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Comparative Research on the Health Information Manager(HIM) Duties of One Malaysian Hospital and Similar Scale Korean hospitals (말레이시아 1개 병원과 병상규모가 유사한 한국의 병원 간 보건정보관리자 직무 비교연구)

  • Kim, Hey-Kyung;Lee, Hyun-Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.10
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    • pp.6158-6167
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    • 2014
  • The aim of this study was to perform comparative analysis of the duties of 7 new roles of HIMs in Malaysian and Korean hospitals of a similar scale. A Malaysian general hospital with a scale of 272 hospital beds was chosen. The researcher visited a Malaysian hospital in person and interviewed the staff in charge over a 2 week period from July 22nd 2013 to August 2nd 2013. For domestic hospitals, 13 general hospitals with 270 hospital beds, similar to the Malaysian general hospital, were chosen. Phone interviews with the department recorded the duty recording work. Regarding 7 new roles of Health Information Manager (HIM), although the role as a Health information manager and Security Officer in Malaysian general hospital was not defined, 30.8% performed their role in Korean general hospitals. The classification of disease & procedure within the role of Clinical data specialist was performed by both countries, and while the tumor registry was done in a Malaysian general hospital, only 15.4% of Korean general hospitals were operating. The statistics of the discharged patients were not measured in the Malaysian general hospital but 76.9% of Korean general hospitals recorded these statistics. Although 22.1% of Korean general hospitals operated registration work of special disease, Malaysian general hospital not only had a total legal contagious disease registration, but also took charge of information registration of hospital births and deceased ones. Other than these, the Patient Information Coordinator, Data Quality Manager, Document and Repository Manager, Research and Decision Support Analyst roles were not done by either country. The new role of HIM is operated in a low percentage in Korean middle and small hospitals. Therefore, to clearly establish the role of HIM in Korea, and have middle and small hospitals to operate such a role, it is essential for the related association to give continuous education and provide support to clarify the role within the hospital working environment. It is desirable to benchmark Malaysian general hospital's registration work on special diseases and others, and expand the work to improve overall.

Survey on the Content and Intake Pattern of Sugar from Elementary and Middle School Foodservices in Daejeon and Chungcheong Province (대전.충청지역 초.중학교 급식의 당 함량 및 급식을 통한 당류의 섭취실태 연구)

  • Park, You-Gyoung;Lee, Eun-Mi;Kim, Chang-Soo;Eom, Joon-Ho;Byun, Jung-A;Sun, Nam-Kyu;Lee, Jin-Ha;Heo, Ok-Soon
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.39 no.10
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    • pp.1545-1554
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    • 2010
  • Korean government will set up the nationwide food safety system with strict control of hazardous nutrients like sugar, fatty acids and sodium as well as advanced nutrition education system. In addition, almost one hundred percent of school food service rate forced the government to consider more effective ways to upgrade the nutritional status of school meals. The object of our study was to provide the data on content and consumption of sugar in school meal for the nationwide project. For this purpose, we surveyed the sugar content of 842 school meal menus and their intake level for 154 days in 8 schools in Daejeon and Chungcheong Province. Sugar contents, the sum of the quantity of 5 sugars commonly detected in food, were analysed with HPLC-RID (Refractive Index Detector). Sugar intakes were calculated by multiplying the intake of each menu to the sugar content of that menu. The sugar content was highest in the desserts, which include fruit juices, dairy products and fruits. Sugar content of side dish was high in sauces and braised foods. Sugar intake from one dish is high in beverage and dairy product, and one dish meals contribute greatly to sugar intake because of their large amount of meal intake. The average lunch meal intakes of second grade and fifth grade elementary school students were 244 g/meal and 304 g/meal, respectively. The meal intake of middle school student was 401 g/meal. The average sugar intake from one day school lunch was 4.22 g (4.03 g on elementary and 5.31 g on middle school student), which is less than 10% of daily sugar reference value for Koreans. The result of this study provides exact data of sugar intake pattern based on the content of sugar which is matched directly to the meals consumed by the students.

The Radioprotective Effect of Ginseng Extracts on the liver in Mice that was irradiated by radiation (방사선이 조사된 생쥐 간에서 인삼추출물이 방사선 방어효과에 미치는 영향)

  • Ko, In-Ho;Chang, Chae-Chul;Koh, Jeong-Sam
    • Journal of radiological science and technology
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    • v.27 no.2
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    • pp.35-43
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    • 2004
  • Radioprotective effects of ginseng extracts on liver damage induced by high energy x-ray were studied. To one group of ICR male mice were given white(50 mg/kg/day for 7days, orally) and fermenta ginseng extracts(500 mg/kg/day for 7days, orally) before irrdiation. To another group were irradiated by 5 Gy dose of high energy x-ray. Contrast group were given with saline(0.1 ml). This study also investigated the radioprotective effect between SOD, CAT, hydrogen peroxide and ginseng extracts on hepatic damage. This study measured the level of superoxide dismutase(SOD), catalase(CAT), hydrogen peroxide($H_2O_2$) in liver tissue. Administrating orally white (50 mg/kg/day for 7days, orally) and fermenta ginseng extracts(500 mg/kg/day), the activity of SOD, CAT were generally increased and the hydrogen peroxide($H_2O_2$) was decreased. After irradiation, the activity of SOD, CAT were generally decreased and the hydrogen peroxide($H_2O_2$) was increased. Therefore, ginseng extracts increased antioxidative enzyme activity. And We know that the antioxidatant effect of extracts from white and fermenta ginseng protect radiation damage by direct antioxidant effect involving SOD, CAT. It was included that ginseng can protect against radiation damage through its antioxidatant properties.

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Effects of Dietary Mineral Extract from Granite on the Performance of Broiler Chickens and Ammonia Production from the Litter (화강암 추출 활성 광물질의 사료 내 첨가가 육계의 생산성과 깔짚 암모니아 발생에 미치는 영향)

  • Cho J. H.;Jung B. Y.;Paik I. K.
    • Korean Journal of Poultry Science
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    • v.32 no.1
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    • pp.43-48
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    • 2005
  • An experiment was conducted to investigate the effects of mineral extract from granite on the performance, ammonia production from the litter, components of blood, Newcastle Disease (ND) titer and intestinal microflora in broiler chickens. Nine hundred sixty one-day-old broiler chickens (Ross) were assigned to five treatments: C; control, Zeolite; control + zeolite 1$\%$, AM10: control + active mineral water $10\%$ adsorbed zeolite $1\%$, AM20; control + active mineral water $20\%$ adsorbed zeolite $1\%$ and AM30; control + active mineral water $30\%$ adsorbed zeolite $1\%$. Each treatment consisted of four replicates with 48 broiler chicks for feeding trial. In order to test the effect of ND vaccine on the components of blood, ND titer and intestinal microflora, a separate group of 48 broiler chicks were assigned to the same 5 treatment as the feeding trial plus one negative control (No ND vaccine). Weight gain, feed intake, feed conversion and mortality were not significantly affected by dietary treatments but AM30 tended to be higher than other treatments in weight gain and feed intake, especially during later period (4 to 5 weeks of age). Ammonia production from the litter of AM30 treatment was significantly (P<0.01) lower than the control. Components of blood and ND titer in serum of broiler chickens were not significantly affected by treatments but MCHC (mean corpuscular hemoglobin concentration) of blood was significantly lower (P<0.05) in Zeolite treatment compared to others. The colony forming unit (CFU) of Clostridium perfringens in the small intestinal content of all zeolite and AM treated groups was significantly (P<0.01) lower than the control while the CFU of Escherichia coli was not significantly affected. The CFU of Lactobacilli in AM30 treatment was significantly (P<0.05) higher than the control. In conclusion, dietary supplement of active mineral water adsorbed to zeolite at $30\%$ level (AM30) tended to improve growth performance of broiler chickens and significantly reduced ammonia production from the litter. It also significantly increased CFU of intestinal Lactobacilli.

Effect of Dietary Supplementation of CLA-Containing Oil (CLAzen 80) on fatty Acid Composition of Egg Yolk in Laying Hens (산란계 사료내 CLA 함유 Oil (CLAzen 80) 첨가가 난황내 지방산 조성에 미치는 영향)

  • Hwangbo J.;Chang J. S.;Chung I. B.;Lee B. S.;Kim D. U.;Cho S. B.;Kim H. D.;Bae H. D.;Son J. H.;Hong U. C.;Choi N. J.
    • Korean Journal of Poultry Science
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    • v.32 no.1
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    • pp.35-41
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    • 2005
  • The objectives of the present study were to investigate the effects of varying levels of dietary oil containing conjugated linoleic acid (CLA) on the egg production and fatty acid composition of egg yolk. Seventy-two 59-wk-old ISA Brown laying hens were randomly allotted to four dietary treatments, each consisting of three replicates with six birds per replicate. There were four treatments that consist of diets containing 0, 1, 2, or $3\%$ commercial CLA-containing oil. Egg production was not significantly different among the dietary treatments at 0, 2, 4, and 6 week. The proportion of saturated fatty acids such as C16:0 and C18:0 in egg yolk were increased, but that of monounsaturated fatty acid C18:1 was decreased by feeding CLA-containing oil supplementation. However, the proportion of polyunsaturated fatty acids such as C18:2 and C18:3 in egg yolk were not different among dietary treatments at 2 and 4 wk of the experiment. At 6 week, the proportion of C18:2 in egg yolk was decreased by feeding CLA-containing oil compared with the control. Polyunsaturated fatty acid:saturated fatty acid (P:S) ratio and n-6:n-3 polyunsaturated fatty acid ratio were similar across the treatments between 2 and 4 week. The P:S ratio was decreased by dietary CLA-containing oil supplementation at 6 week. The proportion of CLA in egg yolk was linearly increased with increasing levels of CLA-containing oil supplementation. In conclusion, dietary supplementation of CLA-containing oil to laying hens increased beneficially increased CLA content in their egg yolk.

Effects of Bacillus subtilis Supplementation on Egg Quality, Blood Characteristics and Fecal $NH_3-N$ in Laying Hens (산란계에 Bacillus subtilis의 급여가 계란 품질, 혈액 성상 및 분내 암모니아태 질소 함량에 미치는 영향)

  • Kim H. J.;Woo J. S.;Kwon O. S.;Min B. J.;Shon K. S.;Jo J. H.;Chen Y. J.;Kim I. H.
    • Korean Journal of Poultry Science
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    • v.32 no.1
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    • pp.9-14
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    • 2005
  • This study was conducted to investigate the effects of Bacillus subtilis on the egg qualify, blood characteristics and fecal $NH_3-N$ in laying hens. A total of two hundred fifty two laying hens were randomly allocated into three treatments with seven replications for six weeks. Dietary treatments included 1) CON (control; basal diet), 2) BS0.2(control + $0.2\%$ Bacillus subtilis) and 3) BS0.4 (control +$0.4\%$ Bacillus subtilis). For overall Period, hen-day egg production tended to increase by the Bacillus subtilis $0.4\%$ in the diets, but was no significant difference. Egg weight, egg shell breaking strength, egg shell thickness, Haugh Unit, yolk color unit and egg yolk index were not affected by treatments. Difference of egg weight and egg shell breaking strength in the BS0.2 treatment tended to increase without significant difference. Difference of egg yolk index in laying hens fed Bacillus subtilis was increased (P<0.05). The concentrations of red blood cell (RBC) and white blood cell (WBC) were not significant difference. $NH_3-N$ concentration in feces with BS0.4 treatment was significantly (P<0.05) lower than control. In conclusion, dietary Bacillus subtilis could decrease fecal $NH_3-N$.

A Study on Effects of Breeding Combination for Feeding and Economic Analysis in Broiler Stock (육용종계의 교배조합이 실용계의 사양과 경제성에 미치는 영향)

  • 박준영;오세정
    • Korean Journal of Poultry Science
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    • v.7 no.1
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    • pp.31-42
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    • 1980
  • In order to identify the best superior cross combination of breeder stocks for broiler production, combining ability test and analyses of phenotypic performances for parent stocks were examined on records of 1,440 broiler chicken which were produced from 4 parental strains and 3 maternal strains at Hanhyup Poultry Breeding Farm from September 28, 1978 to January 5, 1979. The results obtained were as follows; 1. There was not found heterosis effect in viability but it seems to be desirable to select Hubbard strain in paternal line to improve viability. 2. As the paternal and maternal lines, selection of Ross strain showed the best paternal and maternal performance and the best general combining ability in body weight at 8 weeks of age is expected to be able to improve body weight of it s crossbred And the most superior cross combinations based on the specific combining ability and performance of rack crossbred were identified as Hubbard x Ross ana Ross x Hypeco crossbreds. 3. The best paternal and maternal lines on the smallest feed consumption for 8 weeks were Hubbard and Ross strains, and Hypeco strain, respectively. Especially Hubbard x Hypeco cross combination was proved as the smallest feed consumption compared with other cross combinations. 4. In feed requirement per Kg body weight increase, Hubbard strain for paternal line, Hypeco strain for naternal line, and cross combinations of Hubbard x Hypeco, Hubbard x Ross and Ross x Hypeco were certified as the most superiors. 5. Also superior cross combinations of Hubbard x Hypeco and Hubbard x Ross earned the most profit per bird through economic analysis. According to results as shown above, this experiment seems to be able to reach a such conclusion that production of superior cross combinations Hubbard x Ross, Hubbard x Hypeco and Ross x Hypeco through selection of Ross and Hubbard strains to paternal line and Hypeco and Ross strains for maternal line may become to considerable improvement for important economic characters of broiler; viability, body weight, feed consumption and feed requirement.

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Studies on the Change of Meat Productivies by Season and Sex in Broiler Chickens 2. Effects of season and sex on meat productivity (육용계에 었어서 계절 및 성별 산육능력변화에 관한 연구 2. 계절과 성별간의 상호작용이 산육능력에 미치는 영향)

  • 오기석;정익정;정선부;오세정
    • Korean Journal of Poultry Science
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    • v.17 no.3
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    • pp.157-166
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    • 1990
  • Data are presented concerning the effect of different seasons and sexes during the growing period on broiler performance. Total 38, 451 broiler chickens were raised in spring summer and winter and they were marketed at 6 or 7 weeks of age. Birds were alloted to 118 groups (240∼360 birds per pen) and weighted at termination in order to determine variation in several economic traits between the sex groups. The results obtained were summarized as follows : 1. The rate of livability of the females were higher than that of the males in all seasons (P<0.01). 2. Body weights of males were heavier than that of females by 17.4% at 6 wks, and 19.1% at 7 wks of age and by 18.0∼19.6% ,17.6∼18.4% , and 19.6∼19.3% in spring, summer, and winter, respectively (P<0.01). 3. Males consumed more feed than females by 13.3∼135% . And same trends was noted by season : 11.7∼13,5% in spring 175∼15.0% in summer, and 11.5∼13.0% in winter. 4. Peed requirement of the females was less than that of the males : by 5.0∼7.1%, 5.9∼1.0% , and 5.4∼5.5% in spring, summer, and winter, respectively (P< 0,01). 5. The correlation coefficients between body weight and feed intake in spring were 0.81∼0.87 in males, and 0.84∼0.88 in females and those between body weight and feed requirements were ∼052∼0.51 in males, and -0.17∼-0.45.45 in females. 6. In summer the correlation coefficients between livability and body weight were -0.1∼-0.37 in males, and -0.36∼-0.51 in females, those between body weight and feed intake were 0.66∼0.77 in males, and 0.5∼0.82 in females, and those between body weight and feed requirement were -0.42∼-022 in males, and 0.24∼-0.001 in females. 7. In winter the correlation coefficients between livability and body weight were -0.02∼0.02 in males, -0.18∼-0.19 in females, those between body weight and feed requirements were -0.08∼02 in males, and 0.04∼0.09 in females.

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Influence of UV Irradiation Interval on Mineral Content in Metatarsus of Broiler Chicks (자외선 조사간격이 브로일러 병아리의 중족골 광물질 함량에 미치는 영향)

  • 장윤환;조인호;여영수;이은택;배은경;김중달
    • Korean Journal of Poultry Science
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    • v.20 no.3
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    • pp.133-140
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    • 1993
  • A study was conducted to investigate the concentrations of Ca, P and ash in metatarsal bone of broiler chicks exposed to UV light in different Interval. Day-old Hubbard broiler chicks (199=10 control+3 irradiation interval $\times$ 9 elapsed time $\times$ 7 replicate) were fed vitamin D3 deficient diet for 3 wk in a windowless subdued-light room and exposed to 297 nm UVB light by 0.068 mJ/$\textrm{cm}^2$ three times In 0, 12 or 24 h interval. The metatarsal bones were taken at 0, 6, 12, 18, 24, 48, 96, 144 or 240 h after last irradiation, separated from adhering tissue, ether extracted, dried and ashed. The Ca concentration was measured by atomic absorption spectrophotometry and P by ammonium metavanadate colorimetry. When the birds were continuously exposed to UVB light for 30 min without interval, the Ca content in metatarsus increased gradually according to the time after irradiation and reached the highest value 16.75% at 240 h after exposure. The P content also increased gradually until 144 h, where it was 9.75%. The ash content in metatarsus increased continuously until 240 h, the final time in this research, where 42.75% was shown. As 10 min three times irradiation in 12 h interval was applied to the chicks, the metatarsal Ca presented a small peak(13.31%) at 12 h after irradiation and a large peak(16.91%) at 144 h. P content showed a small peak(7.18%) at 12 h and a large level(8.34%) at 240 h. Ash content increased continuously until 240 h, where it was 46.53%. The small peaks in Ca and P concentration were thought to be derived from preirradiation at 12 and 24 h before final irradiation for 10 min. When 24 h interval system was treated, the peak value of Ca content(24.18%) occurred earlier(96 h) than those in 0 and 12 h interval systems. P content also showed the maximum value at 96 h(7.29%). Ash content presented an increasing trend until 240 h, where 45.75% was appeared. In respecting the method of UVB irradiation, the peak value of Ca content in metatarsus appeared earlier in 24 h interval system than in other systems. Meanwhile the ash contents in metatarsus of birds exposed to UVB light in 12 and 24 h interval procedures were higher than those in 0 h interval one. Therefore, it was concluded that a daily 10 min irradiation of UVB light would be desirable for increasing the Ca and ash content in metatarsus of brolier chicks.

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Studies on the Performance of Korean Native Chickens I. Effect of Various Feeding Systems on Performance of Korean Native Chickens (한국재래닭의 능력에 관한 연구 I. 서로 다른 사료 급여가 한국재래닭의 능력에 미치는 영향)

  • 김상호;이상진;강보석;최철환;장병귀;오봉국
    • Korean Journal of Poultry Science
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    • v.25 no.4
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    • pp.169-175
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    • 1998
  • A feeding trial was carried out to evaluate optimum feeding system to Korean Native Chicken (KNC) with various feeding programs for 64 weeks. Eight hundreds and ten KNC'one day birds were assigned to three feeding systems, NRC(T1), Japanese Feeding Standard(T2), Korean Feeding Standard(T3). Each treatment had three replicates of 90 birds a replicate. Data were obtained growing performance to 20 week of age and laying performance from twenty one to sixty four week. Viability to 20 week of age was similar to treatments. Growth characteristics by feeding systems were not significantly difference on body weight, feed intake and 50% egg production days. However, body weight was less about 100g in T2. There were no different on egg production, egg weight, and egg mass during laying period. Feed intake of T1 was 104g daily and showed lower than other treatments, but was not different significantly. Feed conversion was significantly improved in T2(P <0.05) compared to other treatments(P<0.05). Egg production of all treatments was the highest between 27 to 30 week of age. ME intake of T1 was significantly maximized, whereas CP intake was the lowest of all treatments(P < 0.05). Nutrient requirements for egg mass tended to depend on nutrients intake. Interior egg and eggshell characteristics were not different among treatments except yolk color. Fertility and hatchability were similar to treatments, and the results at 39 week of age were higher than at 62 week in all treatments. In conclusion, treatments fed three or four phase feeding would be superior to other treatments during the growing period and suggest 2,800 ㎉/kg ME, 15% CP for Korean native laying hen.

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