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After gastric resection surgery, the restrictive diet due to post-operation concerns of patients actually accelerates malnutrition. Therefore to improve the nutritional intake of gastrostomy patients after surgery, a balanced diet during the inpatient period, and further intervention is required during recuperation at home. This study aims to develop and apply an appropriate nutritional program for gastrostomy patients and evaluate the effectiveness. 1) The study covered the hospitalized 53 gastrostomy in-patients in the Kyung Hee University Hospital at Gangdong, in 2 groups; Conventional education group (n=25) and Intensive education group (n=28). The conventional education group was provided with one nutritional counseling session at discharge. The Intensive education group was subject to a total 5 sessions - 2 sessions during the in-patient period of counseling regarding the meals provided by the hospital, a session at discharge, a phone call session 1 week after discharge, and then a further nutritional counseling session 3 weeks after discharge. These sessions were provided by a clinical dietitian. Of the subjects, those under age 18, or had kidney disease (chronic renal failure, dialysis), liver disease (ascites) were excluded. General items for the research were gathered through electronic medical records and included the underlying causes of illness, type and method of surgery, duration of hospital stay, duration of dietary fasting, biochemical tests. Also, gathered were anthropometric measurements (height, weight, BMI, TSF, MAC, MAMC) ,nutrition evaluation through PG-SGA, and a survey regarding self-evaluation and personal satisfaction of diet during hospitalization and 3 months after discharge. The method adopted to compare nutritional intake was have the subjects record their diet of 3 days prior to visiting the hospital at 3 weeks and 3 months after discharge. 2) Of the two groups, the hospitalization duration of the Intensive education group was an average of 13.3 days, and the Conventional education group had 16.2 days. The pattern for dietary fasting was similar in that it was 6.6 days for the Intensive education group while the Conventional education group had 8.2 days. There was no difference found for Anthropometric measurements, which is demonstrated in the Figures. Weight change (Fig. 2) at discharge was better for the Conventional education group (P = 0.033), but after discharge the Intensive education group demonstrated more improvement, with the rate of change of BMI being similar (Fig. 3). The rate of change was notable for 3 weeks after discharge for MAC (P = 0.005), and MAMC (P = 0.031), while the MAMC of 3 months after discharge (P = 0.045) were found. Biochemical tests were different only during hospitalization Alb (P = 0.31). The total of PG-SGA of 3 weeks after discharge (P <0.001) and 3 months after discharge (P = 0.047) was notable. For changes in dietary nutrition, from the current diet (P = 0.011) and symptoms (P = 0.025) at the time of discharge, 3 weeks after discharge showed symptoms (P <0.001), physical activity (P = 0.029), physical signs (P <0.001). Symptoms 3 months after discharge were also statistically significant (P = 0.001). Dietary self-efficacy and meal satisfaction during hospitalization (P = 0.007) and 3 months after discharge (P = 0.038) were all notable. Statistical significance of dietary intake of 3 weeks after discharge were noted to have fat (P = 0.010), protein (P = 0.020), vitamin E (P = 0.001), vitamin K (P = 0.002), Na (P = 0.043), K (P = 0.025), Mg (P = 0.043). 3) The ratio of malnutrition was increased to more than 94% after surgery, and it was possible to reduce this greatly for gastrostomy patients by nutritional care during hospitalization and post-discharge management in utilizing PG-SGA as a nutrition assessment tool. With the PG-SGA score of the Conventional education group being higher than those of the Intensive education group, the improvement after 3 weeks s (P <0.001) and 3 months (P = 0.047) demonstrates the advantages of having nutritional intervention, and indicate that a system over a period is more advantageous compared to a one-off session. Of the average nutritional intake from recording daily meals, the difference that fat and protein levels at discharge versus 3 weeks post-discharge is attributed to improved meal content and a change in the nutritional sources, while average% DRI results showed a similar trend. As the Dietary questionnaires show that the Intensive education group with more nutrition interventions have a statistical lead over the Conventional education group, this gives indication of the effect of nutritional education during the hospitalization. As for the ratio of main meals versus snacks, at 3 months after discharge the Conventional education group showed that the nutritional gain from meals was significant, with the organ decrease after operation resulting inpatients having several small meals rather than a few large meals, with this lessening strain on the stomach as well as decreasing the likelihood of further illnesses. But utilizing PG-SGA in the nutritional evaluation the symptoms are also an area that had difference. As there was no significant disparity from the anthropometric measurements and biochemical tests, this would indicate that nutrition interventions should not be considered only for a short period, but would benefit from monitoring and research that is beyond the 3 months observation period in this study. This study was to compare and analyze nutritional intervention and improvements in comparing Intensive education and Conventional education groups utilizing PG-SGA. The Intensive education group, with increased educational sessions on nutrition showed a marked improvement over the Conventional educationgroup in areas of PS-SGA nourishment changes, symptoms, physical activities, physical condition, and also demonstrated a statistical significance in self-efficacy and meal satisfaction. It is also was indicated that further research and observation beyond the 3 month duration of this study would be beneficial.

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(Abstract)&#xD; &#xD; Purpose: The study was done to investigate the effects of group psychiatric nursing intervention applied Cognitive Behavioral Therapy(CBT) on self-esteem and hostility of patients with alcohol dependence.&#xD; &#xD; Methods: The research design was a quasi experimental research with a nonequivalent control group pre-posttest. The participants were recruited from the mental health clinic of a general hospital in D city. The research was carried out from February 6th and March 7th, 2017. To test the effects of group psychiatric nursing intervention &#xD; applied CBT, the participants were divided into two groups; an experimental group (24) and a control group (27). The intervention was provided to the experimental group for 60 minutes/session twice a week during 4.5 weeks. Data was analyzed using Fisher¡¯s exact probability test, ¥ö2-test, and independent sample t-test With SPSS/WIN 12.0 program.&#xD; &#xD; Results: After attending group psychiatric nursing intervention applied CBT, the first hypothesis was verified as the score for self-esteem in the experimental group was significantly higher than the control group(t=4.49 p&lt;.001). The second hypothesis was verified as the score for hostility score was lower than the control group(t=-3.59 p&lt;.001).&#xD; &#xD; Conclusion: These results indicate that group psychiatric nursing intervention applied CBT enhances self-esteem and reduces hostility of patients with alcohol dependence. Now, Nurses specialized in mental health, psychiatry, and addiction are actively involved in clinical and community work. Therefore, this nursing intervention contributes to specialization and area expansion of psychiatric nursing at this point by verifying the effects on self-esteem improvement for rehabilitation and hostility reduction among alcoholics finished acute treatment.&#xD;

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This study was designed to investigate the impact of 12-week nutrition intervention program for industrial workers at their workplace. The program was implemented with a conceptual framework on the strengthening self-efficacy that were associated with changes in eating pattern, nutritional knowledge, and lifestyle as well as physical and biochemical characteristics. To assess the nutrient intake and diet quality for workers, the FFQ(Food Frequency questionanarie method was adopted. The subjects were 32 male industrial workers who were diagnosed as having hyperlipidemia from the year 2008 medical checkup. The average age and work duration period were 44.5¡¾3.6 and 20.1¡¾5.6 years, respectively. The results for the subjects' nutritional profile after the 12-week intervention were summarized as follows. After the nutritional intervention, overall lifestyle including the ratios of smoking(p<0.5) and drinking (p<0.01), and sleeping hours(p<0.01) was significantly improved. The perceived discrepancy between actual body size measured by body mass index (BMI) and ideal body size went down significantly as well(p<0.001). With respect to the subjects' eating patterns, eating speed(p<0.001) was increased but the frequencies of dining out(p<0.05) and snacking were (p<0.001) significantly decreased. Overall, 71.9% of the subjects reported that their eating habits were changed and 25% answered their eating habits were changed a lot, especially the choices of healthful foods. For nutrition knowledge scores, the average scores were increased by 190 % from 9.3 to 17.6 points(p<0.001). All of the program participants agreed on the need of nutrition education program at their workplace. Most of all, nutrition programs integrating the resources for the prevention and management of chronic diseases such as hypertension, hyperlipidemia, and diabetes were pointed out when a future nutrition program is planned. For energy and nutrient intake, total energy, protein and fat consumption were significantly decreased(p<0.001), and the contribution of carbohydrate, fat, and protein for total energy was improved from 56, 29.8, and 14.2 to 56.8, 24.4, 15.8%, respectively. The cholesterol consumption was significantly decreased(p<0.001). The decrease in the vitamins and minerals was corresponded almost exactly to the energy provided, but the levels of ¥â-carotene, vitamin C, folate(p<0.001) and calcium(p<0.001) consumption significantly elevated through the intervention. The benefits of nutritional intervention were manifest in the parameters of anthropometric and biochemical assessment. The body weight, BMI, total body fat mass, percentage of body fat, and waist circumference were significantly decreased(p<0.001). The systolic blood pressure(p<0.01) but also the diastolic blood pressure (p<0.001) were decreased. Moreover, the degree of serum HDL-cholesterol reduction was appreciable(p<0.001) and the atherogenic index was also reduced (p<0.01). Also, the risk factor(blood pressure, waist circumference, TG, HDL-cholesterol, blood glucose) related to metabolic syndrome in subjects was significantly decreased(p<0.001). In this 12-week nutrition education program, we put a stress to strengthen self-efficacy of the intervention participants by motivating the subjects into health behavioral changes. Observable changes in some nutritional markers were occurred as described above. In addition, the present study indicated that the 12-week nutrition intervention helped the workers possess a strong motivation toward behavioral changes to improve health conditions such as hyperlipidemia. Most of all, the present study exhibited the benefits of providing nutrition promotion program for industrial workers by showing amelioration of risk factors associated with hyperlipidemia via the changes of dietary behaviors, nutritional knowledge and attitudes, as well as anthropometric and biochemical parameters. Also, it should be pointed out that the participants strongly indicated the needs of sustainable nutrition intervention for their health. Considering that worker health is mostly determined by personal lifestyle including individual attitudes towards nutrition, exercise, and mental health, nutrition programs aimed at improving the personal lifestyles of workers are needed. Given that metabolic syndromes were prevalent among industrial workers, future studies may be necessary to find the critical barriers in implementing nutrition intervention in many small-scale enterprises like the one that reported in this present study.

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A meta-analytic review of non-pharmacological interventions for school-aged ADHD children was conducted on 31 studies from 2000 to 2015. Predictor variables including participant, intervention, and implementation related were examined by using improvement rate difference (IRD) index. As results, the majority of studies were published after the year of 2010, for lower grade elementary school children, mostly for boys. Across 165 computed effect sizes, the mean weighted effect size was 0.78 which is interpreted as very large effects. Specifically, significant effects were observed in cognitive-behavioral, other, and art therapy interventions that were designed to improve participants¡¯ academic achievements. When interventions were given under 31 sessions, by a teacher or a multidisciplinary team, also revealed to draw significantly effective results. Based on these results, implications and suggestions for future research on non-pharmacological interventions for school-aged ADHD children are discussed.

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