• 제목/요약/키워드: PM(Program Management)

검색결과 262건 처리시간 0.023초

Effect of stocker management program on beef cattle skeletal muscle growth characteristics, satellite cell activity, and paracrine signaling impact on preadipocyte differentiation

  • Vaughn, Mathew A.;Lancaster, Phillip A.;Roden, Kelly C.;Sharman, Evin D.;Krehbiel, Clinton R.;Horn, Gerald W.;Starkey, Jessica D.
    • Journal of Animal Science and Technology
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    • 제61권5호
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    • pp.260-271
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    • 2019
  • The objective of this study was to determine the effect of different stocker management programs on skeletal muscle development and growth characteristics, satellite cell (SC) activity in growing-finishing beef cattle as well as the effects of SC-conditioned media on preadipocyte gene expression and differentiation. Fall-weaned Angus steers (n = 76; $258{\pm}28kg$) were randomly assigned to 1 of 4 stocker production systems: 1) grazing dormant native range (NR) supplemented with a 40% CP cottonseed meal-based supplement ($1.02kg{\cdot}steer^{-1}{\cdot}d^{-1}$) followed by long-season summer grazing (CON, 0.46 kg/d); 2) grazing dormant NR supplemented with a ground corn and soybean meal-based supplement fed at 1% of BW followed by short-season summer grazing (CORN, 0.61 kg/d); 3) grazing winter wheat pasture (WP) at high stocking density (3.21 steers/ha) to achieve a moderate rate of gain (LGWP, 0.83 kg/d); and 4) grazing winter WP at low stocking density (0.99 steers/ha) to achieve a high rate of gain (HGWP, 1.29 kg/d). At the end of the stocker (intermediate harvest, IH) and finishing (final harvest, FH) phases, 4 steers / treatment were harvested and longissimus muscles (LM) sampled for cryohistological immunofluorescence analysis and SC culture assays. At IH, WP steers had greater LM fiber cross-sectional area than NR steers; however, at FH, the opposite was observed (p < 0.0001). At IH, CORN steers had the lowest Myf-5+:Pax7+ SC density (p = 0.020), while LGWP steers had the most Pax7+ SC (p = 0.043). At FH, CON steers had the highest LM capillary density (p = 0.003) and their cultured SC differentiated more readily than all other treatments (p = 0.017). At FH, Pax7 mRNA was more abundant in 14 d-old SC cultures from HGWP cattle (p = 0.03). Preadipocytes exposed to culture media from proliferating SC cultures from WP cattle isolated at FH had more $PPAR{\gamma}$ (p = 0.037) and less FABP4 (p = 0.030) mRNA expression compared with NR cattle. These data suggest that different stocker management strategies can impact skeletal muscle growth, SC function, and potentially impact marbling development in growing-finishing beef cattle.

일대일 퇴원교육이 만성폐쇄성 폐질환자의 증상경험 및 자가간호수행에 미치는 효과 (Effects of the Nurse-led Discharge Education on Symptom Experience and Self-Care Compliance in Patients with Chronic Obstructive Pulmonary Disease)

  • 조은혜;황선영
    • 성인간호학회지
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    • 제23권6호
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    • pp.595-604
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    • 2011
  • Purpose: This study was conducted to examine the effects of the nurse-led one-on-one discharge education on the levels of symptom experience and self-care compliance among patients with chronic obstructive pulmonary disease (COPD) who had not previously participated in an education or respiratory rehabilitation program. Methods: This study used a quasi-experimental pre-and post-test design with nonequivalent control group. Sixty seven hospitalized patients (34 for experimental and 33 for control groups) were recruited from in-patient units of a general hospital from August to November, 2010. The one-on-one education session of symptom management and daily self-care was administered to experimental group for 50 minutes along with a follow-up phone call. Self-administered questionnaire was administered at the pretest and at 1 month after discharge. Results: The subjects were 67.43(${\pm}10.24$)years old in average. The mean differences of symptom experience (t=3.39, p=.001) and self-care compliance (t=-38.13, p<.001) in the experimental group was significantly higher than those of the control group. Conclusion: Nurse-led one-on-one discharge education was effective in reducing the level of symptom experience and enhancing self-care compliance at home within one month after discharge. Therefore, this form of one-on-one education provided by nurses might be applicable effectively for COPD patients who do not have access to respiratory rehabilitation programs.

학령기 후기 아동의 건강증진행위 관련요인 (Factors related to Health Promoting Behavior in Late School-age Children)

  • 김현섭;김영임
    • 한국학교보건학회지
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    • 제23권1호
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    • pp.1-10
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    • 2010
  • Purpose: The purpose of this study was to investigate factors influencing health promoting behavior of the late school age children and to analyze the difference of health promoting behavior according to personal factors of children. Methods: The subjects consisted of 169 school-aged children in the 6th grade in Gyeonggi-do. Data were collected from Dec. 1 to Dec. 10, 2008. The data were analyzed by using frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson's correlation coefficients and Stepwise multiple regression with the SPSS/WIN 12.0 program. Results: 1) Health promoting behavior was proved to be relatively high. The average item score for the health promoting behavior was $3.85{\pm}.41$. The highest degree of health promoting behavior was stress management (4.13). whereas the one with the lowest degree was exercise (3.40). 2) In the relationship between personal factors and health promoting behavior, there were statistically significant differences in gender, perceived health status, family mood, father's drinking habits, school performance, school satisfaction. 3) Health promoting behavior was showed significant positive correlations with perceived self-efficacy (r=.55), social support (r=.65), prior related behaviors (r=.44), perceived benefits of action (r=.42), and significant negative correlations with perceived barriers of action (r=-.37). 4) Stepwise multiple regression analysis was revealed that the most powerful predictor of health promoting behavior was social support ($\beta$=0.36) Conclusion: The combination of social support, perceived self-efficacy, perceived benefits of action, gender, and family mood accounted for 57.8% of the variance in the health promoting behavior of the late school age children.

병원간호사의 근무형태와 주간수면과다증에 따른 직무몰입 (A Study on Job Involvement according to Working Pattern and Daytime Sleepiness among Hospital Nurses)

  • 황은희;강지숙
    • 동서간호학연구지
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    • 제17권2호
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    • pp.81-86
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    • 2011
  • Purpose: The purpose of this study was to examine job involvement according to working pattern and daytime sleepiness in hospital nurses. Methods: At 2 hospitals in affiliation of university, after obtaining participant's consent form, data were collected from October to November, 2007. Twohundred fifty nurses participated in the study. Questionnaire consisted of Epworth Sleepiness Scale (ESS), Job Involvement. Collected data was analyzed with SPSS 14.0 program, which was used for frequency, percentage, mean, standard deviation, t-test and Pearson correlation coefficients. Results: Major findings of this study were as follows 1) The nurses for 3 shift work was 172 (68.8%), the nurses for 2 shift work was 3 (1.2%) and the nurses for day fixation was 75 (30.0%). 2) Mean of ESS was 5.94 (3.28), daytime sleepiness was 13.2% and Job involvement had a mean of $21.27.{\pm}4.61.3$) There were significant differences between shift work and day fixed work on ESS (t=4.33, p<.001), job involvement (t=6.54, p<.001). Higher ESS were significantly related to lower job involvement (r=-.185, p=.003). Conclusion: The finding of this study gives useful informations about sleep and work involvement of hospital nurses. It is need to develop systemic management for shift work nurses by hospital, nurse organization, and government.

아로마 흡입이 밤번근무 간호사의 수면과 피로에 미치는 효과 (The Effects of Aroma Inhalation on Sleep and Fatigue in Night Shift Nurses)

  • 장순복;추상희;김영인;윤선희
    • 성인간호학회지
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    • 제20권6호
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    • pp.941-949
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    • 2008
  • Purpose: This study was conducted to describe the effects of aroma inhalation on sleep and fatigue in night shift nurses. Methods: The research design was one group pre-posttest design. The subjects were 17 night shift nurses who work at neurosurgery intensive care unit of K hospital of C university in Seoul. During three consequent night shifts, the participants were worn the Actigraph to measure the sleep pattern on their wrist since their first night shift work. The quality of sleep and fatigue was measured by survey when they awoke at 6 pm after second night shift work. And these measures were repeated during the night shifts in second and third week. Aroma inhalation was applied before going to bed after finishing each night shift work during second and third week. SPSS 12.0 program was used for data analysis. Results: There were no statistically significant differences in sleep latency and total sleeping time. However, significant differences were found in the sleep efficiency, awakening number, sleep quality, subjective symptom and intensity of fatigue. Conclusion: These results showed that aroma inhalation had positive effects on the pattern and quality of sleep and reducing fatigue in night shift nurses.

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장루보유자의 삶의 질 및 관련 요인에 대한 연구 (A Study on Quality of Life and Related Factors of Ostomates)

  • 송경숙;박영숙
    • 대한간호학회지
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    • 제29권4호
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    • pp.817-828
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    • 1999
  • This is a descriptive study on quality of life(QOL) and related factors of ostomates to provide a basic data for development of nursing interventions. The subjects were 110 ostomates who were members of the Daegu or Daejon branches of the Korean Ostomy Association. Data collection was performed between March 1st and April 6th, 1998. Measurements of QOL, self-care, family support, self-esteem, and hope were used as the study tools. Data were analyzed with the SAS program by using t-test, ANOVA Pearson correlation and stepwise multiple regression. The results are as follows : 1) The score on the QOL scale ranged from 97 to 226 with a mean of 164.53($\pm$28.29). 2) The score of QOL on the general and ostomate-related characteristics showed significant differences according to monthly income, monthly participation in ostomate meetings, combined treatments after operation, types of evacuation management, problems of ostomy, help in caring for the ostomy, length of time since ostomate surgery, and presence or absence of readmission after discharge. 3) There were significant positive correlations between quality of life and other factors : self-esteem(r=0.7107, P<0.001), hope(r=0.6584, P<0.001) family support(r=0.6191, P<0.001), perception of health condition(r=0.6017, P<0.001), and self-care (r=0.2286, P<0.05). 4) The variables that affected the quality of life of the subjects were self-esteem, level of family support, perception of health condition, monthly participation in ostomate meetings, combined treatments after operation, monthly income, level of hope, and age in that order. The variance of quality of life was $R^2$=77.20 percent by calculating the sum of those variables. In conclusion, it is necessary for nursing intervention to promote self-esteem, family support, and hope in the care of ostomates in order to improve QOL.

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암 환자 가족의 호스피스 요구도 (The Need for Hospice Care in Families of Patients with Cancer)

  • 김신정;김영순;강경아
    • 지역사회간호학회지
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    • 제15권4호
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    • pp.639-647
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    • 2004
  • Purpose: The purpose of this study was to analyze the need for hospice care programs in families of patients with cancer. Method: The study surveyed 98 families who were taking care of patients with cancer. This survey was conducted from August 2004 to October 2004 at two general hospitals in Seoul. The data were collected through a self-reporting questionnaire of 22 items. The items were classified into five areas by factor analysis to identify the construct validity. The reliability of the tool was established by Cronbach's alpha as .93 and the data collected were analyzed by descriptive statistics, t-test and ANOVA. Results: 1) The degree of need for hospice care of the subjects showed a high average of $3.26({\pm}3.7$). The need for 'emotional care of patients showed the highest mean' (M=3.47), 'management of terminal physical symptoms' (M=3.34), 'control of secondary physical problems' (M =3.26), 'acceptance of the family's difficulty' (M=3.12), 'spiritual care for preparing for death' (M=2.96), respectively. 2) With respect to the demographic characteristics of the subjects, there were statistically significant differences in hospice care needs, according to the onset of diagnosis (F=3.110, p=.030). Conclusion: Hospice care must be provided considering the needs of families of patients with cancer. In this sense, this country's needs as well as hospice nurses' higher concern and support for hospice care of patients require further education and program development to meet the current demands.

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간호대학생의 월경태도, 일상생활 스트레스, 임상실습 스트레스가 월경전증후군에 미치는 영향 (Study on the effects of Menstrual Attitudes, Life Stress and Clinical Practice Stress on premenstrual syndrome in Nursing Students)

  • 조미옥;양영미;백경화
    • 디지털융복합연구
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    • 제18권10호
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    • pp.361-370
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    • 2020
  • 본 연구는 간호대학생의 월경태도, 일상생활 스트레스, 임상실습 스트레스가 월경전증후군에 미치는 영향을 확인하기 위한 서술적 조사연구이다. 수집된 자료는 SPSS 22.0 프로그램을 이용하여 t-test, one-way ANOVA, Pearson's correlation coefficient, multiple linear regression으로 분석하였다. 분석결과 월경전증후군은 대상자의 월경에 대한 태도(r=.28, p=.004), 일상생활 스트레스(r=.31, p=.001) 그리고 임상실습 스트레스(r=.29, p=.003)와 정적 상관관계가 있는 것으로 나타났다. 회귀분석을 한 결과 월경전증후군에 영향을 미치는 예측 요인은 운동의 규칙성과 월경통으로 나타났는데 즉, 운동을 규칙적으로 하지 않을수록(β=-.18, p=.006), 월경통이 심할수록(β=.51, p=.000) PMS를 더 경험한 것으로 나타났다. 회귀모형의 설명력은 38.0%이었다.

충남지역 대형사업장의 대기오염물질 확산 특성 파악 (Characterization of Atmospheric Dispersion Pattern from Large Sources in Chungnam, Korea)

  • 최우영;박민하;정창훈;김용표;이지이
    • 한국입자에어로졸학회지
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    • 제17권3호
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    • pp.55-69
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    • 2021
  • Chungnam region accounts for the largest SOX (22.8%) emission with the second-largest NOX (10.8%) emission in Korea due to the integration of many large industrial sources including a steel mill, coal-fired power plants, and petrochemical complex. Air pollutants emitted by large industrial sources can cause harmful problems to humans and the environment. Thus, it is necessary to understand dispersion patterns of air pollutants from large industrial sources in Chungnam to characterize atmospheric contamination in Chungnam and the surrounding area. In this study, seasonal atmospheric dispersion characteristics for SOX, NOX, and PM2.5 from ten major point sources in Chungnam were evaluated using HYSPLIT 4 model, and their contributions to SO2, NO2 concentrations in the regions near the source areas were estimated. The predictions of the HYSPLIT 4 model show a seasonal different dispersion pattern, in which air pollutants were dispersed toward the southeast in winter while, northeast in summer. In summer, due to weaker wind speed, air pollutants concentrations were higher than in winter, and they were dispersed to the metropolitan area. The local emissions of air pollutants in Taean area had a greater influence on the ambient SO2 and NO2 concentrations at Taean, whereas SOX and NOX emissions from large sources located at Seosan showed relatevely little effect on the ambient ambient SO2 and NO2 concentrations at Seosan.

보건소를 이용하는 고혈압·당뇨병 환자의 보완대체요법에 대한 이용실태 및 인식 (Utilization and Awareness of Complementary and Alternative Medicine (CAM) in Rural Hypertension or Diabetes Patients)

  • 이명인;김윤이;서영미;이명하;정석희
    • 디지털융복합연구
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    • 제12권1호
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    • pp.457-466
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    • 2014
  • 본 연구는 보건소 건강교실을 이용하는 고혈압 당뇨병 환자의 보완대체요법(CAM)에 대한 이용실태 및 인식을 알아보기 위하여 시도된 서술적 조사연구이다. 대상은 보건소 건강교실을 이용하는 고혈압 당뇨병환자 177명을 면대면 인터뷰를 통해 자료를 수집하였고, 자료는 SPSS WIN 18.0 프로그램을 이용하여 빈도, 백분율, 평균, 표준편차, Independent t-test, Pearson correlation분석을 실시하였다. 연구결과 대상자의 56.5%가 CAM을 이용해 본 경험이 있었고, 의료인과 상의한 경험이 있는 사람은 전체의 16.0%에 불과하였다. CAM에 대한 일반적 인식점수는 $3.11{\pm}0.58$점으로 CAM 재이용의도 및 권유의도 및 관련교육 참여의도 간에 통계적으로 유의한 양의 상관관계가 있었다(r=.604, r=.516, r=.419, p<.001). 결론적으로, 만성질환자들의 CAM이용 현황 및 인식에 대하여 의료인들 및 보건당국이 관심을 가져야 할 필요가 있으며, 추후 만성질환자들의 올바른 CAM이용을 위한 효과적인 실행전략 및 정책 마련에 유용한 기초자료로 이용될 수 있다.