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카나다 보포트-맥켄지 분지의 일라이트/스멕타이트의 원소 지화학 및 산소동위원소 연구 (Major, Trace and Rare Earth Element Geochemistry, and Oxygen-Isotope Systematics of Illite/smectite in the Reindeer D-27 Well, Beaufort-Mackenzie Basin, Arctic Canada)

  • 고재홍
    • 자원환경지질
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    • 제28권4호
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    • pp.351-367
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    • 1995
  • 보포트-맥켄지 분지의 리인디어 D-27 시추공 시료에 대한 원소 지화학 및 산소동위원소 연구가 수행되었다. $K_2O$, Rb, 희토류원소의 함량 증가, Mg, Ti, Sc, Zn, Zr 등의 팔면체 원소의 감소, Be, V 등의 사면체 원소의 증가는 깊이에 따라 일라이트층의 구성비가 증가하는 일라이트/스멕타이트의 속성경향과 대비된다. 스멕타이트층과 일라이트층의 구조식은 각각 $[Al_{1.57}Fe_{.19}Mg_{.31}Ti_{.07}][Si_{3.84}A_{1.16}]O_{10}(OH)_2$$[Al_{1.84}Mg_{.16}][Si_{3.33}Al_{.67}]O_{10}(OH)_2$로 추정된다. 일라이트/스멕타이트의 속성과 연관하여 희토류원소의 유동이 관찰되었다. 희토류원소, 특히 La와 Ce의 깊이에 따른 함량 증가는 높은 전하가를 갖는 사면체 원소 ($V^{5+}$)의 유입과 관련이 있다. $V^{5+}$에 의한 잉여 전하는 부분적으로 낫은 전하가를 갖는 $Be^{2+}$에 의하여 상쇄되며, 또한 $Be^{2+}$에 의하여 발생되는 지엽적인 전하 불균형은 층간 이온으로는 높은 전하가 (+3)를 갖는 희토류 원소에 의하여 해소된다. 일라이트/스멕타이트의 ${\delta}^{18}O$가 (SMOW)는 2.91~15.72‰의 범위를 보이며, 걸프연안 등의 일라이트/스멕타이트와는 달리 깊이에 따라 증가한다. 일라이트/스멕타이트의 ${\delta}^{18}O$가의 증가는 공극수의 ${\delta}^{18}O$ 증가도가 깊이에 따라 증가하는 온도로 인한 동위원소 분별작용정수 (${\Delta}_{I/S-water}$)의 감소도보다 크기 때문이다. 일라이트/스멕타이트와 평형인 공극수의 ${\delta}^{18}O$가의 계산결과는 공극수의 근원이 지표수임을 지시한다. 중간 깊이에서 낮은 ${\delta}^{18}O$가를 보이는 450m 두께의 구간은 공극수가 층상화되어 있음을 의미한다. 그러나 이 깊이 구간이 낮은 일라이트층 구성비와 낮은 $K_2O$ 함량을 보이는 구간과 일치하지 않는 것으로 볼때 동위원소 교환 반응과 광물학적, 지화학적 반응은 서로 독립적으로 일어나는 것으로 해석된다.

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영일만 수질의 시ㆍ공간 변동에 미치는 담수유입의 효과 (The Effect of Freshwater Inflow on the Spatio-temporal Variation of water Qualify of Yeongil Bay)

  • 김영숙;김영섭
    • 환경생물
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    • 제22권1호
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    • pp.57-65
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    • 2004
  • 1998년에서 2000년까지 2월과 5월, 8월, 11월 각 분기별로 영일만과 형산강의 수질의 변화에 대하여 조사하였다. 그리고 형산강에서 영일만으로 유입되는 담수가 영일만 수질에 미치는 영향에 대하여 고찰하였다. 수온은 5월과 8월에 높은 기온과 냉수대의 영향으로 표층수는 저층수보다 수온이 높으며, 염분은 형산강으로 부터 유입되는 담수의 영향으로 만 내측이 특히 낮은 특징을 나타내었다. 그리고 표ㆍ저층수의 염분차는 만 외측이나 만 중앙부에 비하여 만 내측이 크게 나타났다. COD는 8월과 11월에 각각 높게 나타났으며, 2월이 가장 낮은 농도를 나타내었다. 정점별로는 표ㆍ저층 모두 대체적으로 영일만 내측에서 외측으로 갈수록 점차 낮아지는 경향을 보였으며 그 차는 크게 나타났다. DIN의 평균농도는 8월에 가장 높고, 5월에 가장 낮은 값을 나타내었다. 정점별로는 표ㆍ저층수 동일하게 5월을 제외하고 정점 1에서 가장 높았으며, 대체로 만 외측으로 갈수록 점차 낮아지는 경향을 보였다. $PO_4$-P의 평균농도는 2월에 가장 높았고 8월에 가장 낮았다 정점별로는 정점 1에서 현저히 높았고 만 중앙부에 위치한 정점 3, 그리고 만 바깥쪽인 정점 4에서 점차적으로 낮아지는 경향을 보였다. 저층수에서는 11월에 높은 농도를 나타내었으며, 정점별로는 표층과는 상이하게 정점 5와 정점 1에서 높은 농도를 나타내었다. 분기별 형산강수질의 변동에서, COD는 2월과 5월이 각각 높았으며, 전반적으로 유량이 큰 8월이 가장 낮았으나 영일만 수질의 변화와의 비교에서 영일만에 미치는 영향은 가장 크게 나타내었다. TN의 농도범위는 COD와 비슷한 양상을 보였는데, 2월과 5월이 높았고 8월이 가장 낮았다. 반면 TP의 경우에는 2월과 5월에 낮았다. DIN과 $PO_4$-P사이의 상관관계에서, 전반적으로 영일만 내의 외 해수 유입과 담수의 유입이 상호 복잡하게 영향을 미쳐 상관성이 낮은 수치($r^2$=0.5 이하)를 나타내었으며, 이는 만의 가장 내측인 정점 1과 만입구쪽인 정점 5에서의 상이한 양상으로도 알 수 있었다. 또한 만 내 측인 정점 1, 2및 3에서 나타난 $\Delta N/\Delta P $의 부(-)의 상관관계에서도 유입되는 담수의 영향이 큼을 알 수 있었다. 영일만에서는 대체적으로 $\Delta N/\Delta P $ 원자비가 Redfild ratio평균 6.4로 낮게 나타나 전 해역에서 DIN이 $PO_4$-P의 농도에 비하여 상대적으로 고갈된 상태를 나타내었으며, 반면에 과잉된 상태의 $PO_4$-P는 유입되는 형산강담수가 공급원으로 작용함을 알 수 있었다.

정상인에서 혈중 연과 zinc protoporphyrin과의 상관관계 및 HPLC 와 Hematofluorometer로 측정한 zinc protoporphyrin량간의 비교 (The Relationship between Zinc protoporphyrin and Lead levels in Normal Adults' Blood And Comparison of Zinc protoporphyrin values by High Performance Liquid Chromatograph and Hematofluorometer)

  • 김강윤;김현욱
    • 한국산업보건학회지
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    • 제3권2호
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    • pp.141-151
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    • 1993
  • Blood samples obtained from 200 adults who had visited the "S" general hospital were analyzed to compare the zinc protoporphyrin (ZPP) levels quantified by high performance liquid chromatograph (HPLC) and by hematofluorometer (HF) to investigate the methodological difference if any and the relationship between the levels of blood lead and ZPP among no-lead exposed adults. Also investigated were the distribution of ZPP and protoporphyrin IX (PPIX) concentrations, the establishment of normal levels of blood ZPP and blood lead, and the contribution of age and sex factors to these values. These subjects had no previous occupational exposure to lead. The results obtained were as follows : 1. The mean values of blood lead for male and female subjects were $9.46{\pm}2.44{\mu}g/dl$ and $8.09{\pm}2.17{\mu}g/dl$, respectively. The difference observed in the mean concentrations between male and female subjects was statistically very significant. 2. The mean values of blood ZPP by HPLC for male and female subjects were $15.94{\pm}4.55{\mu}g/dl$ and $22.26{\pm}6.61{\mu}g/dl$, respectively. The difference observed in the mean concentrations between male and female subjects was statistically not significant. The mean values of blood PPIX by HPLC for male and female subjects were $2.51{\pm}1.78{\mu}g/dl$ and $2.81{\pm}1.56{\mu}g/dl$, respectively. The difference observed in the mean concentrations between male and female subjects was statistically not significant. 3. The mean values of blood ZPP by HF for male and female subjects were $28.44{\pm}7.11{\mu}g/dl$ and $37.77{\pm}8.04{\mu}g/dl$, respectively. The difference observed in the mean concentrations between male and female subjects was statistically very significant. 4. No statistically significant correlation was found between the levels of blood ZPP and blood lead. 5. The ratio of ZPP and protoporphyrin IX (PPIX) concentration to erythrocyte protoporphyrin (EP, EP=ZPP+PPIX) concentration was 87.4% and 12.6%, respectively. 6. A statistically very significant correlation was found between the ZPP concentrations determined by HPLC and the values by HF (r=0.7565). The ZPP concentraitons quantified by HF were 1.75 times as high as the values obtained by HPLC. 7. The blood ZPP concentrations quantified by HPLC, HF, and spectrofluorometer (SF) from the blood samples obtained from 14 lead-exposed workers and from 16 no-lead exposed adults showed wide variations. The ZPP concentrations by HF were the highest followed by the levels obtained by SF and by HPLC. In the exposed group, no statistically significant difference was found among three methods of quantifying blood ZPP levels. In the no-lead exposed group, however, statistically significant difference was observed among these methods. The ZPP concentrations by HF were about twice as high as those of by HPLC or by SF. Among three methods of quantifying blood ZPP (HPLC, SF and HF), the results revealed significant difference. Therefore it is suggested that objective methods of quantifying blood ZPP and a system of correcting different ZPP levels be developed by the ministry of Labor.

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침치료가 굶긴 쥐 시상하부에서 neuropeptide Y(NPY)와 leptin receptor(LR)의 발현에 미치는 영향에 대한 실험적 연구 (Effect of Acupuncture on the Expressions of Neuropeptide Y and Leptin Receptor in the Hypothalamus of Food-deprived Rats)

  • 김미아;정우상;문상관;김영석;김창주;조기호
    • 대한한방내과학회지
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    • 제34권2호
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    • pp.113-121
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    • 2013
  • 목 적 : 본 연구에서는 침치료가 비만치료의 주요방법인 식욕억제에 효과적인지 알아보기 위하여 굶긴 쥐 시상하부에서 NPY와 LR의 발현 변화를 실험을 통하여 연구하였다. 방 법 : 생후 6주 Sprague-Dawley rats를 한 군에 다섯 마리씩 배정하여 대조군-무치료, 대조군-이침치료, 대조군-족삼리치료, 대조군-임의혈치료, 실험군-무치료, 실험군-이침치료, 실험군-족삼리치료, 실험군-임의혈치료의 8군으로 분류하여 실험하였다. 실험군은 3일간 물만 공급하고 사료를 금식시켰고, 침자극은 하루 2회 3일간 시행하였다. 침은 직경 0.3 mm 이었고, 양측혈을 사용하였고, 2-4 mm 깊이로 자입 하였으며, 20분 유침하였다. 3일 후 pentobarbital로 마취하여 사망시켰고, 4% paraformaldehyde로 조직을 고정한 후 뇌조직을 관상으로 $40{\mu}m$두께로 잘랐다. 식욕조절중후인 시상하부의 paraventricular nucleus(PVN)에서 NPY와 LR의 발현을 면역조직법으로 보았다. 결 과 : 굶기지 않은 대조군에 비하여 굶긴 실험군에서 시상하부 PVN 에서 NPY의 증가와 LR 감소가 나타났다. 굶긴 실험군에 이침, 족삼리, 임의혈 자침시 시상하부 PVN 에서 NPY의 감소가 나타났으며, 이침이 타침 자침에 비하여 NPY의 감소를 더욱 크게 나타냈다. 굶기지 않은 정상상태에서 이침, 족삼리, 임의혈 자침시 NPY의 증가가 있었으며 이는 자침에 의한 스트레스로 인한 것으로 보여진다. 굶긴 실험군에 이침 자침 시에만 시상하부 PVN에서 LR의 증가가 있었으며 정상상태에서 자침시 LR 발현의 변화는 없었다. 결 론 : 이상의 연구결과로서 이침치료가 식욕을 억제하는데 가장 유의한 효과가 있는 것으로 나타났다.

경인 지역 소아의 A형 간염 항체 보유율 (Prevalence of Antibodies to Hepatitis A in the Healthy Children in Inchon-Kyunggi Prefecture)

  • 권영세;홍영진;최연호;김순기;손병관;강문수;배수환;홍광선
    • Pediatric Infection and Vaccine
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    • 제5권2호
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    • pp.239-244
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    • 1998
  • 목 적 : A형 간염은 수년동안 거의 발생 보고가 없었으나 최근 경인지역에서 A형 간염 발생이 증가하였다고 보고되고 있으며, 소아에서도 대전에서 집단 발생이 보고된 바가 있다. 이는 사회경제적으로 발전하고 주거환경이 좋아지면서 소아에서의 A형 간염에 대한 항체 보유율이 낮아진 결과, 감염원에 노출된 연장아와 성인에서 현증 감염이 증가된 것으로 추측된다. 이에 저자들은 경인 지역에서 건강한 소아의 A형 간염 항체 보유율을 조사하여 A형 간염의 역학적 특성을 이해하는데 도움이 되고자 이 연구를 시행하였다. 방 법 : 경인 지역의 l세 76명의 유아와 3세 78명 및 5세 58명의 유아원생과 11세, 13세, 15세, 17세의 초중고생 각각 100명씩을 채혈하였고 혈청을 분리하여 $-80^{\circ}C$에 보관하였다가 Abbott사의 AxSYM$^{(R)}$ HAVAB(Microparticle Enzyme Immunoassay : MEIA)를 이용하여 anti-HAV를 측정하였다. 결 과 : 1) 전부 612명을 검사하였고 남아 316, 여아 296명으로 남녀의 비는 1.1 : 1이었다. 2) 1세군에서는 10.5%(남아 6례, 여아 2 례)에서 anti-HAV가 양성이었고, 3, 5, 11, 13세 군에서는 전부 anti-HAV가 음성이었으며, 15세 군에는 6%(남학생 4례, 여학생 2례)에서 anti-HAV가 양성이었고, 17세 군에서는 11 %(남학생 7례, 여학생 4례)에서 양성이었으며 남녀간의 차이는 없었다. 결 론 : 경인 지역의 유아 및 학동기 소아에서 A형 간염 항체가 거의 형성되어 있지 않으므로 감염자와의 접촉이나 오염된 음식들을 통해 학동기 소아에서의 현증 환자 발생의 위험이 있어, A형 간염에 대한 관심을 가지고 진료에 임하는 것이 필요하며 예방 방법에 대한 지침이 만들어져야 될 것으로 생각된다.

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간호학사 편입학제도의 교과과정 비교분석 (Comparative analysis of RN-BSN Program in Korea and U. S. A.)

  • 이옥자;김현실
    • 한국간호교육학회지
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    • 제3권
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    • pp.99-116
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    • 1997
  • In response of the increasing demand for professional degree in nursing, some university in Korea offers RN-BSN program for R. N. from diploma in nursing. However, RN-BSN program in Korea is in formative period. Therefore, the purpose of this survey study is for the comparative analysis of RN-BSN curriculum in Korea and U.S.A. In this study, subjects consisted of 18 department of nursing in university and 5 RN-BSN programs in Korea and 18 department of nursing in university and 12 RN-BSN programs in U.S.A. For earn the degree of Bachelor of Science in Nursing, the student earns 134 of mean credits in U.S.A., whereas 150.3 of mean credits in Korea. The mean credit for clinical pratice is 30.1 in U.S.A., whereas 23.9 in Korea. Students are assigned to individually planned clinical experiences under the direction of a preceptor in U.S.A. In RN-BSN program, total mean credits through lecture and clinical practice for earn the degree of BSN is 35.5(lecture : 27.7, practice ; 7.8)in U.S.A., whereas,48.1 (lecture;42.1, practice;6.0) in Korea. RN-BSN program can be taken on a full-or-part time basis in U.S.A., whereas didn't in Korea. Especially, emphasis is place on the advanced nursing practicum that focus on the role of the professional nurse in providing health care to individuals, families, and groups in community setting in U.S.A. 27.7 of mean credits was earned through lecture in U.S.A., whereas 42.1 of mean credits in Korea. It means that RN-BSN program in Korea is the lesser development in teaching method and appraisal method than in U.S.A. Students of RN-BSN program in U.S.A. can earns credit through CLEP, NLN achievement test, portfolio review session etc as well as lecture. Therefore, the authors suggests some recommendations for the development of curriculum of RN-BSN program in Korea based on comparative analysis of RN-BSN curricula in U.S.A. and Korea. 1. The curriculum of RN-BSN Program in nursing was required to do some alterations. Nursing care, today, is complex and ever changing. According to change of public need, RN-BSN curriculum intensified primary care program in community setting, geriatric nursing, marketing skill, computer language. 2. The various and new methods of earning credit should be developed. That is, the students will earn credits through the transfer of previous nursing college credits, accredited examination of university, advanced placement examination, portfolio review session, case study, report, self-directed learning and so on. Flexible teaching place should ile offered. 3. Flexible teaching place should be offered. The RN-BSN curriculum should accommodate each RN student's geographical needs and school/work schedule. Therefore, the university should search a variety of teaching places and the RN students can obtain their degrees comfortably throughout the teaching place such as lecture room inside the health care agency and establishment of the branch school in each student's residence area. 4. The RN-BSN program should offer a long distance education to place-bound RN student in many parts of Korea. That is, from the main office of university, the RN-BSN courses are delivered to many areas by Internet, EdNet (satellite telecommunication) and other non-traditional methods. 5. For allowing RN student to take nursing courses, program length should be various, depending upon the student's study/work schedule. That is, the various term systems such as semester, three terms, quarter systems and the student's status like full time or part time should be considered. Therefore, the student can take advantage of the many other educational and professional opportunities, making them available during the school year.

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집단지성의 품질, 그 결정요인, 유용성의 관계: 수용자 관점에서 한국의 위키서비스와 Q&A 서비스의 비교 (Relationships between Collective Intelligence Quality, Its Determinants, and Usefulness: A Comparative Study between Wiki Service and Q&A Service in Perspective of Korean Users)

  • 주재훈;이스마틸라 노르마토프
    • Asia pacific journal of information systems
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    • 제22권4호
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    • pp.75-99
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    • 2012
  • Innovation can come from inside or outside organizations. Recently, organizations have begun turning to external knowledge more often, through various forms of collective intelligence (CI) as collaborative platform to solve complex problems. Several factors facilitate this CI utilization phenomenon. First, with the rapid development of Internet and social media, numerous web applications have become available to millions of the Internet users over the past few decades. Web 2.0 and social media have become innovative web applications that provide an environment for human social interaction and collaboration. Second, the diffusion of simple and easy-to-use technologies that enable users to interact and design web applications without programming skills have led to vast, previously unknown amounts of user-generated content. Finally, the Internet has enabled communities to connect and collaborate, creating a virtual world of CI. In this study, web enabled CI is defined as a composed ability of individuals who are acting as a single cognitive unit to achieve common goals, think reasonably, solve problems, make decisions, carry out complex tasks, and develop creative ideas collectively through participation and collaboration on the web. Although CI plays a critical role in organizational innovation and collaboration, the dubious quality of CI is still problem that is difficult to solve. In general, the quality level of content collected from the crowd is lower than that from professionals. Thus, it is important to identify determinants of CI quality and to analyze the relationship between CI quality and its usefulness. However, there is a lack of empirical study on the quality factors of web-enabled CI. There exist a variety of web enabled CI sites such as Threadless, iStockphoto or InnoCentive, Wikipedia, and Youtube. One of the most successful forms of web-enabled CI is the Wikipedia online encyclopedia, accessible all over the world. Another one example is Naver KnowledgeiN, a typical and popular CI site offering question and answer (Q&A) services. It is necessary to study whether or not different types of CI have a different effect on CI quality and its usefulness. Thus, the purpose of this paper is to answer to following research questions: ${\bullet}$ What determinants are important to CI quality? ${\bullet}$ What is the relationship between CI quality factors and the usefulness of web-enabled CI? ${\bullet}$ Does CI type have a moderating effect on the relationship between CI quality, its determinants, and CI usefulness? Online survey using Google Docs with email and Kakao Talk was conducted for collecting data from Wikipedia and Naver KnowledgeiN users. A totoal of 490 valid responses were collected, where users of Wikipedia were 220 while users of Naver KnowledgeiN were 270. Expertise of contributors, community size, and diversity of contributors were identified as core determinants of perceived CI quality. Perceived CI quality has significantly influenced perceived CI usefulness from a user's perspective. For improving CI quality, it is believed that organizations should ensure proper crowd size, facilitate CI contributors' diversity and attract as many expert contributors as possible. Hypotheses that CI type plays a role of moderator were partially supported. First, the relationship between expertise of contributors and perceived CI quality was different according to CI type. The expertise of contributors played a more important role in CI quality in the case of Q&A services such as Knowledge iN compared to wiki services such as Wikipedia. This implies that Q&A service requires more expertise and experiences in particular areas rather than the case of Wiki service to improve service quality. Second, the relationship between community size and perceived CI quality was different according to CI type. The community size has a greater effect on CI quality in case of Wiki service than that of Q&A service. The number of contributors in Wikipeda is important because Wiki is an encyclopedia service which is edited and revised repeatedly from many contributors while the answer given in Naver Knowledge iN can not be corrected by others. Finally, CI quality has a greater effect on its usefulness in case of Wiki service rather than Q&A service. In this paper, we suggested implications for practitioners and theorists. Organizations offering services based on collective intelligence try to improve expertise of contributeros, to increase the number of contributors, and to facilitate participation of various contributors.

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Effects of Steroid Hormone in Avian Follicles

  • Caicedo Rivas, R.E.;Nieto, M. Paz-Calderon;Kamiyoshi, M.
    • Asian-Australasian Journal of Animal Sciences
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    • 제29권4호
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    • pp.487-499
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    • 2016
  • The aim of the present study was to examine the effects of testosterone (T) and estradiol-$17{\beta}$ ($E_2$) on the production of progesterone ($P_4$) by granulosa cells, and of the $E_2$ on the production of $P_4$ and T by theca internal cells. In the first experiment, granulosa cells isolated from the largest ($F_1$) and third largest ($F_3$) preovulatory follicle were incubated for 4 h in short-term culture system, $P_4$ production by granulosa cells of both $F_1$ and $F_3$ was increased in a dose-dependent manner by ovine luteinizing hormone (oLH), but not T or $E_2$. In the second experiment, $F_1$ and $F_3$ granulosa cells cultured for 48 h in the developed monolayer culture system were recultured for an additional 48 h with increasing doses of various physiological active substances existing in the ovary, including T and $E_2$. Basal $P_4$ production for 48 h during 48 to 96 h of the cultured was about nine fold greater by $F_1$ granulosa cells than by $F_3$ granulosa cells. In substances examined oLH, chicken vasoactive intestinal polypeptide (cVIP) and T, but not $E_2$, stimulated in a dose-dependent manner $P_4$ production in both $F_1$ and $F_3$ granulosa cells. In addition, when the time course of $P_4$ production by $F_1$ granulosa cells in response to oLH, cVIP, T and $E_2$ was examined for 48 h during 48 to 96 h of culture, although $E_2$ had no effect on $P_4$ production by granulosa cells of $F_1$ during the period from 48 to 96 h of culture, $P_4$ production with oLH was found to be increased at 4 h of the culture, with a maximal 9.14 fold level at 6 h. By contrast, $P_4$ production with cVIP and T increased significantly (p<0.05) from 8 and 12 h of the culture, respectively, with maximal 6.50 fold response at 12 h and 6, 48 fold responses at 36 h. Furthermore, when $F_1$ granulosa cells were precultured with $E_2$ for various times before 4 h culture with oLH at 96 h of culture, the increase in $P_4$ production in response to oLH with a dose-related manner was only found at a pretreatment time of more than 12 h. In the third experiment, theca internal cells of $F_1$, $F_2$ and the largest third to fifth preovulatory follicles ($F_{3-5}$) were incubated for 4 h in short-term culture system with increasing doses of $E_2$. The production of $P_4$ and T by theca internal cells were increased with the addition of $E_2$ of $10^{-6}M$. These increases were greater in smaller follicles. These results indicate that, in granulosa cells of the hen, T may have a direct stimulatory action in the long term on $P_4$ production, and on $E_2$ in long-term action which may enhance the sensitivity to LH for $P_4$ production, and thus, in theca internal cells, $E_2$ in short term action may stimulate the production of $P_4$ and T.

슬괵건과 LA나사를 이용한 관절경적 전방 십자 인대 재건술 (ACL Reconstruction with Hamstring Tendon and LA (Ligament anchor) Screw)

  • 송은규;선종근;조상권
    • 대한관절경학회지
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    • 제7권2호
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    • pp.189-195
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    • 2003
  • 목적 : 전방십자인대 손상 환자에서 슬괵건과 LA나사를 이용한 관절경적 전방십자인대 재건술을 시행하고 그 임상적 결과를 고찰하고자 한다. 대상 및 방법 : 1996년 3월부터 2001년 7월까지 슬괵건과 LA나사를 이용한 관절경적 전방십자인대 재건술을 시행받고 술 후 최소 2년이상, 최장 6년(평균 3년) 추시가 가능하였던 101면(104 예)를 대상으로 하였으며, 남자가 86명, 여자가 17명이었다 임상적 결과는 이학적 검사 및 Lysholm Knee score와 Telos기구를 이용한 술전, 술후 전방 전위정도를 측정하여 건측과 비교하여 안정성 여부를 측정하였다. 수술시 평균나이는 32세$(15\~61)$였다. 결과 : Lysholm Knee score는 술전 평균 57.9점이었으며 최종 추시상 평균 95.2점으로 증가하였다. 104예 전예에서 보조기 없이 보행이 가능하였으며, Lachman검사는 술전에는 경도(+)의 양성이 46예$(45\%)$, 중등도(++)의 양성이 33예$(31\%)$, 고도(+++)의 양성이 25$(24\%)$, 였으며, 술후 추시상 90예$(87\%)$에서 음성으로 전환되었으며 14예$(13\%)$에서 경도(+)의 양성이 관찰되었다. Pivot-shift 검사는 술전에 음성을 보인 경우가 22예$(22\%)$, 경도(+)의 양성이 62예$(59\%)$, 중등도(++)의 양성이 12예$(11\%)$, 고도(+++)의 양성이 8예$(8\%)$였으며, 술후 추시상 87예$(84\%)$에서 음성, 17예$(16\%)$에서 경도(+)의 양성을 보였다. Telos기구를 이용한 전방전위검사에서 20lb 검사상 정상 슬관절과의 차이가 술전 평균 $13.4{\pm}5.6 mm$에서 술후 추시상 평균 $3.6{\pm}1.5 mm$ 로 감소하여 전방 전위 안정성이 회복되었으며, 통계학적으로 유의한 차이를 보였다. 슬개골 주위 합병증으로는 대퇴사두고근 위축이 27예 $(26\%)$, 이식건 공여부위의 절개부의 감각이상이 19예$(18\%)$, 슬관절 운동시의 연발음이 13예$(13\%)$, LA 나사의 대퇴 외측 피질골 관통이 5예$(5\%)$에서 관찰되었다. 결론 : 슬괵건과 LA 나사를 이용한 관절경적 전방십자인대 재건술은 강한 고정력을 가져 슬관절의 기능적 안정성을 확보하는데 유용하며, 슬개골 주위 합병증이 적은 효과적인 수술방법으로 생각된다.

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어린이의 식습관(食習慣)이 체위(體位)에 미치는 영향(影響)에 관한 연구(硏究) (The Influence of Food Habits on Body Stature of Children)

  • 이미숙;모수미
    • Journal of Nutrition and Health
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    • 제9권1호
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    • pp.7-15
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    • 1976
  • The Purpose of this study was to determine every possible correlation between food habits and body statures of primary school children, aged ten years old. This study was conducted from July to October of 1975. In July, prepared questionaires concerning life style, anthropometry, food preference, and food behavior were distributed through school teachers to 425 children; 219 boys and 206 girls, in the 5th grade of three elementary schools in the city of Seoul. Then, in October, when subjects had been classified into underweight/obese by statistical analysis, mothers of obese or underweight children were interviewed by the authors to determine weaning history, daily food consumption of their children, and opinions of various snacks for children. Analysis of results in terms of correlation coefficient, chisquare test and percentage calculations, are as follows: 1. Physical growth and development Boys Girls Height (cm) $134.8{\pm}5.74\;134.4{\pm}5.97$ Weight (kg) $30.0{\pm}4.27\;29.5{\pm}5.16$ Chestgirth (cm) $64.1{\pm}3.59\;63.3{\pm}3.81$ Arm circumference (cm) $18.3{\pm}1.61\;18.2{\pm}1.70$ Triceps skinfold thickness (mm) $10.9{\pm}5.13\;12.7{\pm}4.86$ Various indices of nutrition such as relative weight, relative chestgirth, $R{\ddot{o}}hrer's$ index, Kaup index, Vervaeck index were determined. 2. Food habits 1) Food $preference{\cdots}{\cdots}A$ varying number of foods were selected from 60 items were accepted. It was found that the food which children liked best was fruit and snacks were popular one. Lowest ranking among LIKED foods were from strongly flavored vegetables and organ meat. In general, girls had more food dislikes than did boys. Selected as liked foods were fruits, rice noodle soup, biscuits, and peanuts. Disliked foods were liver, green onions, onions, green pepper, mushrooms, oysters, shellfish, and pork. Items which children never ate before were liver, mushrooms, fish cake, boiled rice mixed with sorghum, mayonnaise, and fresh water firsh. Reasons which children gave for dislike were undesirable flavor and odor. 2) Food $behavior{\cdots}{\cdots}It$ was found that boys liked sweet and salty flavors more than did the girls who more often liked sour flavor. The majority of children enjoyed evening meals more than lunch and breakfast. A number of children skipped breakfast because of lack of appetite or lack of time before going to school. Snacks were the most popular food, especially among girls. Their snacking habits were formed by the encouragement of the mother, and the relieve boredom. Educational backgrounds of mothers and family economical levels of children were remarkable correlated with mothers' attitudes toward feeding of children. There were several interesting findings relating body stature to some other responses; such as that the obese child has a small number of brothers, higher birth order, higher educated mothers and higher family cultural background. It was also discovered that food perference, except for fat and oil group foods was not related to body stature. Sweet taste was liked best and pepperly taste was mostly disliked. Sour taste was popular in the group of underweight. Underweight children were more finicky, disliked snacking, and didn't get much attention from their mothers. 3) Correlation between body stature and nutrition during their infancy. The majority of children, both from obese and underweight, were breast fed as infant. Twenty five per cent of obese children and 17.4 per cent of underwight children started weaning at $1{\sim}6$ months old. The most popular supplemental food of weaning was cereal gruel for the obese group, while boiled white rice and cereal gruel were most common for the underweight group. Highly significant relationships were found between stature of parents and their children. In the obese group 47.8 per cent of fathers and 45.9 per cent of mothers were overweight; however, none of the fathers and only one mother was found to be underweight. In daily food consumption patterns, meals consisting of bread or noodle were popular in the obese group but disliked by the underweight group. The study found clear contrast in that the obese group liked meat and fish while the underweight group liked fruits and vegetables, especially kimchee. The obese children desired to eat cereal foods, milk and milk products, and fat foods while the underweight group desired to eat fruits and vegetables. Frequency of snacks per day was much greater in the obese group. Foods which mothers believed to be good for the health were carrots, cucumbers, fruits, milk, potatoes, sweet potatoes, and breads, while sweet foods such as candies, drinks. chocolate were considered not good for the teeth. Watching television was not significantly related to statures of children. Most significant relationships were found beween frequencies of family guest meals/and eating-out, and children's statures. Nutritional problems which have been considered for the malnourished children in addition to those of children who have a tendency toward obesity, must be taken into consideration in the development of proper nutrition education through the channels of regular school teaching and teaching by parents in the homes. Korean standards of anthropometric measurements for children should be revised, current measurements show much higher figures than present Korean standards.

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