• 대한족부족관절학회지
• /
• 제23권4호
• /
• pp.201-207
• /
• 2019

An osteochondral fracture is considered to be an injury involving the cartilage and subchondral bone. Acute traumatic osteochondral fractures can be related to joint instability because abnormal joint motion causes shearing and rotatory stress. Acute osteochondral fractures are frequently missed or misdiagnosed as a pure soft tissue injury. Thus, surgeons' proactive attention is highly required as articular cartilage has limited potential for self-repair and these lesions may develop osteoarthritis. In order to minimize the progression of post-traumatic osteoarthritis, it is important to properly identify and treat osteochondral fractures. Yet, little is known about the operative management of acute osteochondral fractures of the talus. We report here on a case of a middle-aged male with acute osteochondral fractures of the bilateral lateral talar dome. We applied different operative methods on each side with regard to fragment size and stability. A favorable clinical outcome was obtained at 18 months follow-up.

• Asian-Australasian Journal of Animal Sciences
• /
• 제18권10호
• /
• pp.1445-1450
• /
• 2005

This experiment was conducted to evaluate the effect of feed withdrawal (F) and heat acclimatization (A) on malebroiler and -layer chickens responses to acute heat stress (AHS) at four weeks of age. Totals of ninety male chicks of broiler or layer type were randomly allocated into 30 pens of grower batteries with raised wire floors. Chicks were subjected to F and A three times a week through the first three weeks of age. At each time, feed withdrawal and heat acclimatization (T = $35^{\circ}C$) lasted for six and four hours, respectively. Feed consumption (FC), body weight (BW), and feed conversion ratio (FCR) were recorded weekly for broiler type chickens only. At four weeks of age, all groups of chickens were exposed to AHS (T = $39{\pm}1^{\circ}C$) for three hours. Before and after AHS challenge, body temperature (Tb), heterophil (H), and lymphocyte (L) counts were recorded, and H/L ratio was calculated. Antibody (Ab) response to sheep red blood cells (SRBC) was assessed from all treatments without being exposed to AHS. Group F of broiler-type chickens weighed less (p<0.05) compared to control group. Also, both A and F groups of broiler-type chickens consumed less (p<0.05) feed when compared to control group. Acute heat stress elevated Tb of all treatment groups, however the increase was more profound (p<0.001) in broiler chicks. Broiler chicks of both A and F groups showed a tendency to have higher (p = 0.08) Tb when compared to control group. Acute heat stress elevated (p<0.001) H/L ratio in both types of chickens. Broiler chicks maintained higher (p<0.001) H/L ratio. Both F and A groups reduced (p<0.01) the level of elevation in H/L ratio compared to control groups of both types of chickens. Neither A nor F group affected the Ab production in response to SRBC. However, there was a tendency towards higher Ab responses in F group when compared to other groups in both types of chickens. Results of the present study demonstrate that previous history of feed withdrawal or episodes of heat exposures improved chicks'physiological withstanding of AHS and a tendency to improved humoral immune response.

• Journal of Oral Medicine and Pain
• /
• 제31권1호
• /
• pp.79-89
• /
• 2006

구강 내에 발생되는 질환의 대부분이 타액의 영향을 받는다는 사실과 타액에 영향을 주는 전신적인 요소 중에서도 스트레스가 중요하다는 것은 이미 잘 알려져 있으나, 스트레스가 타액선에 미치는 영향에 관해서는 자율신경에 의한 거시적 반응에 대하여만 소개가 되었을 뿐 세포수준의 미시적 변화에 대하여는 별다른 언급이 없었다.. 이에 본 연구에서는 다양한 스트레스 조건하에서 백서의 악하선이 어떠한 변화를 보이는지를 clusterin 의 발현양상을 관찰함으로써 유추해보고자 하였다. 부여할 스트레스 조건을 급성 구속스트레스와 만성 저강도 스트레스의 두 가지로 정하고 7주된 Sprague-Dawley계 웅성백서 51마리를 사용하여 정해진 기간동안 급성 구속스트레스와 만성 저강도 비예측성 스트레스 (CUMS)를 가한 후 희생하여 악하선을 절취하고 역시 면역조직화학법과 웨스턴 면역점적법을 이용하여 악하선에서 clusterin발현의 시간에 따른 변화를 관찰하였으며, 그 결과는 다음과 같다: 1. 급성 구속스트레스 군에서, Clusterin 이 발현된 모든 선포의 합은 1시간 군을 제외한 모든 실험군 (9시간, 24시간, 72시간, 120시간, 그리고 168시간 군) 에서 대조군에 비하여 유의성 있게 감소하는 경향을 보였다 (p<0.001). 2. 만성저강도스트레스 군에서, 대조군에 대한 clusterin이 발현된 모든 선포의 합은, 2주군(p<0.01)에서 대조군에 비하여 유의하게 증가되는 모습을 보여주었고, 4주군(p<0.01)과 5주군(p<0.001)에서 대조군에 비하여 유의성 있게 감소하는 경향을 보였다. 3. 만성 저강도 스트레스 실험에서 4주째까지는 대조군과 실험군간의 당선호도 차이에 있어서 유의한 변화가 보이지 않았으나, 5주째에 유의성 있는 감소를 나타내었다(p<0.001). 4. 만성 저강도 스트레스 부여군은 5주째 대조군에 비하여 유의성 있는 체중변화(p<0.001)를 보여주었으나, 수분섭취량의 변화는 유의성 있는 상관관계를 보여주지 못하였다. 5. 면역점적검사를 시행한 결과, 구속스트레스 군에서는 clusterin의 발현이 시간에 따라 일정하게 감소하는 것으로 표현되었고, CUMS 군에서는 2주째까지는 증가하다가 3주 이후부터 실험 전기간에 걸쳐 감소하는 것으로 나타났으며 이는 당선호도 및 몸무게 변화의 양상의 변화와 크게 다르지 않았다. 따라서 위의 실험결과를 놓고 볼 때, 타액선 clusterin의 발현이 급성과 만성에 관계없이 스트레스 부여 후에 감소하였지만, 다른 문헌에서 제안된 것처럼 clusterin 의 고갈에 의한 세포자사적 변화는 관찰되지 않았다. 따라서 향후 보다 강화된 강도의 급성스트레스를 부여하는 방법과 더 장기적으로 진행된 연구를 통하여 고강도 스트레스에서 clusterin의 발현감소와 함께 세포의 변성이나 자사가 초래되는지, 저강도 스트레스의 경우 장기간 시간이 경과함에 따라 원래의 상태에 가깝게 회복되는지, 다른 열 충격 단백질이나 세포 사멸 시에 나타나는 단백질들을 동시에 확인하여 보는 것이 필요할 것으로 사료된다.

• 한국간호교육학회지
• /
• 제20권2호
• /
• pp.192-202
• /
• 2014

Purpose: The purpose of this study was to identify the impacts of social support and acculturative stress on depression among Korean registered nurses in the United States. Method: In total, 137 nurses were recruited through direct interviews and online surveys. The data were collected through a structured questionnaire from June 1, to September 16, 2012, and analyzed using descriptive statistics, t-test, ANOVA, Scheff$\acute{e}$'s test, Pearson correlation coefficient, and stepwise multiple regression with SPSS WIN 14.0. Results: Social support significantly differed by the length of one's nursing career in US, monthly income and perceived health status. Acculturative stress significantly differed by the length of one's nursing career in US and types of employment setting. Depression significantly differed by the total length of one's nursing career, type of employment setting, and perceived health status. Moreover, Depression was negatively correlated with social support; positively correlated with acculturative stress; social support was negatively correlated with acculturative stress. Factors influencing depression were acculturative stress, perceived health status, and social support, which explained about 23% of the total variance. Conclusion: These results suggest that an adaptation program that decreases acculturative stress and improves social support should be developed and implemented for Korean nurses to help them successfully integrate into the healthcare system of new country.

• Journal of Acupuncture Research
• /
• 제22권6호
• /
• pp.173-180
• /
• 2005

Objectives : The purpose of this study was to assess the effect auricular acupuncture for acute mental stress using power spectrum analysis of the heart rate variability(HRV). Methods : 10 healthy volunteers participated in this study. After 5 minute rest, the first mental stress was provided for 5 minute. And then subjects rested for 15 minute. The second mental stress was provided for 5 minute. The acupoint, Shin-Mun point of the ear was stimulated for 15 minute. HRV was recorded before and after the first and second mental stress, and after auricular acupuncture stimulation. Results : After mental stress, normalized LF and LF/HF ratio is significantly increased. Before and after simple rest, normalized LF and normalized HF is significantly changed, but LF and LF/HF ratio is not significantly changed. On the other hand, before and after auricular acupuncture treatment, normalized LF, normalized HF is significantly changed, and also LF and LF/HF ratio is significantly decreased. Conclusion : The result suggest that auricular acupuncture can decrease more significantly in cardiac sympathetic activity due to mental stress than simple rest.

• Biomolecules & Therapeutics
• /
• 제20권5호
• /
• pp.482-486
• /
• 2012

Cerebral monoamines play important roles as neurotransmitters that are associated with various stressful stimuli. Some components such as ginsenosides (triterpenoidal glycosides derived from the Ginseng Radix) may interact with monoamine systems. The aim of this study was to determine whether ginsenoside Rb1 can modulate levels of the monoamines such as dihydroxyphenylalanine (DOPA), dopamine (DA), norepinephrine (NE), epinephrine (EP), 3,4-dihydroxyphenylacetic acid (DOPAC), 5-hydorxytryptamine (5-HT), 5-hydroxindole-3-acetic acid (5-HIAA), and 5-hydroxytryptophan (5-HTP) in mice frontal cortex and cerebellum in response to immobilization stress. Mice were treated with ginsenoside Rb1 (10 mg/kg, oral) before a single 30 min immobilization stress. Acute immobilization stress resulted in elevation of monoamine levels in frontal cortex and cerebellum. Pretreatment with ginsenoside Rb1 attenuated the stress-induced changes in the levels of monoamines in each region. The present findings showed the anti-stress potential of ginsenoside Rb1 in relation to regulation effects on the cerebral monoaminergic systems. Therefore, the ginsenoside Rb1 may be a useful candidate for treating several brain symptoms related with stress.

• Clinical and Experimental Pediatrics
• /
• 제61권5호
• /
• pp.150-155
• /
• 2018

Purpose: Infantile spasms, also known as West syndrome, is an age-specific epileptic seizure. Most patients with this condition also exhibit delayed development. This study aimed to determine the effect of long-term prenatal stress on susceptibility to infantile spasms. Methods: We subjected pregnant rats to acute or chronic immobilization stress. Resulting offspring received N-methyl-D-aspartic acid (15 mg/kg, intraperitoneally) on postnatal day 15, and their behaviors were observed 75 minutes after injection. The expression of KCC2 and GAD67 was also determined using immunohistochemistry. Results: Exposure to long-term prenatal stress increased the frequency of spasms and decreased the latency to onset of spasms compared with offspring exposed to short-term prenatal stress. Expression of KCC2 and GAD67 also decreased in the group exposed to long-term prenatal stress compared with the group exposed to short-term prenatal stress. Conclusion: Our study suggests that exposure to long-term prenatal stress results in increased susceptibility to seizures.

• 여성건강간호학회지
• /
• 제24권4호
• /
• pp.336-345
• /
• 2018

Purpose: To identify factors influencing adaptation to menopause in middle-aged women. Methods: Participants were 157 middle-aged women who visited Y gynecologic clinic in C city. Data were collected through interviews using the Korean CES-D (Center for Epidemiological Studies Depression), climacteric symptoms, life event stress, and menopausal adaptation scale. Data were analyzed by descriptive statistics, t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficient, and multiple regression using SPSS. Results: There were significant differences in adaptation to menopause according to monthly income, life satisfaction, and marital satisfaction. Adaptation to menopause had significantly negative correlations with depression, climacteric symptoms, and life event stress. Depression, monthly income, climacteric symptoms, and life event stress were verified as factors affecting adaptation to menopause. These factors accounted for 41.9% of adaptation to menopause. Conclusion: These variables should be considered in nursing interventions to improve adaptation to menopause in middle-aged women. Individuals should have the will to overcome menopause positively and actively.

• Fisheries and Aquatic Sciences
• /
• 제12권3호
• /
• pp.179-184
• /
• 2009

Hemibarbus mylodon (Cypriniformes) is an endemic freshwater fish species in the Korean peninsula, for which urgent conservation efforts are needed. To understand their stress responses in relation to metal toxicity and thermal elevation, we performed a real-time RT-PCR-based expression assay of hepatic copper/zinc-superoxide dismutase (Cu/Zn-SOD), a key antioxidant enzyme, in response to experimental heavy metal exposure or heat treatment. The transcription of hepatic Cu/Zn-SOD was differentially modulated by acute exposure to Cu, cadmium (Cd), or Zn. Exposure to each metal at $5{\mu}M$ for 24 h revealed that Cu stimulated the mRNA expression of Cu/Zn-SOD to a greater extent than the other two heavy metals. The elevation in Cu/Zn-SOD transcripts in response to Cu exposure was dose-dependent (0.5 to $5{\mu}M$). Time course analysis of Cu/Zn-SOD expression in response to Cd exposure ($5{\mu}M$) revealed a transient pattern up to day 7. Exposure to thermal stress (an increase from 22 to $30^{\circ}C$ at a rate of $1^{\circ}C/h$ followed by $30^{\circ}C$ for 18 h) did not significantly alter SOD transcription, although heat shock protein 90 kDa (HSP90) transcription was positively correlated with an increase in temperature.

• 한국융합학회논문지
• /
• 제10권9호
• /
• pp.311-321
• /
• 2019

본 연구는 요양보호사의 소진에 미치는 영향요인을 파악하고, 이를 기반으로 요양보호사의 소진감소프로그램 개발을 위한 기초자료를 제공하기 위하여 시도된 융합연구이다. 연구대상자는 G시 소재한 요양보호시설에 6개월 이상 근무한 요양보호사 중 연구목적을 이해하고 자발적으로 연구에 참여를 동의한 대상자에게 2015년 9월 설문지를 배부하여 총 185부를 분석하였다. 자료분석은 t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficient 및 Stepwise multiple regression을 구하여 분석하였다. 요양보호사의 소진에 미치는 영향요인은 개인역할 및 일상업무요인 스트레스(${\beta}=.307$, p<.001), 상사관계 스트레스(${\beta}=.186$, p<.021), 자신감(${\beta}=.182$, p<.005) 및 소극적 대처방식(${\beta}=.140$, p<.035)으로 총 27.5%의 설명력을 보였다. 본 연구결과를 토대로 요양보호사의 소진을 감소시키기 위해서는 스트레스를 감소하고 자신감을 상승과 더불어 대처방식을 다양화 할 수 있는 소진감소 프로그램 개발이 필요할 것으로 사료된다.