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Reliability and Validatity of a Korean version of Posttraumatic Growth Inventory Among Cancer Caregivers (암환자 가족을 대상으로 한 '외상 후 성장 척도(K-PTGI)'의 타당도 검증)

  • Rhee, Young-Sun
    • Korean Journal of Social Welfare Studies
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    • v.40 no.2
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    • pp.123-143
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    • 2009
  • To investigate the reliability, validity of posttraumatic growth among Korean cancer caregiver, 295 participants were asked to complete a Korean posttraumatic growth inventory, translated from the Posttraumatic Growth Inventory (PTGI; J Trauma Stress 1996; 9: 455.471), together with the Caregiver burden scale, life style interruption scale, economic burden scale and positive adaptation scale, social support scale and questions about religious and demographic factors. Cronbach's alpha was 0.95 for the K-PTGI, indicating sufficient internal consistencies. Construct and Criterion validity were also supported. K-PTGI appeared to be a sound measure for the experience of posttraumatic growth in cancer caregivers and this study result will be able to contribute to facilitate future research.

Psychosocial Adjustment between Younger and Older Breast Cancer Survivors (젊은 유방암 생존자와 나이든 유방암 생존자의 심리사회적 적응)

  • Kim, Hye Young;Ko, Eun
    • Asian Oncology Nursing
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    • v.12 no.4
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    • pp.280-288
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    • 2012
  • Purpose: The aim of this study was to analyze the differences in psychosocial adjustment between younger (age${\leq}50$) and older (age>50) breast cancer survivors, and to explore the role of sociodemographic and disease-related variables in predicting psychosocial adjustment between younger and older breast cancer survivors. Methods: A total of 262 women participated in this study. A self-reported questionnaire, the Psychosocial Adjustment to Illness Scale-Self Report Korean version (PAIS-SR Korean version), was used. Data were analyzed with SAS/WIN 9.1 for descriptive statistics using the t-test, ANOVA, and stepwise multiple regression. Results: The psychosocial adjustment score of younger breast cancer survivors was significantly higher than that of older breast cancer survivors. Significant predictors influencing psychosocial adjustment in younger breast cancer survivors were marital state, menopausal cause, immune therapy, and self-help group, and these predictors account for 48% of the variance in psychosocial adjustment. Significant predictors influencing psychosocial adjustment in older breast cancer survivors were stage of cancer, monthly income, marital state, and menopausal cause. These predictors accounted for 35% of the variance in psychosocial adjustment. Conclusion: The findings indicate the importance of counseling and educational programs to improve the psychosocial adjustment according to breast cancer survivors' age.

SCIENCE - Overview of the Immune System (학술 4 - 면역기구(免疫機構)의 재음미(再吟味))

  • Kim, U-Ho
    • Journal of the korean veterinary medical association
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    • v.48 no.3
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    • pp.177-191
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    • 2012
  • 2011년도 Nobel 생리(生理) 의학상(醫學賞) : 자연(自然)(선천)(先天) 면역(免疫)(innate immunity)의 활성화에 관한 연구업적으로 B. A. Beutler와 J. A. Hoffmann, 그리고 수지상세포(樹枝狀細胞)(dendritic cell; DC)발견과 적응(適應)(획득)(獲得)면역(免疫)(adaptive immunity)에 있어서의 그들 세포의 역할을 밝혀낸 R. M. Steinman의 공동수상으로 금년도 Nobel 생리 의학상 수상자가 결정되었다는 보도가 지난 10월 3일 있었다(1-3). 그들의 업적을 요약하면 대략 다음과 같다. (Steinman교수는 Nobel수상자 발표 3일전인 9월 30일 암으로 사망함). 그들은 면역기구(immune system)의 활성화의 관건(key)이 되는 원리를 밝혀냄으로써, 면역기구에 관한 우리들의 이해를 혁신하였던 것이다. 과학자들은 오랫동안 세균(bacteria)이나 기타 미생물병원체들에 의한 공격에 대비하여 그들 자신을 방어하는 사람이나 기타 동물체에서의 면역응답(免疫應答)(immune response)의 문지기들을 탐색해 왔다. Beutler와 Hoffmann은 그와 같은 병원미생물을 인식하여 생체의 면역응답의 첫 단계인 자연면역을 활성화 할 수 있는 수용체 단백질(toll-like receptor protein)을 규명한 것이다(4,5). 한편 Steinmann은 면역계의 수지상세포(DC)와 병원미생물이 생체로부터 배제되는 면역응답의 후기단계인 적응면역을 활성화하고 조절하는 그들의 독특한 재능을 규명해 낸 것이다(6-8). 그들 3명의 발명은, 면역응답의 자연 및 적응 양상(樣相)이 어떻게 활성화되는 가를 밝혀냄으로써 질병의 기전에 관한 참신한 식견(識見)을 제공한 것이다. 그들의 연구는 감염병(感染病)(infectious disease), 암(癌)(cancer) 그리고 염증성질환(炎症性疾患)(inflammatory disease)에 대응하는 예방과 치료의 개발을 위한 새로운 방법을 개척한 것이다.

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Discrepancy between Parent and Child Report on Quality of Life and Behavioral Problems in Child and Adolescent cancer survivors and Healthy Control Group (소아암 생존자 집단과 건강통제 집단의 삶의 질과 문제행동 비교 및 부모보고와 자기보고의 차이 연구)

  • Kim, M.H.;Chung, C.M.;Rhee, M.A.;Ryu, C.J.;Won, S.C.;Shin, Y. J.
    • Korean Journal of Health Psychology
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    • v.16 no.3
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    • pp.483-500
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    • 2011
  • Since the introductionof modern therapies, more children with cancer have survived their illness. As a result, an interest in the degree of adjustment achieved by cancer survivors has increased. In this study, quality of life and behavior problemsof child and adolescent cancer survivors were compared with those of healthy controls. Also, the patternsof the discrepancy between parent-report and self-report were compared. Childhood cancer survivors aged 8-18 and their mothers were participated in the study. Parent and self report versions of PedQL were administered to assess the quality of life. K-CBCL and K-YSR were further completed to assess internalizing and externalizing behavior problem. Results suggested that cancer survivors generally showed lower quality of life in physical and social domains and more internalizing behavior problem than healthy control group. However, the results were affected by the domain, age group, and informant. The pattern of discrepancy between parent and self report was similar. All parents reported higher levelsof quality of life and lower levels of behavior problems compared to the self reports of their siblings. In assessing internalizing problem behaviors, cancer survivor group showed greater discrepancy than the healthy control group.The implications, limitations, and directions for future research were also discussed.

Breast Cancer in Marital Context: A Critical Review of the Literature (부부관계 맥락에서 유방암의 심리사회적 영향 - 국내외 논문분석 -)

  • Lee, In-jeong
    • Korean Journal of Social Welfare Studies
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    • v.40 no.1
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    • pp.37-61
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    • 2009
  • The diagnosis of breast cancer can have a significant impact upon all family members in psychological and practical aspects. The impact of breast cancer may have a particularly strong impact on the spouse and the marital relationship. Breast cancer can alter the couple's emotional balance, finances, division of responsibilities and social activities. However, little empirical evidence exists investigating support-related exchanges between patient and spouse in Korea. Therefore, it is meaningful to address psychosocial effect and change of marital relationship in context of breast cancer. This article reviews 34 studies (1987-2009) on marital relationship in the context of breast cancer. Results indicate that the psychosocial impact of breast cancer on the healthy spouse and patient, spouse's effects on quality of life, adaptation, distress of breast cancer patients, and impact of breast cancer on marital relationship. Several recommendations can be made for oncology health professionals working with families of cancer patients such as the need for longitudinal and comprehensive study

A Study on the Diurnal Variation of Endorphin in Rat Brain (백서 뇌내 Endorphin의 일주기 변동에 관한 연구)

  • Jung, Chang-Young;Kim, Ki-Won;Cho, Kyu-Park
    • The Korean Journal of Pharmacology
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    • v.20 no.2
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    • pp.35-47
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    • 1984
  • Contents of immunoreactive ${\beta}-endorphin$ and maximum of $^3H-morphine$ binding was measured in the rat midbrain homogenates from different subgroups at 24 hour interval over 24 hours. Animals were adapted to the light-dark cycle(L : D, 12: 12) or constant darkness (D : D, 12 : 12) for 3 weeks. After the adaptation, 0.5ml of physiologic saline or drug was administered twice a day for 2 weeks. A highly significant circadian rhythm with the peak$(94.8{\pm}7.7\;fmole/mg\;protein)$ at 06:00 and the nadir $(27.6{\pm}2.4\;fmole/mg\;protein)$ at 18:00 was observed in constant of group. Constant dark or treatment of reserpine, pargyline, imipramine, amphetamine and chlorpromazine modified the diurnal rhythm in the time of peak and nadir, shape, phase amplitude and 24 hour mean of ${\beta}-endorphin$ contents. Opiate receptor binding by $^3H-morphine$ also showed highly significant diurnal change in control and constant dark adapted rats. Statistical analysis by one-way analysis of variance and two-way analysis of variance indicates that the·re are highly significant differences between the diurnal change of ${\beta}-endorphin$ in control and those constant dark adapted and drug treated groups. However diurnal change of Maximum $^3H-morphine$ binding is closely related to the change of ${\beta}-endorphin$ contents. The results are interpreted with regard to the circadian rhythm of beta-endorphin contents, its modification by psychoactive drugs and possible mechanism of diurnal change of opiate receptor in brain.

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저선량 방사선 영향과 발현암의 인과성 문제

  • Lee, Jae-Gi
    • Radioisotope journal
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    • v.15 no.3
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    • pp.78-92
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    • 2000
  • 낮은 선량의 방사선피폭으로 인한 건강 위해의 여부에 대하여 과학적 현황을 고찰하였다. 선량과 영향 사이에 문턱 없는 선형비례 모델(LN-T모델)에 대해 역학적, 수학적, 방사선생물학적 측면의 긍정적 논리와 호메시스, 적응반응, 통계적 관점의 비판적 논거를 대비하여 평가하였다. 방사선 피폭이력자에게 발현한 확률적 영향 특히 백혈병을 포함한 암에 대해 그 질환의 방사선 인과성 판단에 대한 애로와 접근 방향을 논의하였다. 객관적인 평가 지표의 하나로 기인확률(PC)을 적용하되 근로자에 대한 제도적 배려 등 고려할 사항을 논의하였다.

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Psychological Systematic Consideration of Breast Cancer Radiotherapy (유방암 방사선 치료 환자의 심리의 체계적 분석)

  • Yang, Eun-Ju;Kim, Young-Jae
    • Journal of the Korean Society of Radiology
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    • v.13 no.4
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    • pp.629-635
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    • 2019
  • In term of the factors affecting psychosocial adjustment of breast cancer patients, their quality of life after surgical operation, radiation, and chemotherapy were systematically meta-analyzed. As a result, their qualities of life of the patients that had radiation therapy was the lowest right after the therapy, and gradually increased after the end of the therapy. However, after six months, their quality of life failed to reach the same level before the therapy. They had depression and side effects the most right after the therapy, and somewhat reduced them after the end of the therapy. In case of surgical operation, the more they were educated, the more they had psychosocial adjustment, and the more they had a medical examination and took out an insurance policy, the more they had psychosocial adjustment. In case of chemotherapy, their cognitive function is influenced so that they have impairments in memory, learning, and thinking stages. Since subjective cognitive impairment has a relationship with depression, it is necessary to monitor depression of chemotherapy patients. Given the results of this systematic meta-analysis, when three types of therapies (surgical operation, radiation therapy, and chemotherapy) are applied to patients with breast cancer, it is necessary to recognize their psychosocial adjustment, depression, anxiety, and quality of life in the nursing and radiation therapy fields and thereby to introduce an intervention program for a holistic approach.

Endoscopic Resection of Undifferentiated Early Gastric Cancer (미분화 조기위암의 내시경 절제술)

  • Kim, Jie-Hyun;Lee, Yong-Chan
    • Journal of Gastric Cancer
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    • v.9 no.3
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    • pp.71-77
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    • 2009
  • Endoscopic resection is one of the curative options for early gastric cancer. However, based on large-scale data about the risk of lymph node metastasis in early gastric cancer, endoscopic resection has been attempted for the following: differentiated intramucosal gastric cancer, regardless of size and without ulcers; differentiated intramucosal cancer, 30 mm in size with ulcers; minute submucosal differentiated cancer <30 mm in size; and undifferentiated intramucosal cancer, <20 mm in diameter without venous or lymphatic involvement. However, undifferentiated early gastric cancer exhibits different biologic behavior from differentiated early gastric cancer. Thus, the application of endoscopic resection for undifferentiated early gastric cancer remains controversial. In this review, we discuss the application of endoscopic resection for undifferentiated early gastric cancer based on analysis of biologic behavior and data of endoscopic resection.

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The Effects of Air Temperature and Age on Soundness of Abies koreana Seeding (대기 온도와 연령이 구상나무 유묘의 건전도에 미치는 영향)

  • Seung-Beom Chae;Han-Na Seo;Hyo-In Lim
    • Proceedings of the Plant Resources Society of Korea Conference
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    • 2020.12a
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    • pp.50-50
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    • 2020
  • 기후변화의 영향으로 자생지에서 고사하고 있는 구상나무 유묘의 대기온도와 연령에 따라 건전도를 파악하고자 지리산 구상나무 실생묘를 대상으로 엽록소형광을 측정하였다. 2020년 7, 8, 9월에 걸쳐 월별 1회씩 연생별(1, 2, 3, 5, 6년생) 20개체를 대상으로 13시, 19시에 개체당 3회 반복 측정하였다. 측정 당시 평균대기온도는 24.6, 26.9, 20.6℃이었으며 잎을 20분간 광을 차단 후 Fv/Fm값을 측정하였다. Fo는 식물이 암적응 된 상태에서 포화광을 조사하기 직전의 형광 초기값이며, Fm은 식물이 암적응 된 상태에서 포화광을 통해 유도된 최대 형광수치를 의미한다. Fv는 Fm-Fo이며, 광화학 반응의 최대 양자수율로 식물의 잎이 광합성을 수행할 수 있는 잠재력을 의미하고 식물의 광합성 활성과 건전도에 대한 지표로 사용된다. 일반적으로 건강한 잎의 Fv/Fm값이 0.8을 기준으로 낮은 값은 광계II의 반응 중심이 손상을 잎은 경우이거나 스트레스 환경에 있는 경우이다. 13시 측정 결과 8월 측정값 중 1년생과 3년생이 0.8 이하로 측정되었고 그 외에는 전부 0.8 보다 높게 나타났다. 19시 측정 결과 8월에 1, 2, 3년생이 0.8 이하로 측정되었으며, 9월에는 1년생의 경우를 제외하고 모두 0.8 보다 높게 나타났다. 1, 2, 3년생은 8월의 높은 온도에 영향을 받아 고산지대에 자생하는 구상나무의 특성상 고온에 대한 스트레스를 받은 것으로 판단되며, 연령이 비교적 높은 5, 6년생은 온도변화에 비교적 안정적인 것으로 나타났다. 따라서 엽록소형광 측정의 결과를 근거로 3년생 이하의 개체는 온도변화에 민감하게 반응하는 반면, 5년생 이상의 개체는 비교적 안정적으로 건전도가 유지된 것으로 판단되었다.

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