• Journal of Korean Clinical Nursing Research
• /
• v.26 no.2
• /
• pp.198-206
• /
• 2020

Purpose: The rapid response team is a patient safety system that detects symptoms and signs of deteriorating inpatients and provides intervention and treatment. This study analyzed the factors influencing the activation time of the team. Methods: This is a descriptive correlation study that analyzed the electronic medical records of patients activated by the rapid response team. The collection period was from January 2014 to December 2017. We analyzed 278 pieces of data activated by the rapid response team for patients aged 16 years or older at C University S Hospital in Seoul. We employed the SPSS 23.0 program for data analysis. Results: The reasons for activation of the rapid response team were oxygen saturation of less than 90.0%, other causes, and change in consciousness. The most common diagnosis of activated patients was respiratory failure (32.4%). The average activation time was 153.43±286.05 min. The activation time was shortest during convulsions (13.29±7.32 min). For patients with a history of kidney disease (B=0.58, p=.008), in case of surgery (B=0.55, p<.001), if the first symptom is mediated by the physician (B=0.53, p=.007) the active time is often extended. On the other hand, activation time is reduced when consciousness changes (B=-0.51, p=.002), especially when oxygen saturation is below 90.0% (B=-0.64, p<.001). Conclusion: Based on the results of the study, it is expected that patients deteriorating in the general ward would be recognized early, which will help in the effective activation of the rapid response team.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
• /
• v.11 no.2
• /
• pp.49-61
• /
• 2005

Summary of Background Data: Myofascial pain syndrome (MPS) is a common painful muscle disorder caused by trigger points occurring in myofascial. MPS is a major cause of chronical pain and is the subject of further clinical examination. Purpose: To uncover effective intramuscular stimulation therapy (IMS), the patients' actively participation stretching exercise and stabilizing around shoulder girdle where trigger point provoking myofascial pain syndrome in usually occurred. Methods: 45 myofascial pain syndrome patients were randomly chosen and divided into 3 groups. The first group (G1) received only IMS therapy, The second group (G2) had both IMS and active stretching exercises administered and the final group (G3) was given IMS therapy and stabilizing exercises. Therapy intervention was given for 3 weeks, 3 times a week and then only stretching exercise for the second group and stabilizing exercise for the third group was given for another 3 weeks. The visual analogue scale was dine before the experiment, 3 weeks after the experiment and 6weeks after the experiment to measure subjective degrees of pain and pressure pain threshold to measure sensitivity improvement of trigger point and functional ability questionnaire to measure daily life performance. Results: There were no significant changes after 3 weeks but after 6 weeks, between GI and G2 and between G1 and G3 showed significant change of pain, pressure pain threshold and daily life performance. There were significant improvement of the measurement of degrees of pain, pressure pain threshold and improvement of daily life performance at different times for G1 showed change 3 weeks after the experiment, but there were no changes 6 weeks after the experiment. There were significant improvement of the measurement at different times for G2 and G3 showed change 3 weeks after the experiment and 6 weeks after the experiment. Conclusions: IMS therapy proved to be effective in inactivation of trigger points of the myofascial pain syndrome patients and stretching and stabilizing exercises beside it keep remedial value longer by improvement of pain and dysfunction that occurred by the trigger point.

• The Journal of the Convergence on Culture Technology
• /
• v.6 no.4
• /
• pp.469-476
• /
• 2020

This study is a qualitative study to grasp the meaning of the effective role of tutors of college students experiencing problem-based learning through focus group interviews. The subjects of this study were 4th grade students in the Department of Nursing who had experienced PBL, and a total of 21 people were divided into 3 groups and interviewed. Data were analyzed in content to find meaningful topics. The results of this study were analyzed into two subjects and eight categories. Based on the research results, if we summarize the role of effective tutors recognized by students in PBL. 1) Create a permissive atmosphere so that students can express their ideas freely and interact. 2) Give praise and encouragement. 3) Encourage all learners to participate. In particular, learners with low participation should be asked questions to promote active discussion. 4) Avoid unnecessary intervention and participate in the discussion together. 5) Adjust the learning speed and manage the time well. 6) Develop a scenario that meets the goals. 7) Classes are run around questions that can promote learners' thinking. 8) It plays a role of helping to form knowledge by providing positive feedback to learners' responses.

• Journal of the Korean Geographical Society
• /
• v.51 no.2
• /
• pp.269-281
• /
• 2016

This article problematizes and interrogates the idea of 'community' which is increasingly important in Korean urban policy-making. For the purpose, this article scrutinizes, and compares, how ordinary citizen participants and civil society activist organizations in a 'community garden' program of Seoul make sense of, utilize, and practice the policy concept. The neo-Faucauldian perspective of 'governmentality' is employed to understand the association between the community-focused policy program and neoliberalism, but Barnett's( 2005) call for 'bottom-up governmentality' is taken seriously in order to avoid any deterministic interpretation. On the basis of this eclectic perspective on governmentality, this article presents empirical findings that may suggest a contestation over community between ordinary citizens and civil society activists. More specifically, ordinary citizen participants prioritize place-based, on-the-ground community experiences that are built on common cultivation practices, whereas civil society activists tend to consider community garden as a teleological governmental technology generative of particular citizen subjects. Civic community garden advocacy as such aims to address social, economic, and spatial problems that neoliberalsim has produced, but it also appears to be in a close association with neoliberal urban policy. Thus, the community activism's meaningfulness lies in its active intervention to neoliberal urban policy, but a gap between ordinary practical achievements and civic activism can be a potential danger to urban community policy. On the basis of this discussion, this article asks more detailed investigations about the taken-for-granted positivity of urban community (re)vitalization programs, and also examinations on whether and how such projects generates emergent tensions between ordinary achievements and policy prescriptions.

• Journal of Preventive Medicine and Public Health
• /
• v.42 no.6
• /
• pp.416-423
• /
• 2009

Objectives : This study was performed to examine medical care utilization of psychiatric patients and to explore patients' characteristics associated with extended hospitalization. Methods : Data were extracted from information of Korean Health Insurance Review and Assessment Service. All data associated with admission and outpatient clinic visit were analysed by patient characteristics. We selected first psychiatric admission patients who diagnosed mental and behavioral disorders due to use of alcohol (main disease code: F10), schizophrenia and related disorders (F20-29) and mood disorders (F30~33) from January to June 2005. We analysed status of admission, mean length of stay, regular access to outpatient clinic and rates of extended hospitalization during 3 years. Bivariate and multivariate analyses were conducted to identify factors associated with extended hospitalization. Results : The number of psychiatric patients during the first six month of 2005 was 30,678. The mean length of stay was longest for schizophrenia and related disorders but shortest for mood disorders. Patients who experienced an extended hospitalization were 18.8% of total subjects. An extended hospitalization was more common in schizophrenia and related disorders than other diagnostic groups. The factors associated with the extended hospitalization were age, sex, diagnostic group, type of insurance and medical care utilization groups. Conclusions : The study indicates the problem of an extended hospitalization for psychiatric patients in Korea. It is suggested that variations in rates of extended hospitalization among medical care utilization group may need an active early intervention system in psychiatric treatment service. Particular attention needs to be devoted to planning and funding for reducing extended hospitalization.

• Journal of Physiology & Pathology in Korean Medicine
• /
• v.35 no.2
• /
• pp.71-80
• /
• 2021

Parkinson's disease is one of the typical neurodegenerative disease and it is caused by the destruction of substantia nigra in brain leading to lack of dopamine secretion, and it presents 4 major motor symptoms such as tremor, bradykinesia, stiffness, postural instability. Furthermore, it causes many non-motor symptoms such as anosmia, REM sleep conduct disorder, orthostatic hypotension, dementia and autonomic ataxia such as lack of adjusting blood pressure, hyperhydrosis, constipation. Dopaminergic therapy is the most commonly used strategy, but long term treatment of levodopa induce various adverse effects. Thus, many people are focusing on new therapies other than established therapies, and there are many tries and approaches with paradigm shift. Our medical team was able to get 4 cases of PD patients who are hospitalized in our hospital, treated by Whole Body Gi-Hyeol Therapy consisting of acupuncture therapy, herbal therapy, and mental therapy, and their conditions improved in perspective of Unified Parkinson's Disease Rating Scale(UPDRS), Heart Rate Variability(HRV), and Quality of life. Among all 4 cases, UPDRS score and quality of life score is gotton better, and among 2 cases SDNN, RMS-SD, TP, LF, HF scores are finely increased. And PDQ-39 score which shows quality of life is also improved. However, in spite of these improvements and positive results, there were no meaningful improvement in a hurt from a fall which is important to the aged, muscular atrophy which causes bone fracture and SMI(Skeletal Muscle Mass Index) which is indicator of osteoporosis. Thus, supplementary treatment about Whole Body Gi-Hyeol Therapy such as more active nutrition intervention, safe and effective kinesitherapy is needed, and from now on continuous case reports and systematic clinical research which has control group must be carried out.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.20 no.2
• /
• pp.95-106
• /
• 2019

This study examines how mental health promotion programs based on positive psychology brings changes in pleasant life, engaged life and meaningful life. This research considers 15 programs featuring 178 students during one semester. Pre-and-post examination of psychological well-being, depression and optimism were conducted to identify changes before and after the program. 56 students (32%) showed positive changes in all 3 factors. 15 students among them were selected for an in-depth interview for a qualitative case study. As a result of the quantitative study, a mental health promotion program based on positive psychology showed statistically significant positive changes in the pre-and-post examinations of psychological well-being, depression and optimism. Mental health promotion programs based on positive psychology showed positive changes in mental, cognitive and behavior perspectives in the fields of pleasant life, engaged life and meaningful life of college students. Specifically, positive psychology and thinking programs influenced students to become more enthusiastic and active in pursuing a pleasant life. Secondly, positive psychology intervention concerning engaged life brought a recognition of higher 'self-acceptance'. Thirdly, each individual spent more time and effort to experience more satisfaction and accomplishments. Lastly, subjects showed greater optimism after the program. Through the searching gratitude program, study subjects expanded their appreciation of their relationships with others.

• Journal of International Area Studies (JIAS)
• /
• v.22 no.2
• /
• pp.47-80
• /
• 2018

Bosnia has a unique political and social structure of 'One State-Two Systems' according to the 'Dayton Peace Agreement'. It is true that since the end of the 1995 civil war, the problem of nation and peace in Bosnia has been attracted by the broad concept of Europe as a whole, beyond the local dimension of the Balkans. Bosnia is a typical 'Mosaic of Religion and Culture' region in Europe. And Sarajevo, the capital of Bosnia, where various religious and cultural features of Europe are gathered, is called 'Jerusalem in Europe'. For this reason Bosnia has repeated a history of cultural and religious conflict since the Middle Ages. However, before the civil war in the late 20th century, the nations in Bosnia also had experience of 'harmony among various nations, religions and cultures of East and West'. The international community, including the EU, has paid attention to this point as it promotes Bosnia's reconstruction and peace settlement. And these are working to restore the history of harmony among nations in Bosnia today. In the past, research on Bosnia has focused primarily on national conflicts between religions and cultures. However, in this study, I will try to analyze the practical cases of peace settlement and harmony among nations in Bosnia as follows: First, 'Bosnia's accession to the EU' which means active intervention and continued interest of the international community. Second, 'the resolution of war crimes and liquidation of past history' through the end of ICTY mission in December 2017. And third, 'reflection of international society and historical reconciliation of Serbia' through the reinterpretation of the Srebrenica massacre.

• 한국노년학
• /
• v.28 no.4
• /
• pp.1297-1315
• /
• 2008

Elderly males in retirement experiencing a change in their social status and role in the family are likely to develop negative perception toward the elderly and the elderly life. The purpose of this study is to examine how the experiences of age discrimination affect elderly male's perception and his attitude towards the elderly life, and to verify the mediation effects of the family and peer relations, which would necessitate the need for social welfare intervention. 215 participants, the elderly men registered at the welfare centers in Seoul Metropolitan area, participated in this research utilizing the structural equation modeling to verify the mediation effect. The findings are as follows. First, the elderly males's experiences of age discrimination is found not to have a significant effect on their perception towards the elderly. Second, the elderly males' discrimination experience has a significant effect on their attitude towards the elderly life. Third, it is found out that family function and peer relationship has complete mediation effect on the perception on the elderly experiencing discrimination in their perception towards the elderly life. Fourth, the family function and peer relationship has partial mediation effect on the elderly male experiencing discrimination in their attitude toward their life after retirement. This shows that more efforts are needed to reduce discrimination towards the elderly, and that strong family function and peer relations help the elderly to develop more positive perception and attitude towards the elderly life. In conclusion, it proposes an institutional approach towards the problem as well as increased support for elderly welfare service including family counseling intended to strengthen family function and alternative family, and more active social activities aimed at strengthening of peer relationship.

• Korean Journal of Family Social Work
• /
• no.56
• /
• pp.197-224
• /
• 2017

The purpose of this study was to examine how various dimensions of social exclusion experienced by married immigrant women are affected longitudinally. Autoregressive cross-lagged analysis between sub-dimensions of social exclusion of married immigrant women was conducted to investigate the direction of interrelationships. The data were collected each year through a three-wave longitudinal survey from 2011 to 2013. The results showed that statically significant autoregressive effects appeared among economic exclusion, community exclusion, educational exclusion, and ethnic exclusion. The cross-lagged effects of the sub-dimensions of social exclusion showed that married immigrant women with higher levels of the economic exclusion tend to experience higher levels of the educational exclusion, and ethnic exclusion at the later measurement point, even when controlling for their previous level of social exclusion. It was found that economic exclusion as a more fundamental precedent factor positively predicted other dimensions of social exclusion. The results suggested that financial support and job-related services should be strengthened for active social inclusion of married immigrant women, and early intervention to prevent chronicization of social exclusion should be needed.