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Development of a scale to Measure the Self Concept of Cesarean Section Mothers. (제왕절개술 산모의 자아개념 측정 도구 개발)

  • 이미라;조정호
    • Journal of Korean Academy of Nursing
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    • v.20 no.2
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    • pp.131-141
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    • 1990
  • Recently, the rate of cesarean section in Korea has been increasing. The results of several previous studies in foreign countries on the emotional responses of cesarean section mothers showed that they might experience difficulties in the mother- infant interaction due to fatigue, lack of early mother - infant interaction, disappointments, anger, feelings of loss of control, and other factors. Human behavior is said to be determined by one's self concept, and self concept is influenced by both internal and external environmental factors. A scale to measure the self concept of cesarean section mothers was needed in order to identify those who might have difficulties in the mother- infant interactions in future. The purposes of this study were to develop a measuring scale, and to test its reliability and validity. The process of this study was as follows. A structured interview was done with 50 cesarean section and vaginal delivery mothers to find their state of emotional reaction after giving birth to their babies. Based on the results of the interviews, a 50 items Likert scale was developed. The self concept of 268 cesarean section and vaginal delivery mothers who were hospitalized at six hospital in seoul were measured, during the period between Feb. 1 and April 30. Reviewing the discriminating power of each item by means of crosstabulation, ten items were selected for the final scale. The reliability and validity of this ten item scale were tested by Cronbach's alpha and t-test, using spss pc+package. The results of this study and recommendation are as follows. 1. The ten selected items were as follows. I feel pains in my breast. (-) I have a good appetite now. (+) I feel pains in my flank. (-) I feel fine now. (+) My body seems to have returned to its prepregnant state. (+) Thinking of the delivery process, I feel sorry. (-) I want to hold my baby in my arms. (+) I want to keep my own life, even if I became a mother. (-) I want to delegate the care of the baby to my mother / mother in law. (-) I think baby is my alter ego. (+) 2. The reliability of this scale was tested by Cronbach's alpha, and the coefficient of this scale was .8066. 3. The construct validity of this scale was tested by means of known group methods. The value of self concept for cesarean section mother was significantly lower than for vaginal delivery mothers(t=-5.51, df=266, p=0.007). 4. The criterion validity of this scale was tested indirectly. Though this scale could discriminate the differences in the self concept between cesarean section and vaginal delivery mothers, the five items on the personal self concept scale didn's show any differences between cesarean section and vaginal delivery mothers. Therefore, the study indicates that those who shows lower values in the personal self concept measurement, that is, lower than 12.03 points, could be regaled as “risk mothers” 5. Further studies using this scale to clarify the influencing factors on negative self concept are strongly recommended.

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Clinical Effects and Stability of the Maxillary Protraction Using the Lateral Cephalogram in Korean (상악골 전방견인 장치의 효과와 안정성에 대한 두부방사선 계측학적 연구)

  • Baik, Hyoung-Seon
    • The korean journal of orthodontics
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    • v.22 no.3 s.38
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    • pp.509-529
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    • 1992
  • Skeletal Class III malocclusion is one of the most difficult type to treat and stabilize. For a child with developing skeletal Class III malocclusion, the treatment objective would be to stimulate maxillary growth, particulary one who has markedly deficient maxilla, and to restrain excessive mandibular growth. In order to stimulate the maxillary growth, maxillary protraction appliance is the one of the effective orthopedic appliances in skeletal Class III. The purposes of this study were as follows ; evaluation of the skeletal and dental changes of the maxillary protraction in children with Class III Maxillary deficiency , comparison of the clinical effects between the group with RPE and labiolingual intraoral appliances , comparison of the clinical effects and stability related to the ages of the patients : stability of the maxillary protraction about 1 year after retention. The subjects consisted of 60 children between the ages of 8 and 13.4 who were diagnosed as Class III with maxillary deficiency and were treated with Face Mask (Delaire Type) from the Dept. of Orthodontics Yong Dong Severance Hospital, Yonsei University. 48 children wore the RPE and 12 children wore Labiolingual Appliance. Lateral Cephalograms were taken for each patient at before and after correction of anterior cross-bite in 60 children, and after an observation period of 10 to 14 months in 19 children. X and Y coordinate of 10 landmarks were analyzed using a horizontal line through sella and rotated $6^{\circ}$ down anteriorly as the horizontal reference axis, and a perpendicular verticual line through sella as the vertical reference axis. Each of the 31 measurents (10 verticals, 10 horizontals, 2 angles and 9 others) was statistically analyzed using SPSS/PC statistics. The results are as follows; 1. After maxillary protraction the maxilla and maxillary teeth moved downward and forward, while the mandible and mandibular incisor rotated downward and backward. 2. Maxillary protraction with rapid palatal expansion appliance was more effective than with labiolingual appliance. 3. More downward movement of the posterior palatal plane obserbed with maxillary protraction doing the midpalatal suture opening than with protraction after finishing the palatal expansion 4. The clinical effects of protraction and changes of the retention periods were not statistically significant among the age groups. 5. During the retention period, maxilla and maxillary teeth, and mandible and mandibular teeth moved downward and forward, however the mandibular changes were larger than the maxillary changes.

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Level of Moral Development in Pre-dental Professionals (일부 예비치과 전문인력의 도덕성 발달수준)

  • Kwag, Jung-Sook;Moon, Sang-Eun;Kim, Yun-Jeong
    • Journal of dental hygiene science
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    • v.12 no.2
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    • pp.103-108
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    • 2012
  • A study was designed to evaluate the level of moral development in 450 pre-dental professionals of 2 educational institution in Jeollabukdo, Ik san city. Data were collected through self-reported questionnaires from October 2010. The Korean version of the DIT(Defining Issues Test) was adopted to evaluate level of moral development with the score of P(%) and stage. The data were analyzed by descriptive statistics, t-test, one-way ANOVA and Pearson's correlation coefficient. The mean scores of P(%) was 43.10 in dental students and 41.21 in dental hygiene students(p=0.190). The score of stage 5A was highest which was followed by S3, S4, S6, S5B, S2. The score of stage 5B and 6 revealed sigificant difference by groups. The score of stage 6 revealed significant difference by sex in dental students(p=0.003). In dental hygiene students, it's significant difference by religion(S5B, p=0.044), birth order(S2, p=0.027) and growth area(S4, p=0.015). As for the correlations between moral development and the score of the stage, the score of P(%) was negatively correlated with the scores of stage 2, 3, 4 and 5B. On the other hand, the score of P(%) was positively correlated with the scores of stage 5A and 6. In conclusion, for enhancing dental students' moral development it is necessary a systemic ethics education and program development in curriculum.

The Social Support of the Handicaped in Industrial Accident Compensation Insurance (산업재해 장애인의 사회적 지지에 관한 연구)

  • Lee, Hyun-Joo;Oh, Jin-Joo;Choi, Jeong-Myung;Hyun, Hye-Jin;Yoon, Soon-Nyung
    • Korean Journal of Occupational Health Nursing
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    • v.12 no.1
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    • pp.80-88
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    • 2003
  • Rehabilitation has emerged in recent years as major topic for the handicaped in industrial accident compensation insurance(IACI). Specially social support helps the handicaped adjust themselves psychosocially to handicap. This study was conducted to examine different contents and perceived social support, and provide guidlines for specific and proper rehabilitation for the handicaped of IACI. This study is a descriptive study which were collected through two phases using structured questionnaire. In the first stage, surveys were performed via telephone interviews. In the second stage, surveys were performed via home-visit subjects in the first stage included the handicaped of IACI. Finally data were collected from 338 subjects and analyzes by SPSS/PC+10. The instruments of this study were the perceived social support scale which developed by Lee(1996). These scales in the form of 5-point Likert type, consists of 20 items, including 3 subscales of emotional support, informational support, instrumental support. The mean score of social support was 57.2, emotional support 21.0, informational support 21.2 and instrumental support 15.2. The mean of depression for psychosocial factors is 37.5. Threre were significant differences in total perceived social support; age, job status, handicaped degree in IACI, post-traumatic complication and use of instrument. Emotional support was significant differences; age, number of dependent family, job status, handicaped degree in IACI, use of instrument and depression. Informational support was significant differences; job status, posttraumatic complication, use of instrument and depression. Instrumental support was significant differences; sex, job status, handicaped degree in IACI, use of instrument, and depression. The current system of the Labor Welfare institute is not appropriate for solving health problems of the handicaped in IACI. Therefore, it is necessary to develop the plan which can provide the handicaped in IACI high-quality rehabilitation services, so that they must use those services in the community without being dependent on hospitals. This study proposes home visit nursing services as the way to provide various health services within community for the handicaped in IACI.

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The Effect of the DanJeon Breathing Exercise Program Applied to Health Promotion in Women in Midlife (중년여성의 건강증진을 위한 단전호흡 운동프로그램의 적용 효과)

  • Hyun, Kyung-Sun
    • Korean Journal of Adult Nursing
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    • v.13 no.3
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    • pp.373-384
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    • 2001
  • The purpose of this study was to develop a DanJeon Breathing Exercise Program for health promotion and to examine the effects of a DanJeon Breathing Exercise Program on the physical and emotional health promotion of women in midlife. The design utilized for this study was quasi-experimental with a nonequivalent control group pretest-posttest design. This study was done between February 1 and July 4, 2000 and the subjects of the study were 40 women in midlife living in Seoul. There were 20 members in experimental group who participated in the DanJeon Breathing Exercise Program and 20 members in the control group who were chosen as matched to members of the experimental group according to age, education and religion. The DanJeon Breathing Exercise Program was carried out for 80 minutes a day, 3 times a week for 12 weeks. The percent of body fat, back strength, flexibility (trunk flexion), balance and vital capacity were measured using the Health Management System developed by the Korea Physical Science Institution. Blood tests were done at D infirmary for total cholesterol, and the atherogenic index was calculated using an established formula. The scores of anxiety and depression were measured by a questionnaire with 10 questions on anxiety and 13 questions on depression. It was developed from the Korean Manual of Symptoms-Checklist-90 revision. The collected data were processed using the SPSS PC program and analyzed using $\chi^2$-test and t-test. The result of this study are as follows : 1. The percent of body fat for the experimental group who participated in the DanJeon Breathing Exercise Program was lower than that of the control group. 2. The degree of back strength, flexibility (trunk flexion) and balance of the experimental group that participated in the DanJeon Breathing Exercise Program was higher than that of the control group. 3. The vital capacity of the experimental group that participated in the DanJeon Breathing Exercise Program was higher than that of the control group. 4. The total cholesterol level and atherogenic index of the experimental group that participated in the DanJeon Breathing Exercise Program were lower than those of the control group. 5. The scores for anxiety and depression in the experimental group that participated in the DanJeon Breathing Exercise Program were lower than those of the control group. In conclusion, DanJeon Breathing Exercise Program promotes the physical and emotional health of women in midlife. The DanJeon Breathing Exercise Program can be utilized as a nursing intervention for the promotion of health in women in midlife.

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Cutting Load Analysis according to Blades Installation Angle of the Stem Cutter using EDEM (EDEM을 이용한 줄기절단기의 칼날 설치각에 따른 절단부하 분석)

  • Park, Donghyeok;Lee, Chungu;Baek, Seunghwan;Rhee, Joongyong
    • Proceedings of the Korean Society for Agricultural Machinery Conference
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    • 2017.04a
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    • pp.65-65
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    • 2017
  • 밭작물 중 양파와 마늘은 높은 노동투하시간, 노임의 상승, 복잡한 수거 과정 등으로 최근 재배면적이 감소하는 추세이다. 밭농업 활성화 방안으로 생산비 절감과 작업 속도 향상을 위한 수확기계 개발 연구로 줄기절단기가 개발되었다. 이 연구는 줄기절단기 예취날의 설치각이 절단부하에 미치는 영향을 분립체 해석 기법으로 분석하고자 하였다. 실험에 사용한 시뮬레이션은 EDEM으로 인장탄성계수, 전단탄성 계수, 중첩길이, 입자 반경 및 질량, 상대속도를 이용하여 충돌시 힘을 해석하고 인장 및 전단강도, 한계, 결합 길이를 통해 입자간 결합을 설정할 수 있다. 시제품으로 설계된 줄기절단기의 치수를 활용하여 프로그램 상에서 줄기 절단 시뮬레이션을 진행하여 절단부하 결과를 얻도록 하였고 칼날 설치각을 30도, 45도, 60도로 변경하여 각각의 부하를 분석하여 경향성을 파악하고자 하였다. 실험에서 사용한 프로그램은 EDEM 2.7.1 Academic Research 버전이며 시뮬레이션을 진행한 PC의 사양은 Intel(R) $Core^{TM}$ i7-4790 CPU @ 3.60GHz, Memory 16.0GB이다. 줄기 절단 시뮬레이션에 적용시킨 줄기 모델은 마늘의 조건을 적용시켜 직경 1mm의 입자로 이루어진 지름 12mm, 높이 214mm의 원통형 모델이며 60.32N의 최대절단력을 가지고 있다. 줄기절단기는 2개의 회전날을 가지고 있으나 좌우대칭을 적용하여 절반에 대한 해석으로 하나의 회전날로 절단을 하도록 줄기 모델은 4조로 하여 3열을 140mm 간격으로 위치시켰다. 줄기절단기의 칼날은 반경 350mm로 회전하며 진행속도는 1.65m/s, 회전속도는 1680rpm으로 작업하도록 하였다. 시뮬레이션은 0.5초의 시간에 대해 해석하도록 하였으며 0.003초 간격으로 칼날에 가해지는 힘을 구하여 저장하도록 하였다. 시뮬레이션 해석시간은 약 116시간이었으며 설치각별 시간에 따른 칼날에 가해지는 압축력 값과 그래프를 얻을 수 있었다. 대부분의 시간에서 절단이 이루어지지 않으므로 0의 값을 나타내었으며 절단이 이루어지는 시점에 절단부하가 나타났다. 결과 해석을 위해 그래프의 피크 값들을 이용하였으며 그 중 상위 6개의 값으로 분석하였다. 30도, 45도, 60도의 설치각에 따른 절단부하의 평균 값은 각각 105.4N, 160.5N, 215.9N으로 나타났다. 설치각에 따른 절단부하의 경향성은 유의수준은 3.93%로 각각의 차이가 유의미하게 나타났으며 상관계수는 0.489로 증가하는 경향이 보였다. 그러나 $R^2$는 0.2394로 낮은 값을 보여 데이터 처리 방법의 개선과 적절한 회귀 모델의 적용이 필요하다. 향후 포장시험을 진행하고 복합적으로 분석하여 경향성을 자세히 분석하고자 한다.

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Correlation between alcohol use and juvenile criminal behavior patterns in Korea

  • Kim, Hyun-Sil
    • Journal of Korean Academy of Nursing
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    • v.29 no.5
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    • pp.1134-1146
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    • 1999
  • The purpose of this study was to examine the correlation between Juvenile alcohol use and their criminal patterns. The data were collected through questionnaire surveys. Subjects serving for this study were 971 delinquent adolescents in Korea, sampled from 6 juvenile corrective institutions and 2 classification judging institutions, using a census method. Their age range was between 12 and 21. Data were analysed by IBM PC using SAS program. Statistical methods employed were Chi-square and frequency analysis. 1. Of 877 respondents, the number of adolescents committed criminal behaviors while the intoxicated were 230(26.2%), and 647(73.8%) were in a non-intoxicated state. 2. Adolescent under intoxication showed a higher rate of aggressive crimes and assault crimes, whereas adolescents under the non-influence of liquor tended to commit property climes and violations of criminal special law Drunken state adolescents during committing criminal behaviors used knifes, stones or fist-kicking as criminal tools, whereas drug use or without weapons in non drunken state. Most crimes have happened without any tools in both group. 3. In comparison of the alcohol user and the non-user, most alcohol-related crimes among adolescents were committed at AM 0:00 to AM 4:00 during the weekend in the dark, cloudy, and stormy-rainy day, while non-alcohol related crimes were at afternoon of weekday in the clear day. The places that the criminal activities occurred were streets, amusement places such as disco-theque, fields and their own house among alcohol users, whereas victim's house, another person's house and restaurant were chosen among non-alcohol users. 4. The victims assaulted by Juvenile offenders in both drunken and non-drunken state were mostly passer-by(65.4%), followed by their friends(25.1%). And the conditions of victims showed a significant differences between the drunken adolescents and the non-drunken adolescents. The victim's conditions assaulted by intoxicated delinquent adolescents were in quarreling or drunken state, whereas non-alcohol related crimes were directed against victims in a sleeping or irresistible state. 5. Almost over the half of delinquent adolescents perceived their delinquency as wrong behaviors. and alcohol non-user tended to more significantly perceive their criminal acts as wrong conducts. About the half of respondents answered that they committed their criminal acts in spite of having a very good Judgement while doing crimes, the author did not found a significant difference between the two groups. The reasons given for crimes were manifested as follows: it can be seen that ‘to get money for amusements’(30.4 % of all motives) were most common, followed by ‘to commit accidentally the offences’(23.8%), ‘curiosity or heroism’(18.9%). alcohol related crimes tended to be accidental and impulsively without any clear planning, while non-alcohol related crimes tended to be purposeful, directed to make money motivated by curiosity or a desire to live heroically. In Conclusions. the correlation between alcohol use and Juvenile criminal behaviors has been examined in this study. Generally, alcohol use had been found to be highly correlated with aggressive assault crimes including robbery, burglary and rape etc.

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The Design of Single Phase PFC using a DSP (DSP를 이용한 단상 PFC의 설계)

  • Yang, Oh
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.44 no.6
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    • pp.57-65
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    • 2007
  • This paper presents the design of single phase PFC(Power Factor Correction) using a DSP(TMS320F2812). In order to realize the proposed boost PFC converter in average current mode control, the DSP requires the A/D sampling values for a line input voltage, a inductor current, and the output voltage of the converter. Because of a FET switching noise, these sampling values contain a high frequency noise and switching ripple. The solution of A/D sampling keeps away from the switching point. Because the PWM duty is changed from 5% to 95%, we can#t decide a fixed sampling time. In this paper, the three A/D converters of the DSP are started using the prediction algorithm for the FET ON/OFF time at every sampling cycle(40 KHz). Implemented A/D sampling algorithm with only one timer of the DSP is very simple and gives the autostart of these A/D converters. From the experimental result, it was shown that the power factor was about 0.99 at wide input voltage, and the output ripple voltage was smaller than 5 Vpp at 80 Vdc output. Finally the parameters and gains of PI controllers are controlled by serial communication with Windows Xp based PC. Also it was shown that the implemented PFC converter can achieve the feasibility and the usefulness.

Needs Assessment for Developing a Nutrition Information Site for Elementary School Children Among Elementary School Dietitians (초등학교 영양사를 대상으로 취학 어린이용 영양정보 사이트 개발을 위한 요구도 분석)

  • Ahn, Yun;Kim, Hyung-Mee;Seo, Jung-Sook;Yoon, Eun-Young;Bae, Hyun-Joo;Kim, Kyung-Won
    • Korean Journal of Community Nutrition
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    • v.12 no.4
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    • pp.405-416
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    • 2007
  • This study was to examine the needs among elementary school dietitians (n = 115) for developing a nutrition information internet site for children. A survey questionnaire included general characteristics, internet use regarding health and nutrition information, and needs for developing a nutrition information site. The mean age of the subjects was 36.2 years. The higher working experience group (> 10 years of working as dieticians) had higher mean age (p < 0.001), had a larger number of enrolled students at school (p < 0.01) and the number of those receiving school lunch (p < 0.01) than the counterparts (${\le}10$ years group). Sources of health and nutrition information were mainly PC/internet (60.4%) and seminar (14.4%). About 95% used health or nutrition information using the internet, however, the majority of users (71.6%) used internet information only when they needed it. Major reasons for using internet information was 'to get nutrition education materials' (63.8%) and 'to obtain general nutrition information' (21%). One third of the subjects were satisfied with nutrition information internet sites; major problems with internet sites were 'lack of content' (38.9%) and 'lack of practical information' (33%). These characteristics regarding internet use were not different between work experience groups. Major problems with nutrition education were 'lack of nutrition educational materials' (41.1 %) and 'lack of nutrition education skills' (32.1%). These were significantly different between the work experience groups (p < 0.01). Subjects preferred CD/internet to leaflet/booklet as nutrition educational materials. In developing nutrition sites for children, subjects wanted topics such as obesity assessment, dietary assessment, and obesity. Subjects responded that contents of nutrition information should be 'suitable to the children's knowledge levels' (31.1%), 'interesting enough by including quizzes, games and songs' (27.8%), 'inserting many illustrations/icons' (16.3%). In terms of designing internet sites for children, they wanted that internet sites should 'be easy enough to find the sites' (29.2%), 'use illustrations and characters' (24.8%), 'use communication channels such as Q&A' (18.7%). Needs for developing internet sites for children were not different by the work experience group. This study suggests that web sites for children should be carefully developed considering the contents and design, have less information with more illustrations, designed to induce the interest of children, as well as including sections such as eating habit assessment and games.

Antioxidant and Neuronal Cell Protective Effects of Methanol Extract from Schizandra chinensis using an in vitro System (In vitro system에서 오미자 메탄올 추출물의 항산화 및 신경세포 보호효과)

  • Kim, Ji-Hye;Jeong, Chang-Ho;Choi, Gwi-Nam;Kwak, Ji-Hyun;Choi, Sung-Gil;Heo, Ho-Jin
    • Korean Journal of Food Science and Technology
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    • v.41 no.6
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    • pp.712-716
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    • 2009
  • In this study, the antioxidant and neuronal cell protective effects of methanol extract from Schizandra chinensis were evaluated. The proximate composition and total phenolics content of the extract were as follows: 64.88% nitrogen free extract, 10.56% crude fiber, 10.22% moisture, 8.33% crude protein, 5.05% ash, 0.96% crude fat, and 83.04 mg/g of total phenolics. In assays the methanol extract of Schizandra chinensis presented ferric reducing/antioxidant power (FRAP) and 2,2'-azino-bis(3-ethylbenzothiazoline-6-sulfonic acid) (ABTS) radical scavenging activity in a dose-dependent manner. In a cell viability assay using 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-tetrazoliumbromide (MTT), the methanol extract showed protective effect against $H_2O_2$-induced neurotoxicity, and lactate dehydrogenase (LDH) release into medium was also inhibited by various concentrations of extracts (68-80%). Cell viability after treatment of the methanol extract was higher than that shown for vitamin C ($100\;{\mu}M$) using a neutral red uptake (NRU) assay. Therefore, these data suggest that the methanol extract of Schizandra chinensis may be useful for neurodegenerative diseases including Alzheimer's disease.