• 대한간호
• /
• 제31권4호
• /
• pp.77-99
• /
• 1992

The study was carried out at W. hospital, an affiliated hospital of Y university, involved a total of 163 patients who were discharged from the hospital between May 1990 und March 199J. Data collection was twice, just prior to discharge and a minimum of three months post discharge. Thirty patients who lived within a hour travel time of the hospital received home care during the three months post discharge. Nursing diagnoses and nursing interventions For these patients were analyzed in this study. The results of the study are summarized as follows : 1. Discharge needs for the subjects of the study were analyzed using Gordon's eleven Functional categories and it was found that 48.3% of the total sample had identified nursing needs. Of these, the needs most frequently identified were in the categories of sexuality, 79.3 %, health perception, 68.2 % self concept, 62.5 %, and sleep and rest 62.5 %. Looking ut j he nursing diagnosis that were made for the 30 patients receiving home care, the following diagnoses were the most frequently given; alteration in sexual pattern 79.3%, alterations in health maintenance, 72.6%, alteration in comfort, 68.0%, depression, 64.0%, noncompliance with diet therapy, 6.3.7%, alteration in self concept, 55.6%, and alteration in sleep pattern, 53%. 2. In looking at the effects of home nursing care as demonstrated by changes in the functional categories over the three month period, it was Found that of the 11 functional categories, the need level for health perception, nutrition, activity and self concept decreased slightly over the three month period. On the average sleep patterns improved, but restfulness was slightly less and bowel elimination patterns improved but satisfaction with urinary elimination was slightly less. On the other hand, role enactment, sexuality, stress management and spirituality decreased slightly. The only results that were statistically significant at the 0.05 level were improvement. in digestion and decrease in pain. No statistically significant changes were found in ability related to ADL, the total ADL Score at discharge was $19.78{\pm}8.234, and after 3 months $19.01{\pm}8.12$. Considering that a majority of the patients were over 60 years of age and that many had brain or spinal cord injuries, the fact that their ADL ability did nor deteriorate after discharge can be interpreted as related to a positive impact by the home health care nurses. Similarly there was a slight be not statistically significant decrease in the quality of life scores between the two lest times(l47.83 at discharge and 113.02 at the three month period). Again, when the chronic nature of thee problems facing these patients is considered this maintenance of quality of life can be interpreted as a positive impact by the home health care nurses. 3. One of the home care nursing activities was diagnosis. For this activity it was found that for nine functional health categories(sexuality and spirituality excepted) there were 20 nursing diagnoses. The most frequent were noncompliance, alteration in skin integrity both actual and potential, and impaired physical mobility in that order. 4. Delivery of home health care by the home health nurses included the following nursing activities; assessment, patient education, demonstration of care activities, counselling, direct care to the patient and referrals. Direct care included changing dressings, bladder irrigations, changing Foley catheters, measurement of residual urine, perineal care, position change, back care, oral hygiene, exercise and massage of motion exercises, cleansing enemas, tracheostomy suctioning and tracheostomy care, care of dentures, applications of heat and other similar nursing activities. In conclusion almost 50% of (he sample indicated a need for continued nursing care at the time of discharge and for the patients in the sample who received home care there was a slight decrease in nursing needs but while the patients had chronic and debilitation problems there was ill decrease in ADL abilities or in quality of life. Further study needs Lo be done La increase the reliability and validity of the tool that was used to measure home health care needs. It is also recommended that study by done using a randomized sampling with a control group to compare patients who receive home care with those who do not.

• Applied Microscopy
• /
• 제35권3호
• /
• pp.165-176
• /
• 2005

소뇌의 버그만아교세포는 인접한 조롱박신경세포를 둘러싸는 특이한 해부학적 분포를 하고 있어 종래로부터 조롱박신경세포에 대한 물리적 지지 역할과 함께 이 신경 세포의 생존과 기능에 필요한 대사물질을 공급해 주는 것으로 추정되어 왔으나 이에 대한 구체적인 연구는 많지 않다. 본 연구에서는 버그만아교세포와 조롱박신경세포의 상관관계를 증명하기 위한 연구로 전자현미경적 정상적인 미세구조와 신경독물인 하르말린을 흰쥐에 투여하여 조롱박신경세포만을 특이적으로 파괴시킨 소뇌조직을 대상으로 최근 버그만아교세포에서 발현되는 것으로 알려진 수 종의 대사성 단백물질의 동향을 면역조직 화학방법으로 관찰하여 GLAST의 면역 염색성은 정상부위보다 신경세포 손상부위의 버그만아교세포에서 현저히 감소되었다. 하르말린 투여군의 흰쥐에서 조롱박신경세포의 사멸은 소뇌벌레에서 집중적으로 일어났으며 사멸된 부위는 calbindin D-28K에 염색된 정상 조롱박신경세포들 사이에서 산발적으로 끼어 있는 빈 공간으로 나타났는데 빈공간은 분자층과 조롱박신경세포층이 세로로 달리는 좁고 긴 띠 (bands) 모양의 특이 한 양상을 보였다. MT 면역염색성은 신경세포 손상부위의 버그만아교세포에서 현저히 증가하였다. 이상의 관찰 결과로 볼 때 조롱박신경세포의 손상에 의하여 버그만아교세포는 강한 아교세포반응을 보이며 MT의 발현을 통하여 인접 신경세포 손상과 미세아교세포 활성에 의하여 유발된 산화성 스스로를 보호하고 생존한다. 그러나 GLAST의 발현의 감소는 조롱박신경세포의 사멸로 인하여 이들 세포들로부터 유리되어 나오는 글루타메이트의 감소 또는 중단되므로 버그만아교세포에서 이들 글루타메이트 수송체 역할이 감소되었음을 반영하는 것으로 사료된다.93({\pm}0.053){\mu}m$ 였다. 으뜸세포의 사립체의 크기는 정상대조군, 종양대조군 및 BCG 투여군이 각각 $0.80({\pm}0.130){\mu}m,\;0.83({\pm}0.143){\mu}m$ 및 $0.72({\pm}0.078){\mu}m$ 였다. 이상의 결과를 종합해보면 BCG를 반복 투여하면 위점막으뜸세포의 분비과립이 약간 작아지는 등 분비기능이 다소 억제되나 그 정도가 경미하여 으뜸세포의 분비기능에 큰 손상을 주지 않는 것으로 생각된다.모양을 비교한 결과 꼬리핵과 줄무늬체바닥핵에서는 모두 가지돌기가시(dendritic spine)에 연접하였으나, 중격옆핵과 중격핵에서는 가지돌기 (dendrite)에 연접하는 것과 가지돌기가시에 연접하는 것이 혼재하였다. 이들 두 신경핵 무리는 이마앞겉질에서 기원하는 축삭종말의 연접차이로 볼 때 서로 다른 회로계통에 속할 것으로 생각되며, 문헌고찰을 통해서 꼬리핵과 줄무늬체바닥핵은 줄무늬체회로 (striatal circuit)에 속하고 중격옆핵과 중격핵은 변연계통회로(limbic circuit)에 속할 것으로 판정했다. 이마앞겉질은 생리적, 약리적, 신경학적 및 형태학적 근거들로 보아 바닥핵들을 통해 변연계통과 대뇌겉질 전체에 영향을 미칠 것으로 여겨지는데, 본 실험에서는 네 종류의 바닥핵들, 즉 꼬리핵, 줄무늬체바닥핵, 중격옆핵 및 중격핵과 관련된 신경연접들을 관찰하였으며, 그 결과를 문헌 고찰한 결과 변연계통과 줄무늬체계통이 앞뇌의 바닥에 있는 신경핵들에서 형태학적 교차연결을 통해 정서와 마음의 상태를 행동과 대응으로 표현하는 중요한 신경회로가 존재함을 제안하였다.腎臟組織)에서 더많이 발생되었다.

• 생명과학회지
• /
• 제18권6호
• /
• pp.796-803
• /
• 2008

알츠하이머 질환은 신경퇴행성질환으로 노령인구에서 뿐만 아니라 $30{\sim}60$세 사이에서도 상염색체성우성형으로 발생하여 사회문제로 대두되고 있으며 발병기전도 명확하게 규명되지 않은 상태이다. 따라서 이 연구에서는 hAPP695sw 돌연변이를 neuron-specific enolase (NSE) 유전자의 프로모터 조절 하에 연결시킨 융합 유전자(pNSE/APP695sw fusion gene)를 과 발현시킨 알츠하이머 질환 모델생쥐를 대상으로 16주간 지구성 운동에 따른 알츠하이머 질환 모델생쥐의 인지능력의 변화와 주병변인 $A{\beta}-42$ 단백질과 함께 GLUT-1, BDNF, HSP-70 단백질의 발현량을 분석하였다. 그 결과 지구성 운동은 APPsw 알츠하이머 질환 모델생쥐의 인지능력을 개선시키는데 긍정적인 영향을 미친 것으로 나타났으며 이러한 인지능력의 개선은 알츠하이머 질환의 주 병변인 뇌의 $A{\beta}-42$ 감소뿐만 아니라 BDNF, GLUT-1과 HSP-70 단백질의 발현 증가와 관련이 있음을 확인하였다. 따라서 지구성 운동은 약물 처치 이외에 알츠하이머 질환을 예방하거나 지연시킬 수 있는 전략적인 방법으로 활용할 수 있음을 알 수 있다.

• Journal of the Korean Wood Science and Technology
• /
• 제35권6호
• /
• pp.13-22
• /
• 2007

주요 조림수종으로 도입 식재된 리기다소나무의 고부가가치 이용을 위한 구조용 집성재 이용 가능성을 검토하고, 이에 적합한 기술을 개발하기 위하여 본 연구를 수행하였다. 국산 리기다소나무 제재목의 기계응력등급은 대부분 E7에서 E9등급으로 집성재 제조에는 다소 불량한 것으로 나타났다. 반면 단일수종 및 혼합수종 구조용 집성재 제조에 필수적인 리기다소나무 및 낙엽소 판재의 접착성을 평가한 결과 전단접착력, 목파율, 침지 및 삶음박리율 모두 KS기준 이상으로 나타났다. 리기다소나무 단일수종 집성재의 휨성능을 측정해본 결과 휨강도는 KS의 집성재 강도등급에 따른 휨성능 합격기준을 만족한 반면 휨 탄성계수는 기준에 다소 못 미치는 결과를 나타내었다. 그러나 낙엽송 층재와의 혼합구성을 통해 리기다소나무 집성재의 휨성능(휨강도와 휨탄성계수)을 20% 향상시킬 수 있었으며, 층재 구성방법에 있어서는 판재의 탄성계수가 높고 품질이 우수한 낙엽송 층재를 외층에 배치하는 방법이 보다 효과적인 것으로 확인되었다. 결론적으로 리기다소나무의 부가가치 증진을 위한 구조용 집성재 이용은 그 가능성이 매우 컸다.

• Journal of Microbiology and Biotechnology
• /
• 제18권1호
• /
• pp.15-22
• /
• 2008

Four series (S, M, R, and W) of Alternaria longipes isolates were obtained based on consecutive selection with Dimethachlon (Dim) and ultraviolet irradiation. These isolates were then characterized according to their tolerance to Dim, sensitivity to osmotic stress, and phenotypic properties. All the selected Dim-resistant isolates showed a higher osmosensitivity than the parental strains, and the last generation was more resistant than the first generation in the M, R, and W series. In addition, the changes in the Dim resistance and osmotic sensitivity were not found to be directly correlated, and no distinct morphologic characteristics were found among the resistant and sensitive isolates, with the exception of the resistant isolate K-11. Thus, to investigate the molecular basis of the fungicide resistance, a group III two-component histidine kinase (HK) gene, AlHK1, was cloned from nineteen A. longipes isolates. AlHK1p was found to be comprised of a six 92-amino-acid repeat domain (AARD), HK domain, and response regulator domain, similar to the Os-1p from Neurospora crassa. A comparison of the nucleotide sequences of the AlHK1 gene from the Dim-sensitive and -resistant isolates revealed that all the resistant isolates contained a single-point mutation in the AARD of AlHK1p, with the exception of isolate K-11, where the AlHK1p contained a deletion of 107 amino acids. Moreover, the AlHK1p mutations in the isolates of each respective series involved the same amino acid substitution at the same site, although the resistance levels differed significantly in each series. Therefore, these findings suggested that a mutation in the AARD of AlHK1p was not the sole factor responsible for A. longipes resistance to dicarboximide fungicides.

• 대한한의학방제학회지
• /
• 제22권1호
• /
• pp.13-32
• /
• 2014

Objectives : Until now the study of Cnidii Rhizoma, hemorrhage, brain waves, such as ischemic brain injury, analgesic, effect overcome of the stress from pregnancy melanin formation and inhibiting effects skin whitening have been published regarding this article. Cnidii Rhizoma demonstrates its different abilities depending on the characteristics. This paper reported that effect of Cnidii Rhizoma in Dongeuibogam blended prescriptions as main medicine. In addition, by analyzing data, we studied about utilizing of Cnidii Rhizoma. Methods : Cnidii Rhizoma in Dongeuibogam Prescriptions as the main ingredient was built with database of 202 prescriptions. Thus analyzed data was summarized in detail.(Table-1) If there is no difference in the title of the prescription but in other case the configuration information is different, formulations 1 and 2 were divided by the table. Results : The following results were reached through investigations on the prescriptions usikng Cnidii Rhizoma as a key component. 1. Prescriptions taking Cnidii Rhizoma as a monarch drug are utilized for 40 therapeutic purposes. In particular, 12.3% of prescriptions appear in the chapter of head, and 10.8% of those appear in the chapter of women, and 9.4% of eye, 8.9% of child, 6.4% of wind disease respectively. 2. Prescriptions utilizing Cnidii Rhizoma as the main ingredient are used in the treatment of headache, dizziness and pregnancy hemorrhage fetal movement, premature birth and they are also used for treating 131 different types of disease. 3. The dosage of Cnidii Rhizoma in formulas is from 2pun(about 0.75g) to 5don(nearly 18.75g), however 1don(nearly 3.75g) has been taken the most for clinical application. 4. We find out that according to herbs or prescriptions, Cnidii Rhizoma has a variety of functions such as ascending & descending of energy. Samultang is the most useful base prescription which used the Cnidii Rhizoma as the main component. Conclusion : These results suggest that, Cnidii Rhizoma once-amount use (don nearly 3.75g) 4g in head, gynecology, ophthalmology, pediatrics and paralysis disease associated with oriental medicine resource development can be considered to be widely used These results suggest that Cnidii Rhizoma was used most with 1 don(4g) and can be widely used for the resource development to the disease such as brain, gynecology, ophthalmologhy, pediatrics and wind-associated symptoms.

• Journal of the Korean Wood Science and Technology
• /
• 제37권3호
• /
• pp.184-191
• /
• 2009

삼나무 원목은 제주도를 중심으로 점차 생산량이 증가하고 있으나, 옹이 등의 결함으로 인하여 목재자원으로서의 가치가 낮게 평가되고 있다. 본 연구에서는 삼나무에 대한 고부가가치의 새로운 용도 창출을 목적으로 구조용 집성재 이용 가능성을 확인하였다. 먼저 삼나무 제재목의 기계응력등급을 조사한 결과 국내의 다른 주요 침엽수종에 비해서는 다소 불량하지만 KS에 적합한 집성재 적층 구성에는 무리가 없는 것으로 확인되었다. 또한 집성재 제조에 필수적인 접착성 및 접착내구성에 있어서도 우수한 성능을 나타내었다. 그러나 집성재의 구조 성능을 평가한 결과, 휨 탄성계수가 KS의 기준에 다소 미달하는 결과를 나타내어 집성재의 강성 보강을 위한 추가적인 검토가 요구되었다.

• Journal of Mechanical Science and Technology
• /
• 제18권5호
• /
• pp.770-779
• /
• 2004

This paper describes the micro cutting of wear resistant tungsten carbides using PCD (Poly-Crystalline Diamond) cutting tools in performance with SEM (Scanning Electron Microscope) direct observation method. Turning experiments were also carried out on this alloy (V50) using a PCD cutting tool. One of the purposes of this study is to describe clearly the cutting mechanism of tungsten carbides and the behavior of WC particles in the deformation zone in orthogonal micro cutting. Other purposes are to achieve a systematic understanding of machining characteristics and the effects of machining parameters on cutting force, machined surface and tool wear rates by the outer turning of this alloy carried out using the PCD cutting tool during these various cutting conditions. A summary of the results are as follows: (1) From the SEM direct observation in cutting the tungsten carbide, WC particles are broken and come into contact with the tool edge directly. This causes tool wear in which portions scrape the tool in a strong manner. (2) There are two chip formation types. One is where the shear angle is comparatively small and the crack of the shear plane becomes wide. The other is a type where the shear angle is above 45 degrees and the crack of the shear plane does not widen. These differences are caused by the stress condition which gives rise to the friction at the shear plane. (3) The thrust cutting forces tend to increase more rapidly than the principal forces, as the depth of cut and the cutting speed are increased preferably in the orthogonal micro cutting. (4) The tool wear on the flank face was larger than that on the rake face in the orthogonal micro cutting. (5) Three components of cutting force in the conventional turning experiments were different in balance from ordinary cutting such as the cutting of steel or cast iron. Those expressed a large value of thrust force, principal force, and feed force. (6) From the viewpoint of high efficient cutting found within this research, a proper cutting speed was 15 m/min and a proper feed rate was 0.1 mm/rev. In this case, it was found that the tool life of a PCD tool was limited to a distance of approximately 230 m. (7) When the depth of cut was 0.1 mm, there was no influence of the feed rate on the feed force. The feed force tended to decrease, as the cutting distance was long, because the tool was worn and the tool edge retreated. (8) The main tool wear of a PCD tool in this research was due to the flank wear within the maximum value of $V_{max}$ being about 260 $\mu\textrm{m}$.

• 한국직업건강간호학회지
• /
• 제13권2호
• /
• pp.104-117
• /
• 2004

Objectives: To propose the basic data for the development of the optimum health promotion program (HPP) for the workers in a petrochemical industry complex. Methods: The subjects were 553 workers who worked at the six plants in a petrochemical industry complex. From February to March 2003, questionnaire survey was conducted by the nurses with occupational health specialty about the life styles, interests, self-cognitions, practices of health behavior, subjective symptoms thought to be related the working environments, burden to the own health, needs and intentions to participation of the HPP. Data analysis was done using SPSS program (ver 10.0) with ${\alpha}=0.05$ of statistical significance. Results: The mean age and tenure of the subjects were 39.7 years and 14.2 years, respectively, and proportion of smokers was around 50%. Two of third (66%) satisfied their own job, and 58% recognized themselves healthy. The most frequent health behavior were exercise (60%) and regular health check (87%) in individual and job based, respectively. About half of them (58%) had at least one of the symptoms thought to be related the working environments, and the most frequent one was odor (21%). These symptoms were more frequent in case of the shorter career. The needs of HPP was relatively higher in exercise (66%), cancer prevention (51%), stress control (47%), and intention to participation was also the highest in exercise (64%). Job satisfaction was higher in case of the higher interests and cognitions to their own health, and thought that the ownership's interest to workers' health be high (p<0.01), but no associations with the subjective symptoms. The mean level of burden to the own health were $14.1{\pm}13.9$ of physical, $11.7{\pm}13.6$ of emotional, $9.1{\pm}10.7$ of behavioral as out of one hundred. They felt the more burden in case of office workers, the lower interests and cognitions to their own health, the lower satisfaction to their job, the frequent drinking group, and complained the subjective symptoms (p<0.05). Abnormal results of the regular health check was higher in the frequent drinking group (p=0.083). Conclusions: For the optimum HPP for the workers in the petrochemical complex, the ownership's interest to workers' health would be enhanced, and the priority would be focused on exercise and drinking habits control.

• Asian-Australasian Journal of Animal Sciences
• /
• 제12권2호
• /
• pp.174-179
• /
• 1999

The effect of a chronic inflammation (cell-mediated immune response) on energy metabolism and growth performance was assessed in weanling piglets. Twenty four barrows of 4 wk of age were assigned to one of two immunization treatments : Control group [CON: immunized with Incomplete Freund's Adjuvant (lFA)] or Immunization group [IMMU: immunized with Complete Freund's Adjuvant (CFA)]. On d0, piglets were weaned and subcutaneously immunized at the medial side of the femur with 2 ml of IFA or CFA, respectively. Energy and nitrogen balances were measured per group during 13-d balance period, and total $(HP_{tot})$, activity-related ($(HP_{act})$) and non-activity-related $(HP_{cor})$ heat production were determined every 9-min by indirect calorimetry. Ig total titers to Mycobacterium butyricum, which is present in CFA, were higher (p<0.01) in IMMU than in CON on d13 (2.5 vs 1.8) and d20 (2.9 vs 1.8) after immunization. There were no differences (p>0.10) between treatments in rectal temperature, performance, feed intake, and availability and partitioning of energy during the balance period. Average daily feed intake was numerically higher in IMMU than in CON (0.34 vs 0.32 kg/d), but there was no difference (p>0.10) in metabolizability of the dietary energy between treatments. $HP_{act}/HP_{tot}$ was 16.24 and 16.89%, and retained energy was 251 and 268 $268\;kJ{\cdot}kg^{0.75}{\cdot}d^{-1}$ for CON and IMMU, respectively. Numerically, maintenance requirement of IMMU was even lower than that of CON $(419\;vs\;427\;kJ{\cdot}kg^{0.75}{\cdot}d^{-1})$. The present study suggests that a chronic inflammation has no effect on energy metabolism and growth performance, in spite of the difference in systemic antibody responses. The reason was considered to be due to locally induced immune response, resulting from the possible encapsulation at the site of injection, and/or to a low systemic immune stress which is within a functionally acceptable physiological range for the piglets.