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Comparing Compliance and Efficacy of Isocaloric Oral Nutritional Supplementation Using 1.5 kcal/mL or 1 kcal/mL Sip Feeds in Mildly to Moderately Malnourished Indonesian Children: A Randomized Controlled Trial

  • Devaera, Yoga;Syaharutsa, Danny Maesadatu;Jatmiko, Herwasto Kuncoroyakti;Sjarif, Damayanti Rusli
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.21 no.4
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    • pp.315-320
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    • 2018
  • Purpose: This study set out to evaluate the compliance to, and efficacy of oral supplementation, using a 1.5 kcal/mL or 1 kcal/mL sip feed, in children with mild to moderate malnutrition. Methods: This was a parallel, randomized, controlled open-label trial in children aged 3 to 6 years with a weight for height Z (WHZ) score <-1 and ${\geq}-3$, who were randomized to receive a total of 600 kcal/day from either a 1.5 kcal/mL or a 1.0 kcal/mL pediatric sip feed for 28 days. Assessments included daily study product intake, body weight, tolerance and dietary intake from solid food. Results: Of 110 children recruited, 98 ($mean{\pm}standard$ deviation of age $49{\pm}7months$) completed the study. Both sip feeds were well tolerated, with high compliance ($80{\pm}24%$ and $81{\pm}22%$ of prescribed volume in 1.5 kcal/mL and 1.0 kcal/mL groups respectively, p=0.79). Both study groups gained similar weight during the 28 days intervention period ($0.42{\pm}0.40kg$ in 1.5 kcal/mL group vs. $0.49{\pm}0.49kg$ in 1.0 kcal/mL group, p=0.43). There were no significant differences between the groups in weight gain and in the change in WHZ score over the intervention period. Dietary analysis at the end of the study did not show replacement of solid food by the oral nutritional supplements. Conclusion: In children with mild to moderate malnutrition, both 1.5 kcal/mL and 1 kcal/mL pediatric sip feeds had high compliance and were well tolerated, and were equally effective in promoting weight gain in the 28 days study period.

A Study on Dietary Behavior and Health-Related Lifestyles according to Exorcise Habits of Female University Students in the Jeonju Area (전주 지역 여대생의 운동 습관에 따른 식습관 및 건강 관련 생활 습관에 관한 연구)

  • Rho, Jeong-Ok
    • Journal of the East Asian Society of Dietary Life
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    • v.17 no.5
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    • pp.607-614
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    • 2007
  • This study was conducted to investigate the dietary behaviors and health-related lifestyles, according to exercise habits, of female university students in the Jeonju area. Self-administered questionnaires were collected from 285 students, and the statistical data analysis was completed using the SPSS v. 10.0 program. The results are summarized as follows. The weight, height, and BMI averages of the regular exercise and non-exercise groups were 53.05 kg, 162.46 cm, and 20.23, and 50.81 kg, 161.46 cm, and 19.48, respectively. The breakfast skipping ratio was higher in the non-exercise group than the exercise group. More than 72% of the exercise and 71% of the non-exercise group responded to regularly having lunch at the university canteens or restaurants around campus. Approximately 70% of the exercise and 71% of the non-exercise group responded to having dinner irregularly, which was mainly caused by reasons such as 'irregularity of life style' and 'appointments with friends'. The snack intake ratios of the exercise and non-exercise groups were high, but the exercise group ate more fruit, yogurt, and milk than the non-exercise group. The favorite sports of the exercise group were 'walk(jogging)', 'yoga', 'bicycle,' 'swim,' etc. In particular, 5.3% of the exercise group had ridden a bicycle to the university. More than 97% of the students were non-smokers. About 14% of the exercise and 15% of the non-exercise group rank alcohol once or twice a week. The exercise group did not show exceptional health-oriented dietary behaviors in comparison to the non-exorcise group. Therefore, an exercise-oriented nutrition education program would be beneficial to the students, in order to improve their dietary behaviors and health-related lifestyles.

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Herbal Remedies for Combating Irradiation: a Green Anti-irradiation Approach

  • Lachumy, Subramanion Jothy;Oon, Chern Ein;Deivanai, Subramanian;Saravanan, Dharmaraj;Vijayarathna, Soundararajan;Choong, Yee Siew;Yeng, Chen;Latha, Lachimanan Yoga;Sasidharan, Sreenivasan
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.10
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    • pp.5553-5565
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    • 2013
  • Plants play important roles in human life not only as suppliers of oxygen but also as a fundamental resource to sustain the human race on this earthly plane. Plants also play a major role in our nutrition by converting energy from the sun during photosynthesis. In addition, plants have been used extensively in traditional medicine since time immemorial. Information in the biomedical literature has indicated that many natural herbs have been investigated for their efficacy against lethal irradiation. Pharmacological studies by various groups of investigators have shown that natural herbs possess significant radioprotective activity. In view of the immense medicinal importance of natural product based radioprotective agents, this review aims at compiling all currently available information on radioprotective agents from medicinal plants and herbs, especially the evaluation methods and mechanisms of action. In this review we particularly emphasize on ethnomedicinal uses, botany, phytochemistry, mechanisms of action and toxicology. We also describe modern techniques for evaluating herbal samples as radioprotective agents. The usage of herbal remedies for combating lethal irradiation is a green anti-irradiation approach for the betterment of human beings without high cost, side effects and toxicity.

Theoretical Bases and Technical Application of Breathing Therapy in Stress Management (스트레스 관리 시 호흡치료의 이론적 근거와 기법 적용)

  • 이평숙
    • Journal of Korean Academy of Nursing
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    • v.29 no.6
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    • pp.1304-1313
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    • 1999
  • Breathing is essential for life and at the same time takes a role as a antidote for stress. In the Orient, it was recognized early that respiration, mind, and body have a relation that is inseparable and therefore proper breathing is so important. However, since the mechanism of therapeutic effect by breathing have not been verified, the treatment has been continued till recent years. From that which originated in the Orient, several techniques in the west have been developed to regulate breathing, and have been applying to the clinical situation and to studies, however scientific studies are still lacking. Recently, relaxed breathing has been used as an efficient strategy for breathing therapy as it has an effect on reducing physiological tension and arousal, and, therefore can be used as a basic technique to control or manage stress. In this study, in order to provide basic information and guidelines for clinical application, which will aid in the application of the theoretical basics of breathing therapy and its technique, a review of the literative was conducted. The findings are as follows: 1. Since proper breathing not only has, physically, the important function in supplying oxygen to the body but also gives a good emotional, or pleasant state of mind, it is the first step in controlling physical and mental health. 2. The basic types of breathing can be classified into two types; ‘diaphragmatic breathing(relaxed breathing)’ and ‘chest breathing(stress breathing)’. In yoga type breathing, there are four kinds of breathing, ‘upper breathing’, ‘mid breathing’, ‘down breathing’, and ‘complete breathing’. 3. The theoretical explanation of the positive thera peutic effect of breathing therapy techniques exemplifies good brain function, sufficient air flow through the nasal passages, diaphragmatic movement, light vagal stimulation, CO2 changes and cognitive diversion but in most studies, the hypothesis of CO2 is supported. 4. The technique of breathing is designated with many names according to the muscles and techniques used for breathing, and for control of stress, diaphragmatic breathing(relaxed breathing) is explained as a basic technique best used to manage of stress. 5. The relaxed-breathing includes slow diaphragmatic breathing, breath meditation, nasal breathing, yogic abdominal breathing, Benson's relaxed response, and quiet response.

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Effect of Meditation Program on Stress Response Reduction of the Elderly (명상프로그램이 노인의 스트레스반응 감소에 미치는 영향)

  • Heo, Dong-Gyu
    • The Journal of the Korea Contents Association
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    • v.9 no.3
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    • pp.232-240
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    • 2009
  • The purpose of this study was to examine the effectiveness of meditation programs for stress reduction in the elderly. Meditation program for elderly stress reduction were made based on K-MBSR program and kriya yoga. Study was to examined the effectiveness of meditation on stress reduction in the elderly. The program measured the effectiveness of the stress reduction techniques on stress response, depression, anxiety, and quality of life throughout pre-post testing in both the meditation group and the control group. The result indicated that. Stress, depression and anxiety decreased and QOL increased in meditation group. The results of study 1 indicate that meditation program for elderly stress reduction effects on reducing stress and increasing quality of life. These results discussed in connection with cure mechanism for further research.

Research Trend of Oriental Nursing in Korea (한방간호 연구동향 분석)

  • Lee, Hyang-Yeon;Cho, Kyoul-Ja;Kang, Hyun-Sook;Shin, Hye-Sook
    • Journal of East-West Nursing Research
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    • v.8 no.1
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    • pp.27-40
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    • 2003
  • Purpose: The Purpose of this study was to analyze the trends of research related with oriental nursing. Method: 124 articles about oriental nursing from 1990 to July 2003 were analyzed according to the articles' characteristics, sources by publication period, research design, nursing intervention effect of experimental study and concept, and content of literature review. Result: 1. The number of studies related with oriental nursing has progressively increased by year from 1990, and that of articles was the highest during the period between 1995 to 1999. 2. The majority of research design were survey and correlational studies, and most of them were published in the before 2000. But experimental design were used in the after 2000. 3. Nursing intervention used in the experimental design were Dan Jeon Breathing, Qigong, Yoga, Guided Imagery, Aroma therapy, San-Yin-Jiao(SP-6) Pressure, Percutaneous Electrical Nerve Stimulation, Massage(Meridian Point, hand, foot, etc.) Chuna- Bed Exercise Program. Diet for Sasang Constitution etc. 4. The key concept of literature review articles is ki(energy), oriental nursing, health promotion, oriental medicine management of illness etc. Conclusion: The summary of the above results shows a tendency that the study has increased by year. Especially, experimental study proved affirmative effect. Besides in the literature review, inquiry of theories and practical perspective, which is necessary for the establishment of oriental nursing was introduced. However, for the establishment of oriental nursing, more experimental and qualitative studies are to be required.

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Facet Joint Syndrome (추간관절 증후군)

  • Kang, Jeom-Deok
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.15 no.2
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    • pp.93-97
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    • 2009
  • Anatomy: Facet joint syndrome most often affects the lower back and neck and refers to pain that occurs in the facet joints, which are the connections between the vertebrae in the spine that enable the spine to bend and twist. Many physicians have believed that the usual lesion of facet syndrome was an anatomical impairments of facet joint itself.. Facet joint injection using local anesthetics is a reliable method for the diagnosis and treatment for facet syndrome. Etiology: One of many possible causes is imbalances that can occur in stress levels, hormone levels, and nutritional levels. These imbalances can adversely affect posture, which can lead to neck and back pain. The common disorder called facet syndrome exhibits lower back pain, with or without, radiating pain to buttock and thigh due to facet joint arthropathy. Pain in the facet joint is supposedly the secondary effect of narrowing of joint space by sustained muscle contracture around joints. Syndrome: Facet joint syndrome tends to produce pain or tenderness in the lower back that increases with twisting or arching the body, as well as pain that moves to the buttocks or the back of the thighs. Other symptoms include stiffness or difficulty standing up straight or getting out of a chair. Pain can be felt in other areas such as the shoulders or mid-back area. Treatment: Non-drug treatments include hot packs, ultrasound, electrical stimulation, and therapeutic exercises. Stimulating blood flow using massage or a hot tub may also help. Alternative treatments include yoga and relaxation therapy. If your pain persists after trying these treatments, a surgical procedure called radiofrequency rhizotomy, which destroys the sensory nerves of the joint, may bring relief. Facet joint injection has been helpful in diagnosis and therapy for this facet syndrome. Radiofrequency thermocoagulation of medial branches is known to be an effective method of relieving pain caused by facet joint problems. We conclude that spasmolytic treatment of muscles connecting the two vertebral articular space would be better for treatment and diagnosis of facet syndrome rather than facet block with local anesthetic and steroid only.

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The Survey on Using Alternative Medicine in General Population with Medical Problems : A Pilot Study (일반인의 대체의료 이용행태에 관한 연구)

  • Jeong, Yang-Su;Moon, Bong-Kyung;Nam, Hyeong-Woo;Park, Joo-Sung;Eum, Se-Yeoun;Choe, Byeong-Moo
    • Korean Journal of Psychosomatic Medicine
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    • v.6 no.1
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    • pp.70-78
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    • 1998
  • Alternative medicine is defined as the practices used for the prevention and the treatment of diseases that are not taught widely in medical schools, nor generally available inside hospitals. Alternative medicine or therapy is of growing interest to the general public. We conducted a survey to determine the prevalence and patterns of using alternative medicine such as herbal medicine acupuncture, folk medicine, health food and diet, yoga, qi therapy, shiatsu, chiropractics, homeopathy etc.. Based on 794 completed questionnaires, 484 respondents(61%) reported using at least one form of alternative medicine for their medical problems. The major medical conditions for which they used alternative medicine were back pain(85.6%), arthritis(85.4%), hypertension(85.2%), cerebrovascular disorders(86.4%), and insomnia(84.6%). The types of alternative medicine frequently used were herbal medicine, acupuncture, folk medicine, and health food. The reasons why the vast majority of people sought after alternative medicine was that: less side-effect, it is not harmful, it is more effective, there is a shorter waiting time, and a better explanation fur the conditions and a kinder therapist. We found that the frequency of using alternative medicine in the health care system was high. Physicians need to be more aware that many patients may be using alternative medicine. Further survey of the nation-wide prevalence of alternative medicine, and scientific study into the efficacy of this medicine should be followed. In the meantime, we suggest paying attention to possible harmful effects caused by some sorts of alternative medicine.

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A Study on Purchasing and Wearing Status of Korean Women's Athleisure Wear Products - Focusing on Women in Their 20s to 50s - (국내 여성의 애슬레저 웨어 제품구매추구 및 착용실태 조사 - 20~50대 여성을 중심으로 -)

  • Lee, Jong-Kyu;Lim, Ho-Sun
    • Fashion & Textile Research Journal
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    • v.23 no.3
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    • pp.370-379
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    • 2021
  • This study investigated the wearing status and design preferences regarding athleisure wear, focusing on young women in their 20s and 30s and middle-aged women in their 40s and 50s participating in yoga and fitness activities. A total of 332 valid samples were used for the survey by setting the same number of samples for each age group. The results showed that young women in their 20s and 30s exhibited weight control, and middle-aged women in their 40s and 50s maintained their health in relation to exercise. Athleisure wear brands were found to prefer foreign brands over domestic brands. When purchasing athleisure wear, the foremost considerations were material functionality, fit according to body shape, and reasonable prices. The preferred athleisure wear leggings design showed that both middle-aged women and young women preferred nine-piece leggings. Women in their 20s to 50s were found to purchase and acquire information on athleisure wear online. Hence, the pattern of life is rapidly transitioning from offline to online, and the market structure of athleisure wear is gradually transitioning toward an omni-channel society with a distribution market structure that combines information technology(IT) and mobile technologies. Therefore, It is required to develop athleisure wear of various functional products that meet the trends according to the global market environment and consumer class.

The Gastroesophageal Reflux Disease Questionnaire in Adolescents: What Is the Best Cutoff Score?

  • Artanti, Dian;Hegar, Badriul;Kaswandani, Nastiti;Soedjatmiko, Soedjatmiko;Prayitno, Ari;Devaera, Yoga;Vandenplas, Yvan
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.22 no.4
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    • pp.341-349
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    • 2019
  • Background: A self-assessment questionnaire, the GERD-Questionnaire (GERD-Q) was used to determine the prevalence of GERD in adolescents, describe the related factors, and determine the impact on quality of life (QoL). Methods: The incidence of GERD was evaluated using the GERD-Q in adolescents aged 12-18 years. The Pediatric Gastroesophageal Reflux Disease Symptom Questionnaire and Quality of Life Questionnaire (PGSQ-A) for adolescents were additionally administered. Some factors considered related to GERD were also evaluated. Results: The 520 adolescents were included. The prevalence of suspected GERD, according to a GERD-Q cutoff score of ${\geq}7$ was 32.9%, and those drinking soda were 1.7 times more likely to have GERD (95% confidence interval, 1.3-2.2; p<0.001). However, soda consumption was not a risk factor for development of GERD symptoms. Applying a cutoff score of ${\geq}8$, only 10.9% of the participants had a positive GERD score, but the association with soda consumption persisted. The median PGSQ-A score in subjects suspected of GERD was 8 (range 0-37) on weekends and 1 (range 0-17) during weekdays (p<0.001) compared to those not suspected of GERD, with a median of 2 (range 0-27) during weekends and 0 (range 0-10) during weekdays. Heartburn, regurgitation, and extraesophageal symptoms correlated significantly with QoL (p<0.001). Conclusion: The prevalence of suspected GERD in adolescents was 32.9% or 10.9%, depending on the cutoff score used. There was a statistically significant difference in PGSQ-A scores between the subjects suspected or not of GERD, indicating an impaired QoL.