• 한국지역사회생활과학회지
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• 제17권1호
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• pp.123-139
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• 2006

The purpose of this study is to search how to promote health and improve nutrition and health care of the elderly people in rural area. Behaviors for health promotion and habits against health risk were surveyed. Dietary management was analyzed for surveyed nutrient intake by 24 hr -recall method. 242 subjects were collected in 12 cities or counties in Gyeonggi Province and 20 elderly people (10 male and 10 female) were selected out of 1 village in each district. Questionnaire for health behavior and dietary management was carried out by trained interviewers. Statistical analyses were made by SAS (version 8.1) and Chi-square tests and General Linear Models were used. Characteristics of the elderly people were 61-74 year-olds (68.2%), elementary school educated (78.4%), with spouse (51.7%), monthly living cost of 500-1,000 thousand won(43.4%), and monthly pocket money of 50-100 or 100-200 thousand won(33.5%, 26.5%). 41.4% of the subjects checked up medical examination regularly. The alcohol drinking status was significantly different according to gender: high no-drink rate of female (52.5%) and low no-drink rate of male (25.6%). Kinds of disease were different according to gender: higher proportion of cardiovascular disease(46.3%) and diabetes mellitus(8.1 %) in male and joint lumbago neuralgia(44.4%) and osteoporosis(8.6%) in female. Gastrointestinal complaints were nausea (69.0%) and chronic indigestion (17.8%). Constipation (12.0%) and vomiting (4.3%) were more frequent in female. Dietary management was good (3 meals per day: 93.4%., dining with family: 72.4%, regular mealtime: 72.4%, and 3-4 times of snacks per week: 44.9%) except side dish taking of 3-4 kinds only. However, almost one-third of the female elderly ate alone (30.6%) which was well compared with one-fifth of the male (19.7%). And food and nutrients intake were not significantly different according to gender except that male elderly's intake of energy and protein was lower than that of female's. The surveyed subjects had no difficulties in Activities of Daily Living (ADL), but some female elderly had some difficulties with Instrumental Activities of Daily Living (IADL) like working at home, using transport, and going shopping. These results suggest that low quality of life linked with low economic status of the rural elderly and that congregate meal at village hall would be required for the female elderly eating alone. For the undernourished male elderly, it would be needed to provide snacks and to establish nutrition and health surveillance system.

• 한국식품조리과학회지
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• 제25권1호
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• pp.74-83
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• 2009

We investigated the food service management practices in child care centers operated by various types of foundations in the Chonbuk area of Korea. Self-administered questionnaires were collected from 125 child care center directors. The statistical analysis was completed using an SPSS v11.5 program. Approximately 82.4% of the directors were women with an the average age of 45 years old. The average number of children in each public and private child care center was 84.7 and 88.8, respectively (P<.001), and the difference in time of operation was significant(P<.001). Only 20.8% of the centers employed a dietitian, whereas 92.0% of the centers employed a cook, thus, food service was not managed by professionals in most centers. In approximately 99.2% of the centers, meals were prepared in a conventional manner. The difference in daily meal frequency was significant(P<.05), with approximately 85.6% of the centers serving snacks twice a day primarily to supplement the intake of nutrients(4.44 point) and to add fun to the daily lives of the children(4.12 point). Approximately 40.7% of the directors of public centers and 57.6% of the directors of private centers responded that the most difficult aspect of food service management was financial management. Overall, 56.8% of the directors responded that the details of financial management had the greatest effect on their ability to improve the quality of food service. In most centers, the center director was also the purchasing manager and half of them purchased food every day. Approximately 97% of the directors responded that they do not include instant foods in their menu plans but they would use them if the children wanted to eat them. These results indicate that the food service management in child care centers in the Chonbuk area is relatively inadequate. We strongly recommend that they hire dietitians for food service administration and focus on strengthening sanitation management.

• 한국치위생학회지
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• 제15권1호
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• pp.63-71
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• 2015

Objectives: The purpose of the study is to investigate the relationship between bone mineral density and remaining teeth in Korean adults. Methods: Using National Health and Nutrition Examination Survey(KNHANES) 5th Year 1(2010), 1,985 adults over 50 years old having bone mineral density test were selected. Male adults were 883, and female adults were 1,102. The raw data consisted of general characteristics of the subjects, bone density data, and oral examination data. The questionnaire consisted of general health survey, laboratory examination study, and nutrition study. Data were analyzed using SPSS 18.0 program for multiple regression analysis, ANOVA, t-test. The variables included general characteristics of the subjects, health behavior, diet habit, and oral health behavior. General characteristics consisted of gender, age, residence area, education level, marital status, monthly income, and vocation. Health behavior consisted of smoking, alcohol drinking, body mass index(BMI), physical activity, and mental health. Diet habit consisted of frequency of meal, milk, coffee, and calcium ingestion. Oral health behavior consisted of frequency of tooth brushing, use of oral health care devices, and oral examination. Systemic diseases were measured by the questionnaire for hypertension, diabetes mellitus, and hyperlipidemia. Bone density was measured in T-score of femoral bone, neck of femur, and lumbar vertebrae. Bone density was classified into normal($T-score{\geq}-1.0$), osteopenia(-2.5 < T-score < -1.0), and osteoporosis ($T-score{\leq}-2.5$). The remaining teeth were measured by the differences between normal teeth and missing teeth. Results: Smoking and age are the most influencing factors on the number of remaining teeth and bone density(p<0.01)(p<0.05). Those who had higher bone density, younger age, and nonsmoker significantly had more remaining teeth. Those who were men, diabetic, lowly educated women, and low birth weighted persons tended to have less number of teeth(p<0.01). Conclusions: The study suggested that there were significant differences between men and women according to the oral health management behavior and systemic disease control. Proper management of the oral health and good quality of bone mineral density can reserve the remaining teeth through the whole life.

• 한국식품조리과학회지
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• 제15권2호
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• pp.133-145
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• 1999

The schools in the survey consisted of 61 schools where foodservice was managed by themselves and 49 schools where it was done cooperatively. According to the style managed, the urban style was 42 schools, the rural style was 46, and the island style was 22. With regard to the amount for each student that parents have to pay. it was 745 won at schools managed by themselves and 616 won at schools managed cooperatively. The budgeted amount was 75 won at schools managed by themselves and 97 won at schools managed cooperatively. The result showed that parents at schools managed for themselves paid much more for the cost of food and management. The mean area of kitchens was 31 pyong (102 sq. meters) in environment of cooking utilities, and management was done wherever they were needed. The budgeted amount was supplied from the Educational Office and parents. In the situation of utilities and instruments for cooking, the places to wash hands and flush toilets, which were regarded as sanitary facilities were insufficient. The rates of containing measuring instruments and thermometers for cooking were also insufficient. The list to be considered in the management of menu was concentrated on raising acceptance of students served, based on the order of the tastes of students served, the quantity of the cost, nutrition needed, and then facilities. The replies that leftover food was thrown away after meals were numerous and the rate of leftover food was reflected on the menu. In purchase and management, the rate of food needed to be purchased was calculated through experience. A private contract was chosen to purchase food. The frequency of purchasing food was usually once a day, which would nutritists examined food, concentrating on the order of quality, number, and price. In the management of operation, a schedule for making food was seldom formed, referring to it only at the time needed. All the food was made in a day but some special foods were made the day before they would be required. It shows the situation was thought to be the most important. Guidance for sanitation was carried out once a month and the content of the guidance was about the sanitary treatment of food. With regard to degree of satisfaction with the management of meal service, all the dietitian at schools managed for themselves and cooperatively were somewhat satisfied with all the questions about the budgeted amount of food, and management, the management of purchase, operation, and sanitation. However, they were not satisfied with the environment of facilities.

• 한국식품영양과학회지
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• 제38권3호
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• pp.302-308
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• 2009

항균 및 항산화 활성을 갖는 약용식물 추출물을 육계에 급여하는 과정에서 약용식물이 갖는 항산화 활성이 계육에 전이될 수 있는가를 확인하기 위하여 다리육을 냉장 저장하면서 항산화 활성과 관능적 특성 변화를 조사하였다. 약용식물 추출물을 0.3%와 1%로 첨가한 사료를 급여시킨 육계의 다리육에서 수분, 조단백질, 조지방 및 조회분의 함량은 차이를 보이지 않았으나, 다리육의 총 페놀 함량을 측정한 결과 처리구가 대조구에 비해 유의적으로 높았으며, 0.3과 1.0% 처리구간 차이는 발견되지 않았다. 닭 다리육의 DPPH 라디칼 소거능은 0.3% 및 1.0% 약용식물 추출물 첨가군에서 대조군보다 약간 높은 라디칼 소거능을 보이는 것으로 나타났다. 또한 TBARS 값은 0.3% 및 1.0% 첨가군의 경우에는 대조군에 비하여 약간 높은 TBARS 값으로 시작하였으나 저장기간에 따른 변화를 보면 대조군에 비해서는 다소 낮은 TBARS 값을 유지하는 것으로 나타났다. 관능검사 결과를 보면 저장 7일 이후에 색, 맛, 냄새 그리고 종합적 기호도에서 약용식물 첨가군이 대조군에 비하여 다소 높은 관능점수를 얻어 계육의 저장 중 산화적 변질이 급여한 약용식물 추출물에 의해 감소되는 것을 확인할 수 있었다.

• 대한장애인치과학회지
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• 제12권2호
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• pp.96-100
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• 2016

저자는 후기 영아형 이염성 백질 이영양증으로 인해 신경학적인 퇴행이 관찰되고 섭식 장애로 인한 다발성 우식을 보이는 환아를 전신마취 하 치료하였기에 문헌 고찰과 함께 보고하는 바이다. 저작기능 장애로 인한 영양 결핍으로 환아는 신체 발육이 매우 저하되었으며 긴 식사 시간으로 다발성 치아 우식에 이환된 상태였다. 협조도 부족 및 치료 범위 등을 고려하여 전신마취 하에 치과 치료를 시행하였고 정기적인 검진을 시행 중이다. 진행성, 신경성 퇴행질환의 특징을 이해하고 환아의 상태를 고려한 구강 건강 관리 및 보호자 교육을 제공하는 것이 필요할 것으로 사료된다.

• 한국식품과학회지
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• 제12권2호
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• pp.109-114
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• 1980

역류 추출 및 등전 침전에 의한 평지씨 단백질의 분리(한국 식품 과학 회지, 10(2), 162 (1978)에 이어 그들의 영양가(단백질 효율, 정미 단백질 이용율, 질소 소화율, 성장률, 아미노산 조성 및 기관 중량)를 실험하였으며 다음과 같은 결과를 얻었다. 각 등전점(pI, 6.7, 5.6, 5.0)에서 분리한 3가지 단백질의 PER는 각각 2.8, 3.1 및 2.9였고 평지씨 박(탈지박)의 PER는 2.5로 낮았으며 한편 3가지 단백질의 NPU(전미 단백질 효율)은 각각 68.73 및 71%였고 탈지 평지씨 박은 56%로 제일 낮았다. 분리된 3가지 단백질의 평균 질소화율은 85%, 사료 섭취량은 87 g 그리고 체중 증가량은 37.6 g 였으며 이에 반하여 탈지 평지씨박의 그것들은 각각 71%, 77 g 및 28 g 등으로 현저한 차이를 보였다. PER의 값에 관한 분리된 3가지 단백질 간에는 큰 차가 없었고 이들의 NPU 값과 카제인의 NPU 값은 서로 비견할 수 있었으며 특히 등전점 5.6에서 분리한 단백질은 가제인의 PER값이나 NPU 값에 비해 약간 높은 값을 보였으며 아미노산 조성에서도 필수 아미노산이 고루 함유된 우수한 단백질로 나타났다. 또한 갑상선 및 간장의 무게 증가는 나타나지 않았으며 성장저해 인자가 전연 없었다. 분리된 3가지 단백질 중의 아미노산은 FAO/WHO의 성인 요구량에 비해 평형을 나타냈거나 상회하였다.

• 한국산학기술학회논문지
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• 제18권4호
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• pp.570-577
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• 2017

일개요양병원에 입원한 호스피스 환자에게 제공되고 있는 직종별 호스피스 완화의료 서비스 행위와 빈도를 파악하여 향후 요양병원 호스피스 완화의료 수가 개발의 기초자료를 마련하는데 목적이 있다. 본 연구는 후향적 연구로 요양병원에 사망한 12명의 말기암환자에 대한 의무기록을 자료 로 임종 전 6개월 동안 1개월 간격으로 호스피스 완화의료 서비스 행위를 조사하였다. 직종별 호스피스 완화의료 서비스 행위를 살펴보면 의사는 수혈, 보호자 면담, 투약설명 등, 간호인력은 석션, 산소공급, 환자상태관찰, 투약 간호, 위관영양 등을, 그 외 사회복지사는 개별프로그램적용, 물리치료사는 전기신경자극치료, 영양사는 영양평가와 영양관리, 요양보호사는 식사 및 영양보조, 기저귀교체 등을 수행하는 것으로 나타났다. 조사대상 요양병원을 분석한 결과 요양병원의 호스피스 완화의료 서비스는 미흡한 실정으로 급성기 중환자에게 제공되는 공격적이며 적극적인 서비스가 중심이 되고 있어 편안하고 존엄한 임종 돌봄이 제공되지 못한 것으로 나타났다. 따라서 요양병원에서 제공되는 호스피스 완화의료 서비스 질을 향상시켜 노인들이 삶의 마지막 순간을 존엄하고 평화롭게 맞이할 수 있도록 호스피스 완화의료 수가적용 등의 제도적 방안을 마련할 필요가 있다.

• 한방안이비인후피부과학회지
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• 제32권1호
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• pp.32-41
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• 2019

Objective : The purpose of this study is to develop a personal health record(PHR) application of atopic dermatitis in Korean Medicine(KM). Methods : We have identified the items necessary to provide an PHR application that helps to record and manage the symptoms of an atopic dermatitis in KM. We also derived the symptom collection process and method and applied it to the application. Results : In this study, the types of symptoms collected for atopic dermatitis were derived. Symptoms include daily check, stool/urine/sleep, daily emotion, meal management, symptom photographs, SCORAD, quality of life, progress check, original symptom, pediatric health check, weakness check, and subjective symptoms. The recording cycle can be divided into the first, daily, weekly, specific day, and subjective. We developed the PHR application of atopic dermatitis in KM by deriving the type of symptoms and symptom recording process. The app organized menus into dashboards, checklists, daily checks, and health records. Conclusions : We developed a PHR application for atopic dermatitis by deriving symptom collection items of atopic dermatitis and developing symptom collection process and collection technique. The app does not make an accurate diagnosis of atopic dermatitis symptoms, but it helps facilitate symptom collection and helps to identify or predict a person's health condition. It can also be used for medical treatment through sharing symptoms with Korean medicine. Patients are able to communicate in both directions on a daily, weekly, self-aware basis, at the request of a doctor, to record their symptoms and use them for medical purposes. If the doctor asks for a progress check to refer to the next examination, it can be written through the system. This manages atopic dermatitis in daily life and can be used in the clinical field.

• 생명과학회지
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• 제28권12호
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• pp.1501-1506
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• 2018

장수풍뎅이 유충은 쌍별귀뚜라미와 갈색거저리 및 흰점박이꽃무지 유충과 함께 국내 식품의약품안전처의 식품공전에 일반식품원료로 등록되었다. 이에 곤충에 대한 종합적인 관리 시스템 개발이 요구되고, 이와 함께 양질의 곤충을 대량생산하기 위한 위생적이고 안전한 식용곤충 전용 먹이원 개발 등과 관련된 연구를 지속적으로 수행할 필요가 있다. 식품가공 부산물은 단백질, 지질, 무기질 및 기타 여러 가지 생리활성 물질을 함유하고 있어 가축 등 동물 사료의 대체 에너지원으로 활용되고 있다. 따라서 본 연구에서는 감귤박, 비지박, 대두박, 맥주박 등 4종의 식품가공 부산물을 첨가한 먹이원 급여에 따른 장수풍뎅이 유충에 미치는 효과를 비교하였다. 장수풍뎅이 3령 유충에 10% 맥주박을 첨가한 먹이원을 급여했을 때 가장 높은 생존율을 보였고, 유충의 무게 또한 대조구 대비 약 26% 증가된 것으로 나타났다. 유충기간에 있어서도 10% 맥주박을 첨가했을 때 약 120일로 대조구보다 28일 이상 단축되는 것을 확인하였다. 뿐만 아니라 10% 맥주박 첨가 실험구의 용무게와 용화율이 가장 높게 나타나는 것으로 보아 맥주박이 장수풍뎅이 사육용 사료 소재로서 충분히 활용될 가치가 있을 것으로 생각된다. 더불어 맥주박은 시중에서 쉽고 저렴하게 구매할 수 있어 곤충사육 농가에서 손쉽게 활용할 수 있으며, 식품가공 부산물을 친환경적으로 처리하고 식용곤충을 안전하고 경제적으로 사육하는 데 도움이 될 것으로 기대된다.