암 병동 간호사의 통증관리에 대한 지식과 태도

공성화,방찌야,서민숙,현신숙,김희정,이미애1,이미애2,유현희,허재경,김은애,박경숙 성인간호학회 2004 성인간호학회지 Vol.16 No.1

Purpose: The purpose of this study is to evaluate the knowledge and attitudes of oncology ward nurses toward cancer pain management and to find ways to improve the educational program for nurses. Method: A total of 209 nurses working at the oncology ward of three hospitals in Seoul and a Gyenggi Province. The survey instrument used was the 32-item scale for evaluating nurses knowledge and attitudes originally developed by McCaffery and Ferrell'(1990). that was by Kim'(1997). Result: In terms of the nurses knowledge of pain management. the result showed that the nurses scored an average of 67.8 out of 100 for phamacokinetics of opioids. 84.8 for classification of analgesics, 60.1 for pain assessment, and 70.7 for drug administration. 18.2% of the nurses hesitate to inject the narcotic agent because of concerns regarding the drug's potential side effects. there was significant difference in the knowledge of pain management according to the general characteristics of pain in terms of the nurses age(p=.001), position (p=.016). years of experiences(p=.002), experience of cancer pain education(p= .001). Conclusion: The also showed that nurses working at cancer ward lack knowledge. It is important to provide intensive education to nurses about cancer pain management.

낙동강 원수의 생물활성탄 및 오존처리공정에 따른 수질 변화 및 폴리오바이러스의 제거특성

정은영,박홍기,이유정,정종문,정미은,홍용기,장경립,Jung Eun-Young,Park Hong-Ki,Lee You-Jung,Jung Jong-moon,Jung Mi-Eun,Hong Yong-Ki,Jang Kyoung-Lib 한국생명과학회 2005 생명과학회지 Vol.15 No.5

오존처리는 음용수중의 유해한 미생물을 소독하는 처리기술로 주로 이용되고 있으며, 생물활성탄 처리기술 역시 오염물질 제거를 포함한 음용수 제조과정에 여러 가지 이점을 제공한다. 이글의 병행처리는 원수중의 여러 물질을 제거하는데 효과적인 공정으로 간주되고 있다. 본 연구에서는 낙동강 하류의 매리취수장 원수를 사용하여 생물활성탄 정수처리공정 및 오존에 의한 수질 변화와 함께 폴리오바이러스 제거 효율을 조사하였다. 수질인자들은 BAC 여과를 거치면서 $NH^{+}_{4}-N$등을 포함한 모든 항목들은 거의 제거되는 것으로 나타났다. Pilot-plant를 이용한 정수처리공정별 폴리오바이러스 제거실험에서는 전오존 접촉에 의해 $96.8\%$, 침전단계에서$99.3\%$, 여과단계에서 $99.6\%$의 바이러스가 제거되었으며, 후오존을 거친 BAC 여과수 시료에서는 세포배양법과 ICC-PCR 방법에서 바이러스가 $100\%$ 제거되어짐을 확인할 수 있었다. 오존농도에 의한 폴리오바이러스 제거실험 결과 0.4mg/1에서 5분간 접촉되었을 때는 약 $61.1\%$ 이상이, 0.8mg/1에서 10분 이상 접촉시킨 후에는 바이러스의 $100\% $가 불활성화 되어졌음을 알 수 있었다. Ozonation is a disinfection technique of harmful mi-crobes commonly used in the treatment of drinking water. And Biological Activated Carbon (BAC) treatment also provides numerous benefits for drinking water utilities, including removal of micro- pollutants, improved treatment processes. The multiful-stage ozonation and BAC play roles as effective methods for removing several materials in raw water. Water quality variation in Nak dong river and the removal efficiency of viruses by ozonation-BAC process were investigated on pilot scale. During the period of survey, most of water quality parameters including $NH_{4}^{+}-N$ were highly improved after passing through the BAC. The removal efficiency of poliovirus type III in water treatment process using pilot-plant,$ 99.6\% $ of viruses were removed by pre-ozonation, sedimentation and sand filteration process, $ 100\% $ were removed after in BAC filteration step. In the removal survey of viruses by ozonation, ap-proximately $ 61.1\% $ or polioviruses were inactivated by ozone of 0.4 mg/l within 5 min. and $ 100\% $ were inactivated by ozone of 0.8 mg/l over 10 min.

St. John’s Wort (Hypericum perforatum) stimulates human osteoblastic MG-63 cell proliferation and attenuates trabecular bone loss induced by ovariectomy

Mi-kyoung You,Du-Woon Kim,Kyu-Shik Jeong,Mi-Ae Bang,Hwan-Seon Kim,Jin Rhuy,Hyeon-A Kim 한국영양학회 2015 Nutrition Research and Practice Vol.9 No.5

BACKGROUND/OBJECFTIVES: The effect of St. John’s Wort extract (SJW) on MG-63 cell proliferation and trabecular bone loss induced by ovariectomy was examined. MATERIALS/METHODS: Proliferation, expression of estrogen receptor (ER) α and ER β, and gene expressions of osteoprotegerin (OPG), osteocalcin (OC) and alkaline phosphatase (ALP) were examined in MG-63 cells treated with or without SJW. Ovariectomized rats were treated with SJW at the dose of 100 or 200 ㎎/㎏/day, β-estradiol-3-benzoate (E2), or vehicle only (OVX-C), and sham operated rats were treated with vehicle only (Sham-C). Serum ALP and C-telopeptide (CTX), and femoral trabecular bone loss were examined. RESULTS: SJW increased MG-63 cell proliferation and expression of ER α and ER β, and positive effect was shown on gene expressions of ALP, OC and OPG. SJW also showed estrogen like effect on bone associated with slowing down in trabecular bone loss. Histopathology by H&E showed rats treated with SJW displayed denser structure in metaphyseal region of distal femur compared with rats in OVX-C. SJW was shown to reduce serum CTX in OVX rats. CONCLUSION: The present study provides new insight in preventing estrogen deficiency induced bone loss of SJW and possibility for its application in bone health supplement.

Inhibitory effect of Erythronium japonicum on the human breast cancer cell metastasis

Mi-Kyoung You,Min-Sook Kim,Jin Rhyu,Mi-Ae Bang,Hyeon-A Kim 한국영양학회 2015 Nutrition Research and Practice Vol.9 No.1

BACKGROUND/OBJECTIVES: In this study, the inhibitory effect of Erythronium japonicum extracts on the metastasis of MDA-MB-231 human breast cancer cell line was determined. MATERIALS/METHODS: Cells were cultured with DMSO or with 50, 75, 100 or 250 μg/ml of Erythronium japonicum methanol or ethanol extract. RESULTS: Both methanol and ethanol extracts significantly inhibited the growth and induced apoptosis of MDA-MB-231 cells in a dose-dependent manner. Erythronium japonicum extracts inhibited the adhesion of MDA-MB-231 cells. The invasion of breast cancer cells was suppressed by Erythronium japonicum extracts in a dose-dependent manner. The motility and MMP-2 and MMP-9 activities were also inhibited by both methanol and ethanol extracts. CONCLUSIONS: Our results collectively indicate that Erythronium japonicum extracts inhibit the growth, adhesion, migration and invasion as well as induce the apoptosis of human breast cancer cells. Clinical application of Erythronium japonicum as a potent chemopreventive agent may be helpful in limiting breast cancer invasion and metastasis.

Effect of St. John’s Wort (Hypericum perforatum) on obesity, lipid metabolism and uterine epithelial proliferation in ovariectomized rats

Mi-Kyoung You,Jin Rhuy,Kyu Shik Jeong,Mi-Ae Bang,Myung-Seok Kim,Hyeon-A Kim 한국영양학회 2014 Nutrition Research and Practice Vol.8 No.3

BACKGROUND/OBJECTIVES: This study was conducted to assess the potential of St. John’s Wort (Hypericum perforatum) to prevent obesity and abnormalities in lipid metabolism induced by ovariectomy in a rat model without stimulatory activity on uterus. MATERIALS/METHODS: Ovariectomized (OVX) rats were treated for 6 weeks with 70% ethanol extracts of Hypericum perforatum [HPEs: whole plant (WHPE) and flower and leaves (FLHPE)], β-estradiol-3-benzoate at a dose of 50 μg/kg/day (E2) or vehicle (distilled water). RESULTS: As expected, OVX increased body weight gain and adiposity and showed higher food efficacy ratio. OVX also increased the serum cholesterol as well as insulin resistance, while reducing uterus weight and uterine epithelial proliferation rate. HPEs (WHPE and FLHPE) showed estrogen-like effect on body weight gain, adipose tissue weight and food efficacy ratio in OVX rats. HPEs prevented hypercholesterolemia induced by OVX more effectively than E2. E2 increased uterus weight and epithelial proliferation rate in OVX rats, while HPEs maintained them at the level of the sham-operated animals. CONCLUSIONS: Our finding demonstrates that HPEs can be considered as an effective agent to prevent OVX-induced obesity without stimulatory activity on uterus.

St. John’s Wort Regulates Proliferation and Apoptosis in MCF-7 Human Breast Cancer Cells by Inhibiting AMPK/mTOR and Activating the Mitochondrial Pathway

You, Mi-Kyoung,Kim, Hwa-Jin,Kook, Ji Hyun,Kim, Hyeon-A MDPI 2018 INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES Vol.19 No.4

<P>St. John’s Wort (SJW) has been used as an estrogen agonist in the systems affected by menopause. Also, hypericin, a bioactive compound of SJW, has been used as a photosensitizer in photodynamic therapy. In the present study, we investigate the anti-proliferative and pro-apoptotic effects of SJW to demonstrate the chemo-preventive effect in human breast cancer cells. MCF-7 cells were cultured with DMSO or various concentrations of SJW ethanol extract (SJWE). Cell viability, proliferation, apoptosis, the expression of proteins involved in cell growth and apoptosis, and caspase-3/7 activity were examined. SJWE dose-dependently suppressed cell growth and induced apoptosis of MCF-7 cells. Mechanistically, SJWE enhanced the phosphorylation of AMP-activated protein kinase (AMPK) and decreased the expression of p-mammalian target of rapamycin (p-mTOR) and p-eukaryotic translation initiation factor 4E (eIF4E)-binding protein 1 (4E-BP1). Also, SJWE inhibited the phosphorylation of protein kinase B (Akt) and showed increases in the expression of pro-apoptotic proteins Bax and Bad with decreases in the expression of anti-apoptotic proteins including B-cell lymphoma 2 (Bcl-2), B-cell lymphoma-extra large (Bcl-xL), and p-Bcl-2-associated death promoter (p-Bad). SJWE at 50 μg/mL showed markedly enhanced caspase-7 activation. Taken together, our results provide evidence that SJWE shows anti-proliferative and pro-apoptotic effects via inhibition of AMPK/mTOR and activation of a mitochondrial pathway. Therefore, SJWE can be used as a chemo-preventive agent without photo-activation.</P>

Loquat (Eriobotrya japonica) leaf extract inhibits the growth of MDA-MB-231 tumors in nude mouse xenografts and invasion of MDA-MB-231 cells

Mi-Kyoung You,Min-Sook Kim,Kyu-Shik Jeong,Eun Kim,Yong-Jae Kim,Hyeon-A Kim 한국영양학회 2016 Nutrition Research and Practice Vol.10 No.2

BACKGROUND/OBJECFTIVES: The present study was conducted to examine the inhibitory effect of loquat leaves on MDA-MB-231 cell proliferation and invasion. MATERIALS/METHODS: Female athymic nude mice were given a subcutaneous (s.c.) inoculation of MDA-MB-231 cells and randomly grouped to receive a s.c. injection of either 500 ㎎/㎏ ethanol, water extract or vehicle five times a week. Tumor growth, mitotic rate and necrosis were examined. MDA-MB-231 cells were cultured with DMSO or with various concentrations of loquat water or ethanol extract. Proliferation, adhesion, migration, invasion and matrix metalloproteinase (MMP) activity were examined. RESULTS: Tumor growth of xenograft nude mouse was significantly reduced by loquat extracts. The results of mitotic examination revealed that loquat extracts reduced tumor cell division. Both ethanol and water extracts significantly inhibited MDA-MB-231 cell proliferation. The protein expression of ErbB3 was significantly down-regulated by loquat leaf extracts. Loquat leaf extracts increased apoptosis of MDA-MB-231 cells following 24 hour incubation and the ethanol extract was more potent in inducing apoptosis than the water extract. Furthermore, loquat extracts inhibited adhesion, migration and invasion of MDA-MB-231 cells. MMP activity was significantly inhibited by loquat extracts. CONCLUSION: Our results show that extracts of loquat inhibit the growth of tumor in MDA-MB-231 xenograft nude mice and the invasion of human breast cancer cells, indicating the inhibition of tumor cell proliferation and invasion.

Pear pomace ethanol extract improves insulin resistance through enhancement of insulin signaling pathway without lipid accumulation

Mi-Kyoung You,Hwa-Jin Kim,Jin Rhyu,Hyeon-A Kim 대한지역사회영양학회 2017 Nutrition Research and Practice Vol.11 No.3

BACKGROUND/OBJECTIVES: The anti-diabetic activity of pear through inhibition of α-glucosidase has been demonstrated. However, little has been reported about the effect of pear on insulin signaling pathway in obesity. The aims of this study are to establish pear pomace 50% ethanol extract (PPE)-induced improvement of insulin sensitivity and characterize its action mechanism in 3T3-L1 cells and high-fat diet (HFD)-fed C57BL/6 mice. MATERIALS/METHODS: Lipid accumulation, monocyte chemoattractant protein-1 (MCP-1) secretion and glucose uptake were measure in 3T3-L1 cells. Mice were fed HFD (60% kcal from fat) and orally ingested PPE once daily for 8 weeks and body weight, homeostasis model assessment of insulin resistance (HOMA-IR), and serum lipids were measured. The expression of proteins involved in insulin signaling pathway was evaluated by western blot assay in 3T3-L1 cells and adipose tissue of mice. RESULTS: In 3T3-L1 cells, without affecting cell viability and lipid accumulation, PPE inhibited MCP-1 secretion, improved glucose uptake, and increased protein expression of phosphorylated insulin receptor substrate 1 [p-IRS-1, (Tyr<SUP>632</SUP>)], p-Akt, and glucose transporter type 4 (GLUT4). Additionally, in HFD-fed mice, PPE reduced body weight, HOMA-IR, and serum lipids including triglyceride and LDL-cholesterol. Furthermore, in adipose tissue, PPE up-regulated GLUT4 expression and expression ratio of p-IRS-1 (Tyr632)/IRS, whereas, down-regulated p-IRS-1 (Ser<SUP>307</SUP>)/IRS. CONCLUSIONS: Our results collectively show that PPE improves glucose uptake in 3T3-L1 cells and insulin sensitivity in mice fed a HFD through stimulation of the insulin signaling pathway. Furthermore, PPE-induced improvement of insulin sensitivity was not accompanied with lipid accumulation.

다양한 냉ㆍ해동 방법에 따른 양파의 이화학적 특성 및 영양성분 변화

정유경(You-Kyoung Jung),장민영(Min-Young Jang),황인국(In-Guk Hwang),유선미(Seon-Mi Yoo),민상기(Sang-Gi Min),조연지(Yeon-Ji Jo),천지연(Ji-Yeon Chun),최미정(Mi-Jung Choi) 한국식품영양과학회 2015 한국식품영양과학회지 Vol.44 No.10

다양한 방법으로 냉·해동된 양파의 이화학적 및 영양학적 특성을 관찰하였다. 냉동은 자연대류냉동(0.5°C/min), 강제 송풍냉동(3.9°C/min), 극저온냉동(14.9°C/min) 순으로 급격히 빠르게 냉동되며 상변이 구간이 매우 단축되었다. 냉・해동에 따른 pH와 수분 함량의 변화는 유의적인 차이를 보였으나 그 영향은 미미한 것으로 사료된다. 냉・해동 처리가 양파의 황색도에 가장 영향을 많이 미치고 다음으로 명도변화에 영향을 주었으며, 급속냉동을 한 경우 양파의 명도를 전반적으로 어둡게 하는 경향을 보였다. 특히 황색도는 냉동 방법에 의한 변화가 더 두드러짐을 알 수 있다. 해동 감량은 모든 냉동방법에서 초음파해동과 유수해동 처리구가 유의적으로 낮은 경향을 보였고 이에 따라 강도도 높게 나타나는 경향을 보였다. 보수력은 극저온냉동을 하였을 때 유수 및 초음파 해동 시 보수력이 유의적으로 높은 값을 보이며 효과적임을 알 수 있었다. 현미경을 통한 조직 관찰의 결과 강제 송풍냉동과 극저온냉동 시 얼음결정이 작게 생성됨을 관찰하였다. 영양학적 품질 변화를 관찰한 결과 비타민 C는 생시료에 비해 데치기 후 시료 및 냉·해동 후 시료의 함량이 감소함을 보였으며, 강제송풍냉동 및 초음파해동에서 높은 값을 나타내었다. 유리당 및 유기산의 함량은 데침 처리 후 감소하였으며, 초음파해동 시 가장 손실이 적었다. 전반적인 결과로 볼 때 강제송풍냉동이 효과적인 것으로 사료되며 초음파해동이 효과적인 것으로 사료된다. This study evaluated the combination effect of various freezing and thawing techniques on the quality and nutritional aspects of onions. Onions were frozen by natural air convection freezing (NCF), air blast freezing (ABF), and liquid nitrogen freezing (LNF). Onions were frozen for 76 min by NCF, 9 min by ABF, and 9 min by LNF. The freezing treatment was stopped when the core temperature reached -12°C for NCF and ABF, and -120°C for LNF. Frozen samples were thawed through natural air convection thawing, running water thawing, sonication thawing (ST), or microwave thawing. The quality and nutritional aspects of frozen-thawed onions were evaluated by measuring thawing loss, pH, texture, water content, color, and SEM image. ST was found to cause the least loss in onion sample among the tested thawing methods, whereas the freezing methods did not cause any significant loss. In our experiment, thawing is found to be a more critical technique when compared to that of freezing. There were no clear quantifications or trends of pH and water content among different freezing and thawing techniques. The highest total color difference (ΔE) was observed in the NCF sample. For morphological observation, ABF gave the smallest ice crystal size, as well as minimum cell collapse. Loss of vitamin C, free sugar, and organic acid content was lower in the ABF and ST sample, when compared to other trials. In our study, we found that combination of ABF and ST could preserve the quality and nutritional aspects of frozen-thawed onions better than other methods.

SD계 랫트와 db/db 마우스에서 Curcuma longa L. 가 비만과 인슐린저항성에 미치는 영향

유미경 ( Mi Kyoung You ),김민숙 ( Min Sook Kim ),류동영 ( Dong Young Rhyu ),김현아 ( Hyeon A Kim ) 한국식품저장유통학회(구 한국농산물저장유통학회) 2013 한국식품저장유통학회지 Vol.20 No.1

In this study, the effect of Curcuma longa L. on ibesity and insulin resistance was investigated in animals fed a moderate high fat diet. The animals used in this study were normal weight Spargue-Dawley (SD) rats and type 2 diabetic obese db/db mice. Accumulation of abdominal adipose tissue and weight gain were inhibited in the animals fed the C. longa extract. C. longa decreased fasting insulin and HOMA-IR in the SD rats, and effectively decreased blood glucose and hemoglobin Alc in db/db mice. C. longa decreased serum free fatty acid level in the SD rats. FFA in db/db mice fed C. longa tended to decrease. C. longa significantly decreased serum triglyceride level. Our results collectively represent that C. longa prevented fat accumulation and insulin resistance in both nomal weight SD rats and type 2 diabetic obese db/db mice fed a moderate high fat diet.