• Child Health Nursing Research
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• 제6권2호
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• pp.224-239
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• 2000

This descriptive study was conducted to understand the contents and degree of parental stress level in the NICU patients, and to give a baseline data in developing nursing intervention program. Subjects were the 62 mother of hospitalized newborn in NICU of 1 University Hospital in Taejon City from May 1st, 1999 to November 30th, 1999, who agreed to take part in this study. The instrument used in this study were Parental Stressor Scales : NICU(PSS:NICU) developed by Miles et al. and validated by 3 NICU practitioners and 3 child health nursing faculties. The questionnaire has 4 dimensions and 45 items; sight and sounds of NICU(5 items), babies' appearance and behavior(19 items), parental role alteration and relationship with their baby(10 items), communication with health team(11 items). The questionnaire asks parents to rate each item on a five-point Likert type scale that ranges from (1) to (5). Total scores representing overall stress from the NICU environment are calculated by summing response to each item. A high score indicates high stress. A subscale score is calculated by summing the responses to each item in the subscale. Cronbach's α coefficients were .93. The data was analyzed as average, Frequency, Standard deviation, t-test, ANOVA, Pearson correlation coefficient by use of SPSS/PC+. The results of this study is summarized as follows ; 1. The total perceived stress level score of mothers was slightly high(3.6±.7). The highest scored dimension was 'appearance and behavior of the baby'(3.9±1.5), and next were 'relationship with their baby and parental role change'(3.5±1.4), 'communication with health team'(3.4±.9), 'sight and sounds of NICU'(3.2±.8). 2. Two variables were statistically significant with PSS:NICU total scale ; mother's perceived severity of the baby's condition (r=.482, P=.002) and mother's religious attendance(t=2.83, P=.01). The more the mother perceive their baby's condition severe, the higher the total stress score. There were high stress score noted in the mother of no religious attendance. 3. Four variables were statistically significant with NICU environment subscale ; mother's educational background(F=3.45, P=.04), religious attendance(t=2.28, P=.04), sex of the baby(t=2.83, P=.01) and NICU patients' hospital day(r=.359, P=.004). That is mother with high educational background and girl baby were high NICU environment subscale score. 4. Four variables were statistically significant with appearance and behavior of the baby subscale ; when first saw baby(F=3.52, P=.04), incubator care(t=2.83, P=.01), mother's perceived severity of the baby's condition(r=.303, P=.017), number of NICU visit(r=.441, P=.002). That is, seeing the baby first in the NICU and recieved incubator care was very stressful. Also, the more the mother perceive their baby's condition severe and more NICU visit, the higher the appearance and behavior of the baby subscale stress score. 5. Four variables were statistically significant with relationship with their baby and parental role change subscale ; when first saw baby(F=3.37, P=.04), sex of the baby(t=2.36, P=.03), incubator care(t=5.60, P=.00), mother's perceived severity of the baby's condition(r=.401, P=.001). That is, seeing the baby first in the NICU and girl baby was very stressful. Also, the more the mother perceive their baby's condition severe, the higher the relationship with their baby and parental role change subscale stress score. 6. Three variables were statistically significant with communication with health team subscale ; mother's educational background (F=3.63, P=.04), incubator care(t=4.24, P=.00), gestational age(r=-.394, P=.047), and birth weight(r=-.460, P=.004). That is, mother with high educational background and receiving incubator care were high communication with health team subscale score. Also, the shorter the gestational age and smaller the baby's birth weight, the higher the communication with health team subscale score. In conclusion, information about physical environment of NICU, the mother's perceived severity of baby's illness state, maternal role change related variables and the knowledge of characteristics of NICU patients must be included in nursing intervention program of mother's of NICU patients in reducing the maternal stress and anxiety level.

• Journal of Plant Biology
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• 제3권1호
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• pp.16-25
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• 1960

여뀌과식물(Polygonaceae)의 수정관계 특히 기중 Heterostyle 식물을 연구해 오든중 Persicaria senticosa가 분류학에서는 1형화로 취급되고 있지만 실은 2형화로 되어 있는것을 발견하고 L주, S주에 대해서 그 형태, 수정생리등을 조사해 보았드니 이 생물은 화기구조상으로는 전형적인 이형예식물이지만 수정생리 및 화분관의 행동등으로는 아직 이형예식물로의 분화가 거이 안되고 비이형화의 일반 Polygonum (Persicaria) 속 대부분의 특징인 부분적 타가수정인 자가수정식물의 성질을 거이 전부 보유하고 있는 특수형의 이형예식물이라는 것이 명백히 되었다. 실험결과의 개요를 말하면 다음과 같다. 1) P. senticosa는 화주장, 화사장 속 제일차적 차이가 L, S주간에 \ulcorner저할 뿐만 아니라 이차적 차이에 있어서도 화분입대 같은것은 L, S주간에 분화가 심히 생겨 뚜렸한 이형예식물로 되어 있다. 2) 그러나 동과의 Heterostyle 식물인 P. japonica나 Fagopyrum esculentum에 비하면 아직 형태적으로 훨씩 미분화상태에 있다. 3) 생리적으로는 장주화(L), 단주화개체(S)에서 다 분화가 아직 생겨서 적법, 부적법수분정을 막론하고 수정, 결실이 다 같은 정도로 잘된다. 4) 화분질신장은 적법수분, 부적법수분에서 다 수분후 30분이면 자방까지 도달되는데 비교적 신장속도는 빠른편이다. 5) 신장속도는 적법수분시가 부적법수분시보다 더 속한 경동이 있다. 6) 아 식물은 형태상으로는 장주화, 단주화의 2형화식물로 되어 있지만 기타의 형태, 생태, 생리적분화는 아직 뚜렸하게 되어 있질않아 Heterostyle 식물중에서도 특이한 형상을 나타내고 있는데 이것을 같은 여뀌과의 이형예식물과 비교를 해보면 P. japonica 같은 것은 가장 L, S주간이 분화가 심하게 되어 있는데 반하야 이 P. senticosa 는 화주장, 화사장, 화분립대 이하에는 아직 분화가 되질 않은 특수형의 이형예식물이라고 볼수가 있다. 만일 P. japonica 를 진화형이라고 개정하면 P. senticosa는 원시형이라 하겠고, E. esculentum은 이행형이라고 볼수가 있다.

• 한국발생생물학회지:발생과생식
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• 제12권2호
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• pp.117-124
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• 2008

지구상의 모든 생명체들은 자신의 생존과 종의 영속성을 보장하기 위해 우호적이지 않은 환경 변화에 대응하기 위한 효과적인 전략을 발전시켜왔다. 그 결과, 생명체들은 환경요인들의 변화에도 불구하고 체내 생리적 환경의 역동적인 평형, 즉 항상성(homeostasis)을 유지해 나간다. 스트레스는 항상성을 위협하는 정서적 그리고 물리적 반응이다. 스트레스는 일시적일 뿐만 아니라 거의 영구적인 영향을 개체에 줄 수 있는데, 특히 출생전 스트레스는 유전 코드의 변경없이 성체의 기능과 구조를 바꿀 수 있는 '후생학적 프로그래밍'을 할 수 있음이 최근의 연구들에 의해 알려졌다. 본 논문에서는 출생 전 스트레스를 받은 수컷 흰쥐에서 나타나는 생식과 연관된 일련의 사건들, 예를 들어 성적 이형현상을 보이는 뇌 지역의 변화, 신경전달물질 대사의 수정, 생식내분비 상태의 변화, 그리고 마지막으로 성행동의 이상들을 소개한다. 태아의 뇌는 출생전 프로그래밍에 극히 민감한데, 특히 글루코코티코이드는 강력한 뇌-프로그래밍 능력을 갖고 있다. 모체 스트레스에 의해 유도된 글루코코티코이드 입력에 의한 태아 뇌의 지속적인 과도 활성은 신경 가소성을 증가시키는 새로운 프로그램을 제공할 것이다. 그리고 증가한 신경 가소성은 환경 도전 속에서 개체가 더 잘 적응하도록 하는 증가된 표현형의 가소성에 대한 기초가 될 것이다. 결론적으로, '혹독한' 환경을 태아기에 경험한 개체는 미래에 자신의 생존 가능성을 높이기 위해 번식능력을 일부 포기하도록 후생학적으로 (재)프로그램하는 것으로 추정된다.

• Journal of Periodontal and Implant Science
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• 제30권3호
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• pp.491-504
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• 2000

In clinical therapy, the current goal of dental implants is to enhance quantity and quality of osseointegration. Surface roughness and oxide structure are considered to influence the behavior of adherent cells. The purpose of this study is to evaluate the effect of different surface treatment on cellular response. The attachment and proliferation of osteoblast-like cell on sandblasted, sandblasted and etched, thermal oxidated surfaces have been compared. Sandblasting was done with $Al_2O_3$ particles(grain size of $50{\mu}m$), etching was processed with $NH_4OH$ : $H_2O_2$ : $H_2O(1:1:5)$ at $90^{\circ}C$ for 1 minute. Thermal oxidation was followed sandblasting and etching at $400^{\circ}C$, $600^{\circ}C$, $800^{\circ}C$ for 2 hours. Measurement of surface roughness after the different treatment did not show any differences of Ra value between terated surfaces. Cell attachment and proliferation were increased during experiment period, but no difference was observed. SEM evaluation revealed a similar pattern of osteoblast-like cells, well attached with dendritic extension and producing numerous matrix vesicles on cell surface. The results of this study showed that oxide layer alteration by thermal oxidation did not affect the attachment and proliferation of osteoblast-like cells. This suggests the possibility that the cellular responses are further influenced by surface roughness than titaniun oxide structure.

• Reproductive and Developmental Biology
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• 제36권3호
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• pp.225-230
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• 2012

Interferon induced transmembrane protein-1 (Ifitm-1) has been reported to have an important role in primordial germ cell formation, and it has expressed in female reproductive organ. In the present study, Ifitm-1 gene expression was identified in testes and all part of epididymis using western immunoblot and immunohistochemistry. Interestingly, Ifitm-1 expression was observed on the head of spermatozoa. To investigate the role of Ifitm-1 gene expression in behavior of spermatozoa after acrosome reaction, fresh sperm was incubated with calcium ionophore to induce acrosome reaction, whereas the expression of Ifitm-1 was not altered after the acrosome reaction. Then to identify the effect of Ifitm-1 in sperm motility and other seminal parameters, different concentration of Ifitm-1 antibody was incubated with spermatozoa, and seminal parameters were assessed using computer-assisted semen analysis (CASA). Interestingly, motility, progressive, and VAP were increased in the sperm with Ifitm-1 antibody treated compared to rabbit serum, however other parameters such as straightness were not changed. In order to identify the functional significance of Ifitm-1 in fertilization, capacitated spermatozoa were pre-incubated with anti-Ifitm-1 antibody and subsequently examined the ability to adhere to mouse oocytes. However, any defection or alteration in sperm-egg fusion was not found, Ifitm-1 antibody treated or non-treated spermatozoa showed a normal penetration. Although the precise role of Ifitm-1 in sperm motility and following fertilization need to be elucidated, this study suggests that the activation of Ifitm-1 on the sperm may enhance the motility of spermatozoa in mice.

• 대한간호학회지
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• 제5권1호
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• pp.17-30
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• 1975

The concept and definition of nursing and her role have been changing in accordance with the socio-cultural factors of the initial society. At present, nursing is conceptualized as a health care profession assisting man to restore, maintain and promote health by providing knowledge, wilt strength and resources through various processes of interaction. Man′s behavior, of individual and group activities for health inclusive, is driven by the initial man′s value orientation. The purpose of this study is to investigate the value orientation regarding health of rural health center milieu in order to give data for; 1. the planning for the delivery of community nursing service, 2. the health education plan at all level of nursing care activities, and 3. the planning of curriculum for nursing education. A hundred opinion leaders among the labor population residing in rural areas (P-group), hundred and six professional nurses at rural health centers (N-group) were indirectly interviewed through questionaries. And ninety five of N-group were interviewed likewise of their perceptions of P-group (NP-group) from July 15, to October 15, 1974. The result is as follows: 1. Maintenance of health is revealed to be the most valued component for man′s happiness in all the three groups. (P-group: 7.30 S. D.=1.31), (N-group :7.84 S. D. =49), and (NP-group : 5.93 S. D. =2.28) 2. The average value score of the maintenance of health revealed significant difference by P〈.001 level between each of the three groups. (Between N-group and P-group : T= -4.07 P and NP ; T=-6.93, N and NP: T=-9.35) 3. Basic health maintenance activities necessary for maintenance and promotion of personal health were moderately valued by all the three groups, P-group ; 3.74 (S. D. =.43) , N-group: 3.52 (S. D. =.34), NP-group: 3.07 (S. D. :.55) Among the 8 categories of basic health maintenance activities, "food intake" was highly valued by P-group (mean value score; 4.00 S. D=.51) , "exercise and rest" and "personal cleanliness" was highly valued by both P-group (4.02, 4.08) and N-group (4.08, 4.22). 4. The mean value score of basic health maintenance activities revealed significant difference by P〈.001 level between each of the three groups (between P-group and N-group: T=-4, 07, N-and NP: T=-6.93, P and NP T=-9.35) 5. Among the 30 questionaries, dynamic activities for health maintenance were more valued in comparison to passive activities in an tile three groups. 6. In N-group, correlation between the value of basic health maintenance activities and the personal health status personal revealed moderate significance. Correlation between the value of basic health maintenance activities and the age revealed low significance. 7. In group, correlation between the value of basic health maintenance activities and; perception of personal health status revealed non significance, between the age and sex revealed low sign affiance, and between the educational status revealed moderate significance. Recommendations are as follows ; 1. The efforts towards alteration of value orientation concerning health in general in community nursing practice de focussed be that of family Planning. 2. In order to prepare professional nurses competent in understanding individual and group, social science and behavioral science be strength ended in planning nursing curriculum. 3. Milieu of nursing experience during nursing education be Planned to begin at simple nursing problem and move towards complex, f. e. home care towards health crisis situation in order to achieve dynamic role mastery.

• Asian Pacific Journal of Cancer Prevention
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• 제13권12호
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• pp.6311-6318
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• 2012

Background: HER2/neu overexpression due to gene amplification is an important factor in breast cancer, modifying the sensitivity to anti-HER2 monoclonal antibody therapy. The clinical significance of HER2 expression in non small cell lung carcinoma (NSCLC) is currently under evaluation. The tumor suppressor gene PTEN negatively regulates the HER2/PI3K/Akt signalling pathway. The purpose of this study was to evaluate the role of simultaneous alteration in HER2 and PTEN protein expression in relation to biological behaviour of NSCLCs. Materials and Methods: Protein expression was determined by immunohistochemistry in sixty-one (n=61) NSCLC cases along with CISH for HER2 gene analysis and detection of chromosome 17 aneuploidy. Patients were followed-up for a period of 34 to 41 months after surgery. Results: HER2 overexpression (2+/3+score) was detected in 17 (27.9%) patients while loss of PTEN expression was observed in 24 (39.3%) cases, low expression in 29 (47.6%) and overexpression in 8 (13.1%). Simultaneous HER2 overexpression and PTEN low/loss of expression were correlated with metastasis (71.4% vs 36.2% p=0.03). Analysis in the subgroup of 22 patients of pTNM stage III with lymph node status N1 or N2 revealed that there was a relationship between the number of positive regional lymph node groups and simultaneous deregulation of the two genes (p=0.04). Multivariate analysis determined that HER2 overexpression was associated with an increasing risk of developing metastases (OR: 4.3; 95%CI: 1.2-15.9; p: 0.03) while PTEN overexpression was associated with lower risk (OR: 0.1; 95%CI: 0.1, 1.0; p: 0.05). Conclusions: Simultaneous HER2/PTEN deregulation is a significant genetic event that leads to a more aggressive phenotype of NSCLC.

• Asian Pacific Journal of Cancer Prevention
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• 제13권12호
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• pp.6447-6453
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• 2012

Background: The mucin components of the gastric gel layer function as a protective and lubricating factor against luminal acid and proteolytic enzymes. Alteration of mucin expression in gastric preneoplastic and neoplastic lesions has suggested potential roles in neoplastic processes. This study aimed to assess the clinicopathological and prognostic significance of MUC-2, MUC-4 and MUC-5AC in Japanese gastric cancer. Methods: Expression of MUC-2, -4 and -5AC was evaluated on tissue microarrays of gastric carcinomas and adjacent non-cancerous mucosa specimens by immunohistochemistry and compared with clinicopathological parameters and survival time of the patients. Results: The three mucins were found to be expressed to a lesser extent in gastric carcinomas in comparison with non-cancerous mucosa (p<0.05). MUC-2 expression was negatively correlated with tumor size, depth of invasion, and TNM staging of gastric cancer (p<0.05), while that of MUC-5AC was negatively associated with the depth of invasion, venous invasion, lymph node metastasis and TNM staging (p<0.05), but positively with MUC-4 and MUC-2 expression (p<0.05). There was higher MUC-2 expression in intestinal- than diffuse-type carcinomas (p<0.05). Kaplan-Meier analysis indicated no relationship between expression of the three mucins and the cumulative survival rate of patients, even stratified according to the depth of invasion (p>0.05). Conclusion: Down-regulated expression of MUC-2, -4 and -5AC may be involved in pathogenesis, invasion, metastasis or differentiation of gastric carcinoma. Their altered expression might therefore be employed as an indicator of pathobiological behavior.

• 한국치위생학회지
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• 제18권5호
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• pp.831-842
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• 2018

Objectives: This study was conducted to reveal the biological basis of dental plaque and preschool children's dental health status through repetitive and continuous toothbrushing instruction to preschool children, using quantitative criteria, and to emphasize the importance of the role of an oral health manager for the prevention of dental caries. Methods: After IRB approval, toothbrushing instruction and oral microbial specimen collection were conducted with children of preschool age at the Daycare Center attached to D. University, Busan. Specimens from 27 children were characterized by analysis with real-time multi-chain enzymatic polymerization reaction technique at an agency specializing in genetic analysis. Results: In a survey of the children's dental health behaviors, 48.1% responded that the toothbrushing time is 91 to 150 seconds; 66.7% responded that the frequency of toothbrushing is more than three times per day; 81.5% stated that they performed tongue brushing; and 81.5% brushed their teeth. Regarding levels of dental cariogenic bacteria, after children received continuous toothbrushing instruction, there were reductions in both Streptococcus mutans and Streptococcus sobrinus. Regarding toothbrushing time, the time increased in relation to the presence of instruction. Regarding Quigley Hein Index, the index decreased in the early and middle periods upon addition of instruction, then increased in the middle and later periods. Conclusions: Through persistent and repetitive toothbrushing instruction, healthy behavior can be positively established in children of preschool age; it is necessary to prepare institutional measures so opportunities for dental health education can be consistently provided and maintained. In the future, it will be necessary to conduct a follow-up study to verify the factors affecting toothbrushing time and volume of oral pathogens.

• Nuclear Medicine and Molecular Imaging
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• 제43권5호
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• pp.451-458
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• 2009

목적: 광학적 분자 발광영상은 발광효소를 이용하여 발광하는 빛의 신호를 영상화하는 기법이다. 발광하는 광량이 분자 변화 또는 세포 수와 비례하고 신호 대 잡음비가 좋아서 영상을 얻고, 정략분석이 가능하다. 이 연구에서는 정량적 분석을 위해 비례적 측정 정량화기법을 개발하였다. 대상 및 방법: 개발 중인 ALIS (animal light imaging system) 광학발광영상 카메라에서 박테리아 수를 달리한 박테리아 광원 3가지와 또 다른 3가지 광원을 이용하여 발광영상을 측정하였다. 일정한 세기의 광원에 대해서 측정 방법을 수학적으로 표현하기 위해 cd와 광속의 개념을 이용하여 간단한 수식을 유도하였다. 실험을 통해 측정시간 1초를 기준으로 얻어진 값으로 표준 정량화 함수를 얻었다. 얻어진 정량화 함수를 이용하여 박테리아를 이용한 실험에 필요한 함수의 상수 값을 구했으며, 세 가지 세기가 다른 광원을 이용하여 측정한 값을 측정시간과 함께 정량화 식에 대입하여 측정하였다. 결과: 표준측정함수를 이용하여 측정시간에 비례하는 정량적 값을 얻을 수 있었다. 정량화결과를 측정시간으로 나눠준 값은 일정하였으며, 측정시간에 대비한 비례적 값을 얻을 수 있었다. 결론: 측정한 결과를 정량화 함수에 대입하여 정량화시킨 값은 표준정량화 하기에 적합하였다. 이 정량화 방법은 다른 광학적 분자영상 장비에 적용하여도 빛의 세기를 표준화 시킬 수 있을 뿐 만 아니라 성격이 다른 각각의 광원에 대해서도 보다 정량적인 분석을 시행할 수 있으므로, 새로운 표준 정량화 방법으로 발전시킬 수 있을 것으로 기대한다.