• 제목/요약/키워드: Health research and development

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한국 호스피스 전문간호사 교육과정 개발을 위한 기초조사 (A Study on the Curriculum Development for the Professional Hospice Nurse in Korea)

  • 최의순;노유자;한성숙;김남초;김희승;박호란;안성희
    • 대한간호학회지
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    • 제28권4호
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    • pp.1027-1035
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    • 1998
  • The purpose of this study is to develop the first domestic professional hospice educational program. We investigated the present condition of Korean hospice education and analyzed the prerequisite need for a dedicated hospice course in the professional education process. Research was conducted between June and November 1996 for nursing professors teaching at each nursing education institute to find out how much hospice is being discussed and by whom, in which course it is being discussed, and also to find out the contents that needed to be included in the professional education process. From a total of 49 colleges(29 three year colleges, 20 four year colleges) out of 99, 162 nursing professors replied, the collection rate was 49.5%. The conclusions are as follows ; 1. The present condition of the hospice nursing education. 1) Whether hospice is included in the education program. \circled1 89.65% of 3 year colleges and 90% of 4 year colleges included hospice education in their education program. \circled2 In graduate studies three schools included hospice in their program and three schools expressed their plans to include hospice education 2) Hospice related education were commonly discussed in adult nursing(26.3%), fundamental nursing(22.8%), and psychiatric nursing(20.2%). In 3 year colleges its commonly discussed in the first and second year and in 4 year colleges it is taught in the second and third year. 3) Hospice related theory/practical education hours were averages of 6.5/7.0 hrs in 3 year colleges and 14.2/11.3 hrs in 4 year colleges. 4) The majority of professors in charge of hospice education were in the following order adult nursing, psychiatric nursing, and fundamental nursing. 5) The courses that are thought to be adequate to manage hospice related education were adult nursing(29.3%), community health nursing(21.7%) and the desired method of education was the method currently being used (36.5%). 2. The demand for hospice nursing education. 1) Over 70% demanded professional hospice education program, the highest demand was for the value and meaning of life followed by the role and qualification of the hospice team and the mental maintenance of a dying patient. 25 categories showed over 90% demand. 2) The highest demand was for the value and meaning of life (98.2%) and the lowest demand were for danjeon breathing(71.0%)and acupuncture(71.0%). 3) Other contents that need to be discussed in the professional hospice education program were hospice nursing, the attitude and reaction of death, bereavement care, and the prospects of hospice.

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햇순나물의 소비확대를 위한 조리기술 개발 및 영양성 평가 (Development of recipe for promoting consumption of Haetsun sprouts and their nutrient evaluation)

  • 장혜림;김나형;임희진;박추자;우상철;윤경영
    • 한국식품저장유통학회지
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    • 제21권5호
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    • pp.710-717
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    • 2014
  • 본 연구는 햇순나물의 이용성 증진 및 소비 촉진을 위하여 햇순나물을 이용하여 4종의 햇순요리를 개발하고 이들의 관능적 특성 및 영양성을 평가하였다. 햇순요리에 대한 관능평가를 실시한 결과, 4종의 햇순요리의 전반적인 기호도가 3.0 이상으로 만족 수준이었으며, 그 중 '엄나무순닭고기냉채'의 기호도는 5점 만점에 4.48점으로 가장 높은 기호를 보였다. 엄나무 순을 이용한 '엄나무순닭고기냉채'는 단백질, 비타민 A, 비타민 E, 비타민 $B_6$, 엽산의 함량이 권장량보다 높았으며, 비타민 C 및 아연의 함량은 권장량보다 낮았으나 권장량의 50% 이상은 충족하였다. 두릅의 새순을 이용한 '두릅곶감무침'은 곶감과 함께 무쳐 두릅의 쓴맛과 떫은맛을 약화시켰으며, 비타민 E, 비타민 C, 비타민 $B_6$, 엽산 및 철의 함량이 권장량보다 약 1.2~1.7배 정도 높았다. 오가피 순을 이용한 '오가피순꽁치조림'은 무와 오가피순을 첨가하여 조리함으로써 꽁치의 비린내를 줄여 기호도를 높였다. '오가피순꽁치조림'은 단백질 함량이 권장량의 1.5배, 비타민 A, E, C 등 각종 비타민의 함량이 권장량의 1.4~3.6배 함유되어 있었다. 참죽순을 이용한 '참죽만두'는 고기를 넣지 않고 두부와 각종 채소를 넣어 만들었으며, 비타민 및 무기질이 풍부하고 다양한 영양소가 함유되어 있었다. '참죽만두'는 햇순나물 요리 중 가장 열량이 높았으며, 비타민 A, 비타민 E, 비타민 C, 티아민, 인과 철의 함량이 권장량보다 높았다.

영아의 기질, 아버지의 양육참여와 영아의 사회·정서 행동발달간의 구조적 관계 (Structural Relations among Infants' Temperament, Fathers' Parenting Participation, and Infants' Social and Emotional Behavior Development)

  • 유지은;신애선;김경후;송미정
    • 한국산학기술학회논문지
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    • 제17권9호
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    • pp.279-291
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    • 2016
  • 본 연구의 목적은 영아의 기질, 아버지의 양육 참여와 영아의 사회 정서 행동발달간의 구조적 관계를 알아보기 위한 것이다. 이를 위해 J지역에 소재하고 있는 55개 어린이집의 만 1~2세 영아의 부모 330명을 대상으로 실시하였다. 자료 분석은 SPSS 21.0과 AMOS 21.0을 이용하여 빈도분석, 신뢰도분석, 상관분석, 확인적 요인분석, 구조방정식 모형분석을 실시하였으며, 연구 결과는 다음과 같다. 첫째, 영아기질은 아버지 양육참여 중 여가지도, 생활지도와 부적 상관이 나타났고, 사회 정서행동의 외현적 문제행동인 활동성/충동성과 정적인 상관이 나타났다. 아버지의 양육 참여는 사회 정서행동의 주의집중, 모방/놀이와 정적 상관이 나타났으며, 사회 정서행동은 영아기질 접근회피와 정적 상관이 나타났다. 둘째, 최종모형의 변인 간 경로계수를 통한 적합도 검증결과, 영아기질은 아버지 양육참여와 사회 정서행동에 부적영향을 미치는 유의한 경로임이 검증되었다. 본 연구의 결과로 영아의 사회 정서행동에 영향을 미치는 영아기질과 아버지 양육참여의 역할을 확인하고, 영아기 자녀의 사회 정서행동에 영향을 미치는 아버지 양육참여에 대한 올바른 이해와 교육적 시사점을 제공하고자 한다.

Comparison of Treatment Outcome Assessment for Class I Malocclusion Patients: Peer Assessment Rating versus American Board of Orthodontics-Objective Grading System

  • Hong, Mihee;Kook, Yoon-Ah;Baek, Seung-Hak;Kim, Myeng-Ki
    • Journal of Korean Dental Science
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    • 제7권1호
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    • pp.6-15
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    • 2014
  • Purpose: The purpose of this retrospective study is to investigate the degree of coincidence between the peer assessment rating (PAR) index and American Board of Orthodontics objective grading system (ABO-OGS) in the assessment of orthodontic treatment outcomes of Class I malocclusion cases. Materials and Methods: The sample consisted of 26 Class I patients. The PAR index was used for evaluation of pre-(T0) and posttreatment (T1) casts, and the ABO-OGS for assessment of T1 casts. If there was a reduction in PAR scores from T0 to T1 of more than 30%, the label 'PAR+' was given to the case, and if not, it was labeled 'PAR-'. If the ABO-OGS was less than 27, the label 'OGS+' was given to the case and if not, it was labeled 'OGS-'. 'A PAR-only qualified group' (PAR+), 'ABO-OGS-only qualified group' (OGS+), 'both indices qualified group' (PAR+/OGS+), and 'both indices disqualified group' (PAR-/OGS-) were compared with a Wilcoxon rank-sum test, sensitivity/specifi city test and Spearman's correlation test. Result: PAR scores for T0, T1, and percentage reduction were 21.1, 6.4, and 65.9%, respectively, and 35.4 for ABOOGS. The distribution of the 'PAR+/OGS+', 'PAR+', and 'PAR-/OGS-' group was 19.3%, 76.9%, and 3.8%, respectively. The T0-PAR, T1-PAR and PAR point reductions for the 'PAR+' group were significantly higher than those of 'PAR+/OGS+' groups (23.1 vs. 15.6; 6.7 vs. 4.6; and 16.5 vs. 11.0; all P<0.05). However, the PAR-percentage reduction and treatment duration between the two groups were not statistically different (70.0% vs. 67.0%, P=0.4325; 24.1 months vs. 25.0 months, P=0.4057). The T1-ABO-OGS score for 'PAR+' group was significantly higher than that of the 'PAR+/OGS+' groups (38.2 vs. 24.0, P<0.001). Conclusion: Since the fraction of the 'PAR+/OGS+' group was less than 20% and there was no significant correlation between PAR-percentage reduction and T1-ABO-OGS, development of a new index system for the accurate evaluation of treatment outcome is needed.

개설효과(開設效果)에 의(依)한 임도(林道)의 유형구분(類型區分) - 기설임도(旣設林道)의 분석(分析)을 중심(中心)으로 - (Evaluating Functional Efficiency of Existing Forest Roads)

  • 전경수;이종락;류택규
    • 한국산림과학회지
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    • 제83권2호
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    • pp.211-220
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    • 1994
  • 임도(林道)는 산림자원(山林資源) 조성(造成) 및 벌출작업(伐出作業) 등(等) 산림(山林)의 운영관리면(運營管理面)에서는 물론이고 일반인(一般人)의 보건휴양(保健休養)과 관광(觀光), 그리고 공도(公道) 기능면(機能面)에서도 임도설치(林道設置)가 절실히 요구(要求)된다. 따라서 본(本) 연구(硏究)는 강원도(江原道)의 국유림(國有林) 4개소(個所)와 전라북도(全羅北道)의 송유림(私有林) 4개소(個所)의 기설(旣設) 임도(林道)에 대하여 산림(山林)의 몇 가지 요인별(要因別) 설치효과(設置效果)를 분석(分析)하여 산림(山林)의 다각적(多角的)인 기능(機能) 제고(提高)를 위한 임도(林道)의 개설유형(開設類型)을 제시(提示)코자 분석(分析)한 결과(結果)는 다음과 같다. 1. 지형적(地形的) 요인(要因)과 지역사회적(地域社會的) 요인(要因)이 양호(良好)한 지역(地域)에서 투자효율(投資效率)이 높게 나타났고, 산림실태적(山林實態的) 요인(要因)과 임도구조적(林道構造的) 요인(要因)이 양호(良好)한 지역(地域)에서 투자효율(投資效率)이 낮게 나타났다. 이는 현재(現在)의 산림실태(山林實態)를 감안할 때 임업이외(林業以外)의 이용(利用)에 큰 비중(比重)을 두고 임도(林道)를 설치(設置)한 것으로 생각되어 금후(今後) 지형적(地形的) 요인(要因)이 불리한 지역(地域)에는 '산지자원화형(山地資源化型)'의 임도(林道)를, 산림실태적(山林實態的) 요인(要因)이 양호(良好)한 지역(地域)에는 '산지이용형(山地利用型)'의 임도(林道)를 설치(設置)해야 개설효과(開設效果)를 증대(增大)시킬 수 있을 것이다. 2. 효과적(效果的)인 임도(林道)를 개설(開設)하기 위해서 다목적(多目的)으로 이용(利用)할 수 있는 노선(路線)을 선정(選定)하되, 제반요인(諸般要因)에 의해서 분석(分析)한 종합평가(綜合平價) 점수(點數)가 높은 지역(地域)에 우선 설치(設置)하므로써 개설효과(開設效果)를 더욱 증대(增大)시킬 수 있을 것이다. 3. 임도(林道)의 유형구분(類型區分)은 산림실태적(山林實態的) 요인비(要因比)와 임도구조적(林道構造的) 요인비(要因比)가 60% 이상인 지역(地域)은 '산지이용형(山地利用型)', 산림실태적(山林實態的) 요인비(要因比)를 비롯한 모든 요인비(要因比)가 60% 이하인 지역(地域)은 '산지자원화형(山地資源化型)', 지형적(地形的) 요인비(要因比)와 임도구조적(林道構造的) 요인비(要因比) 및 지역사회적(地域社會的) 요인비(要因比)가 60% 이상인 지역(地域)은 '지역개선형(地域改善型)', 지형적(地形的) 요인비(要因比)를 비롯한 모든 요인비(要因比)가 60% 이상인 지역(地域)은 '보건휴양형(保健休養型)', 그리고 지역사회적(池域社會的) 요인비(要因比)와 산림실태적(山林實態的) 요인비(要因比)가 60% 이상인 지역(地域)은 '복합개발형(複合開發型)' 등(等)으로 구분(區分)하여 특징(特徵)있는 임도(林道)를 개발(開發)하는 것이 합리적(合理的)일 것이다.

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셀레늄함유 청보리 급여가 거세비육돈의 생산성, 혈액 및 도체특성, 조직 내 셀레늄 축적에 미치는 영향 (Influences of Feeding Seleniferous Whole Crop Barley on Growth Performance, Blood and Carcass Characteristics, and Tissue Selenium Deposition in Finishing Barrows)

  • 황보순;조익환;김국원;최창원;이성훈;한옥규;박태일;최인배
    • 한국축산식품학회지
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    • 제32권6호
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    • pp.828-834
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    • 2012
  • 본 연구는 증가하는 수준의 셀레늄함유 청보리 사료를 비육돈에 급여 시 비육돈의 생산성, 혈액성상, 도체형질 및 조직 내 셀레늄함량에 미치는 영향을 조사하였다. 시험은 거세비육돈 40두를 공시하였고, 처리구는 셀레늄 수준에 따라 4처리구(0.1 ppm(대조구), 0.2 ppm, 0.4 ppm, 0.6 ppm)로 나누어 처리구당 5 pen씩, pen당 2두씩 배치하여, 6주간 사양시험을 실시하였다. 각 시험사료는 셀레늄 함유 및 셀레늄무시비 관행 청보리를 조합하여 배합비의 5%를 배합하였고, 조단백질 및 가소화에너지 함량은 처리구 간 유사하도록 배합하였다. 실험사료 내에 셀레늄함유 청보리의 수준증가는 사료섭취량과 증체에 영향을 미치지 않았고, 혈중 총지질 농도는 셀레늄 수준이 증가할수록 유의하게 낮아졌으며(p<0.05), 혈중 총콜레스테롤은 대조구가 0.4와 0.6 ppm 셀레늄 시험구보다 유의하게 높았다(p<0.05). 혈중 중성지방농도는 사료내 셀레늄수준이 증가함에 따라 유의하게 낮아졌고(p<0.05). 혈중 면역글로블린 G와 셀레늄 농도는 사료 내 셀레늄수준이 증가함에 따라 유의적으로 증가하였다(p<0.05). 도체율, 등지방 두께, 육량 및 육질등급은 셀레늄급여로 인한 효과가 나타나지 않았다. 신장, 간장 및 등심 내 셀레늄함량은 사료 내 셀레늄함유 청보리 급여수준이 증가함에 따라 유의하게 직선적으로 증가하였다. 이상의 결과에서 셀레늄함유 청보리급여는 비육돈의 지질대사관련 혈액성상을 개선시켰고, 셀레늄강화 돈육의 생산이 가능하였다. 본 연구에서 조직 내 셀레늄수준을 강화시키기 위한 사료내 적정셀레늄수준은 0.4 ppm인 것으로 나타났고, 생산된 돈육 등심 100 g이 소비자에게 제공되었을 때, 세계보건기구(WHO, 1996)에서 제안한 성인기준 1일 최소셀레늄권장량(40 ${\mu}g$)이 충족되는 것으로 나타났다.

만성 요통환자의 치료를 위한 치료용 볼 운동의 효과 (Effect of Therapeutic Gymnastic Ball Exercise in Patients With Chronic Low Back Pain)

  • 이은영;방요순;고자경
    • 한국전문물리치료학회지
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    • 제10권3호
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    • pp.109-126
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    • 2003
  • This study was designed 10 investigate the effects of therapeutic gymnastic ball exercise on pain, flexibility, lumbar disability level and daily activity levels in male patients of the armed forces medical hospital who complain of chronic low back pain. Twenty-three males were placed in the experimental group and twenty-nine males were placed in the control group. All of the subjects were chosen on the basis of availability among in-patients who were diagnosed with low back pain. The control patients were matched to the experimental group and they were selected considering gender, pain duration and age. Gymnastic ball exercise therapy was developed by the author with the assistance of a rehabilitation specialist. Gymnastic ball exercise therapy includes muscle relaxation, flexibility, muscle strength and posture development exercises. The gymnastic ball exercise therapy was carried out by the experimental group three times a week for eight weeks. Before and after the experiments, the intensity of pain, the lumbar joint mobility (flexibility), the lumbar disability levels, and the daily activity levels of the subjects were measured, respectively. The intensity of pain and the lumbar disability levels were measured by the Visual Analogue Scale, the level of flexibility by a measurement ruler, and the level of disability by the Oswestry Low Back Pain Disability Scale. Data were analysed using a t-test, a paired t-test and an unpaired t-test. The results were as follows: 1. The intensity of pain in the lumbar spine in the experimental group was significantly decreased compared with that of the control group during the 4th week and 8th week. 2. The flexibility of the lumbar spine in the experimental group was significantly increased compared with that of the control group during the 4th week and 8 week. 3. The level of pain caused by anterior, posterior, left lateral and right lateral bending and by rotation in experimental group was significantly decreased compared with that of the control group. 4. The Oswestry Disability score of the experimental group was significantly increased compared with that of control group. These findings indicate that gymnastic ball exercise therapy could be effective in decreasing pain and lumbar disability, and increasing the daily activity levels and lumbar flexibility in patients with chronic low back pain. The study also suggests that gymnastic ball exercise therapy could be an essential factor for effective nursing intervention for patients suffering from chronic low back pain.

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털부처꽃과 돌단풍 에탄올 추출물의 한국 성인 체지방량 감소에 대한 유효성 및 안전성에 관한 인체적용시험 (Eficacy and Sfety Human Study of the Ethanol Extracts from Lythrum Salicaria L. and Aceriphyllum Rossii for Reducing Body Fat Percentage of Korean Adult)

  • 박원형;선승호;차윤엽
    • 동의생리병리학회지
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    • 제27권6호
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    • pp.832-841
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    • 2013
  • This research, as a basic preliminary study for development of functional health food, is aimed at assessing the body fat reduction effect and for application to human body for such reduction in actual clinical settings by preliminary extraction of 2 types of wild edible greens, Lythrum salicaria L. and Aceriphyllum rossii. Subjects over the age of 19 and less than 60 years old with BMI value range of $23.0kg/m^2{\sim}29.9kg/m^2$ were recruited through screening were divided into experimental group and control group, each with 25 subjects, through randomized allocation. With both patients and evaluators wearing blindfold, the experimental group was orally administered with 4 capsules of 500mg of composite preparation containing the extracts of Lythrum salicaria L. and Aceriphyllum rossii 3 times a day for a period of 8 weeks while the control group was orally administered with 4 capsules of 500mg of placebo (fake food) with the same appearance as the preparation administered to the experimental group 3 times a day for a period of 8 weeks. After having carried out evaluation on physical examinations (body weight, BMI and body fat ratio, etc.), laboratory tests (general blood test, biochemical test of blood and urine test), lipid test, the changes were analyzed. There was no significant change between the 2 groups and within the groups in BMI and body fat ratio, which are the primary effectiveness evaluation at each time. There was no significant difference between the 2 groups in serum lipid and WHR, obesity related KOQOL, KEAT-26 which are the secondary effectiveness evaluations. There was no change between the 2 groups and within the groups in vital sign, CBC, BC and urin test. These results suggest that Lythrum salicaria L. and Aceriphyllum rossii ext. showed no significant reduction in BMI, body fat ratio and serum lipid. Additional confirmative clinical application test is needed in the future.

일반인에 있어서 측두하악장애의 인지도 조사에 대한 연구 (Study of General Public's Knowledge of TMD : how predominantly is TMD understood by people)

  • 김선희
    • Journal of Oral Medicine and Pain
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    • 제25권4호
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    • pp.371-382
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    • 2000
  • This study was performed to research how predominantly TMD is known among people and how exactly it is understood. The data set up by this study could be used as beneficial references. Based on this data, people can be more knowledgeable of TMD so that they can recognize the signs and symptoms of TMD. Then, the patients can visit eligible clinician, TMD professionals. Nine hundred thirty six people (426 men and 510 women, ranging from 18 to 69 years old) were selected for the subjects of this study and were investigated by use of self-administered questionnaire. The obtained results were as follows : 1. 10.68% of the subjects were reported to have heard of the term, "Temporomandibular disorders". Females occupied significantly higher percentage than males and 18-29 age group occupied higher percentage than 30-49 age and 50-69 age groups. On the other hand, even more people (52.24%) were reported to have heard of the tenn, "Jaw joint disease". It also had same sex and age prevalences, too. 2. As for the route through which people have heard of TMD, more than half (58.38%) of the people mentioned mass media of communication (T.V. radio 40.36%, newspapers magazines 15.86%, internet 2.16%). Other people who had already heard of TMD (25.05%), dentist (7.75%), and other sources (8.83%) such as physicians, physicians of Chinese medicine, pharmacists were also mentioned. There were not significant differences among sex and age groups. 3. When it comes to the cause and concept of TMD, 32.59% of the subjects considered" an inappropriate overuse of the mandible" as the cause of TMD. There were not significant differences among sex and age groups. 4. The most frequently reported presumable TMD signs and symptoms were jaw pain (61.00%), jaw joint sound (57.80%), and difficulty with mouth opening (50.11%). 5. In answer to the question who is the eligible person to treat jaw joint disease, 35.26% answered the dentists are and 41.99%, orthopedicians. Of the people who chose dentist, 30-49 age group occupied the largest part. In the case of orthopedicians, 18-29 age group was the largest. 6. Of the 7.69% of subjects who had been treated of TMD, only 5.02% of them visited the dentist for the treatment of TMD. There were not significant differences among sex and age groups. 7. In answer to the question of how to prevent development of TMD, 58.87% selected "Avoid eating hard food", 58.65%, "Avoid opening the mouth wide", and 51.07%, "Avoid chewing gum frequently".

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Effects of bamboo leaf extract on the production performance, rumen fermentation parameters, and rumen bacterial communities of heat-stressed dairy cows

  • Li, Yi;Fang, Luoyun;Xue, Fuguang;Mao, Shengyong;Xiong, Benhai;Ma, Zhu;Jiang, Linshu
    • Animal Bioscience
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    • 제34권11호
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    • pp.1784-1793
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    • 2021
  • Objective: An experiment was conducted to evaluate the effects of bamboo leaf extract (BLE) on the production performance, rumen fermentation parameters, and rumen bacterial communities of heat-stressed dairy cows. Methods: The experiment comprised a 14-day adaptation period and a 21-day experimental period and was conducted in a high-temperature and humidity environment (daily mean ambient temperature = 33.5℃±1.3℃; daily mean relative humidity = 64.9%±0.8%, daily mean temperature-humidity index = 86.2±0.4). Twelve Holstein dairy cows were randomly allocated into two groups. A total mixed ration supplemented with BLE at 0 (CON) and 1.3 g/kg dry matter (DM) were fed, respectively. Feed intake and milk yield were recorded daily. Milk samples were collected on 1, 11, and 21 d of the experimental period to analyze milk performance. Rumen fluid samples were collected on 21 d of the experimental period to analyze rumen fermentation parameters and rumen bacterial communities. Results: Compared with the control group, supplementation of BLE increased milk yield (p<0.01), milk fat yield (p = 0.04), 4% fat-corrected milk (p<0.01) and milk fat content (p<0.01); reduced somatic cell count (p<0.01). No differences in DM intake and milk protein or lactose content were observed between two groups. Supplementation of BLE also increased the rumen total volatile fatty acid (p<0.01), acetate (p<0.01), butyrate (p<0.01), and valerate (p = 0.05) concentrations. However, no significant effects were observed on rumen pH, ammonia nitrogen, propionate, acetate/propionate ratio, isobutyrate, or isovalerate. Furthermore, BLE increased the rumen bacterial abundance and the diversity of the rumen bacterial community. The BLE reduced the Firmicutes/Bacteroidetes abundance ratio and increased the abundances of Butyrivibrio_2 (p<0.01) and Ruminococcus_2 (p<0.01). Conclusion: The BLE supplementation at 1.3 g/kg DM could improve production performance and rumen fermentation in dairy cows during heat stress.