• 제목/요약/키워드: Home setting

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Beyond the clinical walls: registered dietitian nutritionists providing medical nutrition therapy in the home setting

  • Hicks-Roof, Kristen;Xu, Jing;Fults, Amanda K.;Latortue, Krista Yoder
    • Nutrition Research and Practice
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    • 제15권6호
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    • pp.789-797
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    • 2021
  • BACKGROUD/OBJECTIVES: Registered dietitian nutritionists (RDN) are providers of medical nutrition therapy (MNT) to address health and chronic disease. Traditionally, RDNs have provided care in healthcare facilities including hospitals and private care facilities. The purpose of this study was to determine how RDN individualized MNT in the home impacted nutrition, physical activity, and food security. SUBJECTS/METHODS: This is a secondary data analysis. The mean age of the participants (n = 1,007) was 51.6 years old with a mean body mass index (BMI) of 34.1 kg/m2. Individualized MNT visits were delivered by an RDN in the home setting from January to December 2019. Participants were referred by healthcare professionals or self-referred. Participants had MNT benefits covered by their health insurance plan (43.3% Medicaid; 39.8% private insurance; 7.9% Medicare, 9% other). Health outcomes related to nutrition care were measured. Outcomes included self-reported consumption of nutrition factors and physical activity. Our secondary outcome focused on food security. The changes in weight, BMI, physical activity, and nutrition factors were analyzed by a linear regression model or linear mixed model, adjusting for age, sex, baseline value, and number of appointments. Food security was summarized in a 2 by 2 contingency table. RESULTS: Baseline values had significantly negative impacts for all changes and number of appointments was significant in the changes for weight and BMI. Increases in physical activity were significant for both female and male participants, 10.4 and 12.6 minutes per day, respectively, while the changes in weight and BMI were not. Regarding dietary factors, the consumption total servings per day of vegetables (0.13) and water (3.35) significantly increased, while the consumption of total servings of whole grain (-0.27), fruit (-0.32), dairy (-0.80) and fish (-0.81) significantly decreased. About 24% (of overall population) and 45% (of Medicaid population) reported improvements in food security. CONCLUSIONS: This study found that home visits were a useful setting for MNT delivered by RDNs. There is a strong need for individualized counseling to meet the participants' needs and personal goals.

"시의전서"의 정리학적 고찰 (A Study on the Book "Siuejunsuh")

  • 이효지
    • 대한가정학회지
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    • 제19권3호
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    • pp.47-61
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    • 1981
  • The Siuejunsuh is a book of Korean woman's life in the Yi-dynasty which published late in 18 century by unknown author. I have studied the food habits of the Yi-dynasty that wrote in siuejunsuh as following. The staple foods ae Bab (boiled cooked rice) 2, Juk(gruel) 6, Mieum(thin rice gruel) 3, Uee (liquid) 1, D'ockguk 2, Mandu3 Kinds I this book. the side dishes are Guk(soup) 24, Jochi 7, jungol 2, J'im 16, Sinsollo 1, Bockuem 5, Sun 6, Gui 16, Jock 10, jon 12, jorim 7, Namul 14, Sangchae 4, Hyae 17, Joban 2, Nooruemi 1, Sooranpoached egg) 2, Sondae 2, jockpyun 1, Choe 1, Muchim 11, Pyunuk 2, Jockgall 6, Po 9, Ssam 4, Jup 1, Jangaji 27, Kimchi 20, and other 27 Kinds. the desserts are D'ock 41, jabgwa 52, Beverages 17 kinds. the alcohol and frutie liquor are 18 kinds. The seasonings are soybean sauce, Jinjang, red peper bean paste, Zupjang, Dampukjang, Chunggukjang, honey, vinegar, mustard, Yunzup etc. Storage foods are vegetables,fruits and beans etc. There are 62 kinds of table ware and cooking kitchen utensiles, but many of them came to usefulness. 16 kinds of measuring unit are very non-scientific because that is not by weight but by bulk or volume. Thee are many food making terms which are 179 kinds of prepared cooking term, 22 kinds of cutting term and 16 kinds of boiling term. And 20 kinds of expression of taste can be seen in this book. Food serving methods are D'ockiserving method, fruits and dried food serving methode in chanhap (food packed in a nest of boxes) Guksoo serving method, Jock serving method, fruits serving method, Seup serving method etc. Table setting methods ae 9 sets of dinner, 7 sets of dinner, 5 sets of dinner, side table setting, liquor table setting, Sinsollo table setting, food's dab table setting etc.

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유아의 사회적 적응과 관련변인간의 인과관계 -양육스트레스원, 사회적 지지, 양육행동을 중심으로- (The Causal Relations of Children's Social Adjustment and Related Variables: Focusing on the Parenting Stressor, Social Support and Parenting Behaviors)

  • 유우영
    • 대한가정학회지
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    • 제36권10호
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    • pp.65-78
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    • 1998
  • The purpose of this study was to analyze a causal relations of preschool aged children's social adjustment, socio-demographic variables, parenting stressor, social support and parenting behaviors. The major findings of this study were as follow; (1) Parenting stressor was the first contribution factor on preschool aged children's adjustment. (2) Parenting stressor had a indirect effect through social suport, limit setting, encouragement of independence behavior as well as a direct effect on preschool aged children's social adjustment. (3) Preschool aged children's social adjustment was affected by social support indirectly through parenting behaviors. (4) Encouragement of independent behavior, limit setting behavior had a direct effect on preschool aged children's social adjustment.

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홈 헬스케어를 위한 온톨로지 기반 상황인지 플랫폼의 설계 및 구현 (Design and Implementation of an Ontology-based Context-Aware Platform for Home Healthcare)

  • 조정원;차시호;안병호;조국현
    • 디지털산업정보학회논문지
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    • 제5권3호
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    • pp.77-86
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    • 2009
  • This paper proposes an ontology-based context-aware home healthcare platform employing environmental factors obtained from home. The proposed platform manages the health of home residents, and notifies relatives or a medical team of critical condition through context-awareness based on home ontology by using information sensed from various sensors. The ontology definition of context-awareness from the sensed information provides technically more precise decision for us. Therefore the platform can be aware of the health state of residents and environment by reasoning exactly from data gathered from various sensors and heterogeneous devices. The platform also can individually provide the customized service for users by setting priority for critical status that can be occurred in the health state of residents.

그룹홈과 일반가정 아동의 어머니 양육행동과 형제자매관계 및 사회적 적응 (Maternal Child Rearing Behavior, Sibling Relationship and Children's Social Adjustment in Group Home and Original Home)

  • 조성연
    • 한국생활과학회지
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    • 제13권3호
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    • pp.381-391
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    • 2004
  • The purpose of this study was to investigate the maternal child rearing behavior, sibling relationship, and children's social adjustment in group home and original home. Subjects of this study were 159 mothers and their children in Seoul and Gyounggi-do. Mothers responded to 'Korean Maternal Behavior Inventory', 'Sibling Relationship Questionnaire' and 'Social Maturity Scale'. The collected data were analyzed by ANCOVA, Pearson's partial correlation, factor analysis, and Cronbach's ${\alpha}$ for internal consistency by SPSS PC program(10.0 version). The results were as follows; first, there was a significant difference in maternal rearing behavior between group home and original home. Original home mothers showed higher scores in reasoning guidance, affect, authoritarian control, achievement, overprotection, active involvement, and limit setting. Second, there was a significant difference in sibling relationship among two different homes. Sibling relationship in original home was more worm, intimate, and competitive. Third, there was no significant difference in social adjustment in those homes. Finally, there were different correlations among those homes. In original home, there were significant correlations between maternal rearing behavior and children's social adjustment, but there were no significant correlations between those variables.

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전통 제사상차림의 규범과 강릉지역(江陵地域) 제사상차림 관행의 비교 연구 (A Study on the Comparision of Religious Diet in Kang-Neung Area to Traditional Standard and Habitual Practice)

  • 윤덕인
    • 한국식생활문화학회지
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    • 제12권5호
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    • pp.549-560
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    • 1997
  • The purpose of this study was to understand the arrangement of the religious food and religious diet in Kang-Rung region which was recogniged as cultural region. Investtigation was done by interview person to person, and the results are as follows. 1. The arrangement of religious food and regious diet in Kang-neung region were differed from home to home. 2. In Kang-neung region, Chu-suk religious ceremonies and religious diet were setted much religious diet than memorial service which was held on an anniversary of their's death. 3. At first line, they have arranged Hynbab and Kuk, or Papbaab and Miyegkuk or Paogikuk. On the other hand, Songpyen was placed in traditional standard setting. At second line, they have arranged Songpyen, Kijung, Aegeok, Yukgeok, Nurumgeok, DonBaegigeok, Memilgeok, and cooked octopus(muneo) on the Aegeok. They have also arranged fishes which were the cooked Alaska pollack(rnyongtai), codfish(daeku), flatfish (kajami), yellowtail(bangeo), salmon(yeoneo), trout(songeo) and Saegsunjeon, Dubujeon, Wanjajeon, Kokumajeon. At third line, they have arranged Yuktang, Sotang, Eotang, Altang which is boiled eggs. Altang was arranged instead of steamed chicken. At fourth line, they have arranged Bukeopo, Cuttlefish(dried Ojingeo), Gajamisikhe, Myungtaeposikhe. On the other hand, Sikhe was necessarily placed on the setting of traditional standard service for the ancestor. They have arranged also Chinese bellflower(Doragi), Fernbrake(Kosali), Spinach, Osmund (Kobi), Greenbean Sprouts, Leopard plant(Komchwi), Gourd(Pak), and Lentinus edodes (Pyokjo), but Kimchi was omitted. At fifth line, they have arranged Date, Chestnut, Persimmon, the fruit of Actinidia arguta(Dare), Heron, Banana, Kwajeul and Kangiung were considered as dishes. Dasik and biscut were also used for setting dishes.

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보육시설에서의 영아-교사 상호작용과 영아의 발달수준, 교사의 민감성 및 초기 가정환경 간의 관련성에 관한 연구 (Infant-Child Care Teacher Interaction : Infant Development, Teachers' Sensitivity and Early Home Environment)

  • 최은정;하지영;서소정
    • 아동학회지
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    • 제30권2호
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    • pp.71-95
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    • 2009
  • This study investigated relationships among infant development, teacher's sensitivity, home literacy environment, and infant-teacher interaction in the child care setting. Verbal and behavioral interactions between 30 2-year-old infant-teacher pairs were video-recorded during free play activities; teachers' sensitivity was observed by trained observers; infant development was assessed by teachers; data on the early home literacy environment were gathered through maternal self-reported questionnaires. Data were analyzed by descriptive statistics, t-tests, and correlation analyses. Results indicated that boys showed more naming; girls showed more physical contact with teachers. Infants high in overall developmental level showed more behavioral interaction with teachers. Teacher's sensitivity correlated positively with behavioral imitating and negatively with questioning and nodding. Verbal interaction in the home correlated positively with nodding.

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계층별 수비패턴 분석을 통한 외식비의 빈곤선 설정 -1993년 도시근로자 가계를 중심으로- (Setting Poverty Line of Food Away from Home by Comparing of Consumption Pattern among different Social Classes -With a focus on the 1993 Urban Wage Earner's Family-)

  • 류정순
    • 가정과삶의질연구
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    • 제14권2호
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    • pp.277-288
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    • 1996
  • Food away from home consumption pattern difference among 20 different social strata has been observed in order to make judgement how much food away from home expenditure should be included in the 2 tiered poverty line. It was found that it was reasonable to include food away from home expenditure in the minimum living cost. And as social class rose expenditure amount and percentage of consumption compared to total food expenditure increased and income elasticity and margial propensity decreased. Percentage of consumption compared to total expenditure increased up to middle class however from 14/20 and up strata decreased as social strata rose. For 4 members city wage earner family suggested monthly poverty line is 16, 977 and suggested monthly relative poverty line is 60, 651.

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Associations between Japanese schoolchildren's involvement in at-home meal preparation, their food intakes, and cooking skills

  • Nozue, Miho;Ishida, Hiromi;Hazano, Sayaka;Nakanishi, Akemi;Yamamoto, Taeko;Abe, Aya;Nishi, Nobuo;Yokoyama, Tetsuji;Murayama, Nobuko
    • Nutrition Research and Practice
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    • 제10권3호
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    • pp.359-363
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    • 2016
  • BACKGROUND/OBJECTIVES: This study aimed to examine the association of Japanese schoolchildren's involvement in at-home meal preparation with food intake and cooking skill. SUBJECTS/METHODS: We included 1,207 fifth-grade children aged 10-11 years and one parent of each child. A cross-sectional survey was used to collect data on involvement in at-home meal preparation. Correspondence analysis was used to classify involvement in at-home meal preparation into three groups: food-related activities (cooking only or with other activities such as shopping, table-setting, clean up, and dishwashing), non-food-related activities (table-setting and/or clean up), and no (helping) activities. Food intake was assessed using a food frequency questionnaire. Logistic regression models were used to examine involvement in at-home meal preparation associations. RESULTS: The sample consisted of 1,207 fifth-grade children. Vegetable intake was lower in the no (helping) activities group than the food-related activities group (95% CI; boys: 1.2, 5.1, girls: 2.0, 8.9). Fewer children in the non-food-related activities group reported they were able to make a portion of their meals compared with the food-related activities group (95% CI; boys: 1.6, 3.5; girls: 1.5, 3.2). CONCLUSIONS: Children in the food-related activities group showed more favorable food intake and cooking skills than children in the no (helping) activities or non-food-related activities group.

조선시대 왕실의 소선(素膳) 이용에 관한 연구: 『조선왕조실록』, 『춘관통고』를 이용하여 (A Study on the Use of Soseon in Joseon Dynasty Based on Literature Review: Based on 『The Annals of Joseon Dynasty』, 『Chungwantonggo』)

  • 오은미;이심열
    • 한국가정과교육학회지
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    • 제34권2호
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    • pp.115-128
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    • 2022
  • 본 연구는 조선왕실의 기록 문헌을 이용하여 소선 사례의 빈도, 식재료, 상차림 및 조리법 등에 관하여 알아보고자 하였다. 『조선왕조실록』 데이터베이스를 활용하여 조사한 소선 사례는 186개가 나타났다. 의례별 사례 빈도는 흉례가 전체 의례의 61.82%로 가장 많았고, 길례(21.51%), 빈례(11.29%), 가례(5.38%)순으로 나타났다. 소선 사례 횟수는 조선 전기(68.82%)가 조선 후기(31.18%)에 비해 높게 나타났다. 소선 식재료 목록을 살펴본 결과, 곡류는 밀가루, 메밀가루, 점이 있고, 두류는 황대두, 포태, 전시가 있으며, 해조류는 다시마, 김, 미역 등이 있었다. 버섯류는 표고, 석이가 있고 양념류로는 겨자, 참기름, 실임자 등이 있었다. 길례와 흉례의 소선 상차림의 주요 음식은 주식이 밥, 면, 부식류는 탕과 채, 적, 개장, 후식류는 유밀과와 산자, 다식, 정과, 떡, 과일로 나타났다. 주요 음식의 경우 밀가루, 두부, 해조류, 버섯, 잣, 참기름, 꿀 등의 식재료를 이용하여 조리되었다. 특히 두부, 밀가루, 해조류 등은 불교적 내용과 관련하여 문헌에서 언급되었다. 본 연구 결과는 소선이 조선시대로 전승되면서 불교의 영향을 받은 채식 문화의 형태란 것을 보여주며, 조선시대 왕실의례의 불교음식문화 연구를 위한 기초자료로 활용될 수 있을 것으로 기대된다.