• 대한간호학회지
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• 제33권1호
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• pp.9-16
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• 2003

Purpose : The objective of this study was the development and validation of a scale to measure the self-care of patients with chronic obstructive pulmonary disease(COPD) in Korea. Method: Self-care scale was developed based on the self-care activities patients had to carry out in order to manage their COPD. The original scale contained 34 items rated along a five-point Likert scale and was reviewed by 18 professional nurses and 10 Korean patients with COPD for content validity. Subsequently, patients with COPD were asked to complete this 23-item scale and further tests were done with the 125 useable responses. Result: Factor analysis identified eight factors-'maintaining a clean air way', 'taking medication', 'support from family', 'preventing infection', 'managing symptoms', 'breathing exercising', and 'taking in nutrition'. The internal consistency of the total scale was Cronbach's α=0.7226. These eight factors explained 60.8% of total variance. There was correlation among Korean Self-Care Scale score, administration level, and knowledge level but there was no correlation to patients' satisfaction with medical services. Conclusion: The 23 item questionnaire positively identified 8 areas defined important for COPD patients. Further studies are required to see how these can be integrated into patient education.

• 치위생과학회지
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• 제6권1호
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• pp.41-45
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• 2006

본 연구에서는 미국과 캐나다의 치위생 교육기관의 전공전 교육과정을 분석하였다. 전공전 교육과정은 일반교육,생의학,치의학,치위생학의 네 가지의 영역으로 구성되어 있다. 전공전교육과정은 일반교육과 생의학 영역을 포함한다. 일반교육 영역은 구두 및 문서 커뮤니케이션, 사회학, 심리학 등의 교과목으로 구성되어 있다. 생의학 영역은 해부학, 생리학, 화학, 생화학, 면역학, 일반병리학, 영양학, 약리학을 포함한다. 전공전교육과정은 효과적인 의사소통과 지역사회 프로그램의 참여에 필요한 수행능력을 제공하며, 치위생 서비스와 관련된 의사결정을 돕는다.

• Animal Bioscience
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• 제34권4호
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• pp.701-713
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• 2021

Objective: The present work was undertaken to evaluate the effects of storage time, choline chloride, and high concentrations of Cu and Zn on the kinetic behavior of vitamin degradation during storage in two vitamin premixes and four vitamin-trace mineral (VTM) premixes. Methods: Two vitamin premixes (with or without 160,000 mg/kg of choline) were stored at 25℃ and 60% humidity. Besides, four VTM premixes were used to evaluate the effects of choline (0 vs 40,000 mg/kg) and trace minerals (low CuSO4+ZnO vs high CuSO4+ZnO) on vitamin stability in VTM premixes stored in room, and the VTM premixes were stored in room temperature at 22℃. Subsamples from each vitamin and VTM premix were collected at 0, 1, 2, 3, 6, and 12 months. The retention of vitamin A (VA), vitamin D3 (VD3), vitamin E (VE), vitamin K3 (VK3), vitamin B1 (VB1), vitamin B2 (VB2), vitamin B3 (VB3), vitamin B5 (VB5), and vitamin B6 (VB6) in vitamin premixes and VTM premixes during storage was determined. The stability of vitamins in vitamin premixes and VTM premixes was determined and reported as the residual vitamin activity (% of initial) at each sampling point. Results: The effect of choline on VK3 retention was significant in vitamin premixes (p<0.05). The negative effect of storage time was significant for the retentions of VD3, VK3, VB1, VB2, VB5, and VB6 in vitamin premix (p<0.05). For VTM premixes, negative effect of storage time was significant (p<0.05) for the losses of vitamin in VTM premixes. Choline and high concentrations of Cu and Zn significantly increased VA, VK3, VB1, and VB2 loss during storage (p<0.05). The supplementation of high concentrations of Cu and Zn significantly decreased the concentrations of VD3 and VB6 (p<0.05) in VTM premixes at extended storage time. Conclusion: The maximum vitamin stability was detected in vitamin and VTM premixes containing no choline or excess Cu and Zn. The results indicated that extended storage time increased degradation of vitamin in vitamin or VTM premixes. These results may provide useful information for vitamin and VTM premixes to improve the knowledge of vitamin in terms of its stability.

• 한국식품위생안전성학회지
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• 제33권6호
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• pp.438-446
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• 2018

본 연구의 목적은 대학생들의 식품 안전과 관련된 인식도와 지식, 행동 등을 파악함으로써 식품의 안전성 인식도를 높일 수 있는 기초자료를 제공하기 위하여 경기도에 있는 대학에 재학 중인 252명을 대상으로 연구를 수행하였다. 식품의 안전성에 대한 관심도는 5점 만점에 3.48로 응답하여 전체적으로 높은 관심도를 보였다. 식품위생 교육을 경험한 대상자들이 교육 경험이 없는 대상자와 비교하여 통계적으로 유의한 차이를 보이며 높은 관심도를 보였다. 유통되고 있는 식품의 안전성 인식도는 2.55로 매우 불안하게 생각하는 것을 알 수 있었다. 식품이 불안하다고 생각하는 이유는 62.3%가 식품의 생산과정에서 위생을 신뢰할 수 없기 때문이라고 응답하였다. 식품의 안전성에 불안을 느끼게하는 위해요인은 식품첨가물이 2.35로 가장 높았고, 중금속과 내분비계 장애물질이 각각 2.38로 나타났다. 식품의 위해요인들이 서로 어떤 관련성이 있는지 분석하기 위하여 상관분석을 한 결과, 통계적으로 유의하게 모든 위해요인들이 양의 상관관계를 보였다. 중금속과 잔류농약이 0.674로 가장 높았으며, 중금속과 내분비계 장애물질이 0.672로 나타났다. 유전자변형 식품과 방사선조사 식품이 0.644로 역시 높은 상관관계를 보였다. 식품위생의 관심도 및 안전성 인식도가 식품위생 교육 참여의사에 미치는 영향을 알아보기 위하여 다중회귀분석 결과 식품위생의 관심도는 식품위생 교육 참여 의사에 유의적으로 영향을 미치는 것으로 나타났다. 식품위생의 지식에서는 평균 63.5%의 정답률을 보였다. 정답률이 가장 낮은 항목은 채소류의 뿌리에 중금속 함량이 높다는 내용으로 38.1% 나타냈으며 식품위생 교육 경험자의 정답률이 유의적으로 높게 나타났다. 손을 씻는 행동이 3.85로 잘 지켜지고 있었으며 역시 식품위생 교육 경험자가 유의적으로 높게 나타났다. 냉동식품을 실온에서 녹이는 행동이 3.23으로 잘 지켜지지 않는 것으로 나타났다. 본 연구결과는 대학생들이 식품을 안전하지 못한 것으로 인식하고 있으며 식품위생의 관심도가 교육의 참여 의사에 영향을 미치는 것을 알수 있었다. 또한 식품위생의 교육 경험자가 식품위생의 지식이 높고 손 씻기 및 위생상태를 확인하는 행동을 잘 지키는 것으로 나타났다. 그러므로 식품의 안전성에 대한 불안한 인식을 감소시키기 위하여 올바르고 객관적인 자료를 활용하여 체계적인 교육이 이루어져야 할 것으로 사료된다.

• Nutrition Research and Practice
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• 제4권4호
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• pp.276-282
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• 2010

The principal objective of this study was to evaluate the chemopreventive and therapeutic effects of a combination of all-trans-retinoic acid (RA) and knockdown of delta-like 1 homologue (Drosophila) (DLK1) on neuroblastoma, the most common malignant disease in children. As unfavorable neuroblastoma is poorly differentiated, neuroblastoma cell was induced differentiation by RA or DLK1 knockdown. Neuroblastoma cells showed elongated neurite growth, a hallmark of neuronal differentiation at various doses of RA, as well as by DLK1 knockdown. In order to determine whether or not a combination of RA and DLK1 knockdown exerts a greater chemotherapeutic effect on neuroblastoma, cells were incubated at 10 nM RA after being transfected with SiRNA-DLK1. Neuronal differentiation was increased more by a combination of RA and DLK1 knockdown than by single treatment. Additionally, in order to assess the signal pathway of neuroblastoma differentiation induced by RA and DLK1 knockdown, treatment with the specific MEK/ERK inhibitors, U0126 and PD 98059, was applied to differentiated neuroblastoma cells. Differentiation induced by RA and DLK1 knockdown increased ERK phosphorylation. The MEK/ERK inhibitor U0126 completely inhibited neuronal differentiation induced by both RA and DLK1 knockdown, whereas PD98059 partially blocked neuronal differentiation. After the withdrawal of inhibitors, cellular differentiation was fully recovered. This study is, to the best of our knowledge, the first to demonstrate that the specific inhibitors of the MEK/ERK pathway, U0126 and PD98059, exert differential effects on the ERK phosphorylation induced by RA or DLK1 knockdown. Based on the observations of this study, it can be concluded that a combination of RA and DLK1 knockdown increases neuronal differentiation for the control of the malignant growth of human neuroblastomas, and also that both MEK1 and MEK2 are required for the differentiation induced by RA and DLK1 knockdown.

• Journal of Nutrition and Health
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• 제36권10호
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• pp.1071-1082
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• 2003

The objective of this study was to evaluate and improve the microbiological quality of HACCP application in school foodservice operations. The microbiological quality of foods and utensils were evaluated two times at each critical control point (CCP) with 3M petrifilm in five Daegu elementary schools. Two processes were evaluated: Heating process and after-heating process. The CCPs of the heating process were receiving, cooking and serving temperatures. The CCPs of the after-heating process were personal hygiene, cross contamination avoidance and serving temperature. After the first experiment, 31 employees of five schools were classroom educated, trained on-site, and pre- and post-tested on HACCP-based sanitation with the goal of improving the microbiological quality of the foodservice. Scores representing knowledge of holding, thawing, washing, food temperature, sanitizing and food-borne illness increased after education. In the heating process, internal food temperatures in the first and second experiments were higher than 74$^{\circ}C$, the holding temperature in the first experiment was less than 6$0^{\circ}C$. In the second experiment, the serving temperature improved to a satisfactory level. The microbiological quality in the second experiment improved by decreasing the time from cooking to serving. In the after-heating process, the ingredients were boiled before being cut in the first experiment. In the second experiment, ingredients were cut before being boiled, improving microbiological quality. Also in the second experiment, cooking just before serving food improved its microbiological quality through time-temperature control. These results strongly suggest it is essential to measure microbiological quality regularly and to educate employees on HACCP continuously, especially time-temperature control and cross contamination avoidance in order to improve foodservice quality.

• 한국식생활문화학회지
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• 제23권3호
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• pp.410-419
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• 2008

The objective of this study was to investigate the consumption pattern of snacks-containing trans-fatty acid in adolescents living in the Kwang-ju area of Korea, and to analyze the relevance toward their eating behaviors, body composition, nutrient intakes, and consumption frequency of snacks-containing trans fatty acid. A survey questionnaire was developed in order to investigate general environmental factors, eating behavior, nutritional knowledge, and the consumption frequency of snacks-containing trans fatty acid. A total of 312 middle school students were surveyed. The collection rate was 97% and ultimately 282 cases were analyzed. Anthropometric measurements, body composition data, and nutrient intakes were also collected. The consumption frequencies for snacks-containing trans-fatty acid were negatively correlated with food behavior scores (p<0.01) however, pocket money and snack intake frequency per day were positively correlated with consumption frequency. Also, snack consumption frequency had some correlation with the subjects' anthropometric measurements and body composition data such as total body water (p<0.01), body protein (p<0.01), body minerals (p<0.01), and skeletal muscle mass (p<0.01). Finally, the consumption frequency of snacks-containing trans fatty acid was significantly correlated with calcium intake (p<0.05), it also showed correlations with vitamin A, retinol, ${\beta}-carotene$, and folic acid intake, although statistical significance was not verified.

• 한국식품영양과학회지
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• 제46권10호
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• pp.1243-1252
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• 2017

본 연구에서는 서울 일부 지역 주부 140명을 대상으로 사회 인지론을 적용하여 개발된 나트륨 섭취 감소를 위한 영양교육 프로그램을 수행하고, 프로그램의 효과를 평가하기 위하여 나트륨 섭취 관련 지식 및 인식, 환경 인식, 식행동을 조사하여 교육 전후의 변화를 파악하였다. 나트륨 섭취 관련 지식 및 인식 항목에서는 하루 필요 소금 섭취량에 대해 인지하는 비율이 교육 후 77.8%로 교육 전보다 54.6%가 증가하였다. 교육 후 싱거운 쪽의 음식의 간을 선호하는 것으로 인식 변화한 대상자는 25.6%였다. 대부분 대상자들은 식생활에서 저염 섭취에 대한 필요성을 느끼고 있었고, 싱겁게 조리된 음식을 제공할 시 선택하겠다고 응답한 대상자의 비율이 높아 저염 섭취를 위한 환경적 요인이 향상된다면 저염섭취에 대한 자아효능감에 해당하는 개인적 수준의 영역이 높아질 수 있음이 확인되었다. 나트륨 섭취 관련 환경 항목에서는 대상자의 약 2/3가 교육 전 저염식을 먹을 수 있는 곳을 찾아본 경험이 없다고 응답하였으나, 교육 후 찾아본 경험이 있는 것으로 변화된 대상자는 23.6%로 증가하였다. 교육 후 서울 시내에서 저염 음식점의 필요성을 느낀다고 응답한 대상자는 70.0% 이상이었으나, 저염식을 섭취 시 주변에서 먹을 수 있는 곳을 찾는 것은 대체로 어려운 것으로 나타났다(93.5%). 나트륨 섭취 관련 식행동 항목에서 교육 전후로 효과가 있었던 항목은 식품의 영양표시를 확인하고 나트륨이 적은 식품을 선택, 저염 제품 등 나트륨이 적은 식품을 구매, 조리 시 소금의 사용량을 줄이고 마늘, 생강, 고춧가루 등 천연재료를 사용, 패스트푸드(햄버거, 피자 등) 및 가공식품의 섭취 감소 항목으로 직접적인 저염 실천 행동에서의 개선 효과가 유의적으로 나타났다. 그러나 환경 요인과 관련된 식행동인 짜지 않게 조리 요청 여부와 저염 제품 및 건강음식점 소개 여부 항목에서는 행동 변화율이 낮았다. 향후 본 연구에서 수행된 저염 섭취를 위한 영양교육 프로그램을 보완하기 위하여 저염 섭취를 위한 물리적 환경 개선과 병행하여 환경 인식에 대한 평가를 실시하고 대상자가 지속해서 저염 섭취를 위한 행동 변화들이 유지될 수 있는 영양교육 내용이 보완되어야 할 것으로 생각된다.

• 대한영양사협회학술지
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• 제21권2호
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• pp.123-139
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• 2015

The objective of this study was to document how clinical dietitians working at tertiary hospitals spend their time based on several categories of activities using a time measurement study. The questionnaires were distributed to 14 tertiary hospitals, and dietitians answered by classifying their work activities into several categories such as general care, indirect care, direct care, outpatient care, and food service management. A total of 129 clinical dietitians replied and their answers were analyzed according to the categories of activities. The times spent on the categories are as follows: general care (76.7 mins/day, 14%), indirect care (228.4 mins/day, 35%), direct care (120.1 mins/day, 22%), outpatient care (61.5 mins/day, 11%), and food service management (99.0 mins/day, 18%). The total working hours for dietitians was 590.0 mins, which exceeds the standard working hours of 540.0 mins (9 hrs) a day. From this study, we found that clinical dietitians spent very limited time on direct care. Times spent on activities were different according to type of employment and food service. Internship dietitians spent their more time on general care (P<0.001) while irregular dietitians spent more time on outpatient care (P<0.05). In contracted managed food service hospitals, clinical dietitians spent significantly less time on food service management (P<0.001). Regardless of doctors' order and consultation fees, clinical dietitians performed more than 95 percent of free consultation to patients. Entry-level knowledge and skills of dietitians working at hospitals are very important for quality service, but it is equally important to create an administrative and social environment that encourages clinical dietitian to spend more time on direct patient care.

• Journal of Dairy Science and Biotechnology
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• 제14권1호
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• pp.1-15
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• 1996

With the starting of Uruguay Round(UR) and World Trade Organization(WTO), the direction of trade in world market has been setting up with the beginning of an opening age. However, world nations has been expressed a deep concern on the marketing and the circulations of unsafe foods, especially in the international trade of food products. Therefore, administration of most countries are taking a firm step on the safety of imported food products. The implementation of hazard analysis critical control point(HACCP) system in food industry is strongly appeared on the world stage at this point. Major international organizations, such as WHO, WTO, and EC have been recognized the importance of HACCP and already documented on their future plan for standardization of food safety in the international trade of food products by means of the this system. Several advanced countries have already developed HACCP system for the food industry and have been producing food products under this system. Now they have proposed rulemakings on a mandatory HACCP program in the production of domestic and imported food products. However, with the lacking of knowledge and information on the HACCP, there has been no actions for applying this system in the food industry of Korea. It is a very clear fact that Korean dairy and food industry will be faced on serious problems in exporting food products without applying HACCP system in the very near future. The objective of this article is to introduce the world trend. necessity, and application of HACCP system in food and dairy industry. Also a HACCP system developed by one dairy processing plant in Europe will be demonstrated as a moldel system.