• 제목/요약/키워드: Patterns of care study

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식사기록과 인터뷰를 이용한 일부 저소득층 아동의 식사 구성 및 식행동 조사 (Assessment of Meal Quality and Dietary Behaviors of Children in Low-Income Families by Diet Records and Interviews)

  • 박은영;한성림;김혜경
    • 한국식품영양학회지
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    • 제24권2호
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    • pp.145-152
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    • 2011
  • This study was conducted to investigate the meal quality and dietary behaviors of low-income family children by qualitative method. The subjects were 12 children(2 boys and 10 girls) aged 7 to 11, enrolled in an after-school care center in Kimpo, Gyeonggi province. Most of their mothers had jobs(83.3%) and 75% were the beneficiaries of a government assistance program. When compared using body mass index(BMI) percentile, 16.7% of the subjects were classified as being overweight. The food intake patterns and meal qualities were evaluated from dietary records for three non-consecutive days. The mean dietary diversity score(DDS) was 3.8, suggesting at least one food group was deficit. Only 8.3% of the records indicated a satisfactory intake of all five food groups, and fruit was the most deficit food group(58.3%). Also, the proportion of balanced of meals was low, especially breakfast(36%), in that main dish(the source of protein) was not included. The children had problematic eating behaviors, such as an unbalanced diet, eating meals in a hurry, skipping breakfast, and irregular meal times. They answered that they liked to eat simple meals and convenient foods. In conclusion, nutrition education should incorporate strategies to reach families and help with meal planning and management, as well as modifying the eating behaviors of children, in order to improve nutritional status.

The Burden of Cancer in Member Countries of the Association of Southeast Asian Nations (ASEAN)

  • Kimman, Merel;Norman, Rosana;Jan, Stephen;Kingston, David;Woodward, Mark
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권2호
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    • pp.411-420
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    • 2012
  • This paper presents the most recent data on cancer rates and the burden of cancer in the ASEAN region. Epidemiological data were sourced from GLOBOCAN 2008 and disability adjusted life years (DALYs) lost were estimated using the standard methodology developed within the World Health Organization's Global Burden of Disease study. Overall, it was estimated there were over 700,000 new cases of cancer and 500,000 cancer deaths in ASEAN in the year 2008, leading to approximately 7.5 million DALYs lost in one year. The most commonly diagnosed cancers were lung (98,143), breast (86,842) and liver cancers (74,777). The most common causes of cancer death were lung cancer (85,772), liver cancer (69,115) and colorectal cancer (44,280). The burden of cancer in terms of DALYs lost was highest in Laos, Viet Nam and Myanmar and lowest in Brunei, Singapore and the Philippines. Significant differences in the patterns of cancer from country to country were observed. Another key finding was the major impact played by population age distribution on cancer incidence and mortality. Cancer rates in ASEAN are expected to increase with ageing of populations and changes in lifestyles associated with economic development. Therefore, ASEAN member countries are strongly encouraged to put in place cancer-control health care policies, focussed on strengthening the health systems to cope with projected increases in cancer prevention, treatment and management needs.

Clinicopathologic Patterns of Adult Renal Tumors in Pakistan

  • Hashmi, Atif Ali;Ali, Rabia;Hussain, Zubaida Fida;Faridi, Naveen
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권5호
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    • pp.2303-2307
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    • 2014
  • Background: Renal cancer is a serious public health problem which may be under reported and registered in our setup, since the Karachi cancer registry documented only 43 cases out of 4,268 incident cancer cases over 3 year duration. Therefore we aimed to determine the clinicopathologic characteristics of adult renal tumors in our setup. Materials and Methods: The study was conducted in histopathology department, Liaquat National Hospital and included total of 68 cases of adult renal tumors over 4 years. Detailed histopathologic characteristics of tumors were analyzed. Results: Mean age of patients was 56.4 (18-84) years. Renal cell carcinoma (RCC) was the most common cell type (78%) cases; followed by transitional/urothelial carcinoma (12.5%), leiomyosarcoma (4.7%), oncocytoma (1.6%), squamous cell carcinoma (1.6%) and high grade pleomorphic undifferentiated sarcoma (1.6%). Among 50 RCC cases; 62% were conventional/clear cell RCC (CCRCC) type followed by papillary RCC(PRCC), 24%; chromophobe RCC(CRCC), 6% and sarcomatoid RCC(SRCC), 8%. Mean tumor size for RCC was 7.2 cm. Most RCCs were intermediate to high grade (60% and 40% respectively). Capsular invasion, renal sinus invasion, adrenal gland involvement and renal vein invasion was seen in 40%, 18%, 2% and 10% of cases respectively. Conclusions: We found that RCC presents at an earlier age in our setup compared to Western populations. Tumor size was significantly larger and most of the tumors were of intermediate to high grade. This reflects late presentation of patients after disease progression which necessitates effective measures to be taken in primary care setup to diagnose this disease at an early stage.

Elemental analysis of caries-affected root dentin and artificially demineralized dentin

  • Sung, Young-Hye;Son, Ho-Hyun;Yi, Keewook;Chang, Juhea
    • Restorative Dentistry and Endodontics
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    • 제41권4호
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    • pp.255-261
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    • 2016
  • Objectives: This study aimed to analyze the mineral composition of naturally- and artificially-produced caries-affected root dentin and to determine the elemental incorporation of resin-modified glass ionomer (RMGI) into the demineralized dentin. Materials and Methods: Box-formed cavities were prepared on buccal and lingual root surfaces of sound human premolars (n = 15). One cavity was exposed to a microbial caries model using a strain of Streptococcus mutans. The other cavity was subjected to a chemical model under pH cycling. Premolars and molars with root surface caries were used as a natural caries model (n = 15). Outer caries lesion was removed using a carbide bur and a hand excavator under a dyeing technique and restored with RMGI (FujiII LC, GC Corp.). The weight percentages of calcium (Ca), phosphate (P), and strontium (Sr) and the widths of demineralized dentin were determined by electron probe microanalysis and compared among the groups using ANOVA and Tukey test (p < 0.05). Results: There was a pattern of demineralization in all models, as visualized with scanning electron microscopy. Artificial models induced greater losses of Ca and P and larger widths of demineralized dentin than did a natural caries model (p < 0.05). Sr was diffused into the demineralized dentin layer from RMGI. Conclusions: Both microbial and chemical caries models produced similar patterns of mineral composition on the caries-affected dentin. However, the artificial lesions had a relatively larger extent of demineralization than did the natural lesions. RMGI was incorporated into the superficial layer of the caries-affected dentin.

Opportunistic Insights into Occupational Health Hazards Associated with Waterpipe Tobacco Smoking Premises in the United Kingdom

  • Al-Bakri, Ali;Jawad, Mohammed;Salameh, Pascale;al'Absi, Mustafa;Kassim, Saba
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권2호
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    • pp.621-626
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    • 2015
  • Background: Smokefree laws aim to protect employees and the public from the dangers of secondhand smoke. Waterpipe premises have significantly increased in number in the last decade, with anecdotal reports of poor compliance with the smokefree law. The literature is bereft of information pertaining to waterpipe premise employees. This study aimed to opportunistically gather knowledge about the occupational health hazards associated with working in waterpipe premises in London, England. Materials and Methods: Employees from seven convenience-sampled, smokefree-compliant waterpipe premises in London were observed for occupational activities. Opportunistic carbon monoxide (CO) measurements were made among those with whom a rapport had developed. Observations were thematically coded and analysed. Results: Occupational hazards mainly included environmental smoke exposure. Waterpipe-serving employees were required to draw several puffs soon after igniting the coals, thereby providing quality assurance of the product. Median CO levels were 27.5ppm (range 21-55ppm) among these employees. Self-reported employee health was poor, with some suggestion that working patterns and smoke exposure was a contributory factor. Conclusions: The smokefree law in England does not appear to protect waterpipe premise employees from high levels of CO. Continued concerns surrounding chronic smoke exposure may contribute to poor self-reported physical and mental wellbeing.

돼지 미성숙 난자 모계 유전자 발현이 체외성숙에 미치는 영향 (Effect of maternal gene expression on porcine oocytes in vitro maturation)

  • 이재달
    • 한국산학기술학회논문지
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    • 제13권8호
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    • pp.3532-3536
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    • 2012
  • 난자 세포의 정상적인 성숙과정을 이해하려면 모계유래 유전자 발현 증가의 분자 생물학적 기전을 밝혀내야 한다. 이것은 모계 유전자의 염기서열의 변화와 밀접한 관계가 있다. 전 연구결과에 의하면 돼지 난자 체외 성숙과정에서의 모계 유전자 mRNA 발현은 통상적으로 poly(A) 꼬리 길이와 아데닐산 중합반응에 의하여 검증된다. 하지만 포유동물 체외성숙 과정에서는 아직까지 밝혀진 것이 없다. 따라서 본 연구목적은 성숙단계 난모세포에서의 분자생물학적 기전을 해명하고자, 4개의 중요한 모계유전자발현을 real-time PCR기법으로 확인하여 poly(A) 꼬리 길이와 아데닐산중합반응의 변화를 확인하였다. 본 연구에서 접합체 유전자 활성화 단계에서 모계 유전자의 비정상적인 발현과 이것에 상응하는 단백질 수준의 억제는 일부 혹은 대부분 유전자 손실에 의하여 초래된 것임을 알 수 있었다. 따라서 이상적인 모계 유전자 발현은 난자 세포의 성숙 및 더 나가서 초기 배아 발달에 중요한 역할을 하는 것임을 확인 하였다.

노인의 자녀와의 상호간 지원 교환이 성공적인 노후생활에 미치는 영향 (The Effect of the Mutually Supportive Relationship with their Children on the Successful Lives of the Elderly)

  • 곽인숙
    • 가족자원경영과 정책
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    • 제15권4호
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    • pp.107-127
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    • 2011
  • The purpose of this study is to examine demographic characteristics, psychological characteristics and patterns of supportive relationships with their children that affect the successful lives of the elderly. A survey was conducted of 410 people aged between 65 and 85, and 405 samples were used for the analysis. First, the supportive relation between the elderly and their children was categorized into four groups depending on the total amount and direction of support. The four groups consisted of the elderly who exchanged little or no support, those who only received support from their children, those who only gave support, and those who both gave and received support. Second, the more the elderly exchanged support and gave emotional support to their children, the better the chance that the elderly would lead a successful life in later years. Third, subjective health conditions most significantly affected the successful lives of the elderly who exchanged little or no support. The level of education was most significant for the elderly who only received support. The level of housing satisfaction mostly affected the elderly who only gave support. Mutual support primarily affected the elderly who both gave and received. Thus, we should provide health programs for the elderly who exchange little or no support to encourage a healthier lifestyle. In addition, opportunities for continuing education should be provided for the elderly who only receive support to make up any deficiency in education. Because spouses are mostly affected for those elderly who exchange little or no support and the elderly who only receive support, we should provide educational programs about how to be better lifetime companions to each other and also provide medical and in-home care for the remaining spouse even after the other partner is gone. Because housing satisfaction greatly affects the elderly who only give support, improvements in the residential environment are essential. Since the level of mutual support is crucial to the elderly who both give and receive support, programs on the development of human resources are needed for the elderly to interact dynamically and intimately with their children.

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SATEEC과 USPED를 이용한 토양 유실량 산정 및 우선관리 유역 선정 평가 (Estimation of Soil Erosion using SATEEC and USPED and Determination of Soil Erosion Hot Spot Watershed)

  • 서일규;박윤식;김남원;문종필;류지철;옥용식;김기성;임경재
    • 한국물환경학회지
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    • 제26권3호
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    • pp.497-506
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    • 2010
  • Severe muddy water problem has been the hot issue in Korea. Because of increased nonpoint source pollutions at Kangwon province, best soil erosion management system is required to reduce inflow of nonpoint source pollutions into the waterbodies. The USLE-based SATEEC system have been developed and enhanced for soil erosion and sediment yield estimation. However, the SATEEC cannot estimate soil depositions depending on topography in the watershed, while the USPED estimates soil erosion and deposition using sediment transport capacity of the surface runoff. In this study, the SATEEC and USPED were used to determine soil erosion hot spot subbasins. For this, 54 subbasins were delineated. In general, soil erosion hot spot subbasins were identified similarly with SATEEC and USPED. However, depending on erosion and deposition patterns in each subbasin. USPED estimated soil erosion hot spot subbasins didn't match those estimated with SATEEC. For some subbasins, much deposition was expected than erosion. This indicates that SATEEC estimated soil erosion values may be overestimated for these subbasins. Thus, care should be taken when understanding soil erosion status in the watershed based on USLE-based SATEEC results. In addition, the USPED results could be used to identify the site-specific soil erosion best management practices. If the USPED and USLE-based SATEEC are combined, it would help determining soil erosion hot spot subwatersheds in economic and environmental perspectives.

A Study on Self-medication for Health Promotion of the Silver Generation

  • Oh, Soonhwan;Ryu, Gihwan
    • International Journal of Advanced Culture Technology
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    • 제8권4호
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    • pp.82-88
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    • 2020
  • With the development of medical care in the 21st century and the rapid development of the 4th industry, electronic devices and household goods taking into account the physical and mental aging of the silver generation have been developed, and apps related to health and health are generally developed and operated. The apps currently used by the silver generation are a form that provides information on diseases by focusing on prevention rather than treatment, such as safety management apps for the elderly living alone and methods for preventing diseases. There are not many apps that provide information on foods that have a direct effect and nutrients in that food, and research on apps that can obtain information about individual foods is insufficient. In this paper, we propose an app that analyzes food factors and provides self-medication for health promotion of the silver generation. This app allows the silver generation to conveniently and easily obtain information such as nutrients, calories, and efficacy of food they need. In addition, this app collects/categorizes healthy food information through a textom solution-based crawling agent, and stores highly relevant words in a data resource. In addition, wide deep learning was applied to enable self-medication recommendations for food. When this technique is applied, the most appropriate healthy food is suggested to people with similar eating patterns and tastes in the same age group, and users can receive recommendations on customized healthy foods that they need before eating. This made it possible to obtain convenient healthy food information through a customized interface for the elderly through a smartphone.

울산지역 중.장년층의 식생활 특성과 건강식품 섭취 실태 (Food Habits and Health Food Consumption Patterns of Adults in the Ulsan Area)

  • 유수연;김혜경
    • 대한지역사회영양학회지
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    • 제8권6호
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    • pp.889-900
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    • 2003
  • This study was carried out to obtain information regarding eating habits, including health related behavior and health food consumption patterns. The subjects of this study were 149 men and 152 women residing in the Ulsan area. We obtained results by means of a questionnaire and an interview, and these were analyzed using the SPSS package program. The results of this study are summarized as follows The average age of the men was 47.6 $\pm$ 7.3 years and of the women was 47.3 $\pm$ 7.6 years old. The average height and weight of the men were 169.4 $\pm$ 5.5 cm and 67.7 $\pm$ 8.2 kg, respectively. Those of the women were 157.6 $\pm$ 5.0 cm and 58.2 $\pm$ 7.5 kg, respectively. The BMI values of all the subjects ranged from 20.0 to 25.0, all within the normal levels. In the case of dietary patterns, 24.3% of the total population always skipped a meal. In particular, 15.9% of the total population skipped breakfast. No time to eat, no appetite, having no taste, and having poor health were themain reasons for skipping meals. With regard to health care, there was a significant difference between the men and the women with respect to smoking and drinking (p<0.001). Of the total population, 40.5% hardly exercised (less than once a week), 26.2% exercised occasionally, 13.6% frequently exercised, and 19.6% exercised almost every day. A total of 60.7% responded that they were not interested in their health. The mean eating habit score of the subjects was 65.6 $\pm$ 9.9. The women had a higher eating habit score than the men (64.0 $\pm$ 9.6 for the men and 67.2 $\pm$ 9.9 for the women). Except for one group above 60 years, the older group had a higher eating habit score than the younger one. The group having a higher income and a more specialized career had a higher eating habit score than the one having a lower income and a less specialized career. There was also a marital difference. The group of single subjects showed a lower eating habit score than the married group. The group having a higher eating habit score drank, smoked and went out for meals less, and exercised more than the group having lower scores. They also were more concerned about their health. In the older group, there were more diabetic and hypertensive individuals. The subjects who had a higher BMI index were more likely to be patients with hypertension, especially in the men's group. Those who had a higher BMI index and hypertension simultaneously took a variety of medicines and foods for promoting health. Those who worried a lot about their health and had health problems tended to take special foods for their health. Patients usually took tonics. Special foods for health included Chinese medicines, tonic foods, vitamin or mineral supplements and manufactured health food supplements. Preferences for them depended on the sex and age of the subject. In the case of tonic foods, the men liked them more than the women. Foods other than tonic foods were favorites with the women. This study may provide basic information on the eating habits and health related behaviors of middle-aged people. However, further studies are needed to improve the eating habits and to change the nutritional attitudes, so that people can make better choices of health foods.