• Journal of Hospice and Palliative Care
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• 제19권2호
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• pp.136-144
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• 2016

목적: 본 연구는 간호사들을 대상으로 좋은 죽음에 대한 인식, 연명치료 중단과 안락사에 대한 태도수준과 변인 간의 관련성을 확인하여 생명윤리교육의 근거를 마련하는데 실제적인 자료로 활용하고자 이루어졌다. 방법: 연구 대상은 서울, 부산경남, 및 경북지역에 소재한 500병상 이상의 6개 종합병원에서 6개월 이상 근무한 간호사 중 본 연구의 목적을 이해하고 연구 참여를 허락한 자 218명을 대상으로 편의표집 하였다. 연구도구는 좋은 죽음 인식 측정도구(The Concept of Good Death Measure), 연명치료 중단 측정도구와 안락사 측정도구(Attitudes toward Euthanasia)를 사용하였다. 수집된 자료는 SPSS 21 WIN 프로그램을 이용 서술통계, Independent t-test와 one-way ANOVA 및 Pearson's correlation coefficient로 분석하였다. 결과: 간호사의 좋은 죽음에 대한 인식, 연명치료 중단과 안락사에 대한 태도는 보통 수준이었다. 간호사의 일반적 특성에 따른 좋은 죽음에 대한 인식, 연명치료 중단과 안락사에 대한 태도차이는 교육수준, 근무경력 및 신앙의 중요성에서 유의하게 나타났다. 좋은 죽음과 연명치료 중단에 대한 태도는 역 상관관계가 있었고, 연명치료 중단과 안락사에 대한 태도는 순 상관관계가 있었다. 결론: 말기환자를 돌보는 과정에서 발생하는 윤리적 문제를 다루는데 간호사들은 숙련되어야 한다. 좋은 죽음에 대한 간호사의 인식확립과 연명치료 중단과 안락사와 같은 존엄사와 관련된 개념에 대한 이해와 윤리적 갈등 상황에서의 판단과 해결능력에 관한 생명윤리교육의 활성화가 필요하다고 본다.

• 한국축산식품학회지
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• 제32권1호
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• pp.13-17
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• 2012

Two experiments were conducted to investigate the dietary effect of chlorella vulgaris on egg production and lutein incorporation into chicken eggs. In Exp. 1, a total of three hundred, 70 wk-old Hy-Line brown layers were divided into six groups with five replicates and fed each experimental diet (corn-SBM based control diet and diets with 0.1, 0.3 or 0.5% chlorella powder and with 0.8 or 2.4% chlorella cultured media) for 6 wk, respectively. The egg production in the groups fed diets containing the chlorella powder and chlorella cultured media were higher than that of the control group (p<0.001). As dietary chlorella levels increased, the yolk color linearly increased. However, there were no significant differences in egg-shell qualities. The layers fed diet with 2.4% chlorella cultured media showed the highest Haugh unit value. In Exp. 2, a total of one hundred-eight 80 wk-old Hy-Line brown layers were assigned into four groups with three replicates per group (9 birds per replicate). The birds were fed one of four experimental diets (0, 0.5, 1.0 or 2.0% chlorella powder) for 4 wk, followed by a 14 d feeding of a withdrawal diet devoid of chlorella powder. At 2 wk, the lutein greatly increased with increasing levels of chlorella powder in birds fed diets containing more than 1%. The maximum incorporation of lutein into eggs was reached after 2 or 3 wk of feeding diets with chlorella powder. After a 7 d withdrawal, the lutein contents of egg yolks in the groups fed diets with more than 1% chlorella powder were still higher than that of control group (p<0.05). No significant differences in the lutein levels were found among groups after a 14 d withdrawal period. These results indicated that the use of chlorella in layer diets was effective in improving egg production and egg quality and for the production of lutein fortified eggs.

• 한국식품위생안전성학회지
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• 제21권4호
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• pp.244-249
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• 2006

Amoxicillin을 넙치, 조피볼락 그리고 참돔에 각각 400 mg/kg bw/day의 용량으로 7일 동안 사료와 혼합하여 경구 투여한 다음, 휴약기간 동안 근육조직 내 잔류 분포를 조사하였다. 실험어는 해수 중에서 일정한 크기의 케이지에 일반 상업용 사료를 주어 사육하였고, 실험에 사용하기에 앞서 15일 동안 환경에 적응시켰다. 약제 투여 후, 근육시료는 1, 2, 3, 4, 그리고 5일에 각각의 실험어를 대상으로 채취하였다. Amoxicillin의 잔류분석은 형광검출기를 부착한 고속액체크로마토그래피를 이용하여 분석하였다. Amoxicillin의 회수율은, 0.05mg/kg의 농도에서 84.3-101.3%, 0.1mg/kg의 농도에서는 75.0-91.5%를 보였다. 투약 후 1일에는, 참돔의 근육 중 amoxicillin의 잔류농도가 넙치와 조피볼락의 근육 중 잔류농도에 비하여 높았으나 통계적 유의성은 없었으며, 투약 후 4일에는, 모든 근육 시료에서 amoxicillin이 검출되지 않았다. 이상의 결과로부터, amoxicillin의 사료혼합을 통한 경구 투여는 넙치, 조피볼락 그리고 참돔의 근육 중에서 안전휴약기간(7일) 보다도 체래 소실이 빨리 일어나는 것으로 추정되는 바, 안전휴약기간을 준수한다면 amoxicillin의 어류 근육 조직 내 잔류로부터 안전할 것으로 사료된다.

• Journal of Korean Neurosurgical Society
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• 제67권1호
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• pp.73-83
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• 2024

Objective : The Act on Life-Sustaining Treatment (LST) decisions for end-of-life patients has been effective since February 2018. An increasing number of patients and their families want to withhold or withdraw from LST when medical futility is expected. This study aimed to investigate the status of the Act on LST decisions for patients with acute cerebrovascular disease at a single hospital. Methods : Between January 2017 and December 2021, 227 patients with acute cerebrovascular diseases, including hemorrhagic stroke (n=184) and ischemic stroke (n=43), died at the hospital. The study period was divided into the periods before and after the Act. Results : The duration of hospitalization decreased after the Act was implemented compared to before (15.9±16.1 vs. 11.2±18.6 days, p=0.127). The rate of obtaining consent for the LST plan tended to increase after the Act (139/183 [76.0%] vs. 27/44 [61.4%], p=0.077). Notably, none of the patients made an LST decision independently. Ventilator withdrawal was more frequently performed after the Act than before (52/183 [28.4%] vs. 0/44 [0%], p<0.001). Conversely, the rate of organ donation decreased after the Act was implemented (5/183 [2.7%] vs. 6/44 [13.6%], p=0.008). Refusal to undergo surgery was more common after the Act was implemented than before (87/149 [58.4%] vs. 15/41 [36.6%], p=0.021) among the 190 patients who required surgery. Conclusion : After the Act on LST decisions was implemented, the rate of LST withdrawal increased in patients with acute cerebrovascular disease. However, the decision to withdraw LST was made by the patient's family rather than the patient themselves. After the execution of the Act, we also observed an increased rate of refusal to undergo surgery and a decreased rate of organ donation. The Act on LST decisions may reduce unnecessary treatments that prolong end-of-life processes without a curative effect. However, the widespread application of this law may also reduce beneficial treatments and contribute to a decline in organ donation.

• 가정과삶의질연구
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• 제25권5호
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• pp.65-82
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• 2007

This study investigated the moderating effects of conflict-coping strategies between marital conflict and satisfaction according to gender and marital period. The subjects of this study were 178 couples from Cheongju who have been married less than fourteen years. For husbands and wives who have been married less than 7 years, nothing moderated the interaction between marital conflict and satisfaction. However, for husbands who have been married between 8 and 14 years, their conflict withdrawal moderated the interaction between marital conflict and satisfaction. For their wives, their conflict-expression strategy and their husbands' conflict-expression strategy moderated the interaction between marital conflict and satisfaction.

• 약학회지
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• 제29권1호
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• pp.27-31
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• 1985

The administraction of ginseng butanol fraction(GBF) inhibited the development of tolerance to and physical dependence on morphine induced by morphine multiple injections in mice. Each group of mice was injected with morphine hydrochloride (40mg/kg s.c.) three times at 8 hr intervals for a period of 6 days. GBF (25, 50, 100, 200mg/kg) was injected (i.p.) to mice 1hr prior to the third morphine injection daily. Inhibition of morphine tolerance by GBF was evidenced by the increase in analgesic response to morphine hydrochloride (10mg/kg) as estimated by the tail flick method and the reduction in morphine dependence was estimated by the decreased number of the naloxone induced withdrawal jumping mice. Further evidenced that GBF reduced the development of morphine dependence was indicated by the fact that GBF decreased the loss in body weight.

• 경영과학
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• 제21권3호
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• pp.85-99
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• 2004

The retention of customer is an increasingly pressing issue in today's competitive environment. The proposes of this paper is a personalized defection detection and the procedure of prevention based on economic analysis of customer defection possibility, and behaviour state transition cost. This procedure is based on the observation that potential defectors have a tendency to take a couple of months or weeks to gradually change their behaviour before their eventual withdrawal. In this procedure, the SOM(Self-Organizing Map) is used to determine the possible states of customer behaviour from past behaviour data, and to prevent the defection of potential defectors, the proposed procedure recommends the desirable behaviour state for the next period based on the analysis of transition cost. and likelihood of defection. The case study has been conducted for a Korean on-line game provider to evaluate of this procedure.

• 수면정신생리
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• 제10권1호
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• pp.20-25
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• 2003

Many people suffer from chronic insomnia. Inappropriate sleep causes attention difficulties, decreased work efficiency, and increased traffic accidents and disasters. Evaluating the precise causes of insomnia prior to treatment is very important, because chronic insomnia can be a secondary symptom of other medical, psychiatric, and sleep disorders. Medication and behavior therapy are not exclusive of each other, and both treatments are beneficial to some patients, but currently many physicians and patients tend to be dependent only on medication. While long-term medication causes various degrees of dependency, tolerance, and withdrawal symptoms, behavior therapy has a stable effect over a long period. Behavior therapy is one of the most important treatment modalities for chronic insomnia. It shortens sleep latency, and decreases frequency of awakening during sleep. The rationale and practice of currently used behavior therapy and light therapy will be reviewed in this study.

• 한국식품위생안전성학회지
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• 제6권2호
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• pp.17-22
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• 1991

Great attention form a public health aspect has centered on the safety of tissues residues of veterinary drugs and environmental contaminants, with intensification of animal husbandry, the use of veterinary drugs will become increasingly important. Heavy responsibility is placed on the veterinarian and livestock producer to observe the period for withdrawal of drug prior to slaughter to assure that illegal concentrations of drug residues in meat, milk and egg do not occur. Every nation has their own regulations in relation to the residues and the guidelines on the use of veterinary drugs to fulfil the regulations, and their own national residue programs to monitoring and eliminate illegal products. Good practice of veterinary drug by users and governmental surveillance programs are very important to ensure animal food safety.

• 약학회지
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• 제19권4호
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• pp.234-239
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• 1975

Protocollagen proline hydroxylase (PPH) activity in the course of rebound of rat carrageenin granuloma was assyed to investigate its relationship with collagen blosynthesis. The specific activity of PPH which was inhibited significantly by treatments with hydrocortisone acetate 93mg/kg/day, 3days) was recovered near to the normal level by 48hr after the cessation of the corticoid treatments. The total enzyme activity of the granuloma of treated group was not yet recovered even on the 3rd day, still showing a significant difference from control. PPH activity expressed in terms of granuloma cells between control and the drug treated group, however, was changed showing no apparent difference throughout the experimental period. These results suggested that the synthesis of protocollagen(collagen precursor) rather than PPH activity was directly affected by administration and withdrawal of corticoid.