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Development of Chemiluminescence Immunoassay For the Measurement of Serum Thyroxine(T4)

  • Kim, J.B.;Choe, B.K.;Choi, S.H.
    • Korean Journal of Animal Reproduction
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    • v.11 no.1
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    • pp.16-21
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    • 1987
  • We describe a simple, solid-phase chemiluminescence immunoassay for the meausrement of serum T4. An immunoglobulin G fraction of antibody to thyroxine was passively absorbed onto the walls of polystyrene tubes. The labeled antigen was thyroxine-aminobutylethylisoluminol. After the bindings reaction (37$^{\circ}C$ for 1 hour), the solution is removed by aspiration and the antibody-bound fraction was washed once with buffer. Sodium hydroxide (5mol/1,200${mu}ell$) was added and the mixture incubated for 30 minutes at 6$0^{\circ}C$. Luminescence was initiated by oxidation of the label with micropeeroxidase-hydrogen peroxide and the signal of light emission was intergrated for 10 sec. The light yield was inversely proportional to the concentration of T4 in the standard or sample. An evaluation of the method gave the following values sensitivity of calibration curve 7.5$\pm$2.8 nmol/l (mean$\pm$SD). The intra-assay precision (CV%) was 8.9, 7.3 and 5.4. The inter-assay precision (CV%) was 10.2, 8.1 and 7.1. When seum samples were assayed for T4, the results obtained by solid-phase CIA and the conventional RIA agreed well(n=3.5, r=0.954).

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Measurement of competency through self study in basic nursing lab. practice focused on cleansing enema (기본간호학 실습에 있어 자가학습을 통한 능숙도 측정 - 배변관장을 중심으로 -)

  • Ko Il-Sun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.3
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    • pp.532-543
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    • 1999
  • This study was conducted to provide the basic data necessary for the improvement of the teaching method for basic nursing practice as well as the effectiveness of the practice by examining the students' competency in cleansing enema after doing the self study instead of the traditional education. To examine the competency in cleansing enema after the self study, this study is an one group pretest-posttest design that subjects did the enema practice through the self study. The subjects were 89 sophomore students at Y University. College of Nursing. In basic nursing lab practice class, cleansing enema self study module was given to the students which was developed by the researcher based on the literature review and asked them to finish doing the pre study and checking the self study evaluation criteria after reading the goal, learning activities and theoretical guideline. After watching the video tape, students practiced the process in the module by themselves. For the competency in cleansing enema. repeated autonomous practices were done during the open lab other than the regular class. Whenever the practice was done, the frequency and time were measure and documented. When the student felt confident through repeated practices, the competency was evaluated by the researcher and two assistants based on the evaluation criteria. And the process was repeated till the student could perform all the items on evaluation criteria completely. The data were collected for 42 days from Oct. 15 to Nov. 26 in 1996. Collected data were analyzed by frequency, percentage, Pearson correlation coefficient and variance analysis. The results are summarized as follows : 1. 43.2% of the students were favorable to nursing and 63.6% like lecture, but 71.6% like practice. So they were more interested in practice than in lecture. 2. 62.3% of the students scored high in written test, 97.8% scored high in practice. So the practice score was better. 3. The frequency of repeated practice to pass the test ranged from 1 to 4 and the average is 2.2. 4. The average time needed in preparation and the performance was nearly the same regardless of the frequency. It took 5 to 38 minutes for those who passed the test after practicing once and the average was 16 minutes. 5 to 60 minutes were taken for those who practiced twice to pass the test and the average was 21 minutes. Those who passed the test after three practices needed 8 to 30 minutes and the average was 15 minutes, which was similar to the time that the students who passed the test for the first trial. Only one student passed the test after 4 practices and it took 10 minutes. 5. 64% of the students agreed that the context and the content of the module were appropriate for the self study and 68.2% were satisfied. And 71.9% said that the module helped them to practice the enema self study 6. Though only 42% of the students were satisfied with the video. 50.6% said that it was helpful for the self study. 7. 52.3% of the students were satisfied with the self study method, and 86.6% obtained self-confidence when performing the enema. 8. The lower the student's practice score was, the more practices were needed for them to pass the test(r=-.213, P<.05). As a result, for performing the enema practice competently, two or more practice opportunities were needed to be given. And it is possible to obtain the less complex nursing skills through the self study, when enough learning resources and assistance such as learning guidance or video tapes are provided. Based on this study. I want to suggest that. 1. There must be college policy that can support the new method instead of the traditional learning method for the students to attain the proficiency in basic nursing skills. 2. The assistant materials should be developed as soon as possible to promote the self study of basic nursing skills.

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Clinical Study on the Successful Pregnancy and Delivery after Transfer of Human Blastocysts Cryopreserved by Vitrification (인간 포배란의 유리화동결 융해 후 임신 및 분만에 관한 연구)

  • Choi, Dong-Hee;Chung, Hyung-Min;Chung, Mi-Kyung;Lee, Sook-Hwan;Nam, Yoon-Seung;Park, Chan;Kwak, In-Pyung;Yoon, Tae-Ki
    • Clinical and Experimental Reproductive Medicine
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    • v.27 no.4
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    • pp.367-372
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    • 2000
  • Objective: This study was performed to evaluate whether vitrification method could be used for the cryopreservation of human blastocysts derived from IVF program. Methods: Surplus embryos were obtained from consented IVF patients. Controlled ovarian hyperstimulation was done with midluteal GnRH agonist, gonadotropin and hCG. After oocyte retrieval and insemination, fresh embryo transfer was done at $4{\sim}8$ cell stage. The surplus embryos after ET were cultured in blastocyst medium up to 6 days after oocyte retrieval. Obtained blastocysts were cryopreserved with our vitrification method. Blastocysts were exposed to 1.5 Methylene glycol (EG) in phosphate buffered saline (PBS) for 2.5 minutes, followed by 5.5 M EG plus 1 M sucrose for 20 seconds. Then 1 to 3 blastocysts were mounted on electron microscope (EM) grid and the grid was plunged into liquid nitrogen for storage. For thawing, blastocyst-containing EM grids were sequentially transferred in 1.0 M, 0.5 M, 0.25 M, 0.125 M and 0 M sucrose solution at the intervals of2.5 minutes. And blastocysts were cultured for about 6 hours and only re-expanded blastocysts were transferred to uterus of the patients on 4 to 5 days after ovulation in natural cycle or on 18 to 19 day of artificial cycle. Results: From Oct. 1998 to Jul. 1999, 34 patients were agreed to participate in this study. The mean age and duration of infertility of the patients were 31.6 years and 4.1 years, respectively. Among 34 cycles. replacements could be done in 20 cycles (58.8%). A total 93 blastocysts were thawed and 48 (51.6%) of them survived. Thirty-eight blastocysts, mean 1.9 embryos per patient, were transferred, resulting in 5 clinical pregnancies which consisted of 1 triplet, 2 sets of twins and 2 singleton pregnancies. The pregnancy rate per transfer was 25% and implantation rate was 23.6%. Five patients delivered 7 healthy babies including 2 sets of twins at term. Conclusion: Successful pregnancies and deliveries were established after transfer of vitrified human blastocysts. Vitrification using ethylene glycol as cryoprotectant and electron microscope grid is a rapid and simple method that can be effectively applied for the cryopreservation of human blastocysts.

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Effects of Induced Microcurrent Shoes on Change of Blood Circulation to patients with Chronic Plantar (미세전류발생 신발 착용이 만성 족저근막염 환자의 혈류량 변화에 미치는 영향)

  • Lee, Yoon-Mi;Choi, Sang-Joon;Cheng, Goh Ah;Cho, Mi-Suk;Cho, Jeong-Sun;Cho, Yong-Ho;Park, So-Hyun;Park, Rae-Joon
    • The Journal of Korean Physical Therapy
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    • v.18 no.3
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    • pp.71-78
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    • 2006
  • Purpose: The purpose of this study was to investigate how induced microcurrent shoes influenced changes of the blood circulation in patients with Plantar Fasciitis. Methods: Initially, the subjects were comprised of 5 males and 5 females, who agreed with this research and are more than fifty years old, but 4 of those were dropped during the experiment. They all have plantar fasciitis and pain on their feet. Subjects wore the induced microcurrent shoes for more than 4 hours everyday during 4 weeks. When they wore those shoes, they also wore the specially produced shocks made of silver-mixed thread and they were asked to avoid intense exercise. Assessments were carried out before and after walking on a treadmill and we measured changes between the test before and after 4 weeks. In the examination of the before test, general shoes were used, and in the examination of the after test, induced microcurrent shoes were used. Temperature difference was measured by thermograpy DOREX spectrum 9000MB(USA). Subjects walked total 20 minutes and during gait, the walking rate on a treadmill was increased from 2Km/h to 3Km/h after 10 minutes. We measured plantar temperature by thermograpy especially both heel, 1st, and 5th metatarsal areas. Results: Firstly, in comparison of the blood circulation on the left and right foot at 0 week and 4 weeks, it tended toward increasing blood circulation but there was. no statistically significant difference (p>0.05). Secondly, in comparison of the blood circulation before and after treadmill with the induced microcurrent shoes, the blood circulation of the heel and the 5th area on the right foot was increased to all subjects(p<0.05). Conclusion: The results of this study revealed that subjects showed tendency to increase blood circulation in both right and left feet after wearing microcurrent shoes and specially after walking treadmill at 4 weeks. Therefore induced microcurrent shoes are useful to improve blood circulation for patients with plantar fasciitis.

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The Effect of Dynamic Lumbar Stabilization Exercise to Be Affected with Improvement and Maintenance of Trunk Stability after Opened Microscopic Laser Discectomy (개방형 현미경적 요추간판 제거술 후 동적 요부 안정화 운동에 따른 체간 안정성의 개선과 유지)

  • Nam, Kun-Woo;Kim, Jong-Soon
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.11 no.1
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    • pp.37-48
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    • 2005
  • Objects: This study is designed to analysis improvement and maintaince of trunk stability targeting patients who need post operative rehabilitation exercise after undergoing opened microscopic laser discectomy(OMLD) due to HNP. Method: Between March 2004 and February 2005 a total sixty patients who underwent OMLD due to $L_4/L_5$, $L_5/S_1$ HNP and who agreed to the experiment were subject for this study. Experimental group consisted of 18 subjects, and they underwent 45 minutes dynamic lumbar stabilization exercise And control group consisted of 18 subjects who conducted conservative physical therapy based on the use of physical modality for 45 minutes except to exercise. Results: Experimental group that was lumbar extensor's isometric peak torque, weight distribution of both leg, trunk muscle balance and Oswestry LBP disability index increased during 12 weeks in a statistically significant manner compared to before exercise (p<.05). When re-test was tried, isometric peak torque (p>.05) and Oswestry LBP disability index(p<.05) maintained 12th week level or improved. Weight distribution rate of both leg and trunk muscle balance maintained the level of 8th week of exercise execution(p<.05). Control group that was lumbar extensor's isometric peak torque, weight distribution rate of both leg and trunk muscle balance aggravated during 12 weeks compared to pre-test(p>.05) But, Oswestry LBP disability index increased in a statistically significant level compared to pre-test(p<.05). When re-test was tried, isometric peak torque increased slightly compared to pre-test, but decreased when at least $60^{\circ}$ flexion angle(p>.05). Weight distribution rate of both leg and trunk muscle balance also aggravated compared to pre-test(p>.05), and Oswestry LBP disability index was similar to the 4th week of physical therapy execution(p>.05). Conclusion: Successive postoperative Especially, Application of dynamic lumbar stabilization exercise program is important than traditional lumbar strengthening exercise program in the maintaince of spinal stability.

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The effect of applying a head-weight device on cervical angle and pain of neck muscles

  • Kim, Jin-Hong;Kim, Jong-Gun;Do, Kwang-Sun;Yim, Jongeun
    • Physical Therapy Rehabilitation Science
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    • v.5 no.2
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    • pp.101-105
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    • 2016
  • Objective: The purpose of this study was to measure the change in pain threshold of levator scapular muscle, carniovertebral angle, and head position angle when applying a head-weight device on healthy adult. Design: Cross-sectional study. Methods: This study was conducted with 21 healthy adult male and female who voluntarily agreed to participate in this study after being informed of the purpose and method of this study. After measuring the cervical angle and pain threshold of levator scapular muscle, subject was instructed to walk for 5 minutes on a treadmill at a speed of less than 5 km/h while wearing after wearing head-weight device of 0.5 kg. Then, cervical spine angle and pain threshold of levator scapula muscle were re-measured. Measurement of cervical spine angle was conducted with photo by using the Bluebeam Revu software and the pain pressure thresholds (PPTs) were measured using an electronic algometer over potential trigger points on the body. Results: The results cervical angle showed a significant change, from $49.62^{\circ}$ to $52.10^{\circ}$ (p<0.05). PPT showed a significant change, from 30.71 to 36.89 (p<0.05). Conclusions: These findings suggest that applying head-weight device has a positive influence on increasing cervical angle and reducing pain when applied as a therapeutic intervention method of forward head posture.

Effects of an Education Program on Knowledge about Environmental Health and Allergy Symptoms among Elementary School Students (초등학생에게 적용한 환경보건 교육프로그램이 알레르기 지식과 증상에 미치는 효과)

  • Jo, Hae-Kyung;Kang, Myung-Hwa;Park, Joon-Soo;Song, Mi-Ryeong
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.19 no.1
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    • pp.57-65
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    • 2012
  • Purpose: The purpose of this study was to analyze the effects of a health education program to improve knowledge about environmental health and allergy symptoms among elementary school students. Methods: This study has nonequivalent control group pre-post test design. Participants of this study were 60 elementary students (30 experimental and 30 control) who agreed to participate in the study. The education program consisted of information on environmental health and allergies, the atmosphere, indoor environments, food and allergies, and activities with parents. The program was carried out one time (50 minutes) per week during 6 weeks. Knowledge and symptoms of allergies were recorded before and after the program among both groups. The collected data were analyzed by ANCOVA and t-test using SAS program. Results: There was a significant increase in knowledge about allergies in the experimental group compared to the control group, but allergic symptoms were similar in the two groups. Conclusion: These findings suggest that environmental health education programs are effective in the area of school health nursing for increasing knowledge about environmental health and allergies. Further research is needed to develop programs for reducing allergic symptoms as an environment health problem among children.

The Effects of Yoga Program on Depression, Quality of Life, and Difficulty of Daily Activities in Community Elders (요가 프로그램이 재가노인의 우울, 삶의 질, 일상활동장애에 미치는 효과)

  • Kim, Young-Hee;Park, Kum-Sook;Yang, Kyung-Hee;Jeong, Heon-Young;Yang, Hee-Jung
    • Journal of Society of Preventive Korean Medicine
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    • v.17 no.3
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    • pp.75-89
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    • 2013
  • Objective : The purpose of this study was to investigate the effects of yoga program on depression, quality of life, and difficulty of daily activities in community elders. Methods : A Nonequivalent control group pretest-posttest design was used for this study. Elderly people who agreed to participated in the study were assigned to a experimental group(n=17) or a control group(n=17). The yoga program conducted 90minutes, 2times a week for 1 year. Study outcomes were measured by structured questionnaires from March, 2012 to Feb., 2013. For data analysis, Chi-square test, t-test, and Mann-Whitney U test were performed using SPSS version 17.0. Results : Depression was not significant difference between the two groups in pretest and posttest. But there was significant differences between the two groups in quality of life (t=3.984, p<.001), and difficulty of daily activities (t=-3.083, p=.004). Therefore, the experimental group showed significant improvement in quality of life and reduce difficulty of daily activities. Conclusion : The yoga program was effective in increasing quality of life and decreasing difficulty of daily activities in community elders. When developing exercise program to improve health in older adults, it is important to consider physical exercise plus general health management.

The effect of the hand massage on anxiety of the cancer patients receiving radiation treatment (손맛사지가 방사선요법을 받는 암환자의 불안에 미치는 영향)

  • 박미성;서문자
    • Journal of Korean Academy of Nursing
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    • v.25 no.2
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    • pp.316-329
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    • 1995
  • The purpose of this study was to exame the effectiveness of the hand massage as an independent nursing intervention for the cancer patients undergoing radiation therapy. The data were collected with quasiexperimental research design from 40 subjects-20 for experimental group and 20 for control group-of the radiation oncology department of one university hospital in Seoul from January 10th to March 29th, 1994. Subjects agreed to participate in this study and ranged in age from 18 to 82 years with mean age of 52.63. They had insight of their disease and had undergone radiotherapy at least twice. The hand massage developed by Mariah Snyder (1993) based on the Swedish Massage was administered to the experimental group prior to having radiation therapy at the waiting place of radiotherapy room. Hand massage was given to each hand of patient for five minutes once a day. Measurement of the patient's blood pressure, pulse rate, state anxiety and mood were done before and after the administration of hand massage for 5 days. The data were analyzed with paired t-test, t-test an4 the results were summarized as follows ; 1. After administration of the hand massage, the diastolic blood pressure of experimental group was decreased significantly, while the systolic blood pressure and the pulse rate were decreased, but not significantaly. 2. In the experimental group, the level of anxiety was significantaly lower than control group. The mean scores of the difference of the anxiety level after having hand massage was 8.60 in the experimental group and 0.75 in the control group. 3. The difference of the mood scores before and after the massage in the experimental group was decreased significantly. The mean mood score was decreased 4.80 in the experimental group as compared with 2.02 in the control group. 4. The patients after having the hand massage expressed subjectively their feeling of relaxation, well - being and being enjoyable, the significant decreased of physical symptoms and anxiety. The findings summarized that the use of the hand massage for the cancer patient undergoing radiation therapy Produced significant changes in the level of anxiety and relaxation. Therefore it is recommended to use the hand massage as an intervention for the patients.

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A Study on the Flow Coefficient of Compartment Fire (건물화재시 개구부의 흐름계수에 관한 연구)

  • 허만성
    • Fire Science and Engineering
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    • v.10 no.4
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    • pp.19-27
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    • 1996
  • The objective of this research is to study on the upper layer temperature, interface height and flow regime in case of several furniture fires such as trashcan, chair, carpet, sofa, mattress and wardrobe as a fire starter in a residential room by performing the experimental studies. The upper layer temperature and the Interface height were relatively well agreed with the experimental results when the flow coefficient at the opening was 0.65-0.8 for the rectangular trashcan, 0.65-0.9 for the circular trashcan and chair, and 0.7-0.9 for the carpet, sofa, mattress and wardrobe. The interface heights for the seven furniture fires were around 1[m] maintaining steady state. However, at the time of the maximum temperature, the interface height was lowered to 0.25[m]-0.75[m] from the floor. The flow regime at the opening was filling and buoyant for the distributed fire, and for the concentrated fire it was filling and then quickly changed to flow, and the flow period was long. The descending speed of the interface height was proportioned to the inflammability of the furniture and the contact surface area with air. The time required to come down around 1[m] was within 1-3 minutes.

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