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이상진(Sang-Jin Lee),권이영(Yi-Young Kwon),조성원(Sung-Won Cho),권희숙(Hee-Suk Kwon),신우창(Woo-Chang Shin) 한국식품영양과학회 2013 한국식품영양과학회지 Vol.42 No.4
본 연구에서는 한방이화주의 피부 생리기능 활성을 알아보기 위해 70% EtOH 추출물의 피부 미백, 주름 개선 및 항염증 효과를 조사하였다. HEE은 tyrosinase 활성 억제 및 tyrosine을 기질로 melanin이 형성되는 pathway에 관여하는 주요한 인자인 TRP-1과 TRP-2를 저해하는 작용 기전을 통해 피부 색소침착의 주요 원인 물질인 melanin 생합성을 농도 의존적으로 저해하는 것을 확인하였다. HEE은 피부진피 내 피부 탄력을 유지하는 elastin을 분해하는 효소인 elastase의 활성을 저해하였고, 피부의 keratinocyte가 생성분비하는 MMP-2와 MMP-9의 단백질 발현과 proteolytic 활성을 억제하여 노화에 따른 피부 주름 생성 억제할 수 있는 가능성을 확인하였다. 또한 세포 독성 없이 LPS에 의해 유도된 염증 반응을 50% 저해하는 HEE의 농도(IC50)는 24.9 μg/mL이며, 50 μg/mL 농도로 처리하였을 때 염증 반응 저해 효과가 70%로 높은 효과를 가지는 것을 확인하였다. 이상의 결과를 종합하면 HEE의 피부 미백, 주름 개선 및 항염증에 우수한 효과를 나타내고 있으므로 기능성 화장품의 주요한 소재로 이용 가치가 높을 것으로 사료된다. Extrinsic skin aging is characterized by the loss of skin tone and resilience, irregular pigmentation, and deep wrinkles. The aim of this study was to investigate the effects of Ehwa Makgeolli containing oriental herbs (Glycyrrhiza uralensis Fisch., Lycium chinense MILL., Morus alba L., and Saururus chinensis Baill) on skin whitening and wrinkling in human skin cells. We prepared Makgeolli extracts (HEE) with 70% ethanol. HEE significantly inhibited in vitro mushroom tyrosinase activity and reduced the cellular and secreted melanin content of mouse melanoma melanocytes (B16F1 cells). HEE down-regulated the protein expression of tyrosinase related protein (TRP)-1/-2, a key player in melanogenesis. Treatment with HEE in human keratinoctyes (HaCaT cells) inhibited the proteolytic activities of matrix metalloproteinase (MMP)-2/-9 in a dose-dependent manner and dramatically reduced the expression of MMP-2/-9. In addition, HEE attenuated lipopolysaccharide (LPS)- induced nitric oxide production in murine macrophages (RAW264.7 cells). These results indicate that HEE may be a great cosmeceutical ingredient for its whitening, anti-wrinkle, and anti-inflammatory effects.
노인정신장애 평가척도(Psychogeriatric Assessment Scale)의 한국판 표준화 연구
조맹제,박임순,신영민,김무진,정희연,정은기,최용성,조성진,서국희,함봉진 大韓神經精神醫學會 2000 신경정신의학 Vol.39 No.1
연구목적 : 본 연구는 치매와 우울증을 다차원적으로 평가할 수 있는 도구인 Psychogeriatric Assessment Scale(PAS)의 한국판(PAS-K)을 개발하기 위한 것이다. 방 법 : 번역, 역번역, 그리고 세차례의 예비조사를 통하여 PAS-K를 제작하였다. 60세 이상의 노인 291명(임상환자군 : 58명, 지역사회노인군 : 168명, 수용시설 거주자 : 67명)과 그들의 정보제공자들을 대상으로 PAS-K, Geriatric Depression Scale(GDS), Korean version of Mini-Mental State Examination(MMSE-K), Hamilton Rating Scale for Depression(HRSD), 그리고 Hachinski Ischemic Score 를 적용하고, Diagnostic Interview chedule(DIS-Ⅲ-R)을 사용하여 치매와 우울증을 진단하였다. PAS-K의 신뢰도와 타당도를 평가하고, 예민도와 특이도, Kappa값, 그리고 ROC커브 분석법을 이용하여 PAS-K의 6개의 소척도들(피검자면접 : 인지기능 장애척도, 우울척도, 뇌졸중척도, 정보제공자면접 : 인지기능 저하척도, 행동변화척도, 뇌졸중척도)의 최적 절단점을 구하였다. 결 과 : PAS-K는 높은 내적 일관성을 보였고, 검사자간 신뢰도도 만족할 만한 수준이었다. PAS-K의 소척도들을 다른 표준화된 검사도구들과 비교하였을 때 인지기능 장애척도와 인지기능 저하척도는 MMSE-K와, 우울척도는 GDS 및 HRSD와 유의한 상관관계를 보였으며, 뇌졸중척도는 Hachinski Ischemic Score와 통계적으로 의미있는 상관관계를 보였다. 최적절단점은 인지기능 장애척도 10점, 인지기능 저하척도 3점, 우울척도 5점, 피검자면접과 정보제공자 뇌졸중척도 모두 1점, 그리고 행동변화척도 2점으로 추정하였다. 결 론 : 본 연구를 통해 PAS-K의 신뢰도와 타당도가 검증되었고, 노인정신의학 역학연구나 보건분야에서 치매와 우울증의 임상경과관찰 및 일차 선별도구로서 유용하게 사용될 수 있게 되었다. Objectives : This study was designed to develop the Korean version of the Psychogeriatric Assessment Scale(PAS-K), a multidimensional screening tool for the dementia and depression. Methods : Through three times preliminary trials, the authors translated PAS into Korean. The PAS-K, Geriatric Depression Scale, Hamilton Depression Rating Scale, Hachinski Ischemic Scale and Mini-Mental State Examination-Korean version were administered to 291 subjects over the age of 60 and the same number of their informants(67 subjects were institutionalized, 168 subjects were in community, 58 subjects were psychiatric hospital patients). And the Diagnostic Interview Schedule(DSM-Ⅲ-R) was independently administered to exactly diagnose dementia and depression. The reliability and validity test, optimal cut-off point estimation for six each scale and ROC curve analyses were done to investigate the diagnostic validity of PAS-K. Results : Internal consistency and interrater reliability of the PAS-K were high. Concurrent validity of each scales of PAS-K was good in being measured with other standardized scales. The optimal cut-off points of each scale of the PAS-K were estimated as follows : 1) Stroke Scale of subject interview : 1, 2) Cognitive Impairment Scale of subject interview: 10, 3) Depression Scale of subject interview : 5, 4) Stroke Scale of informant interview : 1, 5) Cognitive Decline Scale of informant interview : 3, and 6) Behavioral Change Scale of informant : 2. conclusions : The PAS-K was valid and reliable screening tools for detecting dementia and depression. Therefore the PAS-K could be widely and extensively used in psychogeriatric epidemiological research or clinical setting of primary screening for dementia and depression.
조혈모세포이식 환자에서 발생한 Cytomegalovirus 질환의 특징 : 일개 대학변원에서 최근 10년간의 경험
최수미,이동건,박선희,김시현,김유진,민창기,김희제,이석,최정현,유진홍,김동욱,이종욱,민우성,신완식,김춘추 대한감염학회 2009 감염과 화학요법 Vol.41 No.1
Background : Studies on cytomegalovirus (CMV) diseases in Korean hematopoietic stem cell transplant (HSCT) recipients are lacking and do not reflect the recent trends of advances and changes. Therefore, we tried to analyze the clinical features of CMV diseases in HSCT recipients over the past 10 years at a tertiary university hospital in Korea. Methods : Retrospective review of medical records was done for all adult HSCT patients who received transplant at the Catholic HSCT Center from January 1998 to January 2008. Results : Forty-four cases (2.2%) of CMV diseases were identified. CMV pneumonia was diagnosed in 17 patients, retinitis in 16 patients, enterocolitis in 7 patients, esophagitis 1 patient, gastritis in 1 patient, duodenitis in 1 patient, and hepatitis in 1 patient. The median onset of symptom was 90 days after transplantation. Late CMV diseases accounted for 47.7%. CMV related death varied from 0 to 58.8% according to the involved organ. CMV retinitis was diagnosed relatively later in the course of transplantation mostly in patients who had chronic graft versus host disease (GVHD). On the contrary, CMV enterocolitis mainly occurred in patients who suffered from acute GVHD. The overall concurrent CMV reactivation was documented to be 63.6%: the concurrent CMV reactivation was observed only in 37.5% of patients with retinitis. Conclusions : We observed some differences in the pattern of CMV disease manifestation according to the involved organ and reconfirmed the fact that CMV pneumonia is the most common and fatal disease in HSCT recipients. Additionally, CMV retinitis was not uncommon in HSCT recipients. Since specific marker does not exist in predicting retinitis, regular ocular examination should be done thoroughly, especially in patients with chronic GVHD.
볏짚의 가성소다 處理水準이 재래산양의 볏짚섭취량 飮水量 및 腸內 通過速度에 미치는 影響
辛炯泰,裵熙東,孫鎭漢 成均館大學校 科學技術硏究所 1988 論文集 Vol.39 No.1
These experiments(I, II) were conducted to determine the nutritive value of NaOH-treated rice straw by voluntary intake, water consumption, rate of passage and retention time in goat's gastrointestinal tracts. The results which were obtained with these experiments (I, II) as follows; 1. Volutary intake of 0%, 3% and 6% NaOH-treated rice straw by goats was 1,012ml, 1,427ml and 1,612 ml, respectively. 2. Water consumption of 0%, 3% and 6% NaOH-treated rice straw by goats was 1,012ml, 1,421ml and 1,612ml, respectively. 3. The first excretion time of stained rice straw particles in goat's feces was 0% NaOH, 20 hours: 3% NaOH, 18 hours and 6% NaOH, 16 hours, respectively. 4. Total mean retention time (R value) of 0%, 3% and 6% NaOH-treated rice straw by goats was 72.0 hours, 61.2 hour, and 56.8 hours, respectively. 5. The optimal level of NaOH for increasing the nutritive value of rice straw was 3% in goat's rations.
주물공장에서 배출되는 플라이애시를 이용한 시멘트 벽돌의 강도특성에 관한 실험적 연구
진치섭,김희성,신동익 부산대학교 1995 生産技術硏究所論文集 Vol.48 No.-
본 연구는 주물공장 플라이애시의 물리적·화학적 특성을 규명하고 이를 이용한 시멘트 벽돌의 강도 특성을 실험적으로 규명하는 것이다 특히, 주물공장 플라이애시의 성분 분석 결과 분말도가 일반 화력발전소 플라이애시에 비해 3.5배 정도 크게 측정되었다. 이러한 물리적 성질의 차이가 포졸란 활성도와 워커빌리티에서 일반 플라이애시와 서로 다른 메카니즘을 갖게 된다. 시멘트 벽돌은 플라이애시를 시멘트 용적의 0 %, 5 %, 10 %, 15 %, 20 %, 25 %, 30 %, 35 %, 40 %, 45%, 50 % 만큼씩 대체한 각각의 경우에 대해 제작하여 치수, 흡수율 및 압축강도를 측정하였으며 측정 결과 플라이애시를 시멘트 용적의 45 % 까지 대체하여도 KS 규격에서 정한 시멘트 기준치를 만족하는 것을 알 수 있었다. This study dealt with the strength characteristics of cement bricks using casting foundry fly ash. For this purpose, fly ash was sampled Young-Hwa casting foundry and analyzed for physical and chemical properties. As analyzed results of fly ash, fineness of casting foundry fly ash was 3.5 times as much as that of thermoelectric power plant station. Because of this difference, it is expected that pozzolanic activity of concrete using fly ash of casting foundry will be different from another fly ash. Cement Bricks were tested to evaluate brick performance when 0 to 50 percent of the portland cement by volume was replaced with fly ash of casting foundry As a result, we found that the absorption and strength of bricks using casting foundry fly ash were over KS criterion when the fly ash replaced 5∼45 % of volume of cement.
하악 매복 지치의 외과적 발거시 Methylprednisolone의 안면 부종 감소 효과에 대한 임상적 연구
신지훈,박진배,한지용,윤혜경,김우형,이희철 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.4
Objective : The third molars, expecially mandibular wisdom teeth, are commonly obliquely impacted, and surgical procedure with odontomy and osteotomy is necessary for their extraction. The surgical extracion of impacted wisdom teeth occasionally in duces variable discomfort. Especially, postoperative swelling, pain and limitation of mouth opening determine the degree of discomfort. For the reduction of these complicaions, drug therapy(antihistamine, enzyme, steroid), cole pack and pressure technique have been studied. It is known that the steroids are the most effective. Methods and Meterial : We selected fifty patients in their twenties, who visited Department of Dentistry, Pusan Paik Hospital from March to August in 1998. All of 50 patients has no other medical problems. Total 50 patients were randomly divided to 30 of experimental group and 20 of control group. The experimental group had orally administration of methyprednisolone 5㎎ every 8 hours 2 times preoperatively and 7 times postoperatively. Five points were marked on the patients' face, and the distances between the points were measured just before operation and 48 hours after operation. Results : Methyprednisolone reduces swelling about 50% after surgical extraction of obliquely impacted mandibular third molars with osteotomy and odontomy. The difference in the amount of tissue edema between experimental and control group was significant(p<0.01). However, there was no significant difference according to the operation time. Conclusion : It seems that the use of methylprednisolone is effective to reduce postoperative swelling following surgical extraction of third molars.
신세원,윤상모,신현진,안현수,안희덕 영남대학교 의과대학 2004 Yeungnam University Journal of Medicine Vol.21 No.2
Background: Electromagnetic fields (EMF) are ubiquitous in modern society including medical field. As the technology of medical instruments and telecommunications has developed rapidly, it has influenced on our lives in many ways. Modem medical practice requires high quality medical equipments, which have a great deal of electromagnetic interference and susceptibility. The purpose of this study were to evaluate electromagnetic condition under usual clinical condition and to suggest a practical guideline in general hospital. Materials and Methods: The actual state of the electromagnetic interference in the medical field was studied under usual clinical conditions including operating rooms, intensive care units, magnetic resonance imaging unit, and hyperthermia unit. Results: There was considerable noise as a result of electromagnetic fields from medical equipments including electrosurgical units and hyperthermia unit, and cellular phones, which could induce serious functional derangements of functioning medical devices. Conclusion: It will be necessary to evaluate the individual electromagnetic situations under various medical conditions and to define a limited zone for cellular phone as well as reposition medical equipments to secure a safer medical practice and to minimize electromagnetic interference.
푸리에 변환과 웨이브렛 분석을 통한 주의력결핍ㆍ과잉운동장애아동과 정상아동의 사건관련전위 비교 연구
신성웅,박진형,김희찬,조수철 대한소아청소년정신의학회 2001 소아청소년정신의학 Vol.12 No.1
주의력결핍 ㆍ 과잉운동장애 아동과 정상 아동의 청각적 집중 과정의 차이를 비교하기 위해 13명의 남자 환자와 8명의 정상 남자아이에게 청각적 주의집중 과제를 제시하고 사건관련전위를 푸리에 변환과 웨이브렛 분석법으로 비교 조사하였다. 각 군 아동의 표준자극과 표적자극에 대한 사건관련전위 파형을 푸리에 변환을 통해 주파수 차원에서 서로 비교하였고, 각 군 안에서 표적자극과 표준자극을 주었을 때의 진폭을 비교하였다. 표준자극에 대해서는 거의 대부분의 주파수와 좌측 위치에서 주의력결핍 ㆍ 과잉운동장애 아동이 정상아동보다 의미 있게 높은 전압을 나타내었다. 반면 표적자극에 대해서는 주의력결핍 ㆍ 과잉운동장애 아동이 정상 아동보다 더 높은 전압은 보이는 경우가 의미 있게 감소하였고 정상 아동이 주의력결핍 ㆍ 과잉운동장애 아동보다 큰 진폭을 나타내는 경우는 의미 있게 증가하였나. 이런 결과는 주의집중을 반영하는 Nd파형의 푸리에 변환 결과에서도 나타났다. 즉 주의력결핍 ㆍ 과잉운동장애 아동은 무시해야 하는 자극에 대해서는 정상 아동보다 지나치게 강한 반응을 보이지만 정작 과제를 수행해야 하는 자극에 대해서는 정상 아동보다 더 약한반응을 보이는 경향을 보였다. 주의력결핍ㆍ 과잉운동장애 아동은 정상 아동 보다 표적자극에 의한 진폭 증가를 보인 전극과 주파수 영역이 적었을 뿐 아니라 일부 파형은 표준자극을 주었을 때보다 표적자극을 주었을때 오히려 진폭이 의리 있게 감소하여서 이들이 표적 자극에 대해 활성이 억제됨을 알 수 있었다. 정상 아동들은 표준자극보다 표적자극에 대해서 거의 모든 전극 위치와 주파수 대역에서 의미 있는 진폭의 증가를 보였으나 전전두엽과 전두엽의 전극에서는 주의력결핍 ㆍ 과잉운동장애 아동이 더 큰 진폭을 보이는 경우가 관찰되었다. 웨이브렛 분석 결과 표준자극에 대해서는 주의력곁핍 ㆍ 과잉운동장애 아동이 정상 아동보다 자극이 제시된 후 0∼300msec 사이에 일어나는 전위가 통계적으로 의미 있게 컸다. 이런 차이는 주로 전전두엽과 전두엽 앞쪽, 그리고 측두엽 일부와 후두엽에서 두드러졌다. 그러나 두정엽과 중앙 영역의 전극들은 특히 300∼370msec 이내에 일어나는 전위에서 정상 아동이 더 활발한 전기 활동을 나타내었다. 표적 자극에 대해서는 두 군 모두 표준자극보다 전기 활성이 더 증가한 양상이었다. 표적자극에 대해서 주의력결핍 ㆍ 과잉운동장애아동은 전전두엽과 전두엽 영역에서는 여전히 정상 아동보다 더 활발한 전기 활성을 보였으나 두정엽과 측두엽에서는 정상 아동이 더 큰 진폭을 나타내었다. 이로써 주의력결핍 ㆍ 과잉운동장애 아동은 무시해야 하는 자극에 대해서는 지나친 반응을 보이며 주의집중을 필요로 하는 자극에 대해서는 정상 아동보다 저하된 반응을 보이는 것이 확인되었다. 이와 함께 푸리에 변환 등 주파수 차원 분석법과 웨이브렛 분석 방법의 유용성을 알아보았다. 중심 단어 : 주의력결핍 ㆍ 과잉운동장애 ㆍ사건관련전위 ㆍ푸리에 변환 ㆍ 웨이브렛 분석. Using Fourier transformation and wavelet analysis, we compared the auditory event-related poten-tials of the patients with attention deficit-hyperactivity disorders (abbr. ADHD, 13 boys) and normal control children (8 boys) Amplitudes of the event-related potentials which were calculated via Fourier transformation were compared between the groups and between conditions (non-target versus target) in each group. To the non-target stimuli, the patients with ADHD showed significantly greater amplitudes across almost all of the electrode sites and frequencies. To the target stimuli, the incidents which ADHD patients showed much higher amplitudes than normal controls significantly decreased, while those of the reverse results increased significantly. These results were consistent with the comparison results about negative difference wave (abbr. Nd wave) using Fourier transformation. In summary, it was proved that non-target stimulus which should be ignored elicited more robust electrical response from the patients with ADHD than normal children, but the target stimulus which required active processing did much less electrical activity in the patients. For the patients, they showed much inhibited electrical response to the target stimuli in some electrodes and frequency ranges. Normal children were more strongly stimulated by the target stimuli in almost all electrodes and frequency ranges than the patients, but less in prefrontal leads and frontal leads. Wavelet analysis results proved that early responses (0-300msec) to the nontarget stimuli of the patients were significantly greater than the normal controls in prefrontal, anterior frontal, some parts of temporal, and occipital lobes and that late response (300-370msec) were significantly lesser than normal children in parietal and central electrodes. Target stimuli elicited significantly higher electrical activity in both group than non-target stimuli did. Prefrontal and frontal lobes showed stronger responses in the patients than normal children irrespective of stimulus condition, but parietal and temporal lobes did higher activities in normal children than the patients only to the target stimuli. In conclusion, the patients wish ADHD showed much greater responses to the stimuli which should be ignored, but failed to activated the necessary processes to the target stimuli. Also, we found that the frequency-dimension analysis and wavelet analysis were useful for the signal processing such as event-related potentials. KEY WORDS : Attention deficit hyperactivity disorder ㆍ Event related potentials ㆍ Fourier transformation ㆍ Wavelet analysis.
개방형 병원제도 도입에 따른 의료시설계획 변화에 관한 연구
신희진,김석준,이특구 대한건축학회 2003 대한건축학회논문집 Vol.19 No.4
The Healthcare delivery system has not performed its role in Korea. Therefore, the medical resources have been wasted. To resolve these problems, the Ministry of Health and Welfare suggested some elaborate measures. One of them is 'Attending Hospital System'. The Attending Hospital System makes general physicians to utilize the medical resource; staff, equipment, and facilities in general hospital. It will offer the continuous and special care to patient. Therefore, The Attending hospital system will be composed by attending hospital and attending physician's office through organizing healthcare delivery system. So, it will save the medical resource and change the medical facility. The purpose of this study is to predict the change of medical facility in according to introduction of attending hospital system.
先加力 후 補修-補强한 鐵筋콘크리트 壓縮部材의 構造特性에 관한 實驗的 硏究
신용석,최진석,김판선,조철희,손순채,김정섭 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.2(구조계)
This study examined the Stress and structural characteristics of reinforced concrete compressive member repair and strengthening by CFS and GFS after pre-loading. The following results were obtained. The results of compressive testing by the kind of fiber suggested that: In CFS, Specimen increased by about 26.9% and strengthening after pre-loading, by about 111.8%, compared with after strengthening, In GFS, Specimen increased by about 69.0% and repaired and models after pre-loading, by about 76.7%, compared with after strengthening. In the compressive testing, strengthen with CFS-Specimen showed a brittle fracture and strengthen with GFS-Specimen represented ductile fracture. More increasing in stress of Specimen, and repair and Strengthening specimen after pre-loading than loading specimen after strengthening suggested the strengthen effect of fiber.