• 제목/요약/키워드: After services

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소아암 완치자의 삶의 질 향상을 위한 서비스 욕구 (Childhood Cancer Survivor's Services Needs for the Better Quality of Life)

  • 김민아;이재희
    • Child Health Nursing Research
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    • 제18권1호
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    • pp.19-28
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    • 2012
  • Purpose: The study aimed to identity specific needs for services and programs to help childhood cancer survivors adjust and adapt to life after treatment. Methods: In-depth interviews were conducted with 31 childhood cancer survivors, diagnosed with cancer before the age of 18 and currently between 15 and 39 years of age. Each survivor had completed his/her cancer treatment. Results: The participating cancer survivors reported needs for services related to psychological counseling, schooling and learning, social skills, mentorship, integrated health management, self support activities, families of survivors, and public recognition and awareness. Conclusion: The results of the study indicate a need to better understand childhood cancer survivors, provides a basis for developing various services and programs to improve the quality of life among childhood cancer patients, survivors, and their families, and supports the importance of psychosocial adjustment.

타임스케줄을 이용한 임플란트 수술의 지연 개선 (Prevention of delay in implant services using time schedule)

  • 박지연
    • 대한치과의료관리학회지
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    • 제10권1호
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    • pp.1-8
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    • 2022
  • This study introduces research on the quality of medical services, optimization of medical services, dental medical services, implant medical services, and time schedules, as well as the effective process of dental implant medical services, which is expensive and requires a long treatment period. For improvement, it is suggested to evaluate using a time schedule. In this method, a time schedule is prepared in which each step, starting from the patients appointment until the completion of the treatment process, is allotted a certain time. This schedule was finalized in consultation with the employees. When performing all implant operations, the starting time of each item was checked to evaluate the degree of compliance and to understand any reasons for delay in each step. After identifying the causes for delay at each step, suitable steps to rectify the drawbacks were developed, and an optimal plan for patient management was determined. Changes in waiting time and human resource utilization were shown as concrete data, suggesting that such a schedule is meaningful as a decision-making support tool.

위암환자의 위절제술 후 영양상태 및 섭취량 변화 (Nutritional Status and Dietary Change after Gastrectomy of Gastric Cancer Patients)

  • 박영옥;윤소윤;강신숙;한상미;강은희
    • 대한지역사회영양학회지
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    • 제17권1호
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    • pp.101-108
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    • 2012
  • The purpose of this survey is to investigate the nutritional status and dietary intake of gastrectomized cancer patients in Asan Medical Center. The subjects were 98 patients, who underwent a gastrectomy due to gastric cancer and were admitted to the General Surgery Department during March 2007 to December 2007. We examined general characteristics (sex, age, clinicopathological stage, type of operation), anthropometric data (height, weight change), biochemical data (red blood cell RBC, hemoglobin HGB, hematocrit HCT, mean corpuscular volume MCV, total lymphocyte count TLC, albumin, total cholesterol), dietary intake and dietary intake related symptoms. Weight loss of gastrectomized patients was $9.0{\pm}4.3$% from preillness weight to visiting out-patient department (OPD) weight. Biochemical data (RBC, HGB, HCT, MCV, TLC, albumin, total cholesterol) significantly deteriorated after gastrectomy. However, outpatient visits were all restored to the normal range. Postoperative energy intake was $785.0{\pm}164.2$ kcal, which corresponds to $41.6{\pm}9.6$% of daily energy requirement. The cause of poor oral intake is mostly fear, abdominal pain and abdominal discomfort. Therefore, to control pre-or post-operative weight change in the future requires, focusing on the body weight to maintain a normal or usual nutrition by interventions and increased caloric intake during hospitalization for the development of nutrient-dense meals. In addition, as the main reason of the lack of intake of meals after the gastrectomy was fear, the patients should be actively encouraged to consider the importance of eating proper meals.

The effect of sawdust fermentation period and storage period after sawdust fermentation on the development of Protaetia brevitarsis larvae

  • Ju-Rak Lim;Sang-sik Lee;Eun-Jin Lee;Woong Kim;Chang-hak Choi
    • International Journal of Industrial Entomology and Biomaterials
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    • 제48권1호
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    • pp.33-41
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    • 2024
  • To investigate the effect of sawdust fermentation period and storage period after fermentation on development as food for P. brevitarsis larvae, individual and group breeding were conducted on berry sawdust and oak sawdust. In individual breeding, the growth period of P. brevitarsis larvae was reduced by 12 days from the 60-day fermentation of berry sawdust to the 40-day fermentation of berry sawdust, 30 days from the 90-day fermentation of oak sawdust, and the weight of the larvae was the heaviest. In group breeding, the time it takes for P. brevitarsis larvae to change from 1st to 3rd instar is about 30 days after hatching from 60-day fermentation of berry sawdust, while 90-day fermentation of oak sawdust took more than 60 days, so the growth speed was fast and the survival rate was good. The results of the farmhouse demonstration test were the same trend, and it was judged that it would be possible to produce P. brevitarsis larvae with berries fermented sawdust, and it would be advantageous in terms of economy. In addition, for both individual and group breeding, the growth period of P. brevitarsis larvae was longer as the storage period was longer, the weight of the larvae decreased, and the survival rate was no different. The development period of P. brevitarsis larvae was the longest in the storage period of 18 months for berries fermented sawdust, and the storage period of oak fermented sawdust was longer in the storage period of 12 months and 18 months. Therefore, considering the results of individual breeding and group breeding, the fermentation period was appropriate for 60 days for berries sawdust, and the storage period for berries sawdust was stable from 0 to 12 months, and 0 to 6 months for oak sawdust.

방문건강관리사업 담당 영양사와 연계전문인력을 위한 영양부문 교육 프로그램 운영과 평가 (Implementation and Evaluation of Nutrition Capacity Training Program for Dietitians and Related Professionals Working at Customized Home Visiting Health Services)

  • 김숙배;윤진숙;김경원
    • 대한지역사회영양학회지
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    • 제19권1호
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    • pp.71-83
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    • 2014
  • The purpose of the study was to implement and evaluate a nutrition capacity training program for dietitians and other professionals working at customized home visiting health services (CHVHS). This program focused on nutrition services for hypertension or diabetes mellitus patients including topics regarding CHVHS, and composed of 10 sessions with lectures, discussion and practice. Dietitians (n = 54) and other professionals (n = 20) participated in the program and completed the questionnaire to assess their understanding of nutritional management, nutrition services and CHVHS before and after the program, and to examine program satisfaction and education needs. Subjects were mostly women (98.6%) and college or university graduates (93.2%). Total score (p < 0.001), as well as all items (p < 0.001 or p < 0.01) of understanding regarding nutritional management, nutrition services and CHVHS, were significantly increased after the program both in dietitians and in other professionals. Subjects were generally satisfied with the program, showing more satisfaction with items regarding subject's participation, acquiring new knowledge, usefulness of the program for CHVHS, and education materials. In future nutrition capacity training programs, subjects wanted to have classes regarding nutrition services for specific chronic diseases, development of education materials, methods for dietary life education, modifying eating habits and so on. Other professionals compared to dietitians, showed higher education needs in meal management (p < 0.01) and nutrition counseling skills (p < 0.05). This study showed the effectiveness of a nutrition capacity training program for home-visiting dietitians and other professionals, and suggests the need and direction for future nutrition capacity training programs.

Effects of Bio-degradable Mulches on the Yield of Maize and the Density of Soil Microbe

  • Lim, Soo-Jeong;Lee, Min-Bum;Kim, Se-Won;Kim, Jang-Su;Heo, Su-Jeong;Choi, Seung-Chul;Yoon, Byeong-Sung;Kim, In-Jong
    • 한국토양비료학회지
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    • 제49권4호
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    • pp.375-380
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    • 2016
  • The use of polyethylene film has a problem such as increasing rural environmental contamination, collection costs and farmers' workload. The objective of this study was to evaluate bio-degradable films in terms of yield of maize and soil environment. Treatments were bio-degradable film A (BDF A), bio-degradable film B (BDF B), high density polyethylene (HDPE), and non-mulched (NM) soil. Daily mean values of soil temperature (10 cm depth) under BDF A, BDF B, and HDPE were higher than in NM soil by 2.2, 2.8, $3.1^{\circ}C$ respectively. In the mulching cultivation of maize, bio-degradable film began to degrade from 50~60days after the planting. The degradation was much progressed in the harvest time and almost decomposed in the following spring. The weight of ear of maize was not shown significantly by mulching treatments. There were little changes of soil chemical properties for the bio-degradable film mulching. After using bio-degradable films, the contents of biomass-C and dehydrogenase activity increased from 92 to $137{\sim}147mg\;kg^{-1}$, and from 87 to $123{\sim}168mg\;kg^{-1}$ respectively.

유방암 생존자를 위한 스마트케어 서비스 프로그램의 효과 (Effects of smart-care services program for breast cancer survivors)

  • 정복례;홍성정
    • 한국간호교육학회지
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    • 제27권2호
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    • pp.95-106
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    • 2021
  • Purpose: The purpose of this study was to examine the effects of a smart-care services program for breast cancer survivors on cognitive function and physical health. Methods: A quasi-experimental control group pretest posttest design was used. Subjects were recruited in D city, and data were collected from July 2017 to February 2018. The experimental group (n=24) participated in the smart-care services program, whereas the control group (n=26) received conventional management. The smart-care services program consisted of addressing cognitive function problems arising from chemotherapy, diet, exercise, head/neck massage and self-monitoring using smartphone applications and smart bands. All participants underwent assessments at baseline, at 6 weeks, and at 12 weeks. Data were analyzed using descriptive statistics (frequency, percentage, mean and standard deviation), a chi-squared test, t-test, and repeated measures ANOVA. Results: After the smart-care services program, significant differences were found between the groups in cognitive function (F=18.91, p<.001) and sleep time (F=9.25, p<.001). No significant differences were found between the groups in caloric consumption after the program. Conclusion: The smart-care services program significantly improved the level of cognitive function and sleep time for breast cancer survivors. The use of this smart-care services program for breast cancer survivors might be an effective nursing intervention tool for improving cognitive function and health behaviors.

녹색밀 생산을 위한 수확시기 및 품종별 특성 비교 (Comparison of the Characteristics of Wheat Cultivars Used for Whole Green Wheat Grain Production)

  • 최규환;장영직;송영은;서상영;강찬호;유영진;이기권;송영주;김정곤;조진웅
    • 한국작물학회지
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    • 제61권4호
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    • pp.257-263
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    • 2016
  • 기능성 식품소재로 관심이 높아지는 녹색밀의 안정적인 생산의 기초자료로 활용하고자 출수 후 20일부터 3일간격으로 41일째까지의 알곡 녹색도와 수량을 조사하였고, 적중밀 등 20품종의 녹색밀 수량을 조사한 결과는 다음과 같다. 1. 출수 후 20일에는 녹색이 가장 진하였으나 알곡이 주름이 많은 장타원형이었고, 35일 이후에는 대부분의 알곡이 황색으로 변하면서 비대해지는 모습을 보였다. 적색도(a값)는 출수 후 20일째부터 41일째까지 증가하였고, 32일째까지 음(-)의 값을 나타내었다. 엽록소의 함량도 성숙이 진행됨에 따라 유의하게 감소하였다. 녹색밀의 적정한 수확시기는 녹색 및 녹황색을 띠는 알곡이 가장 많았던 출수 후 32일~35일이 녹색밀 수확에 가장 적합한 시기로 판단된다. 2. 출수기는 조품밀, 적중밀, 조경밀, 금강밀, 백중밀, 조은밀이 가장 빨랐고, 반면에 연백밀, 은파밀, 올밀, 신미찰밀, 우리밀, 신미찰1호, 그루밀, 알찬밀, 다홍밀 등이 늦게 출수하여 품종간에 7일의 조만성을 보였다. 3. 품종에 따른 녹색도는 적중밀, 금강밀, 조경밀, 조품밀, 백중밀 등이 높았고, 녹색밀의 수량은 녹황색립의 비율이 높았던 알찬밀, 백중밀, 은파밀, 연백밀, 다홍밀, 우리밀 등이 높았다.

응급외상 환자 시뮬레이션 적용 효과 (Implementation Effects of Emergency Trauma Patient Simulation)

  • 백미례
    • 한국응급구조학회지
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    • 제15권2호
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    • pp.43-54
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    • 2011
  • Purpose: The purpose of this study was to explore EMT-paramedic students' experience of simulation education and analyze the confidence before and after education, learning attitude and course evaluation. Method: Research survey was conducted on 38 EMT-paramedic students during November, 2011 and EMT-paramedic students' experience of simulation education was analyzed after applying head, spinal, and chest injury scenario. The confidence before and after education, learning attitude and course evaluation in gender were analyzed by Mann-Whitny U test and the difference of confidence before and after education was analyzed by Wilcoxon signed rank test and learning attitude & course evaluation were analyzed by evaluating frequency, percentage, mean, standard deviation by using SPSS WIN 17.0 program. Results: 1. Students experienced various advantages such as increasing interest and self-reflection on learning, critical thinking ability, and EMT-paramedic-role experience and recognition of importance of teamwork. Students also pointed out disadvantages such as gap between real situation and simulation, limit of time and equipments, and burden of demonstration. 2. The confidence between before and after education, learning attitude and course evaluation in gender were not significant different statistically. 3. Confidence mean score elevated from 5.53(before education) to 5.87(after education), but the difference in their confidence did not show significant difference statistically. 4. Total mean score in learning attitude after simulation education was 3.70 out of 5.00, which is considerably very high. 5. Total mean score in course evaluation was 3.89 with score of 3.83 in evaluation in learning environment and 3.99 in evaluation of debriefing. Conclusion: The finding of this study demonstrate that the simulation education can provide a safe and repetitive practice environment, improve problem-solving ability and critical thinking, and increase the confidence in prehospital emergency care; therefore, simulation may be the new effective EMT-paramedic education strategy.

시금치 포장 및 보관온도가 품질보존에 미치는 영향 (Effect of Polypropylene Film Package and Storage Temperature on the Shelf-life Extension of Spinach (Spinacia oleracea L.))

  • 최동진;이숙희;윤재탁;심용구;오석귀;전하준
    • 생물환경조절학회지
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    • 제16권3호
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    • pp.247-251
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    • 2007
  • 신선 엽채류인 시금치의 수확 후 포장, 저장유통온도별 품질보존 및 상품성에 미치는 영향을 조사하였다. 저장 중 중량의 변화에서 포장 후 저장 시는 중량감소가 거의 없었으나, 무포장은 저장기간이 길어질수록 그리고 저장온도가 높을수록 감소율이 현저하였다. 비타민 C함량은 저장 초기에 감소가 컸으며, 저장온도가 낮을수록 감소가 적었고, 비닐포장 간에는 큰 차이가 없었다. 시금치에서 Hunter's value는 저장온도가 높을수록 b값이 높아지는 경향이었다. 시금치 저장 중 외관 신선도에서 polypropylene 비닐포장 후 저온$(1{\sim}3^{\circ}C)$ 저장은 최고 34일, 상온$(10{\sim}15^{\circ}C)$ 저장은 8일까지 상품성이 유지되었으나, 무포장 상온보관은 3일 밖에 유지되지 않았다.