• Title/Summary/Keyword: Major practice

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Short Bowel Syndrome as the Leading Cause of Intestinal Failure in Early Life: Some Insights into the Management

  • Goulet, Olivier;Nader, Elie Abi;Pigneur, Benedicte;Lambe, Cecile
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.22 no.4
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    • pp.303-329
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    • 2019
  • Intestinal failure (IF) is the critical reduction of the gut mass or its function below the minimum needed to absorb nutrients and fluids required for adequate growth in children. Severe IF requires parenteral nutrition (PN). Pediatric IF is most commonly due to congenital or neonatal intestinal diseases or malformations divided into 3 groups: 1) reduced intestinal length and consequently reduced absorptive surface, such as in short bowel syndrome (SBS) or extensive aganglionosis; 2) abnormal development of the intestinal mucosa such as congenital diseases of enterocyte development; 3) extensive motility dysfunction such as chronic intestinal pseudo-obstruction syndromes. The leading cause of IF in childhood is the SBS. In clinical practice the degree of IF may be indirectly measured by the level of PN required for normal or catch up growth. Other indicators such as serum citrulline have not proven to be highly reliable prognostic factors in children. The last decades have allowed the development of highly sophisticated nutrient solutions consisting of optimal combinations of macronutrients and micronutrients as well as guidelines, promoting PN as a safe and efficient feeding technique. However, IF that requires long-term PN may be associated with various complications including infections, growth failure, metabolic disorders, and bone disease. IF Associated Liver Disease may be a limiting factor. However, changes in the global management of IF pediatric patients, especially since the setup of intestinal rehabilitation centres did change the prognosis thus limiting "nutritional failure" which is considered as a major indication for intestinal transplantation (ITx) or combined liver-ITx.

A Study on the Influencing Factors of Self-Esteem for Disabled Echo Boomers (에코부머 장애인의 자아존중감에 영향을 미치는 요인에 관한 연구)

  • Lee, Mun Joung;Nam, Jung Hwi
    • 재활복지
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    • v.21 no.2
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    • pp.89-111
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    • 2017
  • The following study aims for analyzing the effects of influencing factors of self-esteem for persons with disabilities in the generation of echo-boomers. 278 disabled people born form 1992 to 1979 among the participants in the $7^{th}$ Panel Survey on persons with disabilities have been selected for ensuring reliability of analyzing this survey. As for the method of research, descriptive analysis, Pearson correlation coefficient analysis, And multiple regression analysis were used for verifying influencing factors of their self-esteem. As the result of the examination which analyzed factors effecting self-esteem of persons with disabilities, self-esteem tends to be increased when academic levels and interpersonal relation skills are increased in the human major human capitals factors. In terms of the factors of Socio-Econimic, self-esteem is likely to be increased when they do not have any experiences of discrimination in their daily lives and when they subjectively feel their socio-economic positions are higher enough. In accordance to the results of this study, strategies of policy and practice in social welfare for the persons with disabilities in the generation of echo-boomers are suggested to include all that factors between human capitals factors and socio-economic factors to increases their self-esteem.

Dietary Life, Vitamin D Status and Blood Clinical Indices of University Laboratory Workers (대학 연구활동종사자의 식생활실태, 비타민 D 영양상태 및 혈액 임상지표 분석)

  • Hwang, Jung Hyun;Lee, Hong Mie;Kim, Jung Hee
    • Korean Journal of Community Nutrition
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    • v.24 no.3
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    • pp.245-256
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    • 2019
  • Objectives: Although the number of laboratory workers is constantly increasing every year, few studies have been conducted on the health and nutritional status of these research workers. This study determined the health status of laboratory workers by analyzing their anthropometric indices, dietary life, vitamin D status and blood clinical indices. Methods: The subjects consisted of 100 female laboratory workers. This study investigated their diet, anthropometric indices, vitamin D status and blood clinical indices. The subjects were divided into two groups according to their duration of working in a laboratory (<1 year, $${\geq}_-1year$$). Results: The average age and body mass index (BMI) of subjects were 23.18 years and $21.51kg/m^2$, respectively Those subjects with over 1 year employment ($${\geq}_-1year$$) had a significantly higher waist-hip ratio than that of the subjects with the less than 1 year employment (<1 year). The mean serum vitamin D level of all the subjects was 10.04 ng/mL, which is close to a level of vitamin D deficiency. There was a significantly higher average intake of calories in the over 1 year employment group as compared to that of the less than 1 year employment group. The frequency of eating sweet snacks was significantly higher for the over 1 year employment group. The correlation analysis showed a significant positive correlation between the serum 25-(OH)-vitamin D level and the time of exposure to sunlight, while dietary intake of vitamin D did not show correlation with the serum 25-(OH)-vitamin D level. However, the serum 25-(OH)-vitamin D level was also negatively correlated with both the percentage of body fat and visceral fat. Conclusions: Laboratory workers are a very high risk group in terms of their nutritional status of vitamin D. Therefore, they need greater time of exposure to sunlight as well as increasing their dietary consumption of vitamin D. In addition, it is important for laboratory worker to practice regular and balanced dietary habits in order to maintain a healthy life.

Compiler technology training through a virtual e-learning content programming language (가상 컴파일러 기술을 통한 실습 형 프로그래밍언어 e-learning 콘텐츠)

  • Lee, Ho-Jin;Kang, Hee-Su;Youn, Jun-Su;Moon, Il-Young
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2014.05a
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    • pp.867-870
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    • 2014
  • Currently a number of universities and other educational institutions in the e-learning education system being implemented. Also that there is a demand. However, existing e-learning system has many problems. First, the theory of how the university -centered education and training institutions to adopt e-learning system has become the biggest obstacle. In addition, students can not engage the problem of a one-way lecture. In this paper, the theory -oriented and practice to overcome the one-way river systems programming language will develop e-learning content. Using socket communication and multi-threaded server-side Web browser on the client side through the compiler without installing a separate application installation and environmental learning environment can be unrestricted. Hands- content programming language allows the learner to direct the client-side source code in a web browser by entering the lecture is leading the way. For learners to enter the source code compiled to run on the server side, the compiler provides the learner results. Hands- because the future e-learning content development in e-learning systems will be a major contribution to.

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The Significance of the Joint Inscription of Falconry to the Representative List of the Intangible Cultural Heritage of Humanity (인류무형유산 대표목록 '매사냥' 공동등재의 특성과 의의)

  • Hwang, Kyeong-Soon
    • Korean Journal of Heritage: History & Science
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    • v.51 no.4
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    • pp.208-223
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    • 2018
  • This paper focuses on strategies and issues involving a joint inscription of an Intangible Cultural Heritage element to UNESCO through multinational cooperation and conclusive characteristics and the significance of the multinational filing. The case of "Falconry", which was jointly filed by 18 State Parties including ROK and inscribed on the Representative List of the Intangible Cultural Heritage of Humanity of UNESCO on 2010, was analyzed as the main object of discussion The issues can be summarized as follows: First; State Parties that participated at the joint nomination process got to grasp the purpose of the multinational nomination mechanism a lot better than before through drawing up the nomination forms. Especially, we learned that the inscription of the falconry eventually has to contribute to the perception of ICH in general and applying that knowledge at the submission of the multinational file was the major aspect for the inscription on the list in 2010 and the extension of the inscription 2012. Second; the very nature of prosecution of the multinational nomination, State Parties are given opportunities to communicate and cooperate over their shared ICH element, through which a mutual understanding of other cultures and the national characteristics of other countries - which means implementing the very ideology of UNESCO- to contribute to cooperation and peace among nations through multinational nominations. Third, the falconry, according to the Operational Directives of the <>, has a chance to be deemed a Best Practice case, since it continuously extends through more and more State Parties participating to the multinational file. Extension of a Representative List of the Intangible Cultural Heritage of Humanity element can help defusing the tension caused by identifying the owner of the intangible heritage and can mean more awareness of the purpose of the convention.

Life long learning system crate major impact on dominant organizations in the world (평생학습 시스템이 세계의 지배적인 조직에 미치는 주요 영향)

  • Chandrakant, Mehta Jaydip
    • Industry Promotion Research
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    • v.4 no.1
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    • pp.57-66
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    • 2019
  • The extant research literature is scant in telling us how organizations actually implement lifelong learning practices and policies. Hence, the purpose of this paper is to describe how lifelong learning is grounded in practice. We do this by introducing a new conceptual framework that was developed on the basis of interviews with a number of leading edge corporations from Canada, the USA, India and Korea. At the heart of our model, and any effective lifelong learning system, is a performance management system. The performance management system allows for an ongoing interaction between managers and employees whereby challenging performance and learning goals are set, and concrete plans are made to achieve them. Those plans involve three types of learning activities. First, employees may be encouraged to engage in formal learning. This could be provided in-house, or the employee may take a leave of absence and return to school. Second, managers may deploy their subordinates to different departments or teams, so that they can take part in new work-based learning opportunities. Finally, employees may be encouraged to learn on their own time. By this we mean learning after organizational hours through firm-sponsored 5 programs, such as e-learning courses. Fueled by the performance management system, we posit that these three learning outlets lead to effective lifelong learning in organizations.

Exploring Epistemic Considerations in Small Group Science Argumentation of Elementary Students (초등학생들의 소집단 과학 논의 활동에 나타나는 인식적 고려사항 탐색)

  • Choi, Hyeon-Gyeong;Kim, Hyo-Nam
    • Journal of The Korean Association For Science Education
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    • v.39 no.1
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    • pp.59-72
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    • 2019
  • The purpose of this study is to show that epistemic considerations can be used meaningfully in the argumentation of elementary students, and to provide data on students' epistemic considerations that will be the basis for designing and evaluating scientific argumentation. The epistemic considerations in students' small group argumentations were explored based on Epistemic Considerations in Students' Epistemologies in Practice: EIP' suggested by Berland et al. (2016). The major results of this study are as follows: First, epistemic considerations in elementary school students' small group argumentation appeared in all four aspects: Nature, generality, justification and audience. The epistemic considerations varied according to context in each discussion situation. Second, epistemic considerations did not exist independently. They influenced each other and helped to reveal new types of considerations. The results of this study confirmed that argumentation can be used in elementary school science class. Understanding how students are involved in argumentation and how these epistemic considerations can affect students' argumentation can be helpful to teachers who design and evaluate small group argumentation. Students' achievement level affected epistemic considerations but learning approach types did not affect on. In addition, epistemic considerations may have a positive or negative effect on each other depending on the discussion situation in the process of interaction. So consideration of normative argumentation rules and teaching strategies should be considered in order for epistemic considerations to positively affect each other.

A study of Nan xian(南軒) Zhangshi(張?)'s cultivation - Focusing on the mutual influence of Huxiangxue and Zhuzixue (남헌(南軒)장식(張?)의 수양론 연구 - 호상학과 주자학의 상호 영향을 중심으로 -)

  • Lee, yun jeong
    • The Journal of Korean Philosophical History
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    • no.58
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    • pp.337-356
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    • 2018
  • Zhangshi established his own ideal system in the process of self-cultivation in the Southern Song dynasty period, where academic exchanges were active. A common feature in the process of self-cultivation is the transformation of ideas. In the case of Zhangshi, his academic exchanges with contemporary mainstream scholars had a major impact on them, and Zhangshi was also able to systematize his own ideas. However, while there have been a lot of researches on the mainstream schools of the Southern Song period, there has been little research on the ideological trends and trends of the time when mainstream schools could have occurred. This paper attempts to understand the ideological trends of the Southern Song era by examining the formation process of the his theory of self-cultivation, and to examine the process of exchanging of mainstream schools through the field of self-cultivation. This work will be a meaningful process for understanding the philosophy of the Song era and for examining the tendency objectively. This paper examines the formation process of self-cultivation in the first half and the second half. In the first half, this paper refers to the ideological impact of schools that had influenced Zhangshi's thought, in the second half, this paper deals with the process of change of his theory of self-cultivation and then examines how his ideas had changed. This work will help to understand Zhangshi's own ideas and to understand how Zhu Xi's theory of Zhu xi, who had an ideological exchange with him, could be established.

Analysis of multicultural education research trends in Korea (한국 다문화교육의 연구동향 분석 : Bennett이론에 근거하여)

  • Chang, Insil;Cha, Kyung-Hee
    • (The)Korea Educational Review
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    • v.18 no.1
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    • pp.283-302
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    • 2012
  • Multicultural families have literally started to settle in Korea since the late 1980s, yet it was not until the middle of 2000 that multicultural education was actually arisen with its full-scale discussions. Domestic studies on multicultural education have now remarkably been conducted in various aspects and points of views, but with no certain level of collective and comprehensive analysis yet. To seek Korean way of finding out appropriate solutions to its multicultural society, a contemporary major trend in the world, it is necessary to keep developing the theory and practice in Korean multicultural education with constructive criticism over the development. In this thesis, the research trends and characteristics of Korea multicultural education are analyzed according to the three categories: the times of the study, the subjects of the study, and the themes of the study. The analysis of the study themes, in particular, is done based on the four core areas presented by Bennett: equity pedagogy, curriculum reform, multicultural competence, and societal equity. Furthermore, the analysis includes the five additional Korean sub-categories, which are also acquired in the process of our analysis of the thesis: multiculturalism, global multicultural education, counselling research, measurement development, and citizenship education, added to Bennett's three sub-ones of each area. Overall, based on the analysis data, this study investigates further improvements and subsequent research themes in the following researches on Korean multicultural education.

The Lived Experience of Occupational Therapists in Public Health Centers Regarding Community Rehabilitation and Health Services: Phenomenological Study (보건소 작업치료사의 지역사회 재활 및 보건서비스 제공에 대한 업무 경험에 관한 현상학적 연구)

  • Park, Kang-Hyun;Jeon, Byoung-Jin;Jung, Min-Ye
    • Therapeutic Science for Rehabilitation
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    • v.10 no.1
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    • pp.63-75
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    • 2021
  • Objective : The purpose of this study was to examine the roles and practices of occupational therapists in public health centers based on their working experience of occupational therapists who are working in these facilities. Methods : We used Giorgi's descriptive phenomenological research method. Six occupational therapists were interviewed, and their recorded data were analyzed using Claizzi's thematic analysis. Results : As a result, 4 categories, 16 themes, and 24 elements were elicited. The major roles of occupational therapists in public health centers were the evaluation of clients, home-visit occupational therapy, management of dementia programs and community connection projects. Interventions that are needed to create a healthy community include case and program management, compensatory approaches, and healthy lifestyle interventions. The difficulties experienced by occupational therapists include their limited number job insecurity, performance-oriented administrative policy, and the lack of communication among professionals. Occupational therapists require education in health management and practice in public health centers to build their capacities. Conclusion : The results of this study could be used for guidelines for occupational therapists who work in community healthcare centers, as well as basic training for competent occupational therapists in the community.