pentosaceus Gk07, L. brevis Gk35 및 L. curvatus Gk36이 동정되었으며 특히 99%의 상동성을 갖는 L. curvatus Gk36을 두유발효를 위한 최종균주로 사용하였다. L. curvatus Gk36과 시판 균주 L. actobacillus에 의한 두유 발효 결과 pH는 L. actobacillus에서 유의적으로 더 낮은 것으로 나타났으나 생균수 및 산도 측정 결과 두 균주간에 유의적 차이가 없는 것으로 나타나 L. curvatus Gk36 균주는 두유발효 등 발효제품 제조를 위한 젖산균 균주로 이용이 가능할 것으로 판단되었다.