• 제목/요약/키워드: Day Hospital Program

검색결과 360건 처리시간 0.028초

THE PROVISION OF QUALITY AND SAFE FOODS IN SCHOOL LUNCH PROGRAM THROUGH CENTRALIZED FOOD PRODUCTION TECHNOLOGIES

  • Clara, M.L.;Rdn, Pi-Ms
    • 대한지역사회영양학회:학술대회논문집
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    • 대한지역사회영양학회 1998년도 International Workshop School Lunch Program Expansion in Asia
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    • pp.21-30
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    • 1998
  • Sound nutrition is the basic foundation for the health of a population. Proper nutrition education through the school system can actualize the building of sound nutrition being provided at school lunch programs along with nutrition education can have far reaching impact to the health of the whole nation. In Hong Kong, the recent change over from a half day to full day school program signaled the need for a school lunch program. However, there has been no organized effort so far in Hong Kong to provide such service. School lunches are being provided by caterers who are more concerned about profits than food safetly. Alarming rates of food poisoning occurring recently in Taiwan school has further accentuated the importance of fool safety. With the advent of centralized food production technologies, Dietirians can apply their nutrition knowledge and integrate with food production processes such that safe, healthy and nutritious mcals can be produced in large quantities in a cost-effective manner serving he needs of the school children. This paper introduces the centralized food production concept, using some of the cool chill production centers for school lunch programs in the United States as examples to discuss how new technologies and management system can be integrated to yield the best outcome in food quality and safety.

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Identification of Genes Involved in Primordial-primary Follicle Transition by Suppression Subtractive Hybridization

  • Park, Chang-Eun;Yoon, Se-Jin;Jeon, Eun-Hyun;Kim, Young-Hoon;Lee, Sook-Hwan;Lee, Kyung-Ah
    • 한국수정란이식학회:학술대회논문집
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    • 한국수정란이식학회 2002년도 국제심포지엄
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    • pp.98-98
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    • 2002
  • Recruitment of primordial follicles(PMF) is crucial for female fertility. however, factors and mechanisms that regulate this process is poorly understood. The present study was conducted to obtain an inclusive view of the gene expression and to identify novel factors and their pathways of regulating PMF arrest and/or growth initiation. Ovaries from one-day neonatal(consists of oocyte and PMF) and five-day old(consists of PMF and primary follicles, PRIF) mice were collected, either total RNA or mRNA was isolated, and suppression subtractive hybridization(SSH) was used to isolate and clone genes that differentially expressed in day 1 and day 5 ovaries. Confirmation that some of these genes are differentially expressed in PMF and/or in PRIF was accomplished by using laser captured microdissection(LCM), RT-PCR. in situ hybridization(ISH) and/or immunohistochemistry(IHC). In toto, 357 clones were sequenced and analyzed by BLAST and RIKEN program. Sequences of 330 clones significantly matched database entries while 27 clones were novel. Forty-two and 47 different genes were identified as differentially expressed in day 1 and day 5 ovaries, respectively, while 7 genes were expressed in both stages of ovaries. Day 5-subtracted library included several genes known as markers far growing follicles, such as ZP2, MATER, and fetuin. Among the genes with assigned functions, 23.8% was associated with cell cycle/apoptosis regulation, 7.1% with cellular structure, 11.9% with metabolism, 26.2% with signal transduction, and 31.0% with gene/protein expression in day 1; while 10.6%, 17.0%, 23.5%, 25.5%, and 23.4% in day 5, respectively. Genes such as GDF-8, Lats2, Septin2, and Weel were the highly expressed genes in PMF, while HSP84, Laminin2, MATER, MTi7, PTP, and Wrn were highly expressed genes in PRIF. We have successfully discovered list of genes expressed in day 1 and day 5 ovaries and confirmed that some of them are differentially expressed in PMF and/or PRIF. Gene expression profile from the present study would provide insight for the future study on the mechanism(s) involved in primordial-primary follicular transition. This work was Supported by Korean Health 21 RND Project, Ministry of Health and Welfare, Korea (01-PJ10-PG6-01GN13-0002).

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운동요법과 한방치료의 병행치료가 비만환자의 신체구성에 미치는 영향 (The Effect of Aerobic Exercise and Weight Training Combined with Oriental Medicine on Body Composition in Obese Patients)

  • 신호정;김선민;김길수;김춘종
    • 한방비만학회지
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    • 제2권1호
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    • pp.73-82
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    • 2002
  • Objectives: The purpose of this study is to investigate the effect of the aerobic exercise and weight training combined with VLCD(very low calorie diet) and chegameuyiin-tang(體減薏苡仁湯) on the change of the body composition during 15 days of hospitalization treatment. Methods: Twenty four female obese patients were observed. Exercise regimen was composed with aerobic exercise and weight training program, and the intensity of aerobic exercise were 50% HRmax(maximal heart rate) twice time a day and weight training were 50% 1RM(one repetition maximum) a day. All subjects diet regimen was VLCD of 600kcal/day. Results & Conclusions. 1. There was no significant difference between the aerobic exercise and the weight training groups in the change of body weight, fat mass, and percent body fat, waist-hip ratio, body mass index and resting metabolic rate. 2. In the comparison of the change rate of FFM(fat free mass), weight training group preserved FFM better than aerobic-exercise-only-group with no statistical significance.

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발달 장애 아동에게 시행된 주간 치료실 프로그램의 치료 결과에 대한 고찰 (THE TREATMENT RESULTS OF A DAY TREATMENT PROGRAM FOR CHILDREN WITH DEVELOPMENTAL DISORDERS)

  • 곽영숙;강경미;이혜숙
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제11권1호
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    • pp.100-109
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    • 2000
  • 연구목적:본 연구는 발달 장애 아동들에 행해진 주간 발달 증진 프로그램의 효과 및 치료 결과에 대하여 고찰하고자 하였다. 방 법:발달 장애 아동들의 애착 형성을 향상시키고 부모-아동의 상호작용 증진을 통한 발달 촉진을 목적으로 국립서울정신병원 주간 치료실에서 1996년 이후 1년 단위로 3년간 시행된 치료 프로그램에 참석한 2세에서 7세의 발달 장애 아동(전반적 발달 장애-31명, 기타 발달 장애-18명) 49명을 대상으로 하였다. 정신과 전문의 2인 이상에 의하여 진단되었고 추적 진료 동안의 언어 치료사, 작업 치료사, 사회 사업가의 평가와 관찰, 간호사 관찰 및 보호자로부터의 정보를 통하여 진단적 신뢰도를 높였다. 이들에서 프로그램 참여 기간 동안의 교육 진단 검사(PEP), 아동기 자폐증 평정척도(CARS), 그리고 사회 성숙도 검사(SMS)상의 변화를 추적 조사하였고, 프로그램 참여시의 진단, 신체 연령 및 발달 연령, 동반 질환 등에 따라 분류하여 치료 효과를 비교하였다. 결 과:프로그램에 참여한 아동들은 PEP 종합 점수와 SMS 사회지수에서 통계적으로 유의한 진전을 보였다. 치료 시작시 발달 연령, 동반 질환, 그리고 CARS점수의 중증도에 따른 각 집단에서 치료 효과상의 유의한 차이는 없었다. 결 론:발달 장애 아동들을 위한 주간 치료실에서의 발달 증진 프로그램의 결과는 참여한 아동 모두에게 효과적이었다. 향후 동반 질환의 특성과 발달 연령에 맞는 특수 치료 프로그램 개발이 이루어져야 할 것이다.

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병동 간호사를 대상으로 한 섬망간호 훈련 프로그램의 효과 (The Effects of Delirium Care Training Program for Nurses in Hospital Nursing Units)

  • 김문자;이해정
    • 성인간호학회지
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    • 제26권5호
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    • pp.489-499
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    • 2014
  • Purpose: The purpose of this study was to examine the effects of delirium care training program on the nurses' knowledge of delirium, self-confidence and performance levels in caring patients with delirium. Methods: The study was used a quasi-experimental design. The participants were 131 nurses in general nursing units in B and J hospitals. Sixty four nurses in B hospital were allocated into the experimental group and 67 nurses from J hospital into the control group. The delirium care training program was composed of lecture and clinical practice. Clinical practice of delirium care was applied everyday for 4 consecutive weeks starting from the admission day of the older adults(${\geq}70$ years old), using 'short CAM' and 'nursing checklist for delirium prevention'. Results: The knowledge of delirium, self-confidence in caring patients, and performance levels of nursing care were significantly increased in the experimental group compared to the control group. Conclusion: The findings of this study provided the evidence for the potential utility of the delirium care training program and underscored the needs of broader application of the training program of delirium care for nurses in general nursing units.

다면재활프로그램이 산업재해근로자의 다차원 심리상태, 역량강화, 직업복귀준비 및 작업능력에 미치는 효과 (Effect of Multifaceted Intervention Program on Multi-Dimensional Psychologic Condition, Empowerment, Work Readiness, and Functional Capacity in Industrially Injured Workers)

  • 노동희;송문희;조은주;강성구;김경화;감경윤
    • 한국산학기술학회논문지
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    • 제19권2호
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    • pp.293-301
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    • 2018
  • 본 연구는 다면재활프로그램이 산업재해근로자의 다차원 심리 변화와 역량강화, 직업복귀준비 및 작업능력에 미치는 효과를 알아보고자 하였다. 2017년 3월부터 9월까지 경남 창원에 위치하는 C병원에 입원한 산업재해근로자 12명을 대상으로 실시하였다. 다면재활프로그램으로는 주 2회 2시간씩 8주 동안 희망찾기프로그램과 주 5회 3~4시간씩 8주 동안 작업능력강화프로그램을 병행 실시하였다. 이 때 중재효과를 검증하기 위해서 다차원 심리검사, 역량강화척도, 직업복귀준비도 및 작업능력평가를 실시하여 윌콕슨부호순위검정으로 전 후 검사 결과를 비교하였다. 그 결과, 다차원 심리검사에서 불안, 우울, 신체화, 사회적 지지에서 유의하게 향상된 반면(p<.05), 분노에서는 유의한 차이가 없었다(p>.05). 역량강화척도와 직업복귀준비도에서는 유의미한 차이가 있었다(p<.05). 작업능력평가에서는 바닥에서 허리높이로 들기, 허리에서 어깨높이로 들기, 바닥에서 어깨높이로 들기, 옮기기, 밀기 및 당기기에서 모두 유의한 차이가 있었다(p<.05). 본 연구는 사회심리적 요소와 신체적 측면을 함께 고려한 다면재활프로그램이 산업재해근로자의 직업복귀에 있어서 다차원 심리의 긍정적인 변화, 역량강화, 직업복귀준비 및 작업능력에 효과적임을 알 수 있었고 직업재활의 효과적인 방법임을 제안한다.

조기진통 임부의 입원 후 스트레스와 간호요구 변화 (Change of Stress and Nursing Needs after Hospitalization in Preterm Labor Women)

  • 김민경;이영휘;조인숙;임지영
    • 여성건강간호학회지
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    • 제15권1호
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    • pp.24-31
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    • 2009
  • Purpose: This study was to examine the change of stress and nursing needs in preterm labor women after hospitalization. Method: Forty seven women with preterm labor who were admitted in two university hospitals participated in the survey and they were completed the questionnaires on admission day and 5th day after admission. Questionnaires included in modified Antepartum Hospital Stressor Inventory (AHSI) and Nursing Needs for Preterm Labor. The collected data were analyzed by paired t-test and Pearson correlation test. Result: The stress level was not decreased significantly after hospitalization. Among them, the stresses about fetus and medical staff were decreased significantly after hospitalization, but those about pregnant women, husband and environment were increased significantly after hospitalization. The difference in the level of nursing needs between the two different days was not significant except the physical needs. The total level of stress and nursing needs were correlated significantly on the 5th day after hospitalization. Conclusion: These results indicate that stress and nursing needs of preterm labor women undergo changes after hospitalization. Therefore, development of the program being followed by stressors which change from day to day and further studies are required in order to examine the decreasing of the stress.

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The development of a community-based medical education program in Korea

  • Yoo, Jung Eun;Hwang, Seo Eun;Lee, Gyeongsil;Kim, Seung Jae;Park, Sang Min;Lee, Jong-Koo;Lee, Seung-Hee;Yoon, Hyun Bae;Lee, Ji Eun
    • Korean journal of medical education
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    • 제30권4호
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    • pp.309-315
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    • 2018
  • Purpose: The introduction of community-based medical education would help improve the quality of primary care. This paper suggests learning objectives and an educational program for community-based medical education. Methods: The educational program was developed in a 1-day consensus workshop. Twenty experts, including faculty members from family medicine department of a college of medicine in Seoul and community-based preceptors, participated in the program. A needs-assessment survey was conducted among community-based preceptors before the workshop. Through this workshop, we derived learning objectives and a standardized curriculum for community-based medical education. Results: In the questionnaire before the workshop, community-based preceptors voiced concerns over the program's potential costs and the time required for teaching. The learning objectives and educational programs derived from the workshop's consensus were consistent with the characteristics of the primary care. Based on the results of this workshop, the joint expert team developed a standard educational program on two core topics: clinical teaching and mentoring. Conclusion: From this curriculum development process, participants could construct a more standardized curriculum for community-based medical education. Future studies are needed to evaluate the long-term outcomes of these educational programs, such as the learners' satisfaction and achievement.

Tranilast-delivery surgical sutures to ameliorate wound healing by reducing scar formation through regulation of TGF-β expression and fibroblast recruitment

  • Choi, Sung Yoon;Kim, Byung Hwi;Huh, Beom Kang;Jeong, Woong;Park, Min;Park, Hyo Jin;Park, Ji-Ho;Heo, Chan Yeong;Choy, Young Bin
    • Journal of Industrial and Engineering Chemistry
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    • 제67권
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    • pp.469-477
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    • 2018
  • We describe surgical sutures enabled with the local, sustained delivery of a TGF-${\beta}$ inhibitory drug, tranilast. To fabricate drug-delivery sutures, we separately prepared a tranilast-loaded strand using poly (lactic-co-glycolic acid), which was then physically braided with a surgical suture already in clinical use. By this method, the drug-delivery sutures maintained the mechanical strength and allowed the modulation of drug release profiles by simply altering the tranilast-loaded strand. The drug-delivery sutures herein released tranilast for up to 14 days. When applied to animal models, scarring was indeed reduced with diminished TGF-${\beta}$ expression and fibroblast numbers during the entire 21 day testing period.