• Title/Summary/Keyword: The Graduate

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Associations of Communication Skills, Self-Efficacy on Clinical Performance and Empathy in Trainee Doctors (전공의 의료커뮤니케이션 능력과 진료수행 자기효능감, 공감능력과의 상관관계)

  • Kim, Doehyung;Kim, Min-Jeong;Lee, Haeyoung;Kim, Hyunseuk;Kim, Youngmi;Lee, Sang-Shin
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.1
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    • pp.49-57
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    • 2021
  • Objectives : This study evaluated the medical communication skills of trainee doctors and analyzed the relationship between medical communication skills, self-efficacy on clinical performance (SECP) and empathy. Methods : A total of 106 trainee doctors from a university hospital participated. The questionnaire comprised self-evaluated medical communication skills, modified SECP and the Korean version of the Jefferson Scale of Empathy-Health Professionals version. The mean difference in medical communication skills scores according to gender, age, division (intern, internal medicine group or surgery group) and position (intern, first-/second- and third-/fourth-year residents) were analyzed. Pearson correlation coefficients were determined between medical communication skills, modified SECP and empathy. The effects of each variable on medical communication skills were verified using the structural equation model. Results : There were no statistically significant mean differences in self-evaluated medical communication skills according to gender, age, division or position. Medical communication skills had a significant positive correlation with modified SECP (r=0.782, p<0.001) and empathy (r=0.210, p=0.038). Empathy had a direct effect on modified SECP (β=0.30, p<0.01) and modified SECP had a direct effect on medical communication skills (β=0.80, p<0.001). Empathy indirectly influenced medical communication skills, mediating modified SECP (β=0.26, p<0.05). Conclusions : Medical communication skills are an important core curriculum of residency programs, as they have a direct correlation with SECP, which is needed for successful treatment. Moreover, the medical communication needs a new understanding that is out of empathy.

Ginsenoside compound K protects against cerebral ischemia/ reperfusion injury via Mul1/Mfn2-mediated mitochondrial dynamics and bioenergy

  • Qingxia Huang;Jing Li;Jinjin Chen;Zepeng Zhang;Peng Xu;Hongyu Qi;Zhaoqiang Chen;Jiaqi Liu;Jing Lu;Mengqi Shi;Yibin Zhang;Ying Ma;Daqing Zhao;Xiangyan Li
    • Journal of Ginseng Research
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    • v.47 no.3
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    • pp.408-419
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    • 2023
  • Background: Ginsenoside compound K (CK), the main active metabolite in Panax ginseng, has shown good safety and bioavailability in clinical trials and exerts neuroprotective effects in cerebral ischemic stroke. However, its potential role in the prevention of cerebral ischemia/reperfusion (I/R) injury remains unclear. Our study aimed to investigate the molecular mechanism of ginsenoside CK against cerebral I/R injury. Methods: We used a combination of in vitro and in vivo models, including oxygen and glucose deprivation/reperfusion induced PC12 cell model and middle cerebral artery occlusion/reperfusion induced rat model, to mimic I/R injury. Intracellular oxygen consumption and extracellular acidification rate were analyzed by Seahorse multifunctional energy metabolism system; ATP production was detected by luciferase method. The number and size of mitochondria were analyzed by transmission electron microscopy and MitoTracker probe combined with confocal laser microscopy. The potential mechanisms of ginsenoside CK on mitochondrial dynamics and bioenergy were evaluated by RNA interference, pharmacological antagonism combined with co-immunoprecipitation analysis and phenotypic analysis. Results: Ginsenoside CK pretreatment could attenuate mitochondrial translocation of DRP1, mitophagy, mitochondrial apoptosis, and neuronal bioenergy imbalance against cerebral I/R injury in both in vitro and in vivo models. Our data also confirmed that ginsenoside CK administration could reduce the binding affinity of Mul1 and Mfn2 to inhibit the ubiquitination and degradation of Mfn2, thereby elevating the protein level of Mfn2 in cerebral I/R injury. Conclusion: These data provide evidence that ginsenoside CK may be a promising therapeutic agent against cerebral I/R injury via Mul1/Mfn2 mediated mitochondrial dynamics and bioenergy.

Morphological Variation of Winter Buds of Quercus variabilis BL. In Korea (굴참나무 천연집단(天然集團) 동아(冬芽)의 형태적(形態的) 변이(變異))

  • Song, Jeong-Ho;Park, Mun-Han;Han, Sang-Urk;Lee, Wi-Young;Park, Wan-Geun;Yi, Jae-Seon
    • Journal of Korean Society of Forest Science
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    • v.90 no.4
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    • pp.558-564
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    • 2001
  • For the study of morphological variation in winter buds of Q. variabilis $B_L$. natural populations in Korea, 16 populations were selected through the country in consideration of latitude, longitude, altitude, and geographical characters. Thirty trees were randomly selected from each population and 30 terminal and 30 lateral buds were sampled below 1/3 crown length of each tree. Four morphological characters including length and width of terminal and lateral buds were measured. 1. Length and width of terminal and lateral buds were in the ranges 6.9~11.3cm, 3.0~3.7cm, 6.1~8.9cm, and 2.5~3.1cm, respectively. The coefficient of variation were in about 20% in all the characters investigated. 2. All the characters were significantly different among populations as well as among individuals within populations. The degree of contribution of variance among individuals within populations was higher than that among populations. 3. Length of terminal bud showed positive correlation with length and width of lateral bud; and width of lateral bud with width of terminal bud and length of lateral bud. Also, positive correlations were observed between longitude and width of terminal bud, between latitude and length of terminal and lateral bud. 4. Cluster analysis using complete linkage method for winter bud characters showed two groups to Euclidean distance 3.4. They were group I of population 8 and group II of populations 1, 2, 3, 4, 5, 6, 7, 9, 10, 11, 12, 13, 14, 15, and 16. However, group II was divided into two at Euclidean distance 1.5 that are a group including populations 1, 2, 7, 9, and 11(groupII-1) and the other group including populations 3, 4, 5, 6, 10, 12, 13, 14, 15, and 16(groupII-2).

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Vegetation Distribution Status and Change for Twenty Four Years(1986~2010) of Seunghwanglim(Forest), Wonju (원주시 성황림(城隍林) 식생분포 현황 및 24년간(1986~2010년) 변화분석)

  • Han, Bong-Ho;Choi, Jin-Woo;Noh, Tai-Hwan;Kim, Ji-Suk
    • Korean Journal of Environment and Ecology
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    • v.26 no.5
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    • pp.741-757
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    • 2012
  • This study had targeted the Seunghwanglim of Wonju in order to understand the forest vegetation's present condition. And then we compared the change in vegetation of Seunghwanglim for 24years. It was intended to provide basic data for conservation and management. Actual vegetation as a result of investigation, a total area of $56,231m^2$ Quercus serrata forest(7.02%), Acer triflorum forest(5.71%), and Deciduous Broad-Leaved Forest and Pinus densiflora forest(6.4%) were distributed variously. Present condition of the plains forest has 34 kinds of canopy species, 65 kinds of understory species, 70 species of shrubs species, 88 species of total species. And the plains forest has 500 individuals of canopy layer, 1,102 individuals of understory layer. Mean importance percentage of the major species showed Ulmus davidiana var. japonica(15.6%), Acer triflorum(15.2%), Pinus densiflora(11.1%), Quercus serrata(9.8%). Acer triflorum diameter at Ulmus davidiana var. japonica were a relatively wide range. Results of change for 24 years, vegetation of Seunghwanglim was changed from Quercus serrata-Acer triflorum to Ulmus davidiana var. japonica-Acer triflorum. Big trees over than DBH 30cm were surveyed total 18 species, 166 individuals. Increased over than the past 63 individuals. Seunghwanglim was destroyed by reckless past. Since 1990, the outer perimeter fence was installed to control human access. After that, understory layer and shrub layer were developed. And big tree was increased. Which is considered to restore damaged ecosystems. In order to conservation and protection of Seunghwanglim, people have to management and monitor about exotic species such as Robinia pseudo-acacia, Populus tomentiglandulosa, Castanea crenata, Pueraria lobata, etc.

Studies on the Taste of Korean for Cheese (한국인(韓國人)의 치이즈 기호성(嗜好性)에 관한 연구)

  • Kim, Jong Woo;Ko, Keun Hag
    • Korean Journal of Agricultural Science
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    • v.18 no.1
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    • pp.21-32
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    • 1991
  • This experiment was carried out to examine sensory testing for Mozzarella cheese, process cheese, Cheddar cheese and Cheddar cheese made with red pepper, garlic, ginger and welsh onion to develop new cheese varieties which can be prefered by Korean. The chemical composition and sensory testing of cheese were measured. The results were summarized as follows ; 1. Total nitrogen percentages in Cheddar cheese and spiced Cheddar cheeses were similar but those in process cheese and Mozzarella cheese were low. 5% NaCl soluble nitrogen percentages were highest in Cheddar cheese. 5% NaCl soluble nitrogen percentages in each cheese were different. Ripening degree, water soluble nitrogen, TCA soluble nitrogen and SSA soluble nitrogen percentages in each cheese were similiar level. 2. Spiced Cheddar cheeses were more breakdown than other cheese and ${\alpha}_s$-casein breakdowns faster than $\beta$-casein. 3. In the result of sensory evaluation, color score was high in Mozzarella cheese and process cheese. The color score of Cheddar cheese was high in 30's-40's and 50's- 50's. The color score of 10's and 20's was high in Cheddar cheese made with garlic. 4. Odor score was high in Mozzarella cheese and process cheese, too. The odor score of Spiced Cheddar cheeses was high in 10's. 5. Texture score was high in Mozzarella cheese, process cheese and Cheddar cheese. 6. Teste score was high in Mozzarella cheese, process cheese and Cheddar cheese. The taste score of spiced Cheddar cheese was higher in 10's and 20's than that in 30's-40's and 50's-50's.

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Study on Pretreatment Methods to Prevent Tissue Softening of Heated Onion (가열 양파의 조직 연화 방지를 위한 전처리 방법에 관한 연구)

  • Choi, Jun-Bong;Cho, Won-Il
    • Korean Journal of Food Science and Technology
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    • v.47 no.1
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    • pp.56-62
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    • 2015
  • Various pretreatment methods were evaluated to prevent tissue softening of heated onion. Changes in onion tissue firmness during heating were explained by 3-mechanism model consisting of texture hardening at low temperature ($60-80^{\circ}C$) and substrate softening at high temperature. Preheating of onion in a $Ca^{2+}$-containing solution significantly improved its texture after high-temperature heating. The improvement of firmness by preheating at low temperature was related to the formation of strong cross-linking between carboxyl groups and $Ca^{2+}$ by the action of pectin methylesterase in onion. The highest firmness was obtained by pre-heating at $70^{\circ}C$ for 120 min in 0.5% calcium solution. This result was supported by chemical analysis showing that the amount of bound calcium was the highest at $70^{\circ}C$. Further investigation should be carried out to establish the optimal conditions to prevent the softening of various vegetables.

A Study on the Floating Island for Water Quality Improvement of a Reservoir (저수지 수질개선을 위한 인공식물섬 조성에 관한 연구)

  • Lee, Kwang-Sik;Jang, Jeong-Ryeol;Kim, Young-Kyeong;Park, Byung-Heun
    • Korean Journal of Environmental Agriculture
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    • v.18 no.1
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    • pp.77-82
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    • 1999
  • Three floating islands have been constructed for water quality improvement for a polluted irrigation reservoir. Each floating island consists of 10 segments. Each segment hay an area of $16m^2$(4×4m) and is made of wood frames and floats(polystyrene foam). We planted three species of aquatic macrophytes(Typha angustifolia, Zizania latifolia, and Phragmites australis) in floating island on June, 1998. They grew very well without death. We would like to evaluate Phragmites australis is the most suitable aquatic macrophyte that could be planted in a floating island because it maintained the best balance of its root and shoot among them. During their grown period, net primary productivity of Typha angustifolia was $962gDM/m^2$, Zizania latifolia was $1,115gDM/m^2$, and Phragmites australis was $523gDM/m^2$. From these data, it would be estimated to 5.0Kg uptake of nitrogen by aquatic macrophytes and phosphorus 0.8Kg in 3 floating islands. The floating islands worked well as a habitat of fish and prawns. Many kinds of insect lived on the floating islands. The floating island has not only the function of water quality treatment but also several advantages: improvement of landscape and species diversity; low cost of maintenance; low technology; unnecessary of energy; less susceptible to variations in pollutant loading. It could be evaluated a good measure of water quality improvement for an irrigation reservoir. However, it should be intensively studied to develop more light, strong, durable and low-priced frames for efficient floating islands.

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Mechanism and Spray Characteristics of a Mini-Sprinkler with Downward Spray for Prevention of Drop Water (하향 분사식 미니스프링클러의 낙수방지 메카니즘과 살수 특성)

  • Kim, Hong-Gyoo;Chung, Sung-Won
    • Journal of Bio-Environment Control
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    • v.16 no.3
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    • pp.210-216
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    • 2007
  • A study was conducted to find mechanism and spray characteristics of a mini-sprinkler with downward spray to develop a new design type to be able to prevent drop water. The experiments were executed in a plastic greenhouse to minimize the effect of the wind. Data was collected at five different operation pressures and at 4 different raiser heights. Spray characteristics of the sprinkler such as effective radius, effective area, mean application depth, absolute maximum application depth, effective maximum application depth and coefficient of variation were determined. In order to analyze the mechanism and packing supporter of sprinkler, the numerical simulation using ABAQUS was performed. The optimum pressure for preventing drop water was determined.

A Comparison Study on the Internet Addiction and Health Problems of Middle School Students between Urban and Rural Area (도농간 중학생의 인터넷 중독과 건강문제 비교연구)

  • Yeon, Mi-Jung;Kim, Keon-Yeop;Lee, Moo-Sik;Hong, Jee-Young;Bae, Seok-Hwan;Hwang, Hye-Jeong
    • Journal of the Korea Convergence Society
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    • v.1 no.1
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    • pp.41-47
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    • 2010
  • This study was conducted to investigate determinent factors of the internet addiction that have influenced on middle school students. We randomly selected each one middle school in urban and rural areas, and conducted survey in 862 students of 2nd and 3rd grade from September 1 to 15, 2005. By using a statistical program called SPSS10.0, the data collected thereby were analyzed through a series of statistical methods including $x^2$-test, logistic regression analysis. The result of logistic regression analysis showed that the significant variables in urban area were resting time and using time a day. In rural area, sex, economic level, resting time and using time a day were significant variables. Higher status of internet addiction showed significant relationship with physical problems, anxiety, maladjustment to school, insufficient sleep time, fatigue in eyes, headache, pain in neck or shoulder, chronic fatigue, reduced vision, weight reduction, indigestion, xeroderma and adjustment to school. Especially, resting time and using time a day have dominant influence on internet addiction. And in case that the groups who showed high addiction tendency, there were negative health problem by physical, mental and social problem. To prevent internet addiction health education programs of right internet use and time, importance of rest, and health problems must be considered in internet addiction prevention policy.

Community Distribution on Mountain Forest Vegetation of the Noinbong Area in the Odaesan National Park, Korea (오대산 국립공원 노인봉 일대 삼림식생의 군락분포에 관한 연구)

  • Kim, Chang-Hwan;Oh, Jang-Geun;Kang, Eun-Ok;Choi, Young-Eun
    • Korean Journal of Ecology and Environment
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    • v.47 no.2
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    • pp.103-115
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    • 2014
  • Forest vegetation of Noinbong (1,338 m) in Odaesan National Park is classified into mountain forest vegetation. Mountain forest vegetation is subdivided into deciduous broad-leaved forest, mountain valley forest, coniferous forest, subalpine coniferous forest, subalpine deciduous forest, shrub forest, riparian forest, afforestation and other vegetation. Including 196 communities of mountain forest vegetation and 7 communities of other vegetation, the total of 203 communities were researched; mountain forest vegetation classified by physiognomy classification are 62 communities deciduous broad-leaved forest, 85 communities of mountain valley forest, 18 communities of coniferous forests, 3 communities of subalpine coniferous forests, 4 communities of subapine deciduous forests, 2 communities of shrub forests, 1 communities of riparian forests, 21 afforestation and 7 other vegetation. As for the distribution rate for surveyed main communities, Quercus mongolica, Quercus serrata, Quercus variabilis communities account for 54.856 percent of deciduous broad-leaved forest, Fraxinus mandshurica - Cornus controversa community takes up 15.482 percent of mountain valley forest, Pinus densiflora community holds 78.091 percent of mountain coniferous forest holds. In conclusion, minority species consisting of Quercus mongolica, Pinus densiflora, Tilia amurensis, Fraxinus mandshurica, Cornus controversa, Quercus serrata, and Quercus variabilis are distributed as dominant species of the uppermost part in a forest vegetation region in Odaesan National Park. In addition, because of vegetation succession and climate factors, numerous colonies formed by the two species are expected to be replaced by Quercus mongolica, Carpinus laxiflora and Fraxinus mandshurica which are climax species in the area.