• KSBB Journal
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• 제26권4호
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• pp.317-322
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• 2011

Ulva pertusa is one of the worst pollutant like a waste vinyl after agriculture and caused bad smell at seashore in Jejudo and south area of korean peninsular. For favorable environmental utilization of Ulva pertusa, it could be applied for ethanol production with its acid hydrolysate. The components of hydrolysate included fermentable sugar of glucose, xylose, mannose, galactose, and higher amounts of unfermentable rhamnose. Fermentable sugars were converted to ethanol with S. cerevisiae, also xylose to ethanol with P. stipitis, their maximun ethanol production at optimum conditions were 462 ${\mu}g$/mL and 475 ${\mu}g$/mL, respectively. While, rhamnose cannot be changed to ethanol with S. cerevisiae or P. stipitis, alone. Combination of S. cerevisiae and P. stipitis can convert rhamnose to ethanol, because P.stipitis degradaded rhamnose to pyruvate, and then S. cerevisiae convert to ethanol, at optimum conditions, ethanol reached to 782 ${\mu}g$/mL (30.24%) that is higher than that of 2 strain alone from 500 mg of dried Ulva pertusa contained 2586.45 ${\mu}g$/mL of reduced sugars. Ulva pertusa can be utilized for renewal energy insted of environmenatal enemy.

• 한국응용과학기술학회지
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• 제33권2호
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• pp.311-323
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• 2016

울금의 주요 성분인 커큐민과 대두 추출물인 이소플라본의 피부 미용 측면에서 생리활성을 연구하여 화장품 소재로서 가능성 여부를 규명하고자 하였다. 본 연구는 세포실험을 통해 커큐민과 대두 추출물을 피부 세포에 대한 독성 및 항염증을 확인하고, HPLC을 이용하여 대두 추출물의 성분분석과 피부에 적용하였을 때 수분과 유분, 홍반변화를 측정하였다. 본 연구 결과 커큐민이 RAW 264.7 세포에 대한 독성이 적은 것으로 확인되었으며, 항염증에 대한 효과를 확인하였다. 8주 동안 커큐민과 대두 추출물이 함유된 화장품과 식이를 병행하여 사용하였을 때 수분함량 변화, 유분함량 변화, 홍반 지수의 감소가 통계적으로 유의미한 변화를 나타내었으며, 여드름 피부에 유의한 효과를 가질 수 있음을 확인하였다. 따라서 본 연구는 커큐민과 대두 추출물이 화장품 소재로 사용 시 여드름 피부 개선에 효과적인 화장품 소재로서 활용 가능성이 있을 것으로 사료된다.

• 대한간호학회지
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• 제27권4호
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• pp.912-922
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• 1997

The purpose of this study was to examine the effect of supportive nursing on stress reaction of breast cancer patients undergoing chemotherapy. The nonequivalent control group pre-test/post-test design was used for this experimental study. The subjects were 32 patients who were receiving chemotherapy after mastectomies at K hospital in Taegu from June, 1994 to June 1995. Among 32 subjects, 16 were placed in the experimental group and 16 in the control group. The experimental and control groups were tested for general characteristics, trait anxiety, health locus of control, family support, state anxiety, hopelessness, physical stress, and anxiety behavior. Collected data was analized by means of a chisquare test and a t-test for the comparative analysis of the general characteristics and homogeneity of subjects. ANOVA, and MANOVA were used for testing the hypothesis. Reliability of the tools were analyzed using the Pearson Correlation coefficient. The results of this study were as follows : 1. The hypothesis : The stress reaction of the experimental group which took supportive nursing was lower than the stress reaction of the control group : this was supported statistically. The main variable influenced in stress reaction was hopelessness. Supportive nursing for breast cancer patients, who are receiving chemotherapy, was especially effective in the reduction of hopelessness compared to state anxiety, physical stress, and anxiety behavior. 2. An analysis of the difference on stress reaction, according to the frequency of supportive nursing between the control and experimental group, showed the level of hopelessness of the experimental group was lower than the control group after four supportive meeting sessions. But there was no statistical difference in state anxiety, physical stress, and anxiety behavior. In conclusion, this study supported utilization of supportive care as well as demonstrating the effectiveness of the System-Developmental Stress Model developed by Chrisman and Riehl-Sisca.

• 한국콘텐츠학회논문지
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• 제9권7호
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• pp.241-247
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• 2009

본 연구는 장애인 구강관리를 담당할 치위생과 학생들의 교육 방향성을 제시하고, 장애인에 대한 건전한 인식도를 높이고자, 전남지역에 소재한 3개 대학 치위생과 학생 538명을 대상으로 설문조사를 실시하였다. 장애인에 대한 태도 및 장애인 구강관리에 대한 태도를 조사한 결과 친구나 가족 중에 장애인이 있는 경우나, 장애시설에서 봉사활동 또는 구강보건활동 경험이 있는 경우는 장애인에 대해 긍정적인 태도를 보이는 것으로 조사되었고, 특히 장애인 구강보건활동 경험이 있는 경우에는 장애인 구강보건에 더욱 긍정적인 태도를 내타내었다. 이에 장애인 접촉의 기회를 늘려 장애인과의 거리감을 좁히고, 장애인 구강관리에 더욱 긍정적이고 적극적인 태도를 형성하는 것이 필요하다고 하겠으며, 뿐만 아니라 장애인 환자 진료 시 가장 문제점이 되는 의사소통의 어려움, 장애인 치료에 대한 경험부족, 장애인 치료에 대한 지식 부족 등을 해결하기 위해서는 87.5%가 교육이 필요하다 하였고 교육의 형태는 이론과 실습의 병행 교육이 필요하다고 했다. 또한 국가에서도 장애인 구강보건에 대한 체계적인 정책을 수립하여 장애인 구강건강프로그램을 개발하고 장애인 진료에 소요되는 많은 시간과 노력에 보상할 수 있는 의료보험제도개발 등이 필요하다고 사료된다.

• 대한한의학원전학회지
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• 제22권4호
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• pp.15-28
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• 2009

Traditional korean medicine which has long history and many clinical experiments stands out in bold relief because the medicine's point of view has been changed from medical treatment to disease protection and the wellbeing life through health care and complementary alternative medicine has been emerged for the incurable disease. Many traditional korean medical research has been conducted in the fields of preventive medical application, leading material drawing and medical service upgrade through eastern and western medical treatment and the more advanced project are being studied as time goes by. But because we have the hardship of manifesting traditional korean medicine's knowledge into detailed data and information in the field of analytical science and we don't have well arranged research trend data of it, researchers are using much time to survey the preceding research and planners needing more accurate research trend data to protect duplication and raise efficiency. So we have studied the traditional korean medicine's research trend to solve this problems by the method of bibliography applied for the preceding project results. Through the analysis of traditional korean medicine's 370 project reports we came to a conclusion that the R&D investment is concentrated on the university and research institute, the utilization projects are lower than basic and applied research, regional snobbism is excessive than the whole nation's R&D and advanced project has been started since 2006.

• 대한한방내과학회지
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• 제25권3호
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• pp.669-676
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• 2004

Post-herpetic neuralgia(PHN) is a chronic pain syndrome associated with the reactivation of a primary infection with varicella zoster virus(chinken pox), which leads to a chronic infection of dorsal root ganglia. The most common risk factor for shingles and its potential sequela, PHN, is advanced age. For a significant number of patients, the pain following healing of shingles can persist for months to years. If this pain, classified as PHN, persists longer than one month. PHN often leads to depression, disrupted sleep, decreased productivity, and utilization of health care. We treated a 60 year-old female patient who suffered pain and headache after Stellate Ganglion Blocks(SGB). In identifying points for differentiation of syndrom(辨證), this subject was diagnosed as Yangmyeong Merdian wind-heat syndrom(陽明經風熱證) and was administered Seungmagalgeuntanggamibang(revised Shengmagalgen-tang, 升麻葛根湯加味方). To ease pain, Western medication was administered as well. After fourteen days of treatment, pain and other symptoms improved.

• Asian Pacific Journal of Cancer Prevention
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• 제13권8호
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• pp.3949-3953
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• 2012

Head and neck cancers are amongst the commonest malignancies, accounting for approximately 20% of the cancer burden in India. The major risk factors are tobacco chewing, smoking and alcohol consumption, which are all preventable. This retrospective study presents data from the histopathology register for a five year period from 2002-2006 at Patna Medical College and Hospital, a tertiary care hospital drawing patients from the entire Bihar state, the 3rd most populous state of India with the majority of the population residing in rural areas. Incidence rates based on sex, age, site of lesion, including age standardized incidence rates for males and females, with mean age of presentation, distribution of histological variants and year wise trend were calculated. Out of 455 head and neck neoplasias, 241 were benign while 214 were malignant. The most common age group for all malignant biopsies was 7th decade for males and the 5th decade for females. Malignant cases were commoner in males than females with the male:female ratio of 3.1:1, which was found to be statistically significant by the chi-square (${\chi}^2$) test. The crude rate and age standardized incidence rate was 0.05 and 0.06 per 100,000 population respectively. Squamous cell carcinoma (SCC) contributed about 96% of all cases, with grade I being the most common. Larynx was the most common site for malignancy, the supraglottic region being its most commonly affected sub-site. This observed incidence patterns in the region are a reminder of widespread unawareness, low healthcare utilization with virtually non-existent cancer programs. It also underlines the need to advocate for reliable cost-effective programs to create awareness, for early detection and plan appropriate management strategies. There is a compelling demand for a cancer registry in this region as well as proper implementation of preventive measures to combat this growing threat of cancer, many of whose risk factors are preventable.

• Asian Pacific Journal of Cancer Prevention
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• 제15권20호
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• pp.9015-9019
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• 2014

The study aimed to compare the 2 main types of insurance used by colorectal cancer (CRC) patients in a university hospital in Thailand: universal coverage (UC) and 'Civil Servant Medical Benefit Scheme' (CSMBS) in terms of hospital expenditure and survival outcomes. CRC cases in stages I-IV who were operated on and had completed their adjuvant therapy in Songklanagarind Hospital from 2004 through 2013 were retrospectively reviewed regarding their hospital expenditure, focusing on surgical and chemotherapy costs. Of 1,013 cases analyzed, 524 (51.7%) were in the UC group while 489 (48.3%) belonged to the CSMBS group. Cases with stage IV disease were significantly more frequent in the UC group. Average total treatment expenditure (TTE) was 143,780 Thai Baht (THB) (1 US$ =~ 30 THB). The TTE increased with tumor stage and the chemotherapy cost contributed the most to the TTE increment. TTE in the CSMBS group was significantly higher than in the UC group for stage II-III CRCs. The majority of cases in the UC group (65.5%) used deGramont or Mayo as their first line regimen, and the proportion of cases who started with a capecitabine-based regimen (XELOX or $Xeloda^{(R)}$) was significantly higher in the CSMBS group (61.0% compared to 24.5% in the UC group, p-value < 0.01). On survival analysis, overall survival (OS) and progress free survival in the CSMBS group were significantly better than in the UC group. The 5-year OS in the CSMBS and UC groups were 84.3% and 74.6%, respectively (p-value < 0.01). In conclusion, the study indicates that in Thailand, the type of insurance influences resource utilization, especially the choice of chemotherapy, in CRC cases. This disparity in treatment, in turn, results in a gap in treatment outcomes.

• 한국치위생학회지
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• 제16권1호
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• pp.121-127
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• 2016

Objectives: The purpose of the study is to investigate the effect of social network service(SNS) information on intention to dental office use. Methods: A self-reported questionnaire was completed by 410 users of social network service between twenty and thirty years old in Seoul and Gyeonggido after receiving informed consent from July 1 to August 3, 2015. The questionnaire consisted of general profiles of the subjects(6 items), use of dental office(3 items), use of SNS(3 items), use of dental SNS(4 items), use of general SNS(6 items), application of dental SNS(6 items), and intention to dental office use(2 items). Except 8 incomplete answers, 402 data were analyzed using SPSS 18.0 program. Results: The first choice of dental office was recommendation by the acquaintances. There were close correlations between the use of SNS information and the use of general SNS information according to sex(p=0.016) and the frequency of SNS(p=0.012). The use of SNS for dental information showed a meaningful correlation with sex(p=0.003). The intention to use was influenced by sex(p=0.016) and the use of SNS for dental information(p<0.001). Conclusions: The important factor of visit intention to dental service was recommendation by the acquaintances through SNS. The appropriate advertisement of visit intention is very important to improve dental health care.

• 한국병원경영학회지
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• 제5권2호
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• pp.1-21
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• 2000

This study was to examine the degree of market orientated effort by hospital type and size,. and analyzed the moderating effect of environments between market orientation and it's performance. First, there was no significant differences by hospital type, such public hospital, university hospital, and private hospital. However, the orders of market orientation implementation was university hospital. private hospital, and public hospital This finding suggest that university hospital and public hospital, should be market-oriented, or customer-oriented more now, relatively. Second, there were no significant differences in marketing as management policy by hospital types, i.e. public, university or private sector hospitals. However, as to the intensity of the implementation of the market-oriented approach, private hospitals came first, followed by the university hospitals, then the public ones. This finding suggests that university and public hospitals should be more market or customer oriented to compete in the market. Third, only the competitive environment does active moderating roll on hospital performance. The competitive environmental factor forces the organization to be more market oriented. This means the more you are positively situated in the competitive environment, the more you are looking for a market oriented approach. You become more aware of the value of customers and you become more focused on the customer satisfaction and thus become more patient oriented in every facet of decision making. And market oriented hospitals recognize the importance of utilization of high tech medical treatment skills and equipment in patient care. Fourth, according the analysis, market oriented effort gives more influence on hospital performance than the environmental factors. This means that the market oriented effort should become a culture of the hospital which seeks to out distance themselves from its competitors.