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손마사지가 허혈성 심질환 환자의 수면에 미치는 효과 (The Effect of Hand Massage Program on sleep in Patients with Ischemic Heart disease)

  • 현경선;이향련;백승남;공송심;윤경자;김현섭;김효남;최지원;김운정
    • 동서간호학연구지
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    • 제7권1호
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    • pp.105-111
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    • 2002
  • The purpose of this study was to investigate the effect of hand massage program on total sleep hours at night and satisfaction of sleep in clients with ischemic heart disease. The design utilized for this study was quasi-experimental with a nonequivalent control group non-synchronized design. The subjects were fifty-four patients, twenty-eight for the experimental and twenty-six for the control group, who were admitted with ischemic heart disease at cardiac intensive care unit in K medical center of K university. This study was carried out from May, 1999 to March, 2000. Hand massage was carried out at $8{\sim}9$ PM, once a day for 3 days. Total sleep hours at night were measured from 9 PM through 6AM next morning. Sleep hours of subjects were observed 30 minutes interval. Satisfaction of sleep was measured by Visual Analogue Scale(VAS) at 7 AM next morning. The collected data were processed by using the SPSS PC program and analyzed using $X^2$-test and repeated measures of ANOVA. The result of this study are as follows : 1. The total sleep hours at night of the experimental group were not higher than those of the control group. 2. The satisfaction of sleep of the experimental group was not higher than that of the control group. In conclusion, hand massage did not promoted sleep in ICU clients with ischemic heart disease.

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포도당 수액요법을 받는 당뇨병 환자와 비당뇨병 환자의 양쪽 손가락 끝 혈당치 비교 (Comparison of Blood Glucose Levels from the Fingertips of Both Patients with and without Diabetes Who are Receiving Dextrose Fluid Therapy)

  • 박숙현;이창관;김연우;권지혜
    • 성인간호학회지
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    • 제28권2호
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    • pp.127-135
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    • 2016
  • Purpose: The aim of this study was to identify the effect of dextrose intravenous fluid (IVF) on the blood glucose levels taken from both fingertips of patients with diabetes mellitus (DM) and those without DM. Methods: From October 2012 to February 2013, 21 DM and 25 non-DM patients were recruited. Blood glucose levels taken from the both fingertips of patients at 7AM while IVF was not infusing and at 11AM, 5PM, and 9PM while IVF was infusing. Results: The differences between the mean values of blood glucose from the fingertips at four different times was not statistically significant in DM patients as well as non-DM patients. Also intra-class correlation for blood glucose levels from the fingertips with and without IVF infusion in both groups was shown over about 0.95 at each time (p<.001). Conclusion: Blood glucose levels measured in the same fingertips of both arms were the same regardless of dextrose IVF infusion. The results indicated that IVF with dextrose may not have any significant effect on the fingertip results of blood glucose level. This study may suggest that patients' both arms and any fingertips can be used for blood glucose monitoring even when the patients are on dextrose IVF infusion.

타액 중 페닐알킬아민유도체류의 일제분석법 확립 (Development of Simultaneous Quantification Method of Phenylalkylamines in Oral Fluid)

  • 최혜영;백승경;장문희;최화경;정희선
    • 약학회지
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    • 제55권2호
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    • pp.145-153
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    • 2011
  • A simultaneous detection and quantification method for determining the Phenylalkylamine derivatives, such as methamphetamine (MA), amphetamine (AM), 3,4-methylenedioxymethamphetamine (MDMA), 3,4-methylenedioxyamphetamine (MDA), ketamine (KT), norketamine (NKT), phentermine (PT), fenfluramine (FFA) and phenmetrazine (PM), in oral fluid was developed and validated according to international guidelines. The validated method was applied to actual oral fluid samples collected from drug abuse suspects. The recovery of phenylalkylamines from oral fluid collection devices was also assessed. Oral fluid specimens from 20 drug abuse suspects submitted by the police were collected using Salivette$^{TM}$, Quantisal$^{TM}$ or direct expectoration. The samples were screened using a biochip array analyzer. For confirmation, the samples were analyzed by GC-MS in selected-ion monitoring (SIM) mode after extraction using automated SPE with a mixed-mode cation exchange cartridge and derivatization with trifluoroacetic anhydride (TFAA). The results from the immunoassay were consistent with those from GC-MS. All the oral fluid samples gave positive results for MA, AM, PT and/or PM. The detection of phenylalkylamines in oral fluid can provide a better indication of recent use than urine or hair. Therefore, the oral fluid specimen was useful for demonstrating phenylalkylamines abuse in the driving under the influence of drug (DUID) as an alternative specimen for urine.

몇가지 알파입자 방출 핵종의 전해석출 및 알파 스펙트럼 측정에 의한 그의 동위원소 정량 (Electrodeposition of some Alpha-Emitting Nuclides and its Isotope Determination by Alpha Spectrometry)

  • 정기석;서인석
    • 대한화학회지
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    • 제27권4호
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    • pp.279-286
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    • 1983
  • 몇가지의 알파입자를 방출하는 핵종, 즉 악티늄족 원소들, $^{207}Bi$ and $^{210}Po$을 전해석출하는 장치를 만들었다. 스텐레스 원판으로된 환원전극에 이 동위원소들을 석출했으며(석출부분 직경=18mm), 산화전극으로는 백금선을 썼다. 전해질로 염화암모늄을 쓰고, 초기 pH=4, 염소이온농도=0.6M이하, 용액부피=15ml로 하여 1.5암페어(전류밀도=0.59A/$cm^2$)의 전류를 100분간 흘려주어 98.3%의 석출 회수율과 ${\pm}$0.7%의 재현도를 얻었다. 석출된 시료의 알파스펙트럼을 측정한 결과 에너지 분리도로서 $^{210}Po=18.3keV, ^{234}U=21.8keV$$^{239}Pu=36.0keV$인 반치전폭(full width at half maximum)을 얻었다. 국산 천연우라늄(충북·괴산) 시료를 전해석출하여 그의 알파스펙트럼을 구한 결과 $^{238}U\;:\;^{234}U\;=\;:\;6.1{\times}10^{-5}$을 얻었으며 $1.8{\sim}10^{13} neutrons/cm^2{\cdot}sec$인 중성자속으로 144일 동안 쪼여준 238U 시료를 전해석출하여 그의 알파스펙트럼을 구한 결과 $^{238}U\;:\;^{239}Pu\;:\;241Am\;=\;100\;:\;0.0263\;:\;5.20{\times}10^{-5}$을 얻었다. 조사시료중의 $^{238}U$에 대한 본실험의 정량결과는 고체형광측정법 및 질량 스펙트럼법에 의한 결과들과 상대오차 1.6% 이내에서 일치하였으며, $^{239}Pu$의 경우는 음이온교환분리-알파스펙트럼 측정 및 삼불화테노일아세톤(thenoyltrifluoroacetone)을 쓴 용매추출-알파스펙트럼 측정에 의한 정량결과들과 상대오차 ${\pm}$4.0%이내에서 일치하였다.

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GPS를 이용한 택배서비스업 근로자의 미세먼지 노출 평가 (Exposure Assessment of Particulate Matter among Door-to-door Deliverers Using GPS Devices)

  • 이가현;김승원
    • 한국산업보건학회지
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    • 제27권1호
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    • pp.13-22
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    • 2017
  • Objectives: The objective of this study was to evaluate the exposure levels of door-to-door deliverers to fine particulate matter (PM2.5). Another objective was to confirm the general working patterns of door-to-door deliverers via survey. Methods: In the city of Daegu, ten door-to-door deliverers who wished to join the study were recruited. The general working characteristics of door-to-door deliverers were surveyed using self-reported questionnaires. In the cabin of each car driven by a deliverer, a real-time PM2.5 sampler (Sidepak, Model AM510, TSI Inc., MN, USA) and a GPS device (GPS 741, Ascen, Korea) were installed. Each deliverer was monitored for four days per week so that each day could be monitored at least four times. Results: A total of 40 measurements of PM2.5 concentrations were taken during delivery of parcels. The average exposure levels of door-to-door deliverers to PM2.5 was $44.62{\mu}g/m^3$ ($7-9443{\mu}g/m^3$. Exposure levels to PM2.5 according to the day of the week and coverage areas were not significantly different (p>0.05). Door-to-door deliverers using trucks with older diesel engines manufactured before 2006 had significantly higher exposure levels to PM2.5 than in the case of trucks with diesel engines manufactured after 2006 (p<0.05). Many of the door-to-door deliverers reported the status of having windows open during the delivery task. During delivery services, the working hours spent in residential areas were higher than on roadsides, but exposure levels to PM2.5 in residential areas and on roadsides were $46.17{\mu}g/m^3$ and $49.90{\mu}g/m^3$, respectively. Real-time PM2.5 exposure levels were significantly different between roadways and residential areas (p<0.001). Conclusions: PM2.5 exposure levels of door-to-door deliverers were found to be affected by higher vehicle emissions from the roadsides near their vehicle during deliveries and while driving to other locations compared to by PM2.5 from the diesel engines of their own trucks. Particle concentrations from roadsides and emissions from nearby vehicles through open windows were the main source of PM2.5.

열처리에 따른 $CoFe_2O_4$$M\"{o}ssbauer$ 분광학적 연구 ($M\"{o}ssbauer$ Studies by a Heat Treatment in $CoFe_2O_4$)

  • 이승화;김철성
    • 한국자기학회지
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    • 제6권2호
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    • pp.67-72
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    • 1996
  • 열처리에 따른 $CoFe_2O_4$의 결정학적 및 자기적 성질을 $M\"{o}ssbauer$ 분광법과 X선 회절법으로 연구하였다. 결정구조는 입방 spinel 구조를 갖으며, 격자상수는 서냉과 급냉인 경우, 각각 $a_{0}=8.381{\pm}0.005{\AA},\;a_{0}=8.391{\pm}0.005{\AA}$로 급냉의 경우보다 서냉인 경우의 격자상수가 작게 나타남을 알 수 있었다. $M\"{o}ssbauer$ spectrum은 13 K 부터 780 K 까지 취하였으며, thermal scan 방법에 의해 Curie 온도를 서냉인 경우는 $870{\pm}3\;K$, 급냉인 조건하에서는 $853{\pm}3\;K$로 결정하였다. 결정내의 사면체 (A), 팔면체 (B) 자리의 Debye 온도 ${\theta}_A,\;{\theta}_B$는 서냉인 경우 ${\theta}_A=734{\pm}5K,\;{\theta}_B=248{\pm}5K$, 급냉인 경우 ${\theta}_A=531{\pm}5K,\;{\theta}_B=197{\pm}5K$로 나타내었다. 또한 Fe 이온의 A자리에서 B자리로의 이동 비율은 700 K에서 서냉과 급냉의 경우 각각 69%와 91%로 나타났다.

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서울시 도로변지역과 인근 주거 밀집지역의 실시간 대기 중 PM2.5농도 비교 (Comparison of Ambient Real-Time PM2.5 Concentrations at Major Roadside with on those at Adjacent Residential Sites in Seoul Metropolitan City)

  • 윤동민;김보경;이동재;이선엽;김성렬
    • 한국환경과학회지
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    • 제24권7호
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    • pp.875-882
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    • 2015
  • In 2013, International Agency for Research on Cancer (IARC) concluded that outdoor air pollution is carcinogenic to humans, with the particulate matter component of air pollution most closely associated with sufficient evidence of increased cancer incidence by exposure to particulate matter component of air pollution. Motor vehicles are one of a major emission sources of fine particle ($PM_{2.5}$) in urban areas. A large number of epidemiological studies have reported a positive association of morbidity or mortality with distance from the roadside. We conducted this study to assess the association of $PM_{2.5}$ concentrations measured at roadside hotspots with those at adjacent residential sites using real-time $PM_{2.5}$ monitors. We conducted real-time $PM_{2.5}$ measurements for rush hour periods (08:00~10:00 and 18:00~20:00) at 9 roadside air monitoring Hotspot sites in metropolitan Seoul over 3 weeks from October 1 to 21, 2013. Simultaneous measurements were conducted in residential sites within a 100 m radius from each roadside air monitoring site. A SidePak AM510 was used for the real-time $PM_{2.5}$ measurements. Medians of roadside $PM_{2.5}$ concentrations ranged from $9.8{\mu}g/m^3$ to $38.3{\mu}g/m^3$, while corresponding median values at adjacent residential sites ranged from $4.4{\mu}g/m^3$ to $37.3{\mu}g/m^3$. $PM_{2.5}$ concentrations of residential sites were 0.97 times of hotspot roadside sites. Distributions of $PM_{2.5}$ concentrations in roadside and residential areas were also very similar. Real-time $PM_{2.5}$ concentrations at residential sites, (100 m adjacent), showed similar levels to those at roadside sites. Increasing the distance between roadside and residential sites, if needed, should be considered to protect urban resident populations from $PM_{2.5}$ emitted by traffic related sources.

Pulmonary Toxicity and Recovery from Inhalation of Manual Metal Arc Stainless Steel Welding Fumes in Rats

  • Yang, Mi-Jin;Kim, Jin-Sung;Yang, Young-Su;Cho, Jae-Woo;Choi, Seong-Bong;Chung, Yong-Hyun;Kim, Yong-Bum;Cho, Kyu-Hyuk;Lim, Chae-Woong;Kim, Choong-Yong;Song, Chang-Woo
    • Toxicological Research
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    • 제24권2호
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    • pp.119-127
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    • 2008
  • The objectives of this study were to examine the lung injury and inflammation caused by manual metal arc stainless steel(MMA-SS) welding fume inhalation and to evaluate the recovery process. Sprague-Dawley rats were exposed to MMA-SS welding fumes for 2 h per day in a whole-body exposure chamber, with a total suspended particulate(TSP) concentration of $51.4{\pm}2.8mg/m^3$(low dose) or $84.6{\pm}2.9mg/m^3$(high dose) for 30 days. The animals were sacrificed after 30 days of exposure as well as after a 30-day recovery period. To assess the inflammatory or injury responses, cellular and biochemical parameters as well as cytokines were assayed in the bronchoalveolar lavage fluid(BALF). MMA-SS welding fume exposure led to a significant elevation in the number of alveolar macrophages(AM) and polymorphonuclear cells(PMN). Additionary, the values of $\beta$-n-acetyl glucosaminidase($\beta$-NAG) and lactate dehydrogenase(LDH) in the BALF were increased in the exposed group when compared to controls. After 30 days of recovery from exposure, a significant reduction in inflammatory parameters of BALF was observed between the exposed and recovered groups. Slight, but significant elevations were noted in the number of AM and PMN in the recovered groups, and AM that had been ingested fume particles still remain in the lungs. In conclusion, these results indicated that welding fumes induced inflammatory responses and cytotoxicity in the lungs of exposed rats. Fume particles were not fully cleared from lungs even after a 30-day recovery period.

위탁견에서 스트레스에 의한 혈중 Cortisol의 농도 변화 (Changes in Serum Cortisol Concentration Due to Boarding Stress in Dogs)

  • 이상길;송인수;박수경;홍용근;강정부
    • 한국임상수의학회지
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    • 제27권1호
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    • pp.35-41
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    • 2010
  • Among the dogs boarding at an animal hospital, 10 dogs each were selected as a free boarding group and a kennel boarding group. Each group was further divided into 5 puppies and 5 mature dogs to examine the changes in their serum cortisol concentrations during boarding (5 days). We collected blood at day 8 and then analyzed the blood corpuscles, ran a biochemical serum test, and an additional urine test before boarding to check their health status. After collecting the dog's blood at 9:00 am, 3:00 pm, and 9:00 pm, we analyzed the cortisol concentration by the radioimmunoassay (RIA) method. The daily serum cortisol concentration at 9:00 am, 3:00 pm, and 9:00 pm, had a circadian rhythm during both the free and kennel boarding periods in both puppies and adults. Furthermore, the average daily serum cortisol concentration was significantly increased during the 1st, 2nd, and 3rd day after free boarding in the puppy group (P < 0.01). In adults from the free boarding group, the serum cortisol concentration dramatically increased on the 1st day (P < 0.01), as well as on the 2nd and 3rd day (P < 0.05). Interestingly, the average daily serum cortisol concentration was significantly increased on the 1st day after kennel boarding as well as during the entire period of kennel boarding in the puppy group (P < 0.05). In the adult kennel boarding group, serum cortisol concentration was significantly increased during the whole kennel boarding period (P < 0.01). An interesting result was that circadian rhythmicity in the sum of the daily serum cortisol concentrations was present in the free boarding group, but not in the kennel boarding group in both puppies and adults. In summary, cortisol was released depending on the degree of stress in free and kennel boarded dogs. Taken together, these results suggest that cortisol, a stress hormone, should be maintained at physiological concentrations in a circadian rhythm when the animals are hospitalized.

기상조건과 입지특성이 공공자전거 이용에 미치는 영향 분석 (Impact Analysis of Weather Condition and Locational Characteristics on the Usage of Public Bike Sharing System)

  • 이장호;정경옥;신희철
    • 대한교통학회지
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    • 제34권5호
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    • pp.394-408
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    • 2016
  • 본 연구는 효율적인 공공자전거 도입과 운영을 위하여 기상조건과 스테이션 입지특성이 공공자전거 수요 및 이용패턴에 영향을 파악하고자 고양시 공공자전거 대여자료를 가지고 선형회귀분석방법을 통해 시간대별 대여량 모형을 구축하였다. 기상조건에 따른 영향은 평균 기온이 상승할수록 대여량이 늘어나는 것으로 분석되었으며, 강수량이 10mm 이상 되거나, 평균기온이 29도 이상으로 높아지는 경우, 풍속이 7m/s 이상 되는 경우에 대여량이 떨어지는 것으로 분석되었다. 입지특성에 따른 영향은 새벽시간대는 유흥가가 위치한 중심상업지역이, 낮 시간대에는 공원지역과 중심 및 일반상업 지역의 대여량이 높은 것으로 나타났다. 하교시간대는 학교인근 스테이션의 대여량이 증가하고, 퇴근시간대는 지하철역 인근의 대여량이 두드러지게 높아진다. 심야시간대에는 공원지역에서의 대여량이 두드러졌다.