• Title/Summary/Keyword: 암센터

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Reliability and Validity of an Instrument Assessing Spiritual Needs of Families of Terminal Cancer Patients (말기 환자 가족 영적요구 측정도구의 신뢰도 및 타당도 검증)

  • Kang, Kyung-Ah;Choi, Youngsim;Kim, Yejean
    • Journal of Hospice and Palliative Care
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    • v.21 no.4
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    • pp.144-151
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    • 2018
  • Purpose: The purpose of this study was to test the reliability and validity of an instrument that measures spiritual needs of families of terminal cancer patients. Methods: This methodological study was processed as follows: 1) The preliminary 26 items were developed based a conceptual framework of spiritual needs of families of patients with cancer. 2) The content was validated by an expert panel (Three nursing professors and five hospice nursing specialists). 3) The instrument was validated by a survey (n=111). 4) Twenty-six items were selected and used for the final version of the scale. Results: Three factors were extracted through factor analysis: 'relationship with God/Acceptance of dying', 'recovery of relationship/hope and peace', and 'meaning and purpose of life'. These factors explained 61.088% of the total variance. Cronbach's alpha and Guttman split-half coefficient of the 26 items were 0.944 and 0.826 respectively. Conclusion: This scale was identified as a valid and reliable tool. Therefore, the scale is useful in assessing spiritual needs of families of terminal cancer patients in the field of hospice and palliative care.

The Effect of Innovative Behaviors on Perceptions of Distributive Justice: Moderating Role of Relative Professionalism (혁신행동이 분배공정성 지각에 미치는 영향 : 상대적 업무 전문성 수준의 조절효과)

  • Oh, Sang Suk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.6
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    • pp.169-177
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    • 2019
  • From the past to the present, justice has attracted many people's attention. Most of the previous studies carried out in relation to justice are studies of the resulting variables, and there is a great advantage that they let us know about the importance of justice. However, the findings are focused only on the behavior of the members of the organization according to the status of justice already perceived. Therefore, studies on the antecedent of justice are also necessary to understand justice accurately. This study identifies the factors that can directly affect justice and the contextual factors that could moderate their relationship. In particular, using the '2017 Public Employee Perception Survey' released by the Korea Institute of Public Administration, we examined how innovative behavior of public employees affects the perception of distributive justice and how the relative professionalism, which is the situation variable, moderates the relationship between variables. A regression analysis of 321 public employees showed that innovative behavior affects the perception of distributive justice, and that the positive relationship of innovation behavior to the perception of distributive justice is weakened when the level of individual perceived relative professionalism is high.

Risk of Metabolic Syndrome according to Intake of White Rice and Kimchi in Korean Adults: based on the 6th Korea National Health and Nutrition Examination Survey, 2013-2015 (한국 성인의 백미와 김치 총 섭취량에 따른 영양상태와 대사증후군 위험도에 관한 연구: 2013-2015년 국민건강영양조사 자료를 이용하여)

  • Kim, Jin-Su;Ahn, So Hyun;Son, Sook Mee
    • Korean Journal of Community Nutrition
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    • v.23 no.6
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    • pp.525-537
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    • 2018
  • Objectives: This study was conducted to examine the relationship between white rice and Kimchi intakes and the risk of metabolic syndrome (Mets) in Korean adults. Methods: Dietary intake and health data of 8289 subjects aged 19 years and over from the 2013-2015 Korea National Health and Nutrition Examination Survey (KNHANES) were used. Daily total intake of white rice and Kimchi was assessed by 24-hour recall data. Multivariate logistic regression analysis was used to estimate the risk of Mets according to the daily intake of white rice and Kimchi. Results: The highest intake of white rice and Kimchi was associated with a higher risk of metabolic syndrome (Q1 vs Q5, multivariable adjusted OR=1.45, 95% CI: 1.03-2.03) in women. In addition, a significantly increased risk of elevated blood pressure (multivariable adjusted P for trend 0.0459) was associated with a higher intake of white rice and Kimchi in women. There was no significant trend in the risk of metabolic syndrome according to the intake of white rice and Kimchi in men. Conclusions: A higher intake of white rice and Kimchi was only associated with an increased risk of metabolic syndrome in women indicating it is necessary to consume more various food groups beside white rice and Kimchi, especially in women.

The Effect of Violence Experience on Turnover Intention among Nurses (간호사의 폭력경험이 이직의도에 미치는 영향)

  • Baek, Ji Bum;Kang, Sook Jung
    • The Journal of the Korea Contents Association
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    • v.18 no.12
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    • pp.570-578
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    • 2018
  • The purpose of this study was to understand verbal, physical, and sexual violence experiences among nurses and to explore the relationship between violence experiences and turnover intentions among nurses. In this study, a nationwide data of 11,154 nurses from the 2016 Health Workers' Survey conducted by Korean Health and Medical Workers' Union(KHMU) were utilized. Results showed that about half (47.2%) of nurses were experiencing verbal violence from colleagues, patients, and caregivers. Also, 75.3% of nurses in this study had the turnover intention. Finally, nurses who experienced violence had 2.65 times more of turnover intention than nurses who did not have violence experiences. There is a need to conduct a research identifying significant moderating factors which could alleviate the effect of violence experiences on turnover intentions as well as a research to develop and apply the program assisting nurses to overcome violence experience.

Supportive Songwriting to Improve Resilience of Adolescents With School Maladjustment (학교 부적응 청소년의 적응유연성 향상을 위한 지지적 노래만들기)

  • Kim, Ji Won
    • Journal of Music and Human Behavior
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    • v.15 no.2
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    • pp.41-67
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    • 2018
  • The purpose of this case study was to examine how a supportive songwriting program could facilitate resilience for adolescents with school maladjustment. Participants included four middle school students with adaptive difficulties. The participants received eight 50-minute sessions of a supportive songwriting program. The program consisted of singing and discussing selected songs, followed by the participants creating their own lyrics about their current adaptation issues. The Resilience Scale for Adolescents was completed by each participant before and after the intervention, and the participants' lyrics were analyzed for how the factors of resilience were reflected in their lyrics. The results showed that all participants' scores on the resilience scale increased. It was also found that the factor on the resilience scale that increased the most for each participant was related to the issues expressed in their lyrics. The results suggest that the process of writing songs can be effective in eliciting adolescents' school related issues and accessing their positive resources, which can lead to behavioral and psychological improvements.

A Clinical Analysis of Hyperhidrosis Patients in Korea: A Single Center, Retrospective Study of 5 Years (다한증 환자의 사상의학적 특성에 관한 연구)

  • Oh, Hyunjoo;Park, Minyoung;Jeon, Hyeonjin;Hwang, Minwoo
    • Journal of Sasang Constitutional Medicine
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    • v.30 no.4
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    • pp.33-52
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    • 2018
  • Objectives The purpose of this study was to analyze the clinical characteristics of patients with hyperhidrosis who visited a Korean medicine hospital, and provide information on treated hyperhidrosis, based on Sasang Constitutional medicine. Methods A retrospective review was made of the electronic medical record (EMR) charts for 157 Korean patients with hyperhidrosis (90 male, 67 female), who first visited hospital from January 1, 2013 to December 31, 2017. The following information was collected: sex, age, height, weight, body mass index (BMI) and clinical data (diagnosis, area of onset, duration of illness, aggravating factors, medication, healing process, et al). Results There were many patients with hyperhidrosis, in the other of So-Yang type (57.3%), Tae-Eum type (35.0%) and So-Eum type (7.6%). The proportion of male was higher than female. The most common area of hyperhidrosis was hands and feet (44.0%), followed by generalized whole body (27.4%) and head and face (25.5%). The cure rate of hyperhidrosis was 32.2%, and effectiveness rate of that was 72.7%. In individual patients, the better the usual health condition expressed by original symptoms, the higher the possibility of treatment success, with shortened duration of treatment and reduced total drug dose. The most frequent treatment modality in patients was that consistently improved, and this duration of treatment was statistically significantly shorter than that experienced worsening of excessive sweating during treatment period (p<0.001). Conclusions This study provides some original information on the Korean patients with hyperhidrosis, and suggests the suitability of Sasang Constitutional medicine as treatment methods for hyperhidrosis.

Concept and limitation of breast cancer stem cells (유방암 줄기세포 개념 및 제한점)

  • Kim, Jong Bin;An, Jeong Shin;Lim, Woosung;Moon, Byung-In
    • Journal of Medicine and Life Science
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    • v.15 no.2
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    • pp.46-50
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    • 2018
  • Cancer, a leading mortality disease following cardiovascular disease worldwide, has high incidence as one out of every four adults in Korea. It was known to be caused by several reasons including somatic mutation, activation of oncogene and chromosome aneuploidy. Cancer cells show a faster growth rate and have metastatic and heterogeneous cell populations compared to normal cells. Cancer stem cells, the most invested field in cancer biology, is a theory to explain heterogeneous cell populations of cancer cells among several characteristics of cancer cells, which is providing the theoretical background for incidence of cancer and treatment failure by drug resistance. Cancer stem cells initially explain heterogeneous cell populations of cancer cells based on the same markers of normal stem cells in cancer, in which only cancer stem cells showed heterogeneity of cancer cells and tumor initiating ability of leukemia. Based on these results, cancer stem cells were reported in various solid cancers such as breast cancer, liver cancer, and lung cancer. Breast cancer stem cells were first reported in solid cancer which had tumor initiating ability and further identified as anti-cancer drug resistance. There were several identification methods in breast cancer stem cells such as specific surface markers and culture methods. The discovery of cancer stem cells not only explains heterogeneity of cancer cells, but it also provides theoretical background for targeting cancer stem cells to complete elimination of cancer cells. Many institutes have been developing new anticancer drugs targeting cancer stem cells, but there have not been noticeable results yet. Many researchers also reported a necessity for improvement of current concepts and methods of research on cancer stem cells. Herein, we discuss the limitations and the perspectives of breast cancer stem cells based on the current concept and history.

Radon Concentration in Groundwater of Korea (전국 규모로 본 국내 지하수의 라돈 함량)

  • Cho, Byong-Wook
    • The Journal of Engineering Geology
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    • v.28 no.4
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    • pp.661-672
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    • 2018
  • Radon concentration was measured in a total of 5,453 groundwater samples from wells across Korea. The radon concentrations showed the values ranging from 0.1 Bq/L to 7,218.7 Bq/L, with a median of 48.8 Bq/L which is lower than those of other countries having similar geological conditions. The distribution of radon concentrations was lognormal. The median value is high in the granite areas (63.5-105.1 Bq/L) while it is low in the sedimentary rocks and Cheju volcanic area (16.0-20.3 Bq/L). When grouping the groundwater with well depth, the median radon value is high in weathering and/or upper bedrock zone (61.4 Bq/L) while it is low in alluvium and/or weathering zone (28.5 Bq/L). About 17.7% of the total samples exceeded 148 Bq/L of USEPA guideline value. The exceeding radon ratio more than 148 Bq/L in groundwater is highest in Jurassic granite area, however, the exceeding radon rates more than 300 Bq/L and 500 Bq/L are highest in CGRA area.

Effects of Flexi-bar Exercise on Shoulder Pain, Disfunction, Quality of Life and Range of Motion in Women with Breast Cancer Surgery (유방암 수술을 한 여성에게 Flexi-bar 운동이 견관절 통증, 기능장애, 삶의 질, 관절가동범위에 미치는 영향)

  • Lee, Min-ji;Kwon, O-kook;Kim, Youn-jin;Shin, Eui-joo;Yu, Dal-young
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.27 no.2
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    • pp.45-54
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    • 2021
  • Background: The purpose of this study was to investigate the effects of flexi-bar exercise on shoulder pain, dysfunction, quality of life, and range of motion of women with breast cancer surgery. Methods: A total of 42 female patients who had breast cancer were included in this study. By drawing lots, subjects were divided into a flexi-bar exercise group (FBG, n=21) and a general breast cancer group (GBG, n=18). The effects of flexi-bar exercise on patients were evaluated in terms of the visual analogue scale (VAS), the shoulder pain and disability index (SPADI), the European organization for the research and treatment of cancer quality of life questionnaire (EORTC QLQ-C30), the breast cancer specific EORTC quality of life questionnaire (EORTC QLQ-BR23), and range of motion (ROM), all of which were measured pre- and post- intervention followed by evaluation. Results: A significant increase was pain, functional disability level, quality of life, ROM within the two groups (p<.01). There were pain, functional disability level, quality of life, ROM post test then invention were significant between the two groups(p<.01). Conclusion: The flexi-bar exercise has a positive treatment effect on breast cancer patients.

Development and Application of a Methodology to Build Geotechnical Information System Based on Geo-Knowledge Using GIS Technology (GIS를 이용한 지반-지식 기반 지반 정보화 시스템 구축 기법의 개발 및 적용)

  • Sun Chang-Guk;Chung Choong-Ki
    • Journal of the Korean Geotechnical Society
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    • v.22 no.2
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    • pp.55-68
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    • 2006
  • For the reliable prediction of spatial geotechnical data, a procedure to build the Geotechnical Information System (GTIS) based on geo-knowledge within the frame of GIS technology was developed by introducing a couple of new concepts of the extended area containing the study area and the additional site visit for acquiring surface geological data. To build the GTIS for Gyeongju as the case study of regional model application, intensive site investigations and pre-existing geotechnical data collections were performed and additional site visit was also carried out for acquiring surface geo-layer data in accordance with the developed procedure. Within the GTIS based on geo-knowledge for Gyeongiu area, the spatially distributed geo-layers across the extended area were predicted using the geostatistical kriging method and those for the study area were extracted. Furthermore, the spatial distribution maps for the thickess of geo-layers and the depth to bedrock were constructed for the practical use in geotechnical field. It was evaluated that the GTIS based on geo-knowledge developed in this study is superior to the conventional geotechnical GIS in terms of both the standard deviation and the geological expert judgment.