• Journal of Ginseng Research
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• 제43권4호
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• pp.517-526
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• 2019

Background: The root of Panax ginseng, a member of Araliaceae family, has been used as herbal medicine and functional food in Asia for thousands of years. According to Traditional Chinese medicine, ginseng is the most widely used "Qi-invigorating" herbs, which provides tonic and preventive effects by resisting oxidative stress, influencing energy metabolism, and improving mitochondrial function. Very few reports have systematically measured cell mitochondrial bioenergetics after ginseng treatment. Methods: Here, H9C2 cell line, a rat cardiomyoblast, was treated with ginseng extracts having extracted using solvents of different polarity, i.e., water, 50% ethanol, and 90% ethanol, and subsequently, the oxygen consumption rate in healthy and tert-butyl hydroperoxideetreated live cultures was determined by Seahorse extracellular flux analyzer. Results: The 90% ethanol extracts of ginseng possessed the strongest antioxidative and tonic activities to mitochondrial respiration and therefore provided the best protective effects to H9C2 cardiomyocytes. By increasing the spare respiratory capacity of stressed H9C2 cells up to three-folds of that of healthy cells, the 90% ethanol extracts of ginseng greatly improved the tolerance of myocardial cells to oxidative damage. Conclusion: These results demonstrated that the low polarity extracts of ginseng could be the best extract, as compared with others, in regulating the oxygen consumption rate of cultured cardiomyocytes during mitochondrial respiration.

• Journal of Microbiology and Biotechnology
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• 제32권4호
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• pp.447-457
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• 2022

Notoginsenoside R1 and ginsenoside Rg1 are the main active ingredients of Panax notoginseng, exhibiting anti-fatigue, anti-tumor, anti-inflammatory, and other activities. In a previous study, a GH39 β-xylosidase Xln-DT was responsible for the bioconversion of saponin, a natural active substance with a xylose group, with high selectivity for cleaving the outer xylose moiety of notoginsenoside R1 at the C-6 position, producing ginsenoside Rg1 with potent anti-fatigue activity. The optimal bioconversion temperature, pH, and enzyme dosage were obtained by optimizing the transformation conditions. Under optimal conditions (pH 6.0, 75℃, enzyme dosage 1.0 U/ml), 1.0 g/l of notoginsenoside R1 was converted into 0.86 g/l of ginsenoside Rg1 within 30 min, with a molar conversion rate of approximately 100%. Furthermore, the in vivo anti-fatigue activity of notoginsenoside R1 and ginsenoside Rg1 were compared using a suitable rat model. Compared with the control group, the forced swimming time to exhaustion was prolonged in mice by 17.3% in the Rg1 high group (20 mg/kg·d). Additionally, the levels of hepatic glycogen (69.9-83.3% increase) and muscle glycogen (36.9-93.6% increase) were increased. In the Rg1 group, hemoglobin levels were also distinctly increased by treatment concentrations. Our findings indicate that treatment with ginsenoside Rg1 enhances the anti-fatigue effects. In this study, we reveal a GH39 β-xylosidase displaying excellent hydrolytic activity to produce ginsenoside Rg1 in the pharmaceutical and food industries.

• 간호행정학회지
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• 제6권2호
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• pp.259-279
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• 2000

This study is a descriptive analytic research measuring nursing service quality, using SERVQUAL model, to make fundamental data and strategies for nursing service improvement. Data were collected by self-reported questionnaire from 202 patients and 142 nurses, from June 7 to 14, 1999. The reliability of instrument were adequate(Cronbach ${\alpha}=.94$). SAS program was utilized for statistical analysis of collected data. The results were as follows; 1. There was a gab between patient's expectation and perception on nursing service(Gap B). Gap D was indicated an affecting factor to decide nursing service quality. Gap C was indicated an indirect affecting factor of nursing service quality. Because it was not statistically significant in total item analysis, but in individual item analysis, 7 items were appeared statistically significant. Gap A was not a gap occurrence factor of nursing service quality. 2. Focuses of nursing service quality improvement strategies were; (1) to direct qualitative improvement of nursing service in order to correspondence patient's nursing service expectation. (2) to make nurse's service activity modified because nurse's practice were not reached patient's expectation level. (3) to need internal, external factor analysis affecting nurse's service activity. 3. Nursing service quality was decided by rather environmental inappropriateness provided nursing service than itself. Therefore, to make nursing service quality improvement, it is required to improve nursing service environment. For this, followings are required; (1) to strengthen nurse's education on lower part of nursing service satisfaction and QI activities. (2) to balance demand and supply of nursing personnel. 3) to fix computerized system for reducing other duties weight except nursing care through analysis of nursing activity. (4) to construct rational cooperating system among related departments. 4. The important parts for nursing service quality improvement were indicated as follows: (1) Gap B: 'prompt reaction', 'examination symptom before patient's complaint', 'hearted nursing service reducing patient's dissatisfaction', 'explanation goals of nursing activities', 'having special Knowledge enough', 'maintenance position comfortably', 'management of patient's physical hygiene'. (2) Gap C: 'maintenance physical safety', 'explanation about hospital rules and facilities'. (3) Gap D: 'tender, safe injection and wound care'. Because above items are mostly improved through nurse's attitude change and quality improvement, it is required to establish nursing standardization and to strengthen nurse's clinical education. As the based on above results, followings are suggested; 1. SERVQUAL model is very useful to make strategies for nursing service quality improvement because it indicates multiple factors affecting hap occurrence. 2. At individual items analysis of Gap C, statistically significant 7 items appeared higher nurse's perception level than patient's perception level on nursing service were trouble perception level on nursing service quality improvement. So. it need further research to analysis about these difference occurring factors. 3. At analysis of Gap D, it is indicated that in nursing service performance process, multiple factors lowing nursing service quality were intruded. So it needs further research to analysis what these factors are and how each factors affect on nursing performance process. 4. nursing service quality measurement is changeable according to sample select time or sampled subject's characteristics. So to develope strategy for nursing service quality improvement is based on the results of periodical analysis.

• 대한한의학방제학회지
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• 제26권1호
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• pp.13-26
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• 2018

Objectives : This study was carried out to enhance the activity of Iksuyoungjingo, which has the tonify Qi, nourish Yin effect of oriental medicine, and to study the effect of the prescriptions on the immunological activities. Methods : Immunosuppression was induced by methotrexate (MTX) 2 mg / kg, the experimental group was divided into IYGgami-I, IYGgami-I-F, IYGgami-II and IYGgami-II-F groups. Each prescription was administered with drinking water for 20 days, and body weight was measured every 5 days during this period. Leukocyte, $TNF-{\alpha}$, IL-2, IL-6, IgE, spleen weight and body weight were measured Results : In the changes of $TNF-{\alpha}$, IL-2 and IL-6 as pro-inflammatory elements, all of the experimental groups showed a significant increase compared to the control group. In the IgE changes, the IYGgami-I-F, IYGgami-II and IYGgami-II-F groups showed a significant decrease compared to the control group. In the changes of spleen weight, the IYGgami-II-F group showed a significant increase compared to the control group. In the changes of WBC and lymphocytes, the IYGgami-I-F group showed a significant increase compared to the control group. Conclusions : From the above results, it can be observed that the efficacy against immunity is exerted in all of the preparations, and it was confirmed that the efficacy was maintained constant even when utilizing the Rehmannia glutinosa Residue and Poria cocos Bark, and that a more beneficial effect can be exerted in the effectiveness when the fermentation is carried out.

• 한국의료질향상학회지
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• 제20권1호
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• pp.76-88
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• 2014

Objectives: Parents of a premature baby feel a pressure on their baby's growth and they are highly in need for proper education. However, the lack of proper education can cause the difficulty of follow-up care and rehospitalization. Currently, methods of education among each nurse are based on verbal explanation and can be often different. Therfore, it is true that the psychological burden is great during education. Hence, by enforcing discharge education activities, we intend to provide information; induce participation of parents; promote the level of performance; standardize education program; and increase the job satisfaction of nurses. Methods: NICU conducted a questionnaire survey of the demand and satisfaction for discharge education among mothers that left hospital. And before and after the improvement activity, the satisfaction level of mothers and nurses were studied, and rehospitalization rate were analyzed. Results 1)The survey results of the satisfaction level of mothers towards education program as followes: The level of understanding of content, general babysitting, special situation, education method, and educator attitude showed statistically significant increase. 2)The survey results of the satisfaction level of nurses towards education program as followes: While, the need for education program decreased, the adequacy of education content and method, consistency of education, understanding of learner, and learner's performance increased. All the factors except for the need for education program and the adequacy of education content showed statistically significant difference. 3)Rehospitalization rate of premature babies decreased. According to analysis of the cause of rehospitalization, breast-feeding related apnea turned out to be the highest. Conclusion: Through QI, satisfaction of mothers and nurses improved more than 10%. And rehospitalization rate of premature babies decreased by the same amount as well. Therefore, with the help of the standardized discharge education program, mothers who is not easy to take care of after leaving hospital can be seen to significantly affect their healthy growth and development.

• 한국식품영양과학회지
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• 제41권1호
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• pp.26-32
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• 2012

국내산 정제염, 천일염과 유럽산 천일염 등의 SEM에서의 형태, 무기질 성분, 보돌연변이와 암세포 in vitro 항암 기능성을 측정하였다. 정제염은 SEM을 이용한 관찰 시 구조가 규칙적이었고 천일염은 불규칙한 표면 구조를 가지고 있었다. 천일염의 크기도 차이가 있었고 프랑스 천일염과 한국천일염I은 다른 천일염보다 크기가 작았다. 무기질 함량은 프랑스 천일염과 한국 천일염I이 Ca, K, Mg 등의 함량이 다른 소금보다 더 많았다. pH도 프랑스 천일염과 한국 천일염I이 가장 높았다. 한국산 두 가지의 천일염은 무기질 함량에 따라 물리적 특성의 차이를 보였고 한국 천일염I은 프랑스 천일염과 비슷한 무기질 함량을 가지고 있었다. 소금은 보돌연변이 효과가 있었지만 특히 무기질 함량이 높았던 프랑스 천일염과 한국산 천일염I은 다른 소금보다 낮은 보돌연변이 효과를 나타내었다. HCT-116과 AGS 암세포에 대한 in vitro 항암 효과에서도 보돌연변이 효과와 비슷한 경향을 나타내었고 많은 무기질을 함유한 프랑스 천일염과 한국산 천일염I의 암세포 성장 억제효과와 암세포의 apoptosis 유도 효과가 가장 높았다. 이상의 결과로부터 소금의 기능성은 무기질 함량이 많은 천일염이 정제염보다 좋으며 천일염 중에도 Ca, K 등의 무기질 함량이 높을수록 기능성도 증가하는 것으로 나타났다.

• 한국콘텐츠학회논문지
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• 제20권2호
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• pp.394-404
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• 2020

목적 : 본 연구의 목적은 지역사회 재가 노인들을 대상으로 한 한방간호중재 프로그램이 신체 건강 상태, 일상 생활 활동 (ADL), 우울증, 삶의 만족도 및 양생에 미치는 영향을 조사하기 위해 수행되었다. 방법 : 본 연구는 비동등성 대조군 전후 설계이다. 연구 참여자들은 서울 일개 지역사회에 거주하는 65세 이상의 노인으로 정상적인 인지 상태와 의사소통이 가능한 노인으로 총 79 명의 노인이 (실험군 : n=39, 대조군 : n=40) 연구에 참여하였다. 대상자는 편의표출통해 모집되었고 무작위 할당법으로 실험군과 대조군으로 선정되었다. 한방간호중재 프로그램은 경락체조와 기공요법의 하나인 팔단금으로 구성하였다. 프로그램은 총 10주 동안 총 20회기로 구성되었다. 측정 변수로는 신체 건강 상태, 일상 생활 활동 (ADL), 우울증, 삶의 만족도, 양생이었고, SPSS WIN21.0에 의해 기술 통계, x²-test 및 독립 t-test를 사용하여 데이터를 분석 하였다. 결과 : 실험군의 신체 건강 상태(t=10.295, p<.001), ADL(t=7.571, p<.001), 우울증 (t=-15.434, p<.001), 삶의 만족도(t=21.257, p<.001), 그리고 양생(t=9.527, p<.001)은 통계적으로 유의한 차이가 있었고 중재의 결과 모든 변수에서 점수가 향상됨을 보였다. 결론 : 본 한방간호중재 프로그램은 지역 사회에 거주하는 노인들의 신체 건강 상태, ADL, 우울증, 삶의 만족도 및 양생을 개선하는 데 효과적이었다. 이 중재 프로그램은 지역 사회에서 노인의 건강 증진을 위해 사용될 수 있다.

• 한국식품영양과학회지
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• 제34권5호
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• pp.605-612
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• 2005

방사선 생체손상의 방어 및 회복에 높은 효과를 나타내는 생약조합을 도출하고자 하였다. 이전의 연구에서 6가지 기존 보기${\cdot}$보혈 한약처방제의 방어효과를 검색하여, 재생조직 방어에는 사물탕 및 보중익기탕이, 조혈계 방어에는 보중익기탕 및 사물탕이 높은 효과를 나타내는 것으로 보고된바 있다. 본 연구에서 기존 6가지 처방제의 면역 세포 활성화 효과를 검색한 결과 모두 높은 효과를 나타내지 않았다. 따라서, 처방제의 구성 생약 각각의 효과검증 결과를 바탕으로 재생조직 방어, 조혈계 방어, 면역조혈계 회복 증진 효과를 동시에 높게 나타내는 새로운 생약조합을 도출하였다. 즉, 당귀, 천궁, 백작약을 동일 무게 비율로 혼합하여 열수 추출한 것을 새로운 생약복합물 HIM-I으로 개발하였으며 그 효과를 검정하였다. 본 생약복합물 HIM-I은 면역 세포 활성화에서는 상기한 한약처방제보다 월등하게 높은 효과를 보였으며, 조혈계 촉진효과도 높은 것으로 나타났다. 또한, 재생조직 및 면역조혈계의 방어 측면에서도 사물탕 및 보중익기탕과 같은 높은 효과를 보였다. 한편, 시험관 내에서 높은 항산화 효과를 나타내는 것으로 보아, 이 항산화 작용이 방사선 손상에 대한 방어효과의 작용기전 중의 하나로 생각되었다. 이상의 결과로 보아, 생약복합물 HIM-I은 재생조직방어, 조혈계 방어, 면역조혈계 회복 증진 효과를 동시에 나타냄으로써 방사선뿐만 아니라 여러 가지 원인으로부터 생체를 방호하고 회복시키는데 유용할 것으로 생각된다.

• 한국식품영양과학회지
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• 제42권5호
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• pp.655-662
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• 2013

식용버섯(표고버섯과 아가리쿠스버섯)과 약용버섯(영지버섯, 동충하초, 차가버섯, 상황버섯) 추출물의 항산화효과와 인체 암세포(AGS, HCT-116, 및 HepG2) 성장 저해율, apoptosis 유도에 관련된 Bcl-2, Bax 유전자, 그리고 염증에 관련된 iNOS 및 COX-2 유전자의 분석을 통해 식용버섯과 약용버섯의 in vitro 항암효과를 비교하였다. DPPH와 hydroxy radical($OH{\cdot}$) 소거능력은 표고버섯, 아가리쿠스버섯, 동충하초, 영지버섯, 차가버섯, 상황버섯 순으로 높았으며, 식용버섯보다는 약용버섯의 항산화효과가 더 높았고, 약용버섯 중 차가버섯과 상황버섯의 항산화효과는 78%와 90%로 상황버섯이 가장 우수하였다(p<0.05). AGS 위암세포, HCT-116 결장암세포, HepG2 간암세포에 대한 억제효과는 식용버섯인 아가리쿠스버섯과 표고버섯 추출물은 5~40%, 약용버섯인 영지버섯과 동충하초 추출물은 28~79%, 상황버섯과 차가버섯 추출물은 75~91%로 나타났다. Apoptosis 유도에 관련된 Bcl-2 및 Bax 유전자 발현과 염증에 관련된 iNOS 및 COX-2 유전자 발현은 표고버섯, 아가리쿠스버섯, 동충하초, 영지버섯, 차가버섯, 상황버섯 순으로 apoptosis를 유도하는 작용과 세포의 발암(염증) 유도과정을 억제하는 효과가 높게 나타났다. 총 폴리페놀과 플라보노이드 화합물의 함량은 상황버섯의 폴리페놀과 플라보노이드함량이 각각 317.2 mg/g 및 35.7 mg/g으로 가장 높게 나타났으며 차가버섯, 영지버섯, 동충하초, 아가리쿠스버섯, 표고버섯 추출물 순으로 함량이 낮아졌다. 식용버섯보다 약용버섯의 총 폴리페놀과 플라보노이드 화합물의 함유량이 많았고, 이들 화합물 함량이 많을수록 항산화효과와 인체 암세포의 성장 억제효과가 높아졌다.

• Asian Pacific Journal of Cancer Prevention
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• 제13권11호
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• pp.5339-5343
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• 2012

The induction of apoptosis in target cells is a key mechanism for most anti-tumor therapies. Bufalin is a cardiotonic steroid that has the potential to induce differentiation and apoptosis of tumor cells. Research on bufalin has so far mainly involved leukemia, prostate cancer, gastric cancer and liver cancer, and has been confined to in vitro studies. The bufadienolides bufalin and cinobufagin have been shown to induce apoptosis in a wide spectrum of cancer cell. The present article reviews the anticancer effects of bufalin. It induces apoptosis of lung cancer cells via the PI3K/Akt pathway and also suppressed the proliferation of human non-small cell lung cancer A549 cell line in a time and dose dependent manner. Bufalin, bufotalin and gamabufotalin, key bufadienolides, significantly sensitize human breast cancer cells with differing ER-alpha status to apoptosis induction by the TNF-related apoptosis-inducing ligand (TRAIL). In addition, bufadienolides induce prostate cancer cell apoptosis more significantly than that in breast epithelial cell lines. Similar effects have been observed with hepatocellular carcinoma (HCC) but the detailed molecular mechanisms of inducing apoptosis in this case are still unclear. Bufalin exerts profound effects on leukemia therapy in vitro. Results of multiple studies indicate that bufalin has marked anti-tumor activities through its ability to induce apoptosis. Large-scale randomized, double-blind, placebo or positive drug parallel controlled studies are now required to confirm the efficacy and apoptosis-inducing potential of bufalin in various cancers in the cliniucal setting.