• 제목/요약/키워드: Adaptation in College

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화력발전소 배출 바닥재의 불포화대와 포화대 침투과정과 물리화학적 영향에 대한 연구 (A Study on Infiltration Process and Physicochemical Influence in the Unsaturated and the Saturated Zone of the Bottom Ashes from Thermal Power Plant)

  • 박병학;전원탁;하승욱;김용철;최한나
    • 자원환경지질
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    • 제55권1호
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    • pp.97-109
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    • 2022
  • 화력발전소 연소부산물로 형성된 바닥재와 바이오차는 건식 매립 시 강수와 혼합되어 토양 하부로 침투할 가능성이 있다. 이 연구에서는 강수와 혼합된 바닥재 성분이 토양 및 지하수 환경에 미칠 수 있는 물리화학적 영향을 예측하고자 하였다. 아이스 칼럼 및 침투실험을 통해 미립자인 바닥재는 대부분 증류수에 용해되어 토출구로 배수되나, 바이오차(숯가루)는 매질에 여과되는 것을 시각적으로 관찰하였다. 칼럼 실험 용출액의 이온 분석(Al, As, Cu, Cd, Cr, Pb, Fe, Mn, Ca, K, Si, F, NO3, SO4) 결과, 숯가루 충진 칼럼은 K가 상당히 높은 농도(0.5 cm 충진 시 19.8 mg·L-1, 1 cm 충진 시 126 mg·L-1)로 검출되었으나 시간에 따라 점차 농도가 감소하였다. Al과 Ca는 미량으로 검출되었으나 시간에 따라 농도가 상승하는 것이 관찰되었다. 바닥재 충진 칼럼은 실험 초기부터 Ca와 SO4가 고농도로 검출되었으며 24시간 동안 각각 30 mg·L-1, 67 mg·L-1가 감소하였다. 연구 결과에 근거하여, 투수성이 좋고 포화대가 지표에 가까운 토양의 경우 오랜 시간 강수가 지속된다면, 상당량의 바닥재는 강수와 혼합되어 지하수면 아래로 침투할 수 있을 것으로 예상된다. 그러나 바이오차는 불포화대에서 걸러지며, 포화대에 도달하여도 지하수에 녹지 않아 직접적인 오염을 일으킬 가능성은 낮다고 여겨진다. 바닥재와 바이오차의 침투에 의한 토양 및 지하수 환경의 교란은 자연적 완충작용에 의해 보완되나, 실제 매립지는 대용량 고농도의 매질과 반응이 이뤄지므로 일반화를 위해서는 더욱 큰 규모의 연구가 필요할 것이다.

살모넬라 C1 serogroup 특이 rfbM 유전자 증폭과 염기서열 분석 (DNA Sequence analysis and rfbM gene amplification using PCR for detect salmonella C1 serogroup)

  • 이성일;정석찬;문진산;박용호;이존화;김병수;백병걸
    • 대한수의학회지
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    • 제36권1호
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    • pp.109-118
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    • 1996
  • The Salmonella rfb gene encoding for the biosynthesis of the oligosaccharide-repeating units of the O-antigenic determinants was cloned and sequenced. A set of nucleotide primers(a forward and reverse) was selected to target a defined region of the guanosine diphospho-mannose(GDP-Man) pyrophosphorylase synthase gene : rfbM of Salmonella C serogroup. The primer set was used to develop a PCR-based rapid and specific detection system for Salmonella C1 serogroup. Amplification bands of predicted size(1,422bp) were generated from 11 different Salmonella C1 isolates. The bands were verified to be specific for the C1 serogroup by Southern blot analysis using reference homologous DNA specificity was further confirmed by the lack of reactivity with heterologous DNA derived from non-salmonella members of the family enterobacteriaeceae. A specificity of 100% was deduced along with a very high sensitivity shown by a detection limit of 1fg of a purified DNA template. The isolated DNA sequence was found to be 99.8% homologous to S montevideo but the related primers amplified with the predicted band sizes with all the Salmonella C1 serogroups tested. It is concluded that the PCR protocol based on the rfbM gene from S cholerasuis is optimal fast and specific for the detection of Salmonella C1 serogroup and also the corresponding probe is suitable for rapid detection of all Salmonella C1 serogroup DNA tested. This technology should facilitate the identification of contaminated pig products and for any other products contaminated with the Salmonalla C1 serogroup. The immediate impact of this developed method will be in the area of food safety of pig products with the potential prospect for adaptation to other food inspection technologies.

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"황제내경(黃帝內經)"의 '허(虛)'와 그 철학적 배경에 대한 연구 (Study of Philosophical Background of '虛' Described in "Huang Di Nei Jing")

  • 이정원;홍무창;배현수;신민규
    • 동의생리병리학회지
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    • 제20권4호
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    • pp.766-783
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    • 2006
  • This study describes philosophical background regarding '虛' in oriental medicine in an effort to understand the relationships among some of the Eastern philosophy in accordance with differentiated meanings in several resources by analyzing examples of '虛' in Huang Di Nei Jing. The various usages of '虛' used in Huang Di Nei Jing are as follows: naming; condition of pulse; emptiness; '太虛' which was referred universal space by Chinese ; insufficiency, lack or scarcity, deficiency ; and the description of vitality, mental faculties. 外丹修煉(training by external substances) had the attitude do that withdraw the death by taking external materials. The meaning of '虛'in 外丹修煉 is similar to that in oriental medicine in terms of deficiency. That is, both 外丹修煉 and the oriental medicine consider that the death and disease are caused by the deficiency of something. However, there also exists difference between 外丹修煉 and the oriental medicine. 外丹修煉 supplements through withdrawal prohibition due to the characteristic of unchangeability and stern or immortal while oriental medicine provides concrete object of deficiency. 精(essence of life), 氣(ki, functional activity), and fe(vitality) not only have been considered as basic component of human body, but they also have been an important subject of health preservation for longevity with health in Taoism and oriental medicine. In oriental medicine, 精 and 氣 have been perceived as physical basis of human body and 神 as controller. 內丹修煉(Training of internal active substances) 掠nds to return to '虛', the early state of life through individual training, and attempts to withdraw death through continuous recurrence. The oriental medicine and 內丹修煉 held great value of 神 among health preservation of 精, 氣, and 神. They seek theoretical basis from philosophical Taoism. However, '虛' in Taoism is different from that in training by internal substances and oriental medicine: '虛' in philosophical Taoism has metaphysical concept which refers overcome of life and death, but '虛' in 內丹修煉 and oriental medicine have empirical concept. '太虛' is considered as formless space where it is emp Dut filled with 氣. It is conceptualized with the premise of the relevant adaptation of human body to natural environment theory referring that the interaction between the heaven and the earth makes changes; all creation is originated , and human is affected by the interaction of the heaven and the earth. Furthermore, in $\ulcorner$運氣七篇$\lrcorner$ (Seven chapters described about the five circuit phases and the six atmospheric influences), the expression that the earth is in the center of '太虛' and huge amount of 氣 supports it proves that $\ulcorner$運氣七篇$\lrcorner$ adapts '渾天設'(Chaotic universe thee). In Taoism, '虛' is the grounds where all creation is generated in the optimal condition of Tao. As regards the aspect of mentality, it is the condition in which one can free from the dualistic concepts such as right and wrong, beauty and ugliness, life and death, and so on. Although the ultimate goal of oriental medicine, the achievement of longevity without sickness, might contrast with the Taoist belief that perceives life and death as the natural phenomena or the flowing of the 氣, and eliminates all international, the idea of Taoism that one should live substantial life with naivety, and make Harmony with the nature might be influential to the oriental medicine.

간호대학생의 MBTI성격유형, 감성지능, 스트레스 대처방식이 대학생활적응에 미치는 영향 (Effect of Myers-Briggs Type Indicator(MBTI) Personality Type, Emotional Intelligence, Sress Coping Strategies on Nursing student's Adjustment to College Life)

  • 한영미;김선희
    • 한국산학기술학회논문지
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    • 제18권8호
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    • pp.124-134
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    • 2017
  • 본 연구의 목적은 간호대학생의 MBTI성격유형, 감성지능, 스트레스 대처방식, 대학생활적응 수준을 파악하고 간호대학생들의 대학생활적응에 미치는 영향 요인을 파악하기 위한 것이다. 연구대상자는 C시에 소재하는 간호학과 학생 267명이다. 자료수집은 2017년 3월 6일부터 3월 31일까지 실시되었다. 연구결과, 간호대학생의 대학생활적응은 감성지능(r=.29, p<.001)과 스트레스 대처방식(r=.27, p<.001)으로 양의 상관관계를 나타내었고, MBTI 성격유형의 심리기능유형(F=0.36, p=.781)과 심리기질유형(F=0.43, p=.730)과는 유의하지 않았다. 대학생활적응에 영향을 미치는 요인은 학년(${\beta}=.22$, p<.001), 입학동기 중 적성(${\beta}=.17$, p=.024), 전공만족도 중 만족(${\beta}=.24$, p=.025), 감성지능(${\beta}=.14$, p=.028) 및 스트레스 대처방식(${\beta}=.15$, p=.013)으로 설명력은 총 17.5%(F=8.03, p<.001)이었다. 대학생활적응의 각 하부영역에 유의한 영향을 미친 변수를 살펴보면 다음과 같다. 학업활동에 영향을 미친 변수는 학년(${\beta}=.12$, p=.045), 성적(${\beta}=.36$, p<.001), 전공만족도 중 만족(${\beta}=.21$, p=.047), 감성지능(${\beta}=.12$, p=.055), 스트레스 대처방식(${\beta}=.12$, p=.055)으로 설명력($R^2$)이 22.0% 이었으며, 진로준비에 영향을 미친 변수는 학년(${\beta}=.14$, p=.026), 입학동기 중 적성(${\beta}=.18$, p=.018), 입학동기 중 취업(${\beta}=.18$, p=.016), 감성지능(${\beta}=.15$, p=.023)으로 설명력($R^2$)은 10.0%이었다. 또한 개인심리에 영향을 미친 변수는 연령(${\beta}=.13$, p=.016), 입학동기 중 적성(${\beta}=.19$, p=.010), 감성지능(${\beta}=.30$, p<.001), 스트레스 대처방식(${\beta}=.18$, p=.003)으로 설명력($R^2$)은 26.5% 이었으며, 대인관계와 사회체험에 영향을 미친 변수는 학년(${\beta}=.25$, p<.001 & ${\beta}=.25$, p<.001)으로 설명력($R^2$)은 각각 8.4%, 6.1%였다. 따라서 간호대학생의 대학생활적응을 위해 감성지능과 스트레스 대처전략을 향상시킬 수 있는 교육 커리큘럼과 함께 교과 외 활동을 통합하는 체계적인 교육프로그램 개발이 필요할 것이다. 또한 간호대학생의 대학생활적응에 영향을 미치지 않은 것으로 확인된 MBTI 성격유형의 심리기능유형과 심리기질유형은 대규모 표본을 대상으로 추후연구가 필요할 것으로 사료된다.

동해안 블루카본 자원의 가치와 활용방안 (Blue Carbon Resources in the East Sea of Korea and Their Values and Potential Applications)

  • 윤호성;도정미;전병희;여희태;장형석;양희욱;서호성;홍지원
    • 생명과학회지
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    • 제32권7호
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    • pp.578-587
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    • 2022
  • 우리나라는 세계 7위의 온실가스 배출국가로서 국제적으로 배출량 규제가 강화됨에 따라 국가 온실가스 감축 목표를 상향하였고 이로 인해 산업계를 포함한 사회 전반적인 탄소 감축의 노력이 절실한 상황이다. 기후변화 완화 또는 적응 계획의 중요 이행 수단으로 연안과 해양생태계를 자연기반 해법(nature-based solutions, NbS)으로 활용 가능하게 되면서 최근 블루카본(blue carbon) 생태계가 주목받고 있다. 블루카본은 대기 중 이산화탄소가 광합성작용을 통해 맹그로브, 염습지 및 해초류와 같은 연안 생태계나 해조류와 미세조류와 같은 해양생태계에 의해 바이오매스로 흡수된 뒤 퇴적되어 장기간 저장되는 탄소를 의미한다. 현재 기후변화에 관한 정부 간 협의체(IPCC, Intergovernmental Panel on Climate Change)에서 현재 공식적으로 인정하고 있는 블루카본 생태계는 맹그로브, 염습지, 해초지 3가지뿐이다. 하지만, 최근 해조류, 미세조류, 산호초, 비식생 갯벌 등 다양한 새로운 블루카본 흡수원들이 가진 높은 이산화탄소 격리 및 저장 능력에 대해 새로운 연구 결과들이 지속적으로 학계에 보고되고 있어, 이들 신규 블루카본 후보군들의 온실가스 흡수량 산정에 관련된 과학적 입증을 통해 IPCC 국제 인증의 가능성이 점차 높아지고 있다. 본 총설에서 동해안이 보유하고 있는 블루카본 흡수원인 해조류, 해초지 및 비식생 갯벌의 현황과 잠재적 가치에 대해 논하고자 한다. 본 논문을 통해 동해는 해조류 자원을 NbS로 활용하는 것이 가장 효과적인 것으로 확인되었다. 또한, 동해안이 보유한 신규 블루카본 흡수원이 이른 시일 내에 IPCC 국제 인증을 받을 수 있도록 연구개발의 방향성과 활용방안을 제안하고자 한다.

여러가지 수복물의 polishing조건에 따른 치수 온도변화 (TEMPERATURE CHANGE IN THE PULP ACCORDING TO POLISHING CONDITION OF VARIOUS RESTORATIVE MATERIALS)

  • 백병주;박종하;양정숙;이승영;김재곤
    • 대한소아치과학회지
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    • 제26권2호
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    • pp.365-376
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    • 1999
  • 수복물의 연마의 중요성에 대하여 많은 연구들이 이루어져 왔으며, 이는 수복물의 금속성질의 개선, 변연적합성의 증가 그리고 치태축적의 감소 등을 이유로 시행된다. 그러나 불행하게도 수복물에 대한 연마시 열의 발생으로 인하여 치수부위에 손상을 초래하므로 열의 발생을 최소화하려는 노력이 뒤따라야 할 것이다. 이에 본 연구에서는 수복물의 연마시 회전속도의 차이, 냉각제의 적용 유무, 여러 종류의 수복물의 차이, 간헐적인 연마와 연속적인 연마의 차이 그리고 잔존 상아질의 두께의 정도에 따른 치수내부에서의 열의 변화를 알아보기 위하여 발거된 구치에 5급 와동을 형성한 후 복합레진(Z100, 3M co), resin-modified GIC(Dyract, Fuji II LC) 그리고 아말감(Degussa) 등으로 충전하였으며, 다양한 조건에서의 연마를 시행, 치수내부에서의 열의 변화를 측정하여 다음과 같은 결과를 얻었다. 1. Amalgam을 건조한 상태에서 연마시 다른 재료에 비해 가장 큰 치수내 온도 상승을 보였다(P<0.05). 그러나, Z100, Dyract Fuji II LC 간에는 간헐적 수복물 연마와 연속적인 수복물 연마 모두 어떤 경우든 유의차가 없었다(P>0.05). 2. 같은 조건으로 연마를 시행했을 때, 간헐적인 연마보다 연속적인 연마를 한 경우가 치수내 온도가 더 크게 상승하였다(P<0.01). 3. 아말감과 Dyract 에 있어서는 잔존 상아질의 차이에 따른 치수내 온도변화에 유의한 차이를 보였으나(P<0.01), Fuji II LC에 있어서는 유의성이 없었다(P>0.05). 4. 냉각제의 유무에는 관계없이 어떤 경우든 시간에 따른 온도 상승을 보였다. 그러나, 냉각제를 사용한 경우가 냉각제를 사용하지 않은 경우에 비해 온도 상승값이 훨씬 작았다(P<0.01).

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임상실습 교육개선을 위한 일 실습지도자 활용모델 (preceptorship model)의 적용 및 효과에 관한 연구 -암센타, 재활센타, 중환자실 실습을 중심으로- (Application and Effectiveness of a Preceptorship for the Improvement of Clinical Education)

  • 이원희;김소선;한신희;이소연;김기연
    • 대한간호학회지
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    • 제25권3호
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    • pp.581-596
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    • 1995
  • Clinical practice in nursing education provides an opportunity for students, through the process of ap-plying theoretical knowledge to practice, and to learn nursing skills as well as being socialized into nursing and as such decrease the reality shock of actual nursing practice. Because of a shortage of nursing faculty, the job of achieving the objectives of the clinical practice had been turned over to the head nurses. This resulted in many problems, such as, unclear location of responsibilities and inadequate feedback from head nurses. Therefore this study was done to introduce and evaluate the use of preceptors as a way to minimize the above problems, and to maximize the achievement of the clinical practice objectives. Using an adaptation of Zerbe's (1991) three-tiered team model, clinical practice was done using a preceptor, a head nurse and a clinical instructor, each with different and well defined roles. The subjects of this study were 67 senior students of the College of Nursing of Y University in Seoul whose clinical practice in adult nursing was carried out between May 1, 1994 and December 8, 1994. There were 22 preceptors who had at least two years of clinical experience and who were recommended by their head nurses. They were given additional education on the philosophy and objectives of the College of Nursing, on communication skills, on the theory and practice of education, and on nursing diagnosis and education evaluation. The role of the preceptor was to work one-to-one with students in their practice. The role of the head nurse was to supervise and evaluate the preceptors. The role of the clinical instructor was to provide the education program for the preceptors, to provide ad-vice and suggestions to the preceptors and to maintain lines of communication with the college. With each of these roles in place, it was thought that the effectiveness and efficiency of the clinical practice could be increased significantly. To evaluate the effectiveness of the preceptorship, the three - tiered model, Lowery's Teacher Evaluation Opinion Form translated and adapted to Korea was used to measure student statisfaction. The Clinical Practice Compentency Evaluation Tool developed by Lee et ai was also used to measure student competencies. The results of this study are as follows 1. The satisfaction with clinical practice was higher with the introduction of the perceptors than it was before they were used. (t=-5.96, p=<.005) 2. The clinical practice competencies were higher with the introduction of the preceptors than it was before they were used(t=-5.l3, p<.005) 3. In order to analyze areas not measured by the quantitative tools additional analysis of the open questions was done. The results of this analysis showed that : 1) The students felt positive about their sense of security, confidence, handling of responsbility, and being systematic. They also felt positive about improvements in knowledge, opportunities for direct care, and socialization. 2) The students felt negative about the technical part of their role, lack of knowledge by the preceptor, unprofessional attitudes on the part of the preceptor, difficulty in the role of the professional nurse(student). 3) The preceptors felt positive about their responsibility, motivation, and relationship with the college. 4) The preceptors felt negative about their bur-den. Introduction of the preceptorship model will lead to change and improvement in the negative factors discussed above, solve problems in the present clinical education system, increase continuity in the education of the students, help with socialization of the students and motivation of the preceptors to up-grade their education and increase their confidence. These objectives must be obtained to further the development of professional nursing, and thus, making the preceptorship a reality is our job for the future.

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온도 상승 조건이 벼의 수량 및 수량구성요소에 미치는 영향 (Effects of Elevated Air Temperature on Yield and Yield Components of Rice)

  • 이규종;뉴안덕;최덕환;반호영;이변우
    • 한국농림기상학회지
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    • 제17권2호
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    • pp.156-164
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    • 2015
  • 기후변화로 야기되는 미래의 고온 환경은 벼의 생산성을 저하시킬 것으로 예측되고 있다. 본 연구에서는 기후변화에 따른 국내 벼 생산성의 신뢰성 있는 영향평가 기초자료를 확보하기 위해 고온 환경에서의 벼의 수량과 수량 구성 요소의 반응을 조사하고 분석하였다. 실험은 1/5000a 와그너 포트를 이용하여 2008년과 2009년에 걸쳐 서울대학교 부속실험농장($37^{\circ}16^{\prime}N$, $128^{\circ}59^{\prime}E$)의 온도조절 플라스틱 하우스에서 실시되었다. 2008년에는 자포니카계의 화성벼를 공시품종으로 이용하였으며, 시비수준을 $120kg\;N\;ha^{-1}$$180kg\;N\;ha^{-1}$로 하였다. 온도처리는 대기온도, 대기온도 대비 $+1.5^{\circ}C$, $+3.0^{\circ}C$의 세 수준으로 하였다. 2009년에는 화성벼와 통일계의 다산벼를 공시품종으로 하여 $120kg\;N\;ha^{-1}$ 수준으로 시비하였다. 온도처리는 대기온도, 대기온도 대비 $+1.5^{\circ}C$, $+3.0^{\circ}C$$+5.0^{\circ}C$ 수준으로 처리하였다. 수량 및 수량구성요소의 온도처리에 따른 영향은 품종별로 상이한 반응을 보였다. 이삭수와 이삭당 영화수는 두 품종 모두 온도처리의 영향을 받지 않았으나, 천립중과 등숙률에 대해 화성벼는 $5.0^{\circ}C$, 다산벼는 $1.5^{\circ}C$ 이상의 온도처리에서 유의하게 감소하였다. 포트당 수량은 화성벼의 경우 $5.0^{\circ}C$, 다산벼는 $3.0^{\circ}C$$5.0^{\circ}C$ 온도처리에서 유의한 감소를 나타냈다. 등숙기간 동안의 평균기온에 대한 천립중과 등숙률 반응 또한 품종별로 다르게 나타났다. 다산벼의 경우 $23^{\circ}C$ 이상의 평균 온도에 대해 등숙률과 천립중이 급격히 감소한데 반해, 화성벼는 $23^{\circ}C$부터 $27^{\circ}C$ 범위에 대해 등숙률과 천립중의 변화가 크지 않았다. 기후변화에 의한 지속적인 기온상승이 예상되는 가운데 온도상승에 따른 등숙률과 천립중의 감소는 미래 기후 환경에서의 벼의 수량 감소를 야기하는 주요 원인으로 예측된다. 다만, 상승된 기온에 대한 벼의 반응은 품종별로 상이하기 때문에 고온에 둔감한 품종의 도입 또는 그러한 특성을 지닌 품종의 육종을 통해 기후변화에 따른 수량 감소의 위험을 낮출 수 있을 것이다.

암화학요법을 받는 유방암 환자의 불안, 절망감 및 가족지지와의 관계 (The Relationship of Anxiety, Hopelessness, and Family Suppoort of Breast Cancer Patients Undergoing Chemotherapy)

  • 박점희;이현주;김현미;류은경
    • 기본간호학회지
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    • 제4권1호
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    • pp.147-162
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    • 1997
  • This study was attempted to provide the basic data for nursing intervention to improve the psychosociological adaptation of patients receiving chemotherapy for breast cancer by examining relationship between anxiety and hopelessness that they are experiencing and family support, in order to help them successfully cope with various psychological problems. This study was carried out with 93 breast cancer patients who are receiving chemotherapy in the injection treatment room of K University Hospital located in the downtown of Taegu after having underwent mastectomy in the hospital between December 1995 and August 1996. This study used the systematized questionnaires which contain 7 questions about general characteristics, Spielberger's trait anxiety & state anxiety scale, the tool that WON(1987) modified the hopelessness scale which was developed by Beck et al.(1967) and the family support tool made by TAE(1985). By using the SPSS/PC program, this study obtained the real number and percentage for the general characteristics of the subjects, and mean and standard variation for the degrees of trait anxiety, state anxiety, hopelessness and family support. The correlation between each variables was identified on the basis of the Pearson Correlation, and the degrees of trait anxiety, state anxiety, hopelessness and family support in the general characteristics of the subjects were analyzed by using the t-test, ANOVA, and Duncan test. The results of this study were summarized as follows. In the general characteristics of the subjects, most of each group were 51 years old or more and the middle class in income, had educational background under elementary school, no job, Buddhism in religion and spouse, and were receiving chemotherapy using MTX and 5FU. It was shown that the degree of the subjects' trait anxiety is, on an average, 50. 29, state anxiety 49. 68, hopelessness 51. 46 and family support 34. 28. Both trait anxiety and hopelessness showed normal correlation ; the higher the degree of trait anxiety is, the higher the degree of hopelessness is, while trait anxiety and family support showed reverse correlation ; the higher the degree of trait anxiety, the lower the degree of family support that the subjects perceive is. State anxiety and hopelessness also showed normal correlation ; the higher the degree of state anxiety is, the higher the degree of hopelessness is. Family support and hopelessness showed reverse correlation ; the higher the degree of family support is, the lower the degree of hopelessness that the subjects perceive is. And family support and state anxiety showed reverse correlation but there was a statistically significant difference. The degree of trait anxiety in the general characteristics of the subjects showed a significant difference by age, job and religion, the degree of state anxiety a signigicant difference by job and religion, the degree of hopelessness a signigicant difference by age, educational background and existence or not of spouse. In conclusion, the breast cancer patients receiving chemotherapy perceive anxiety and hopelessness due to several causes such as diagnosis itself or side effects of chemotherapy, so that it is required not only to develop specific nursing interventions including family support to alleviate anxiety and hopelessness but also to apply such interventions to clinical practice.

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Altitude training as a powerful corrective intervention in correctin insulin resistance

  • Chen, Shu-Man;Kuo, Chia-Hua
    • 운동영양학회지
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    • 제16권2호
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    • pp.65-71
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    • 2012
  • Oxygen is the final acceptor of electron transport from fat and carbohydrate oxidation, which is the rate-limiting factor for cellular ATP production. Under altitude hypoxia condition, energy reliance on anaerobic glycolysis increases to compensate for the shortfall caused by reduced fatty acid oxidation [1]. Therefore, training at altitude is expected to strongly influence the human metabolic system, and has the potential to be designed as a non-pharmacological or recreational intervention regimen for correcting diabetes or related metabolic problems. However, most people cannot accommodate high altitude exposure above 4500 M due to acute mountain sickness (AMS) and insulin resistance corresponding to a increased levels of the stress hormones cortisol and catecholamine [2]. Thus, less stringent conditions were evaluated to determine whether glucose tolerance and insulin sensitivity could be improved by moderate altitude exposure (below 4000 M). In 2003, we and another group in Austria reported that short-term moderate altitude exposure plus endurance-related physical activity significantly improves glucose tolerance (not fasting glucose) in humans [3,4], which is associated with the improvement in the whole-body insulin sensitivity [5]. With daily hiking at an altitude of approximately 4000 M, glucose tolerance can still be improved but fasting glucose was slightly elevated. Individuals vary widely in their response to altitude challenge. In particular, the improvement in glucose tolerance and insulin sensitivity by prolonged altitude hiking activity is not apparent in those individuals with low baseline DHEA-S concentration [6]. In addition, hematopoietic adaptation against altitude hypoxia can also be impaired in individuals with low DHEA-S. In short-lived mammals like rodents, the DHEA-S level is barely detectable since their adrenal cortex does not appear to produce this steroid [7]. In this model, exercise training recovery under prolonged hypoxia exposure (14-15% oxygen, 8 h per day for 6 weeks) can still improve insulin sensitivity, secondary to an effective suppression of adiposity [8]. Genetically obese rats exhibit hyperinsulinemia (sign of insulin resistance) with up-regulated baseline levels of AMP-activated protein kinase and AS160 phosphorylation in skeletal muscle compared to lean rats. After prolonged hypoxia training, this abnormality can be reversed concomitant with an approximately 50% increase in GLUT4 protein expression. Additionally, prolonged moderate hypoxia training results in decreased diffusion distance of muscle fiber (reduced cross-sectional area) without affecting muscle weight. In humans, moderate hypoxia increases postprandial blood distribution towards skeletal muscle during a training recovery. This physiological response plays a role in the redistribution of fuel storage among important energy storage sites and may explain its potent effect on changing body composition. Conclusion: Prolonged moderate altitude hypoxia (rangingfrom 1700 to 2400 M), but not acute high attitude hypoxia (above 4000 M), can effectively improve insulin sensitivity and glucose tolerance for humans and antagonizes the obese phenotype in animals with a genetic defect. In humans, the magnitude of the improvementvaries widely and correlates with baseline plasma DHEA-S levels. Compared to training at sea-level, training at altitude effectively decreases fat mass in parallel with increased muscle mass. This change may be associated with increased perfusion of insulin and fuel towards skeletal muscle that favors muscle competing postprandial fuel in circulation against adipose tissues.