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New Directions in Communicating Better Nutrition to Older Adults

  • Guldan, Georgia-Sue;Wendy Wai-Hing Hui
    • Journal of Community Nutrition
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    • v.2 no.1
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    • pp.62-70
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    • 2000
  • Nutrition education should be an important component of ongoing health promotion for older adults and their caregivers. This is because prevention through sound nutrition and food hygiene practices and regular excercise is the most cost-effective way to reduce risks for and deal with their major health problems. nutritions education services should effectively promote optimum intake and successful self-care. Unfortunately, however relative to other vulnerable groups, nutrition education for older adults has not been systematically developed or evaluated. Usually oder adults care a lot about their health, so this should be a relatively easy group to teach - but their increasing numbers, longevity and great diversity with respect to health, physical, and economic status and educational level present challenges. Some older adults may not perceive they would benefit from nutrition education, so interesting and motivating them is a challenge. The food and nutrition knowledge of older people has been acquired through a lifetime of experience. For most older adults in the Asian region, their sources are restricted by their restricted education, so that their major sources of information have been informal sources, such as television, radio, friends, family, and perhaps newspapers and magazines if they are literature. Nonetheless, dietary advice for older people should build on their existing knowledge and ingrained values. It should provide information useful in daily food selection, and focus on food, not nutrients - the same foods and groups considered appropriate for younger people, with consistent messages as given throughout the population. Attention must also be paid to discovering learning styles in older people. When we teach in schools, the young students are a captive audience resigned to their learning role. Learning by an older adult, however, reflects an effort to meet his or her perceived needs. Therefore, nutrition education should be a positive experience in a non-threatening environment, relaxed and non-competitive, and perhaps even social environment. The messages also need to be practical and achievable. A needs assessment is essential, because our ability to provide the most effective nutrition education will depend on our success in matching the needs, both perceived and unperceived. of this vulnerable group. Therefore, go to the potential older learners to assess their interest and preferences. Nutrition education activities for older adults are widespread, but few have been evaluated. Evaluation is therefore also recommended, particularly when new methods are used. Tips from other countries for giving successful nutrition education will be given, including some examples of applications as attempted in Hong Kong. Research needs will also be described. In conclusion, successful nutrition education for older adults depends on positive needs-based messages. This is may be hard to do, as few good examples are available to illustrate these principles.

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Chemical Composition and Nutritional Characteristics of Lentils(Lens culinaris), and Their Application in the Food Industry: A Review (렌즈콩의 영양성분과 생리활성 및 식품산업의 응용)

  • Min, Myung-Ja;Shin, Hyun-Jae
    • Korean Journal of Food Science and Technology
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    • v.47 no.3
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    • pp.273-280
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    • 2015
  • Lentils (Lens culinaris) are a nutritious and popular food throughout the world. This review provides an overview of the nutritional and functional properties of lentils. Lentils have high nutritional value: high protein, high fiber, low fat, and a variety of minerals. The addition of lentils to other foods could enhance their health benefits. Additionally, there is no decrease in the amino acid content in lentils when cooked; rather, the amino acids increased and the phytic acids decreased. Lentils are generally known to have biomedical functions including antioxidative, anti-cancer, anti-inflammatory, antihypertensive, and thrombolytic properties. The data presented here show that fermentation would increase the amount of bioactive substances in the beans. Therefore, fermentation techniques could be a new approach to produce lentil-based foods. They are also eco-friendly, cost-effective, and feasible processes. This review has suggested a future development of new lentil-related foods using traditional fermentation technology.

Is the Utilization of MID Services affected by the Implementation of Insurance Coverage?: Based on Claim Data of a General Hospital (MRI 보험급여 적용이 진료이용량에 미치는 영향 : 한 종합병원의 청구자료를 중심으로)

  • Kim, Seon-Hee;Kim, Chun-Bae;Cho, Kyung-Hee;Kang, Im-Ok
    • Health Policy and Management
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    • v.18 no.2
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    • pp.1-18
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    • 2008
  • As medical insurance had been implemented for Magnetic Resonance Imaging (MRI) from January 1, 2005, this study investigated whether there had been any change in the amount of the medical care utilization of patients who undertook MRI before and after the insurance coverage, and was to examine factors affecting the amount of medical care utilization of MRI. Data were collected from patients who undertook MRI before and after the insurance coverage for a year at a general hospital in Kyeanggi-do. $X^2$ and t-test were used for the analysis of their general characteristics, the number of MRI, and its medical costs before and after the insurance coverage, and hierarchical multiple regression analysis for the factors affecting the amount of the medical care utilization of MRI. The results of this study were as follows. First, the number of MRI after the insurance coverage was significantly decreased. Second, there was no significant difference in the total medical costs of MRI after the insurance coverage, but a significant difference was found in patient's share of medical costs. Third, six variables were found to be affecting the amount of the medical care utilization of MRI, and the variables showed to lead the number of MRI decrease after the insurance coverage. These six factors explained 21.4% of the total number of MRI. As MRI had been covered by insurance, the use of MRI and patient's share of the costs were deceased, but the total medical costs were not affected. Reasons for that could be found in that MRI insurance, different from the case of CT insurance coverage, was allowed not to cover some items and the kinds of diseases subjected to the insurance coverage were extremely limited, lowering insurance prescription rate. In addition to that, the average medical cost of MRI was not changed after the insurance coverage. Therefore, as future measures for the MRI insurance, coverage, it should be considered to allow insurance coverage to no coverage items and to expand the scope of benefit coverage, or to lower patient's share of the costs. Furthermore, researches should be done to explore how recipients will act and how suppliers will react if the coverage is expanded, including expanding the scope of coverage and reducing patient's share of the costs, as well as to conduct research on its economic analysis according to case mix.

A Study on Development of Residential-linked Pension Insurance for Rural Living after Retirement - Decisive insuring factors and the service demand of potential consumers - (은퇴 후 농촌거주를 위한 주택연동형 연금보험 개발에 관한 기초연구 - 잠재 수요자의 보험가입조건 및 서비스 요구도 분석)

  • Hong, Hyung-Ock;Kim, Jung-In;Im, Sang-Bon
    • Journal of Families and Better Life
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    • v.26 no.3
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    • pp.37-52
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    • 2008
  • The purpose of this study was to provide the valid data about residential-linked pension insurance development. The development was a part of national housing projects, which was an incentive for rural living of retired people, in order to relieve residential issues of elderly and revitalize rural communities by residents moving from cities. The insuring intent, decisive insuring factors and the residential service demand degree of people preparing retirement were analyzed. Data was collected in October, 2007. 364 Sample Subjects lived in Seoul Metropolitan area. Firstly, more than 90% of respondents had intention to purchase a residential-linked pension insurance and about 50% of them necessarily desired receiving premium for moving in. This indicated that it could be developed as an insurance which helped to meet housing expenses by housing-linked system, and in the mean time, it met the original purpose of pension insurance as the pension benefit could be guaranteed for all the insurance subscribers. Secondly, the respondents, whose income and private assets were higher, were able to pay more for insurance compared to average. Therefore, It was necessary to regulate monthly insurance bill and the payment period according to asset states of insurance subscribers after establishing certain amount of total insurance payment. Thirdly, by and large, it indicated the tendency that the less they prepare for older age the later they wanted to move into the pension insurance residence. It was inferred that in the case of insufficient preparation for older age, people preferred preparing behind time by postponing move in to moving in early to enjoy retired life, due to uncertainties. lastly, the respondents understood the significance of health, medical treatment and emergency management service and these two services were preferred as essential provided services. Because of the necessity of developing residential-linked pension insurance was found to be positive, further research to find the real cost, directives for operation and institutional support for this type of pension insurance might be needed.

Research on the Function and Economic Effect of Technology Opportunity Development System (기술기회발굴시스템의 기능 및 경제적 효과에 관한 연구)

  • Lee, Woo-Sung;Kim, Kang-Hoe;Coh, Byoung-Youl
    • Journal of Korea Technology Innovation Society
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    • v.14 no.spc
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    • pp.1096-1127
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    • 2011
  • This research focus on estimating the economic effects of TOD system development from the perspective of new market creation, R&D planning cost reduction and increase of R&D projects' commercialization success rates. The research is conducted through simulation and scenario analysis with assumptions about economic effect parameters. Scenario analysis shows that scenario 1 (the application ratio of the new TOD system to total Korean R&D programs' planning is 1.4%) results in total economic effects, 921.3 billion won in 2011 price with B/C ratio 6.15, that scenario 2 (the application ratio is 1.9%) results in total economic effects, 1,250.3 billion won in 2011 price with B/C ratio 8.34, and that scenario 3 (the application ratio is 0.9%) results in total economic effects, 592.2 billion won in 2011 price with B/C ratio 3.95. The research contributed to the prior evaluation of economic validity of "R&D on Technology Opportunity Development (TOD) system" and to cultivating the new methodology of economic benefit estimation in the area of R&D on system development.

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Estimation of Post Evaluation Index of Natural Disaster Prevention Projects using Structure Equation Modeling (구조방정식모델을 이용한 자연재해예방사업의 사후 평가 지수 산정)

  • Heo, Bo Young;Song, Jai Woo;Yoon, Sei Eui;Lee, Seung Oh
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.34 no.6
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    • pp.1807-1814
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    • 2014
  • Natural disaster has been hard to prevent the occurrence of itself, thus in order to reduce the economic damages and loss casualties, it is important to be prepared in cases that the disasters should occur in advance. Interest of the related project to prevent various natural disasters has been grown along with an investment in Korea. Along with this movement, when investments related to natural disaster prevention projects were built on, the post evaluation that can verify the ripple effects of those investments on the community should be emerging as an essential task. For evaluating the effects of public investment projects such as natural disaster prevention projects in this study, the related researches would continue through qualitative analyses, for example, cost-benefit analysis. Even the qualitative analysis alone cannot fully explain the effects of those projects, the diverse methods of analyzing and evaluating those effects might not have been presented in those fields. For the post evaluation of natural disaster prevention projects through the qualitative analysis, this study derived subjects that had effects on the post evaluation of natural disaster prevention projects. Also, employing the structural equation modeling (SEM), the causation between post evaluation subjects and the effects of projects were quantitatively analyzed, and the weighting factors of evaluation items were calculated respectively. Based on these results, post evaluation index formula was proposed for the natural disaster prevention projects in Korea.

Predictors of Intention to Undergo Mammography among Underutilizers (유방암 검진 미수검자의 검진의도 관련 요인)

  • Kye, Su-Yeon;Park, Kee-Ho;Choi, Kui-Son;Bae, Mi-Jin;Moon, In-Ok;Yun, Young-Ok;Lim, Min-Kyung
    • Korean Journal of Health Education and Promotion
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    • v.26 no.2
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    • pp.75-86
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    • 2009
  • Objectives: To identify the factors associated with the intention to undergo mammography among Korean women without a prior screening experience. Methods: Among 1,039 women of the general population, we selected 145 women (mean age: 54.2 years, age range : 40-78 years) without any prior experience with mammography. They were recruited for the 'Cancer Information Needs Assessment Survey' by using the method of random multi-stage cluster sampling. Data on the socio-demographic characteristics, intention to undergo mammography based on the Precaution Adoption Process Model, level of self belief and self efficacy for breast cancer screening, motivation for decision to undergo breast cancer screening were obtained by conducting a household survey. Results: Of the study subjects, 49.7% were classified as "unengaged" and "decided not to act" regarding breast cancer screening. Women with the intention to undergo mammography were more likely to be younger (OR 0.11, 95%CI 0.04-0.36), to have been recommended to undergo screening by others (OR 3.27, 95%CI 1.36-7.87), to have a high level of perceived sensitivity (OR 3.15, 95%CI 1.27-7.82), and to have a high level of self efficacy (OR 1.09, 95%CI 0.97-1.23). Exposure to campaigns and information regarding breast cancer screening, whether cancer patients are or not in around, perceived severity, perceived benefit, and perceived cost were factors that were not significantly associated with the intention to undergo mammography. Conclusion: It is necessary to develop tailored intervention strategies for women who have never undergone breast cancer screening on the basis of their demographic characteristics and factors that positively influence the intention to undergo mammography.

A Beacon antenna of GPS impact and performance improvement implementation the proposal (중파 안테나의 GPS영향과 성능개선 구현 및 제안)

  • Choi, Yong-Kwon;Jeong, Jin Ho;Lee, Sang Jeong
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2015.10a
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    • pp.279-282
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    • 2015
  • Fisheries development of the basic law pursuant to article 15 (marine safety management, etc.) one of maritime safety and maritime traffic facilities nationwide network of DGPS in accordance with the building maximize infrastructure utilization and country. Source technology has been improving steadily raised for the benefit daegukmin. In particular, look at the type of product for the marine supply medium-wave receiver Performance products that satisfy most of the IMO Advisory. The antenna and receiver are separate structural supply for some integrated model with a very high Rather it is used as a portable receivers for marine positioning cheap integrated model development is needed. Correction of satellite navigation receivers for the current Marine GPS module, medium-wave modules can be developed one low cost Integrated in independent operating environments do not support the model development done look at what the problem is 285kHz ~ 315kHz in DGPS Beacon receiver structure using a medium wave or Beacon The medium-wave antenna and a GPS receiver signal to noise ratio was studied GPS signal attenuation on the DGPS performance looked at each GPS manufacturer medium-wave signal-to-noise ratio and normalized impact by GPS manufacturers noise power ratio per bandwidth for medium-wave GPS signals affect it was implemented to improve performance.

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Effect of Evasive Maneuver Against Air to Air Infrared Missile on Survivability of Aircraft (공대공 적외선 위협에 대한 회피기동이 항공기 생존성에 미치는 영향)

  • Bae, Ji-Yeul;Bae, Hyung Mo;Kim, Jihyuk;Jung, Dae Yoon;Cho, Hyung Hee
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.30 no.6
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    • pp.501-506
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    • 2017
  • An infrared seeking missile does not emit any signal by itself as it is guided by passive heat signature from an aircraft. Therefore, it is difficult for the target aircraft to notice the existence of incoming missile, making it a serious threat. The usage of MAW(missile approach warning) that can notify the approaching infrared seeking missile is currently limited due to its high cost. Furthermore, effectiveness of MAW against infrared seeking missile is not available in open literature. Therefore, effect of evasive maneuver by MAW on the survivability of the aircraft is simulated to evaluate the benefit of the MAW in this research. The lethal range is used as a measure of aircraft survivability. An aircraft flying at an altitude of 5km with Mach 0.9 being tracked by air-launched AIM-9 infrared seeking missile is considered in this research. As a variable for the evasive maneuver, the MAW recognition distance of 5~7km and the G-force of 3~7G that limits maximum directional change of the aircraft are considered. Simulation results showed that the recognition of incoming missile by MAW and following evasive maneuver can reduce the lethal range considerably. Maximum reduction in lethal range is found to be 29.4%. Also, the MAW recognition distance have a greater importance than the aircraft maneuverability that is limited by structural limit of the aircraft.

Corporate Social Responsibility Performance, CEO turnover and Tax Avoidance (기업의 CSR성과, CEO교체 및 조세회피)

  • Seo, Gab-Soo;Choi, Mi-Hwa
    • Management & Information Systems Review
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    • v.36 no.3
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    • pp.255-268
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    • 2017
  • This study examines whether firms with tax avoidance of Corporate Social Responsibility(CSR) performance is tempered by the extent firms engage in CEO turnovers. Considering the increasing interest in CSR activities of the firm to secure sustainable growth of national economy, this paper investigates the benefit and cost of CSR activities by combining the agency theory using the firm level data. Prior studies document that investors positively value tax avoidance. The rationale for this finding is that tax avoidance provides cash savings that can be used by firm managers to generate future shareholder wealth. Prior studies also show that investors' valuations are sensitive to the risk of future negative tax outcomes. Assuming that many types of CSR performances are low risk, low yielding uses of firm resources, we posit that higher levels of CSR performance may signal to investors that cash generated via tax avoidance has not been fully used to generate a return sufficient to offset the risk associated with aggressive tax planning strategies. Consistent with this argument, we predict and find that the positive association between CSR performance and tax avoidance is significantly weakened when firms have higher positive levels of CEO turnovers. Further, we predict and find that 'philanthropic' types of CSR activities in particular are associated with investor discounting of tax avoidance. We interpret our results as suggesting the equity market views CSR activities to be ostensibly funded through cash savings generated via tax avoidance.

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