• 제목/요약/키워드: evaluation practice

검색결과 2,037건 처리시간 0.028초

식이조사 일수에 따른 식사 다양성과 영양소 섭취 수준과의 관계연구 (Study on the Associations of Dietary Variety and Nutrition Intake Level by the Number of Survey Days)

  • 이지은;안윤진;김규찬;박찬
    • Journal of Nutrition and Health
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    • 제37권10호
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    • pp.908-916
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    • 2004
  • Due to the common dietary practice of preparing foods in various ways using the same food item, in addition to rather a large number of food items that average Koreans consume, it is difficult to accurately assess the nutritional adequacy. In an effort to identify a reliable means of assessing the nutritional adequacy of Korean adults, we analyzed the association between the scores of dietary diversity (DDS) and dietary variety (DVS), and the quality of nutrient intake as assessed by Nutrient Adequacy Ratio (NAR) and Mean Adequacy Ratio (MAR). A three day-dietary record was obtained from each of 324 inhabitants, aged 40 to 69 years (mean :t SD,52.4 $\pm$ 8.7), of a rural area (Ansung) and a mid-sized city (Ansan) of Korea. These individuals were randomly selected among the participants of the Korean Health and Genome Study. The number of consumed foods and food groups were assesses by DDS (scored 1 to 5) and DVS (ranked 30 $\leq$,31 - 40, 41 - 50, 51 - 60, and 60 <) over three-day period, respectively. As DDS/DVS increased, mean daily food intakes tended to increase, and NARIMAR was improved. Thus, DDS and DVS were significantly correlated with the quality of nutrient intake. Over 95% of the subjects scored less than 2 in DDS for the first one-day period, whilst over 62% recorded 4 during the full three-day period (p < .0001). The mean number of consumed food items increased from 24.9 to 44.4 as a function of days of the record period (p < .0001). We also analyzed the association of DDS and DVS with MAR, using regression analysis, controlling age and sex as covariates. For DDS, the adjusted coefficient determination (adj $R^2$) values were 8.7%,15.8%,23.3% of MAR, also increasing as a function of the record duration, whereas they were 27.3%, 33.3%, 37.6% for DVS, respectively, demonstrating that NAR/MAR has a better correlation with DVS than DDS. Our data show that DDS, and DVS in particular, are useful parameters for evaluating nutrient intake in the Korean population. Our data also support that one day-dietary records are by no means adequate for accurately describing a wide variety of food choices offered for average Koreans, and that dietary assessment at least for 3 days or longer should be obtained for a reliable evaluation of dietary quality using DDS or DVS.

Dietary evaluation of a low-iodine diet in Korean thyroid cancer patients preparing for radioactive iodine therapy in an iodine-rich region

  • Ju, Dal Lae;Park, Young Joo;Paik, Hee-Young;Kim, Min-Ji;Park, Seonyeong;Jung, Kyong Yeun;Kim, Tae Hyuk;Choi, Hun Sung;Song, Yoon Ju
    • Nutrition Research and Practice
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    • 제10권2호
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    • pp.167-174
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    • 2016
  • BACKGROUND/OBJECTIVES: Despite the importance of a low-iodine diet (LID) for thyroid cancer patients preparing for radioactive iodine (RAI) therapy, few studies have evaluated dietary intake during LID. This study evaluated the amount of dietary iodine intake and its major food sources during a typical diet and during LID periods for thyroid cancer patients preparing for RAI therapy, and examined how the type of nutrition education of LID affects iodine intake. SUBJECTS/METHODS: A total of 92 differentiated thyroid cancer patients with total thyroidectomy were enrolled from Seoul National University Hospital. All subjects completed three days of dietary records during usual and low-iodine diets before $^{131}I$ administration. RESULTS: The median iodine intake was $290{\mu}g/day$ on the usual diet and $63.2{\mu}g/day$ on the LID. The major food groups during the usual diet were seaweed, salted vegetables, fish, milk, and dairy products and the consumption of these foods decreased significantly during LID. The mean energy intake on the LID was 1,325 kcal, which was 446 kcal lower than on the usual diet (1,771 kcal). By avoiding iodine, the intake of most other nutrients, including sodium, was significantly reduced during LID (P < 0.005). Regarding nutritional education, intensive education was more effective than a simple education at reducing iodine intake. CONCLUSION: Iodine intake for thyroid cancer patients was significantly reduced during LID and was within the recommended amount. However, the intake of most other nutrients and calories was also reduced. Future studies are needed to develop a practical dietary protocol for a LID in Korean patients.

External cross-validation of bioelectrical impedance analysis for the assessment of body composition in Korean adults

  • Kim, Hyeoi-Jin;Kim, Chul-Hyun;Kim, Dong-Won;Park, Mi-Ra;Park, Hye-Soon;Min, Sun-Seek;Han, Seung-Ho;Yee, Jae-Yong;Chung, So-Chung;Kim, Chan
    • Nutrition Research and Practice
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    • 제5권3호
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    • pp.246-252
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    • 2011
  • Bioelectrical impedance analysis (BIA) models must be validated against a reference method in a representative population sample before they can be accepted as accurate and applicable. The purpose of this study was to compare the eight-electrode BIA method with DEXA as a reference method in the assessment of body composition in Korean adults and to investigate the predictive accuracy and applicability of the eight-electrode BIA model. A total of 174 apparently healthy adults participated. The study was designed as a cross-sectional study. FM, %fat, and FFM were estimated by an eight-electrode BIA model and were measured by DEXA. Correlations between BIA_%fat and DEXA_%fat were 0.956 for men and 0.960 for women with a total error of 2.1%fat in men and 2.3%fat in women. The mean difference between BIA_%fat and DEXA_%fat was small but significant (P < 0.05), which resulted in an overestimation of $1.2{\pm}2.2$%fat (95% CI: -3.2-6.2%fat) in men and an underestimation of $-2.0{\pm}2.4$%fat (95% CI: -2.3-7.1%fat) in women. In the Bland-Altman analysis, the %fat of 86.3% of men was accurately estimated and the %fat of 66.0% of women was accurately estimated to within 3.5%fat. The BIA had good agreement for prediction of %fat in Korean adults. However, the eight-electrode BIA had small, but systemic, errors of %fat in the predictive accuracy for individual estimation. The total errors led to an overestimation of %fat in lean men and an underestimation of %fat in obese women.

Vitis amurensis Ruprecht root inhibited ${\alpha}$-melanocyte stimulating hormone-induced melanogenesis in B16F10 cells

  • Jin, Kyong-Suk;Oh, You Na;Hyun, Sook Kyung;Kwon, Hyun Ju;Kim, Byung Woo
    • Nutrition Research and Practice
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    • 제8권5호
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    • pp.509-515
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    • 2014
  • BACKGROUND/OBJECTIVES: The root of Vitis amurensis Ruprecht, a sort of wild-growing grape, has been used in oriental medicine for treatment of skin ailments; however, its dermatological activity is not sufficiently understood. The aim of this study was to investigate tyrosinase inhibitory and anti-melanogenic activities of V. amurensis Ruprecht root methanol extract (VARM) in B16F10 mouse melanoma cells and to attempt to isolate and identify the active compound issued from VARM. MATERIALS/METHODS: Anti-melanogenic activity of VARM was analyzed in ${\alpha}$-melanocyte stimulating hormone (MSH)-stimulated B16F10 cells through evaluation of antioxidative activity as well as inhibited tyrosinase activity and melanin contents compared with those of kojic acid and arbutin. After anti-melanogenic analysis of VARM, serial fractionation, nuclear magnetic resonance (NMR), and thin layer chromatorgraphy (TLC) were applied for identification of active compounds contained in VARM. RESULTS: VARM significantly inhibited oxidative stress and tyrosinase activity and attenuated ${\alpha}$-MSH-induced melanin production in B16F10 cells. For isolation of active compounds, VARM was fractionated using a series of organic solvents, including dichloromethane ($CH_2Cl_2$), ethyl acetate (EtOAc), and n-butanol (n-BuOH). Among fractions showing anti-melanogenic activity, the CH2Cl2 fraction induced the most potent attenuation of melanogenesis without cytotoxicity and the major compound in the $CH_2Cl_2$ fraction was identified as betulinic acid. Betulinic acid isolated from the $CH_2Cl_2$ fraction of VARM significantly attenuated ${\alpha}$-MSH-induced melanogenesis in a dose dependent manner, which was stronger than that of arbutin used as a positive control. CONCLUSIONS: These results indicate that VARM inhibits oxidative stress, tyrosinase activity, and ${\alpha}$-MSH-induced melanogenesis in B16F10 cells, due primarily to the active compound, betulinic acid, in the $CH_2Cl_2$ fraction.

Development of tailored nutrition information messages based on the transtheoretical model for smartphone application of an obesity prevention and management program for elementary-school students

  • Lee, Ji Eun;Lee, Da Eun;Kim, Kirang;Shim, Jae Eun;Sung, Eunju;Kang, Jae-Heon;Hwang, Ji-Yun
    • Nutrition Research and Practice
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    • 제11권3호
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    • pp.247-256
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    • 2017
  • BACKGROUND/OBJECTIVES: Easy access to intervention and support for certain behaviors is important for obesity prevention and management. The available technology such as smartphone applications can be used for intervention regarding healthy food choices for obesity prevention and management in elementary-school students. The transtheoretical model (TTM) is comprised of stages and processes of change and can be adopted to tailored education for behavioral change. This study aims to develop TTM-based nutrition contents for mobile applications intended to change eating behaviors related to weight gain in young children. SUBJECTS/METHODS: A synthesized algorithm for tailored nutrition messages was developed according to the intake status of six food groups (vegetables, fruits, sugar-sweetened beverages, fast food and instant food, snacks, and late-night snacks), decision to make dietary behavioral changes, and self-confidence in dietary behavioral changes. The messages in this study were developed from December 2014 to April 2015. After the validity evaluation of the contents through expert consultation, tailored nutrition information messages and educational contents were developed based on the TTM. RESULTS: Based on the TTM, stages of subjects are determined by their current intake status, decision to make dietary behavioral changes, and self-confidence in dietary behavioral changes. Three versions of tailored nutrition messages at each TTM stage were developed so as to not send the same messages for three weeks at most, and visual materials such as figures and tables were developed to provide additional nutritional information. Finally, 3,276 tailored nutrition messages and 60 nutrition contents for applications were developed. CONCLUSIONS: Smartphone applications may be an innovative medium to deliver interventions for eating behavior changes directly to individuals with favorable cost-effectiveness. In addition, using the TTM for tailored nutrition education for healthy eating is an effective approach.

시뮬레이션 기반 응급기도관리 교육 프로그램 개발 및 효과 (A Development and Effects of Simulation-based Education Program on Emergency Airway Management)

  • 이현아;김성희
    • 한국산학기술학회논문지
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    • 제20권11호
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    • pp.282-293
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    • 2019
  • 본 연구는 시뮬레이션 기반 응급기도관리 교육프로그램을 개발하고, 간호학생에게 적용하여 응급기도관리 지식, 임상수행능력, 자기효능감, 비판적 사고성향에 미치는 효과를 파악하고자 시도되었으며 연구의 대상자는 서울, 경기 소재 4년제 간호대학의 4학년 학생 30명이다. 2017년 10월 14일부터 11월 3일까지 자료수집 하였으며 자료처리 및 분석방법은 SPSS 22.0을 이용하여 빈도, 백분율, paired t-test 로 분석 하였다. 간호 시뮬레이션 기반 교육 프로그램은 ADDIE 모형을 기초로 분석, 설계, 개발, 실행, 평가의 5단계로 진행하여 개발, 적용한 결과 시뮬레이션 기반 응급기도관리 교육 프로그램이 간호학생의 응급기도관리 지식(t=-9.98, p<.001), 임상수행능력(t=-23.90, p<.001), 자기효능감(t=-16.77, p<.001), 비판적 사고성향(t=-5.04, p<.001) 향상에 모두가 유의하게 나타났다. 본 연구결과를 통해 안전한 시뮬레이션 환경에서 임상현장과 유사한 상황을 미리 경험해봄으로써 간호학생들의 실무역량 강화에 도움이 되는 교육임을 확인할 수 있었다. 따라서 본 교육 프로그램은 임상실습이 제한적인 간호학생을 위해 응급간호상황 대처 및 핵심술기 향상을 위해 간호대학에서 적극적으로 활용될 수 있을 것으로 기대된다. 또한 신규간호사와 간호사의 실무역량 강화를 위한 교육으로 활용 될 수 있을 것이다.

동료 유아교사 평가 척도 개발 및 분석 (Development of a Scale and Analysis of Peer-assesment Questions of the Preschool Teachers)

  • 임은정;이성균;정미림
    • 한국콘텐츠학회논문지
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    • 제10권7호
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    • pp.438-448
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    • 2010
  • 본 연구는 유아교사의 동료장학과 교사발달을 위한 동료 평가 척도개발을 목적으로 실시되었다. 선행연구에서 유아교사 평가척도에 대한 연구는 많이 논의되어 왔으나, 평가자는 주로 원장 또는 상급자에 의해 일시적인 평가나 자기평가로 이뤄져왔다. 본 연구에서는 주변 동료교사를 통해 유아교사 평가가 이뤄질 수 있도록 문항을 개발하였다. 동료교사를 통한 평가는 교사의 지속적인 모습을 평가할 수 있기 때문에 교사에 대해 보다 세밀하게 평가가 이뤄질 수 있다는 점에서 장점이 있다고 볼 수 있다. 본 논문에서는 51개 문항을 가지고 동료 평가를 실시하였는데, 9개 영역으로 분리하여 150명을 대상으로 설문조사를 실시하였다. 이를 위해 척도의 적절성(내용타당도, 구인타당도, 문항내적합치도)과 문항의 적절성(문항변별도)을 분석하였다. 분석 결과 동료 유아교사 평가 문항으로서 적절한 척도임을 알 수 있었다.

HWAW 기법을 이용한 지반의 2차원 전단파 속도 평가 (Evaluation of 2D Shear Wave Velocity Imaging of Subground Using HWAW Method)

  • 김종태;박형춘;방은석;박헌준;김동수
    • 비파괴검사학회지
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    • 제27권2호
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    • pp.105-114
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    • 2007
  • 수평적 변화가 심한 국내 지반에서는 지반의 2차원 전단파 속도를 비관입적인 방법에 의해 도출하는 것이 중요하며 많은 연구가 수행되어 왔다. 본 연구에서는 속도 도출에 있어 기존의 표면파 탐사법의 단점을 극복한 HWAW(harmonic wavelet analysis of wave) 기법을 적용성을 평가하였다. 이 기법은 하모닉 웨이블릿 변환을 이용하여 파의 그룹(위상)속도를 결정하는 기법으로, 2개의 감지기로 구성된 단일한 실험구성을 사용한다. 주변 잡음의 영향을 효과적으로 제거하기 위해 신호 대 잡음비의 최대 부분을 이용하며 단일 어레이 역산을 사용한다. 또한 짧은 감지기 간격을 이용하여 지반의 국부적인 특성을 파악할 수 있다. 따라서 기존 방법에 비해 간단하고 빠른 현장 시험을 수행하며 신뢰성 있는 지반의 2차원 영상화를 도출 할 수 있다. 제안된 기법으로 구한 2차원 영상화의 적용성을 확인하기 위하여 2곳의 부지에서 시험을 수행하였고, 시추결과 및 다른 기법들의 비교 분석을 통해 제안된 기법의 적용성을 검증하였다.

3차원 프린팅 기술을 이용한 차폐체 제작 및 유용성 평가 (Usefulness Evaluation and Fabrication of the Radiation Shield Using 3D Printing Technology)

  • 장희민;윤준
    • 한국방사선학회논문지
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    • 제13권7호
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    • pp.1015-1024
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    • 2019
  • 최근 의료분야에서 X선은 질병의 진단 및 치료영역에서 필수적으로 요구되며, 영상의학 기술의 발전과 더불어 X선의 이용은 지속적으로 증가하는 추세지만, X선은 방사선 피폭의 단점을 가지고 있다. 방사선피폭을 방어하기 위해 임상에서는 납 방호도구를 사용하지만 납은 중금속으로 분류되어 납중독 등 인체에 유해한 반응을 일으킬 수 있다. 따라서 본 연구는 FDM(Fused Deposition Modeling)방식의 3차원 프린터의 재료를 이용하여 제작한 차폐체의 유용성을 알아보고자 한다. 필라멘트의 선감약계수를 확인하기 위해 PLA, XT-CF20, Wood, Glow, Brass를 이용해 팬텀을 제작 하고, CT scan을 하였다. 그리고 100 × 100 × 2 mm 크기의 차폐 시트를 모델링하고, 진단용 X선발생장치와 조사선량계를 이용하여 선량 및 차폐율을 측정하였으며, 납 방호도구와의 차폐율을 비교하였다. 실험결과 Brass의 CT number가 가장 높게 측정되어 Brass를 이용하여 차폐시트를 제작하였으며, 진단용 X선발생장치로 확인한 결과 100 kV, 40 mAs 조건으로 X선 조사 시 6 mm 두께의 차폐시트에서 차폐율이 90 % 이상으로 측정되어 apron 0.25 mmPb보다 차폐율이 높은 것을 확인하였다. 본 연구의 결과 3차원 프린팅 기술로 제작한 차폐체가 진단용 X선 영역에서 높은 차폐율을 보이는 것을 확인하였으며, 납 방호도구와의 비교를 통하여 납을 대체하여 방사선 방호도구로서의 가능성을 알 수 있었다.

국산 참나무류의 이용활성화를 위한 건조특성 및 가공수율 평가 (Evaluation of Drying Properties and Yields of Domestic Quercus Species for Enhancing Utilization)

  • 장윤성;신현경;김세종;한연중;김민지;엄창득;이영근;심국보
    • Journal of the Korean Wood Science and Technology
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    • 제45권5호
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    • pp.622-628
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    • 2017
  • 본 연구에서는 국산 참나무류의 고부가가치재 이용기술 개발을 위해 굴참나무와 신갈나무를 대상으로 입목으로부터 마루판재까지의 가공수율을 조사하였다. 또한 참나무류 건조시간 단축을 위한 건조스케줄의 개선 및 물성평가를 수행하였다. 건조시간은 총 173시간이 소요되었으며, 최종함수율은 굴참나무 5.39%, 신갈나무 4.17%로 측정되었다. 건조에 따른 굴참나무와 신갈나무의 재색변화는 ${\Delta}E$ 값이 7~11으로 현저한 변화를 보였다. 건조에 따른 수축률은 굴참나무의 경우, 접선방향 8.1%, 방사방향 5.0%이었으며, 신갈나무의 경우, 접선방향 8.5%, 방사방향 6.2%로 평가되었다. 제재수율은 30~40%, 최종제품수율은 8~15%로 평가되었다. 본 연구에서 조사된 참나무류의 가공특성은 아직까지 저이용되고 있는 국산 활엽수의 효율적인 생산계획을 수립하는데 기여할 수 있을 것으로 기대된다.