• Title/Summary/Keyword: weight counseling

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Korean Medication Algorithm for Bipolar Disorder 2018 : Safety and Tolerability (한국형 양극성 장애 약물치료 알고리듬 2018 : 안정성과 내약성)

  • Sohn, InKi;Bahk, Won-Myong;Yoon, Bo-Hyun;Jon, Duk-In;Seo, Jeong Seok;Kim, Won;Lee, Jung Goo;Woo, Young Sup;Jeong, Jong-Hyun;Kim, Moon-Doo;Jung, Young-Eun;Shim, Se-Hoon;Song, Hoo-Rim;Min, Kyung Joon
    • Mood & Emotion
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    • v.16 no.3
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    • pp.134-139
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    • 2018
  • Objectives : Treatment for bipolar disorder is often complicated by various clinical situations. We undertook a survey of expert opinions to facilitate clinical decisions in special situations such as weight gain, metabolic syndrome, hyperprolactinemia, genetic counseling, and treatment adherence. Methods : A written survey that asked treatment strategies related to safety and tolerability, was prepared focused on weight gain, antipsychotic related hyperprolactinemia, lamotrigine related skin rash, treatment non-adherence and genetic counseling. Sixty-one experts of the review committee completed the survey. Results : In the case of weight gain related to medications, experts preferred exercise and education for diet-control. First chosen medications were lamotrigine, aripiprazole and ziprasidone. Recommendations based on expert survey results for treatment of bipolar patients in other special situations are outlined. Conclusion : With limitation of expert opinions, authors hope that results of this study provide valuable information to make clinical decisions about treatment of bipolar disorder in complicated situations.

The Effect of Adolescent Body-Related Variables, Self-Esteem on Eating Disorder Behavior (남.여 고등학생의 다이어트 행동에 미치는 요인에 대한 연구)

  • Chun, Chong-Gouk;Lee, Mi-Ok
    • Korean Journal of Human Ecology
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    • v.16 no.5
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    • pp.1041-1050
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    • 2007
  • The purpose of this study was to investigate the variables which had effects on deit behavior of male and female high school students. The proposed variables are their body-related variables(body satisfaction, weight control experience, the degree of diet interest, and obesity) and self-esteem. The sample group used for the study consisted of 359 high school students(male=168, female=191). Measurement scales used for the study were those of body-related variables, self esteem and eating disorder behavior, and data analysis was performed using $X^2$, t-test, Pearson's correlation, regression analysis. The results are as follows. First, there is a significant difference between male and female high school students regarding their obesity perceived by themselves, body satisfaction, the degree of diet interest, weight control experience, and deit behavior. Second, In male students, diet behavior shows a positive correlation with the degree of diet interest, weight control experience, and body satisfaction, but shows a negative correlation with body satisfaction. In female students, diet behavior is positively correlated with the degree of diet interest, weight control experience, and obesity, but negatively correlated with body satisfaction and self-esteem. Third, in male students, the variables that showed a influence on diet behavior as an eating disorder are weight control experience, body satisfaction and obesity, in that the explanatory power of the variables is 51.7% with the highest mark on obesity. In female, the variables that showed a influence on diet behavior as an eating disorder are the degree of diet interest, weight control experience, body satisfaction and obesity, in that the explanatory power of the variables is 66.0%.

The Body Mass Index(BMI), Body Image Recognition, Weight Control Behavior of Nursing Students (간호학생의 체질량지수와 체형인식도 및 체중조절행위)

  • Kang, Ki-Seon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.8
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    • pp.3492-3499
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    • 2012
  • The purpose of this research was to investigate nursing students' attitude toward body weight control, food behaviors according to their recognition, satisfaction on body image and Body Mass Index(BMI). The subjects were 273 nursing students. A survey was conducted using a self administered questionnaire. The data were an analyzed by a SPSS program. The majority of the surveyed participants were normal range for body mass index(BMI). Most of nursing students preferred a thin body image and were not satisfied with their body image. Most also controlled their body weight for appearance by exercising and the other efforts to change the body weight. From the above results, it is considered that nursing students need to establish proper self-recognition and dietary behaviors for their body images and counseling for desirable body weight control methods.

A Web-based Internet Program for Nutritional Counseling and Diet management of Patient with Diabetes Mellitus (당뇨병 환자의 웹기반 식사관리 및 영양상담 프로그램)

  • 한지숙;정지혜
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.33 no.1
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    • pp.114-122
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    • 2004
  • The purpose of this study was to develop a web-based internet program for nutritional counseling and diet management of patient with diabetes mellitus. The program consisted of four parts according to their functions and contents. The first part explained the metabolism of glucose and mechanism of insulin and insulin receptor expressed by flash 6.0, and defined the diabetes mellitus. The second part is to assess the general health status such as body weight, obesity index, basal metabolic rate and total energy requirement by the input of age, sex, height, weight and degree of activity. This part also provides tlne patient with menu lists and one day menu suitable to his weight and activity, and offers the information for food selection, snacks, convenience foods, dine-out, behavioral modification, cooking methods, food exchange lists, dietary education using buffet, and information on energy and nutrients of foods and drinks, and top 20 foods classified by nutrients. The third part is designed to investigate dietary history of patient, that is, to find out his inappropriate dietary habit and give him some suggestions for appropriate dietary behavior. This part also offers on-line counseling, follow-up management and frequently asked questions. The fourth part is evaluating their energy and nutrients intake by comparing with recommended dietary allowance for Koreans or standardized data for patient with diabetes mellitus. In this part, it is also analyzing energy and nutrients of food consumed by food group and meals, and evaluating the status of nutrient intake. These results are finally displayed as tabular forms and graphical forms on the computer screen. Therefore it is expected that the web-based internet program developed in this study will play a role in their health promotion as widely using by diabetic patients.

Effects of a Weight Control Program for Elementary School Children (초등학생을 위한 비만고나리프로그램 개발 및 효과 평가)

  • Yoo, Il Young;Lee, Chung Yul;Lee, Eun Sook
    • Journal of the Korean Society of School Health
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    • v.11 no.1
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    • pp.91-97
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    • 1998
  • The main purpose of this study was to develop, implement, and evaluate a weight control program for overweight elementary school children The results of our previous study in 1996 Identified overweight as one of several health problems among elementary school children in urban areas The research method utilized was a quasi experimental design using one group in a pre and post test comparison The sample consisted of 198 children from 3 elementary schools in Kyung-gi Province who were 20% over the ideal weight for their height Height and weight were measured and a BMI score was calculated at the beginning of the program and monthly thereafter. The program had three components: physical exercise, counseling of children, and health education of children, parents, and teachers. The program lasted from March, 1997 to November, 1997. The data were analyzed using an SAS PC statistical package. The results indicate that the overweight children in two elementary schools had statistically Significant changes in their BMI score after the program while those in one school id not. When the process notes were reviewed it was Identified that the school which showed little change averaged less physical exercise, and less parent and teacher participation in the program In conclusion, a school based weight control program is an effective way to manage and prevent obesity for overweight elementary school children It is suggested that a school wide exercise program may be better accepted by overweight children than a program specifically designed for overweight children only. One of the most important factors which determine the successful outcome of any health promotion project in school is the enthusiasm and cooperation of the principal and school health nurse.

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The Effect of Yoga and Health Calisthenics Program in the Middle Aged Women on Physiological Index and Life Satisfaction (요가와 건강체조 프로그램이 중년여성의 생리적 지수와 생활만족도에 미치는 효과)

  • Min, Soon;Jang, Sook-Hee;Kim, Hye-Sook;Ha, Yun-Ju;Chung, Kyoung-A;Jung, Sun-Ju
    • Journal of Korean Biological Nursing Science
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    • v.12 no.2
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    • pp.97-105
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    • 2010
  • Purpose: The purpose of this study was to examine the effect of yoga and health calisthenics program in the middle aged women on physiological index and life satisfaction. Methods: This research was an one group pretest-posttest design. A pre and post measurement tool of the program was applied to measure body weight, obesity, rate of body fat, vital capacity, inhalation rate of oxygen, sit-up, grasping power, total physical response, body anteversion, body mass index (BMI), total physical strength, physical strength, health age, life satisfaction. Data collected from this tool was analyzed by SPSS in paired t-test. Results: The results were summarized as follows: yoga program group, the body weight, obesity, BMI, %body fat of the decreased. The results of pulmonary yoga group, vital capacity and inhalation rate of oxygen, total physical strength examination results showed a significant difference. Conclusion: In this study, the yoga program was effective in positive on body composition and physical strength, life satisfaction in middle aged women.

Obesity Stress, Eating Behavior and Eating Habits of Elementary School Students (초등학교 아동의 비만 스트레스와 식행동 및 식습관에 대한 연구)

  • Kim, Ji-Hee;Moon, Bo-Kyung
    • Journal of the East Asian Society of Dietary Life
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    • v.20 no.3
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    • pp.352-362
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    • 2010
  • This study was conducted to investigate the influence of obesity stress on the eating behavior of elementary school students. Using a questionnaire, 300 students in the sixth grade from 2 schools in Kyunggi-do were surveyed (Boys: N=145, Girls: N=155). Data analysis was managed by SPSS software (version 13.0). The link between obesity stress and eating habits or behaviors was dependent on physical discomfort. There was also a large group of students experienced irregularity in their meal times during the day. Furthermore, there were significant differences in mealtime among boys under psychic stress caused by obesity. In the case of dairy intake during breakfast, the significant signs of obesity stress for were physical discomfort for boys and psychic stress for the girls. It was found for both boys and girls that more frequent midnight snacking decreased the efforts to overcome obesity stress. Therefore, a professional nutrition program that can educate school children must be implemented both in school and at home. In addition to overweight or obesity children, normal weight and underweight children can also benefit from this program that includes health counseling for weight and eating behaviors.

A Study on Food Behaviors and Nutrient Intakes according to Body Mass Index and Body Image Recognition in Female University Students from Incheon (인천 지역 여대생의 체질량 지수와 체형 인식에 따른 식행동 및 영양소 섭취 상태 분석)

  • Hong, Myung-Sun;Pak, Hee-Ok;Sohn, Chun-Young
    • The Korean Journal of Food And Nutrition
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    • v.24 no.3
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    • pp.386-395
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    • 2011
  • The purpose of this research was to study food behaviors and nutrient intakes according to body mass index(BMI) and body image recognition in 211 female university students in Incheon. The majority of the surveyed subjects were in the normal range for BMI. Most of these female university students preferred a thin body type and were not satisfied with their body shapes. Most also controlled their body weight for appearance by exercising and limiting food intake. The obese group often ate processed foods(p<0.01) and ate out(p<0.05). The underweight group and normal-weight group took vitamins and supplements more frequently(p<0.001). Those students who recognized their body image as a 'fat shape' had good appetites(p<0.05) and those who recognized themselves as 'normal shape' considered food formulations ate every meal (p<0.05) and consumed vitamins and other supplements frequently(p<0.01). The mean calorie intake of all students was about 80% of the recommend amount, so there was a risk of lack of various nutrients. The 'fat' students by body image recognition had lower calorie intakes in order to reduce body weight. In all the groups, there was a lack of vitamins $B_1$ and $B_2$, as well as the minerals Ca and Fe. Therefore, education on correct body image recognition and training on proper weight control are deemed necessary. In addition, education and counseling on nutrition that are tailored to individual status are needed.

Outcomes of Home Monitoring after Palliative Cardiac Surgery in Infants with Congenital Heart Disease (선천성 심질환으로 고식적 수술을 시행 받은 영아의 홈모니터링의 성과)

  • Kim, Sang Wha;Uhm, Ju-Yeon;Im, Yu Mi;Yun, Tae-Jin;Park, Jeong-Jun;Park, Chun Soo
    • Journal of Korean Academy of Nursing
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    • v.44 no.2
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    • pp.228-236
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    • 2014
  • Purpose: Common conditions, such as dehydration or respiratory infection can aggravate hypoxia and are associated with interstage mortality in infants who have undergone palliative surgery for congenital heart diseases. This study was done to evaluate the efficacy of a home monitoring program (HMP) in decreasing infant mortality. Methods: Since its inception in May 2010, all infants who have undergone palliative surgery have been enrolled in HMP. This study was a prospective observational study and infant outcomes during HMP were compared with those of previous comparison groups. Parents were trained to measure oxygen saturation, body weight and feeding volume and to contact the hospital through the hotline for emergency situations. Telephone counseling was conducted by clinical nurse specialists every week post discharge. Results: Forty-one infants were enrolled in HMP. Nine hundred telephone counseling sessions were conducted. Seventy-three infants required telephone triage with the most common conditions being gastrointestinal (50.7%) and respiratory symptoms (32.9%). With HMP intervention, interstage mortality decreased from 18.6% (8/43) to 9.8% (4/41) (${\chi}^2$=1.15, p=.283). Conclusion: Results indicate that active measures and treatments using the HMP decrease mortality rates, however further investigation is required to identify various factors that contribute to hemodynamic complications during the interstage period.

HIV/AIDS Management: Dolutegravir Based Antiretroviral Drug Therapy

  • John, Ikpeama Osita;Emmanuel, Okoh Emeka;Anthonia, Ikpeama Chizoba;Joy, Ikpeama Chinwe;Adimabua, Okafor Patrick;Osazuwa, Igbineweka Osa;Andrew, Ikpeama Emeka;Mariam, Onuzulike Nonye;Gami, Hilary Tumba
    • The Korean Journal of Food & Health Convergence
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    • v.6 no.4
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    • pp.17-19
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    • 2020
  • HIV/AIDS disease still remain a global pandemic and it's management has undergone series of treatment changes and improvement although there is still no permanent cure.Dolutegravir belongs to a group of HIV drugs called integrase inhibitors. Integrase inhibitors block an HIV enzyme called integrase. By blocking integrase, integrase inhibitors prevent HIV from multiplying and can reduce the amount of HIV in the body.Dolutegravir combination based regimen has turned out to be very effective (antiviral) with negligible rare side effects on clients. This drug (Dolutegravir based regimen) combination has successfully increased the appetite for food of all the clients, unlike others and has shown to reduce viral load in the most shortest period ever. It can be deduced that development of resistant mutant virus will be reduced if not eliminated with dolutogravir based regimen.The role of Continuous adherence counseling has shown to improve clients treatment management. It is important to note that the availability of food has direct effect on the economic status or financial weight on the client. Hence the progress that is increase in body mass index (BMI) is a direct impact of the availability of food for the clients.