• 동서간호학연구지
• /
• 제10권1호
• /
• pp.86-94
• /
• 2004

This study has verified Family Functioning, Communication and Spiritual Wellbeing, to increase the family functioning in Adult Women. 236 adult women were chosen as the samples for the study, they are now currently registered in the church adult women in Seoul. The instruments used for this study were the Family functioning scale by Olson, the communication scale by David H. Olson and Howard L. Barnes and spiritual wellbing Scale by Palautzian and Ellison Folkman. Data collection were form March to April, 2003. To get the descriptive statistics, SPSS Program, Pearson Correlation Coefficients and stepwise multiple regression were used for analyzing data. The results were as following: 1. Represents the degree of family functioning, communication and spiritual wellbeing, on subjects. Means scores of this study are following: spiritual wellbeing 67.92, lower level of cohesive(5.19) and adaptive(3.93), communication 58.14, lower level of open(5.15) and closed(4.71) and family functioning 95.58, lower level of religious(7.70) and existential(7.63). All each lower level of family functioning, communication and spiritual wellbeing, on subjects were derived significantly different(p.05). There were significant correlation among the variables of subjects. The cohesive family functioning score was significant related to the adapted(r=.588). Especially, the closed communication score showed inverse correlations open family functioning(r=-.424) and open communication score(r=-.680). The existential spiritual wellbeing score also was significant related to the cohesive(p<.001) and adaptive(p<.05) family functioning, open communication(p<.05). Especially, the closed communication score showed inverse correlations existential spiritual wellbeing (r=-.202). The existential spiritual wellbeing score also was significant related to the religious(r=.815, p<.001). These results will not only emphasis the need of family functioning to elevate and decrease the Closed family communication but suggest the important points of gathering various data and analysis about economic, education and marital status. Finally, related to mental health nursing, a community can get the utmost out of these results to keep offering education and practice of family mental health for adult women.

• Journal of Korean Neurosurgical Society
• /
• 제65권6호
• /
• pp.801-815
• /
• 2022

Objective : To evaluate the stent apposition of a low-profile visualized intraluminal support (LVIS) device in distal internal carotid artery (ICA) aneurysms, examine its correlation with clinical and angiographic outcomes, and determine the predictive factors of ischemic adverse events (IAEs) related to stent-assisted coiling. Methods : We retrospectively analyzed a prospectively maintained database of 183 patients between January 2017 and February 2020. The carotid siphon from the cavernous ICA to the ICA terminus was divided into posterior, anterior, and superior bends. The anterior bends were categorized into angled (V) and non-angled (C, U, and S) types depending on the morphology and measured angles. Complete stent apposition (CSA) and incomplete stent apposition (ISA) were evaluated using unsubtracted angiography and flat-panel detector computed tomography. Dual antiplatelet therapy with aspirin 200 mg and clopidogrel 75 mg was administered. Clopidogrel resistance was defined as fewer responders (≥10%, <40%) and non-responders (<10%) based on the percent inhibition (%INH) of the VerifyNow system. These were counteracted by a dose escalation to 150 mg for fewer responders or substitution with cilostazol 200 mg for non-responders. IAEs included intraoperative in-stent thrombosis, transient ischemic attack, cerebral infarction, and delayed in-stent stenosis. A multivariate logistic regression analysis was used to determine the predictive factors for ISA and IAEs. Results : There were 33 ISAs (18.0%) and 27 IAEs (14.8%). The anterior bend angle was narrower in ISA (-4.16°±25.18°) than in CSA (23.52°±23.13°) (p<0.001). The V- and S-types were independently correlated with the ISA (p<0.001). However, treatment outcomes, including IAEs (15.3% vs. 12.1%), aneurysmal complete occlusion (91.3% vs. 88.6%), and recanalization (none of them), did not differ between CSA and ISA (p>0.05). The %INH of 27 IAEs (13.78%±14.78%) was significantly lower than that of 156 non-IAEs (26.82%±20.23%) (p<0.001). Non-responders to clopidogrel were the only significant predictive factor for IAEs (p=0.001). Conclusion : The angled and tortuous anatomical peculiarity of the carotid siphon caused ISA of the LVIS device; however, it did not affect clinical and angiographic outcomes, while the non-responders to clopidogrel affected the IAEs related to stent-assisted coiling.

• 암석학회지
• /
• 제11권3_4호
• /
• pp.103-120
• /
• 2002

경기육괴의 남서부에 위치한 백동-홍성 일원에는 선캠브리아기 편마암복합체내에 초염기성암체들이 소규모 렌즈상의 암체로 산출된다. 백동지역에 나타나는 초염기성암체내에 변성염기성암이 부딘 형태로 나타난다. 이들 변성염기성암으로부터 3차에 걸친 변성작용이 인지된다. 1차 변성작용은 석류석안에 나타나는 포획광물들에 의해 정의되는 석류석+나트륨질 단사휘석+감섬석+사장석+티타나이트 광물군에 의해 인지되며 2차 변성작용은 기질의 석류석+단사휘석+각섬석+사장석 광물군에 의해 인지된다. 3차 변성작용은 후퇴변성작용시 석류석과 주변 휘석 사이에 형성된 심플렉타이트내의 각섬석+사장석 광물군에 의해 인지된다. 1차와 3차 변성작용시의 온도-압력 조건은 각각 $690-780^{\circ}C$, 11.8-15.9 kb 그리고 $490-610^{\circ}C$, 4.0-6.3 kb이다. 이러한 자료들은 백동의 변성염기성암이 에클로자이트상-고압백립암상-감섬암상 점이대로부터 고압백립암상-감섬암상 점이대를 지나 각섬암상으로의 후퇴변성을 경험하였음을 지시한다. 초염기성암 주변의 석류석 화강편마암에서 석류석 중심부와 가장자리로부터 얻은 온도-압력 조건은 각각 $615-815^{\circ}C$, 10.7-16.0 kb그리고 $575-680^{\circ}C$, 5.4-7.0 kb이며 이는 석류석 화강편마암도 변성염기성암과 유사한 변성진화과정을 경험하였음을 지시한다. 희유원소 분석치는 백동지역 변성염기성암의 지구조적 환경이 호상열도였음을 지시한다. 이러한 지질, 변성진화과정, 광물화학 그리고 지구조적 환경은 백동-홍성 지역이 산둥반도 수루 충돌대의 연장선일 가능성이 높음을 지시한다. 하지만 백동지역의 변성염기성암으로부터 얻어진 전암-석류석 Sm-Nd 연령인 268.7~297.9 Ma는 중국의 다비-수루 충돌대에서 인지되는 초고압변성작용 시기인 208~245 Ma보다 오래되었다. 이는 Sino-Korea 판과 Yangtz 판의 충돌이 중국보다 한반도에서 먼저 일어났을 가능성을 지시한다.

• Tuberculosis and Respiratory Diseases
• /
• 제44권4호
• /
• pp.815-821
• /
• 1997

연구배경 : ${\beta}_2$-수용체에 매우 선택성을 가지고 있는 salmeterol은 작용시간이 길고 부작용이 적어 최근 기관지 천식의 치료에 많이 사용되며 특히 야간성 발작이 있는 환자에서 좋은 효과가 있다고 보고되고 있다. 이에 저자는 경증 또는 중증도의 가역성이 있는 천식 환자에서 salmeterol과 salbutamol을 흡입 투여 하였을 때의 효과와 안정성을 비교 평가하고자 본 연구를 시행하였다. 방 법 : 대상환자 35명을 무작위추출 개방시험 방법으로 salmeterol 투여군과 salbutamol 투여군으로 나누어 시행하였다. 모든 대상환자들은 2주간의 치료 준비동안, 필요한 경우 salbutamol 100g씩 2회를 흡입하는 경우를 제외하고는 어떤 기관지 천식 약제를 금지시켰으며 그 후 6주간의 치료기간을 설정하여 salmeterol 군에서는 salmeterol 50g을 1일 2회, 기상직후와 취침직전에 흡입하도록 하였고, salbutamol군에서는 salbutamol 200g을 1일 4회, 기상직후 부터 4시간 간격으로 흡입하도록 하였다. 그후 2주동안은 규칙적인 흡입제를 중단하고 증상에 따라 salbutamol을 임식적으로 사용하였다. 결 과 : 주간 및 야간 천식 증상 평가에 있어서 salmeterol 치료군이 salbutamol 치료군에 비해 유의 있는 호전이 있었다(p<0.05). 추가 salbutamol 사용횟수나 사용날짜는 주간이나 야간에서 salmeterol 치료군에서 사용횟수 및 사용 날짜를 줄일 수 있었다(p<0.05). 폐기능검사에 있어서 $FEV_1$의 증가율은 2-4주간의 흡입 후에 salmeterol군에서 유의하게 높게 나타났다. Salmererol에 대한 부작용은 일부환자에서 경미한 손떨림이나 두근거림이 있었지만 salbutamol 군과는 차이가 없었으며 치료를 중단한 환자는 없었다. 결 론 : 이상의 실험 결과로 흡입용 salmeterol은 부작용이 비교적 적고 안전하며 효과적임을 알 수 있고, 특히 야간성 발작성 천식에 매우 효과적인 기관지 확장제로 생각된다.

• 한국수산과학회지
• /
• 제30권5호
• /
• pp.809-815
• /
• 1997

문치가자미의 성숙한 수컷 15마리를 재료로 하여 삼투질농도와 $Ca^{2+}$이 정자의 운동성에 미치는 영향을 파악하였다. 문치가자미 정자는 전해질 및 비전해질 용액에서 정장의 삼투질농도인 $351{\pm}23.4mOsm/kg$ 이하의 저장액에서 운동이 억제되었으나, 삼투질농도 $466\~l,185mOsm/kg$에서는 활발한 운동을 보였으며, 1,698 mOsm/kg 이상에서 다시 운동이 중지되었다. 인공해수를 희석액으로 하여 pH를 달리하였을 때, 정자는 $pH\;5\~9$에서 운동지수 $3.75\~4.00$로 운동성이 활발하였으나, pH 4에서는 운동지수 2.50로 미약하였다. $Ca^{2+}$의 특이 chelator인 EGTA가 포함된 $Ca^{2+}$ 결여 인공해수 (tris-HCl, pH 7.4)에 정액을 희석하였을 때, EGTA의 농도 증가에 따라 정자 운동성이 낮아졌으며, 3mM 이상의 농도에서는 완전히 정지되었다. 운동이 억제된 정자에 $Ca^{2+}$을 서서히 첨가한 결과, $Ca^{2+}$ 농도 0.25mM 이상부터 운동이 재개되었다. 또한 인공해수속의 정자는 calmodulin 억제제인 TFP의 농도의 증가에 따라 운동성이 감소하여 0.5mM에서 완전히 정지하였다.

• Archives of Plastic Surgery
• /
• 제37권4호
• /
• pp.427-432
• /
• 2010

Purpose: The purpose of this study is to estimate muscle defect by ultrasonography in the patients with secondary deformities of the lip. We investigated the association between the muscle defect in the repaired cleft lip and the philtral appearance not only at resting state but also maximal puckering. Methods: From December 2006 to November 2007, 52 children were evaluated after primary or secondary cheiloplasty. Digital photographs were taken both from the front and both three quarter views in repose and at maximal pucker. Video clips were also taken in repose and at maximal pucker. A panel of four, scored the philtral ridge and dimple seen on these photographs and videos by using two visual analog scales. Eminence of the philtral ridge was scored by a 5 point grading scale, from "conspicuous groove" to "normal philtral ridge" and the philtral dimple was scored by 3 point grading scale, from "no dimple" to "prominent dimple". Ultrasound images of the upper lip were made using a linear array transducer at the resting position of the lip and evaluated by a single radiologist. Results: The philtral ridge eminence scored $2.79{\pm}0.54$ and $1.40{\pm}0.53$ at resting and maximal pucker, correlating with "flat" and "conspicous groove". The philtral dimpling scored $1.44{\pm}0.53$ and $2.27{\pm}0.66$ at resting and maximal pucker, correlating with "no dimple" and "slight dimple". Ultrasound imaging showed the average muscle dehiscence to be $3.78{\pm}2.14$ mm at resting position. Correlation between the muscle defect in ultrasound imaging and philtral ridge eminence at rest was statistically significant (p<0.050), but was not significant (p=0.756) at maximal pucker using Spearman's rank correlation. Correlation between the muscle defect in ultrasound imaging and philtral dimpling was not statistically significant both at rest (p=0.920) and at maximal pucker (p=0.815) using Spearman's rank correlation. Conclusion: Quantitative assessment of the muscle defect using ultrasonography correlates with the static philtral appearance, but does not correlate with the dynamic appearance. Also, the size of the muscle defect does not show any correlation with the philtral dimpling. Our findings reveal that ultrasound imaging partially reflect static appearance of philtrum but cannot reflect dynamic appearance and suggest the need for further research to evaluate dynamic appearance.

• 대한방사선치료학회지
• /
• 제12권1호
• /
• pp.155-165
• /
• 2000

This paper is based on the records of researching the patients with cancer in the Chunnam National University Hospital from January 1990 to December 1999 and referred to the Korea Cancer Center Hospital's annual report. The results are as the following : 1. Along the total O.P.D 5,680,284, the patients of therapeutic radiology are 201,367 in $3.55\%$ 2. Among the 12,404 cancer patients, stomach cancer patients are $2,048(16.51\%),\;liver\;cancer\;patients\;are\;1,490(12.01\%),\;lung\;cancer\;patients\;are\;1,418(11.43\%)\;cervix\;and\;uterus\;cancer\;patients\;are\;1,102(8.88\%)$ and sexual ratio of male to female appeared 1.38 : 1 Therefore, male cancer patients are more than female patients. 3. The age distribution of cancer was $2,791(22.50\%)\;by\;55{\sim}64\;age,\;2,582(20.82\%)\;by\;45{\sim}54\;age,\;and\;2,530(20.40\%)\;by\;65{\sim}74\;age.\;Therefore,\;the\;60\%\;of\;all\;cancer\;patients\;were\;45{\sim}75$ ages. 4. Among the 9,815 therapeutic radiology patients, $1,755(17.89\%)\;are\;in\;the\;uterus\;system,\;1,534(15.63\%)\;are\;in\;the\;head\;and\;neck,\;1,519(15.48\%)$ are in the lung. Therefore, the proportion of three kinds of therapeutic radiology patients is about $50\%$. 5. The occupational distributions of 12,404 cancer patients$(90{\sim}99\;year)\;are\;2,795(22.53\%)\;by\;orderly\;farmers,\;2,763(22.28\%)\;by\;house\;wives,\;586(4.71\%)\;by\;businessmen,\;and\;391(3.15\%)$ by public service personnel. Industrial, miners, forest men, soldiers didn't nearly appear. 6. The number of patients of cancer diagnosis was $9,431(76.03\%)\;by\;the\;biopsy\;of\;primary\;region,\;and\;2,201(17.74\%)$ by clinical examination Therefore, those two kinds of methods took a propertion of about $94\%.\;The\;number\;of\;deceases\;on\;departments\;was\;153(32.42\%)\;in\;PD,\;133(28.18\%)\;in\;GI,\;63(13.35\%)$ in GS. Therefore, those three kinds of deceases took a proportion of about $74\%$.

• 분석과학
• /
• 제18권5호
• /
• pp.381-385
• /
• 2005

The title compound, $\{H_2NCH_2CH_2NH_2CH_2CH_2\}\{Cu(H_2O)_6\}(SO_4)_2$, I, has been synthesized under solvo/hydrothermal conditions and their crystal structure analyzed by X-ray single crystallography. Compound I crystallizes in the monoclinic system, $P2_1/n$ space group with a = 6.852(1), b = 10.160(2), $c=11.893(1){\AA}$, ${\beta}=92.928(8)^{\circ}$, $V=826.9(2){\AA}^3$, Z = 2, $D_x=1.815g/cm^3$, $R_1=0.031$ and ${\omega}R_2=0.084$. The crystal structure of the piperazine templated Cu(II)-sulfate demonstrate zero-dimensional compound constituted by doubly protonated piperazine cations, hexahydrated copper cations and sulfate anions. The central Cu atom has a elongated octahedral coordination geometry. The crystal structure is stabilized by three-dimensional networks of the intermolecular $O_{water}-H{\cdots}O_{sulfate}$ and $N_{pip}-H{\cdots}O_{sulfate}$ hydrogen bonds between the water molecules and sulfate anions and protonated piperazine cations. Based on the results of thermal analysis, the thermal decomposition reaction of compound I was analyzed to have three distinctive stages.

• 생약학회지
• /
• 제18권2호
• /
• pp.127-135
• /
• 1987

In vitro sensitivity testing was performed for 21 kinds putative anticancer drugs selected from references and information. Cellular damage of P815 mastocytoma cells following exposure to water extracts of drugs was evaluated by colony formation assay. Highly effective drugs with more than 50% inhibition of colony formation were seven (Houttuyniae Herba, Sanguisorbae Radix, Nepetae Herba, Manitis Squama, Lonicerae Flos, Amomi Semen, Polyporus), though not more effective than BCNU. According to the results of $^3H-thymidine$ incorporation assay for determination of selective cytotoxicity, 3 of these drugs (Houttuyniae Herba, Polyporus, Manitis Squama) were found to be low cytotoxic to normal mouse lymphoid cells. These findings suggest that the above 3 drugs may be used for effective anticancer drugs in vivo.

• 동의생리병리학회지
• /
• 제25권5호
• /
• pp.807-815
• /
• 2011

This study was designed to investigate the effects of Mokhyangjoki-san extract (MJS) on the improvement in cerebral blood flow (rCBF) in cerebral ischemic rats, and further to determine cytokines production (IL-1${\beta}$, TNF-${\alpha}$, IL-10, TGF-${\beta}$) of MJS. The results in cerebral ischemic rats were as follows ; The rCBF was significantly and stably increased by MJS (10 mg/kg, i.p.) during the period of cerebral reperfusion, which contrasted with the findings of rapid and marked increase in control group. In cytokine production in serum from femoral arterial blood 1 hr after middle cerebral arterial occlusion, MJS significantly decreased IL-1${\beta}$ and TNF-${\alpha}$ production, and increased IL-10 production compared with control group. In cytokine production in serum from femoral arterial blood 1 hr after reperfusion, MJS significantly decreased IL-1${\beta}$ and TNF-${\alpha}$ production compared with control group. IL-10 and TGF-${\beta}$1 production in MJS group were significantly increased compared with control group. These results suggested that MJS significantly and stably increased rCBF by inhibiting the production IL-1${\beta}$ and TNF-${\alpha}$, and accelerating that of IL-10 and TGF-${\beta}$. The result in nerve cells was as follows ; MJS significantly inhibited lactate dehydrogenase activity in vitro in a dose-dependent manner. This result suggested that MJS prevented the neuronal death.