• 제목/요약/키워드: Neuro control

검색결과 448건 처리시간 0.022초

일 지역 대학생의 피로와 건강증진 생활양식과의 관계분석 (The correlation analysis between fatigue and health promoting life style among a rural college students)

  • 장희정
    • 기본간호학회지
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    • 제6권3호
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    • pp.477-492
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    • 1999
  • The disease patterns among the Korean was shifted from acute and infectious diseases to chronic diseases. According to the these disease patterns trends, people have concerned about the health promotion and health behaviors. Pender's(1996) revised health promotion model(HPM) is consist of three categories; Individual characteristics and experiences, Behavior-specific cognitions and affect, behavioral outcome. Of these categories, individual characteristics and experiences, this category of variables is considered to be of biological, psychological and socio-cultural personal factors, especially, individual fatigue. Futhermore. these variables constitute a critical core for nursing intervention, as they are subject to modification through nursing actions. But there is no few the research of the relationship between the fatigue and health promotion. Therefore, the purpose of this study is to investigate the correlation between the fatigue and health promoting life style among a rural college students. Additionally, this descriptive correlational study identified the relation of demographic factors and fatigue, health promoting life style. From June 20 to 26, 1998, a convenience sample of 270 college students completed the questionnaire of the fatigue and health promoting life style profile which were developed by the Yoshitake(1978) and Walker, et al.(1987), respectively. The descriptive correlational statistics, mean, t-test, ANONA, Pearson correlation coefficient were used to analyze the data gathered with SAS pc+ program. The results were as it follows: 1. The average fatigue score of the subjects was $64.93{\pm}12.89$. Fatigue scores by subcategory were physical symptoms($23.5{\pm}4.87$). psychological symptoms($22.11{\pm}4.66$) and neuro-sensory symptoms($19.32{\pm}5.14$). With the respect to the demographic characteristics of the subjects, there were statistically significant differences between the demographic factors and fatigue, especially, sex(t==3.69 p<0.01), major(t=-2.89 p<0.01). the experience of family illness(t=2.76 p<0.01). 2. The average health promoting life style item score of the subjects was $2.33{\pm}0.33$. In the subcategories, the highest degree of performance was self-actualization(2.94), following interpersonal support(2.81). stress management(2.33), exercise(2.20), nutrition(2.10), and the lowest degree was health responsibility(1.73). There were the significant differences on the learning of health education(t=2.00 p<0.01). religion(F=3.01, p<0.05), circle activity(t=2.07, p<0.05), nutrition control(t=5.25, p<0.01) of demographical factors with the health promoting life style. 3. The correlation between the fatigue and health promoting life style made statistically no significance(r=-0.09731, p>0.05). But there was negative significant relationship between health promoting life style and psychological symptom as a fatigue subcategory(r=-0.15721, p<0.05). The self-actualization showed negative significant correlation with all fatigue subcategory. The health responsibility showed significant relationship with total fatigue(r=0.13050. p<0.05). For further research, it suggests to replicate the correlational and causal study between the fatigue and the health promoting life style using the another fatigue scale which is able to measure the subjective and objective fatigue degree. And it needs to develop the nursing intervention program for maintaining and promoting the health behavior as well as for decreasing the college students's fatigue.

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적응형 네트워크 기반 퍼지추론 시스템을 적용한 갑천유역의 홍수유출 모델링 (The Application of Adaptive Network-based Fuzzy Inference System (ANFIS) for Modeling the Hourly Runoff in the Gapcheon Watershed)

  • 김호준;정건희;이도훈;이은태
    • 대한토목학회논문집
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    • 제31권5B호
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    • pp.405-414
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    • 2011
  • 본 연구에서는 유역에서 관측되는 강우량과 유출량의 시계열 자료를 바탕으로 최근 시계열 예측 및 시스템 제어 분야에서 성공적으로 적용되고 있는 적응형 네트워크 기반 퍼지추론 시스템(ANFIS)을 갑천 유역에 적용하여 시유출량을 모델링하였다. 입력구조, 소속함수 종류와 개수 등을 다양하게 변화시켜 ANFIS 모형을 학습하고, 평균제곱근오차(RMSE), 평균첨두유량오차(PE) 및 평균첨두시간오차(TE)를 이용하여 ANFIS의 유출해석에 대한 적용성을 평가하였다. 현재시간의 시유출량 Q(t)에 대한 ANFIS의 적용성은 우수한 것으로 평가되었으며, ANFIS 모형은 관측유출량을 적절히 모의하였다. 입력구조가 다른 입력모형을 구성하여 최대 8시간까지 ANFIS의 유출예측 적용성을 평가하였다. 예측시간 증가에 따라서 ANFIS의 유출예측 정확도는 감소하여 예측시간 4시간 이상의 시유출량에 대한 ANFIS의 유출예측 적용성은 제한적이었다. ANFIS는 입력과 출력 자료들만 이용하므로 물리기반 모형에 비교하여 모형구축이 비교적 손쉽기 때문에 홍수 유출모델링에 ANFIS을 유용하게 적용할 수 있을 것으로 판단된다.

주작환(朱雀丸)이 일시적 국소 뇌허혈 유발 백서(白鼠)에 대한 인지 및 운동기능 회복에 미치는 효과 (The Recovery Effects of Joojakwhan - A Traditional Korean Medical Poly-herbal Drug for the Cognitions and Motor Functions in Mild Stroke Rat Model by Using Transient Middle Cerebral Artery Occlusion)

  • 김보은;강석봉;정대규
    • 동의신경정신과학회지
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    • 제24권4호
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    • pp.419-434
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    • 2013
  • Objectives: The object of this study is to observe the cognition and motor function recovery effects of Joojakwhan (JJW), a traditional Korean poly-herbal formula for treating various neuropsychiatric diseases such as dementia, for the mildly stroke rats, with 60 minutes of reperfusion transient middle cerebral artery occlusion (tMCAO). Methods: In the present study, 125, 250 and 500 mg/kg of JJW were orally administered, once per day for 10 continuous days 2 hours after the tMCAO. The body weight changes, infarct sizes under 2% 2, 3, 5-triphenyl tetrazolium chloride (TTC) stain, sensorimotor functions and cognitive motor behavior tests were serially monitored with cerebral caspase-3 and cleaved poly (ADP-ribose) polymerase (PARP)-immunoreactivities and histopathological changes. The effects of tMCAO on sensorimotor functions were evaluated by using of limb placing and body-swing tests, and the cognitive motor behaviors were also observed with water maze tests. Results: From the results of tMCAO, with marked decreases of body weights, disorders of sensorimotor functions increases the limb placing test scores, and decrease the numbers and percentages of body swings to the ipsilateral sides. The cognitive motor behaviors increases the distances and time to reach the escape platform which included the inhibitions of the decreases with repeated trials that were observed with focal cerebral cortex infarct volumes. In addition, the marked increases of the atrophy, numbers of degeneration, caspase-3- and PARP-immunoreactive cells around peri-infarct ipsilateral cerebral cortex were also observed in tMCAO controls when compared with the sham control rats, respectively. Conclusions: The results obtained from this study suggest that oral administrations of JJW indicate obvious cognitions and motor function recoveries of the rats with tMCAO, mild strokes, which are mediated by neuro-protective effects through known antioxidant effects of components.

백서의 척추간 신경공 협착증 모델에서 Lipo-Prostaglandin E1의 정주효과 (The Effect of Intravenous Lipo-Prostaglandin E1 Injectioin in a Rat Foraminal Stenosis Model)

  • 윤혜경;이평복;한진수;박상현;이승윤;김양현;김용철;이상철
    • The Korean Journal of Pain
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    • 제20권1호
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    • pp.15-20
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    • 2007
  • Background: Lipo-prostaglandin E1 (Lipo-$PGE_1$) has vasodilating and platelet aggregation inhibitory characteristics and it has been used as a treatment for patients with blood flow dysfunction disease. Based on the mechanisms of lumbar spinal stenosis, including veno congestion, neuro-ischemia and mechanical compression, we aimed to study whether intravenous Lipo-$PGE_1$ injection has any therapeutic effect on hyperalgesia in a rat foraminal stenosis model. Methods: In this study, twenty male Sprague-Dawley rats were divided into the control (n = 10) and Lipo-$PGE_1$ (n = 10) groups. A small stainless steel rod was inserted into the L5-6 intervertebral foramen to induce intervertebral foramen stenosis and chronic DRG compression. In the Lipo-$PGE_1$ group, $0.15{\mu}g/kg$ of Lipo-$PGE_1$ were injected intravenously via a tail vein for 10 days starting from the $3^{rd}$ day after operation. Behavioral testing for mechanical and thermal hyperalgesia was performed for 3 weeks after the injections. Results: From the $10^{th}$ day after Lipo-$PGE_1$ injection, the rats in the experimental group showed significant recovery of their mechanical threshold, and this effect was maintained for 3 weeks. No significant differences of the thermal hyperalgesia were observed between the two groups. Conclusions: These findings suggest that intravenously injected Lipo-$PGE_1$ may be effective for alleviating neuropathic pain, which isthe main symptom of spinal stenosis, by improving the blood flow dysfunction.

Hypothermia Effect on Apoptotic Neuronal Death in Traumatic Brain Injury Model

  • Yoo, Do-Sung;Lee, Soon-Kyu;Huh, Pil-Woo;Han, Young-Min;Rha, Hyung-Kyun;Kim, Dal-Soo
    • Journal of Korean Neurosurgical Society
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    • 제38권3호
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    • pp.215-220
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    • 2005
  • Objective : Many researchers believe that the hypothermia shows neuro-protective effect on brain injury. To understand the molecular mechanism of the hypothermic treatment, this study investigated its effects on the expression of cell death or survival related proteins such as p53, Bcl-2 and Bax in the rat traumatic brain injury[TBI] model. Methods : Twenty rats [Spraque Dawley, $200{\sim}250g$] were subjected to the brain injury of moderate severity [$2.4{\sim}2.6atm$] using the fluid percussion injury device and five rats were received only same surgery as controls. During 30minutes after the brain injury, the hypothermia group was maintained the body temperature around $34^{\circ}C$ while the control group were maintained that of $36^{\circ}C$. Five rats in each group were sacrificed 12h or 24h after brain injury and their brain sections was analyzed for physical damages by H-E stains and the extent of apoptosis by TUNEL assay and immunohistochemical stains. The tissue damage after TBI was mainly observed in the ipsilateral cortex and partly in the hippocampus. Results : Apoptosis was observed by TUNEL assay and the Bax protein was detected in both sample which harvested 12h and 24h after TBI. In the hypothermia treatment group, tissue damage and apoptosis were reduced in HE stains and TUNEL assay. In hypothermia treatment group rat shows more expression of the Bcl-2 protein and shows less expression of the Bax protein, at both 12h and 24h after TBI. Conclusion : These results show that the hypothermia treatment is an effective treatment after TBI, by reducing the apoptotic process. Therefore, it could be suggested that hypothermia has a high therapeutic value for treating tissue damages after TBI.

Immune Checkpoint Inhibitor with or without Radiotherapy in Melanoma Patients with Brain Metastases: A Systematic Review and Meta-Analysis

  • Pyeong Hwa Kim;Chong Hyun Suh;Ho Sung Kim;Kyung Won Kim;Dong Yeong Kim;Eudocia Q. Lee;Ayal A. Aizer;Jeffrey P. Guenette;Raymond Y. Huang
    • Korean Journal of Radiology
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    • 제22권4호
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    • pp.584-595
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    • 2021
  • Objective: Immune checkpoint inhibitor (ICI) therapy has shown activity against melanoma brain metastases. Recently, promising results have also been reported for ICI combination therapy and ICI combined with radiotherapy. We aimed to evaluate radiologic response and adverse event rates of these therapeutic options by a systematic review and meta-analysis. Materials and Methods: A systematic literature search of Ovid-MEDLINE and EMBASE was performed up to October 12, 2019 and included studies evaluating the intracranial objective response rates (ORRs) and/or disease control rates (DCRs) of ICI with or without radiotherapy for treating melanoma brain metastases. We also evaluated safety-associated outcomes. Results: Eleven studies with 14 cohorts (3 with ICI combination therapy; 5 with ICI combined with radiotherapy; 6 with ICI monotherapy) were included. ICI combination therapy {pooled ORR, 53% (95% confidence interval [CI], 44-61%); DCR, 57% (95% CI, 49-66%)} and ICI combined with radiotherapy (pooled ORR, 42% [95% CI, 31-54%]; DCR, 85% [95% CI, 63-95%]) showed higher local efficacy compared to ICI monotherapy (pooled ORR, 15% [95% CI, 11-20%]; DCR, 26% [95% CI, 21-32%]). The grade 3 or 4 adverse event rate was significantly higher with ICI combination therapy (60%; 95% CI, 52-67%) compared to ICI monotherapy (11%; 95% CI, 8-17%) and ICI combined with radiotherapy (4%; 95% CI, 1-19%). Grade 3 or 4 central nervous system (CNS)-related adverse event rates were not different (9% in ICI combination therapy; 8% in ICI combined with radiotherapy; 5% in ICI monotherapy). Conclusion: ICI combination therapy or ICI combined with radiotherapy showed better local efficacy than ICI monotherapy for treating melanoma brain metastasis. The grade 3 or 4 adverse event rate was highest with ICI combination therapy, and the CNS-related grade 3 or 4 event rate was similar. Prospective trials will be necessary to compare the efficacy of ICI combination therapy and ICI combined with radiotherapy.

SK-N-SH 신경세포내 항산화 효과와 p38 인산화 억제에 의한 곤드레, 누룩치 그리고 산마늘의 신경 보호 효과 (Neuroprotective Effects of Cirsium setidens, Pleurospermum kamtschaticumin, and Allium victorials Based on Antioxidant and p38 Phosphorylation Inhibitory Activities in SK-N-SH Neuronal Cells)

  • 정미자;박용일;권기한
    • 한국식품영양과학회지
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    • 제44권3호
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    • pp.347-355
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    • 2015
  • 신경계 질환은 산화적 스트레스에 의한 신경세포 손상에 의해 발생하는 것이 하나의 기전으로 알려져 있다. 본 연구는 $H_2O_2$에 의해 유도된 산화적 스트레스에 대항하여 곤드레(Cirsium setidens, CS), 누룩치(Pleurospermum kamtschaticumin, PK) 그리고 산마늘(Allium victorials, AV)의 뇌신경 보호 효과 및 그 기전에 대한 것이다. CS와 AV 처리는 대조군과 비교하여 $400{\mu}g/mL$까지 인간의 신경세포주인 SK-N-SH 세포에 대해 세포독성이 없었다. 산화적 유도자인 $H_2O_2$를 SK-N-SH 세포에 처리하였을 때 세포사멸 및 활성산소종(ROS) 생산이 현저하게 증가하였으나 CS 또는 AV 처리에 의해 산화적 스트레스에 의해 증가된 세포사멸과 ROS 생산이 현저하게 감소하였다. 실험한 산채 중에 CS와 PK가 AV보다 더 강한 DPPH 라디칼 소거 작용이 있었으나 PK는 대조군과 비교하여 SK-N-SH 세포를 사멸시키는 강한 세포독성을 가지고 있었다. CS는 AV보다 산화적 스트레스에 대항하여 세포사멸 및 ROS 생성에 더 높은 저해적 영향력을 보여주었다. 따라서 계속되는 실험에는 CS를 사용하였다. CS의 순차적 용매 분획물들인 헥산, 클로로포름, 에틸아세테이트, 부탄올 및 물 분획물들(CS-HE, CS-CH, CS-EA, CS-BU, CS-AQ)은 산화적 스트레스에 대항하여 SK-N-SH 세포사멸 및 세포내 ROS 생성을 억제하였다. CS-EA는 5개의 분획물들 중 가장 강한 DPPH 라디칼 소거작용 및 세포내 ROS 소거 활성을 가지고 있었고, 가장 강한 뇌신경세포 보호 효과를 가지고 있었다. CS-EA는 산화적 스트레스에 의해 증가된 세포자멸사(apoptosis)의 신호전달 경로에 관여하는 p38의 인산화를 저해함으로써 활성화되는 것을 약화시켰다. 이 결과들은 CS-EA가 뇌신경세포에서 항산화 효과 및 p38 인산화 억제에 의한 뇌신경 보호 효과를 나타낼 것이라 제안하였다.

NF-κB 활성 저해를 통한 협죽도 에탄올 추출물의 항염증 효능 (Anti-Inflammmatiry Effects of Nerium indicum Ethanol Extracts through Suppression of NF-kappaB Activation)

  • 김태환;고석순;박철;박상은;홍상훈;김병우;최영현
    • 생명과학회지
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    • 제20권8호
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    • pp.1221-1229
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    • 2010
  • 정상세포뿐 만 아니라 형질 전환된 세포의 증식조절에 중요한 역할을 하는 것으로 알려진 COX-2는 전사조절인자인 NF-${\kappa}B$에 의해서 조절되며, 염증반응에 있어서 중요한 역할을 하는 PGE2의 생성에 관여하는 것으로 알려져 있다. 본 연구에서는 U937 인체혈구세포에서 염증유발인자인 PMA에 의해서 유발되는 염증반응에 있어서 중요한 역할을 하는 COX-2 및 COX-2의 산물인 PGE2와 COX-2의 발현에 영향을 미치는 전사조절인자인 NF-${\kappa}B$의 발현에 협죽도 잎 및 줄기의 에탄올 추출물인 ENIL 및 ENIS가 어떠한 영향을 미치는 지를 조사하였다. PMA가 처리된 U937 세포에서 COX-1의 발현에는 아무런 영향을 미치지 못하였지만 COX-2의 발현 증가가 유도되었고 이에 따른 PGE2의 생성이 증가되었다. PMA에 의해서 증가된 COX-2의 발현이 ENIS 선처리에 의하여 거의 완벽하게 억제되었고 그에 따른 PGE2의 생성도 현저하게 감소되었다. ENIS에 의한 COX-2의 발현 및 PGE2의 생성억제가 전사조절인자인 NF-${\kappa}B$와 상관성이 있는지를 조사한 결과, 핵 내로의 NF-${\kappa}B$ 이동이 ENIS 선처리에 의하여 억제되는 것으로 나타났다. 이는 ENIS가 NF-${\kappa}B$의 활성 억제를 통하여 COX-2의 발현 및 PGE2의 생성을 효과적으로 억제함으로서 항염증 효능을 가진다는 것을 의미하는 결과이다. 하지만 ENIL의 경우에는 이상에서와 같은 이러한 변화들이 매우 약하게 나타나는 것으로 조사되어 ENIS와 비교해서 항염증 효능이 낮은 것으로 나타났다. 본 연구 결과는 협죽도의 항염증기전에 대한 생화학적 해석 및 이를 활용한 향후 지속적인 연구를 위한 귀중한 자료가 될 것으로 생각된다.