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김복례,박경란 인제대학교 아동ㆍ가족복지연구소 1998 아동ㆍ가족복지연구 Vol.2 No.-
This study reviewed the relationship between the early childhood music education and child's development, and the early childhood music education in Korea. 1. The relationship between the music education and child development. 1) The music has significant effect on the emotional development of a child. 2) The music has an important influence on the language learning. 3) The music helps the cognitive development of a child. 4) The music is related to the social development of a child. 2. Early childhood music education in Korea. 1) The environment to enjoy music is poor : the facilities, equipment and teaching method for music education is not sufficient. Lack of qualified teacher is another problem. 2) Music education should focuses on the child so that the child's musical thinking can be respected and his talent appreciated. The content of the music education should be suitable to the child's level, meet child's interest and demand, and provide abundant musical experience. In this respect, the role of the music teacher is very important.
제2형 당뇨병 환자에게 적용한 표준진료지침이 혈당, 당화혈색소, 당뇨지식 및 재원일수에 미치는 효과
김희승,윤건호,유양숙,오정아,송민선,신미옥,김경희,송복례 대한당뇨병학회 2002 임상당뇨병 Vol.3 No.1
연구배경 : 당뇨병 환자의 평균 재원기간을 단축시키고, 제한된 입원기간 내에서 질적인 면과 비용효과성을 고려한 총체적인 건강관리체계의 필요성이 요구됨으로써 생겨난 것이 당뇨병 표준진료지침(Critical Pathway: CP)이다. 현재 개발된 당뇨병 CP를 통한 진료가 환자의 당뇨병에 관한 지식을 개선시키고 이에 따라 장기적으로 당뇨병 환자의 혈당조절이 개선되었다는 과학적인 검증은 당뇨병 CP를 여러 병원에 정착시키기이전에 반드시 선행되어야 할 과제이다. 이에 본 연구는 2000년 3월부터 1년간 강남성모병원에 입원하는 당뇨병 환자를 대상으로 현재 개발된 1주일 CP를 적용한 실험군의 혈당, 당뇨병 관련 지식 및 재원일수가 대조군에 비하여 차이가 있는지를 조사하였다. 방법 : 1주일 CP를 적용한 실험군은 내과병동에 입원한 당뇨병 환자 89명이었고, 대조군은 기타병동에 입원한 당뇨병 환자 22명이었으며 CP를 적용하지 않았다. CP를 적용하기 전인 입원시에 실험군과 대조군의 공복혈당, 식후 2시간혈당, 당화혈색소 및 당뇨관련 지식을 측정하였고, 퇴원 시에 실험군과 대조군에게 공복혈당과 당뇨관련 지식을 재측정하고 재원일수를 파악하였다. 그리고 두 군에게 퇴원 3개월 후의 공복혈당, 식후 2시간 혈당 및 당화혈색소를 조사하였다. 결과 : 1) 실험군의 공복혈당은 입원 시 238.7: 1) 실험군의 공복혈당은 입원 시 238.7mg/dL에서 퇴원 시 139.4mg/dL로 감소하는 경향이었으나 퇴원 3개월 후에는 150.6mg/dL로 약간상승하는 경향을 보였다. 대조군은 입원 시 251.5mg/dL에서 퇴원 시 136.2mg/dL로 감소하는 경향이었으나, 퇴원 3개월 후에는 219.3mg/dL로 현저히 증가하는 경향이었다. 2) 실험군의 입원 시 식후 2시간 혈당은 312.5mg/dL에서 퇴원 3개월 후 248.5mg/dL로 감소하는 경향이었다. 대조군도 입원 시 식후 2시간 혈당이 300.1mg/dL에서 퇴원 3개월 후 262.5mg/dL로 감소하는 경향이었으나 실험군보다 감소의 폭이 적은 경향이었다. 3) 실험군과 대조군의 입원 시 당화혈색소는 각각 10.3%와 9.7%로 유의한 차이가 없었으나,퇴원 3개월 후 실험군은 7.5%로 대조군의 9.1% 보다 유의하게 감소하였다. 4) 실험군의 입원 시 당뇨지식 점수는 실험군이 12.1점 대조군은 12.0점으로 유의한 차이가 없었으나 퇴원 시는 실험군이 15.5점으로 대조군의 14.6점 보다 높은 경향이었다. 5) 재원일수는 실험군이 8.4일로 대조군의11.0일 보다 유의하게 적었다. 결론 : 따라서 당뇨병 환자를 위한 CP는 재원일수의 감소뿐만 아니라 환자의 자가관리에 대한 체계적인 교육과 개선의 기회를 가짐으로써 장기적인 혈당 조절의 향상을 도모할 수 있는 효과적인 방법이라고 생각한다. Background: The aim of this study was to examine the effects of the critical pathway for the admitted patients with type 2 dia betes me llitus on glycemic control, the knowledge on the disease, and the length of hospital stay. Methods: 89 diabetic in-patients were applied with the 1 week critical pathwa which was consisted of intensive education program for self-management of diabetes me llitus such as glucose monitoring, excercise prescription, diet control, self-a djustment of the drugs and so on. The results were compared with 22 diabetic inpatients who were treated with conventional way. We assessed the effects of critical pathway on the degree of glycemic control, the knowledge on the disease, and the length of hospital stay. Results: Although fasting and postprandial 2 hours blood g lucose levels did not showed sta tistically significantd ifference between critical pathway group and conventional group on discharge , HbA1c was significantly decreased in critical pathwa group compared with the conventional group (7.5±1.8% vs 9.1±2.6%) on 3 months after discharge . Knowledge on the disease tended to increase in critical pathway group compared with the conventional group on discharge. The Length of hospital stay was significantly decreased in critical pathway group compared with the conventional group (8.4±2.8day vs 11.0±3.9da ) Conclusion: These results showed that critical pathway for the patients with diabetes mellitus might be a usefulway for improving the long term glycemic control through motivation, enhancing the knowledge on the disase as well as reducing the length of hospital stay.
Bok-Rye Lee,Jeong-Hwa Cho,Seung Gon Wi,Ung Yang,Woo-Jin Jung,Sang-Hyun Lee 한국원예학회 2021 원예과학기술지 Vol.39 No.2
This study investigated the regulatory mechanism controlling fruit maturity, focusing on sugar metabolism during pear fruit development and ripening. Three Asian pear cultivars, ‘Wonhwang’ (early-maturity), ‘Whangkeumbae’ (early-maturity), and ‘Niitaka’ (late-maturity), were selected. Absolute growth rate was the highest at 117 days after full bloom (DAFB) in early-maturing cultivars, ‘Wonhwang’ and ‘Whangkeumbae’, and at 147 DAFB in the late-maturing cultivar, ‘Niitaka’. Hexose (glucose and fructose) content was relatively higher in ‘Wonhwang’ and ‘Whangkeumbae’ than in ‘Niitaka’ during the early stage of fruit development, concomitant with an increase in the activities of cell wall invertase (CWINV), vacuolar invertase (VINV), and neutral invertase (NINV). During the late stage of fruit development, sucrose content and the sucrose-to-hexose ratio were relatively higher in ‘Wonhwang’ and ‘Whangkeumbae’ than in ‘Niitaka’, accompanied by an increase of sucrose phosphate synthase (SPS) activity involved in sucrose re-synthesis. Principal component analysis (PCA) distinctly separated the fruit development into two parts, showing a shift in the early to late stage of fruit development, consistent with the point when the sucrose-to-hexose ratio began to increase. During the late stage of fruit development and ripening, the sucrose-to-hexose ratio was positively correlated with fresh weight, CWINV, and SPS activities and negatively correlated with starch or NINV and VINV activities. These results indicate that the sucrose-to-hexose ratio is an important factor in regulating fruit maturity and is modulated by invertases and SPS activities.
Bok-Rye Lee,Yun-Ju Baek,Seung Gon Wi,Ung Yang,Sang-Hyun Lee 한국원예학회 2021 원예과학기술지 Vol.39 No.1
This study aimed to investigate the relationships among fruit size and protein metabolism and profiles during fruit development and ripening of three Asian pear (Pyrus pyrifolia Nakai) cultivars predominantly grown in Korea. The final fruit dry weight was higher in the late-maturing cultivar ‘Niitaka’ than in the early-maturing cultivars ‘Wonhwang’ and ‘Whangkeumbae’. After 87 days after full bloom (DAFB), the fruit amino acid content significantly decreased in ‘Niitaka’ and ‘Wonhwang’ pears, while they remained stable at lower levels in the ‘Whangkeumbae’ pears during fruit development and ripening. At the beginning of our sampling period (57 DAFB) the protein content was the highest in ‘Niitaka’, followed by ‘Wonhwang’ and ‘Whangkeumbae’. The fruit protein content gradually decreased to 117 DAFB for ‘Niitaka’ or 102 DAFB for ‘Wonhang’ and ‘Whangkeumbae’, and then maintained at the similar level to the last sampling date. These reductions in the protein content were consistent with the increases in the protease activity. A rapid increase in the protease activity was observed in the ‘Niitaka’ and ‘Wonhwang’ pears during the early stage of fruit development, whereas a gradual increase was observed in the ‘Whangkeumbae’ pears during the entire period analyzed. The protein pattern varied across the various fruit developmental stages, revealing up- and down-regulated proteins during fruit development as well as highly expressed proteins at the middle phase of the period evaluated. Our results indicate that protein degradation by proteases in the early stage of fruit development, which in turn determines the fruit amino acid content, may affect the final size of Asian pears.