• Title/Summary/Keyword: Physiological States

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한국 기공의 정체성에 관한 연구 -신선가를 중심으로 본 기공의 기원에 관한 고찰- (Study on the Character of the Korean Traditional Qigong - The research of the origin of Qigong derived from the Korean concept of mystic hermits [xian] -)

  • 이정원;김경철;이용태
    • 동의생리병리학회지
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    • 제18권1호
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    • pp.1-7
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    • 2004
  • Oriental Medicine has long been centered around Qi[vital force], hence adopting Qigong and the art of regimen for training the body and relaxing the mind so as to prevent and heal illness. It has not been such a long time since Qigong method had been performed and spot-lighted out of numerous methods in Oriental Medicine. In China and Korea alone, diverse cases and papers are published, only revealing so many steps toward the establishment of diachronic description, theoretical foundation, and clinical practice. Historical approach is an essential part of recognizing a subject. When you step along its path and comprehend what it were, you can also grasp what it is and what it will be. Establishment of Qigong history is also vital to research Qigong in theory and practice. Generally, Qigong was transmitted from China to Korea, whereas the opposite explanation, that it originated from Korean Taoism, is supported by the minority based on certain texts concerning ancient history. In this paper, I support the theory of Korean originality based on the following grounds: First, the location of Qi and Van, the motherland of Chinese Taoism provides a strong evidence that Korean tradition had been absorbed by them and formed the tradition of mystic hermits(shenxian). Second, Guangchengzi, the originator of mystic hermits, is from Dongyi tribe according to Cheonghakjib. Third, the myth of Dangun has pure form of unique Korean folklore possessing the distinctive feature of mystic hermits tradition, uninfluenced by Chinese Taoism. Fourth, in ideographical aspect, the character 'xian(仙)', was invented as the Korean concept of mystic hermits[xian] was flowed in to China. Moreover, There is high probability that it was based on the concept of mystic hermits shown in the myth of Dangun in Its original formation. Fifth, considering the relation between wild ginseng and the tradition of mystic hermits, that tradition can be formed very naturally in Korean area. Sixth, the analogical similarity between archetype of Korean tradition and Taoistic trilogy, the foundational idea of the tradition, gives genealogical basis to its origin. Seventh, the tradition of mystic hermits and Shamanism, which constitues the prototype of Korean mind as an original religious tradition, are undiscernible in their root In Conclusion, We can reach the idea that the origin of Qigong derives from Korean tradition, not that of China. The tradition of mystic hermits was transformed to ego-centric seclusionism when it faced the anarchy of Warring states period in China, whereas it was developed into humane proriety and worship of Heaven base on the programme of 'universal fraternity in pursuit of interst for man'. In prospect, it is highly required to develop and interpret traditional discipline methods in Korea so as to utilize them for clinical Qigong in practice.

C57BL/6N 생쥐에서 반모추출물과 분획물을 이용한 발모(發毛)효과에 대한 실험적 연구 (EXperimental Studies on the Hair Growth Activity of Mylabris Phalerata Pall. Extracts and Fractions in C57BL/6N Mice)

  • 조한영;김태헌;김호;정한솔;이창현;이광규
    • 동의생리병리학회지
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    • 제22권2호
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    • pp.357-364
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    • 2008
  • Mylabris is the dried body of the chinese blister beetle. The species used in medicine are Mylabris phalerata and M. cichorii. In recent studies, it has been found that Mylabris possesses antitumor properties, increases the number of leukocytes, and has irritant effects on the urinary organs. The crude extracts of Mylabris have been noted for their highly irritant action and other traditional uses of Mylabris include treatment of poor local blood circulation. The active constituent of Mylabris is cantharidin. The chemical is notable for its vesicant properties, but with severe side effects such as nephrotoxicity. This experiment examined the effect of extracts and fractions, obtained from Mylabris phalerata Pall. on hair growth activity of the C57BL/6N mice after topical application to skin. First, we examined the effect of an extracts, obtained from the alcohol extracts of dried Mylabris phalerata Pall. on hair growth activity of the C57BL/6N mice after topical application to skin. Second, we examined on hair growth activity of the cantharidin fraction of Mylabris phalerata Pall. compared to the control and 1% minoxidil groups. Third, we investigated the number of hair follicle and mast cells after topical application of extracts of Mylabris phalerata Pall. to skin for 16 days. The results were as follows: Hair growth effect from the extracts of Mylabris phalerata Pall.(0.312%) was observed in 80% of mice whose hair had been removed in 13 days. Hair growth effect from the extract of Mylabris phalerata Pall.(0.312 and 0.625%) and 1% minoxidil group was observed in 100% of mice whose hair had been clipped in 20 days. Hair growth effect from the cantharidin fraction(0.5%) and water fraction(0.5%) of Mylabris phalerata Pall. was observed in 100% of mice whose hair had been clipped in 24 days. The hair growth effect on the cantharidin fraction(0.125%) was observed to be strong compared with the minoxidil(3%) group, commercial hair growth agents, in mice whose hair had been clipped in 19 days. In the spontaneous alopecia mice model, the hair growth effect from the cantharidin fraction (0.125%) was observed to be strong as compared with the states before the 13 days experiment. These experiments suggest that extracts and fractions of Mylabris phalerata Pall. may stimulate the topical hair growth activity in low doses.

한, 일 고려인삼 심포지움 (Studies on Selective Modulators and Anti-anorexigenic Agents in Korean Red Ginseng)

  • Hiromichi Okuda;Keizo Sekiya;Hiroshi Masuno;Takeshi Takaku;Kenji Kameda
    • Journal of Ginseng Research
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    • 제11권2호
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    • pp.145-252
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    • 1987
  • Isolated rat adipocytes are well known to possess opposite pathways of lipid metabolism: lipolysis and ipogenesis. Both of the metabolism respond to various biologically active substances such as epinephrine, ACTH and insulin. Epinephrine and ACTH stimulate lipolysis and insulin accelerates lipogenesis. Recently, Korean red ginseng powder was found to contain adenosine and an acidic poptide which inhibited epinephrine-induced lipolysis and sl imulated insulin-mediated lipogenesis from added glucose. The acidic peptide is consisted mainly of glutamic acid and glucose. Ginsenosides Rb1 and Re inhibited ACTH-induced lipolysis in isolated rat adipocytes, while they did not affect insulinstimulated lipogenesis, Thus, all these substances extracted from Korean red ginseng exhibited selective modulations toward the opposite metabolic pathways in rat adipocyte; They inhibited the lipolysis but not the lipogenesis. We call these substances"selective modulators". Recently, we isolated a toxic substance named "toxohormone-L " from ascites fluid of patients with various malignant tumors. The toxohormone-L stimulated lipolysis in rat adipocytes and induced anorexia in rats. Both the lipolytic and the anorexigenic actions of toxohormone-L were found to be inhibited by ginsenoside Rb2 in Korean red ginseng. Based on these results, physiological signifi¬cances of these substances in Korean red ginseng were discussed. Pan ax ginseng is a medicinal plant long used in treatment of various pathological states including general complaints such as head ache, shoulder ache, chilly constitution and anorexia in cancer patients, There have been many pharmacological studies on Panax ginseng roots. Petkovllreported that oral administration of an aqueous alcoholic extract of ginseng roots decreased the blood sugar levtl of rabbits. Saito2lreported that Panax ginseng suppressed hyperglycemia induced by epinephrine and high carbohydrate diets. These findings suggest that Panax ginseng roots contain insulin-like substances. Previously, we demonstrated that gin¬seng roots contain an insulin-like peptide which inhibits epinephrine-induced lipolysis and stimulated insulin-mediated lipogenesis. In 1984, we suggested that such an insulin-like substance should be called a selective modulator4). Present investigation describes the details of the selective modulators in ginseng roots. During progressive weight loss in patients with various neoplastic disease, depletion of fat stores have been observed. The depletion of body fat during growth of neoplasms is associated with increase in plasma free fatty acids. Recently, we found that the ascites fluid from patients with hepatoma or ovarian tumor and the pleural fluid from patients with malignant lymphoma elicited fatty acid release in slices of rat adipose tissue in vitro. The lipolytic factor, named"toxohormone-L". was purifed from the ascites fluid of patients with hepatoma. The isolated preparation gave a single band on both disc gel electrophoresis and sodium dodecyl sulfate(SDS)-acrylamide gel electrophoresis in the presence of ${\beta}$-mercaptoethanol. Its molecular weight was determined to be 70,000-75,000 and 65,000 by SDS-acrylamide gel electrophoresis and analytical ultracentrifugation, respectively. Injection of toxohormone-L into the lateral ventricle of rats significantly suppressed food and water intakes. There was at least 5 hr delay between its injection and appearance of its suppressive effect. In the present study, we also tried to find a inhibitory substance toward toxohormone-L from root powder of ginseng.

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Cyclosporin A 생산을 위한 액체배양과 고정화배양의 생물반응기에서의 산소전달 비교 연구 (Comparative Bioreactor Studies in Terms of Oxygen Transfer between Suspended and Immobilized Fungal Systems for Cyclosporin A Fermentation)

  • 전계택
    • KSBB Journal
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    • 제9권2호
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    • pp.211-223
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    • 1994
  • 4l 교반식 생물반응기에서, celite담체에 고정화된 Tolypocladium inflatum 균주 배양시의 산소전달 계수($k_La$)가 같은 세포농도 하에서 액상배양시의 값과 비교할 때, 고정상균주의 높은 비산소흡수율에도 불구하고, 2배 이상 증가되었다. 그 결과 고정상배 양의 경우, 용존산소량이 포화상태의 75%를 초과하는 충분한 산소량이 배양기간 내내 유지될 수 있었으나, 액상배양의 경우에는 용존산소량이 포화상태의 50% 이하까지 감소되었다. 임펠러의 교반속도에 따른 $k_La$의 단순 선형 의존 현상이, 250rpm에서 550rpm 범위에서 고정상배양 및 액상배양 모두에서 관찰되었으며, 그 의존정도는 액상배양의 경우 세포 농도와 함수관계인 반면, 고정상배양의 경우에는 세포농도와 무관하였다. 반면에 두 배양시스템 모두에서, 통기율 변화에 따른 산소전달율은 2.5vvm까지는 함수관계를 보였으나 그 의존도는 임펠러 교반속도의 변화에 따른 영향과 비교할 때 훨씬 미미하였으며, 2.5vvm 이상의 통기율에서는 산소전달현상에 별로 영향을 주지 못했다. CyA 생산 면에서 볼 때, 고정상세포는 형태학 또는 생리학적으로 훌륭한 배양상태를 유지할 수 있어서, 동일조건의 액상배양과 비교해서 약 2배 이상 생산성이 증가되였다. 그러므로 교반식 생물반응기를 이용한 celite-고정상배양법 은 고농도배양이 가능하다는 측면에서 볼 때, CyA 대량생산 산업화를 위한 대체 공정으로서 훌륭한 전망을 제시해 준다.

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후각자극에 의한 대뇌겉질의 전기생리학적 반응에 대한 연구: 알파 활동도 (A Study on the Electrophysiological Response of the Cerebral Cortex by Olfactory Stimulation: Alpha Activity)

  • 강지혁
    • 대한임상검사과학회지
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    • 제51권4호
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    • pp.462-467
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    • 2019
  • 최근 수십 년 동안 향기 및 악취 흡입에 의한 후각자극이 인간에게 심리적, 생리적 영향을 미친다는 다양한 연구가 보고되고 있다. 본 연구는 후각자극에 의한 사람 대뇌겉질 신경세포의 전기생리학적 반응성을 조사하고자 하였다. 건강한 남성 12명을 대상으로 아카시아와 부탄올에 의한 후각자극이 알파파의 활동도에 미치는 영향을 정량적으로 분석하였다. 아카시아 향취를 흡입하는 경우는 후각자극이 없는 안정상태의 뇌파에 비해 알파파의 활동도가 유의하게 증가(66.7%)하였고, 부탄올 악취에서는 알파파 활동도의 유의한 감소(33.3%~41.7%)가 관찰되었다. 본 연구는 후각자극에 의하여 대뇌겉질 신경세포의 활동도에 변화가 있을 수 있다는 것을 시사한다. 이러한 결과는 후각인지가 신경계의 기능에 자극효과를 나타낼 수 있다는 것을 의미한다. 즉 본 연구에서 후각자극이 뇌파활동과 기분상태에 영향을 미친다는 결론을 도출할 수 있었다. 이러한 관점에서 향후 중추신경계에 대한 전기생리학적 효과의 영향을 이해하고, 설명하기 위한 추가연구가 필요할 것으로 사료된다.

선박평형수처리장치 형식승인을 위한 식물플랑크톤 샘플링 방법 비교 (Comparison of sampling method of phytoplankton for type approval of ballast water management system)

  • 장풍국;현봉길;이우진;최근형
    • 한국산학기술학회논문지
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    • 제21권12호
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    • pp.426-433
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    • 2020
  • 본 연구는 선박평형수처리시스템(BWMS) 형식승인을 위한 국제해사기구(IMO)와 미국해양경찰(USCG)의 시험방법 중 차이가 큰 식물플랑크톤의 전처리 방법을 비교하기 위해 배양종, 자연종, 그리고 BWMS의 육상시험에서 채취한 식물플랑크톤 샘플을 이용해 농축과 비농축에 대한 비교시험을 수행했다. 배양종과 자연종의 비교 시험은 농축하는 과정에서 네트 손실 및 손상이 있는 것으로 확인되었으며, 이는 대상종의 생리·형태적 특성에 따라 차이가 있음을 확인했다. BWMS 육상시험에서 생물 농도가 높은 대조수의 경우 비농축한 시료 개체수가 농축한 시료보다 2배 정도 높은 값을 보였고, 생물 개체수가 낮은 처리수는 두 방법 간의 뚜렷한 차이가 없었다. 이러한 결과는 미국형식승인 방법으로 육상시험을 수행하면 시험수 조건이 더 가혹하다는 것을 의미한다. 결과적으로 식물플랑크톤 샘플링 과정에서 농축과 비농축의 차이가 있음에도 불구하고, 농축 방법이 BWMS 성능을 평가하는 방법으로 적용할 수 있을 것으로 판단된다. 하지만 처리수 내에서 살아있는 종이 샘플링의 농축 과정에서 네트 손실 및 손상이 있을 수 있기 때문에 대상종에 대한 평가방법을 개발할 필요성이 있다.

인지예비능의 신경적 기질에 대한 서술적 문헌고찰 연구 : 휴지기 기능적 자기공명영상 연구를 중심으로 (A Narrative Literature Review on the Neural Substrates of Cognitive Reserve: Focusing on the Resting-state Functional Magnetic Resonance Imaging Studies)

  • 신현상;성우현;권보인;우연주;김주희;이동혁
    • 동의생리병리학회지
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    • 제38권1호
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    • pp.1-9
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    • 2024
  • Cognitive reserve (CR) is a concept that can explain the discrepancies between the pathologic burden of the disease and clinical manifestations. It refers to the individual susceptibility to age-related brain changes and pathologies related to Alzheimer's disease, thus recognized as a factor affecting the trajectories of the disease. The purpose of this study was to explore the current states of clinical studies on neural substrates of CR in Alzheimer's disease using functional magnetic resonance imaging. We searched for clinical studies on CR using fMRI in the Pubmed, Cochrane library, RISS, KISS and ScienceON on August 14, 2023. Once the online search was finished, studies were selected manually by the inclusion criteria. Finally, we analyzed the characteristics of selected articles and reviewed the neural substrates of CR. Total thirty-four studies were included in this study. As surrogate markers of CR, not only education and occupational complexity, but also composite score and questionnaire-based method, which cover various areas of life, were mainly used. The most utilized methods in resting-state fMRI were independent component analysis, seed-based analysis, and graph theory analysis. Through the analysis, we demonstrated that neuroimaging techniques could capture the neural substrates associated with cognitive reserve. Moreover, functional connectivity of brain regions centered on prefrontal and parietal cortex and network areas such as default mode network showed a significant correlation with CR, which indicated a significant association with cognitive performance. CR may induce differential effects according to the disease status. We hope that this perspective on cognitive reserve would be helpful when conducting clinical researches on the mechanisms of traditional Korean medicine for Alzheimer's disease in the future.

기아가 간세포막결합장치에 미치는 영향에 관한 Freeze Fracture Replica법에 의한 관찰 (Some Observations on the Intercellular Junctions between the Hepatocytes in Fasting States as Revealed by Freeze Fracture Replica)

  • 안태순;신영철
    • Applied Microscopy
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    • 제25권2호
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    • pp.53-64
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    • 1995
  • 세포막의 결합장치들은 형태학적으로나 기능적으로 분화된 특이한 구조이며 각기 인접한 세포막 사이의 특징적인 부위에 위치한다. 그러나 이들 결합장치가 간세포의 기능상태에 연관하여 미세구조적으로 어떠한 변화를 보이는지에 관해서는 아직 잘 알려져 있지 않다. 본 연구는 간세포의 기능적 변동에 따르는 간세포막 사이 결합장치의 형태학적 변화를 알아보기 위하여 정상군과 8일간 기아 시킨 기아군으로 구분한 휜쥐 ($Wister,\;{\uparrow},\;250{\sim}280g$)에서 절취된 간조직을 박절편과 급속동결할 단복제법에 의거 표본을 제작하여 이들 결합장치의 미세구조상을 비교 고찰하였다. 그 결과 담세관주위의 폐쇄띠는 기아상태에서 현저히 감축되거나 소실되어 있었는데 이러한 소견은 박절편과 급속동결할단복제에서 다 같이 관찰되었으며 기아상태하에서 결합반과 교통반의 현저한 증가를 볼 수 있었다. 또한 정상상태하에서 이들 결합장치가 비교적 일정한 구조를 유지하고 있을 것이라는 일반적인 견해와는 달리 본 연구에서는 박절편이나 급속동결할단복제에서 다 같이 폐쇄띠가 부위에 따라 현저한 구조적 차이를 보였다. 본 연구에서 얻어진 이러한 결과로 미루어 폐쇄띠의 감축이나 소실은 기아로 인한 간세포의 기능저하가 담즙물질의 생성을 저해하게 됨으로서 담세관의 내압이 저하된 데 기인된 현상으로 생각된다. 또한 결합반의 증가는 기아로 인하여 감축된 간세포를 지지하므로서 간조직의 유지를 도우려는데 있었을 것이며 교통반의 증가는 기아로 인한 간세포의 기능적 저하가 간세포상호간의 물질교환을 필요로 하였기 때문이었을 것으로 추정된다. 특히 정상상태하에서도 부위에 따라 폐쇄띠의 미세구조적 변화가 있었던 것은 이 결합장치가 간세포의 기능이나 담세관의 상태에 민감하게 반응하기 때문일 것으로 생각된다.

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티벳의학에 대한 연구 - "사부의전(四部醫典).근본의전(根本醫典)"을 중심으로 (Study on "Four Tantras", the Prime Textbook of Tibetan Medicine)

  • 장은영;윤창열
    • 대한한의학원전학회지
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    • 제11권1호
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    • pp.416-512
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    • 1998
  • The following conclusions are obtained from the studies on the chapters concerning phisiology, pathology, daily conduct, materia medica, pulse, and urinalysis from , of the "Four Tantras". 1. The theoretical basis forming the Tibetan Medicine is the substance of phlegm, bile, and wind each of which is divided into five kinds. These phisiological substances can be transformed into pathological factors when certain environment is formed. 2. In embryology, the semen of the father and menstral blood of mother is considered the most important condition in conception, and the Five factors are regarded as important. There is a detailed explanation of development of the fetus while it stays in the womb of mother during 38weeks, such as the formation of the viscera, channels, sense organs, etc. 3. There is metaphor which compares the human body with the king's palace. With the development of human anatomy, there is the detailed anatomical picture of anterior and posterior aspects of human body. And also there is the measurement of physiological constitution and the three fluids. 4. In division of the channels, they concerned the now of the blood and distribution of the nerve fibers, and each channel is connected with one another. The division of the cannel is namely embryonic channel, channel of existence, channel of connection, and the course of life principle. 5. The seven bodily constituents and three factors of phlegm, bile, and wind are important in sustaining the life of human body as well as growth and maturization, and when their equilibrium is broken, the human body is degnerated, and finally death comes. 6. The signs of death is divided into distant sign, remote sign, certain sign. and uncertain sign, and is used as a clue in diagnosis of the disease. Especially there is a mention about the mechanism of the dreams, and different dreams according to the condition of the patient. 7. In pathology, there is the cause of the disease, the environmental factors which can induce disease, the path by which disease come into the human body, the characteristics of the disease, and the kinds of disease. 8. There is a mention about the conduct, and it is divided into the daily conduct, the mental attitude, and the side-effects which can occur when one puts up with the physiological actions of the body. 9. The daily diet is divided into food and beverage. The food is divided again into grain, meat, fat, boiled food, and spiced food, and the beverage into milk, water, and wine. 10. The pulsation should be taken in lift hand to diagnose heart, small intestine, stomach, spleen, kidney, reproductive organ, and in right hand jungs, large intestine, liver, gall bladder, kidney, and bladder. In the healthy person, the pulse moves 5times in one perspiration, and the type of pulse is constant while the pulse moves 100times. But unhealthy person's pulse is different from this. The urinalysis is the unique part of Tibetan Medicine, and is important in examination of the disease. One should decide which of the three factors are dominant by the obervation of the color, amount of the steam and how long it lasts, odour, foam, and the shape of the swirl in three different states when the urine is hot, warm, and cold. One can determine the life of the patient and which viscera is the cause of the disease by the pulse, and whether the nature of the disease is hot or cold by the urinalysis. 11. The materia medica contains gemstones, minerals, plateau medication, and meat products.

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신생아집중간호단위 환경과 저체중출생아의 반응에 대한 연구 (A Study on the Environment for Lowbirth Weight Infants in Neonatal Intensive Care Unit in the United States)

  • 한경자
    • Child Health Nursing Research
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    • 제4권2호
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    • pp.159-176
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    • 1998
  • In effort to conduct comparative study on the caregiving environment of Neonatal Intensive Care Unit(NICU) in both U. S and Korea, this study was been conducted first in the U.S. Purpose : The purpose of this study is to identify the physical environment and direct caregiving practices to lowbirth weight infants in NICU in the US. It also aims to examine the NICU outcome status and behavioral reponses of lowbirth weight infants. Methods : A study design using descriptive and inferential statistics was been conducted through an observational, field method. A sample of 15 preform infants admitted to NICU were recruited for the study. The subjects were those with birth weight between 1,000 gm to 1,500 gm, born at the gestation period of 27 to 33 weeks, and without any chromosomal or other genetic anomalies, major congenital infections, or maternal illness. Thirty minutes observation(three times of ten minutes of continuous observation)of the infant's behavior and physiological status, and an four-hour observation of the physical environment and direct care giving procedures were been conducted on the 3rd and 10th day after birth, and on the day of discharge from the NICU or at 34weeks postconception. The data to be collected were in four areas : the demograghic characteristics of the infants, the physical environment and care giving procedures, the frequency of the infant's designated behavior and physiological response, and NICU outcome variables. A descriptive analysis and Kruskal-Wallis, Pearson r were been applied according to variable characteristics. Results : 1. Mother's mean age was 29.47. The sample consisted of 6 males and 9 females. Mean gestational ages were 29.17 weeks. Mean birth weight was 1236.33g. Mean Apgar scores at one minute were 6.6, and 7.8 at five minutes. 2. The location for the incubator was in the distance from the light, X-ray screens and nursing station, in proximity to side-lamp, telephone and faucet on the third day after birth. The location for the incubator was in the distance from the light and radio on the tenth day and in proximity to nursing station on the day of dischage from the NICU or at 34weeks postconception. 3. Nesting was the most applying aids to the infants. And foot roll, shielding and plastic frame were frequently using by nurses for facilitating well modulated restful posture. 4. There were statistically significant changes in the patterns of physical environment included locating the infant's incubator and bedding, specific aids to self regulation on the 3rd and 10th day after birth, and on the day of discharge from the NICU or at 34weeks postconception. 5. Statistically significant changes were not appeared in the patterns of direct caregiving procedure to the infants included stress inducing or reducing manipulations on the 3rd and 10th day after birth, and on the day of discharge from the NICU or at 34weeks postconception. 6. The stress response of the infants in NICU were significantly reduced as the infants grow older. 7. There were not statistically significant correlation between the physical envronment and the stress responses of the infants in NICU. 8. There were statistically significant correlation between the direct caregiving procedure to the infants and the stress response of the infants in NICU in the second and third observation on the day three. 9. Average weight gain per day from birth to discharge was 38.73g, number of days in the hospital was 42.60, number of days before bottle feeding was 3.6. Postconception age starting bottle feed ing was 31/sup +5/ weeks. Number of days on mechanical ventilator was average 7.64, 11.42 was an average number of days of oxygen need. Conclusion : It, thus, appears that to minimize the sensorymotor stimulation for the low birthweight preterm infant in NICU, manipulation of care giving practices to the babies whatever the stress inducing or reducing procedures, have to be limited in the immediate early stage after birth. And it needed to be reexamine to identify the appropriate and specific physical environment and the patterns of direct caregiving to the low birthweight preform infant as the infants grow older in NICU.

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