• Journal of Digital Convergence
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• v.18 no.12
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• pp.389-399
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• 2020

Diverse official policies in community are available for caregivers to take care of the elderly in the US and the UK. This study aims to examine the recent changes in government supports based on The Recognize, Assist, Include Support and Engage (RAISE) in the US, and those by Carer Act 2014 in the UK, to take any good lessons for Korean policy. Caregivers will play a new role to develop innovative treatment for patient-centered care. The UK strengthens to provide various efforts for working carers while assuring economic efficiency in labor market with empirical evidence. The major four ways to support carers were developed agreed with the acknowledge of caregiving value and their human right; financial support, direct services for carers, flexible work time, and advocacy. Korean supports policies for carers in long-term care and social welfare will be more effective in community care system if more evidence based policies are prepared.

• Journal of Nutrition and Health
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• v.41 no.2
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• pp.147-155
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• 2008

Medical nutrition therapy (MNT) is considered a keystone of medical treatment of chronic diseases. However, only few studies have evaluated medical and economical outcome of MNT. The study was performed on the patient with type 2 diabetes mellitus to evaluate the effect of clinical and cost-effective outcomes of MNT. Subjects from two general hospitals were randomly assigned to two different groups; One receiving basic nutritional education (BE) (n = 35), and the other receiving intensive nutritional education (IE) (n = 32) for a 6-month clinical trial. The group which received BE had a single visit with a dietitian, while the other group which received IE had an initial visit with a dietitian addition to two visits during the first 4 weeks of the study periods. Anthropometric parameters, blood components, and dietary intake were measures at the beginning of study period and after 6 month. Cost-effective analysis included direct labor costs, educational materials and medication cost difference during 6 months. After 6 month, subjects from IE group showed significant reduction of body weight (p <0.05) and systolic blood pressure (p <0.05), whereas BE group did not show any significant changes. Result from biochemical indices showed glycated hemoglobin concentration was significantly reduced by 0.7% (p <0.05) only in the IE group. The ratio of energy intake to prescribed energy intake decreased significantly in both groups (p <0.05). Mean time taken for a dietitian to educate the subject was 67.9 ${\pm}$ 9.3 min/person for BE group, while 96.4 ${\pm}$ 12.2 min/person for IE group. Mean number of educational materials was 1.9 ${\pm}$ 0.7/person for BE group and 2.5 ${\pm}$ 0.7/person for IE group. Change in glycated hemoglobin level along the 6 month period of study can be achieved with an investment of \88,510/% by implementing BE and \53,691/% by implementing IE. Considering the net cost-effect of blood glucose control and HbA Ic, IE which provides MNT by dietitian had a cost efficiency advantage than that of BE. According to this study, MNT provided by dietitian had a significant improvements in medical and clinical outcomes compared to that of BE intervention. Therefore, MNT protocol should be performed by systemic intensive nutrition care by dietitian in clinical setting to achieve good therapeutic results of DM with lower cost.

• Korean journal of communication and information
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• v.51
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• pp.87-116
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• 2010

The purpose of this study includes (1) to analyze the mediation process in which conflict mediation involves alternative stories through the mediation process after the characteristics of personal conflicts are analyzed (2) and to classify characteristics of the narrative of conflict mediation. This study attempts to examine mediation roles in the process mainly focusing on communication skills to which professional conflict mediators can apply. Based on this study, the usefulness of descriptive conflict mediation of social constructivism's perspective, one of the post-modern theories, was observed. The narrative mediation as a system that connects problems to conflicts with conversation and creates and develops the meanings of conflicts and problems in collaboration attempts to pursue new changes on the assumption of the subjectivity of human beings and the characteristic of the conflicts. Such a point supports the argument that conflicts should be approached from the communication perspective. Especially, it is expected that the fact that a variety of communication skills have great influence on conflict mediation becomes a key source to establishing communication study as one of mediation fields in conflicts.

• Korean Journal of Social Welfare
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• v.56 no.1
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• pp.103-126
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• 2004

The court-mandated spouse abusers with drinking problems not only resist and complain about taking the court-mandate but also have the low motivation to change their problem drinking and violent behaviors. Therefore, in this study the program is developed to decrease violent behaviors of spouse abusers with drinking problems. Also, the usefulness of this program is examined by quantitative and qualitative methods. The results are as follows: The experimental group's pre-to-post variation is decreased by significant level statistically more than the comparison group's variation in drinking problems. Regarding violent behaviors among groups, the experimental group's pre-to-post and pre-to-followup variation are decreased significantly. It is assumed that Motivation Enhancement Therapy(MET) influences the differences of motivation to change violent behaviors in both groups. The reason is that MET is considered to have influences on the group's dynamics and interaction. Also, it is helpful to change the negative emotions to the positive emotions and to stimulate the group interaction and the participation. This study will be contributed to promote the speciality on providing services for family in a domestic violence in Korea. Through this study, I suggested future implications in research, practice, and political side on spouse abusers with drinking problems.

• Journal of Korea Entertainment Industry Association
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• v.15 no.7
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• pp.159-168
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• 2021

The purpose of this study was to analyze the effects for lifestyle, stress and life satisfaction on sleep quality in university students. The participants were 46 university students attending the department of occupational therapy. Participants responded to responses to the lifestyle questionnaire and Morning and Evening Questionnaire-Korean version(MEQ-K). The levels of stress and life satisfaction reported by participants were obtained using the Korean version of Perceive Stress Test-4(K-PSS-4) and Korean version of Satisfaction With Life Scale(K-SWLS). The quality of sleep was assessed using Korean Modified Leeds Evaluation Questionnaire(KMLSEQ). An independent t-test, Pearson correlation analysis, and multiple regression analysis were performed to investigate factors related to quality of sleep. The analysis of correlations between health status, morning type of chronotype, and life satisfaction showed a significant positive correlation between quality of sleep. As a result of analyzing the quality of sleep according to the chronotype, the main family house and dormitory group showed higher sleep quality than the boarding group. As a result of the multiple regression analysis, the chronotype predicts quality of sleep. This study could provide information to improve the quality of sleep for university students by identify factors affecting sleep for university students in occupational therapy.

• Journal of the Korea Convergence Society
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• v.10 no.11
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• pp.543-555
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• 2019

The purpose of this study was to define and clarify the concept of Shared decision-making (SDM) in patients with chronic disease. Walker and Avant's concept analysis process was used to analyze interdisciplinary convergence in SDM. SDM in patients with chronic disease can be defined by the following attributes: acknowledgment patients as 'self-care experts', the rights of self-determination, reversible negotiation, and patient-centered care. The antecedents of SMD consisted of situations where there is a need to make a decision from several treatment options of similar efficacy, decisional conflict, patient, family, and health provider's willingness to participate in the decision-making process, enough time and opportunity for SDM. The consequences occurring as a result of SMD were decrease decisional conflict, improvement health outcome, satisfaction, quality of life, enhancement self-management and self-efficacy with long-term, and living acceptably with the illness. Based on these results, a scale measuring SDM in patients with chronic disease is needed.

• Journal of Digital Convergence
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• v.19 no.8
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• pp.385-396
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• 2021

The purpose of the study was to explore the process of experience of spinal stenosis, herniation of intervertebral disk patients with low back pain under non-surgical treatment. 10 participants attended in-depth individual interview. Data analyzed using the Grounded theory methodology of Corbin and Strauss(2015). A core category emerged as 'Compromise with my body in the swamp of pain'. Central phenomenon was 'Constrained life by severe pain'. The process of the low back pain experience included three phases: 'cognition', 'coping', and 'adaptation'. This finding will be helpful for understanding the low back pain experience and be as fundamental data as for developing and applying nursing intervention program according to the low back pain experience process.

• The Journal of the Convergence on Culture Technology
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• v.7 no.4
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• pp.95-104
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• 2021

This study was conducted for the purpose of convergence reconstruction of the transition education model for students with disabilities in Korea. Ultimately, this study was also conducted with the aim of enhancing the perspective of the development of a lifelong education support system for the disabled in connection with schools and communities. The research method consisted of a procedure with a meeting of experts based on the procedure of analyzing the previous research literature that tried to materialize the transition education model for students with disabilities from the viewpoint of connection between school age and adulthood. The contents of this study were reflected in the dimension of ensuring consistent connectivity validity based on the viewpoint of school-centered, community-centered, education, and welfare between special education and lifelong education for the disabled in order to reconstruct the conversion transition education model constructed in the current special education field. Accordingly, the transition education model for students with disabilities built in the field of special education centered on school age minimizes the tendency of a fragmented approach between school age and adulthood, and presents a standard basis and structure that can be linked to the entire adulthood. The transition education model was reconstructed convergence in terms of content.

• Journal of Sasang Constitutional Medicine
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• v.10 no.1
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• pp.41-54
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• 1998

연구목적 : 사상의학(四象醫學)은 인간을 태양인(太陽人), 태음인(太陰人), 소양인(少陽人), 소음인(少陰人)으로 구분하여 동일한 병증에 대해서도 치료를 달리하는 의학이다. 즉 인간을 동일한 원리로 설명하는 것이 아니라 각 체질에 따른 차등성을 통해 각 체질 취약점의 보완을 추구하는 의학이다. 그러면, 무엇이 이러한 인간 구분의 단서가 되었으며 이것이 의학으로까지 적용되는 과정 즉, 사상의학의 성립 과정을 살펴 보는 것을 연구 목적으로 한다. 연구방법 : 동무(東武) 이제마(李濟馬)의 저술로 인정되는 "격치고(格致藁)", "동무유고(東武遺藁)", "동의수세보원(東醫壽世保元)"의 문헌적 자료와 각 편의 저술시기를 통해 동무(東武) 이제마(李濟馬)의 사고의 흐름과 변화를 통해 사상의학이 성립되는 과정을 살펴 보는 문헌적 조사방법을 이용하였다. 연구 결과 및 결론 : 이상의 결과를 통해 아래의 연구 결론을 구하였다. 1. 동무(東武)는 "맹자(孟子)"의 사부지심(四夫之心)을 근거로 인간을 심욕에 따라 비인(鄙人), 박인(薄人), 탐인(貪人), 나인(懦人)으로 구분하였고 인의예지의 사단을 장부에 배속하여 심욕을 몸에 적용하였다. 그러나 "격치고(格致藁)"의 비인(鄙人), 박인(薄人), 탐인(貪人), 나인(懦人)과 "동의수세보원(東醫壽世保元)"의 태소음양인(太少陰陽人)의 직접 연결은 동무 사고의 시간적 흐름을 고려하지 않은 것이며, 동무는 "동의수세보원(東醫壽世保元)" "사단론(四端論)"과 "확충론(擴充論)"을 통해 비박탐라인(鄙薄食懦人)의 심욕(心愁慾)과 태소음양인(太少陰陽人)의 정기(情氣)를 매개로 하여 비인(鄙人)은 태양인(太陽人), 탐인(貪人)은 태음인(太陰人), 박인(薄人)은 소양인(少陽人), 나인(懦人)은 소음인(少陰人)으로 설명함을 확인할 수 있었다. 2. "격치고(格致藁)" "독행편(獨行篇)"과 저술 연도가 동일한 "동무유고(東武遺藁) 교자평생함(敎子平生箴)"을 통해 의학적 사고의 성립을 살펴보면, 동무(東武)의 차등적 장리(臟理)는 희노애락의 성정(性情) 구분이 장리(臟理)의 차이로 발전한 것이 아니라 장부(臟腑) 강약(强弱)에 대한 인식이 선행되고 이를 희노애락(喜怒哀樂)으로 설명하였으며, 또한 "동의수세보원(東醫壽世保元)"의 장부(臟腑) 대소(大小)는 강약(强弱)에 근거한 개념임을 알 수 있었다. 3. 사상의학(四象醫學)의 의학적 설명 도구는 희노애락(喜怒哀樂)이다. 희노애락은 비박탐라(鄙薄貪懦)와는 달리 선악(善惡)의 가치 판단이 들어있지 않으면서 기의 승강을 나타낼 수 있는 중용적 설명 도구로 동무가 의학을 설명하기 위한 최선의 도구였다. 사상의학(四象醫學)에서의 희노애락(喜怒哀樂)은 증치의학(證治醫學)의 음양오행(陰陽五行)의 역할과 같은 것이다. 4. 희노애락(喜怒哀樂)은 "동의수세보원(東醫壽世保元)"에서 성(性), 정(情), 기(氣)로 설명되는데 희노애락의 성(性)과 정(情)은 장부 대소를 설명하는 근거로 체질마다 다른 장국 형성을 가능하게 하고 또한 각기 표기(表氣)와 리기(裏氣)를 손상(損傷)하는 것으로 설명되었다. 희노애락(喜怒哀樂)의 기(氣)는 기(氣)의 승강(升降)을 설명하는 근거로 애기(哀氣)와 노기(怒氣)는 양(陽)으로 직승(直升)과 횡승(橫升)하고 희기(喜氣)와 락기(樂氣)는 음(陰)으로 방강(放降)과 함강(陷降)한다. 이러한 희노애락은 순동역동(順動逆動)의 특성과 상성상자(相成相資)의 특성을 지니는데 희노애락(喜怒哀樂)의 상성상자(相成相資)는 사상의학 고유 개념으로 사상인병증론(四象人病證論)에서 언급하고 있는 성정(性情)과 심욕(心慾)의 편급까지 영향을 미치는 중요한 단서이다.

• Journal of Music and Human Behavior
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• v.12 no.1
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• pp.43-64
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• 2015

This study investigated the effects of song discussion on depression and rehabilitation motivation in stroke patients. Older adults with chronic stroke participated in this study: nine for the experimental group and eight for the control group. The experimental group was divided into three subgroups and participated in 12 sessions over 6 weeks. Target lyrics were selected by the investigator among popular songs from the participants' young adulthood. The song-based discussion was facilitated to address issues targeted at supportive, insight-focused, or reconstructive stage. The control group was provided with delayed intervention. At pre and posttest, the short form of Geriatric Depression Scale and the Rehabilitation Motivation Scale were measured. The experimental group showed significantly decreased depression and significantly increased rehabilitation motivation (p < .01), while the control group showed no significant changes. Positive changes were also observed in all subcategories of rehabilitation motivation in the experimental group, particularly in significantly increased task-oriented motivation and decreased amotivation. This study suggests that song discussion will be effectively applied in rehabilitative settings to address psychological issues of older adults with stroke.