• Child Health Nursing Research
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• 제5권1호
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• pp.70-83
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• 1999

The birth of a premature infant is distressing for its parents. The parents of a premature infant experience stress according to the infant's physical appearance and behavior, the environment of the neonatal intensive care unit (NICU) , and the alteration in the parental role. Especially, a mother of a premature infant feels distressed even after the discharge of the infant : therefore, she has difficulties in maternal role performance. The main purpose of this study is to identify the effects of the planned infant care information program in order to lower the stress level for mothers of premature infants caused by the birth and hospitalization in NICU of premature infants, to reduce the maternal role strain, and to promote the maternal role performance after the infants' discharge. This study employed two methods of research at the same time : quasi -experimental non-equivalent pre and post test to compare : non-equivalent post test to compare. The total number of subjects was 19 who were assigned to the research program : 12 mothers of premature infants at the NICU at the Ch university hospital and 7 at the NICU at the Y general hospital located in Chounju city. The data were collected for 79 days from August 18 to November 5, 1998. The questionnaire method was applied for the data collection, and the measures used in this study were Parental Stressor Scale : NICU(Miles, 1993), the Maternal Role Strain Measures ( Hobbs, 1968 ; Steffensmeier, 1982) , and Self Confidence Scale (Pharis, 1978). Research procedure is as follows : after preliminary examination, the experimental subjects, the mothers of premature infants at the Nl CU at Ch university hospital were provided with slide films and information developed by the researcher based on existing documents and data. It took two 60-minute sessions a week for two weeks, and the mothers' stress level was measured using the same instrument twice one week and two week after the infants' hospitalization. The stress level of the contrast subjects, the mothers at Y general hospital was measured during the same period. The experimental subjects were provided with booklets on matters that require attention after the infants' discharge and on developmental project, and they were educated to play the maternal role in person for 2-3 hours a week : breast-feeding, burping a baby, and changing diapers. One week after the infants' discharge, the maternal role strain and the maternal role performance were examined in two groups of the subjects. The analysis of collected data was done using descriptive statistics including real numbers, percentages, averages, and standard deviations. Mann-Whitney test ; x² test ; Repeated Measures Analysis of Variance ; ANCOVA Spearman's rho correlation coefficients. The results on this study were as follows. (1) The examination of the same quality showed that there were no differences in the general and obstetrical characters between the two groups. However, in terms of the characters of premature infants. just right after their birth, the infants at the contrast group weighed more than those at the experimental group(U=16.5, p=.02), and the former was in mother's womb longer than the latter(U=15.5, p=.02). (2) The stress level of the mothers provided with the plannned nursing intervention program became lower as time passed compared to the others'(F=16.61, p=.00) Even when the influence of weight at birth and the length of gestation was removed among the premature infants' characters, the mothers' stress levels made a statistical difference 2 weeks after the infants' hospitalization depending on treatment (F=8.00, p=.01) (3) The maternal role strain of the mothers provided with the planned nursing intervention program was lower than the others'(U=2.0, p=.00). Even when the influence of weight at birth and the length of gestation was removed among the premature infants' characters, the maternal role strain levels made a statistical difference 2 weeks after the infants' hospitalization, depending on treatment(F=14.72, p=.00). (4) The maternal role performance level of the mothers provided with the planned nursing program was higher than the others'(U=.0, p=.00). Even when the influence of weight at birth and the length of gestation was removed among the premature infants' characters, the mothers' stress levels made a statistical difference 2 weeks after the infants' hospitalization, depending on treatment(F=8.00, p=.01). (5) The correlation between a mother's stress level 2 weeks after her infant's hospitalization, the maternal role strain and the maternal role performance were compared : the stress and the maternal role strain were statistically irrelevant to each other(r=.33, p=.12) : the stress was found to be in inverse proportion to the maternal role performance(r=-.53, p=.02). The maternal role strain was in inverse proportion to the maternal role performance as well(r=-.50, p=.00). In conclusion, for the mothers provided with the planned nursing intervention program, their stress level was getting lower as time passed during the infants' hospitalization, their maternal role strain reduced when they took care of their infants after their discharge, and their maternal role performance level was high compared to the other mothers. Besides, the lower the stress level of mothers of premature infants was during the infants' hospitalization, the higher the maternal role performance after their discharge was. The lower maternal role strain was, the higher the maternal role performance was as well. These results of the study suggested that the nursing intervention program for the mothers of premature infants developed by the researcher would be effectively applied to nursing practice, and it would be a foundation for the development of this kind of program.

• 생태와환경
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• 제39권1호통권115호
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• pp.73-84
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• 2006

본 연구는 영산강 수계 내 10개 지점의 이화학적 수질에 관한 시공간적 변이상태를 분석하기 위해 1995년부터 2004년까지 측정된 환경부 수질데이터를 이용하여 분석하였다. 이용된 수질 변수는 전기전도도(Conductivity), 생물화학적 산소요구량(BOD), 화학적 산소요구량(COD), 용존산소량 (Dissolved oxygen), 총인 (Total phosphorus), 총질소 (Total nitrogen) 및 총부유물 (Total suspended solids)의 7개 항목으로서 계절별, 연별, 및 조사지점별 농도변이가 큰 것으로 나타났다. 영산강 수계 내에서의 이화학적 수질측정값은 계절성 강우에 따라 수질측정값의 변동 폭이 심하며, 대부분의 수치 농도변이는7 ${\sim}$ 8월에 집중되는 하절기 몬순 강도에 의해 조절되었다. 장마기에 이온희석의 지표로 사용되는 전기전도도와 총인, 총질소와 같은 영양염류들의 경우 강우량과 역 상관관계 (|r|> 0.32, P< 0.01, n=119)를 보였으나, 생물학적 산소 요구량과 화학적 산소요구량의 경우에는 강우분포와 통계학적 유의성 (p>0.05, n=120)을 보이지 않았다. 총인, 총질소 및 전기전도도는 대부분 장마 중인 7 ${\sim}$ 8월에 최소값을 보였는데, 이는 강우에 의해 오염물질이 희석되기 때문으로 사료되었다. 반면, 총부유물의 유입은 하절기 몬순 동안에 최대치를 보여 이온 감소와는 대조적인 특성을 보였다. 생물학적 산소요구량의 계절적 변화패턴은 화학적 산소요구량과 유사한(r.=0.592, P<0.01)양상을 보였으며, 마찬가지로 총질소의 변차패턴 또한 총인과 유사한 (.=0.529, P<0.01) 양상을 보였다. 용존산소량의 계절별 변화에 따르면, 수온이 낮은 겨울에 최대값을 보이며 온도가 높은 여름에 최소값을 보여 수온과의 역 상관관계를 보였다. 지점별 변화 패턴 분석에 따르면, 전기전도도를 제외한 총인, 총질소, 생물학적 산소요구량, 화학적 산소요구량 및 총부유물은 상류 및 하류역 보다 중류역에서 높은 농도를 보인 반면, 전기전도도의 경우에는 하류역에서 높은 농도를 보였다. 특히, 총인, 총질소, 생물학적 산소요구량 및 화학적 산소요구량은 지점 4(광주 2)에서 급격히 악화되는 양상을 보였으며, 이는 광주도심으로부터 유출되는 가정하수 및 인접한 공단에서 배출하는 폐수유입에 의한 영향으로 사료되었다. 따라서, 영산강의 수질 개선을 위해서는 이런 도심지역의 오염부하 저감을 통한 효율적 수질관리가 요구된다.

• 한국의학물리학회지:의학물리
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• 제19권3호
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• pp.191-199
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• 2008

폐암 환자에서 폐의 앞쪽, 폐의 중간부위, 폐의 뒤쪽, 그리고 몸의 mediastinum 부위의 위치에 따라 광자선 에너지 6 MV와 10 MV를 사용하여 세기조절방사선치료를 계획하여 에너지에 따른 PTV와 폐와 척수에 조사되는 선량분포와 Dose Volume Histogram (DVH)의 특성을 비교 검토하였다. 본원이 보유하고 있는 폐암 환자 치료용 방사선치료기는 120 다엽 콜리메이터가 부착된 선형가속장치(Varian 21 EX-s, USA)이며, 광자선 에너지는 6 MV와 10 MV가 출력되며, 방사선치료 계획은 역방향치료계획이 가능한 ECLIPSE 시스템(Varian, SomaVision 6.5, USA)을 사용하였다. 폐암 환자들의 planning CT는 3 mm 두께로 단층촬영 영상을 획득하였으며, 획득한 단층촬영 영상은 Varis 시스템으로 전송하여 ECLIPSE 시스템에서 치료계획을 시행하였다. 세기조절방사선치료법의 방선선치료계획은 종양의 부위에 따라 다양한 각도를 사용하였고, 빔의 개수도 종양의 크기와 위치에 따라 다양하게 하였다. 폐암 환자에서 종양의 위치에 따라 10 MV와 6 MV의 에너지에 대한 선량분포 특성을 비교해 본 결과 폐암에서 종양의 위치에 관계없이 최대선량에서 10 MV 에너지가 6 MV 에너지에 비해 1.2% 적게 나타났으며, MU에서도 10에서 25 정도의 MU 감소 효과가 있었다. 폐에 조사되는 방사선량은 V20이 30% 미만은 만족하고 있지만 10 MV 에너지에 비해 6 MV 에너지에서 0.1%에서 0.5% 정도 적게 조사되었다. 척수에 조사되는 방사선량은 10 MV 에너지에 비해 6 MV 에너지에서 0.6%에서 2.1% 정도 적게 조사되었다.

• Journal of Ginseng Research
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• 제22권4호
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• pp.274-283
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• 1998

It has generally been accepted that quality of ginseng should be determined not by the content of a single component but by composition and balance of total active principles. However, there still can be an exception with a product in which a given ginsenoside is used for the treatment of a specific disease. Although ginsenosides have been regarded to be major active components of ginseng and employed as index components for the quality control, it does not consistent with the traditional concept on ginseng quality creterion; main root has been more highly appreciated than the lateral or fine root. Content of ginsenosides in the lateral or fine root is much higher than that in main root. However, the ratio of protopanaxadiol (PD) and protopanaxatriol (PT) saponins existing in various part of ginseng root is greatly different. The ratio of PD/PT saponins in main root is well balanced but the thinner the root is the higher the ratio. Thus far, a total of 34 different kinds of ginsenosides have been isolated from Korean (red) ginseng, and their pharmacological activities were elucidated partly. Interestingly, different ginsenoside shows similar or contrary effects to each other in biological systems, thus indicating the significance of absolute content of single ginsenoside as well as compositional patterns of each ginsenoside. Therefore, pharmacological activities of ginseng should be determined as a wholly concept. In these regards, standardization of ginseng material (fresh ginseng root) should be preceded to the standardization of ginseng products because ginsenoside content and non-saponin active principles such as polysaccharides and nitrogen (N)-containing compound including proteins are significantly different from part to part of the root. In other words, the main root contains less ginsenosides than other lateral or fine roots. Contents of polysaccharides and N-containing compound in main root is higher. However, the quality control of ginseng products focused on non-saponin compounds has limitation in applying to the analytical method, because of the difficult chemical analysis of these compounds. Content of ginsenosides, and ratios of PD/PT and ginsenoside Rb,/Rg, are inversely proportional to the diameter of ginseng root. Therefore, these can be served as the chemical parameters for the indirect method of evaluating from what part of the root does the material originate. Furthermore, contents of polysaccharides and N-containing compounds show inverse relationship to saponin content. Therefore, it seems that index for analytical chemistry of saponin can be applied to the indirect method of evaluating not only saponin but also non-saponin compounds of ginseng. From these viewpoints, it is strongly recommended that quality of ginseng or ginseng products be judged not only by the absolute content of given ginsenoside but also by varieties and compositional balance of ginsenosides, including contents of non-saponin active principles.

• 한국재료학회지
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• 제3권1호
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• pp.43-49
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• 1993

AI킬드한 극저탄소강에 Ti, Nb등의탄화물 또는 질화물 형성원소를 첨가하면 우수한 디프드로잉특성과 내시효성을 나타내는 강판을 얻을 수 있다고 알려져 있으므로 본 연구에서는 Ti및 Nb를 단독 또는 동시에 첨가하거나 B를 추가로 첨가한 고강도 극저탄소 강판을 제조하여 각각의재결정 집합조직과 기계적 성질을 측정비교하여 보았다. 역극점도에 나타난 집합조직강도의 변화를 조사한 결과 어닐링처리에 의하여 (100)면 강도와 (111)면 강도의 변화가 가장 많이 나타난 것은 Nb첨가강이며, Nb와 Ti를 단독으로 첨가한 강과 Ti를 단독으로 첨가한 강은 변화정도가 비슷하였다.극점도를 비교하면,Nb와 Ti를 동시에 첨가한강, Nb를 단독으로 첨가한 강 그리고 Ti를 단독으로 첨가한강 모두 냉간 압연한 상태에서는{112}<110>집합조직이 발달하였으며 어닐링처리한 후에는 {111}<112>집합조직이 잘 발달하였다. 그러나 세 종류의 강간에 집합조직의 차이는 별로 없었다. 결정립도와 관계가 깊은 경도에서는 결정립도가 가장 작은 Nb 및 Ti동시첨가강에서 경도가 가장 높고, Nb단독첨가강, Ti단독첨가강의 순서로 감소하는 경향을 보였다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권19호
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• pp.8371-8376
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• 2014

Background: The use of statistical methods has become an imperative tool in breast cancer survival data analysis. The purpose of this study was to develop the best statistical probability model using the Bayesian method to predict future survival times for the black non-Hispanic female breast cancer patients diagnosed during 1973-2009 in the U.S. Materials and Methods: We used a stratified random sample of black non-Hispanic female breast cancer patient data from the Surveillance Epidemiology and End Results (SEER) database. Survival analysis was performed using Kaplan-Meier and Cox proportional regression methods. Four advanced types of statistical models, Exponentiated Exponential (EE), Beta Generalized Exponential (BGE), Exponentiated Weibull (EW), and Beta Inverse Weibull (BIW) were utilized for data analysis. The statistical model building criteria, Akaike Information Criteria (AIC), Bayesian Information Criteria (BIC), and Deviance Information Criteria (DIC) were used to measure the goodness of fit tests. Furthermore, we used the Bayesian approach to obtain the predictive survival inferences from the best-fit data based on the exponentiated Weibull model. Results: We identified the highest number of black non-Hispanic female breast cancer patients in Michigan and the lowest in Hawaii. The mean (SD), of age at diagnosis (years) was 58.3 (14.43). The mean (SD), of survival time (months) for black non-Hispanic females was 66.8 (30.20). Non-Hispanic blacks had a significantly increased risk of death compared to Black Hispanics (Hazard ratio: 1.96, 95%CI: 1.51-2.54). Compared to other statistical probability models, we found that the exponentiated Weibull model better fits for the survival times. By making use of the Bayesian method predictive inferences for future survival times were obtained. Conclusions: These findings will be of great significance in determining appropriate treatment plans and health-care cost allocation. Furthermore, the same approach should contribute to build future predictive models for any health related diseases.

• Nutrition Research and Practice
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• 제8권6호
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• pp.618-624
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• 2014

BACKGROUND/OBJECTIVES: Isoflavones are widely believed to be beneficial to human health, in relation to their antioxidant potentials. Exercise can cause an imbalance between reactive oxygen species (ROS) and antioxidants. This study was conducted in order to investigate the ability of isoflavones in amelioration of oxidative stress induced by exercise. MATERIALS/METHODS: Male Sprague-Dawley rats were assigned to one of four groups: isoflavone-free with no exercise (CON-sd), isoflavone-free with exercise (CON-ex), isoflavone-supplemented with no exercise (ISF-sd), and isoflavone-supplemented with exercise (ISF-ex). Animals exercised on the treadmill for 30 minutes per day, five days per week. TBARS as a marker of oxidative stress and antioxidant enzyme activity, including SOD, GSH-px, and catalase were determined in liver tissue. Serum lipid profile was also examined. RESULTS: A significant effect of isoflavone alone was observed on abdominal fat pad mass. ISF-ex had significantly less abdominal fat pad than CON-ex. Both exercise and isoflavone treatment had significant effects on lowering plasma triglyceride (TG), thus, the ISF-ex group had a significantly lower TG level than the CON-sd group, by 30.9%. However, no differences were observed in plasma cholesterol, HDL-C, and cholesterol/HDL-C ratio. Exercise, isoflavone, and exercise-isoflavone interaction effects were significant on thiobarbituric acid reactive substances (TBARS) (P = 0.001, 0.002, and 0.005, respectively). The CON-ex group showed a higher TBARS level than the other three groups. By contrast, in the ISF-ex group, TBARS was restored to the level of the ISF-sd or CON-sd group. Isoflavone had a significant effect on superoxide dismutase (SOD) (P = 0.022) and catalase activities (P = 0.049). Significantly higher SOD and catalase activities were observed in ISF-ex than CON-ex. SOD and catalase activities showed an inverse pattern of TBARS. Taken together, isoflavones increased the activities of SOD and catalase with concomitant decreases in TBARS, indicative of decreased oxidative stress. CONCLUSIONS: Isoflavone supplementation enhances antioxidant action with attenuation of exercise-induced oxidative stress, as measured by decreases in TBARS, and inhibits body fat accumulation and plasma TG increase. Antioxidative effects ascribed to isoflavones may be partially exerted via enhancement of antioxidant enzyme activities.

• 생물정신의학
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• 제10권2호
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• pp.126-132
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• 2003

Objectives:The purpose of this study is to examine the effects of venlafaxine, one of novel antidepressant drugs, on neurite growth in PC12 cells. Methods:PC12 cells were cultured with NGF for eight days. Then different concentrations($0{\mu}M$, $1{\mu}M$, $5{\mu}M$) of venlafaxine were mixed with cultured PC12 cells. After 24 hours and 48 hours of culture, we compared the effects of venlafaxine on the total length of neurites of cultured PC12 cells between no venlafaxine treated group($0{\mu}M$) and venlafaxine treated groups($1{\mu}M$ and $5{\mu}M$). Additionally, we studied the concentration-dependent effect of venlafaxine on differentiation in PC12 cells. Results:Experimental results showed that 1) the mean length of neurites in $1{\mu}M$ and $5{\mu}M$ venlafaxine treated group was more increased than no venlafaxine treated group(p=0.002). 2) the length of neurite in $5{\mu}M$ venlafaxine treated group was more elongated than $1{\mu}M$ venlafaxine treated group(p=0.046). 3) the length of neurite in $6{\mu}M$ venlafaxine treated group was more elongated than all the other concentrations in our experiment. Above $6{\mu}M$, the length of neurite was shortened in inverse proportion to the concentration of venlafaxine. Conclusions:This results suggest that venlafaxine, one of novel antidepressant drugs, promotes the differentiation of neuron. This study is believed to be a first step toward understanding the molecular and cellular mechanisms of antidepressant treatment.

• Radiation Oncology Journal
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• 제28권1호
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• pp.39-49
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• 2010

목 적: 좌측 유방의 방사선치료에 있어, 3 빔 또는 5 빔을 이용한 세기변조방사선치료(intensity modulated radiation therapy, IMRT)와 다중빔조사영역 치료기법(multistatic fields techniques, MSF) 사이의 선량학적 차이를 분석하고자 하였다. 대상 및 방법: 개선된 선량 균일성을 만들 수 있는 가능성을 지닌 두 종류의 방사선치료 기술을 서로 비교 분석하였다. 첫째, 다중빔조사영역치료로 주조사야와 소조사야를 동시에 사용하여 치료하였다. 둘째, 고정된 다엽 조준기를 사용하는 IMRT로, 3 빔 또는 5 빔을 이용하였다. 유방보존술 후 방사선치료를 받은 16명의 초기 좌측 유방암 환자들을 대상으로 방사선치료계획들을 세운 다음, 이들을 선량학적 측면에서 비교 분석하였다. 결 과: $V_{95}$와 선량균일지수의 평균값은, 이 세 치료 사이에 통계학적으로 유의한 차이가 없었다. 방사선처방선량의 110% 이상을 받는 극심한 열점은 세 치료 모두에서 관찰되지 않았다. 동측 폐와 심장의 피폭 선량측정인자들에 대한 Tukey 검정에서, 세기변조방사선치료가 다중빔조사영역치료에 비해 저선량 영역의 피폭 선량을 유의하게 증가시킨 반면, 오히려 고선량 영역에서는 다중빔조사영역치료가 방사선 피폭을 약간 증가시켰다. 결 론: 선량 균일성 개선을 위해, 통상적인 쐐기기법 대신, 세기변조방사선치료보다 쉽게 계획되고 실시 될 수 있는 다중빔조사영역치료의 적용은 초기 좌측 유방암의 방사선치료 기술로 적합하다고 생각한다.

• 한국근적외분광분석학회:학술대회논문집
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• 한국근적외분광분석학회 2001년도 NIR-2001
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• pp.1256-1256
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• 2001

The physico-chemical and texture characteristics of meat determine the nutritional, technological and sensory quality. However, the analysis of meat quality requires expensive, laborious and time consuming analytical methods. The objective of this study was to evaluate NIR spectroscopy using transmittance for determining the moisture, fat, protein and total pigment content, the water holding capacity (WHC) and the toughness of beef meat. A total of 318 spectra were recorded from ground beef samples by a Feed Analyzer 1265 of Infratec. The samples were obtained from the Longissimus muscle of the 10$^{th}$ rib of yearling bulls, ground with an electrical chopper, vacuum packaged, aged during 7 days and frozen at -24$^{\circ}C$ until the analyses were done. Moisture content was measured by oven drying at 10$0^{\circ}C$, fat content was determined by Soxhlet extraction and protein content was estimated from nitrogen content using the Kjeldahl analysis. The total pigment content was determined by the method of Hornsey and the WHC using the method of filter paper press. The instrumental evaluation of texture (maximum load WB, maximum stress MS and toughness) was conducted in an Instron equipment with a Warner-Bratzler shearing device. This analysis was performed on a chop of 3.5 cm obtained from the longissimus of the 8$^{th}$ rib, aged during 7 days, kept frozen at -24$^{\circ}C$ and cooked before the analysis. Near infrared spectra were recorded as log 1/T (T=transmittance) at 2 nm intervals from 850 to 1050 nm using a Feed Analyzer 1265 of Infratec. Calibrations were performed with the WinISI software (vs. 1.02) using the MPLS method. To examine the effect of scatter correction o. derivation of spectra on the calibration performance, calibrations were calculated with the crude spectra or pretreated with different mathematical treatments (inverse MSC, SNVD) and/or second derivative operation. For chemical composition, the use of the scatter corrections improved the calibration statistics, in terms of lower SECV and higher $r^2$. In most of the variables, the use of the 2$^{nd}$ derivative improved the predictions, mainly when combined with the SNVD treatment. However, for predicting the texture traits, the best estimation was obtained from the crude spectrum. These results showed that the equations obtained for predicting moisture, fat and total pigments were very accurate, with $r^2$ being higher that 0.9. However, the prediction of the texture traits (WB, MS, toughness) from ground meat was poor.