• 대한간호학회지
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• 제29권5호
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• pp.1087-1102
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• 1999

Diabetes mellitus, a universal and prevalent chronic disease, is projected to be one of the most formidable worldwide health problems in the 21st century. For those living with diabetes, there is a need for self-care skills to manage a complex medical regimen. Self-efficacy which refers to one's belief in his/her capability to monitor and perform the daily activities required to manage diabetes has be found to be related to self-care. The concept of self-efficacy comes from social cognitive theory which maintains that cognitive mechanism mediate the performance of behavior. The literature cites several research studies which show a strong relationship between self-efficacy and self-care behavior. Meta-analysis is a technique that enables systematic review and quantitative integration of the results from multiple primary studies that are relevant to a particular research question. Therefore, this study was done using meta-analysis to quantitatively integrate the results of independent research studies to obtain numerical estimates of the overall effect of a self-efficacy with diabetic patient on self-care behaviors. The research proceeded in three stages : 1) literature search and retrieval of studies in which self-efficacy was related to self-care, 2) coding, and 3) calculation of mean effect size and data analysis. Seventeen studies which met the research criteria included study population of adults with diabetes, measures of self-care and measures of self-efficacy as a predictive variable. Computation of effect size was done on DSTAT which is a statistical computer program specifically designed for meta-analysis. To determine the effect of self-efficacy on self-care practice homogeneity tests were conducted. Pooled effect size estimates, to determine the best subvariable for composite variables, metabolic control variables and component of self-efficacy and self-care, indicated that the effect of self-efficacy composite on self-care composite was moderate to large. The weighted mean effect size of self-efficacy composite and self-care composite were ＋.76 and the confidence interval was from ＋.66 to ＋.86 with the number of subjects being 1,545. The total for this meta-analysis result showed that the weighted mean effect sizes ranged from ＋.70 to ＋1.81 which indicates a large effect. But since reliabilities of the instruments in the primary studies were low or not stated, caution must be applied in unconditionally accepting the results from these effect sizes. Meta-analysis is a useful took for clarifying the status of knowledge development and guiding decision making about future research and this study confirmed that there is a relationship between self-efficacy and self-care in patients with diabetes. It, thus, provides support for nurses to promote self-efficacy in their patients. While most of the studies included in this meta-analysis used social cognitive theory as a framework for the study, some studies use Fishbein & Ajzen's attitude model as a model for active self-care. Future research is needed to more fully define the concept of self-care and to determine what it is that makes patients feel competent in their self-care activities. The results of this study showed that self-efficacy can promote self-care. Future research is needed with experimental design to determine nursing interventions that will increase self-efficacy.

• Journal of Nutrition and Health
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• 제37권9호
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• pp.786-793
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• 2004

Women with menopause or rats with ovariectomy is associated with increased body weight, body fat and insulin resistance, which are components of metabolic syndrome. Increased prevalence of metabolic syndrome after menopause might be associated with mitochondrial dysfunction, since mitochondrial oxidative and phosphorylation activity is strongly correlated with insulin sensitivity. Although estradiol replacement prevents the metabolic syndrome, harmful effect of estradiol hampers the casual usage to prevent the metabolic syndrome. It has been reported that genistein has a mild estrogenic activity, decreases fat mass in mice and has an antidiabetic role in diabetic rats. Although insulin resistance is closely related to mitochondrial functions, there has not been yet any study in regard to the effect of dietary genistein on mitochondrial function in the insulin resistant female subjects induced by ovariectomy or similar situation. The present study investigated whether the supplementation of genistein in the high fat diet affected the mitochondrial function of high fat fed ovariectomized rats. Female Sprague Dawley rats (8 weeks old) were assigned to the following groups: sham-operated+ high fat diet (S, n=6); sham-operated + high fat diet with 0.1% genistein (S + G, n=7); ovariectomized + high fat diet (OVX, n=8); ovariectomized + high fat diet with 0.1% genistein (OVX+ G, n=8). Ovariectomy significantly increased body weight compared with S group. Genistein consumption in ovariectomized (OVX + G) rats decreased body weight gain compared with OVX rats. Liver weights were increased by ovariectomy. The hepatic mitochondrial protein density expressed as mg per g liver was lower in the OVX group than in the S group. However, OVX + G group showed the increased mitochondrial protein density similar to the level of S group. When mRNA levels of genes related to mitochondria such as peroxisome proliferator-activated receptor ${\gamma}$ coactivator 1 (PGC-1) and cytochrome c oxidase subunit III (COX III) were measured, there were decreases in the mRNA levels of PGC-1 and COX III in S + G, OVX and OVX + G group. The activity of cytochrome c oxidase was not different between groups. We could observe the decrease in succinate dehydrogenase (SDH) activity per g liver in OVX rats. Genistein supplement increased SDH activity. In conclusion, genistein supplementation to the OVX rats enhanced mitochondrial function by increasing mitochondrial protein density and SDH activity. The improvement in mitochondrial function by genistein can contribute to the improvement in metabolic syndrome.

• 생명과학회지
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• 제18권7호
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• pp.999-1004
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• 2008

인슐린 저항성에 기인하여 발병되는 제 2형 당뇨를 유발시킨 흰쥐로부터 8주간 B. sarmienti 열수추출물 급여 후 혈당 및 혈중지질 변화를 알아보았다. 시험기간 동안 음수량, 사료 섭취량, 혈당 모두 정상군과 비교하여 당뇨실험군에서 8주동안 유의적으로 높게 지속되었다. 따라서 제 2형 당뇨모델에서 B. sarmienti 열수추출물의 혈당개선효과는 나타나지 않는 것으로 조사되었다. 그러나 혈중 총콜레스테롤, HDL-콜레스테롤, LDL-콜레스테롤 함량 변화를 측정한 결과 정상군과 비교할 때 당뇨대조군에서는 상대적으로 증가하였으나, B. sarmienti 열수추출물 급여로 유의적인 감소현상과 함께 정상군과 비슷한 수준을 유지 하였다. 특히 B. sarmienti 열수추출물 급여에 따른 혈중 총콜레스테롤 변화는 BW1 34.3%, BW2 43.8%로 평균 39.0%의 감소효과를 나타내었다. 또한 혈중 중성지방 변화는 BW1 48.5%, BW2 47.2%로 평균 47.9%의 감소현상을 나타내었다. 따라서 B. sarmienti 열수추출물의 농도 의존적인 변화는 관찰할 수 없었으나, 혈중 지질 개선효과가 있는 것으로 조사되었다. 본 연구에서 제 2형 당뇨모델에서 8주 동안 B. sarmienti 열수 추출물을 투여하면서 당뇨병의 주요증세인 다갈(polydipsia), 다뇨(polyuria), 다식(polyphagia), 고형당의 혈당조절 효과는 관찰할 수 없었으나, 고혈당을 중심으로 지질대사 이상과 함께 합병증 유발이 문제시 되고 있는 당뇨환자의 체내 지질대사 개선에는 효과를 기대할 수 있을 것으로 사료된다.

• Reproductive and Developmental Biology
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• 제31권1호
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• pp.1-6
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• 2007

NOD/SCID 마우스는 선천성 면역결핍을 지닌 마우스로서 이종 세포 및 조직 이식을 위한 실험동물로서 가장 많이 활용되고 있다. 본 연구는 돼지의 골수조직에서 채취한 조혈줄기세포를 면역결핍마우스의 정맥 주입을 통하여 생체 내 주입을 실시한 결과, 마우스의 조혈조직에서 대단히 높은 돼지 T면역세포의 증식이 관찰되었다. 유세포 분석기를 이용해 돼지 골수 조혈세포 생체 이식 6주의 마우스에서의 돼지 T면역세포의 증식과 분화 특성을 분석한 결과, 마우스 조혈조직인 골수($5.4{\pm}1.9%$), 비장($15.4{\pm}7.3%$), 간($21.3{\pm}1.4%$), 림프절($33.5{\pm}32.8%$)에서 돼지 조혈줄기세포 유래 T 세포의 증식과 분화가 관찰되었고, 돼지 helper T 세포와 cytotoxic T 세포의 발달도 확인되었다. 또한 조직 면역염색을 통하여 마우스의 비장조직에 이식한 돼지 면역세포의 중식을 관찰하였다. 본 연구는 NOD/SCID 마우스를 이용해 돼지 조혈줄기세포로부터 T 면역세포로의 분화 및 발달과정을 생체 내에서 분석할 수 있는 유용한 동물모델로서 이용할 수 있음을 보여준다.

• 한국식품저장유통학회지
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• 제12권6호
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• pp.583-590
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• 2005

소나무 잔나비버섯 균사체 배양액(CM)을 이용한 빵 제조를 위하여 첨가량($30\~50\%$)에 따른 반죽의 발효 및 빵의 품질특성에 미치는 영향을 조사하였다. CM의 첨가량과 반죽의 품질지표(pH, 산도, 반죽부피, 되기, 강도 및 점도) 상호간의 상관분석을 행한 결과 CM은 반죽의 pH를 높임으로서 반죽의 되기 및 강도를 높이는 반면 점도를 감소시켰다. 첨가에 따라 굽기 손실률은 첨가에 따라 감소하였으나, loaf volume index는 첨가량에 따른 대조구와의 유의성은 없었다. 빵 껍질의 L*값은 $30\~40\%$에서는 대조구와 유의차가 없었다. CM을 $30\~40\%$ 첨가한 빵은 대조구보다 낮은 경도(hardness)를 보였다. 그러나 $50\%$ 첨가구에서는 탄력성(springiness), 씹힘성(chewiness) 및 깨짐성(brittleness)이 대조구보다 낮았다. 빵의 외관, 색상 및 조직감은 $30\~40\%$ 범위까지 첨가한 경우는 대조구와 대등한 값을 보였으나 $50\%$ 첨가구에서는 낮은 기호도를 나타내었다. CM을 첨가한 빵은 첨가농도에 비례하여 낮은 노화도를 나타내었으며, 곰팡이 발생도가 낮았다. 이상에서와 전보의 결과를 종합할 때 CM을 $40\%$수준으로 첨가할 경우 빵의 전반적인 품질에 큰 영향을 미치지 않으면서 항당뇨 기능성의 빵 제조가 가능할 것으로 판단되었다.

• 한국응용곤충학회지
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• 제46권1호
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• pp.141-145
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• 2007

Maggot therapy는 1900년대 초부터 압박성 욕창, 당뇨나 괴사에 의한 궤양, 수술 후 감염된 상처, 화상 등의 상처치료에 다시 사용되기 시작하였다. 환부에 처리할 적절한 발육단계의 무균유충을 생산하고, 증식 보존용 계통을 유지하는 데 필요한 자료를 얻기 위하여 온도별(15.4, 20.6, 22.5, 26.2, 29.1, $33.0^{\circ}C$) 발육실험을 수행하였다. 간배지(liver agar medium)에서 알기간과 1령 및 2령 기간은 $33.0^{\circ}C$에서 각각 9.0시간, 14.0시간, 18.6시간으로 가장 짧았다. 3령 기간과 번데기 기간은 $29.1^{\circ}C$에서 각각 285.0시간과 171.0시간으로 가장 짧았다. 온도별 발육기간을 기초로 각 발육단계의 발육영점온도와 유효적산온도를 산출하였다. 암수 성충은 대개 1개월 이상 생존하였고, 암컷은 일평생 2.7회 산란하였으며, 총 338.5개의 알을 낳았다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제36권5호
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• pp.392-401
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• 2010

Introduction: Diabetes mellitus, as a major health problem for the elderly has been shown to alter the properties of the bone and impair bone healing around a titanium implant in both humans and animals. The aim of this study was to examine the effect of adipose-derived stem cells on the healing process around a titanium implant in streptozotocin-induced diabetic rats. Materials and Methods: Thirteen rats were divided into two groups: adipose-derived stem cells injected group and a control group. A titanium screw implant (diameter: 2.0 mm, length: 3.5 mm) was placed into both tibia of 13 rats: 13 right tibia as the control group and 13 left tibia as the experimental group. The rats were sacrificed at different intervals (1, 2, and 4 weeks) after implantation for histopathology observations and immunohistochemistric analysis. Results: The histopathological findings revealed earlier new formed bone in the experimental group than the control group. In particular, at 1 week after implantation, the experimental group showed more newly formed bone and collagen around the implant than the control group. In immunohistochemistric analysis, osteoprotegerin (OPG) expression in the experimental group increased early compared to that of the control group until 2 weeks after implantation. However, after 2 weeks, OPG expression in the experimental group was similar to OPG expression in the control group. The receptor activator of nuclear factor ${\kappa}B$ ligand (RANKL) expression in the experimental group increased early compared to that of the control group, and then decreased at 2 weeks. After 2 weeks, the level of RANKL expression was similar in both groups. Conclusion: These results suggest that adipose-derived stem cells in implantation can promote bone healing around titanium, particularly in diabetes mellitus induced animals.

• 한국식품영양과학회지
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• 제38권10호
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• pp.1336-1341
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• 2009

재성형 뽕잎오디혼합쌀 개발과 관련하여 당뇨유발쥐와 고지방식이를 급여한 흰쥐에게 뽕잎오디쌀이 혈당농도와 체지방 및 혈청 지질 농도 등에 미치는 영향을 조사하였다. 혈당실험에서 뽕잎오디쌀조성물은 곡류와 잡곡류 등 85%, 뽕잎과 오디즙 15%로 구성하였고, AIN-diet와 50:50 비율로 혼합하여 4주간 급여한 결과 뽕잎오디쌀 급여군은 당뇨대조군보다 실험종료 시 체중은 28% 증가한 반면 공복혈당치는 12.4%, 혈청 중성지방 농도는 34% 감소하였다(p<0.05). 지질실험의 경우 4주 동안 고지방식이(50%)와 뽕잎오디쌀조성물(50%)의 혼합식이와 고지방식이(50%)와 기본식이(50%)의 혼합식이를 급여한 결과 뽕잎오디쌀 급여군은 고지방대조군에 비해 체중과 체지방(EFP)이 각각 8%씩 낮았고, 혈청 중성지방 농도는 약 19% 감소하였다(p<0.05). 이상에서 뽕잎오디쌀식이는 혈당저하 및 중성지방을 감소시키는 것으로 나타났고, 유의성은 없었으나 다소간 체중과 체지방 감소 효과를 확인할 수 있었다.

• 대한지역사회영양학회지
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• 제13권5호
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• pp.674-681
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• 2008

Hospital malnutrition could be caused by not completing the food served in the hospital. This has been a big problem since it delays the recovery of the patient and extends the length of hospital stay. The purpose of the study was to reduce the plate waste for the DM diet by performing several nutrition service improvement activities. The study was performed in a general hospital with 900 beds. A questionnaire survey was taken by 39 DM patients to obtain their aspect of the hospital foodservice systems and the quality of the meals at the beginning of the study. The amounts of foods served in the hospital kitchen and returned were measured by weights. After the improvement activities, the measurement of the plate waste was performed again for comparison. The average percentage of plate waste for the DM diet was 23.2%. The survey showed no difference by sex, age or duration of admission in plate waste. However, this food wastage percentage showed differences between the patients having a chance to get information about the diet therapy (12.21%) and not having one (26.06%) (p < 0.05). Using a five-point Likert-type scale, the quality of food by its taste was 2.49 (1: very poor, 5: excellent), the temperature score was 3.56 (1: very poor, 5: excellent), and the amount of food served score was 2.95 (1: very poor, 5: excellent), and the preference score was 3.13 (1: very dislike, 5: very like). Nutritional care improving activities were performed by adjusting seasonings, developing new menus, and standardizing cooking methods in order to increase the satisfaction of meal quality. The dietitian's inpatients care protocol was adjusted to expand the nutritional counseling chance for the DM patients. After the improvement activities, the average plate waste was reduced to 14.6%, and the satisfaction of food taste and preference increased to 3.21 (p < 0.001), and 3.36 (p < 0.05) correspondingly. The result shows that, for therapeutic diet patients, food intake could be increased by improving the food service satisfaction by controlling the meal quality and clinical nutritional service activities.

• 한국발생생물학회지:발생과생식
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• 제11권1호
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• pp.1-11
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• 2007

착상기 이전 자궁에서 특이적 자궁내막 준비가 진행되어야 하는데, 이는 자궁 내막의 점진적 분화로 배아의 착상과 성공적 임신에 절대적으로 필요하다. 배아 발생 동안에 관찰되는 조직의 재구성은 세포외 기질을 포함한 다양한 요인에 의해 조절된다. 임신 동안에 관찰되는 극적인 변화로는 배아의 이동, 탈락막 반응, 태반의 분화를 그 예로 들 수 있다. 배아와 자궁간의 성공적 착상을 위한 변화들은 배아와 자궁의 착상을 위한 능력 갖출 수 있도록 한다. 이러한 변화과정 중에, 콜라겐이 주성분인 세포외 기질의 극적인 변화가 진행된다. 이러한 변화는 매우 복잡하여 그 기작을 밝히는 것은 쉽지 않으나, 최근 들어 PCR-select cDNA subtraction 방법, microarry 방법 등 대단위 유전자 동정 방법들을 이용하여 많은 후보 유전자가 동정되었다. 스테로이드 호르몬은 임신과 임신 유지에 중요한 역할을 수행하며, 세포외 기질의 재구성을 엄격하게 성스테로이드 호르몬에 의한 유전자 네트워크를 통하여 조절한다. 자궁의 세포외 기질의 병리적 조절이 당뇨병 등에서 보고되고 있다. 세포외 기질의 재구성은 착상과 태아와 자궁의 발달을 이해하는 데 중요하고, 또한 생식과 관련된 질병을 극복하는 데 중요하다. 비록 세포외 기질의 구성성분이 매우 다양하고 복잡하여 논의할 것이 무척 많으나, 본 종설에서는 착상기를 전후한 시기에 콜라겐의 변화를 중심으로 논하였다.