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파킨슨병 맞춤운동프로그램의 개발 및 신체기능에 대한 효과 (The Development and Effect of a Tailored Exercise Program on Physical Fitness in Patients with Parkinson's Disease)

  • 송경애;문정순;이광수;최동원
    • 기본간호학회지
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    • 제13권3호
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    • pp.390-400
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    • 2006
  • Purpose: To develop & to examine the effect of a Tailored Exercise Program (TEP) on physical fitness in patients with Parkinson's disease (PD). Method: In a two-group pre-and post-test design, from a total 41 participants. 21 were assigned th the experimental group find the remainder to the control group. The experimental group participated in a 4-day a week, 8 week program in which one session a week was by direct instruction with the self-help group and two sessions a week were by videotaped instruction at home by themselves. The control group did not receive any intervention. Results: The eight week TEP in patients with PD was found to be significantly effective in enhancing muscle strength, ankle flexibility, and balance. However instrumental activities of daily living was not changed by the intervention. Conclusion: These results suggest that TEP can have an effect on physical fitness in patients with PD. Further research with a larger sample and for a longer follow up period is needed to expand our understanding of the effects of TEP for patients with PD.

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응급 수부 미세수술 후 통증, 기분 및 외상 후 위기 정도의 변화양상 (Changes in Pain, Mood and Posttrauma Risk Level of Patients with Acute Hand Microsurgery)

  • 김민숙;윤순영;소희영
    • 재활간호학회지
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    • 제13권1호
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    • pp.44-52
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    • 2010
  • Purpose: The purposes of this study were to explore changes in pain, mood and the level of posttrauma risk for 2 weeks after acute hand microsurgery and determine predictors of pain 2-week after microsurgery. Method: Using a sample of 84 patients with hand microsurgery, pain, mood, and posttrauma risk were measured by the Brief Pain Inventory-Korea, the modified Profile of mood states, and the Posttrauma risk checklist at 1-day, 1-week and 2-week post-microsurgery. Repeated measures ANOVA and Multiple regression analysis were conducted to evaluate changes in pain, mood, and posttrauma risk over time after the surgery and determine predictors of pain 2-week after the surgery. Results: Pain significantly decreased (F=63.22, p<.001), mood significantly improved (F=41.04, p<.001) 2 weeks after microsurgery and interestingly, posttrauma risk significantly decreased from baseline to 1-week microsurgery but increased at 2-week after microsurgery (F=24.66, p<.001). Approximately 57% of the variance of pain 2-week post-microsurgery was explained by pain at 1-week post-microsurgery, mood and the numbers of injured fingers. Conclusion: The findings suggest the pain control for 1week after acute surgery being critical and posttrauma rehabilitation of injured finger being necessary. Developing nursing interventions is urgently needed to help individuals with impending hand microsurgery.

미광 칼라 C/L에 대한 건조감 및 렌즈 적응증에 대한 연구 (A Study on The migwang color contact lens for dryness and indications)

  • 장우영;박정식;이정영
    • 한국정보컨버전스학회논문지
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    • 제5권2호
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    • pp.77-83
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    • 2012
  • 본 연구에서는 미용 콘택트렌즈 착용에 1주와 2주에 대한 삽입 상태를 평가 하였다. '렌즈의 삽입과 제거가 용이 하다'에서 1주와 2주 모두 '긍정'의 평가가 나왔으며 '삽입 중 거울을 봤을 때 눈이 빨갛다'에서는 1주에서는 '부정'의 평가가 18명(45%), 2주에서는 '부정'의 평가가 14명(35%)로 나와 시간이 지남에 따라 자각적인 충혈도는 줄어듬을 볼 수 있었다. '향후 렌즈 구매 의사'에서 1주차에서는 긍정>부정의 결과로 나왔고, 2주에서는 긍정=부정으로 평가가 되었다. 하지만 보통이상의 평가로는 1주, 2주 모두 26명(65%)으로 변화없음을 보였다. 착용 기간이 늘어남에 따라 삽입 시의 시력상태, 건조감에서는 보다 긍정적인 평가를 보였고, 편안함에서는 비슷한 평가가 나타났다. 제거 시의 시력상태, 편안함, 건조감에서는 다소 부정적인 평가가 나타났지만, 일상생활 시에는 시력상태, 편안함, 건조감 모두에서 긍정적인 평가가 나타남으로 착용 중일 때 보다 긍정적인 평가가 나타남을 알 수 있었다.

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공공도서관의 주 40시간 근무제 대응 전략에 관한 고찰 (A Study on the Strategies for Implementing 40 Working - hours Each Week at Public Libraries in Korea)

  • 곽동철
    • 한국비블리아학회지
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    • 제16권1호
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    • pp.153-180
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    • 2005
  • 우리나라 공공도서관은 행정기관의 주 40시간 근무제 시행과 관련하여 근무환경의 개선을 통해 사서들의 삶의 질 향상을 염두에 두면서, 동시에 이용자에게 만족스런 정보서비스를 지속해야 하는 문제를 갖고있다. 이를 해결하기 위해 본 고에서는 도서관에서의 주 40시간 근무제에 대한 문제점 도출 및 대응 전략을 고찰하는 데에 연구목적을 두고자 한다. 이러한 연구목적을 달성하기 위해 사서, 이용자, 일반국민에 대한 의식조사 등을 수행하면 더욱 나은 결과를 기대할 수 있지만, 논리를 전개하는 과정에서 기존 자료를 활용하여 다음과 같은 사항을 세부적으로 조사?분석하고자 한다. 첫째, 우리나라 정부가 수립하여 시행하고 있는 행정기관 주 40시간 근무제 추진 계획의 구체적인 내용을 살펴본다. 둘째, 미국을 비롯한 외국의 공공도서관은 주 40시간 근무제 실시와 더불어 어떻게 도서관을 경영하고 있는지를 파악한다. 셋째, 우리나라 공공도서관은 주 40시간 근무제 실시에 따라 각각 시행중인 도서관 경영 실태를 분석한다. 넷째, 향후 정부가 금년 7월부터 주 40시간 근무제를 전면 실시할 경우에 대비하여 문화기반시설로서 공공도서관에서의 주 40시간 근무제 대응 전략을 모색한다.

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Effects of sling exercise and McKenzie exercise program on neck disability, pain, muscle strength and range of motion in chronic neck pain

  • Seo, Seung-Cheol;Choi, Jin-Young;Joo, Min-Young;Kim, Je-Hoon;Chang, Seul-Ki
    • Physical Therapy Rehabilitation Science
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    • 제1권1호
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    • pp.40-48
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    • 2012
  • Objective: The aim of this study was to compare sling exercise group to McKenzie exercise group in patients with chronic neck pain. Design: Two group pretest-posttest design. Methods: Twenty subjects who have chronic neck pain were randomly divided into sling exercise group (n=10) and McKenzie exercise (n=10). Sling exercise group (n=10) received sling exercise for 30 minutes per day, twice a week over a 4 week period. And the other group were exercised McKenzie exercise (n=8) for 30 minutes per day, twice a week over a 4 week period. Neck disability index (NDI), Visual analog scale (VAS), algometer, digital manual muscle tester (MMT) and cervical muscle strength and cervical range of motion (ROM) are closely measured to identify the effect of sling exercise and McKenzie exercise. Results: For NDI, VAS, algometer on both trapezius, both rotation of cervical muscle strength, both lateral flexion of cervical muscle strength, cervical extension of ROM and both lateral flexion of ROM were significantly increased after intervention in sling exercise group (p<0.05), For VAS, algometer on both trapezius, left (Lt.) rotation of cervical muscle strength, Lt. lateral flexion of cervical muscle strength, cervical flexion and extension of ROM and Lt. lateral flexion of ROM were significantly increased after than before intervention in McKenzie exercise group (p<0.05). Conclusions: These study outcomes clearly support the notion that sling and McKenzie exercise improved pain, Muscle strength and ROM of patients with chronic neck pain. These results suggest that sling and McKenzie exercise program is suitable for chronic neck pain.

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Anorexia-Cachexia Syndrome을 가진 말기 암 환자에서 비타민 C 사용여부에 따른 사이토카인 변화 비교 (Comparison of Serum Cytokines($IL-1{\beta}$, IL-6, and $TNF-{\alpha}$) between Terminal Cancer Patients Treated with Vitamin C and Them without Vitamin C Therapy)

  • 염창환;서상연;조경희;선영규;박용규;이혜리
    • Journal of Hospice and Palliative Care
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    • 제6권1호
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    • pp.51-57
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    • 2003
  • 배경 : Anorexia-cachexia syndrome은 말기 암 환자에서 흔한 증상이며, 암 환자의 주린 사망 원인이 되기도 한다. 이들 증상들은 주로 암 세포 성장과 암세포에서 분비되는 cytokines이 중요한 역할을 한다고 한다. 일부 의사들은 비타민 C가 선택적인 항암 효과를 가지고 있을 뿐만 아니라 여러 가지 말기 암 환자에서 임상 증상을 호전시키는 데 도움이 된다고 보고하였다. 이에 저자 등은 비타민 C가 anorexia-cachexia syndrome을 유발시키는 기전 중의 하나인 사이토카인에 어떤 영향을 주는 지를 알아보고자 한다. 방법 : 2002년 3월 1일부터 2002년 8월 31일까지 국민건강보험공단 일산병원 가정의학과에 입원한 환자 49명을 대상으로 22명은 비타민 C를 1주일동안 지속적으로 10 g을 정맥 주사하였고, 나머지 27명은 비타민 C를 주사하지 않았다. 대상이 된 환자의 비타민 C를 주기 전과 주고 1주일 지난 후의 혈액을 채취하여 cytokine의 변화가 있는 지를 wilcoxon rank sum test를 이용하여 비교분석하였다. 결과 : 대상이 된 총 49명의 환자 중 22명(남자 12명, 여자 10명)이 비타민 C를 사용하였고, 27명(남자18명, 여자 9명)이 비타민 C를 사용하지 않았다. 비타민 C를 사용한 환자에서 $IL-1{\beta}$는 사용 전에는 $6.19{\pm}5.47$이고, 사용 1주일 후에는 $8.76{\pm}5.72$$2.94{\pm}7.29$만큼 증가하였고, IL-6는 사용 전에는 $3.07{\pm}8.09$이고 사용 1주일 후라는 $1.31{\pm}2.36$$-1.57{\pm}7.96$만큼 감소하였으며, $TNF-{\alpha}$는 사용 전에는 $2.74{\pm}14.24$이고 사용 1주일 후에는 $0.50{\pm}2.00$$-4.13{\pm}18.74$만큼 감소하였다. 비타민 C를 사용하지 않은 환자에서는 $IL-1{\beta}$는 사용 전에는 $1.00{\pm}2.19$이고, 사용 1주일 전에는 $17.16{\pm}81.55$$16.50{\pm}81.71$만큼 증가하였고, IL-6는 사용 전에는 $2.50{\pm}3.58$이고, 사용 1주일 후에는 $6.49{\pm}12.01$$4.11{\pm}12.14$만큼 증가하였으며, $TNF-{\alpha}$는 사용 전에는 $1.19{\pm}2.98$이고, 사용 1주일 후에는 $1.27{\pm}1.52$$-0.07{\pm}4.36$만큼 감소하였다. 비타민 C를 사용한 환자와 사용하지 않은 환자에서 사이토카인 변화는 모두 비타민 C를 사용한 환자가 사용하지 않은 환자보다 감소하거나 더 적게 증가하였지만 각각 통계학적인 의미는 없었다($IL-1{\beta}$에서는 P=0.06, IL-6에서는 P=0.166, $TNF-{\alpha}$에서는 P=0.54). 결론 : 비타민 C 사용여부에 따른 cytokines의 변화는 비록 통계학적인 차이는 없지만 비타민 C를 사용한 환자의 cytokines이 모두 사용하지 않은 환자에 비해 감소하였음을 보였다. 비타민 C는 부작용이 거의 없는 안전한 약으로서 말기 암 환자에서 비타민 C사용은 임상 증상을 호전시키는 데 도움이 될 것이라 생각된다.

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Movement Ranges and Routes of Black Rockfish Sebastes schlegeli in Summer and Autumn from Acoustic Telemetry

  • Kang Kyoung-Mi;Shin Hyeon-Ok
    • Fisheries and Aquatic Sciences
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    • 제9권2호
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    • pp.91-96
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    • 2006
  • The movement range and diurnal behavior of 17 wild black rockfish (Sebastes schlegeli) were monitored within the marine ranching area of Tongyeong from 27 July to 7 November, 2005 using acoustic telemetry. Coded transmitters were surgically implanted into the abdomen of fish. Two of ten fish released in summer moved about 2 km away from the capture point for 1 day. The others stayed within a 500-m radius of the release point for 1 week after release. The seven fish released in autumn stayed within 500 m of the release point. Most fish were more active and had a greater range of horizontal diurnal movement at night than during the day. Additionally, the range of horizontal diurnal variation was greater in summer than in autumn. While fish released in summer were more vertically active at night than during the day, those released in autumn preferred to move vertically during the day.

Selenium이 adriamycin에 의해서 유발되는 랫드 신장병변에 미치는 영향 (The effect of selenium on renal lesions induced by adriamycin in rats)

  • 박은성;이준섭
    • 대한수의학회지
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    • 제37권1호
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    • pp.41-57
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    • 1997
  • This study was carried out to investigate the effect of selenium on the adriamycininduced renal lesions in male Sprague Dawley rats. A total of 60 Sprague-Dawley male rats were divided into 2 control groups(C1: saline, C2: selenium) and 2 treatment groups(T1: adriamycin, T2: adriamycin+selenium). The rats of the C1 and T1 groups were given normal saline(0.15ml/rat), the rats of the C2 and T2 groups were given sodium selenite(0.5mg/kg) intraperitoneally three days a week for 4 weeks. The treatment groups were dosed intraperitoneally with adriamycin(2mg/kg/day) five days at the second week. Animals were sacrificed at the 1st week, 2nd week and 3rd week after dosing with adriamycin. The morphologic abnormalities of the glomeruli and tubules in the kidney of male rats were examined histopathologically and electron microscopically.The results obtained were as follows : The mean body weight of adriamycin dosed group was significantly decreased as compared with that of control group at 4th week(p<0.05). In adriamycin and selenium dosed group, the mean body weight was decreased until the end of 2nd week but gradually increased from 3rd to 4th week. The histopathological findings of the renal corpuscle in adriamycin dosed group were parietal epithelial cell proliferation, vacuolization of glomerulus, and thickened basement membrane of the parietal epithelium. Proximal convoluted tubules were significantly dilated and the lumens were filled with renal cast. These lesions were generally not very significant in the rats given adriamycin and selenium. The electron microscopical findings of the renal glomerulus in the adriamycin dosed group were focal loss and fusion of the pedicels of the podocyte, and some vacuoles in the cytoplasm of the podocytes. There were numerous cytoplasmic vacuoles in the proximal and distal convoluted tubular cells. However, these ultrastructural changes were not significantly observed in the renal tubules of the rats of adriamycin and selenium dosed group. These results suggest that selenium may act as an inhibitor of the renal lesions induced by adriamycin in male rats.

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In vivo Tracking of Transplanted Bone Marrow-Derived Mesenchymal Stem Cells in a Murine Model of Stroke by Bioluminescence Imaging

  • Jang, Kyung-Sool;Lee, Kwan-Sung;Yang, Seung-Ho;Jeun, Sin-Soo
    • Journal of Korean Neurosurgical Society
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    • 제48권5호
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    • pp.391-398
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    • 2010
  • Objective : This study was designed to validate the cell trafficking efficiency of the in vivo bioluminescence image (BLI) study in the setting of transplantation of the luciferase expressing bone marrow-derived mesenchymal stem cells (BMSC), which were delivered at each different time after transient middle cerebral artery occlusion (MCAO) in a mouse model. Methods : Transplanting donor BMSC were prepared by primary cell culture from transgenic mouse expressing luciferase (LUC). Transient focal infarcts were induced in 4-6-week-old male nude mice. The experiment mice were divided into five groups by the time of MSC transplantation : 1) sham-operation group, 2) 2-h group, 3) 1-day group, 4) 3-day group, and 5) 1-week group. BLI for detection of spatial distribution of transplanted MSC was performed by detecting emitted photons. Migration of the transplanted cells to the infarcted area was confirmed by histological examinations. Differences between groups were evaluated by paired t-test. Results : A focal spot of bioluminescence was observed at the injection site on the next day after transplantation by Signal intensity of bioluminescence. After 4 weeks, the mean signal intensities of 2-h, 1-day, 3-day, and 1-week group were $2.6{\times}10^7{\pm}7.4{\times}10^6$. $6.1{\times}10^6{\pm}1.2{\times}10^6$, $1.7{\times}10^6{\pm}4.4{\times}10^5$, and $8.9{\times}10^6{\pm}9.5{\times}10^5$, respectively. The 2-h group showed significantly higher signal intensity (p<0.01). The engrafted BMSC showed around the infarct border zones on immunohistochemical examination. The counts of LUC-positive cells revealed the highest number in the 2-h group, in agreement with the results of BLI experiments (p<0.01). Conclusion : In this study, the results suggested that the transplanted BMSC migrated to the infarct border zone in BLI study and the higher signal intensity of LUC-positive cells seen in 2 hrs after MSC transplantation in MCAO mouse model. In addition, noninvasive imaging in real time is an ideal method for tracking stem cell transplantation. This method can be widely applied to various research fields of cell transplantation therapy.

Evaluation of the body weight and laying performance of diallel crossed Korean native chicken layers from hatch to 40 weeks of age

  • Jun Seon Hong;Myunghwan Yu;Elijah Ogola Oketch;Shan Randima Nawarathne;Doo Ho Lee;Minjun Kim;Jung Min Heo
    • 농업과학연구
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    • 제49권4호
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    • pp.1033-1040
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    • 2022
  • The current experiment was conducted to evaluate the effect of diallel crossbreeding on the body weight and laying performance of Korean native chicken from hatch to week 40. A total of 1,000 one-day-old chicks were allotted to 10 cages per crossbreeding treatment with 10 birds per cage on a random basis and then raised until 16 weeks and subsequently moved to layer battery cages and raised until 40 weeks. Ten crossbred treatments (YC, YD, YF, YK, CD, CF, CK, DF, DK, FK) that were obtained from the diallel crossbred of five pure lines were used in the current experiment. The body weight and mortality were measured biweekly from hatching to week 20 and every four weeks from week 20 to week 40. The number of eggs was measured daily. YC and YD crossbreeds showed a higher body weight (p < 0.05) and FK crossbreed showed a lower body weight (p < 0.05) during the whole xperimental period. The week 20 weight range was 1,501 to 1,729 g and the week 40 weight range was from 1,829 to 2,179 g. Earlier onset of egg-laying was noted in the YC and YD groups whereas late onset was observed for the DF and DK groups. YK reached its peak earliest at week 25 with 89.15% while the DK crossbreed attained its peak at week 36 with 89.69%. The YC and YD crossbreeds showed the improved body and egg-laying performance. Conclusively, there are variations in the body weight and laying performance of Korean native chickens with diallel crossing.