Objectives: The purpose of this study was to apply participatory action-oriented training (PAOT) principle for the management of metabolic syndrome and to assess its effectiveness in the workplace. Methods: The metabolic syndrome management program applying participatory action-oriented training (PAOT) principle is constructed action checklist, Group discussion, self-creation of an action plan, after 3 months, 6 months, 1 year, the practice carried out check up and encourage practice activity. Results: The seventy-seven workers who participated in the metabolic syndrome management program made a total of 246 action plans, 3.8 action plans per person and 234 action plans were achieved after one year, so that 81.0% of action plans have been achieved. After 1 year, in the intervention group, systolic blood pressure (SBP) and diastolic blood pressure (DBP), body mass index (BMI), the risk factors score decreased statistically significant, and metabolic syndrome prevalence decreased 54.8%. whereas the control group also showed a significant decreased in the mean systolic and diastolic blood pressure, the risk factors score. but, low-density lipoprotein (LDL) was significantly increased. Conclusions: To improve the effectiveness of metabolic syndrome management program applying participatory action-oriented training (PAOT) principle, the need to continues implementing programs and analysis of the long-term effects are required. Participatory action-oriented training (PAOT) principle can applying without cost and time, the human burden for the prevention and management of chronic diseases such as metabolic syndrome.
Common cordgrass)이다.ABSTRACT. Cordgrass (Spartina spp.) is recognized as a highly invasive plant in estuaries throughout the world because of remarkable versatility and resiliency, significant reproduction, strong adaptability, rapid spreading, and vigorous growth. In this review, therefore, to provide insights on the effective management practices, the previous research works were summarized and discussed. Spartina spp. is a perennial halophyte, warm-season (C4) grass that reproduces both sexually through seeds and asexually by rhizomes. Management strategies for cordgrass have included various physical, biological, and chemical controls. Herbicides are usually the most cost-effective means of control. Currently, glyphosate, imazapyr, fluazifop and haloxyfop have been practically used. To improve the control efficacy, a combination of two more than methods (example, mowing-spraying) is needed to be applied consistently every year for at least 3 to 4 years and to be sprayed with enough dry time (>4-6 hr) at an early growth stage (before flowering). Consistently repeated application of same herbicide have to be avoided to prevent an unexpected emergence of herbicide-resistant lines. On the other hand, Spartina spp. have many positive functions for agricultural and ecoengineering purposes. Thus, we have to give more intensive research for effectively managing advantages and disadvantages of Spartina plantations.
Monoclonal gammopathy (MG) encompasses a diverse group of disorders characterized by the secretion of monoclonal immunoglobulins or their light-chain components. The incidence of multiple myeloma (MM) in South Korea is rapidly increasing, and it is important to be aware of its initial clinical presentations and the most efficient laboratory algorithms for early detection. Serum protein electrophoresis (SPE) and urine protein electrophoresis (UPE) are the primary screening tests for patients with clinically suspected MM or amyloid light-chain amyloidosis; these tests are reimbursed in South Korea. We reviewed clinical studies that applied national and international guidelines to evaluate test panels for early detection of MGs, including MM. The serum free light chain (sFLC) with SPE panel is recommended for the initial work up for diagnosis of MGs. In the case of a normal SPE, sFLC should be measured subsequently, so as not to miss the presence of M-protein. Use of this screening panel avoids medical expenses related to delayed diagnosis. Guidelines and recommendations suggest that no single method (SPE, serum immunofixation electrophoresis, sFLC, or UPE) should be used to exclude a diagnosis of MM. We believe that a screening test panel comprising SPE plus sFLC will increase the rate of early and accurate diagnosis of MM and related disorders.
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