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        흰쥐 Kupffer 세포에 대한 Propofol의 작용

        박세훈,지대림,성언기,김희선,송인환,박희영,김준수,이덕희,박대팔 대한마취과학회 2002 Korean Journal of Anesthesiology Vol.43 No.4

        Background: Propofol has an antioxidant capacity and can be used for ischemia-reperfusion injury of the liver. However, the effects of propofol on the Kupffer cells have not been establisked. Methods: Kupffer cells were isolated and cultured from male Sprague-Dawley rats. The effects of propofol on the Kupffer cells were evaluated by a phagocytosis assay, TNF-α gene expression, and superoxide anion release after administering propofol in different concentrations on the cultured Kuprrer cells. Results: The latex bead phagocytosis by the Kupffer cells was suppressed when the Kupffer cells were exposed to propofol irrespective of concentrations. Higher propofol concentrations decreased the loss of Kupffer cells after latex bead phagocytosis. Propofol induced TNF-α mRNA expression in the Kupffer cells, but the mRNA expression level after 50㎍/ml of propofol decreased. The pattern of TNF-α mRNA expression induced by propofol was different to that induced by LPS: TNF-α mRNA was expressed continuously in the propofol-treated cells until 16 hours after exposure to propofol, whereas the level of TNF-α mRNA expression induced by LPS was evident after 2 hours and was not found thereafter. TNF-α production after propofol treatment was not higher than that of the control. Formazan presipitation did not show any qualitative differences between cells untreated or treated with propofol concentrations of 0.5, 5.0, and 50 ㎍/ml. Conclusions: These results showed that propofol might inhibit Kupffer cells. This suggests that propofol and be used for patients with ischemia-reperfusion injury of the liver. (Korean J Anesthesiol 2002; 43: 475~484)

      • KCI등재

        직무특성과 직무스트레스가 아동병원 간호사의 이직의도에 미치는 영향

        김세영(Se-Young Kim),백성희(Seong-Hee Back) 한국콘텐츠학회 2016 한국콘텐츠학회논문지 Vol.16 No.4

        목적: 본 연구는 아동병원 간호사를 대상으로 직무특성, 직무스트레스, 이직의도 정도 및 이들 변수간의 관계를 파악하고, 이직의도에 미치는 영향 요인들을 규명하기 위한 서술적 조사연구이다. 연구의 대상은 G시에 위치한 60병상이상의 아동병원에서 근무하는 간호사 129명이며, 본 연구에 사용된 연구도구는 대상자의 일반적 특성을 묻는 12개의 문항과 직무특성 관련 16문항, 직무스트레스 36문항, 이직의도 6문항으로 총 70개 문항으로 구성된 설문지를 이용하였다. 연구자료는 SPSS 21.0 프로그램을 이용하여 분석하였으며 빈도분석 및 기술통계, t-test, ANOVA, Pearson 상관관계 분석, stepwise 방법에 의한 다중회귀분석을 이용하여 검정하였다. 본 연구의 결과는 직무특성의 하위요인은 직무도전성과 직무적합성, 직무스트레스, 급여는 이직의도에 영향을 미치는 것으로 확인되었다. Purpose: This study was performed to investigate the influence of childrens hospital nurses job characteristics and job stress on turnover intention. Method: The subjects were 148 nurses who have been working in 6 childrens hospitals located in G city. Measurement tools used for this study included job characteristics were created by Lee, and modified by Hong, and job stress tool developed Kim & Ku and modified by Choi. And the tools used for assessing turnover intention were created by Mobley and Becker and modified by Kim. The collected data was analyzed using descriptive statistics, the independent t-test, one-way ANOVA, Pearson Correlation and regression on SPSS 21.0 program. Result: Job challenge and job fitness among the sub-areas of job characteristics, job stress and salary were identified as factors influencing turnover intention. These factors explained 36.5% of variance of turnover intention. Conclusion: In conclusion, this results can be used to help the childrens hospitals creates an environment where nurses can enhance Job challenge and job fitness also, reduce job stress which lead to turnover rate and turnover intention.

      • 동진강 유역 비점오염원 정밀조사

        원찬희,정팔진,김민정,조선영,김세훈,김종천 전북대학교 공학연구원 ( 구 전북대학교 공업기술연구소 ) 2002 工學硏究 Vol.33 No.-

        Nonpoint source pollution(NSP) arises due to agriculture activity and it is quite an extensive and complicated problem in order to control and has received a great deal of concern during the recent years, whereas point source are known to originate from an estimated volume of contaminant discharged from a distinguishable source. Extensive research work have been conducted and presented in the past with regard to the various characteristics of watershed on Dong Jin River(DJR), however there are certain drawbacks of existing survey for determining important polluting sources, distribution features of pollutants and estimated load of the organic and nutrients from the creeks. Unfortunately, investigation for loadings originating due to agricultural drainage was not satisfactory, although the regional consideration for DJR across Kim Je Field(KJF) as an agricultural area receives a reasonable source point in the agri-pollution management. Therefore it was necessary to carry out a thorough investigation into the diffuse sources resulting, to form the pollution-developing estimation and to evaluate the output roperties and determining various factors in the generation of non-point pollution. Eventually, this research work would serve as an useful tool for the development of predictive pollution management for DJR. Non-point sources in the present work were classified as municipal non-treated sewage water discharged into the river, loadings through agricultural drainages in the dry/wet field and inadequate treatment of wastewater generated from livestocks. The entire duration of the research work was from December-2001 to July-2002. Site measurement were conducted during various season, in a dry season(December), in rainfall, in seed-sowing time and also collecting data from the rural public organizations related to water management was done and examined and examined during the mid of research work. Similarly, domestic wastewater loadings due to population was based on area unit, as City, Country, Up, Myon, Dong, Ri. The Dong Jin River watershed contains small three Creeks, KoBu(KB), DongJin(DJ, including JeongEup(JE) and ChilBo(CB), WonPyong(WP). It was further divided into 32 sub-watersheds which comprises of further 5,18,9 watersheds in the creeks respectively. The results obtained from research work are presented as follows. Animal productions have marked differences in the rate of pollutant loadings reported in the following sequence: DJ(only CE)>WP>CB>KB, in a case of Korean cow and milk cow. However, it was revealed that WP creek became significantly higher than any other livestocks. According to statistical data for land use, rice field(369.0㎢) and forest(378㎢) have much occupation prior to dry paddies(125.0㎢), residential land(32.0㎢) and others(5.0㎢). Especially, rice fields receives 2.5∼3 times than dry paddies in size.

      • KCI등재

        감염성 심내막염 환자에서 증상 없이 발견된 뇌동맥류 1예

        김희만,임세중,이주용,이꽃실,김준명,홍유선,이규창 대한내과학회 2003 대한내과학회지 Vol.64 No.4

        30세 남자 환자로 심내막염 진단 후 발견된 무증상의 감염성 뇌동맥류로 항생제 치료 후 단계적인 수술로 심장판막 대치술과 뇌동맥류 결찰술을 시행하여 심각한 뇌신경학적 후유증이나 합병증이 발생하기 전에 성공적으로 치료한 경험을 하였기에 문헌 고찰과 함께 보고하는 바이다. Cerebral mycotic aneurysm is an uncommon complication of infective endocarditis. In spite of low incidence, mycotic aneurysm is a serious complication because of the high risk of its rupture. Therefore, early diagnosis and management of cerebral mycotic aneurysm are imperative before the rupture. We experienced a case of asymptomatic cerebral mycotic aneurysm in a 30-year old man with infective endocarditis. He was admitted for splenic and renal infarction due to systemic embolization. The echocardiography showed severe mitral regurgitation, mitral valve prolapse and vegetation on the mitral valve. Streptococcus mitis was identified from blood cultures. In the course of antibiotics therapy, brain magnetic resonance image and 4-vessel cerebral angiography were performed, which revealed multiple unruptured cerebral mycotic aneurysms. Considering the high risk of rupture we performed mitral valve replacement with bioprosthesis. On follow-up cerebral angiography after the valve replacement surgery, one of aneurysms was enlarged, and successfully treated by surgical intervention without complication. We report one case of mycotic aneurysm without neurologic symptom in an infective endocarditis patient, who was treated without serious sequelae of the aneurysm. (Korean J Med 64:477-481, 2003)

      • 참치 뼈를 이용한 Hydroxyapatite 세라믹 복합체의 합성 및 생체 친화성(제3보) : 인공체액에서의 Hydroxyapatite 세라믹 복합체간의 결합의 전자현미경 관찰 SEM Photographs of Bonding Properties between Hydroxyapatite Ceramics Composites in the Simulated Body Fluid

        김세권,최진삼,이창국,변희국,전유진,이응호,박인용 대전산업대학교 반도체기술연구소 1999 半導體技術硏究所報 Vol.1 No.-

        참치 뼈에서 추출한 hydroxyapatite를 출발물질로 여러 가지 세라믹 복합체를 제조하여 인공체액에서의 hydroxyapatite 복합체간의 화학결합을 조사하였다. hydroxyapatite 복합체들은 인공체액에서 4주 후부터 화학 결합성질을 나타내었다. 결합강도는 bioglass가 가장 강하게 나타났으며, 조성에 따른 의존성은 관찰할 수 없었다. 인공체액에서 복합체들은 이들의 경계면에서 불균일 핵생성 및 성장에 의해 화학적 결합으로 이루어졌다. Chemical bonding was investigated in the simulated body fluid of several selected hydroxyapatite-containing composites. The hydroxyapatite-containing composites chemically bonded with each other in the simulated body fluid after 4 weeks. Bioglass was strongly bonded in the simulated body fluid, but bonding strength was not depended on composition. Their composite bodies were chemically bonded by heterogeneous nucleation and growth at the interfaces of the specimens in the simulated body fluid.

      • KCI등재

        주의력결핍/과다활동장애(ADHD) 아동에 대한 약물-부모훈련 병합치료의 효과

        김세실,이양희,안동현 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.4

        목 적 : 주의력결핍/과다활동장애 아동의 문제 행동, 어머니의 양육태도 및 양육스트레스에 대한 약물 및 부모 훈련 병합치료의 효과를 검증하고자 한다. 대상 및 방법 : 한양대학교병원에서 주의력결핍/과다활동장애로 진단받은 24명의 아동(만 5∼11세)과 어머니를 대상으로 하였다. 세 군으로 나누었는데, 약물단독치료군(N=6), 약물 및 부모훈련 병합치료군(N=6), 병합치료 대기군(N=6)으로 구분하였다. 약물치료는 메칠페니데이트를 0.5∼0.7㎎/㎏/day를 투여하였다. 부모훈련은 주 1회, 9주간 실시하였고, 4주후 추후모임을 가졌다. 평가는 약물치료군(N=12)과 병합치료군(N=12)에서 각각 치료 전후에 비교하였으며, 병합치료군에서는 장기 효과를 보기 위하여 6개월후에 재평가하였다. 평가는 아동변인(아동행동조사표, 코너스부모용평정척도, 가정상황질문지), 어머니변인(어머니양육태도검사도구, 부모양육스트레스목록표, 결혼적응척도), 프로그램변인(부모사용자만족도 질문지)을 각각 조사하였다. 결 과 : 어머니의 양육태도 및 양육스트레스, 아동의 문제 행동에서 약물 단독치료군에 비해 약물-부모훈련 병합치료군에서 월등히 좋은 결과를 얻었다. 또한 이 효과는 6개월후의 추적조사에서도 대부분 유지되었고, 어머니들의 프로그램에 대한 만족도도 매우 높았다. 결 론 : 주의력결핍/과다활동장애 아동의 치료에 있어서 약물단독보다는 약물-부모훈련병합치료가 매우 우수한 치료 효과를 갖는다. Objective : We attempted to confirm the effects of the combined treatment of medication and parent training on the behavioral problems of referred ADHD chidren, the maternal behavior and the parenting stress of their mothers. Methods : Twenty-four children between the ages of 5 to 11 and their mothers were selected as subjected from Child Psychiatric Clinics of Hanyang University Hospital. Three groups were organized : combined treatment group of medication and parent training(N=6) ; wating list group(N=6) ; and medication only group(N=6). Methylphenidate(0.5-0.7㎎/㎏/day) was prescribed for children. Mothers of the combined treatment group of medication and parent training and the wating list group attended the parent training once a week for nine weeks and a booster session 4 weeks later. Treatment outcomes were evaluated by comparing both treatment groups at pre- and post-treatment using the various rating scales. Especially the combined treatment group was followed up after 6 months to evaluate the stability of treatment effects. Results : This study showed greater effectiveness of the combined treatment of medication and parent training relative to the medication only in decreasing the overall behavioral problems of ADHD children and the parenting stress of mothers as well as in increasing the desirable maternal behavior. In addition, these improvements were maintained at 6 month follow-up. Conclusion : The combined treatment of medication and parent training facilitated the behavioral improvement of referred ADHD children in several aspects.

      • KCI등재
      • 인접 셀 간섭을 고려한 OFDMA 전력제어 방식에 관한 연구

        김세진,홍인기,김윤희 경희-다반 ASIC 설계교육센터 2007 경희-다반 ASIC센터 논문집 Vol.8 No.-

        차세대 이동통신은 증가하는 사용자의 수요를 만족시키고, 고속 ·고품질의 다양한 멀티미디어 서비스를 제공할 것으로 기대되고 있다. 따라서 자원할딩이 용이하고 ,광대역 무선통신에 적합한 OFDMA방식이다. 다가오는 4세대 셀룰러 인프라를 선도할 주요 기술로서 고려되고 있다 .히지만 OFDMA시스템에서는 인접한 셀의 사용자가 같은 부반송파를 사용할 경우, 동일 채널 간섭 (Co-Channel Interference)이 발생하게 디며, 이는 시스템 전반의 성능 하락을 ㅊ래할 수 있다. 특히 샐 경계기역에 위치한 사용자틀은 인접 셀과의 거리가 매우 가까워서 아주 큰 간섭 영향을 미치게 된다. 따라서 이러한 사용자의 경우에는 전송 전력을 조절하여, 인접 셀에 주는 간섭의 영향은 줄일 수 있는 전력제어 기법이 필요하다. 본 논문에서는 사용자의 전송 전력을 인접 셀이 받는 간섭 상태에 따라 조절하는 새로운전력제어 방식을 제안하고, 그 싱능을 기존의 전력제어 방식과의 비교한다 . 제안된 전력제어 방식에서는 기존의 전력제어 빙식보다 전송 진력을 감소시키고, 이와 더불어 수율 면에시 보다 우수한 성능을 제공한다.

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