• Journal of Pharmaceutical Investigation
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• 제38권3호
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• pp.199-205
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• 2008

Famciclovir, 9-(4-hydroxy-3-hydroxymethylbut-1-yl) guanine, is an oral prodrug of the antiherpesvirus nucleoside analogue, penciclovir. In human, famciclovir is orally well absorbed and then undergoes extensive first pass metabolism to penciclovir and essentially no parent compound is recovered from plasma or urine. The purpose of the present study was to evaluate the bioequivalence of two famciclovir tablets, Famvir tablet 750 mg (Novartis Korea Ltd.) and Famcivir tablet 750 mg (Hanmi Pharmaceutical. Co., Ltd.), according to the guidelines of the Korea Food and Drug Administration (KFDA). The release of famciclovir from the two famciclovir formulations in vitro was tested using KP VIII Apparatus II method with water. Twenty six healthy male subjects, $23.38{\pm}1.72$ years in age and $68.59{\pm}7.84\;kg$ in body weight, were divided into two groups and a randomized $2{\times}2$ cross-over study was employed. After a single tablet containing 750 mg as famciclovir was orally administered, blood samples were taken at predetermined time intervals and the concentrations of penciclovir in serum were determined using HPLC with UV detector. The dissolution profiles of two formulations ere similar at water. The pharmacokinetic parameters such as $AUC_t$, $C_{max}$ and $T_{max}$ were calculated and ANOVA test was utilized for the statistical analysis of the parameters using logarithmically transformed $AUC_t$, $C_{max}$ and untransformed $T_{max}$. The results showed that the differences between two formulations based on the reference drug, $Famvir^{(R)}$ tablet 750 mg, were -0.53%, 1.12% and -24.82% for $AUC_t$, $C_{max}$ and $T_{max}$, respectively. There were no sequence effects between two formulations in these parameters. The 90% confidence intervals using logarithmically transformed data were within the acceptance range of log 0.8 to log 1.25 (e.g., $log\;0.9569{\sim}log\;1.0423$ and $log\;0.8763{\sim}log\;1.2136$ for $AUC_t$ and $C_{max}$, respectively). Thus, the criteria of the KFDA bioequivalence guideline were satisfied, indicating Famcivir tablet 750 mg was bioequivalent to Famvir tablet 750 mg.

• 한국콘텐츠학회논문지
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• 제20권10호
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• pp.535-543
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• 2020

최근 신종감염병의 등장 및 교육환경의 변화 등으로 학령기 학생들의 건강문제가 다양해지면서 보건교사의 역할은 더욱 확대되고 중요해지고 있다. 본 연구는 보건교사의 소명의식이 학교조직몰입에 미치는 영향을 파악함으로서 보건교사의 학교조직몰입을 증진시키기 위한 기초자료를 제공하기 위함이다. 연구의 대상자는 경기지역에 근무하고 있는 초등학교, 중학교, 고등학교 보건교사로서 본 연구의 목적을 이해하고 연구참여에 자발적으로 동의한 143명이다. 자료수집은 보건교사 대상 직무연수를 진행하는 한국교총 종합연수원에 연구자가 직접 방문하여 수집하였다. 수집된 자료는 SPSS/WIN 23.0 통계프로그램을 통해 백분율, 평균 및 표준편차, independent t-test, ANOVA, Pearson correlation coefficient와 simple regression analysis로 분석하였다. 분석결과 보건교사의 직무몰입에 영향을 미치는 요인은 소명의식의 하위요인 중 목적·의미(β=.28, p=.011)가 긍정적 영향을 미치는 것으로 나타났으며, 학급수(β=-.20, p=.006)의 경우 부정적 영향을 미치는 것으로 나타났다. 이 요인들의 설명력은 30.7%였다. 이에 보건교사의 학교조직몰입을 증진시키기 위해서는 목적·의미 증진시키고 학급수를 낮추는 중재방안이 마련되어야 할 것이다.

• Journal of Yeungnam Medical Science
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• 제6권2호
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• pp.147-157
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• 1989

산모와 태아에 있어서 혈중연농도를 측정하고 연의 분포양상 및 상관요인을 규명하여 산모와 태아 및 영유아의 건강상의 위해를 예방하기 위하여 1989년 3월 1일부터 동년 3월 31일까지 대구시에 소재한 종합병원 1개소와 산부인과의원 1개소에 분만을 위해 내원한 산모 130명을 대상으로 모체혈과 분만직후의 제대혈을 채취하여 원자화 무염광로를 부착한 원자 흡광 광도계로 분석하여 다음과 같은 결과를 얻었다. 산모의 정맥혈과 제대혈의 평균 혈중연농도는 각각 $17.47{\pm}7.92{\mu}g/d{\ell}$, $15.31{\pm}7.98{\mu}g/d{\ell}$였다. 산모와 신생아의간의 혈중연농도는 상관계수는 0.663이였고 회귀방정식은 Y(제대혈의 연농도)=0.667X(모체혈의 연농도)+3.646였다. 산모의 자연유산력 및 출산시의 산과적 합병증과 산모의 혈중연농도와는 유의한 관계가 없었고, 제대혈의 연농도가 높을수록 출산체중이 적은 경향을 보였으나 통계학적인 의의는 없었으며, 신생아의 성 및 재태연령과 신생아의 혈중연농도와는 유의한 관계가 없었다. 생산직에 근무한 경력이 있는 산모의 경우는 직업이 없었거나 비생산직에 근무했던 산모보다 높은 혈중연농도를 나타내었고 근무했던 기간이 길수록 높은 혈중연농도를 나타내었으나 통계학적으로 유의하지는 않았다. 남편이 직장에서 연에 노출되는 경우 산모의 혈중연농도는 비노출군보다 높았으며 통계학적으로 유의한 차이가 있었다.

• Asian-Australasian Journal of Animal Sciences
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• 제18권9호
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• pp.1348-1352
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• 2005

Most breeds of sheep in Iran are adapted to their agro ecological niches where it is likely that they were also artificially selected by their owners. In general, most of sheep breeds are multipurpose producing lambs, wool and milk. To compare the physical and chemical composition of the carcasses of ten Iranian native fat-tailed sheep breeds, 243 male lambs (6-7 months of age) of ten fattailed, Iranian breeds of sheep, Sanjabi (S), Ghezel (G), Afshari (A), Mehrabani (M), Lori (L), Lori Bakhtiari (LB), Kordi Khorasan (K), Sangesari (Sa), Baluchi (B) and Chal (C) were studied. Lamb breed group had a significant (p<0.05) effect on all the carcass traits measured. The LB and C lambs showed the same live weight which was significantly (p<0.05) higher than the other breeds. Carcass dressing- out percentage in S lambs was lowest (p<0.05), but not different from G lambs. K and Sa breeds showed the highest (p<0.05) carcass dressing-out percentage. The S lambs had the highest (p<0.05) lean meat percent. Lean meat percentage was not significantly (p>0.05) different in the G, A, M and C breeds. The Sa and K breeds showed the lowest lean meat percent. The S lambs showed the lowest (p<0.05) fat percent in their carcass, while K and Sa showed the highest (p<0.05). Subcutaneous fat in K, Sa and B was higher (p<0.05) than the other breeds. Lambs of S, G, A and M breeds had the lowest subcutaneous fat in their carcasses (p>0.05). Intramascular fat was significantly (p<0.05) lower in M, S and C despite the fact that this values were highest in B and K lambs. The K and Sa breeds had highest fat-tail percentage (p<0.05) in their carcass, whereas S and G showed lowest. Lambs of G, S and A breeds had higher bone percent than other breeds (p<0.05). Lowest bone percent (p<0.05) was seen in K and Sa lambs. The carcass moisture percent was not significantly (p>0.05) different in S, G, A, M, L and C breeds. M lambs showed the lowest crude protein percentage and S breed the highest (p<0.05). There were no significant (p>0.05) differences among other lamb breeds for this trait. Chemical fat percentage was the same in S, G, A, C and M breeds, but significantly (p<0.05) lower from LB, K, Sa and B. Ash percent in S, G and A had no significant (p>0.05) difference. According to higher lean meat and lower fat percentages in the carcass, the ranking of breeds would be S, G, A, M and C.

• Asian-Australasian Journal of Animal Sciences
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• 제30권4호
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• pp.486-494
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• 2017

Objective: An experiment was conducted to determine the nutrient intake, digestibility, microbial protein synthesis, haemato-biochemical attributes, immune response and growth performance of Gaddi kids fed with oat fodder based basal diet supplemented with either tea seed or tea seed saponin (TSS) extract. Methods: Eighteen male kids, $7.03{\pm}0.16$ months of age and $19.72{\pm}0.64kg$ body weight, were distributed into three groups, $T_0$ (control), $T_1$, and $T_2$, consisting of 6 animals each in a completely randomized design. The kids were fed a basal diet consisting of concentrate mixture and oat fodder (50:50). Animals in group III ($T_2$) were supplemented with TSS at 0.4% of dry matter intake (DMI), and group II ($T_1$) were supplemented with tea seed at 2.6% of DMI to provide equivalent dose of TSS as in $T_2$. Two metabolism trials were conducted, 1st after 21 days and 2nd after 90 days of feeding to evaluate the short term and long term effects of supplementation. Results: The tea seed ($T_1$) or TSS ($T_2$) supplementation did not affect DMI as well as the digestibility of dry matter, organic matter, crude protein, neutral detergent fibre, and acid detergent fibre. Nutritive value of diet and plane of nutrition were also comparable for both the periods. However, the average daily gain and feed conversion ratio (FCR) were improved (p<0.05) for $T_1$ and $T_2$ as compared to $T_0$. The microbial protein supply was also higher (p<0.05) for $T_1$ and $T_2$ for both the periods. There was no effect of supplementation on most blood parameters. However, the triglyceride and low density lipoprotein cholesterol levels decreased (p<0.05) and high density lipoprotein-cholesterol level increased (p<0.05) in $T_2$ as compared with $T_0$ and $T_1$. Supplementation also did not affect the cell mediated and humoral immune response in goats. Conclusion: Tea seed at 2.6% of DMI and TSS at 0.4% DMI can be fed to Gaddi goats to improve growth rate, FCR and microbial protein synthesis.

• 성인간호학회지
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• 제12권1호
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• pp.17-29
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• 2000

The purpose of this study is to find out the effects of depression on older adults' metamemory and memory performances. The subjects of the study consisted of 103 older adults over the age of 60 who are living in Kangwon Province. Some data were collected by means of the interview method, using questionnaires for metamemory (MIA questionnaire by Hultsch, et al., 1988), and depression(GDS by Yesavage and Sheikl, 1986). Other data were collected by a testing method on the memory performance, such as the immediate word recall task, the delayed word recall task, the word recognition task(Elderly Verbal Learning Test by Kyung Mi Choi, 1998), and the face recognition task(Face Recognition Task tool developed by this study). The results of this study were as follows: 1) The average point of depressed older persons' metamemory is 3.2 on a 5 point scale and was significantly lower than nondepressed older persons' point of 3.6. Looking into each sub-concept of metamemory, depressed persons' points are higher in terms of task(4.1), but are lower in terms of change(2.3), locus(2.6), and strategy(2.9) in comparison with nondepressed persons' points. 2) Depressed older persons' memory performances are all significantly lower than nondepressed person's, especially in terms of face recognition task(t=7.26, p<.0082) and word recognition task(t=6.58, p<.01). 3) In both depressed and nondepressed persons, metamemory has a close correlation with all memory tasks. In particular, depressed older persons' correlation is higher across the board, especially in memory self-efficacy of metamemory(r=.36 - .49) in comparison with nondepressed persons. 4) According to the results of analysis on the relations between metamemory and memory performances of each memory task using canonical analysis, in the case of depressed older persons, strategy, locus, capability and task have high correlation with word recognition task and delayed word recall task. Also in the case of nondepressed persons, achievement, strategy, change and locus variable have high correlation with face recognition task and immediate word recall task. As mentioned above, depression variables have a negative effect on older persons' metamemory and memory performance. In conclusion, when we care for depressed older persons with less memory ability, we have to consider the outcomes of this study are relevant. In addition, it is necessary to develop nursing intervention in order to prevent memory loss and improve memory performance in depressed older persons.

• 성인간호학회지
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• 제12권1호
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• pp.30-39
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• 2000

Coronary intervention is now a well established method for the treatment of coronary artery disease. Coronary restenosis is one of the major limitations after coronary intervention. So medical teams advise the patients to get the follow-up coronary angiogram in 6 months after coronary intervention to know if the coronary artery stenosis recurs or not. This study was done in order to know how many patients complied with the advice, and to identify the relative factors to the compliance with getting the follow-up coronary angiogram. The subjects were 101 patients (male: 58 female: 22, mean age: $61{\pm}15$), who received coronary interventions from Jan. 1st to Mar. 31st 1997, and their data were collected from them by questionnaires one year after intervention. The questionnaires consisted of family support scale, self efficacy scale and compliance with sick role behavior scale. The result may be summarized as follows. 1. The number of patients who complied with getting the follow-up coronary angiogram were 37 people(36.6%) and did not comply with it were 64 people(63.4%). All scores of family support(t=5.56, p<.0001), self efficacy (t=4.13, p<.0001) and compliance with sick role behavior(t=5.66, p<.0001) were significantly higher in the patients who got the follow-up coronary angiogram than in those who did not get it. But there was not any relative factor in demographic variables (p>.05). 2. The major motivations for getting follow-up coronary angiogram were recurrence of subjective symptom(40.5%), the advice of medical team(32.4%), and fear of recurrence (27.1%). The restenosis rate in patients who got the follow-up coronary angiogram was 37.8%. 3. The restenosis rate was higher in the patients who had subjective symptoms than in those who did not have any subjective symptom. So subjective symptom and restenosis rate showed a high positive correlation(r=39.9, p<.001). However, 27.2% of the patients who did not have any subjective symptom showed coronary restenosis. 4. The reasons why they did not get the follow-up coronary angiogram were economic burden(37.5%), improved symptom(34.4%), busy life schedule(10.9%), fear of invasive procedure(9.4%), negative reaction of family member(3.1%), no helper for patient(3.1%) and worry about medical team's mistake (1.6%). The relative fators on compliance with getting the follow-up coronary angiogram after coronary intervention were family support, self-efficacy and Compliance with sick role behavior. And the most important reason why the patients did not get the follow-up coronary angiogram after coronary intervention was an economic burden.

• Journal of Chest Surgery
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• 제29권10호
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• pp.1102-1110
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• 1996

1955년 9월 부터 1995년 7월까지 230례의 승모판치환수술이 시행되었다. 이 중 남자는 77명 여자가 153명이 었고 평균 연령은 35.7였다. 동반된 수술은 대동맥 판막치 환술(40례), 삼첨 판윤성 형술(25례), 대동맥판치환술+삼첨판성형술(8례),삼첨판치환술(2례)등이 있었다. 139례의 기계판막과 91개의 조직판막이 치환되었으며, 판막의 크기와 사용된 수는 31 mm(75개), 29mm(66개), 33mm(46개), 27mm(29개) 및 25mm(14개) 등이었다. 수술전 NYHA 기능적 등급은 II(76례), III(123례), IV(31례)였으며 술후 I(175례), II(49례) 등으로 호전되었다. 술후 조기 합병증은 28에서 발생하였으며 저심박출증씨 8례로 가장 많았다. 조기사망은 6례 (2.6%)였으며 사망원인은 저심박출증(2례), 부정맥(2례), 심장파열(2례) 등이 었다. 총 추적 기간 누계는 764.4 환자-년이었으며 평균추적 기간은 43.9개월이었다. 판막과 유관한 장기 합병증은 21례에서 발생하였으며 이중 판막파괴가 10례(1.3%1환자-년), 항응혈제 출혈 5례(0.7%/환자-년), 심내막염 4례(0.5%1환자-년) 혈색전증 2례(0.3%/환자-년) 등이었고 심장에 연유한 사망은 5례(0.7%/환자-년)에서 발생하였다. 9년 장기추적중 합병증 및 사망비발생률이 판막 상호간에 유의한 차가 없었으나 판막파괴비 발생률이 기계 판막(100%)과 조직 판막(34.4%) 사이에 유의한 차가 있었다(p=0.032). 9년간 보험통계적 생존률은 96.6%였다.

• Journal of Chest Surgery
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• 제29권3호
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• pp.315-321
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• 1996

폐암 환자에서 기관지성형술은 전폐절제술을 받기에 폐기능이 충분치 않은 환자에서 사용되었으나 최근에는 일부 환자에서 전폐절제술을대신할만큼 발달되었다 1992년 1월부터 1995년 7월까지 15례의 폐암 환자에서 기관지성형술을 시행하였다. 연령 분포는 46세에서 70세까지였으며 60대가 8례로 가장 많았다. 남자 13례 여자 2례 였다. 소매우상엽절제술이 7례로 가장 많았고 소매우하엽절제술 2례, 소매좌 상엽절제술 5례, 소매전폐절제술이 1례였다. 수술 병기는제 1병기 3례, 제 2병기 8례,제 3병기가 1례였고 T4N2MO가 1례 였다. 술후 합병증을 보면 국소적 재발이 3례로 가장 많았고 그외 문합부위 육아조직 형성이 1례, 창상감염이 1례였다. 패혈증에 의한 수술사망이 1례 있었으며 만기사망이 2례 발생하여 전 체 환자의 3년 생존율이 80%였다. 술전 폐기능검사를 이용하여 술후 예상 FEVI을 구하여 술후 실측 FE'Vl과 비교해 본 결과 상관계수 0.71로 상관관계가 있는 것으로 나타나 문합부위 이하의 폐기능이 잘 보존 된 것으로 사료되 었다. 결론적으로 폐암 환자의 일부에서 수술이 원만히 이루어지고 술후 적절한 환자관리가 된다면 기관지 성형술이 幌瓚卉┝杏릿\ulcorner향상된 폐기능을 유지하면서 높은 생존율을 보일 것으로 사료된다.

• 기본간호학회지
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• 제4권1호
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• pp.43-60
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• 1997

This study was to identify the nursing intervention method in finding out the incidence, risk factor, prevention and treatment of bed sore cilents who received regional home care nursing services. The eleven home care nurse practitioners took the survey on 97 patients who received home care nursing service from Seoul City Nurses Association for one month from September 26 to October 26 1996. A modified version of Braden's bed sore assessment tool for bed sore risks and a tool for assessment of bed sore stage and measurement bed sore sizes by Bergstrom, Braden, Laguzza and Holman(1987) were as research tools for this study and a questionnare with 40 questions and 12 items on nursing activities was used to find out the prevention and treatment of bed sores. Also, two open ended questions were used on current approaches and efforts of the treatment being applied to clients. The finding of the study were summarized as following : 1. The rate of bed sore occurrence was 47.4% 2. The areas of bed sore occurrence were hip(28.9%), sacrum(18.6%), great trochanter(14.4%) and the average number of sore spots were 2.26 3. Two groups-one with bed sores and the other without-were studied to determine prediction factors for bed sore risks. Sensory function, humidity, level of activity, mobility, nutrition, skin friction and chapping and body temperature turned out to be statistically significant factors for bed sores. Also the age of clients turned out to be a individual characteristic variable significantly affecting the rate of bed sore occurrences. 4. The education for clients and family on systematic skin assessment and bed sores and practice of active/passive R.O.M. are mainly used as nursing activities for bed sore care. 5. The treatment method varied by stages of bed sores. Sometimes folk remedies like applying the powders of dried elm tree roots to sores were used. Good nutrition, frequent position change and skin care turned to be the most effective means to fast recovery of sores.