• 제목/요약/키워드: Ineffectiveness

검색결과 86건 처리시간 0.034초

도로표지 관리 효율성 향상을 위한 Web GIS기반 통합시스템 개발 (Development of Web GIS Based Road Sign Integrated System for Enhancing Management Efficiency)

  • 이우식;나준엽;우제윤
    • Spatial Information Research
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    • 제15권3호
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    • pp.335-346
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    • 2007
  • 도로표지는 도로이용자의 편의제공을 목적으로 설치된 도로부속시설물 중의 하나이다. 도로표지의 타 시설물과 차이점은 관련규정에 의거한 표지 위치정보의 설정과 표지내 안내지명, 노선번호, 상징그림, 방위표기, 이정거리 등 다양한 속성정보를 포함하고 있어 정보화에 상대적으로 유리하다는 장점이 있다. 현재, 전국의 각급 도로상에 13만 여개의 도로표지가 설치되어 있으며, 280여개의 도로관리청이 각각 독립적으로 도로표지를 관리해 오고 있으나, 일관성, 시인성, 연계성, 위치적합성 등이 결여된 채 비효율적으로 관리되어 왔다. 이는 도로이용자로 하여금 많은 민원사항을 발생시키고 편의제공보다는 오히려 혼돈을 야기시킨 주요 원인으로 작용하였다. 이에 본 연구에서는 이와 같은 문제점을 개선하기 위하여 전국 도로표지에 대한 정보를 DB화하여 Web GIS 기반의 도로표지 관리시스템을 구축하였다. 본 연구에서 개발된 시스템에서는 도로표지 담당자 및 이용자들의 요구사항을 고려하여 시스템 설계에 반영하였으며, 본 시스템은 관리자측면에서의 업무 효율성 증진은 물론 대국민 도로표지 불편사항을 효과적으로 개선할 수 있을 것이다.

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프랜차이즈 가맹점의 노동조건 개선 및 상생지원 방안 (A Study on the Improvement of Working Conditions and Win-Win Support for Franchisees)

  • 박소민
    • 한국프랜차이즈경영연구
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    • 제13권4호
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    • pp.23-37
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    • 2022
  • Purpose: The Korean franchise market has undergone drastic growth in recent years. Followed by expansion of franchise business types, relevant legal matters have diversified. Compared to conventional economic laws that focused on resolving problems related to unfair transactions between franchisors and franchisees, more diverse labor laws have emerged recently due to governance and economic dependencies of franchise structure. However, it was found that the business environment of franchisees and working conditions of franchisee employees have not changed accordingly due to the unique structure of franchise business. Though franchisees are entrepreneurs independent from franchisors, they are still under franchising contract with the franchisors. For instance, employees of franchisees have been exposed to malpractices in regard to pay, time, and other working conditions. These malpractices may show the ineffectiveness of current labor laws. Labor management is an important issue for sustainability of franchise businesses. Negative publicity of franchises generated from violating relevant labor laws may have significant negative impact on overall image of franchised brands. However, franchisors should not hold franchisees fully responsible for legal violations in terms of labor management but strive to prevent relevant risks. Thus, the recent amendment in labor law related to increased minimum wage and reduced worktime have called for more attention to effectively implementing the law. Research design, data, and methodology: This study was conducted through a review of franchise-related laws and various institutions and policies. Results: It is further needed for all parties, including franchisors, franchisees, and franchisee employees, to take collaborative actions to improve working conditions of franchisees. Therefore, this study aims to propose appropriate and effective response plans toward recent changes in the Minimum Wage Act, while strengthening sustainability of franchisors, franchisees, and their employees. Conclusions: The proposal mainly contains plans regarding profit-related aids and profit sharing/cost reduction strategies for franchisees, as well as collective bargaining in the franchisor-franchisee relation. More detailed suggestions are included. Conclusions: This proposal may help franchisors and policymakers develop business plans and policies in improving business conditions of franchisees and working conditions of franchisee employees.

학습장애를 가진 초등학교 남학생의 자아상 개념과 우울-불안 특성 조사 (SURVEY OF SELF-CONCEPT AND DEPRESSION-ANXIETY OF THE ELEMENTARY SCHOOL BOYS WITH LEARNING DISABILITIES)

  • 김봉수;성덕규;정영;유희정;조수철;신성웅
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제12권1호
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    • pp.125-137
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    • 2001
  • 학습장애를 가진 86명의 초등학교 남학생과 52명의 정상적인 초등학교 남학생의 자아상과 우울, 그리고 상태-특성 불안에 관하여 피어스-해리스 자아상 척도, 소아우울척도(이하 CDI), 상태-특성불안 척도(이하 STAI)를 이용하여 조사하였다. 피어스-해리스 자아상 척도의 총점에서는 두 군 사이에 차이가 발견되지 않았으나, 지적 및 학업 상태 항목과 신체적 외모, 행복과 만족 소척도에서는 두 군 사이에 의미 있는 차이가 관찰되었다. 소아우울척도의 총점과 그 소척도 중 부적합함, 무쾌감증, 부정적인 자기 존중 항목에서 학습장애 아동이 정상 아동보다 더 높은 점수를 나타내었다. 상태불안은 정상 아동보다 학습장애 아동에서 높게 보고되었으나 특성 불안에 대해서는 차이를 보이지 않았다. 정상 아동에서는 나이에 따른 자아상과 우울척도, 불안 척도의 의미 있는 변화가 관찰되지 않았으나, 학습장애 아동에서는 피어스-해리스 자아상 척도와 그 소척도의 대부분이 통계적으로 의미 있게 감소하였고, 소아우울척도의 부정적 감정과 무쾌감증, 부정적 자기 평가, 상태 불안, 특성 불안 등은 연령과 의미 있는 양의 상관관계를 나타내어서 학년이 올라갈수록 자아상은 저하되고 우울과 불안을 느끼는 강도와 범위가 증가하는 양상을 보였다. 두 군 모두에서 소아우울척도는 피어스-해리스 자아상 척도의 총점과 그 소척도들과 의미 있는 역의 상관관계를 나타내었고, 상태불안과 특성불안과는 정의 상관관계를 나타내었다. 조사 결과 학업과 관련된 자아상의 문제와 자신이 남들과 당당히 맞설 수 있는 자신감의 문제가 학습장애에서 더 많이 나타났고, 나이가 들수록 자아상이 저하되며 불안과 우울은 증가하는 것으로 나타났다. 회귀분석 결과 학습장애 아동의 자아상을 설명하는 변수들로는 나이와 자아상 척도의 행동문제, 지적 및 학업상태, 불안, 인기도, 행복과 만족, 그리고 소아우울척도의 부적합함, 대인관계문제, 부정적 자기-존중 및 상태 불안인 것으로 드러나서 학습 장애 아동의 자아상은 학업 문제와 자신을 또래와 비교하여 겪는 스트레스로 인해 부정적인 영향을 받는다는 것이 확인되었다. 결론적으로 학습장애를 가진 초등학교 남학생은 정상 초등학교 남학생보다 자아상이 낮고 우울과 불안을 더 많이 느끼며, 이런 차이는 학년이 올라갈수록 커졌다. 학습장애에서 우울증과 불안 장애가 많이 동반되기 때문에 임상에서 학습장애 아동을 치료할 때 정서 장애의 동반 여부를 확인하고 이를 적극적으로 치료하는 것이 중요한 과제이다.

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Complementary and Alternative Medicine Use among Cancer Patients at the End of Life: Korean National Study

  • Choi, Jin-Young;Chang, Yoon-Jung;Hong, Young-Seon;Heo, Dae-Seog;Kim, Sam-Yong;Lee, Jung-Lim;Choi, Jong-Soo;Kang, Ki-Mun;Kim, Si-Young;Jeong, Hyun-Sik;Lee, Chang-Geol;Choi, Youn-Seon;Lim, Ho-Yeong;Yun, Young-Ho
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권4호
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    • pp.1419-1424
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    • 2012
  • Objectives: To investigate in depth the use of complementary and alternative medicines (CAMs) by cancer patients at the end-of-life (EOL) and how they communicate with physicians about them. Design and location: In 17 hospitals in Korea between January and December 2004 we identified 4,042 families of cancer patients. Results: The prevalence of CAM use among cancer patients at the EOL was 37.0%, and 93.1% had used pharmacologic types of agents. The most frequent motive for CAM use was the recommendation of friends or a close relative (53.4%) or a physician (1.6%). Only 42.5% discussed CAM use with their physicians. Satisfaction with CAMS was recalled for 37.1%. The most common reason given for that satisfaction was improvement of emotional or physical well-being, while ineffectiveness was the most common reason given for dissatisfaction. The average cost of CAM during the last month of life was $US 900. CAM use was associated with longer disease periods, primary cancers other than liver, biliary, and pancreatic, and need of support from physicians or religion. Conclusions: CAM use among cancer patients at the EOL was common, not discussed with physicians, and associated with expectation of cure. Expectations were generally unmet while the treatments were a financial burden. Further studies evaluating the effects of CAM at the EOL and factors that enhance communication with the physician are needed.

수장부다한증에서의 교감 신경절 차단 범위 및 부위에 따른 성격 비교 (Clinical Results According to the Level and Extent of Sympathetic Block in Palmar Hyperhidrosis)

  • 오정훈
    • Journal of Chest Surgery
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    • 제33권10호
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    • pp.817-822
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    • 2000
  • Video assisted thoracic sympathectomy or sympathicotomy is a safe and effective therapy for the treatment of palmar hyperhidrosis with immediate symptomatic imporvement. However the degree of satisfaction may diminish with time due to cmpensatory sweating or excessive hand dryness. Therefore by comparing and assessing the degree of symptomatic improvement or compensatory sweating following sympathectomy or sympathicotomy at various levels we aim to determine the optimal level of sympathetic nerve block which will result in minimal side effects and maximal benefit. Material and Method: Among 194 patients having undergone video assisted thoracic sympathectomy or sympathicotomy between January 1996 and June 1999, 137 patients who responded to either telephone interview or questionnaire were included in the current study. The patients were divided into three groups. Group I(n=61) ; patients having undergone T2,3,4 sympathectomy group II(35) ; patients having undergone T2 sympathicotomy and group III(41) ; patients having undergone limited T2 sympathicotomy which consist of block of interganglionic neuronal fiber on the third rib. The parameters studied comprised of pre- and post-operative palmar temperature change treatment satisfaction the degree of compensatory sweating or discomfort from palmar dryness postoperative complication and changes in plantar sweating Result : There was no difference in age and sex among the groups and the mean postoperative elevation in palmar temperature was 21.59$^{\circ}C$ without any differences among the groups. Patients expressing satisfaction were 65.6%, 62.9% and 90.24% in groups I, II and III, respectively(p<0.05) Moderate to severe compensatory sweating was present in 65.6% 51.4%, and 24.39%, in group I, II, and III, respectively(p<0.05) Slight but comfortable amount of palmar humidness was expressed in decreasing order group III(41.6%) group I(24.6%) and group II(5.7%) (p<0.05) Ineffectiveness or recurrence was present in 5patients in group I(8.2%) 1 patient in group II(2.9%) and none in group III. With regards to plantar sweating decrease in sweating was expressed in 43 patients(31.4%) while similar degree of sweating in 61 patients(44.5%) and increase in sweating in another 33 patinets(24.1%) Conclusion : Limited T2 sympathicotomy resection of the lower interganglionic neuronal fiber of the second sympathetic ganglion on the third rib showed immediate effect in palmar hyperhidrosis and caused lesser compensatory sweating and hand dryness.

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스마트 모바일 어플리케이션을 이용한 건설 자재 관리 (Construction Material Management Using Smart Mobile Computing)

  • 이광표;이현수;박문서;김의준
    • 한국건설관리학회논문집
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    • 제12권4호
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    • pp.59-69
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    • 2011
  • 최근 건설 공사가 대형화, 복잡화되어 감에 따라 건설 산업에서는 Information Technology (IT) 기술의 도입을 통한 생산성 향상을 추구하며, 보다 효율적인 건설 관리 방안을 도출하고자 한다. 이러한 배경을 바탕으로 다양한 종류의 건설 관리시스템 (Project Management System)이 도입되고 있으며, 이와 더불어 Personal Digital Assistant (PDA), Bar Code, Radio Frequency Identification (RFID), Web Camera 등의 다양한 IT 기술이 적용되고 있는 상황이다. 그러나 이와 같은 기술들은 실시간 정보처리 기술의 부족, 건설 현장과 관리 오피스의 이원화 등으로 인하여 정보의 재작업 및 비효율성을 초래하여, 데이터의 저장 및 데이터베이스 (Database) 기능을 제외한 부분에서는 오히려 건설 생산성을 저해시키고 있는 상황이다. 이에 본 연구는 설문조사를 바탕으로 기존 관리상의 문제점을 파악하고, 요구사항 분석을 통하여 기능을 도출함으로써 건설 자재 관리 부문에 있어 건설 현장 내 적용성이 뛰어난 어플리케이션을 개발하고자 한다. 본 연구에서 개발하고자 하는 건설 자재 관리 어플리케이션은 정보의 자동 입력, 자재 정보의 실시간 처리 및 확인, 조달 자재 위치 확인을 가능하게 하여 건설 현장과 관리 오피스 간의 이원화 문제를 해결하도록 한다. 이와 더불어 최신 IT 디바이스 (Device)인 스마트폰의 건설 현장 내 도입 가능성 및 적용성을 확인해 보고자 한다.

메르스 위험정보유통의 사회적 확산에 관한 SMCRE 모형의 적용과 함의 (Applications of SMCRE Model on Social Amplification of MERS Risk Information and its Implications)

  • 최충익;배숙경;김철민
    • 유통과학연구
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    • 제14권6호
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    • pp.89-98
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    • 2016
  • Purpose - This article tackles risk communication issues and aims to address the characteristics of MERS risk information distribution in South Korea, and secondly to examine the communicative behavior of the public health authority in terms of the quality of communication strategies. Thirdly, the study attempts to figure out the risk communication to cope with MERS through the applications of SMCRE model in chronological order. We employ the social amplification of risk framework for analyzing the emergent public response as one of the main approaches. Research Design, Data and Methodology - The main framework of this study is theoretically based on the social amplification of risk, which describes signals about risk transmitted and processed by individuals and social groups. The model also reflects the interactions between social groups and institutes about disaster-related risk issues, which are potential amplifiers or attenuators of communication signals. S-M-C-R-E Model is methodologically employed to examine the social amplification for MERS risk information in each period, which we defined operationally. The proposed methodology allows the assessment of effectiveness and ineffectiveness on risk communication to be conceptualized as a countermeasure against disasters. The paper focuses on exploring how social risk amplification can be applied and organized in each stage. Results - The SMCRE model describes the exchange of risk information and is also applied to all forms of communication between stakeholders including public health authority, local government and media. Each factor of risk communication includes source, message, channel, receiver and effect. The results support that the effective risk communication involves not only the improved reliability of public health authority as a key factor of risk communication, but also a close cooperation and good collaboration with local governments. It does not seem to be possible that the government-initiated risk communication based on controllability and management cope effectively with infectious disease in early stage. The results of this study imply that the shared risks between local, regional and national authorities can enhance risk communication system. Conclusions - The study supports that the disparities in how disaster-related risk information is interpreted and coded, have made effective risk communication and public sense-making impeded. Our findings support a more communicative discussion about the role of risk information sharing between governments for the improvement of emergency management and underline the importance of social elements in the risk communication, such as relationship and trust building. Findings suggest that trust building between stakeholders could be added to help explain the processes of social amplification and attenuation of risk. It would be recommended that the continuous risk communication with all the involved stakeholders will be able to help national health promotion policy to be improved regarding emergency management. Furthermore, risk communication has to be a scientific approach for the communication pertaining to potentially sensitive or controversial situations with public concerns and low public trust.

델파이 기법을 통한 소방공무원 보건안전정책의 문제점 및 개선방안 도출 (A Study for Deducing the Problems and Improvements of Health Safety and Welfare Policy for Korean Firefighters by Delphi)

  • 박찬석
    • 한국재난정보학회 논문집
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    • 제16권1호
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    • pp.34-43
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    • 2020
  • 연구목적: 본 연구는 소방공무원 보건안전 및 복지기본계획, 그리고 매년 연도별 계획이 실질적으로 소방공무원의 보건과 복지에 기여하는지 여부를 실증검증하여 현재 계획에 근거한 정책들의 문제점과 개선방안을 도출하고자 하였다. 연구방법: 현황분석과 더불어 해당분야 전문가들로부터의 델파이분석기법에 의해 연구결과: 소방공무원 보건안전정책에서의 문제점으로 소방관 전문병원의 부재, 일선 소방서차원의 정신건강교육프로그램 미흡, 현장활동 위험평가 체계 미흡의 문제, 심신건강관리사업의 효과성 문제, 심신안정 프로그램의 내실화 부족, 정신건강관련 교육의 부재, 정신건강관련 프로그램 이용자의 은닉성 보장문제가 주요 문제점으로 도출되었으며, 소방공무원 복지정책에서의 문제점으로 부모소방관에 대한 지원부족, 퇴직소방관에 대한 노후설계대비 미흡, 여성소방관에 처우개선 미흡이 도출되었다. 결론: 개선방안으로 소방전문병원설립, 정신건강교육프로그램의 내실화 및 소방서내 CISD 리더 양성프로그램 마련, 재난현장 위험평가체계의 마련, 찾아가는 심리상담실사업등에 대한 효과성 측정등의 평가체계 도입, 수요자 만족도 조사등을 통한 프로그램 내실화, 정신건강관련 교육시스템 마련, 인사시스템 개선을 통한 은닉성 보장 방안, 육아 휴직제도 장려 및 소방서내 육아시설 도입, 퇴직소방관 활용 방안 수립 및 사업 활성화, 여성소방공무원을 위한 정책마련 방안이 도출되었다.

보건소에서의 모유수유 교육 프로그램 운영 실태와 요구도 조사 (A Study on Actual Conditions and Needs of Breastfeeding Education for Pregnant Women in Health Centers)

  • 김지은;박동연
    • 대한지역사회영양학회지
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    • 제13권6호
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    • pp.818-828
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    • 2008
  • This study was conducted to investigate actual conditions and needs on breastfeeding education for pregnant women in health centers for the development of a breastfeeding educational program. The questionnaires were mailed to 245 health centers and 148 (60.4%) questionnaires were returned. 91% of the health centers had breastfeeding education for pregnant women. 66% of them operated breastfeeding education as one part of other health programs. About 76% of supervisors and 64% of educators were the nurses. The teaching methods frequently used were lectures (30.5%), giving out booklets and leaflets (22.6%), demonstration and practice (21.5%), personal counseling (13.3%), and others. The teaching materials used were materials of outside speakers (39.7%), materials of development oneself (19.0%), materials of academic association or institute (14.8%), and others. The subjects which educators taught were the benefits of breastfeeding (16.7%), breastfeeding techniques (15.8%), caring for breasts before and after delivery (15.1%), nutritional management for lactating women (14.2%), coping strategies for the difficult situation of breastfeeding (13.3%), and others. Those were different from each other according to the educators' general characteristics. Success factors of education were increased motivation for breastfeeding (52.8%), practice (22.6%), professional's lecture (11.3%) and others. The failure factors of education were the ineffectiveness of the lecture method (69.2%), lack of education for supporters (15.4%) and lack of standardized education (15.4%). The most important barrier of education was the lack of a standardized breastfeeding educational programs (43.9%). The most effective teaching methods that educators thought were demonstration and practice (24.0%). The educators thought they need the tools and space for practice (28.2%), a standardized breastfeeding educational program (26.9%), and the human resources (24.4%) for effective education. Subjects that educators thought important for education were the breastfeeding techniques, benefits of breastfeeding, caring for breasts before and after delivery, nutritional management for lactating women, coping strategies for the difficult situation of breastfeeding, rooming system after delivery, ways to assess mother's milk quantity, introducing successful cases of breastfeeding in rank order. To promote the effectiveness of breastfeeding education, standardized breastfeeding educational programs, diverse teaching materials, space and tools, and human resources are needed.

($Interferon{\gamma}$)로 자극된 치은섬유아세포와 치주인대섬유아세 포에서 항원제시기능과 관련된 세포 표면분자의 발현 (Expression of Antigen Presenting Function-Associated Surface Molecules on $Interferon{\gamma}$-Treated Gingival Fibroblasts and Periodontal Ligament Fibroblasts)

  • 서석란;류성훈;오귀옥;김형섭
    • Journal of Periodontal and Implant Science
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    • 제30권4호
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    • pp.895-913
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    • 2000
  • It is becoming increasingly clear that human gingival fibroblasts(HGF) may play a role in regulating immune responsiveness in inflammatory periodontal lesions. Stimulation of HGF with locally-secreted T cell cytokine $IFN_{\gamma}$ induces human leukocyte antigen class II(HLA II) expression on HGF, which is one of the characteristic feature of professional antigen presenting cells(pAPC). However, $IFN_{\gamma}$-treated HGF and other nonprofessional antigen presenting cells(npAPC) are known to be ineffective or less effective antigen presenter to resting T cells. This study, therefore, was undertaken in an effort to elucidate the differences in expression of cell surface molecules between npAPC in periodontal tissues, such as HGF and periodontal ligament fibroblasts(PDLF), and pAPC such as monocytes/macrophages. Using flow cytometry, the levels of cell surface expression of HLA-D, ICAM-1, LFA-3, and B7-1, which are involved in antigen presentation, were determined in HGF, PDLF and human myelomonocytic cell line THP-1. $IFN_{\gamma}$ clearly induced HLA-D expression on both of fibroblasts and monocytes dose dependently. However, expression level on monocytes were 4 to 5 times higher than that on fibroblasts, and induction rate was faster in monocytes than in fibroblasts. The levels of ICAM-1 expression on fibroblasts and monocytes were enhanced by $IFN_{\gamma}$ in a dose dependent manner. On the other hand, the expression of LFA-3 molecule, which could be detected in fibroblasts and monocytes without cytokine stimulation, was no more enhanced by addition of $IFN_{\gamma}$. B7-1, important costimulatory molecule in T cell activation and proliferation, was not detected on both of fibroblasts and monocytes even when stimulated with $IFN_{\gamma}$, except on monocytes fully differentiated by pretreatment of PMA and treated by $IFN_{\gamma}$. These results suggest that delayed expression of HLA-D and absence of B7-1 on $IFN_{\gamma}$ - treated fibroblasts may at least in part be involved in the ineffectiveness of fibroblasts as primary APC. And it is postulated that although periodontal fibroblasts may not serve as primary APC in normal periodontium, sustained expression of HLA II on ubiquitous fibroblasts in inflammatory lesions may perpetuate immune responses and produce chronic inflammation and tissue injury.

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