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The Influence of Post-operative Discomfort, Sense of Loss, and Family Support on Resilience in Patients after Breast Cancer Surgery (유방암 수술환자의 수술 후 불편감, 상실감, 가족지지가 회복력에 미치는 영향)

  • Kwan, An Na;Kim, Tae Hyun;Lee, Yun Mi
    • Journal of Korean Critical Care Nursing
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    • v.10 no.2
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    • pp.34-44
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    • 2017
  • Purpose: The purpose of this study was to identify post-operative discomfort, sense of loss, family support, and resilience in breast cancer surgery patients, and to investigate factors that affect resilience. Method: The sample of this study consisted of 108 patients who underwent surgery for breast cancer in two university hospitals located in B city. The collected data was analyzed with descriptive statistics, t-test, ANOVA, and Scheffé test, Pearson's correlation coefficients, and hierarchical multiple regression. Results: The factors that significantly affected resilience were as follows: having a religion (${\beta}=-.20$, p=.006), having an occupation (${\beta}=.14$, p=.049), having a high school diploma (${\beta}=.31$ p=.001), making less than 2-3 million won (${\beta}=-.19$, p=.036) per month, experiencing a sense of loss (${\beta}=-.22$, p=.003) and family support (${\beta}=.44$, p<.001). The total explanatory power amounted to 53.8% (F=14.83, p<.001, $AdjR^2=.54$). Conclusion: Educational intervention programs for breast cancer surgery patients that improve resilience by reducing the sense of loss and increasing family support must be developed.

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Physiological Effects of Different Underwear Materials Thermoregulatory Response during Exercise with Sweating at Cold Environments (한랭환경하에서 운동발한시 인체의 체온조절반응에 대한 내의소재의 생리학적 의의)

  • Kwon, Oh-Kyung;Kim, Tae-Kyu;Son, Du-Hun;Park, Sung-Han
    • Fashion & Textile Research Journal
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    • v.1 no.1
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    • pp.43-49
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    • 1999
  • This study conducted 4 different kinds of underwear materials, which were A (Cotton 100%), B (Wool 100%), C (Cotton/Wool, 50/50%) and D (Acrylic/Cotton, 50/50%) and were done in a climate chamber under cold ambient $10{\pm}1^{\circ}C$, $40{\pm}5%RH$ by 6 male subjects who were in good health. Physiological parameters such as rectal and local skin temperature(forehead, forearm, hand, trunk, thigh, leg, foot, back and chest), heart rate, body weight loss, clothing microclimate, blood lactic acid concentration, and wearing sensation were measured. Started with a 15-min rest period, 15-min of exercise 1 (the condition of 4.5 mile/hr walking speed equivalent to with 8.5 Kcal energy consumption on the treadmill) period, 15-min rest period, exercise 2 (after 3minutes warming-up at 3.0. 3.7, 4.5. 5.2. 6.0, 6.7 mile/hr) until exhaustion period, and final 15-min of recovery period were performed. The results were as follows: The lowest mean skin temperature was acrylic/cotton in order of wool > cotton/wool > cotton > acrylic/cotton (F=13. 79. p<0.00l). Most of all skin temperature by parts of body had turned out in sequence of temperature wool > cotton/wool > acrylic/cotton > cotton. Fore arm part showed highest temperature about $32.43^{\circ}C$ on wool and had a tendency approximately $1.8^{\circ}C$ higher than cotton which had the lowest temperature, and had the biggest difference among garments in terms of skin temperature. The back temperature within clothing showed about $2^{\circ}C$ higher than the chest temperature within clothing. but the back humidity within clothing showed about 4~12% higher than the chest humidity within clothing. Body weight loss by each garment was this sequence; cotton > acrylic/cotton > wool > cotton/wool.

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Prediction on load carrying capacities of multi-storey door-type modular steel scaffolds

  • Yu, W.K.;Chung, K.F.
    • Steel and Composite Structures
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    • v.4 no.6
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    • pp.471-487
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    • 2004
  • Modular steel scaffolds are commonly used as supporting scaffolds in building construction, and traditionally, the load carrying capacities of these scaffolds are obtained from limited full-scale tests with little rational design. Structural failure of these scaffolds occurs from time to time due to inadequate design, poor installation and over-loads on sites. In general, multi-storey modular steel scaffolds are very slender structures which exhibit significant non-linear behaviour. Hence, secondary moments due to both $P-{\delta}$ and $P-{\Delta}$ effects should be properly accounted for in the non-linear analyses. Moreover, while the structural behaviour of these scaffolds is known to be very sensitive to the types and the magnitudes of restraints provided from attached members and supports, yet it is always difficult to quantify these restraints in either test or practical conditions. The problem is further complicated due to the presence of initial geometrical imperfections in the scaffolds, including both member out-of-straightness and storey out-of-plumbness, and hence, initial geometrical imperfections should be carefully incorporated. This paper presents an extensive numerical study on three different approaches in analyzing and designing multi-storey modular steel scaffolds, namely, a) Eigenmode Imperfection Approach, b) Notional Load Approach, and c) Critical Load Approach. It should be noted that the three approaches adopt different ways to allow for the non-linear behaviour of the scaffolds in the presence of initial geometrical imperfections. Moreover, their suitability and accuracy in predicting the structural behaviour of modular steel scaffolds are discussed and compared thoroughly. The study aims to develop a simplified and yet reliable design approach for safe prediction on the load carrying capacities of multi-storey modular steel scaffolds, so that engineers can ensure safe and effective use of these scaffolds in building construction.

Temperature-responsive bioactive hydrogels based on a multifunctional recombinant elastin-like polymer

  • Santo, Vitor E.;Prieto, Susana;Testera, Ana M.;Arias, Francisco J.;Alonso, Matilde;Mano, Joao F.;Rodriguez-Cabello, Jose Carlos
    • Biomaterials and Biomechanics in Bioengineering
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    • v.2 no.1
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    • pp.47-59
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    • 2015
  • A bioactive and multifunctional elastin-like polymer (ELP) was produced by genetic engineering techniques to develop new artificial matrices with the ability to mimic the extracellular matrix (ECM). The basic composition of this ELP is a thermo- and pH-sensitive elastin pentapeptide which has been enriched with RGD-containing domains, the RGD loop of fibronectin, for recognition by integrin receptors on their sequence to promote efficient cell attachment. Hydrogels of this RGD-containing polymer were obtained by crosslinking with hexamethylene diisocyanate, a lysine-targeted crosslinker. These materials retain the "smart" nature and temperature-responsive character, and the desired mechanical behavior of the elastin-like polymer family. The influence of the degree of crosslinking on the morphology and properties of the matrices were tested by calorimetric techniques and scanning electron microscopy (SEM). Their mechanical behavior was studied by dynamical mechanical analysis (DMA). These results show the potential of these materials in biomedical applications, especially in the development of smart systems for tissue engineering.

A Clinical Study on floor of Mouth Cancer (구강저암의 임상적 고찰)

  • 이국행;심윤상;오경균;이용식
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1993.05a
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    • pp.93-93
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    • 1993
  • We analyzed retrospectively 100 cases of floor of mouth cancer, treated at Korea Cancer Center Hospital from Jan. 1985 to Dec, 1992. The most prevalent age group were 6th, 1th decades, the sex ratio was M:F =4.6:1. 95 patients were smoker, 73 patients smoked more than 1 pack per day. 51 patients were heavy drinker (So-ju more than 1 B/day). Histopathologically, the squamous cell carcinoma (95 cases) was most common, followed by the adenoid cystic carcinoma (4 cases), mucoepidermoid carcinoma (1 case). The most common clinical staging was stage IV, and lymph node metastasis were 71 cases, histopathologically. Distant metastasis were 2 cases, multiple primary cancer was 1 case. 5 years survival rates according to treatment modality were 71.4% in operation only group that were almostly in early stage, 0% in radiation therapy group that were almostly in advanced stage, 32.5 % in combination therapy with operation and radiation therapy.

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The Riparian Vegetation of Close-to-Nature River${\cdot}$Streams in Korea

  • Kim, Chul;Yang, Hyo-Sik
    • Korean Journal of Plant Resources
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    • v.20 no.3
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    • pp.234-241
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    • 2007
  • The present study was undertaken to classify and describe the riparian vegetation of the 6 river${\cdot}$stream of Korea Peninsula. As a result the vegetation was divided into nineteen communities. The vegetation units obtained in the present study were as follow: A: Salix koreensis community, B: Salix gracilistyla community, C: Robinia pseudo-acacia community, D: Amorpha fluticosa community, E: Brousonnetia papyrifera community, F: Phyllostachys bambusoides community, G: Rubus corchorifolius community, H: Phramities japonica community, I: Phramites communis community, J: Miscanthus sacchariflorus community, K: Miscanthus sinesis var. purpurascens community, L: Artemisia princeps var. orientalis community, M: Humulus japonicus community, N: Zoysia japonica community, O: Inperata cylindrica var. koenigii community, P: Agropyron tsukushiense var. transiens community, Q: Juncos effusus var. decipiens community, R: Rumex crispus community, S: Persicaria hydropiper community. The vegetation characteristics of riversides was recovered in the surveyed results according to river${\cdot}$stream basin, in other words, 10 communities in the upper river${\cdot}$stream riparian, 15 communities in the middle river${\cdot}$stream riparian, 10 communities in the down river${\cdot}$stream riparian. The Phragmites japonica community in the upper and Phragmites communis community in the down was analyzed by common community of the 6 river${\cdot}$stream riparian, respectively, but none in the middle. The standing profile of vegetation across 6 river${\cdot}$stream was seen stepwise Phragmites japonica community, Salix gracilistyla community, Miscanthus sinensis var. purpurascens community, shrub community by natural waterway in the upper, Salix gracilistyla community, Phragmites communis community, Rumex crispus community, Miscanthus sacchariflorus community, Humulus japonicus community in the middle, Phragmites communis community in the down. The differences of distributional featurs of vegetation emerged from the riparian of the 6 river${\cdot}$stream, but don't from the 6 river${\cdot}$stream.

The Suppressive Effect of Pueraria lobata Root Extract and Its Biotransformed Preparation against Skin Wrinkle Formation

  • Koo, Hyun Jung;Lee, SungRyul;Kang, Se Chan;Kwon, Jung Eun;Lee, Da Eun;Choung, Eui-Su;Lee, Jong-Sub;Lee, Jin Woo;Park, Yuna;Sim, Dong Soo;Sohn, Eun-Hwa
    • Korean Journal of Plant Resources
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    • v.30 no.3
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    • pp.272-279
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    • 2017
  • EP was obtained through 20% ethanol extraction of Pueraria lobata root, and the fermented form of EP, FEP, was prepared from the EP after incubating with Lactobacillus rhamnosus vitaP1. There was no significant toxicity by EP and FEP up to $1000{\mu}g/ml$ in NIH-3T3, HaCaT, and B16F10 cells. In addition to antioxidant potentials of EP and FEP determined by DPPH and ABST assays, we confirmed increase of procollagen type I and elastin synthesis by supplementation of the EP and FEP at the concentration of $50{\mu}g/ml$ using ELISA kits. The protein expression levels of matrix metalloprotease (MMP)-1, -3, and -9, those are involved in the degradation of collagen or other skin matrix proteins, were remarkably suppressed while their inhibitory protein metallopeptidase inhibitor 1 (TIMP-1) was greatly up-regulated by supplementation of the EP and FEP at a concentration of $50{\mu}g/ml$. Taken together, both EP and FEP supplementation could be involved in the suppression of the skin wrinkle formation through inhibiting degradation of collagen and stimulating the synthesis of collagen and elastin. The results showed that the anti-wrinkle potential of the EP and FEP will be a promising candidate for developing cosmeceutical compounds or products.

STUDIES ON THE PLANT GROWTH REGULATING EFFECT OF PHTHALAMIC ACID AND ITS DERIVATIVES (Phthalamic acid 및 이의 유도체의 식물생장조정작용에 미치는 영향에 관한 연구)

  • Lee Sung Hwan;Do Un Hoi
    • Korean journal of applied entomology
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    • v.8
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    • pp.11-18
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    • 1969
  • 식물 생장 조절제로서 phthalamic acid와 그 유도체를 사용하여 추락답을 개량하기 위한 예비 시험을 실시하여 다음과 같을 결과를 얻었다. 1) 아래 7종의 phthalamic acid 및 그 유도체를 합성 또는 정제하여 공시약제로 하였으며 합성품의 수율은 $87-92\%$였다. (표 1) A. Phthalamic acid B. Phthalanilic acid C. N- (o-Chlorophenly)-phthalamic acid D. N-(p-Chlorophenyl)-phthalamic acid E. N- (3,4-Dichlorophenyl)-phthalamic acid F. Sodium-N- (m-tolyl)-phthalamate (Duraset) G. Sodium-N-(1-naphthyl)-phthalamate (Alanap) 2) Wheat straight growth test에서 공시약제는 10ppm 및 20ppm의 농도에서 Control보다 월등한 생장 촉진효과를 보였으며 특히 흥미있는 것은 phthalamic acid 유도체가 phthalamic acid 자체보다 더 좋은 효과를 보였다. (표4, 그림 1) 3) 수도 종자의 발아 시험 결과 초장은 phthalamic acid 유도체가 적시 phthalamic acid 자체보다 좋았으며 기중 Alanap. 3,4-dichlorophenyl phthalamic acid 및 Duraset가 가장 좋았으나 10-100ppm 범위내의 농도에 거의 영향없었다. (표 5) 근의 생육은 일반적으로 약제의 종류에 따라 상이할 뿐 아니라 초장의 생육보다 더욱 약제에 민감하였다. 근장은 phthalamic acid, phthalanilic acid, (p-chlorophenyl)phthalamic acid, 3,4-dichlorophenyl phthalamic acid가 Control 보다 약간 좋은 효과를 보였고, Alanap은 매우 불량하였다. (표 6) 근수는 (p-chlorohhenyl) phthalamic acid만 Control에 비해 우수하였고 나머지 약제는 대체로 근수를 감소시키거나 Control과 비슷한 효과를 보였다. (표 7) 또한 농도가 증가함에 따라 근수는 감소하였으며, Alanap, (o-chlorophenyl) phthalamic acid는 근단에 심한 약해가 일어났다. 4) 전근시험에서 근수는 공시약제에 의하여 증가되었으나 50-200ppm의 농도에서 별 영향이 없었다.(표 8, 그림 2) 근장은 농도가 증가함에 따라 감소되는 영향이었으나 공시약제에는 상이한 효과를 보였다. 5) 이상 결과에서 p-chlorophenyl phthalamic acid 및 3,4-dichlorophenyl phthalamic acid가 수도용 식물생장조절제로서 실용적 개발의 가능성을 보였다.

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Pyran and Pyridine as Building Blocks in Heterocyclic Synthesis (이중고리 합성에 블록제로서 이용된 피란과 피리딘)

  • El-Hashash, Maher.A.;El-Sawy, Abdallah.A.;Eissa, Abdelmonem.M.F.
    • Journal of the Korean Chemical Society
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    • v.53 no.3
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    • pp.308-324
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    • 2009
  • The present work is devoted to study the interaction of $\beta$-aroylacrylic acid derivative (3) with malononitrile in (DMF) in the presence of piperidine and/or ammonium acetate, then using the formed compounds as starting materials for synthesizing fused and isolated heterocyclic systems. It has been established that the $\beta$-aroylacrylic acid (3) reacts with malononitrile in (DMF) in the presence of piperidine as a catalyst with the formation of 4H-pyran derivative (4). By changing the catalyst into ammonium acetate, pyridine derivative (5) has been obtained. Also the N-maleamic acid derivatives (19) and (27) have been synthesized via the interaction of (4) and (5) with maleic anhydride. The purpose of this step is to study the behavior of the formed maleamic acid derivatives – as analogies of $\beta$-aroylacrylic acids – towards different active methylene compounds under Michael addition reaction.

The Effect of Home stayed Stroke Patients' gait, Valance, Activities of Daily Living, Depression in the Aerobic Walking Exercise Program. (유산소 걷기운동 프로그램이 재가 뇌졸중 환자의 보행, 균형, 일상활동 수행능력, 우울에 미치는 효과)

  • Roh, Kook-Hee
    • The Korean Journal of Rehabilitation Nursing
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    • v.5 no.2
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    • pp.193-204
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    • 2002
  • This study was a quasi-experimental study of nonequivalent control group pretest- posttest design to investigate the effect of aerobic walking exercise program on the physical & psychological functions of home stayed stroke patients. The data were collected during the period of May 20th to August 15th, 2001. The subjects for this study were 40 hemiplegic stroke patients with the experimental group consisting of 19 patients and the control group being composed of 21 patients. The patients selected for this study were: (a)living in J city who had been diagnosed with stroke and at home after being discharged from the hospital, (b)suffering from stroke for 6 months to 5 years, (c)without recognition disorder with the MMSE-K score above 25, (d)below 2 on the modified Ashworth scale, (e)free from heart and pulmonary disease (f)able to walk beyond 15 minutes for themselves. The aerobic walking exercise program for the experimental group was aerobic exercise and education and supportive care. The aerobic exercise was 8 weeks' period, three times a week, 35 to 50 minutes a day. And the education and supportive care was consisted of one home visiting and 2 times telephoning a week. The data were analysed by $X^2$-test, paired t-test and unpaired t-test and ANCOVA through SAS/PC program. The results of the study were as follows: 1. There was insignificant difference in the gait length experimental and control group. There was significant difference in the gait speed between the two groups. 2. There was significant difference in the dynamic valance between the two groups. 3. There was significant difference in ADL score between the two groups. 4. There was no significant difference in the depression between the two groups. As shown above, the results of 8 weeks' the aerobic walking exercise program for home stayed stroke patients produced positive effects on gait speed, dynamic valance, ADL score. And this program was expected that it was more effective in different intervention period, verified program. Also it was needed follow study.

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