• 제목/요약/키워드: Preservation of health

검색결과 471건 처리시간 0.022초

양성 폐종양의 수술적 치료 (Surgical Treatment of Benign Lung Tumor)

  • 박건;조덕곤;박재길;조건현;왕영필;곽문섭;김세화;이홍균
    • Journal of Chest Surgery
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    • 제25권3호
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    • pp.258-270
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    • 1992
  • Benign lung tumors have been considered as relatively rare disease, which comprise approximately 8 to 15% of all solitary pulmonary lesions that are detected radiographically. We clinically analized 30 cases of benign lung tumors underwent the operation from Jan. 1970 to Aug.1991 in the department of thoracic and cardiovascular surgery, Catholic University Medical College. We adopted the classification presented by the World Health Organization[WHO], modified from Liebow, and added benign mesothelioma. There were 11 males & 19 females ranging in age from 2 years to 68 years old % the mean age was 38 years old. Of all 30 benign lung tumors, hamartomas [14 cases, 49%] were the most common & followed by hemangiomas [9 cases, 30%], 3 cases of benign mesotheliomas % a case of teratoma, papilloma, arteriovenous malformation and inflammatory pseudotumor. 14 cases of tumors were asymptomatic & were incidentally detected by plane chest x-ray In other cases, chief complaints at admission were coughing, chest discomfort, dyspnea, hemoptysis, and fever. Diagnosis were made by pathological examination; exploratory thoracotomy in 23 patients[76.7%], bronchoscopy in 4 patients and percutaneous needle aspiration biopsy in 3 patients. Precisely, preoperative diagnosis for confirmation of benign lung tumor was made only in 7 cases[23.6%]. Tumors were located on Rt.side[24 cases], especially Rt. middle lobe, and Lt.side[6 cases]. Operation methods were as follows: 21 cases [70%] of lobectomy, 2 cases of segmentectomy, 2 cases of wedge resection, 1 case of pneumonectomy, 1 case of bronchotomy, 2 cases of wedge resection, 1 case of pneumonectomy, 1 case of bronchotomy removal of the endobronchial hamartoma which located at the rt. main stem bronchus and 3 cases of complete resection in benign mesotheliomas. There were no operative death. The post operative complications were developed in 3 cases; post pneumonectomy empyema, wound infection and atelectasis. In conclusion, benign lung tumors must be histologically diagnosed to confirm of benignity and to provide limited resection for preservation of the lung tissue, whenever possible.

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도시자연녹지(都市自然綠地)의 이용실태(利用實態)와 효율적(效率的) 활용방안(活用方案)을 위한 Greenway 시스템 도입(導入)에 관한 연구(硏究) : 대구광역시(大邱廣域市)를 중심(中心)으로 (The Adoption of a Greenway System for Enhancing the of Open Space in Urban Areas : The Case of City of Taegu)

  • 이주희;한상열;김범수;서응철
    • 한국산림과학회지
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    • 제89권5호
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    • pp.576-584
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    • 2000
  • 그린웨이는 도시의 자연녹지들을 연결하는 새로운 개념이다. 본 연구는 대구광역시의 3개 자연녹지 이용객을 대상으로 그린웨이 개발의 가능성을 검토하였다. 설문조사는 1999년 7월과 8월의 2개월간 조사지역을 찾는 방문자 446명을 대상으로 일대일 면접 설문조사를 실시하였다. 조사내용으로는 이용객들이 인지하는 도시자연녹지의 이용행태, 편익과 이용의 문제점, 그리고 그린웨이 개발에 대한 지역주민의 의견 및 그린웨이 개발에 따른 경제적 편익을 조사하였다. 그 결과, 도시자연녹지를 이용객은 남성이 여성보다도 이용율이 높았으며, 교통수단은 승용차 이용이 약 절반을 차지하는 것으로 나타났다. 도시자연녹지의 편익에 대하여는 건강과 운동의 장소, 그리고 자연녹지보호에 대하여 높게 평가하였으나, 장애자들의 이용측면에서는 가장 낮은 만족도를 나타내고 있는 것으로 평가되었다. 한편, 도시 자연녹지의 문제점에 있어서는 취수대의 부족, 환경교육/해설에 대한 시설 부족, 등산로의 방향표시부족, 그리고 사전정보의 부족 순으로 나타났다. 그린웨이의 개발에 관한 시민들의 의식조사에서는 그린웨이 개발에 대하여 94.1%가 찬성하는 것으로 나타났으며, 개발후 이용에 관하여는 96.8%가 이용할 것이라 응답하여, 그린웨이 개발이 일반 시민들에게 매우 긍정적으로 받아들여지고 있는 것으로 나타났다. 그린웨이의 개발에 대한 비용에 있어서도 대부분의 시민들은 세금을 부담하더라도 비용의사를 지니고 있는 것으로 나타났으며, 이때 평균 지불의사 금액은 방문객 일인당 약 10,200원으로 나타났다. 따라서 시민의 녹지공간의 접근용이성과 필요성에 대한 욕구를 충족시키기 위하여 그린웨이의 체계적인 도입은 매우 중요한 것으로 사료된다.

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새우젓 중의 단백질 분해효소에 대한 연구 (Proteolytic Digestion of Boiled Pork by Soused Shrimp)

  • 박길홍
    • Journal of Nutrition and Health
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    • 제19권6호
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    • pp.363-373
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    • 1986
  • This study was devised to elucidate whether soused shrimp exhibits a digestive action on boiled pork meats. and the mechanism by which sousing with a high concentration of sodium chloride preserves nutrients in foods for a prolonged pe\ulcornerriod. Protease was isolated from soused shrimp using a combination of ammonium sulfate fractionation. DEAE - cellulose ion exchange chromatography and gel filtra\ulcornertion. The isolated protease had specific activity of 1.560 units. 210 purification fo\ulcornerld with an yield of 38%. Its optimum pH and temperature were 8.0 and $43^{\circ}C$ respectively. The molecular weight of the enzyme was 35.000. The Km value of the enzyme for casein was 1.6 x $10^{-6}$ M The e=yme required the presence of cu\ulcornerpric ion to exhibit its full activity. Eighty eight percent of the enzyme activity was in\ulcornerhibited by 3.5M NaCI showing a reversibly linear decrease of the enzyme activity as NaCI concentration increased. The nature of the inhibition by NaCl was rever\ulcornersible and noncompetitive. The protease activity in soused shrimp was well preser\ulcornerved with the elapse of time at least in part due to NaCI induced suppression of autodigestion. The enzyme was denatured by acid easily. i.e. 1% of the original activity remained after staying at pH 2 for 10 minutes. which is within the norm\ulcorneral range of pH of the human stomach. Soused shrimp was observed to be one of those containing the highest protease activity compared with the other soused foo\ulcornerds such as soused oyster. squid. clam. and Pollack intestine with respect to spec\ulcornerific activities of dialized 1:4 whole homogenates(w/v) in 5 mM sodium phospha\ulcornerte - 2.4 mM j3 - mercaptoethanol buffer. pH 8.0. Casein and boiled meats including pork, beef, and chicken appeared to be the good substrates for the protease. Casein was the best. Therefore. the ingestion of boiled meats including pork together with soused sh\ulcornerrimp would help digestion of boiled pork in human not only by increasing appe\ulcornertite also by the direct proteolytic digestion of boiled meats by soused shrimp to\ulcorner some extent. And a high concentration of sodium chloride inhibited the protease activity reversibly in a remarkable degree, which ensued in a significant retardat\ulcornerion of autodigestion of protein in foods by proteases, and hereby contributed to the preservation of foods for an extended period.

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무안 창포호의 자연생태친수공간 조성을 위한 관리방안 기초 연구 (The Management Plan for the Ecological Waterfront Space of Muan Changpo Lake)

  • 서정영
    • 한국환경복원기술학회지
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    • 제22권3호
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    • pp.15-30
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    • 2019
  • Changpo Lake was created as a part of a land reclamation for refugee self-helping projects. It shows characteristics of a fresh water lake, and still retains the early appearance of reclamation that surrounding regions have not been developed into farm lands. Shallow wetland has formed around the lake, which provides great conditions for diverse lives, and surrounding earthiness is favorable for growth of vegetation and restoration of the ecosystem. However, as facilities of the Muan International Airport nearby Changpo Lake are expanding and barns are being constructed, artificialness is gradually increasing. Particularly, since pollution sources such as sport facilities, farm lands and barns are scattered around Changpo Lake, pollutants are flowing in constantly. Accordingly, the results for setting up management areas according to the spatial characteristics and creating natural ecological spaces near Changpo Lake, Taebongcheon stream and Hakgyecheon stream are as follows. First, the creation of a natural eco-friendly waterfront space should be promoted by securing the health of the aquatic ecosystem and restoring species and the ecosystem. In addition, a consultative body needs to be formed to lead local residents to participating in river investigation and monitoring, maintenance, and management through role sharing. Second, the basic direction of the spatial management plan is to keep the unique charm of Changpo Lake, maintain harmony with nature, create diverse waterfront areas, and secure the continuity of Changpo Lake and inflow streams. Moreover, the area should be divided into three zones such as a conservation zone, a restoration zone and a waterfront zone, and for each zone, the preservation of vegetation, the creation of ecological wetlands and restoration of the ecotone and ecological nature need to be promoted. Third, facilities and activity programs for each space of Changpo Lake should be operated for efficient management of protected areas. In order to suit the status of each space, biological habitats, water purification spaces, experiential and learning spaces, and convenience and rest spaces should be organized and designated as research, monitoring, education, and tourism areas. Accordingly, points of interest should be set up within the corresponding area. In this study, there are many parts that need to be supplemented for immediate implementation since the detailed plans and project costs for the promotion of programs by area are not calculated. Therefore, it is necessary to make detailed project plans and consider related projects such as water quality, restoration of habitats, nature learning and observation, and experience of ecological environments based on the categories such as research, monitoring, education and tourism in the future.

주단계(朱丹溪) 의학사상(醫學思想)의 배경(背景)에 관한 연구(硏究) -"격치여론(格致餘論)"을 중심(中心)으로- (A research on the background of ZhuDanXi(朱丹溪)‘s medical theory -Based on ${\ulcorner}$GeZhiYuLun(格致餘論)${\lrcorner}$-)

  • 박현국;김기욱
    • 대한한의학원전학회지
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    • 제18권4호통권31호
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    • pp.1-14
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    • 2005
  • Zhu Dan Xi's name is ZhenHeng(震亨) and was also called by the title of YanXiu(彦修). Early in his life, he started to study JuZiYe(擧子業), and went on to study DaoDeXingMingXue(道德性命學) under the teachings of XueQian(許謙), who as one of fourth generation disciple of ZhuZi(朱子) was teaching in BaHuaShan(八華山). His well-known literary works are ${\ulcorner}$JuFangFaHui(局方發揮)${\lrcorner}$, ${\ulcorner}$GeZhiYuLun${\lrcorner}$, ${\ulcorner}$ShangHanBianYi(傷寒辨疑)${\lrcorner}$, ${\ulcorner}$BenCaoYanYiBuYi(本草衍義補遺)${\lrcorner}$, ${\ulcorner}$WaiKeJingYaoXinLun(外科精要新論)${\lrcorner}$. Zhu Dan Xi learnt the studies of Liu(劉), Zhang(張), Li(李) from LouZhiTi(羅知悌) and adopted the advantages and abolished disadvantages from it. The southern district being low and damp, which also leads to a geographical condition with a lot of ShiReXiangHuo(濕熱相火) disease and with the social background of people exhausting their QingYu(情欲) and damaging QLXie(氣血), he came out with the theory of 'YangYouYuYinBuZu(陽有餘陰不足)', 'XiangHuo(相火)' and became a well renowned expert in diagnosis and treatment of QiXieTanYuHuo(氣血痰鬱火). As a result, the writer has performed a research based on Liu's works and related theories, GuWuZhiZhi theory, the understanding of TaiJiZhiLi(太極之理), the inner meaning of YinYang and YouYuBuZu(redundancy-and-deficit), YinYangDongJingGuan, physiology and pathology, the medical reason of lust damaging QingYuYangYin and YangSheng(養生)(preservation of health), which are the main medical theory of ZhuDanXi, comments of later generations and is reporting the outcome.

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수확시기별 제주산 영귤의 항산화 및 항당뇨 활성 비교 (Changes in Phenolic Composition, Antioxidant and Antidiabetic Properties of Jeju Citrus sudachi as Influenced by Maturity)

  • 이지은;김지혜;김민영
    • 생명과학회지
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    • 제25권11호
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    • pp.1311-1318
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    • 2015
  • 본 연구는 9월과 11월에 수확한 영귤 미성숙과와 성숙과의 항산화 및 항당뇨 활성을 비교하였다. 총 폴리페놀, 플라보노이드 및 카로티노이드 함량을 분석한 결과 모두 성숙과의 함량이 높았다. 항산화 활성을 DPPH radical, hydrogen peroxide, nitric oxide 소거능, 금속 결합능 및 환원력으로 평가하고 이를 EC50으로 나타낸 결과 금속 결합능을 제외하고 성숙과의 활성이 유의적으로 높았다. α-Glucosidase 저해 활성을 통해 항당뇨 활성을 확인한 결과 성숙과가 높은 저해도를 나타내었다. 이를 통해 출하 시기를 놓친 영귤 성숙과도 건강기능식품 및 의약품 소재로 개발 가능성이 있다고 판단되며 이를 활용하기 위한 추가적인 연구가 필요하다고 사료된다.

아유르베다'($\bar{A}yurveda$)에 관한 소고(小考) (A Study on the '$\bar{A}yurveda$')

  • 김기욱;서지영;박현국
    • 동국한의학연구소논문집
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    • 제10권
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    • pp.161-175
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    • 2008
  • The '$\bar{A}yurveda$', Buddhistic medicine, and the present of traditional medicine can be summed up as thus. 1. The '$\bar{A}yurveda$' is a transliteration of the Sanskrit Ayur - veda and is a compound of the words 'Ayus(life)' and 'Veda(knowledge)' and means "The study of life", which means the preservation of health and the understanding and curing of diseases. 2. The '$\bar{A}yurveda$', which originated from ancient experience, was recorded in Sanskrit, which was a theorization of knowledge, and also was written in verses to make memorizing easy, and made medicine the exclusive possession of the Brahmin. The first annotations were 1060 for the "Charaka", 1200 for the "Sushruta", 1150 for the "Ashtanga Sangraha samhita", and 1100 for the "Nidana". The use of various mineral medicines in the "Charaka" or the use of mercury as internal medicine in the "Ashtanga Sangraha samhita", and the palpation of the pulse for diagnosing in the '$\bar{A}yurveda$' and XiZhang' medicine are similar to TCM's pulse diagnostics. The coexistence with Arabian 'Unani' medicine, compromise with western medicine and the reactionism trend restored the '$\bar{A}yurveda$ today. 3. When we look at the present of the education and research of the '$\bar{A}yurveda$', after gaining independence from England, India set up a modern education system of the '$\bar{A}yurveda$' and set it on an equal position with western medicine. According to the 1976 study the '$\bar{A}yurveda$' is taught in a 5 and a half year university curriculum, and the main textbooks are the Charaka - samhita("開羅迦集" - internal medicine), Sushruta-samhita("妙聞集", surgery), Madhavanidana(diagnostics), 3 volumes of Bhavaprakasa(pharmacology internal medicine, mineral medicine}, Rajanighantu (pharmacology), $Vrks\bar{A}yurveda$(plant therapy), Mahabharata(military medicine), Arthasastra(forensic medicine, toxicology) Kamasastra(science of intercourse), etc. in 10 subjects and there are 232227 certified doctors that have graduated from the 95 colleges and passed the exams.

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간호사의 간호 제공 의무와 말기 환자의 간호 거부에 관련된 윤리 문제에 관한 연구 (Refusal of care by chronically and terminally ill patients : An ethical problem faced by nurses)

  • 엄영란;홍여신
    • 대한간호학회지
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    • 제24권2호
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    • pp.190-205
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    • 1994
  • Respect for human life and respect for human dignity are two basic values to which organized nursing has urged its members to adhere in their service to mankind. Thus it is the nurses’ duty to provide health care in support of sustenance of life and to pay respect for the patient’s right to dignity. In practice, however, nurses may experience dilemmas between these duties much due to the de velopment of modern advanced techniques. These dilemmas have become more complex and difficult to resolve. Nurses are often faced with situations in which the terminally ill refuse professional care, posing serious conflicts between respect for human life and respect for human rights to self-determination. In such cases, resolution of the problem is not a simple matter, thus requires intensive study into the ethical questions related to the situation. The purpose of this study was to identify ethical problems that nurses experience in caring for terminally ill patients and explore the ways to the resolution of problems within the context of the situations. The methodology used for the study was a case study method which ‘New Casuistry’ proposed by Jonsen & Toulmin(1988) and the ‘Specified Principlism’ proposed by Degrazia(1992) as an alternative to old deductive and intuitive method. Cases were developed through semistructured indepth interviews according to the casutistry method. A total of seven nurses were interviewd who were caring for therminally ill patients. Four cases out of a total 14 cases were related to the topic. Through the case analysis it became evident that nurses appreciated other values more often than respect for the patient’s right to self-determination. These other values were convenience and efficiency in nursing practice in case 1, preservation of life above all other values in case 2, provision of nursing care to fulfill the nurse’s professional obligation at most in case 3, and respect for the family’s demand against the patient’s wish in case 4. This study showed that the most important ethical problems were conflict between respect for the patient’s right to self-determination and sustenance of life for the fulfillment of professional obligation. For this problem, benefit /burden analysis from the perspective of the patient and family for the promotion of patient’s wellbeing may be a way to resolve the conflict. Further, through these analysis it was shown that physicians’ and families’ opinions dominated in the decision - making and the opinions of nurses’ and patients’ tended not to be reflected. Thus the patient's right to his or her care was not readily respected. To solve this problem. nurses should make efforts to communicate reciprocally with their patients, family members and physicians in an effort to respect for their patient’s rights to life and diginity from the point of view and values of the patient. It is also important that nurses provide good basic nursing care up to the time of death regardless of decisions about providing or not aggressive treat-ment for chronically and terminally ill patients.

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교등원이 백서의 산화유발을 방어하는 작용에 관한 연구 (Effect of JiaoTeng-Yuan(교등원) on Oxidation Stress Caused by D-galactose in Sprague-Dawley Rats)

  • 이송실;이상재;김광호
    • 대한한의학회지
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    • 제25권2호
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    • pp.194-206
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    • 2004
  • Objectives : JiaoTeng-Yuan(교등원) is said to be a prescription for preservation of health in $\ulcorner$HuaTuo.ZhongZangJing (화타.중장경)$\lrcorner$. It is known to have the effect of Bu-Shen (보신: strengthening kidney) and Yi-Shou (익수: prolonging the span of one's life). This study investigates whether JTY is effective on inhibition of oxidation stress. Methods : Sprague-Dawley rats (12-week-old, weight $300{\pm}20g$) were divided into 3 groups. The normal group (n=8) was injected with PBS (1ml/body, s.c) subcutaneously behind the neck. The control group (n=8) was injected with D-galactose (50mg/kg, 1ml PBS/body, s.c) to induce pathological animals. The JTY group was injected with the same treatment as the control group, and fed containing JTY (10%). All groups were treated 1 time per day for 6 weeks. After the rats were sacrificed anti-oxidant enzyme (SOD, CAT, G-px) activity, GSH quantity of RBC and tissue (heart, liver and kidney), and plasma Vit-C quantity were examined. Also, the MDA levels of liver and kidney, lipofuscin of heart and endurance of erythrocyte membrane were measured. Results : In the JTY group, RBC's SOD activity decline was halted by 21 % of the normal level, compared to the control group, G-px activity (unit/g of Hb) increased significantly, compared to the normal group, and the level of Vit-C in plasma increased by 16%. Heart's SOD activity was kept at the same level as that of the normal group; and CAT activity decline was halted by 26%. Kidney's CAT and G-px activities were kept at the same level as that shown in the normal group, implying the existence of a halting effect. Liver also showed a slight halting effect against the decline of anti-oxidant ability, but the effect was not significant (${\alpha}=0.05$). A comparison between the levels of peroxide in SD rats showed that the level of TBARS in plasma increased significantly in the control group and that it was normal in the JTY group. The livers in the JTY group, compared to those in the control group, showed 36% halting effect of the normal level while their kidney's indicated the level significantly lower than the normal level. Heart's lipofuscin increased significantly in the control group, but was alike in both the JTY and the normal groups. Endurance of erythrocyte membrane (%) decreased significantly in the control group while it was kept at the similar level in both the JTY and the normal groups, indicating the halting effect. Conclusions : This study suggests that JTY is effective to defend oxidation stress caused by D-galactose in the animals. It showed that the anti-oxidant ability was maintained and strengthened. On the other hand, it reduced the level of peroxide in animals. In sum, JTY appeared to have the equilibrium normal physiological function in SD rat.

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POTENTIAL OF NIRS FOR SUPPORTING BREEDING AND CULTIVATION OF MEDICINAL AND SPICE PLANTS

  • Schulz, Hartwig;Steuer, Boris;Kruger, Hans
    • 한국근적외분광분석학회:학술대회논문집
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    • 한국근적외분광분석학회 2001년도 NIR-2001
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    • pp.1162-1162
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    • 2001
  • Whereas NIR spectroscopy has been applied in agriculture for more than 20 years, few studies refer to those plant substances occurring only in smaller amounts. Nevertheless there is a growing interest today to support efficiently activities in the production of high-quality medicinal and spice plants by this fast and non-invasive method. Therefore, it was the aim of this study to develop new NIR methods for the reliable prediction of secondary metabolites found as valuable substances in various plant species. First, sophisticated NIR methods were established to perform fast quality analyses of intact fennel, caraway and dill fruits deriving from single-plants [1]. Later on, a characterization of several leaf drugs and the corresponding fresh material has been successfully performed. In this context robust calibrations have been developed for dried peppermint, rosemary and sage leaves for the determination of their individual essential oil content and composition [2]. A specially adopted NIR method has been developed also for the analysis of carnosic acid in the leaves of numerous rosemary and sage gene bank accessions. Carnosic acid is an antioxidative substance for which several health promoting properties including cancer preservation are assumed. Also some other calibrations have been developed for non-volatile substances such as aspalathin (in unfermented rooibos leaves), catechins (in green tea) and echinacoside (in different Echinacea species) [3]. Some NIR analyses have also been successfully performed on fresh material, too. In spite of the fact that these measurements showed less accuracy in comparison to dried samples, the calibration equations are precise enough to register the individual plant ontogenesis and genetic background. Based on the information received, the farmers and breeders are able to determine the right harvest time (when the valuable components have reached their optimum profile) and to select high-quality genotypes during breeding experiments, respectively. First promising attempts have also been made to introduce mobile diode array spectrometers to collect the spectral data directly on the field or in the individual natural habitats. Since the development of reliable NIRS methods in this special field of application is very time-consuming and needs continuous maintenance of the calibration equations over a longer period, it is convenient to supply the corresponding calibration data to interested user via NIRS network. The present status of all activities, preformed in this context during the last three years, will be presented in detail.

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