• Title/Summary/Keyword: 상실불안

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A Study on the Characteristics of Cancer Patients with Radiotherapy and Social Support, Psychosocial Status (방사선치료를 받는 암환자의 특성과 사회적지지 및 심리상태에 관한 연구)

  • Lee, Myung-Koo
    • Journal of radiological science and technology
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    • v.27 no.3
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    • pp.59-69
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    • 2004
  • By studying on the characteristics of cancer patients who receive radiotherapy and the attitudes of medical social workers, this thesis aims to suggest of requirements for medical social work intervention. The study was conducted using SPSS 10.0 for Windows to analyze data taken from a survey involving 90 cancer patients receiving radiotherapy in 4 general hospitals in Daejeon city. The data were collected form Oct. 1st to 15th, 2003, and its analyses used averages, correlation, and regression. The results were summarized as follows ; 1. The average family income in 67.8% of the cases was less than 2,000,000 won, which is a lower income bracket. In the disease characteristics, fatigue ware the highest (2.78) in the side effects of radiotherapy, which most patients were receiving alongside other forms of treatment. 2. It was shown that cancer patients receiving radiotherapy receive a high level of psychological and social support from doctors and other medical staffs, and that they also received a high average (4.38) of individual care and encouragement from family members. 3. In the psychosocial status, the need for financial assistance in the form of a national aid program or an expansion of medical insurance was great, especially in the need for house keeping service and night nurses. The need for psychosocial counselling rose following rises in treatment side effects and depression. Information for cancer patients was especially needed in the areas of treatment plans, treatment costs, and side effects of radiotherapy. The need for information rose in accordance with an elongation of hospital treatment and an escalation of care from family members.

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Vital Sign and Sedative Effect of Midazolam for Conscious Sedation during Upper Gastrointestinal Endoscopy (소아에서 상부 위장관내시경 검사 시 Midazolam 투여에 따른 생명활력징후의 변화 및 진정 효과)

  • Baek, Seoung Yon;Koh, Hong;Chung, Ki Sup
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.9 no.2
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    • pp.169-175
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    • 2006
  • Purpose: Esophagogastroduodenoscopy (EGD) is a very useful procedure in diagnosing gastrointestinal diseases. However, there can be some difficulty in performing this procedure in children due to the associated discomfort. Recently, sedative agents such as midazolam have been introduced to alleviate this problem quite successfully. In our study, we attempted to confirm the safety and efficacy of midazolam use by monitoring the vital signs of children undergoing endoscopy. Methods: We analyzed data on 244 children who received EGD in the department of pediatrics at Severance Hospital, Yonsei University between August 2003 and July 2005. We evaluated $O_2$ saturation, heart rate and change of mental status before and during the procedure and analyzed the results using the SPSS 12.0 package (Chi-square test, cross table method, etc.). Results: There was no significant difference in vital signs measured before and during EGD between midazolam treated and non treated children. There was no significant relationship between the amount of midazolam given and $O_2$ saturation or a change of mental status. Regarding the $O_2$ saturation, it was decreased during EGD in both groups with p<0.01 though no difference was noted between the groups; the $O_2$ level was maintained above 95% in all patients. The heart rate was also increased during EGD in both groups with a p<0.01; however, no significant difference was noted between the groups. Conclusion: We confirmed the safety of low dose midazolam by evaluating the vital signs of children during endoscopies. However, the doses used were not sufficient for sedation or to obtain an amnestic effect.

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A Study on the Disturbance and the Rehabilitation of Stream by Using Evaluation of Ichthyofauna to Disturbed Ecosystem (어류상 평가를 활용한 하천 생태계의 교란 및 회복 유형 고찰)

  • Lee, Seung-Hwi;Yang, Dae-Chang
    • Korean Journal of Ecology and Environment
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    • v.43 no.2
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    • pp.242-254
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    • 2010
  • Streams changed by artificial factor those support positive functions but also negative function to humanbeing. Time and pathway exceed the lost of structure and negative function appearing as disturbance. Therefore, it is desirable to prepare right situation to break of a vicious circle. Stream ecology was evaluated with using ichthyofauna during three years at the three disturbed sites and reference sites in Nakdong River. Forty-one species belonging three orders and ten families were identified in six surveying sites of Nakdong River during 2007~2009. Korean endemic species (14 species, 34.1%) and alien (3 species, 7.3%) were identified in Nakdong River ichthyofauna. Species number, species diversity, ecosystem structure and habitat variability of ecosystem were applied to evaluate stream ecosystem. In view of three year comprehended data at six sites; numeric instability appeared Andong Dam and Naeseongcheon sites worse than Gamcheon and reference site, otherwise more numeric diversity appeared Gamcheon and reference site than Andong Dam and Naeseongcheon. As a result of integration, sand stream including downstream of Andong dam, Naeseongcheon and Gamcheon has been having more diversified biodiversity and habitat diversity than those in the pebble stream.

The Effect of Korean Elderly's Prosthetic Status on Health Related Quality by Using EuroQol-5 Dimension (한국 노인의 보철상태에 따른 건강관련 삶의 질)

  • Park, Jeong-Hye;Lee, Min-Kyung;Lee, Jung-Hwa;Jin, Hye-Jung
    • Journal of dental hygiene science
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    • v.14 no.3
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    • pp.417-423
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    • 2014
  • The aim of this study was to evaluate the relationship between prosthetic status and health related quality of elderly by using EuroQol-5 dimension (EQ-5D) which is a standardized instrument used as a measure of health outcome. Data from 1,179 elderly subjects (over 65 years old) from the fifth Korea National Health and Nutrition Examination Survey were used in our analysis. Oral examination were conducted to obtain wearing prosthetic and needed prosthetic. EQ-5D is a widely used health condition measuring instrument. It consists of the five dimensions: Mobility, Self-care, Usual activities, Pain/discomfort and Anxiety/depression. EQ-5D index is a score calculated out of a weighting system. In this study, the mean score of the EQ-5D index among the elderly was 0.86. For EQ-5D index gender, female showed statistically significantly lower quality of life than male. The related factors EQ-5D index, when the lower demand for fixed prosthodontics and full denture. Wearers in partial and complete denture than non-wearers showed higher EQ-5D index. In order to improve EQ-5D index among the elderly who demand prosthetic status, which has lost its function through providing proper dental prostheses.

Physiological effect induced by relaxation aroma (이완 유도 향으로 발생된 생리적 효과)

  • 백은주;이윤영;문창현;전병배;양해주
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 1999.11a
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    • pp.233-237
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    • 1999
  • Aromatherapy는 향을 이용하여 생리적 및 심리적 효과를 나타내는 치료법이다. 향의 종류에 따라 여러 효과들이 나타나고 있는데 본 연구에서는 이완 유도향 제품을 개발하기 위해 자율신경계로부터의 신호인 Galvanic skin resistance(GSR), 피부온도, 심박수 등과 뇌파에서의 변화를 측정하여 이완의 정도를 측정하고자 하였다. 실험방법은 4 종류의 aromatherapy용으로 조제된 복합향(#2033, #2026, #11, #13)을 이용하고 피검자는 후각기능이 정상이며 물리적 및 심리적 stress가 없고, 음주, 담배를 3일전까지 경험이 없는 군을 택하였다. 향을 주는 시간은 1분으로 하였으며 순서에 의한 효과를 없애기 위해 4 종류를 random order에 의해 실시하였다. 대조군으로는 증류수를 이용하여 실험 전, 실험 중, 실험 후에서 각각 측정하였으며 또한 각성효과가 좋은 jasmine과 이완 효과를 보이는 lavender를 같은 protocol로 시행하여 이완의 효과를 비교하였다. 뇌파는 FFT분석에 따라 각 주파수 영역 즉 beta, alpha, theta, delta로 나누어 분석하였다. Jasmine과 lavender의 이완 효과에서는 GSR의 변화와 HRV의 변화를 보고한 바 있다(백,1998). 또한 심리불안 효과와 향 이미지 검사를 동시에 시행하여 주관적지표로 삼았다. 실험 결과에서는 이러한 4 종류의 향은 모두 GSR의 현저한 감소 효과를 보였으며, 심박수와 피부온도의 감소경향을 나타내었다. 자율신경계 반응에 따라 4 종류 향의 이완 효과의 순서를 결정할 수 있었다. 주관적 검사와의 상관관계도 잘 나타났으며 이미지는 이완 정도와 섬세하다 항목이 잘 반영되었다. 뇌파의 변화에서는 의미 있는 변화는 보이지 않았다. 결론적으로 relaxation 효과는 GSR를 비롯한 자율신경계지표에서 잘 반영되었다.^2$=.792가 되었다. 설명되는 누적분산값은 67.18%였다.주관적 평가의 결과와 객관적 평가 결과를 이용해 마직물의 태를 평가하는 산출식을 제시하였다. 태 평가치의 경우 16가지 특성치를 모두 넣는 방법과 stepwise 방법, 또 Kawabatark 사용한 순차적 군 회귀법의 세가지 방법의 회귀식 중 16가지 특성치를 모두 넣는 방법의 결정계수가 가장 높았다.tosterone농도는 107.7$\pm$12.0 pmol/l이었고, 남성의 타액내 농도는 274.2$\pm$22.1 pmol/l이었다. 이상의 결과로 보아 본 연구에서 정립된 EIA 방법은 RIA를 대신하여 소규모의 실험실에서도 활용할 수 있을 것으로 사려된다.또한 상실기 이후 배아에서 합성되며, 발생시기에 따라 그 영향이 다르고 팽창과 부화에 관여하는 것으로 사료된다. 더욱이, 조선의 ${\ulcorner}$구성교육${\lrcorner}$이 조선총독부의 관리하에서 실행되었다는 것을, 당시의 사범학교를 중심으로 한 교육조직을 기술한 문헌에 의해 규명시켰다.nd of letter design which represents -natural objects and was popular at the time of Yukjo Dynasty, and there are some documents of that period left both in Japan and Korea. "Hyojedo" in Korea is supposed to have been influenced by the letter design. Asite- is also considered to have been "Japanese Letter Jobcheso." Therefore, the purpose of this study is to look in

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Employment Protection Legislation Concerning Service Provision Change in Great Britain (노무용역 공급업체의 변동에 관련된 영국의 고용보호 법제)

  • Cho, Kyung-Bae
    • Journal of Legislation Research
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    • no.44
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    • pp.655-688
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    • 2013
  • Most of all the transfer of undertakings in such a service provision business as labour-intensive operation creates uncertainty of employment, aggravates terms of employment and breaks a trade union. However there are no regulations in Korea to protect employees from these undesirable situations. On the other hand Great Britain has introduced the concept of a transfer of undertakings by service provision change in 2006. It was intended to remove or at least alleviate the uncertainties and difficulties created by the need under TUPE 1981 and EU Directive to establish a transfer of a stable economic identity which retained its identity in the hands of the alleged transferee. In contrast to the words used to define transfer in the 1981 Regulations 'service provision change' is a wholly new statutory concept and distinguished from the economic entity. The new provisions seems to be straightforwards and the circumstances in which service provision change is established are clearly set out in Regulations. In this context there is no need for a judicially prescribed multi-factorial approach, as advanced by European Court of Justice like Spijkers test. The new concept of service provision change apply even though there are some minor difference or differences between the nature of the tasks carried on after service provision change as compared with before it. A commonsense and pragmatic approach is required and It is enough only to ask whether the activities carried on by the alleged transferee are fundamentally or essentially the same as those carried out by the alleged transfer. TUPE 2006 of Great Britain far exceeding the scope of the Acquired Rights Directive is full of suggestions as a model of legislation to secure a stable employment itself and favorable and fair conditions of employment. More active efforts are needed for lawmaking to prohibit a dismissal and vary conditions of employment for the reason of the transfer of undertakings itself.

Study on Estimating Economic Risk Cost of Aids to Navigation Accident in Busan Port, Korea using Contingent Valuation Method (조건부가치측정법을 이용한 부산항 항로표지사고에 대한 항행 위험비용의 추정에 관한 연구)

  • Kim, Tae-Goun;Moon, Beom-Sik
    • Journal of Navigation and Port Research
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    • v.42 no.6
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    • pp.478-485
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    • 2018
  • Aids to Navigation (AtoN) is one of the marine traffic safety facilities that promotes the safety of maritime traffic and enhance ship's operational efficiency. However, functional failure of AtoN due to ship's collision or bad weather conditions leads to inconvenience or navigational risk to various users such as the ship operators. For insstance, the largest container port in Korea, Busan Port has experienced a total of 400 AtoN accidents in the past 12 years (2006-2017).Therefore, an average of 20.6 days of recovery time is required, which increases the maritime safety anxiety for AtoN users. is the objective of this study was to present the quantitative support of the users for the prevention of AtoN accidents and the improvement of the feasibility of implementing more efficient management in Korea. A survey was conducted on the users of Busan port areas to investigate general perception of AtoN in general and the accidents that have happened, and to estimate the economic value of navigational risk reduction by implementing effective AtoN management measure. Using the representative non-market valuation method for environmental or public goods known as contingent valuation method (CVM), the economic value granted to users for the AtoN services in Busan port was estimated to at least 16 billion won. Therefore, these finding could be used by AtoN managers and/or policy makers as a valuable data to identify the users' need of various AtoN services including Busan Port and to establish and implement more efficient management plan.

Study on the Experience of Mother-Daughter Relationship through the Process of Admission to Nursing Care Facilities (요양보호시설 입소 과정을 통해 본 모녀관계 경험연구)

  • Seo, Seung-Hui;Kim, Min-Ji
    • The Journal of the Korea Contents Association
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    • v.18 no.12
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    • pp.161-172
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    • 2018
  • The purpose of this study is to investigate the experience of the mother-daughter relationship among middle-aged women in depth through the process of admission to nursing home facilities of their dementia mother. For the purpose, 8 middle-aged women whose dementia mothers were admitted to nursing care facilities were selected as research subject, and data collection was carried out through individual interviews. As a result of this research based on the phenomenological method of Colazzi, 3 categories, 6 sub-categories, and 17 subject bundles were derived. Research results can be summarized as follows: First, the mother-daughter relationship was dramatically reversed in the process of mother's admission to the nursing care facilities. Second, in the process of dementia mother's admission to the nursing care facilities, it was confirmed that daughters rather than sons were in an independent position regarding care and management. Third, in the process of dementia mother's admission to the nursing care facilities, it turned out that the entire family experiences depression, anxiety, and feeling of loss due to a sudden change in mother-daughter relationship as well as further transformation in family relationship, suggesting that there is a need to operate education or consultation programs for the family members to help them accommodate and deal with the sudden change.

A Study on Effects of the Fall Prevention in the Rehabilitation Pilates Exercise (노인의 재활 필라테스 운동이 낙상 예방 효과에 대한 고찰)

  • Ji-Sun Kim
    • Journal of the Korean Applied Science and Technology
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    • v.40 no.2
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    • pp.290-300
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    • 2023
  • This study was understood the risk mechanism of falls in the elderly and reviewed previous research data to see if the principle of Pilates rehabilitation exercise could have a positive effect on balance ability and postural stabilization in the elderly, and the purpose of this study is to present literature-based data on the fall prevention effect of rehabilitation Pilates exercise. First, the rehabilitation Pilates exercise makes it available for strengthening the center of the body to stabilize the spine and pelvis and stimulates the nerve root, thereby having an effect on the balance and the joint stabilization. Second, a proprioceptive sensory impairment and a musculoskeletal degenerative disease due to aging increase the loss of balance ability and the instability in posture maintenance, thereby coming to raise the risk of a fall damage caused by the difficulty in performing motor functions and by the gait disturbance. Third, the rehabilitation Pilates exercise leads to improving the core muscle strength in older adults, resulting in being capable of expecting the betterment in the balance and the reaction time motor function. And there is a positive impact on the improvement in body imbalance and on the stability in movement involved in the fall prevention, resulting in being able to suggest the possibility of likely contributing to a reduction in a fall risk rate. In conclusion, the rehabilitation Pilates as the elderly exercise program showed effects on the improvement in the body's muscular strength, on the upgrade in a sense of balance, and on the stabilization of core. Thus, it was considered to diminish the risk factors for a fall damage caused by musculoskeletal degeneration and to be capable of preventing a serious disorder of activity due to a chronic senile disease.

Lived Experiences of High School Students for the "Naesin" Grading as a Norm-Referenced Evaluation (고등학생이 경험하는 내신제도와 상대평가에 대한 현상학적 연구)

  • Chun, Heejung;Son, Hoyang;Woo, Ju Young
    • Korean Journal of School Psychology
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    • v.16 no.3
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    • pp.401-431
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    • 2019
  • This study explored the lived experiences of high school students who experienced a norm-referenced evaluation with the Naesin system. The participants were 15 high school students who resided in the areas of Seoul, Gyeonggi, and Busan. This study adopted a phenomenological research method, which is developed by Giorgi. The study resulted in 370 meaning units, 71 summaries of meaning units, 26 sub-constituents, and 9 constituents. The results showed that participants experienced their relationships with classmates were centered around competitions and they experienced the sense of repeated frustration with their academic goals. Participants perceived that their personal values equated with their academic rankings and they anticipated academic rankings becoming their future social rankings. Low rankings with good performance, learning for exam, and unfair treatment in school made them realize that the education is not for learning but for differentiating students. Participants have found the ways to know better about reality and self-regulated their thoughts and emotions. Further, this study identified resilient aspects of the participants such as support from parents and teachers and hopeful thoughts. This study discussed the meaning of the findings and implications of the findings.