• Nutrition Research and Practice
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• 제15권5호
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• pp.655-671
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• 2021

BACKGROUND/OBJECTIVES: While plate waste has been widely investigated in hospitals, there have been minimal studies specific to the texture-modified diet (TMD). This study aims to determine the percentage of plate waste among patients prescribed with TMD and its contributory factors. SUBJECTS/METHODS: This was a single-centre study conducted in the university hospital on three types of TMD (blended diet, mixed porridge, minced diet) during lunch and dinner meals. Weighing method and visual estimation method assisted by digital photograph were adopted in this study. Face to face interview was carried out to investigate on 1) the food/food service quality factors in terms of patients' satisfaction level towards sensorial quality of food and food services provided and 2) the clinical/external factors including appetite, the provision of oral nutrition support, time taking the diet, the need for feeding assistance and the length of hospital stay. RESULTS: The mean percentage of overall plate waste of 95 patients receiving TMD was high (47.5%). Blended diet was identified as the most wasted diet (65%) followed by minced diet (56%) and mixed porridge (35%). Satisfaction level among patients was moderate. Patients on TMD in general had higher satisfaction level on the aspect of food service as compared to food quality. Substantial association between sensorial qualities of food and plate waste were varied according to individual TMD type. A multiple linear regression showed that only the satisfaction level toward the aspects of appearance and variety of foods were the predictors of TMD plate waste (R² = 0.254, P < 0.05). CONCLUSIONS: A significant relationship between the percentage of plate waste and the overall satisfaction level of patients receiving TMD suggests that vigorous strategies are needed to reduce the food waste of TMD which will lead to a better nutritional status and clinical outcomes among the patients.

• Asian-Australasian Journal of Animal Sciences
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• 제32권4호
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• pp.548-555
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• 2019

Objective: The main objective of this study was to evaluate the effect of different feeding levels of a total mixed ration silage-based diet on feed intake, total tract digestion, enteric methane emissions, and energy partitioning in two beef cattle genotypes. Methods: Six mature bulls (three Thai natives, and three Thai natives - Charolais crossbreeds) were assigned in a replicated $3{\times}3$ Latin square design, with cattle breed genotype in separate squares, three periods of 21 days, and three energy feeding above maintenance levels (1.1, 1.5, and 2.0 MEm, where MEm is metabolizable energy requirement for maintenance). Bulls were placed in a metabolic cage equipped with a ventilated head box respiration system to evaluate digestibility, record respiration gases, and determine energy balance. Results: Increasing the feeding level had no significant effect on digestibility but drastically reduced the enteric methane emission rate (p<0.05). Increasing the feeding level also significantly increased the energy retention and utilization efficiency (p<0.01). The Thai native cattle had greater enteric methane emission rate, digestibility, and energy utilization efficiency than the Charolais crossbred cattle (p<0.05). The daily metabolizable energy requirement for maintenance in Thai native cattle ($388kJ/kg\;BW^{0.75}$, where $BW^{0.75}$ is metabolic body weight) was 15% less than that in Charolais crossbred cattle ($444kJ/kg\;BW^{0.75}$). Conclusion: Our results suggested that the greater feeding level in zebu beef cattle fed above maintenance levels resulted in improved energy retention and utilization efficiency because of the reduction in enteric methane energy loss. The results also indicated higher efficiency of metabolisable energy utilization for growth and a lower energy requirement for maintenance in Bos indicus than in Bos taurus.

• 한국콘텐츠학회논문지
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• 제21권6호
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• pp.350-358
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• 2021

본 연구는 코로나19 상황에서 발달 장애 학생의 온라인 학습권 실태 분석과 증진 방안 제시를 목적으로 한다. 이를 위해 발달 장애 학생 자녀를 둔 학부모 충북지역 200인을 대상으로 한 설문조사 자료와 학부모 6인이 참여한 FGI 자료를 함께 사용하는 혼합방법론을 적용하였다. 주요 결과로, 가장 시급한 학습보조 제도는 보조인력 지원으로 확인되었고, 재택근무 등으로 자녀를 지원할 수 없는 응답자가 50.5%로 나타났다. FGI 자료 분석결과, '코로나19 온라인 학습 실태', '양육환경을 고려한 비대면 학습환경 개선'의 2가지 범주와 '화상수업 등 교수 방법 다양화', '필요 학습 자원 지원', '상황에 맞는 평가제도 도입', '돌봄 지원 강화', '건강 지원 확대'의 5가지 주제가 도출되었다. 이러한 연구 결과를 토대로 발달 장애 학생 온라인 수업 관련 법적 근거마련 검토, 학습지원 인력 파견 확대, 온라인 학습 환경 증진 대안 마련 등을 제안하였다.

• 대한간호학회지
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• 제52권5호
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• pp.535-549
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• 2022

Purpose: The study aimed to design and develop an automated personalized self-care (APSC) program for patients with type 2 diabetes mellitus. The secondary aim was to present a clinical protocol as a mixed-method research to test the program effects. Methods: The APSC program was developed in the order of analysis, design, implementation, and evaluation according to the software development life cycle, and was guided by the self-regulatory theory. The content validity, heuristics, and usability of the program were verified by experts and patients with type 2 diabetes mellitus. Results: The APSC program was developed based on goal setting, education, monitoring, and feedback components corresponding to the phases of forethought, performance/volitional control, and self-reflection of self-regulatory theory. Using the mobile application, the participants are able to learn from educational materials, monitor their health behaviors, receive weekly-automated personalized goals and feedback messages, and use an automated conversation system to solve the problems related to self-care. The ongoing two-year study utilizes a mixed method design, with 180 patients having type 2 diabetes mellitus randomized to receive either the intervention or usual care. The participants will be reviewed for self-care self-efficacy, health behaviors, and health outcomes at 6, 12, 18, and 24 months. Participants in the intervention group will be interviewed about their experiences. Conclusion: The APSC program can serve as an effective tool for facilitating diabetes health behaviors by improving patients' self-care self-efficacy and self-regulation for self-care. However, the clinical effectiveness of this program requires further investigation.

• 보건행정학회지
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• 제33권3호
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• pp.295-310
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• 2023

Background: The long-term care (LTC) group has higher rates of chronic disease and disability registration compared to the general older people population. There is a need to provide integrated medical services and care for LTC group. Consequently, this study aimed to identify medical usage patterns based on the ratings of LTC and the characteristics of benefits usage in the LTC group. Methods: This study employed the National Health Insurance Service Database to analyze the effects of demographic and LTC-related characteristics on medical usage from 2015 to 2019 using a repeated measures analysis. A longitudinal logit model was applied to binary data, while a linear mixed model was utilized for continuous data. Results: In the case of LTC ratings, a positive correlation was observed with overall medical usage. In terms of LTC benefit usage characteristics, a higher overall level of medical usage was found in the group using home care benefits. Detailed analysis by medical institution classification revealed a maintained correlation between care ratings and the volume of medical usage. However, medical usage by classification varied based on the characteristics of LTC benefit usage. Conclusion: This study identified a complex interaction between LTC characteristics and medical usage. Predicting the requisite medical services based on the LTC rating presented a challenge. Consequently, it becomes essential for the LTC group to continuously monitor medical and care needs, even after admission into the LTC system. To facilitate this, it is crucial to devise an LTC rating system that accurately reflects medical needs and to broaden the implementation of integrated medical-care policies.

• 한국전문물리치료학회지
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• 제31권1호
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• pp.40-47
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• 2024

Background: Single-leg squat (SLS)s are commonly used as assessment tool and closed kinetic exercises are useful for assessing performance of the lower extremities. Pronated feet are associated with foot pressure distribution (FPD) during daily activities. Objects: To compare the FPD during SLSs between groups with pronated and normal feet. Methods: This cross-sectional study included 30 participants (15 each in the pronated foot and control groups) are recruited in this study. The foot posture index was used to distinguish between the pronated foot and control groups. The Zebris FDM (Zebris Medical GmbH) stance analysis system was used to measure the FPD on the dominant side during a SLS, which was divided into three phases. A two-way mixed-model ANOVA was used to identify significant differences in FPD between and within the two groups. Results: In the hallux, the results of the two-way mixed-model ANOVAs revealed a significant difference between the group and across different phases (p < 0.05). The hallux, and central forefoot were significantly different between the group (p < 0.05). Moreover, significant differences across different phases were observed in the hallux, medial forefoot, central forefoot, lateral forefoot, and rearfoot (p < 0.05). The post hoc t-tests were conducted for the hallux and forefoot central regions. In participants with pronated foot, the mean pressure was significantly greater in hallux and significantly lower, in the central forefoot during the descent and holding phases. Conclusion: SLSs are widely used as screening tests and exercises. These findings suggest that individuals with pronated feet should be cautious to avoid excessive pressure on the hallux during the descent-to-hold phase of a SLS.

• The Journal of Advanced Prosthodontics
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• 제10권5호
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• pp.374-380
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• 2018

PURPOSE. The effect of silica-based glass-ceramic liners on the tensile bond strength between zirconia and resin-based luting agent was evaluated and compared with the effect of 10-methacryloyloxydecyl dihydrogen phosphate (MDP)-containing primers. MATERIALS AND METHODS. Titanium abutments and zirconia crowns (n = 60) were fabricated, and the adhesive surfaces of the specimens were treated by airborne-particle abrasion. The specimens were divided into 5 groups based on surface treatment: a control group, 2 primer groups (MP: Monobond Plus; ZP: Z Prime Plus), and 2 liner groups (PL: P-containing Liner; PFL: P-free Liner). All specimens were cemented with self-adhesive resin-based luting agent. After 24-hour water storage and thermocycling (5,000 cycles, $5^{\circ}C/55^{\circ}C$), the tensile bond strength was measured using a universal testing machine. Failure mode analysis and elemental analysis on the bonding interface were performed. The data were analyzed using Kruskal-Wallis test, Dunn's post hoc test, and Fisher's exact test. RESULTS. The liner groups and primer groups showed significantly higher tensile bond strengths than that of the control group (P<.05). PFL showed a significantly higher tensile bond strength than the primer groups (P<.05). The percentage of mixed failure was higher in the primer groups than in the control group (P<.001), and all the specimens showed mixed failure in the liner groups (P<.001). A chemical reaction area was observed at the bonding interface between zirconia and liner. CONCLUSION. The application of liner significantly increased the tensile bond strength between zirconia and resin-based luting agent. PFL was more effective than MDP-containing primers in improving the tensile bond strength with the resin-based luting agent.

• 한국환경농학회지
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• 제31권1호
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• pp.1-8
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• 2012

시설수박 재배시 안정적 수량확보와 과다시비에 따른 환경오염을 방지하기 위해 유기질비료의 적정 시비기준을 마련하고자 유기질비료인 혼합유박과 혼합유기질비료를 이용하여 시험을 수행하였다. 시험에 사용한 유기질비료는 혼합유박이 질소 3.9%, 인산 2.0%, 가리 0.9%, 혼합유기질비료는 질소 4.1%, 인산 2.1%, 가리 1.1%로 수박의 엽면적은 2가지 비종 모두에서 질소기준 0.5배량과 0.3배량 수준의 처리구가 화학비료 단용처리구와 비슷한 수준을 보였으며, 엽중 양분흡수량 및 수박의 과중과 당도는 가장 크게 나타났다. 수확 후 시험토양은 2가지 비종 모두에서 밑거름으로 50%와 30% 수준으로 시용하고, 웃거름으로 화학비료를 이용한 경우가 EC, 유효인산, 치환성 칼리 함량이 시험전에 비해 비슷하거나 낮아져 다른 처리에 비하여 시설하우스 토양의 염류집적 우려가 적었다. 이에 따라 시설수박 재배시 혼합유박이나 혼합유기질 비료의 적정시비량은 토양검정 질소시비량의 0.3~0.5배량 수준을 정식전 밑거름으로 사용하고, 나머지 양은 화학비료를 웃거름으로 관비를 통해 공급하는 것이 3~10%의 수량 증가 효과가 있었다.

• Asian-Australasian Journal of Animal Sciences
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• 제32권2호
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• pp.201-208
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• 2019

Objective: The aim of the present study was to identify the impact of early weaning of lambs at approximately seven weeks of age onto a herb-clover mix on the liveweight gain of lambs and their dams. Methods: In 2015, twin-born lambs that weighed a minimum of 16 kg (n = 134) were randomly allocated to one of three treatments: i) Early-weaned (58 days after the midpoint of lambing) onto an unrestricted allowance (>1,200 kg dry matter/ha) of herb-clover mix (HerbEW); ii) Lambs+dams unweaned onto an unrestricted allowance of herb-clover mix until conventional weaning (95 days after the midpoint of lambing) (HerbCW); iii) Lambs+dams unweaned onto an unrestricted allowance of grass-clover pasture until conventional weaning (GrassCW). In 2016, twin-born lambs that weighed a minimum of 16 kg (n = 170) were randomly allocated to one of four treatments: i), ii), iii) (similar to 2015) and iv) Lambs+dams unweaned onto a restricted allowance (<1,200 kg dry matter/ha) of grass-clover pasture until conventional weaning (93 days after the midpoint of lambing) (Restricted-GrassCW). Results: In 2015, liveweight gain from L58 to L95 of HerbCW and GrassCW lambs did not differ (p>0.05), but were greater than HerbEW lambs. In 2016, HerbCW lambs had greater (p<0.05) liveweight gains from L51 to L93 than GrassCW followed by HerbEW and Restricted-GrassCW lambs. In 2015, liveweight gain from L58 to L95 of HerbEW ewes were greater than both GrassCW and HerbCW ewes while in 2016, liveweight gain of from L51 to L93 GrassCW and HerbCW ewes did not differ (p>0.05) but were greater (p<0.05) than those of HerbEW and Restricted-GrassCW ewes. Conclusion: These results indicate that when grass-clover pasture supply can be maintained at unrestricted intake level, there may be no benefit of weaning lambs early. However, at restricted pasture conditions lambs can achieve greater liveweight gains when weaned early onto a herb-clover mix.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제21권3호
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• pp.176-183
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• 2018

Purpose: Acute gastroenteritis (AGE) is a major cause of morbidity and remains a major cause of hospitalization. Following the Syrian refugee crisis and insufficient clean water in the region, this study reviews the etiological and epidemiological data in Lebanon. Methods: We prospectively analyzed demographic, clinical and routine laboratory data of 198 children from the age of 1 month to 10 years old who were admitted with the diagnosis of AGE to a private tertiary care hospital located in the district of Nabatieh in south Lebanon. Results: Males had a higher incidence of AGE (57.1%). Pathogens were detected in 57.6% (n=114) of admitted patients, among them single pathogens were found in 51.0% (n=101) of cases that consisted of: Entamoeba histolytica 26.3% (n=52), rotavirus 18.7% (n=37), adenovirus 6.1% (n=12) and mixed co-pathogens found in 6.6% (n=13). Breast-fed children were significantly less prone to rotavirus (p=0.041). Moreover, children who had received the rotavirus vaccine were significantly less prone to rotavirus (p=0.032). Conclusion: Our findings highlight the high prevalence of E. histolytica infection as the major cause of pediatric gastroenteritis in hospitalized children, during the summer period likely reflecting the insanitary water supplies and lack of hygiene. Moreover the 42.4% of unidentified causative pathogens should prompt us to widen our diagnostic laboratory arsenal by adopting new diagnostic technologies.