• 제목/요약/키워드: five practices

검색결과 369건 처리시간 0.022초

Anticoagulation after pancreatic surgery with venous resection (TIGRESS): What should we do? Results from an international survey

  • Thomas B. Russell;Debora Ciprani;Somaiah Aroori
    • 한국간담췌외과학회지
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    • 제27권4호
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    • pp.423-426
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    • 2023
  • Backgrounds/Aims: Patients who undergo pancreatic surgery with venous resection have high rates of morbidity/mortality. Also, they are high-risk for postoperative venous thromboembolism. Whether this group should be routinely anticoagulated is unknown. This study aimed to establish current anticoagulation practices. Methods: A survey (https://form.jotform.com/220242489107048) was sent out to pancreatic surgeons. Questions covered center volume, venous resection/reconstruction techniques and anticoagulation policies. Results: Sixty-five centers from 17 countries responded. Following a "side-bite" venous resection with a patch repair, 40% used an autologous vein patch, 27% used peritoneum, and 27% used a bovine patch. After formally resecting a segment of vein, 17% of centers used an interposition graft (IG). Left renal vein (41%) and polytetrafluoroethylene (73%) grafts were the most commonly used autologous and prosthetic IGs, respectively. Following a prosthetic IG, an autologous IG, and a "side-bite" resection, 59%, 28%, and 19% of centers provided therapeutic anticoagulation, respectively (66% used low molecular-weight heparin). The duration of therapy provided varied from inpatient stay only (14%) to six months (32%). Conclusions: Our global survey indicates that anticoagulation practices are highly variable. Centers do not agree on when to anticoagulate, how to anticoagulate, or the duration of therapy. A robust trial is required to provide clarity.

일부 여자 중학생 대상 사회인지이론기반 영양교육 프로그램의 적용 및 효과 (Application and the Effect of Nutrition Education Program Based on the Social Cognitive Theory Among Middle School Girls)

  • 김지혜;우태정;이경애;이승민;이경혜
    • 대한지역사회영양학회지
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    • 제21권6호
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    • pp.497-508
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    • 2016
  • Objectives: The purpose of this study was to evaluate the effect of nutrition education using materials based on social cognitive theory. Education topics focused on improving health-related and dietary self-awareness and behavior capability in adolescents. Methods: Participants were recruited from a middle school for girls; 67 students (educated group, n=34 and control group, n=33) participated. The education group received 12 lessons in club activity class. Self-administered surveys were conducted for each group before and after the nutrition education program. The questionnaires consisted of variables such as self-efficacy, outcome expectation, outcome expectancy, knowledge, and dietary practices based on the social cognitive theory. Education satisfaction was evaluated using a five-point Likert scale for two sections: a) teaching and learning and b) education results. The data were analyzed using a t-test and Chi Square-test (significance level: p < 0.05). Results: In the education group, post-education, there were significant differences in self-efficacy (p < 0.05), knowledge (p < 0.01), and dietary practices (p < 0.05), whereas outcome expectation and expectancy did not show any significant differences. None of the variables showed any significant differences in the control group. Educational satisfaction scores were $4.38{\pm}0.12$ (teaching and learning) and $4.14{\pm}0.15$ (education results). Conclusions: This study showed that improving adolescent's awareness and behavior capability has a positive effect on their dietary practices. Moreover, this study suggested that a theory-based determinant should be considered to improve dietary behavior among adolescents.

Analysis on Sanitation Management Practices in Restaurants in Seoul using the Sanitation Grading System Evaluation Index

  • Kim, Hee-Su;Lee, Ae-Rang;Kim, Gun-Hee
    • Food Quality and Culture
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    • 제3권1호
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    • pp.27-33
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    • 2009
  • This study evaluates the effectiveness of the "Seoul Sanitation Grading System Evaluation Index" developed earlier and to analyze sanitation management practices in restaurants in Seoul, Korea. The categories evaluated were the food management standard, facilities/equipment standard, and essential checking items specified in the law. These items were graded and classified into A ($100{\sim}90$), B ($89{\sim}80$), C ($79{\sim}70$) and Score (less than 69) based on the criteria set by the present researchers. We randomly selected 56 restaurants in five local cities (Jung-gu, Seocho-gu, Jongno-gu, Songpa-gu and Yeongdeungpo-gu) and investigated each by actually visiting the site of business. The achievement rate for food management standard was 80.8%; as for the specific items in the category, it was the highest in food ingredients at 77.1% and the lowest in food storage at 62.1%. For the facilities/equipment standard, the achievement rate was 77.8%; as for the specific items in the category, it was the highest for vermin at 88.1% and the lowest for operation at 70.8%. The achievement rate for overall individual sanitary management was 70.7% and in the category, the lowest score was seen in hand washing at 57.1%. The overall average score of sanitation management practices using the Seoul Sanitation Grading System Evaluation Index in restaurants in Seoul was 73.7, which fell into the C category. As for the number of restaurants in each grade category, there were 10 (17.9%) in each category of A ($100{\sim}90$), B ($89{\sim}80$) and C ($79{\sim}70$) with 30 (53.6%) scoring higher than 70, whereas those scoring less than 69 included 26 (46.4%). The average scores for those restaurants designated by local governments (exemplary restaurants, general restaurants, best Korean restaurants in Seoul) were not significantly different; however, they were higher in franchises than those small restaurants ran by individuals.

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Examples of Holistic Good Practices in Promoting and Protecting Mental Health in the Workplace: Current and Future Challenges

  • Sivris, Kelly C.;Leka, Stavroula
    • Safety and Health at Work
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    • 제6권4호
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    • pp.295-304
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    • 2015
  • Background: While attention has been paid to physical risks in the work environment and the promotion of individual employee health, mental health protection and promotion have received much less focus. Psychosocial risk management has not yet been fully incorporated in such efforts. This paper presents good practices in promoting mental health in the workplace in line with World Health Organization (WHO) guidance by identifying barriers, opportunities, and the way forward in this area. Methods: Semistructured interviews were conducted with 17 experts who were selected on the basis of their knowledge and expertise in relation to good practice identified tools. Interviewees were asked to evaluate the approaches on the basis of the WHO model for healthy workplaces. Results: The examples of good practice for Workplace Mental Health Promotion (WMHP) are in line with the principles and the five keys of the WHO model. They support the third objective of the WHO comprehensive mental health action plan 2013-2020 for multisectoral implementation of WMHP strategies. Examples of good practice include the engagement of all stakeholders and representatives, science-driven practice, dissemination of good practice, continual improvement, and evaluation. Actions to inform policies/legislation, promote education on psychosocial risks, and provide better evidence were suggested for higher WMHP success. Conclusion: The study identified commonalities in good practice approaches in different countries and stressed the importance of a strong policy and enforcement framework as well as organizational responsibility for WMHP. For progress to be achieved in this area, a holistic and multidisciplinary approach was unanimously suggested as a way to successful implementation.

도서관 3D 프린터 이용정책 분석 연구: 미국 도서관 우수사례를 중심으로 (An Analysis of 3D Printer Use Policies with a Focus on the Best Practices of Libraries in the United States)

  • 이종욱;박혜린
    • 한국도서관정보학회지
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    • 제50권2호
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    • pp.97-119
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    • 2019
  • 국내외 도서관에서는 3D 프린터와 관련 서비스 도입을 확대하고 있다. 이에 따라 각 도서관은 원활한 서비스 운영을 위해 3D 프린터 이용정책을 수립할 필요가 있다. 본 연구에서는 국내 도서관의 3D 프린터 이용정책 보유 여부와 내용을 확인하고, 미국 도서관의 우수한 3D 프린터 이용정책 사례의 내용을 분석하여 국내 도서관을 위한 3D 프린터 이용정책 내용을 제안하였다. 연구 결과, 국내의 3D 프린터 보유 도서관은 성문화된 이용정책을 보유한 곳이 거의 없었다. 따라서 미국 소재 16개 도서관(공공 10개관 및 대학 6개관)의 3D 프린터 이용정책 우수사례를 내용 분석하여, 이를 바탕으로 다섯 개의 상위주제(목적, 이용자, 이용방법, 이용제한, 도서관 면책)와 21개의 하위주제를 도출하였다. 본 연구결과는 3D 프린터 이용정책 수립을 위한 기초자료로 활용될 수 있을 것이며, 나아가 3D 프린터를 활용한 이용자 서비스를 위한 고려사항을 제시하는데 의의가 있다.

회복지향실천이 정신장애인의 정신과적 증상에 미치는 영향 (The Effects of Recovery Oriented Practices on Psychiatric Symptoms of People with Mental Disorder)

  • 이인정;김미영
    • 디지털융복합연구
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    • 제16권11호
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    • pp.605-611
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    • 2018
  • 본 연구는 회복지향실천이 정신장애인의 정신과적 증상에 미치는 영향을 살펴보고 나아가 회복지향실천의 각 하위영역 중 어떠한 요인이 정신과적 증상에 영향을 미치는지 탐색함으로써 지역사회 정신보건기관의 회복지향실천 적용을 위한 실천적 의의를 제시하는데 그 목적이 있다. 이를 위해 전국 정신장애인 사회복귀시설을 이용하는 정신장애인 378명을 대상으로 설문조사를 실시하였으며, 상관관계분석 및 위계적 회귀분석을 실시하였다. 연구결과, 연령과 유병기간을 포함한 회복지향실천의 5개 하위요인 중 '삶의 목표', '관여', '치료대안의 다양성'이 정신장애인들의 증상을 완화시키는 것으로 확인되었다. 이러한 연구결과를 바탕으로 국내 정신보건기관이 회복지향실천의 가치와 요소를 반영하여 정신장애인의 회복을 촉진시킬 수 있도록 정신의학 및 사회복지학의 융복합적 의의를 제시하였다.

The Guessing Model Revisited: A Case Study of a Korean Young Learner

  • Yim, Su Yon
    • 영어어문교육
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    • 제17권3호
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    • pp.273-290
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    • 2011
  • This paper presents a case study involving one Korean primary school student and people around him in order to explore the reading process in English of a young Korean EFL learner and to investigate the social context in which his reading takes place. Six participants were included in the study (one primary school student and five adult participants). The student participant was asked to read a text in English and translate what he read into Korean and the teacher participants were asked to listen to the student's reading. Semi-structured interview was used to collect data from the student as well as five adult participants (his private tutor, his parent, his state school teacher, and two other state school teachers). The analysis reveals four characteristics of the way a young EFL learner approaches reading: word-by-word reading, disconnected word recognition, selective use of cues, and lack of awareness of difficulties. The four characteristics of Kilsu's reading suggest that reading can become a wild guessing game for young foreign learners, if they give selective attention to unimportant cues while reading. The pedagogical implications of this study are also discussed to help teachers designing reading lessons for young learners.

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간호대학생의 조산원 분만 참여 경험 (Experiences of Nursing College Students attended to Delivery Practice at Midwifery Clinic)

  • 박재순;김혜진;염순교
    • 여성건강간호학회지
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    • 제21권2호
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    • pp.115-127
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    • 2015
  • Purpose: The purpose of this study was to explore the experiences of nursing college students who attended delivery practices at midwifery clinic. Methods: This was a qualitative study using focus groups. Data were collected by group interviews with a total of 12 students who observed natural childbirth at midwifery clinic. Data were analyzed through Colaizzi's method in which meaningful statements were extracted. Results: The meanings of experiences were identified five theme clusters from thirteen themes and thirty-one sub-themes. The five theme clusters were 'ultimate process of natural childbirth', 'allowed birth', 'role recognition of the midwife', 'positively changed perception', and 'barriers'. Conclusion: This study showed that observation of delivery at midwifery clinic was helpful for nursing students in terms of positive impression about natural childbirth with maternal and baby being centered. Nursing students expressed value and concern about delivery at midwifery clinic. Further in-depth study of natural childbirth in terms of husband and family perspective is required. For quality improvement of maternity nursing care, natural childbirth process needs to be included in nursing care at hospitals as well as students' clinical practicum.

자궁동맥색전술 환자를 위한 표준진료지침 개발 (Development of a Critical Pathway for Patients with Uterine Artery Embolization)

  • 정경희;고영숙;임정아
    • 여성건강간호학회지
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    • 제12권4호
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    • pp.316-325
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    • 2006
  • Purpose: The purpose of this study was to develop a Critical Pathway for Uterine Artery Embolization patients. Method: There were 6 steps that were taken. Step 1 was selecting a diagnosis, and Step 2 was organizing a development team consisting of 7 experts. Step 3 analyzed the medical records, and Step 4 drew up a preliminary Critical Pathway. Step 5 tested the clinical validity of the preliminary Critical Pathway, and Step 6 developed the final Critical Pathway. Result: The contents of the medical practices observed in the medical records were investigated in seven areas: monitoring/assessment, treatment, medication, diet, activity, consults, and education/discharge plan; and a total of 73 items was identified. The validity of the 73 items was examined by a group of specialists. 68 items were adopted, 4 items revised, 1 item removed, and 1 item was added. Using the results, a preliminary Critical Pathway was drawn up. According to the results from examining the clinical validity of the preliminary Critical Pathway with five patients for five weeks, 3 items which showed discrepancy were revised and another 3 items were added. Then, the final Critical Pathway was completed. Conclusion: This Critical Pathway needs to be clinically applied and continuously to measure its effects in terms of the length of stay, cost.effectiveness, and the patients' and staffs' satisfaction.

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Estimates of Genetic Correlations between Production and Semen Traits in Boar

  • Oh, S.H.;See, M.T.;Long, T.E.;Galvin, J.M.
    • Asian-Australasian Journal of Animal Sciences
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    • 제19권2호
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    • pp.160-164
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    • 2006
  • Currently, boars selected for commercial use as AI sires are evaluated on grow-finish performance and carcass characteristics. If AI sires were also evaluated and selected on semen production, it may be possible to reduce the number of boars required to service sows, thereby improving the productivity and profitability of the boar stud. The objective of this study was to estimate genetic correlations between production and semen traits in the boar: average daily gain (ADG), backfat thickness (BF) and muscle depth (MD) as production traits, and total sperm cells (TSC), total concentration (TC), volume collected (SV), number of extended doses (ND), and acceptance rate of ejaculates (AR) as semen traits. Semen collection records and performance data for 843 boars and two generations of pedigree data were provided by Smithfield Premium Genetics. Backfat thickness and MD were measured by real-time ultrasound. Genetic parameters were estimated from five four-trait and one five-trait animal models using MTDFREML. Average heritability estimates were 0.39 for ADG, 0.32 for BF, 0.15 for MD, and repeatability estimates were 0.38 for SV, 0.37 for TSC, 0.09 for TC, 0.39 for ND, and 0.16 for AR. Semen traits showed a strong negative genetic correlation with MD and positive genetic correlation with BF. Genetic correlations between semen traits and ADG were low. Therefore, current AI boar selection practices may be having a detrimental effect on semen production.