Kim, Hye-Yeon;Yun, Woo-Jun;Shin, Min-Ho;Kweon, Sun-Seong;Ahn, Hye-Ran;Choi, Seong-Woo;Lee, Young-Hoon;Cho, Dong-Hyeok;Rhee, Jung-Ae
Journal of Preventive Medicine and Public Health
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v.42
no.5
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pp.315-322
/
2009
Objectives : Knowledge about the management status of diabetic melitus (DM) is essential to improve diabetic management. Moreover, low income is associated with poor adherence to treatment and increased mortality. This study was performed to evaluate the management status of DM in low-income patients in a rural area. Methods : We enrolled 370 patients with type 2 DM living in Gokseong county, JeollaNamdo. A well-trained examiner measured the height, weight, waist circumference, blood pressure, total cholesterol, triglyceride, high density lipoprotein cholesterol, fasting blood sugar and glycosylated hemoglobin (HbA1c) levels. Carotid ultrasonography was used to measure carotid artery carotid artery intima media thickness (IMT) and plaque. anklebrachial index (ABI) was used to evaluate peripheral artery disease. A fundoscopic examination was performed to evaluate diabetic retinopathy. A history of diabetes complications and health-related questionnaires were also completed. Results : The age of diabetic subjects was 68.7$\pm$8.7 years and the duration of diabetes was 8.9$\pm$8.2 years. Most (63.5%) had hypertension, and 45.7% had triglycerides below 150 mg/dl, 38.1% had low density lipoprotein cholesterol (LDL) cholesterol below 100 mg/dl, 48.7% had urine albumin to creatinine ratio (UACR) below 30 mg/g. Less than half (45.9%) achieved the goal of HbA1c less than 7% suggested by the American Diabetes Association (ADA). 10.6% had peripheral vascular disease, 11.9% had retinopathy, and 60.8% had chronic kidney disease. Conclusions : DM management in low income patients is very poor and requires further work to improve.
The purpose of this study was to examine the levels of satisfaction, and awareness, as well as evaluations of internship programs between major and non-major students in food and nutrition. The survey was conducted via questionnaire to 80 major and 113 non-major students in food and nutrition who had finished an internship. For the primary internship facilities, the proportions were 51.3% in foodservice for the major group and 57.4% in business & industry for the non-major group. For the internship period, the proportions were 71.2% for under 2 weeks in the major group, and 42.9% for $2{\sim}4$ weeks in the non-major group(p<0.001). The proportions of students who were provided orientation from a professor(p<0.001), and visiting guidance by a professor(p<0.001), were 40.5% and 35.4%, respectively, in the major group and 73.4% and 82.1 %, respectively, in the non-major group. The proportions answering that the internship was a necessity were 95.0% in the major group and 75.2% in the non-major group(p<0.001). The major group had significantly higher satisfaction scores for location of the internship facility, internship period, and connection between education and practice as compared to the non-major group. However, the satisfaction score for professor's guidance during the internship was significantly lower in the major group than the other group. The evaluation score for 'I did my best when doing my work' was significantly higher in the major group than the non-major group. The major group had significantly higher awareness scores for the internship's degree of assistance in improving skills, making use of knowledge, and adapting to the field, as compared to non-major group. In conclusion, students majoring in food and nutrition faithfully participated in their internship programs, with higher degrees of satisfaction and awareness, and higher evaluations. However, more effective internship program with intensified and developed guidance by professor are needed.
In the current classrooms a teacher has been merely able to inculcate the procedural knowledge of how-and-what. In doing so, however, we lose sight of the essence of "doing science."Though desire of the gifted children is qualitatively different from that of normal children, it is an undesirable reality that we have not developed sufficient researches and programs in conformity with the necessary desire and demand of the gifted children. Curriculum for gifted children in the domain of science necessitates markedly the specializations for the specific areas of the contents, the processes, and the products of studies. In an effort to provide the optimum learning experience for the gifted, this paper deals with the development of project-and-discovery-based science program, its method of application to the real field of education, and its effect, however limited and partial that effect may be. What this study has found are the following: on the one hand, the students acquired and developed the higher levels of thinking when they were under the influence of project-and-discovery-based science program that dealt with concrete real-world problems and issues; on the other, the students were capable of solving creatively the complex and real problems through small group activities. This study also suggests the possible implications of project-and-discovery-based science program: the students can not only learn the contents of study but also apply them creatively; the students can cultivate critical thinking skills that can be a fundamental base for a life-time leaner; the students can naturally acquire the abilities of communication and coordination. Project-and-discovery-based program is currently used in the various disciplines. However, the field of gifted education does not yet implement this type of program. So the overall contribution of this study is to show the successful implementation of project-and-discovery-based science program in developing optimal teaming experience for gifted children in the domain of science, since this type of study is most compatible with the characteristic of the gifted children. children.
Oral, cervical and breast cancers, which are either preventable and/or amenable to early detection and treatment, are the leading causes of cancer-related morbidity and mortality in India. In this paper, we describe implementation science research priorities to catalyze the prevention and control of these cancers in India. Research priorities were organized using a framework based on the implementation science literature and the World Health Organization's definition of health systems. They addressed both community-level as well as health systems-level issues. Community-level or "pull" priorities included the need to identify effective strategies to raise public awareness and understanding of cancer prevention, monitor knowledge levels, and address fear and stigma. Health systems-level or "push" and "infrastructure" priorities included dissemination of evidence-based practices, testing of point-of-care technologies for screening and diagnosis, identification of appropriate service delivery and financing models, and assessment of strategies to enhance the health workforce. Given the extent of available evidence, it is critical that cancer prevention and treatment efforts in India are accelerated. Implementation science research can generate critical insights and evidence to inform this acceleration.
Delirium is a common symptom in patients with terminal cancer. The prevalence increases in the dying phase. Delirium causes negative effects on quality of life for both patients and their families, and is associated with higher mortality. However, some studies reported that it tends to remain unrecognized in palliative care setting. That may be related with difficulties to distinguish the symptom from others with overlapping characteristics such as depression and dementia, and a lack of knowledge regarding assessment and diagnostic tools. We suggest that accurate recognition with validated tools and early diagnosis of the symptom should be highly prioritized in delirium management in palliative care setting. After diagnosing delirium, it is important to identify and address reversible precipitants such as medication, dehydration, and infection. Non-pharmacological interventions including comfortable environment for the patient and family education are also essential in the management strategy. If such interventions prove ineffective or insufficient to control hyperactive symptoms, pharmacologic interventions with antipsychotics and benzodiazepine can be considered. Until now, low levels of haloperidol remains the standard treatment despite a lack of evidence. Atypical antipsychotics such as olanzapine, quetiapine and risperidone reportedly have similar efficacy with a stronger sedating property and less adverse effect compared to haloperidol. Currently, delirium medications that can be used in palliative care setting require more clinical trials, and thus, clinical guidelines are not sufficiently available. We suggest that it is warranted to develop clinical guidelines based on well-designed clinical studies for palliative care patients.
Recently, interest in energy tranisition is rising. Energy transition requires active participation and cooperation of diverse stakeholders, including users / citizens, in that it requires not only changes in technological factors but also changes and coordination of various social factors. Living labs are attracting attention as one of the ways to do this. This article is a detailed analysis of the activities of the mini-PV living lab in the urban area from 2016 to 2017 at the Seoul, Sung Dae Goal. Through the Living Lab, mini PV DIY products, backup centers, local financial services, and the development of a variety of education and training strategies have been achieved. These activities and achievements were analyzed through questions raised on strategic, tactical, and operational levels, as well as through multi-level perspective and interaction between initiative, regime, and niche. In conclusion, this living lab activity confirmed the possibility of a 'transition lap' to solve social problems such as sustainability of energy production and utilization. In particular, it gained remarkable results in terms of the operational leves of transition management governance, that is, transition experiment, and it was also remarkable in that it was the initiative of citizens. However, it did not proceed without difficulty. In particular, structural problems such as the conflict between the flexibility inherent in living lab and the bureaucratic rigidity of the financial support organization have appeared. There was also a limitation that there was no 'transition field' on the strategic level necessary to replicate and expand strategic niches while spreading the knowledge gained from the transition experiment, forming the vision of transition.
Park, Mi-Jeong;Cho, Jae-Soon;Jang, Sang-Ock;Lee, Yon-Suk
Journal of Korean Home Economics Education Association
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v.23
no.1
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pp.1-17
/
2011
The purpose of this paper was to explore the materials in the Korean and Japanese Home Economics textbooks in middle school with the perspective of green life education. Home Economics is one of the relevant subjects to green growth education. Therefore, home economics teachers need to teach green life based on the low $CO_2$-green growth in the class. Sustainable living at home has been emphasized as one of the main importance of Home Economics since the first curriculum period. However, it is required to reinforce in the 2009 revised curriculum. The content analyses had been done to explore the materials of five areas in the 8 Korean and 2 Japanese junior highschool Home Economics textbooks through two checking steps. Each subject area of Home Economics had various form of materials such as terminology, table figure pictures, reading, and activity, related to green life related to environmental, economic, and social sustenance. The forms and the quantity of materials were some what differ by subject areas as well as textbooks. The levels of material contents were ranged from the knowledge, recognition, to intention to practicum of green life. The green life materials were more likely practical in Japanese textbooks rather than Korean ones. It is recommended teachers to choose the valuable materials over the textbooks and practical green life should clearly mentioned in home economics curriculum to be showed in textbooks.
The best source of information on the conservation status of species at a global scale is the IUCN Red List of Threatened Species. Until now, 236 vascular plants from Korean peninsula have been evaluated using the IUCN red list categories and criteria. It indicated that five taxa were considered as critically endangered, 20 as endangered and nine as vulnerable species as a threatened status. On the other hand, the rest (189 taxa) were assessed as a least concern, which did not qualify for threatened species categories. Korea Ministry of Environment published a revised version of 57 species list by re-classifying endangered species with idiosyncratic qualitative criteria for two levels (I and II) followed by status reviews in 2011. However, two thirds species proposed by Ministry of Environment do not qualify as threatened. The major difficulties found in applying IUCN Red List criteria at the global scale was a lack of knowledge on the status of species at broader geographic scales and the perceived difficulty the causes. The lack of consistency between two lists constrains the prioritization of species-based conservation work at the national level. Due to a lack of centralized monitoring data for most species, this status is largely qualitatively and so it carries a high level of uncertainty. This is reflected in the high number of species with an unknown population trend. The current list of endangered species of flora and fauna by the Ministry of Environment should be recognized as the national list (local and population extinction), which is different from the IUCN Red list due to the different geographical contexts. Also, it is necessary to improve the quality of evaluation and conservation management system rather than presenting massive number of endangered species list.
To identify the appropriate irrigation level for Pinus densiflora, a common reforestation species in Korea, we investigated their growth response characteristics according to different irrigation treatment levels for producing container seedlings with relatively high growth rate for higher survival rate when planted at the reforestation site. The container seedlings including control seedlings (no irrigation was applied) were grown in 104-cell trays were irrigated for 8 weeks from 15 weeks after seeding, at intervals of 1, 2, 3, 5, 7, 10, and 15 days. Analysis of the height growth, root collar diameter growth, and dry matter production of the container seedlings according to irrigation showed that the highest growth reaction was observed for the irrigation interval of 1 day. A shorter irrigation cycle resulted in better growth of the container seedlings, but overall, longer total root length were observed with an irrigation cycle of 3 days compared with cycles of 1 or 2 days. Quality index (QI) was the highest for the irrigation interval of 1 day, and tended to decrease with increase in the irrigation interval. Thus, it was determined that irrigation at intervals of 1-2 days was appropriate for growing Pinus densiflora container seedlings.
This study presents two dimensional views of IT-use behaviors. It examines public employee's IT-use behavior as manifested in two ways: acceptance on IT, utilization on IT. This study investigates levels of employee's the acceptance and utilization on IT in the Korean Central Government(ministry and agency) and analyses factors affecting public employee's the acceptance and utilization on task-related IT in the public sector. This study tries to examine the variables affecting the acceptance and utilization on IT; especially, the influences of such variables as leadership, task-related communication with people, task motivation, IT usability and ease of uses, task understanding in the context of Korean Central Government. Based on a questionnaire survey in Korean Central Government(8 ministries, 5 agencies) that have implemented Government Knowledge Management System(GKMS), 311 valid instruments were received and analyzed using various statistics and structural equation model(SEM). And this study will adopt try to delineate pre and intervening conditions for public employee's the acceptance and utilization. According to the results of interviews and SEM analysis suggests that the influence of task-understanding, organizational communication, IS usability were statistically significant in the acceptance and utilization on IT. And it is also hoped that the path-analytic model suggested in this study helps reveal the causal chains between the acceptance and the utilization. Especially, task-understanding proves to be important in encouraging public employee's the acceptance and utilization. This result illustrates why task-understanding people are the key to utilize the task-related IT in public organization.
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