• 한국어병학회지
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• 제26권3호
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• pp.255-263
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• 2013

선천성 면역반응은 감염성 질병에 대한 저항력이 부족한 초기 발달단계의 자치어에게 중요하다. 특히 lectin은 선천성 면역반응에 많은 기여를 하고 있으며 종류 또한 다양하다. Lectin의 종류 중 하나인 galectin은 어류 점액 내에 존재하며 선천적으로 외부 병원체로부터 숙주를 보호하는 기능을 지니고 있다. 하지만 어류 galectin과 초기발생단계 시기와 관련된 연구들은 부족한 실정이다. 본 연구는 넙치에서 발현되는 galecin-1을 통하여 자치어의 초기발생단계별 그리고 성어의 조직별 발현을 조사하였다. 초기발생단계별 galectin 발현을 조사한 결과, 부화 전 수정란의 낭배기부터 galectin-1 유전자의 발현이 시작되었으며, 부화 후 25일까지 서서히 증가하였다. 부화 후 30~35일에 galectin-1 유전자의 발현량이 급격하게 증가하였고, 그 이후의 galecin-1 유전자의 발현량은 서서히 감소하였다. 성어 (5개월령, 29개월령)의 조직별 galectin 발현을 조사한 결과, 근육, 장, 지느러미, 위, 눈 조직 순서로 높게 발현하였고, 이외의 조직에서는 발현이 나타나지 않았다. 초기발생단계에서 galectin-1의 발현이 증가되는 것은 낭배기부터 넙치의 근육, 지느러미 그리고 눈 조직이 형성되고 galectin의 분비가 시작되어 기능을 나타내기 때문인 것으로 추측된다. 부화 후 30일부터 galectin의 발현량이 많이 증가하는 것은 장과 위 조직이 활성화됨에 따라 점액의 분비량이 증가하여 galectin의 발현량 또한 증가하는 것으로 판단된다. 이로써 넙치 초기발생단계 시기의 galectin-1 유전자의 발현패턴과 galectin이 점액 내에 다량 포함되어 있는 것을 확인하였으며, galectin의 발현은 선천적 면역반응으로 넙치의 초기발생단계 시기와 성어기에 중요할 것으로 판단된다.

• 대한간호
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• 제31권3호
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• pp.76-87
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• 1992

The purposes of study was: 1. To identify the direction and scope of research activities in Korean Nursing. 2. To discuss the unique problems present in Korea that warrant nursing research. 3. To delineate the factors that facilitate and/or hinder nursing research in Korea. This study was conducted at six colleges of nursing in Korea. The schools which were selected had doctoral programs at the time, the data were collected in 1990. Four of the schools were located in the metropolitan area of the capital city, Seoul, and two were in two other cities similar in size. The total population of the study was 283 nurses. The instrument for the research was the English version of Research Profile Questionnaire which was translated into Korean by the researchers and was validated in its translation by two professors. A pretest procedure was done before the data collection process. Of the population of 283, 210 subjects received the questionnaire and 150 subjects responded(71.4%). Excluding incomplete questionnaires, 141 questionnaires were utilized for data analysis. Data were analyzed using descriptive statistics. Responses to open-ended questions were content analyzed for themes and categories. Results of the study were as follows : Respondents currently , involved in nursing research numbered 108(76.6%), but 33(23.4%) did not have any research experience. The inexperienced respondenLs tended to be younger than the experienced subjects and most( 60.6%) were employed in hospitals, while 82.4 percent of the experienced nurses were employed in nursing schools. Among the respondents with research experience, 68.5 percent were involved in one to three projects and 31.5 percent were engaged in four or more projects. The experienced nurses indicated that nursing research in Korea is active. On the other hand, the responses of the inexperienced were that nursing research is not active. The most frequently selected research subjects were patients(76.9%, 83 respondents) followed by nurses, healthy persons and nursing students. The relatively high percentage of healthy persons as study subjects, could be explained as a concern of nurses for healthy persons as well as for ill patients. The aforememioned literature review showed a dramatic change in the kinds of study subjects; approximately 33 percent were patients but 25 percent were healthy subjects of various ages. The hospital was the prevailing research setting(67.6%) but at the same time various community settings were used. This is a changing phenomena in nursing research of Korea. Current research designed to build on previous studies amounted to 75 percent; about 39.8 percem were theory and hypothesis generated. Over 65 recommended additional research focusing on hypothesis-testing 0:' theory building. The previously quoted literature review found that only 4.0 percent of the study quescions were developed from a theoretical framework. The most frequently listed current major focus of nursmg research was stress and adaptation. Patients with cancer, pain, social support and care of the elderly were the next most frequently reported. These concerns may reflect problems associated with a technological and industrializing societyl. The most frequently identified problem was lack of clinical research. The need for replication research and research that contributes to the accumulation of nursing knowledge were found to be rare in Korean research. A need for theory testing and theory construction research was also identified. Although advanced statistical methods were often utilized in nursing research, the results were frequently considered by the interviewers not to be applicable in practice, and readers had difficulty in comprehending the findings. Even though the number of clinical nurses involved in research is increasing, it is still considered inadequate. Among 108 respondents, 83(76.9%) gave lack of time as a barrier to conducting nursing research. Over fifty percent of the respondents reported lack of funding or, personally, low confidence in research skills as barriers. The respondents offered 183 suggestions for future emphasis in nursing research. Among the 51 areas of emphasis, clinical research received the highest number and nursing intervention was next. The findings suggested that nursing research should be based on theory, be related to practice and relevant to the situation of a unique Korean culture.

• Journal of Korean Neurosurgical Society
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• 제30권sup2호
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• pp.189-196
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• 2001

목 적 : 교모세포종은 흔한 원발성 뇌종양이며 생물학적 특성상 빠른 성장률을 보이는 것 외에 침습성이 강하여 종양과 인접한 부분을 파괴 시킬 뿐 아니라 직접접촉하지 않는 부분의 파괴도 일어나게 되어 치료 예후가 매우 불량한 것으로 되어 있다. 광역학치료는 광감각제를 이용하며 광감각제는 적절한 파장의 광원에 노출되면 세포 내에서 산소독성 물질을 생성하여 세포괴사를 유도하는 것이 주 살해작용의 기전이다. 본 실험에서는 사람의 신경교종 세포주인 U87 세포를 이용하여 실험관 내에서 광감각제 photofrin을 이용한 광역학치료가 종양의 침습성에 미치는 영향을 알아보고 동시에 이를 뇌종양치료의 새로운 방법으로 사용될 수 있는지의 여부를 알아보고자 하였다. 재료 및 방법 : 교모세포종 세포주인 U87 세포를 여러 농도의 photofrin으로 처리한 후 632nm $100mJ/cm^2$의 고정된 광선조건에서 본 실험을 시행 하였으며 Microculture tetrazolium(MTT) assay를 이용하여 세포 살해능력을 측정하고 침습성은 matrigel artificial basement membrane assay 및 tumor spheroid fetal rat brain aggregate(FRBA) confrontation assay를 이용하여 측정하였다. 결 과 : MTT assay를 이용하여 측정한 광역학 치료의 세포살해능력은 $100mJ/cm^2$의 광선 세기에서 광감각제인 photofrin의 농도에 비례하여 세포 살해 능력을 보였다. Matrigel artificial basement membrane assay 를 이용한 종양 침습성 검사에서 광역학치료가 종양침습의 억제효과를 나타냄을 알 수 있었으며 특히 세포 살해능력을 별로 보이지 않았던 photofrin 농도 2.5ug/ml에서 뚜렷한 침습억제효과를 나타내고 있었다(p<0.05). tumor spheroid fetal rat brain aggregate(FRBA) confrontation assay에서는 brain aggregate의 파괴와 종양의 침습을 관찰할 수 있었는데 파괴의 모양은 생체내에서 보이는 것과 비슷 하였다. 또한 그 정도와 범위는 처리된 Photofrin의 농도에 비례하여 종양침습이 억제됨을 알 수 있었다. 결 론 : 이러한 결과를 종합해 보았을 때 PDT는 종양세포의 침습성에 중요한 역할을 함을 알 수 있었으며 PDT 는 세포 살해능력뿐 아니라 침습성에도 영향을 미침으로써 종양 치료에 유용한 방법으로 사용될 수 있을 것으로 사료된다.

• Journal of Yeungnam Medical Science
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• 제23권1호
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• pp.26-35
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• 2006

전염증성 사이토카인의 분비를 조절하는 전사인자인 NF-${\kappa}B$는 염증성 장질환 환자의 대장 점막에서 발현이 증가되어 있다고 보고하고 있으며 이를 억제하여 대장의 염증을 억제하려는 연구가 진행 중이다. 루테올린은 다양한 한약제에 포함되어 있는 플라보노이드 중 하나로 항염증 및 항산화작용이 있다고 알려져 있으며 LPS 자극된 대식세포에서 TNF-${\alpha}$ 분비의 억제 뿐만 아니라 전사인자인 NF-kB의 발현을 억제하여 항염증작용을 하는 것으로 알려져 있다. 본 연구에서는 DSS을 이용한 염증성 장질환 모델에서 루테올린의 장염의 치료효과를 보고자 하였다. C57BL/6 NF-${\kappa}B^{EGFP}$ 쥐에게 2.5% DSS를 투여하여 장염을 유발하였으며 치료군(n=6)에서는 매일 루테올린(1 mg/kg, vol 0.1 ml)을 비위관을 통해 경구투여 하였으며, 비치료군(n=6)에서는 매일 같은 양의 vehicle(vol 0.1 ml)를 투여하여 정상대조군(n=6)과 비교하였다. 실험 기간 동안 질병활성도를 기록하였으며, 투약 6일 후 모든 쥐를 희생하여 대장을 분리하여 길이를 측정하고, 조직검사를 시행하였다. 또한 대장점막조직을 배양하여 m IL-12 p40의 분비를 측정하였고, 공초점 형광현미경하에서 EGFP 발현의 정도를 관찰하였다. 질병의 활성도의 관찰에서 치료군에서 2.7점, 비치료군에서 2.5점으로 양군 사이에 유의한 차이가 없어 루테올린에 대한 장염예방효과는 없었다. 또한 치료군과 비치료군에서 대장점막의 m IL-12 p40의 분비 각각 $535.2{\pm}198.2pg/ml$, $412.5{\pm}48.2pg/ml$ 로 양군 사이의 차이는 없었다. 흥미롭게도 EGFP 발현은 치료군에서 오히려 높게 나타났으며, 공초점 형광현미경관찰에서 대부분의 고유근층하 대식세포에서 증가되어 있음을 알 수 있었다. 이상의 결과로 루테올린의 경구 투여는 DSS 유발 염증성 장질환 모델에서 대장 점막 염증을 억제하는 대체 요법으로써의 치료효과는 관찰할 수 없었으며, 향후 항염증작용이 있다고 알려져있는 플라보노이드 물질의 개발에 신중함이 있어야 할 것으로 사료된다.

• 설비공학논문집
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• 제16권12호
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• pp.1234-1268
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• 2004

A review on the papers published in the Korean Journal of Air-Conditioning and Refrigerating Engineering in 2002 and 2003 has been carried out. Focus has been put on current status of research in the aspect of heating, cooling, air-conditioning, ventilation, sanitation and building environment/design. The conclusions are as follows. (1) Most of fundamental studies on fluid flow were related with heat transportation in diverse facilities. Drop formation and rivulet flow on solid surfaces were interesting topics related with condensation augmentation. Research on micro environment considering flow, heat transfer, humidity was also interesting to promote comfortable living environment. It can be extended considering biological aspects. Development of fans and blowers of high performance and low noise were continuing research topics. Well developed CFD technologies were widely applied for analysis and design of various facilities and their systems. (2) Heat transfer characteristics of enhanced finned tube heat exchangers and heat sinks were extensively investigated. Experimental studies on the boiling heat transfer, vortex generators, fluidized bed heat exchangers, and frosting and defrosting characteristics were also conducted. In addition, the numerical simulations on various heat exchangers were performed and reported to show heat transfer characteristics and performance of the heat exchanger. (3) A review of the recent studies shows that the performance analysis of heat pump have been made by various simulations and experiments. Progresses have been made specifically on the multi-type heat pump systems and other heat pump systems in which exhaust energy is utilized. The performance characteristics of heat pipe have been studied numerically and experimentally, which proves the validity of the developed simulation programs. The effect of various factors on the heat pipe performance has also been examined. Studies of the ice storage system have been focused on the operational characteristics of the system and on the basics of thermal storage materials. Researches into the phase change have been carried out steadily. Several papers deal with the cycle analysis of a few thermodynamic systems which are very useful in the field of air-conditioning and refrigeration. (4) Recent studies on refrigeration and air-conditioning systems have focused on the system performance and efficiency enhancement when new alternative refrigerants are applied. Heat transfer characteristics during evaporation and condensation are investigated for several tube shapes and new alternative refrigerants including natural refrigerants. Efficiency of various compressors and performance of new expansion devices are also dealt with for better design of refrigeration/air conditioning system. In addition to the studies related with thermophysical properties of refrigerant mixtures, studies on new refrigerants are also carried out. It should be noted that the researches on two-phase flow are constantly carried out. (5) A review of the recent studies on absorption refrigeration system indicates that heat and mass transfer enhancement is the key factor in improving the system performance. Various experiments have been carried out and diverse simulation models have been presented. Study on the small scale absorption refrigeration system draws a new attention. Cooling tower was also the research object in the respect of enhancement its efficiency, and performance analysis and optimization was carried out. (6) Based on a review of recent studies on indoor thermal environment and building service systems, it is noticed that research issues have mainly focused on several innovative systems such as personal environmental modules, air-barrier type perimeterless system with UFAC, radiant floor cooling system, etc. New approaches are highlighted for improving indoor environmental conditions and minimizing energy consumption, various activities of building energy management and cost-benefit analysis for economic evaluation.

• 대한화장품학회지
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• 제41권1호
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• pp.63-71
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• 2015

보습제는 피부과에서 가장 흔하게 사용하는 제품 중 하나로, 피부장벽을 유지시키고 피부가 촉촉하고 건강하게 보이게 하며, 영유아의 정상적인 피부발달에 매우 중요하게 작용한다. 하지만 보습제 도포가 정상 영유아의 피부에 어떠한 영향을 미치는지에 대한 연구는 제한적이다. 이에 건강한 정상 영유아에서 일반적인 보습제 도포가 피부에 미치는 영향을 알아보고자 본 연구를 진행하였다. 31명의 피부염이 동반되지 않는 건강한 6 - 36개월 연령의 영유아를 대상으로, 하루 2회 목욕 후 눈과 기저귀 착용 부위를 제외한 전신에 존슨즈 베이비 내츄럴너리싱 로션을 4주간 도포하였다. 임상적 평가는 도포 전후, 1주, 4주에 실시하였다. 매 방문시 피부수분도와 경표피수분손실도, 피부산도 및 거칠기를 측정하였으며 피부표면을 촬영하여 비교하였고 보습제 도포 후 발생한 피부 발진을 포함한 모든 부작용을 기록하였다. 보습제 도포 후 피부수분도는 통계적으로 유의하게 증가하였으며, 경표피수분손실도와 거칠기는 통계적으로 유의하게 감소하였다. 피부산도는 약산성으로 조절되었으며, 육안적으로 피부표면은 매끄럽게 변화한 것이 관찰되었다. 임상 시험 기간 동안 부작용은 관찰되지 않았다. 본 실험을 통해 보습제 도포가 영유아의 피부에 있어 수분을 증가시키고, 피부장벽기능 증강과 약산성의 피부산도 조절 및 거칠기의 호전을 야기하며, 4주간의 보습제 도포가 미치는 영향의 정도를 확인할 수 있었다.

• 대한화장품학회지
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• 제41권4호
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• pp.341-350
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• 2015

피부는 외부 유해물질로부터 내부기관을 보호하는 장벽기능을 하는 대표적인 기관으로 자외선(ultraviolet radiation, UV), 중금속, 각종 산화 물질들과 같은 외부의 위협에 항상 노출되어 있어 손상을 받기 쉽다. 특히 자외선 B (UVB)는 진피의 상부까지 도달하여 화상이나 홍반과 같은 염증반응을 일으키며 멜라닌 생성을 촉진시켜 색소 침착을 유발한다. 지나친 자외선 B의 피부세포로의 유입은 각질세포 및 진피 섬유아세포의 DNA손상을 야기하고, 세포외기질의 합성을 방해하여 피부탄력감소, 주름생성, 진피 결합조직의 손상과 함께 피부장벽을 붕괴시켜 노화를 일으키며, 장기간 노출 시 심각한 피부 병변으로 이어져 피부세포 사멸 및 종양의 발생으로까지 이어진다. Haloarcula vallismortis는 사해로부터 분리 동정한 미생물로 호염성 고생물의 생장적 특징은 아직 자세히 연구된 바는 없다. 대게 10% 이상의 염도에서 자라는데 실제 생장염도는 평균 20 ~ 25% 염도에서 자란다. 염도가 높은 호수나 염전에서 주로 발견되기 때문에 강한 햇빛에 대한 방어기작이 존재한다. 그중 하나로 다른 ATP를 생성하기 위한 bacteriorhodopsin외에 halorhodopsin이라는 색소를 이용, 광자(photon)를 흡수하고 염화이온 채널을 개방시켜 생기는 전위차를 이용해 추가로 에너지를 생산한다. 또 carotenoid 색소로 인해 농도가 높을시 분홍색 또는 빨간색을 띄는 특징이 있는데 이것이 강한 자외선에 대한 방어기작을 할 것이라고 여겨진다. 본 연구는 호염성 고세균이 자외선을 에너지 소스로 이용하는 특성을 이용하여 자외선으로부터 피부를 방어하는 방법을 개발하고자 이들의 피부각질세포에서 자외선에 의한 항염 효과 및 DNA 손상 방어 효과를 확인하였다. 그리고 이들을 천연 자외선 차단제의 소재로서 사용할 수 있음을 확인하였다.

• 한방안이비인후피부과학회지
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• 제25권2호
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• pp.1-19
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• 2012

Objective : The purpose of this study is to investigate about comparison of Eastern-Western medicine on the acne. Methods : We searched Eastern and Western medicine books for acne. We analyzed these books and examined category, definition, etiology, classification, internal and external methods of treatment of acne. Results : The results were as follows. 1. In Eastern medicine, Acne belongs to the category of the Bunja(粉刺), Jwachang(痤瘡), Pyepungbunja(肺風粉刺). In Western medicine, the other name of Acne is acne vulgaris. 2. In Eastern medicine, the definition of Acne includes manual extraction of comedones and skin appearance. In Western medicine, Acne is a common skin disease during adolescence and a chronic inflammatory disease of pilosebaceous unit of self localization. It is characterized by noninflammatory, open or closed comedones and by inflammatory papules, pustules, and nodules and it affects the areas of skin with the densest population of sebaceous follicles, these areas include the face, neck, back, and the upper part of the chest. 3. In Eastern medicine, the cause and mechanism of Acne arose from the state of internal dampness-heat and spleen-stomach internal qi deficiency due to dietary irregularities and then invaded external pathogen such as wind-dampness-heat-cold-fire in lung meridian lead to qi and blood heat depression stagnation. So it appears in skin. In Western medicine, the etiology and pathogenesis of Acne is clearly not identified, but there are most significant pathogenic factors of blood heat depression stagnation. So it appears in skin. In Western medicine, the etiology and pathogenesis of Acne is clearly not identified, but there are most significant pathogenic factors of Acne; Androgen-stimulated production of sebum, hyperkeratinization and obstruction of sebaceous follicles, proliferation of Propionibacterium acnes and inflammation, abnormaility of skin barrier function, genetic aspects, environmental factors etc. 4. In Eastern medicine, differentiation of syndromes classifies clinical aspects, and cause and mechanism of disease; the former is papular, pustular, cystic, nodular, atrophic, comprehensive type; the latter is lung blood heat, intestine-stomach dampness-heat, phlegm-stasis depression, thoroughfare-conception disharmony, heat toxin type. In Western medicine, it divides into an etiology and invasion period, and clinical aspects; Acne neonatorum, Acne infantum, Acne in puberty and adulthood, Acne venenata; Acne vulgaris, Acne conglobata, Acne fulminans, Acne keloidalis. 5. In Eastern medicine, Internal methods of treatment of Acne are divided into five treatments; general treatments, the treatments of single-medicine and experiential description, the treatments depending on the cause and mechanism of disease, and clinical differentiation of syndromes, dietary treatments. In Western medicine, it is a basic principles that regulation on production of sebum, correction on hyperkeratinization of sebaceous follicles, decrease of Propionibacterium acnes colony and control of inflammation reaction. Internal methods of treatment of Acne are antibiotics, retinoids, hormone preparations etc. 6. In Eastern medicine, external methods of treatment of Acne are wet compress method, paste preparation method, powder preparation method, pill preparation method, acupuncture and moxibustion therapy, ear acupuncture therapy, prevention and notice, and so on. In Western medicine, external method of treatments of Acne are divided into topical therapy and other surgical therapies. Topical therapy is used such as antibiotics, sebum regulators, topical vitamin A medicines etc and other surgical therapies are used such as surgical treatments, intralesional injection of corticosteroids, skin dermabrasion, phototherapy, photodynamic therapy, and so on. Conclusions : Until now, there is no perfect, effective single treatment. We think that Eastern medicine approach and treatment can be helpful to overcome the limitations of acne cure.

• 한국자원식물학회지
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• 제31권4호
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• pp.363-371
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• 2018

헐떡이풀은 우리나라에서 울릉도에서만 분포하는 자생식물로 전통적으로 약용으로 쓰여왔으며, 관상식물로의 활용도 기대되는 자원식물이다. 본 연구는 헐떡이풀 종자의 휴면타파와 발아를 위한 조건을 확립하고 종자휴면 유형을 분류하고자 수행되었다. 실험은 헐떡이풀 종자에 저온층적처리($5^{\circ}C$에서 0, 12주)와 고온층적처리($23^{\circ}C$에서 0, 4, 8, 12주 처리 후에 $5^{\circ}C$에서 8주, 다시 $23^{\circ}C$에서 배양함), $GA_3$ (0, 10, 100, 1000 mg/L)처리를 수행하였다. 이렇게 처리한 종자는 무균배지에 소독하여 파종하고 온도 $23^{\circ}C$, 광도 $40{\mu}mo{\ell}{\cdot}m^{-2}{\cdot}s^{-1}$ PPFD, 일장16시간 조건의 배양실에서 배양하였다. 헐떡이풀 종자는 자연상태에서 미숙배인 상태로 탈리되며, 종자 내부로의 수분흡수에 대한 물리적인 장벽은 없었다. 그러나 아무 처리 없이 파종하였을 때 30일이 지나도록 전혀 발아하지 않았다. 따라서 헐떡이풀 종자는 형태적 휴면(MD)과 생리적 휴면(PD)을 가지고 있는 것으로 판단하였다. 저온층적처리(0, 12주) 실험의 최종 발아율은 각각 66.7%, 45.6%로 나타났다. 저온처리는 오히려 발아를 약 3주 정도 지연시켰다. 고온층적처리(0, 4, 8, 12주) 실험에서는 최종 발아율이 각각 13.3%, 24.4%, 20.0%, 51.1%로 나타났다. 헐떡이풀 종자의 배는 상대적 고온에서 발달하였다. $GA_3$ 처리는 종자의 휴면을 극복하고 발아를 촉진하였다. $GA_3$ 처리에서의 최종 발아율은 0, 10, 100, 1000 mg/L 처리구에 대하여 각각 33.3%, 45.0%, 42.5%, 72.5%로 나타났다. 위의 결과를 종합하여 헐떡이풀 종자는 non-deep simple 형태생리적 휴면(MPD)을 가지고 있으며, $GA_3$ 처리를 통해 고온을 대체하고 종자의 휴면을 타파할 수 있었다. 이는 한국에 자생하는 헐떡이풀속의 종자휴면에 대해 처음으로 보고한 논문이다.

• 한국학교보건학회지
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• 제9권1호
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• pp.55-67
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• 1996

This research has incorporated a postal survey from the principals, nurse-charging teachers and nurse-teachers of the fiftyfive elementary, middle and high school in Yang-pyeong county area where its supplementary rate of nurse-teachers is less than adequate. It is to analyse the current status of the school health service in the area and to come out with a plan to improve the school health program through the participations of the health related experts of the local community. The survey was done in the two months of period of April to May of 1994. The result of the survey follows. The student population in the Yang-pyeong county area is 13,998 and the school employee population is 904 which counts for about 19.2% of the whole population of the area. However, the supplementary rate of nurse-teachers is only 10.8% (4 in 55 schools) which is very low in terms of relativity. School health committee only exist in 17% of the whole number of schools in the area and 50 of school health committee answered that their activity do not meet the adequate level. Only 54. 3% of the whole school numbers has included the school health finance in their financial plans and the amount set for the school health finance is about 500,000 wons (100,000-1,600,000 wons). 64.9% of the schools in the Yang-pyeong county area have the permanent nursing room established in the school. But, often than the equipment for a simple physical examinations, their supply of the health related equipments are less than adequate. Particitations of school doctor in the school health service is at only 67.6% which pretty much include only the physical examinations. Nurse-charging teachers consider their utmost important role is to teach health education but, they answered that they spent most of their times and efforts on physical examinations & immunizations. The average number of students visition to the nursing room is 2.5 persons and complains for basic discomfort as headache, concussion, stomachache and indigestion problems and usual pills used are the analgesics and digestives. Physical examination is done in the most schools every year but, 51.4% of nurse-charging teachers answered the physical examination does not really help. About the emergency treatment ability, 75.7% reports that both manpower & equipment are short. The school food services are present in only 8 schools (21.6%) but, 89.2% of nurse-charging teachers answer that there is a definite need of the food service. The survey says that the utmost important environmental health and safety factors are the traffic accidents followed by improper heat system, lighting, the stools and desks that do not consider the student physical status The overall evaluation of school health program reports that there are adequate physical examination, immunization, environmental hygiene, and management of safety but, on the other hand, health education, health councelling & management of nursing room are not managed properly. The principals of the survey pool report shortage of public agency support, lack of understanding of school health, shortage of nursing equipments and school health finance as the barrier factors of school health. The nurse-charging teachers report on the same questions as their less than qualitifying expertise, extraload of work upon the nursing affairs, shortage of nursing equipments & school health finance. The head masters & nurse-charging teachers answered that they are desperate for the meetings of nurse-charging teachers, construction of school health councelling system & training education in order to improve school health and if these are available, they will actively participate in them. After the careful analysis of the survey result, it is apparent that through the relations of the manpowers, establishment of community-oriented school health is definitely in need in rural area where there is low supplementary rate of nurse-teachers and poor school health environment.