• Title/Summary/Keyword: Anxiety-management

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Memory of Pain and Preemptive Analgesia (통증의 기억과 선행진통)

  • Song, Sun-Ok
    • Journal of Yeungnam Medical Science
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    • v.17 no.1
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    • pp.12-20
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    • 2000
  • The memory of pain can be more damaging than its initial experience. Several factors arc related the directions of pain memory: current pain intensity, emotion, expectation of pain, and peak intensity of previous pain. The possible mechanisms behind the memory of pain are neuroplastic changes of nervous system via peripheral and central sensitization. Peripheral sensitization is induced by neurohumoral alterations at the site of injury and nearby. Biochemicals such as K+, prostaglandins, bradykinin, substance P, histamine and serotonin, increase transduction and produce continuous nociceptive input. Central sensitization takes place within the dorsal horn of spinal cord and amplifies the nociceptive input from the periphery. The mechanisms of central sensitization involve a variety of transmitters and postsynaptic mechanisms resulting from the activations of NMDA receptors by glutamate. and activation of NK-1 tachykinnin receptors by substance-P and neurokinnin. The clinical result of peripheral and central sensitization is hyperalgesia, allodynia, spontaneous pain, referred pain, or sympathetically maintained pain. These persistent sensory responses to noxious stimuli arc a form of memory. The hypothesis of preemptive analgesia is that analgesia administered before the painful stimulus will prevent or reduce subsequent pain and analgesic requirements in comparison to the identical analgesic intervention administered after the painful stimulus, by preventing or reducing the memory of pain in the nervous system. Conventionally, pain management was initiated following noxious stimuli such as surgery. More recently, however many have endorsed preemptive analgesia initiated before surgery. Treatments to control postsurgical pain are often best started before injury activates peripheral nociceptors and triggers central sensitization. Such preemption is not achieved solely by regional anesthesia and drug therapy but also requires behavioral interventions to decrease anxiety or stress. Although the benefit of preemptive analgesia may not be obvious in every circumstance, and in many cases may not sufficient to abolish central sensitization, it is an appropriate and human goal of clinical practice.

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Informational Needs of Women with Breast Cancer Treated with Chemotherapy

  • Abi Nader, Elie;Kourie, Hampig Raphael;Ghosn, Marwan;El Karak, Fadi;Kattan, Joseph;Chahine, Georges;Nasr, Fadi
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.4
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    • pp.1797-1800
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    • 2016
  • Background: Research in the field of informational needs of breast cancer patients is scarce. In the few published articles, these needs were usually not satisfied. The main objective of this study was to evaluate satisfaction regarding informational needs in women with breast cancer. The long-term goal was to guide physician-patient communication to meet these needs. Materials and Methods: A survey with 21 questions was completed by 84 female patients receiving chemotherapy in a one-day hospital in Beirut, Lebanon. All patients were aware of their disease and agreed to participate in the survey. Results: The doctor was the major source of information for patients followed by media (radio and television). The level of knowledge of patients concerning their disease was proportional to the number of information sources. Women aged younger than 45 years, diagnosed during the last three months before the survey and certified from high school were less satisfied with information given by the oncologist. The missing information was in relation with the steps of the treatment after the chemotherapy regimen, the risk of a family member (sisters and daughters) of developing the disease and management of lymphedema. Conclusions: This study generated a scale for the degree of satisfaction of information received by women with breast cancer from their oncologist. The physician can use this scale to improve his or her skills of communication to patients and diminish their level of fear and anxiety.

Effects of a Social Support Group on Burden and Well-being of Mothers of Developmentally Delayed Children (사회적 지지모임이 발달지연아 어머니의 부담과 안녕에 미치는 영향)

  • 오가실
    • Journal of Korean Academy of Nursing
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    • v.27 no.2
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    • pp.389-400
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    • 1997
  • This study examined the effects of group social support on the reduction of burden and increase in well-being of mothers of developmentally delayed children. The research used a one group pre-pose experimental design. The independent variable in the experiment was group social support. Two series of 4-weekly meetings for group social support were conducted by the researcher with the intention of developing a self-help group. The dependent variables were burden and well-being. Well-being was operationalized as physical symptoms and quality of life. Thirty mothers of developmentally delayed infants from the rehabilitation center of a medical center participated in the study. Data were collected by interviews and a self-administered questionnaire. The mean age of the subjects was 29.9 years. Changes of the dependent variables between pre and post tests were compared using the t-test. Even though there was a slight improvement in the scores for the dependent variables, they were not statistically significant. The items, "I resent my baby". "I feel angry about my interactions with my baby", "I feel guilty in my relationship with my baby" showed a significant decrease in burden score and were statistically significant. Symptoms of loneliness, constipation, anxiety, restlessness were less and feeling of happiness was greater after participation in the group social support, than on the pretest. The mothers showed emotional instability and frustrations during the group sessions but their reactions in general were positive. Emotional support, stress management and information provided were identified as the most valuable content of the sessions. However, participation was not active due to the mother's denial, delayed acceptance and /or avoidance of their infants' problems. It can be seen that group social support for the mothers with developmentally delayed children should be provided after infancy when the mothers have time to accept their children's conditions and are ready to receive support. The use of comprehensive instruments which measure burden in both families and mothers needs to be developed for future research.

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New Approach for Detecting Leakage of Internal Information; Using Emotional Recognition Technology

  • Lee, Ho-Jae;Park, Min-Woo;Eom, Jung-Ho;Chung, Tai-Myoung
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.9 no.11
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    • pp.4662-4679
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    • 2015
  • Currently, the leakage of internal information has emerged as one of the most significant security concerns in enterprise computing environments. Especially, damage due to internal information leakage by insiders is more serious than that by outsiders because insiders have considerable knowledge of the system's identification and password (ID&P/W), the security system, and the main location of sensitive data. Therefore, many security companies are developing internal data leakage prevention techniques such as data leakage protection (DLP), digital right management (DRM), and system access control, etc. However, these techniques cannot effectively block the leakage of internal information by insiders who have a legitimate access authorization. The security system does not easily detect cases which a legitimate insider changes, deletes, and leaks data stored on the server. Therefore, we focused on the insider as the detection target to address this security weakness. In other words, we switched the detection target from objects (internal information) to subjects (insiders). We concentrated on biometrics signals change when an insider conducts abnormal behavior. When insiders attempt to leak internal information, they appear to display abnormal emotional conditions due to tension, agitation, and anxiety, etc. These conditions can be detected by the changes of biometrics signals such as pulse, temperature, and skin conductivity, etc. We carried out experiments in two ways in order to verify the effectiveness of the emotional recognition technology based on biometrics signals. We analyzed the possibility of internal information leakage detection using an emotional recognition technology based on biometrics signals through experiments.

The Characters and Patterns of Family Problems in Korea - An analysis of newspaper articles, 1940s ~ 1980s - (한국 가족문제의 유형과 특성 1940-1980년대 신문기사를 중심으로)

  • Lee, In-Soo
    • Journal of Families and Better Life
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    • v.21 no.3
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    • pp.171-180
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    • 2003
  • In this study, the characteristics and patterns of family problems were explored. What constituted family problems, and how those evolved over the period of drastic changes in the Korean society were examined, by analyzing articles published from the 1940s to the 1980s in the four major national newspapers in Korea. A total of 6542 articles related to family problems in the four newspapers, Chosun, Dong-A, Kyunghyang, and Seoul, were used for the content analysis of this study. The main categories of family problems were classified as poverty, marital issues, issues related to children and adolescents, elderly issues, problems in the family as an institution, and the so-called family-lag problem. Each of these categories consisted of several subcategories: The poverty-related problems included the problems caused by difficulty in making a living and instability of living, for example. The marital issues category consisted of conflicts between the couple, unfaithful spouses, domestic violence, divorce, and so on. Issues related to children and adolescents included juvenile delinquency, difficulty in bringing up children, child abuse, single motherhood, and underage household heads, for example. The elderly issues included the anxiety over the aging society, support for the elderly, conflicts between mother-in-law and daughter-in-law, alienation of the elderly, etc. Problems in the family as an institution consisted of the legal issues in such areas as marriage, succession of the family head, and adoption. Lastly, the family-lag problem included confusion over family values, and conflict caused by the inconsistency between consciousness and actual behavior related to the family or family crisis. From the 1940s to the 1980s, family-lag was the most common problem (26.2% of the total articles), followed by issues related to children and adolescents (23.1%), poverty (16.2%), marital issues (15.9%), elderly issues (12.4%), and problems in the family as an institution (6.0%). During the 1940s and the 1950s, poverty was a prominent problem, and in the 1960s, issues related to children and adolescents were most commonly addressed in the articles. In the 1970s and the 1980s, the family-lag problem was the most frequently addressed.

A SURVEY OF GENERAL ANESTHESIA, SEVOFLURANE SEDATION AND INTRAVENOUS SEDATION IN CHUNGNAM DENTAL CLINIC FOR THE DISABLED (충남장애인구강진료센터에서 시행된 전신마취 및 진정법에 관한 실태조사)

  • Kim, Seung-Oh
    • Journal of the korean academy of Pediatric Dentistry
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    • v.40 no.1
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    • pp.28-39
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    • 2013
  • General anesthesia or sedation is an essential for a successful dental treatment for the disabled. The aim of this study is to assess the patients who had dental management under general anesthesia or sedation at Chungnam dental clinic for the disabled, who received dental treatment under general anesthesia, sevoflurane sedation and intravenous sedation from January, 2011 to September 2012. Of the 426 patients studied, 389 patients received dental care under general anesthesia, 20 patients received dental care under sevoflurane sedation and 17 patients received dental care under intravenous sedation. The Rate of general anesthesia was higher than that of sevoflurane sedation, intravenous sedation. Sevoflurane sedation is a useful method for short time treatment such as traumatic pediatric patients. Intravenous sedation is an option for patients who had anxiety and fear such as dentally disabled patients. Sevoflurane or intravenous sedation not only gradually reduces the use of general anesthesia but also useful methods themselves for the dentally disabled.

The Effects of Maladaptive Perfectionism and Stress Coping on Chronic Fatigue of Adolescent Athletes through Convergence (융복합을 활용한 청소년 운동선수들의 부적응적 완벽주의 성향과 스트레스 대처가 만성적 피로에 미치는 영향)

  • Jang, Hong-Young;Kim, Sang-Tai
    • Journal of Digital Convergence
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    • v.16 no.1
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    • pp.371-379
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    • 2018
  • The purpose of this study was to investigate the effects of maladaptive perfectionism and stress coping on chronic fatigue of adolescent athletes. In order to achieve these purposes, a questionnaire survey was conducted with 254 adolescent athletes. The following conclusions were obtained. 1. In the stress coping and chronic fatigue level by maladaptive perfectionism level, the higher the level of maladaptive perfectionism showed a high level of emotional mitigation coping, wishful thinking seeking and chronic fatigue. 2. The correlation between maladaptive perfectionism, stress coping and chronic fatigue showed a significant level between each sub-factor. 3. The influence that maladaptive perfectionism and stress coping have on chronic fatigue are "anxiety about a mistake", "a doubt about the performance", "emotional mitigation coping" and "wishful thinking seeking". This result suggest importance of dealing with maladaptive perfectionism and stress coping in reduce the chronic fatigue.

Comparison of Health Status and Mini Nutritional Assessment according to Self-esteem of Elderly in Care Hospital (요양병원 입원 노인의 자아존중감에 따른 건강상태와 간이영양상태 비교)

  • Kim, Eun-mi;Kwon, Jin
    • Journal of the East Asian Society of Dietary Life
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    • v.25 no.4
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    • pp.631-642
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    • 2015
  • The purpose of the study was to examine health status and mini nutritional assessment (MNA) according to self-esteem status of elderly in care hospital. The survey was carried out from $13^{th}$ to $31^{st}$ of September, 2014 in five care hospitals. Analysis was performed for 226 subjects. Evaluation criteria included demographics, clinical status, MNA, health-related quality of life (EQ-5D) and self-esteem. The SE I, SE II and SE III groups were divided by self-esteem scores. Data were analyzed one-way ANOVA, Duncan' multiple range test and Pearson's correlation using SPSS 15.0. Education level, religion, dental condition and medical endurance type were significantly different in all groups. Many elderly people were normal BMI ($20.94{\sim}21.67kg/m^2$). Self-esteem significantly increased in order of SE I, SE II and SE III. Mobility, usual activity and anxiety or depression were significantly different in all groups, and EQ-5D of SE II and SE III groups were significantly higher than that of SE I group. Comparison of MNA screening score in elderly patients was as follows : Score for food intake, psychological stress or acute disease, neuropsychological problems, pressure scores or skin ulcer, protein intake, mode of feeding, nutritional status and health status in SE I group were significantly lower than those of SE II and SE III groups. Mobility and drug intake of SE I group were significantly lower than those of SE III groups. Fruit and vegetable intake SE I group were significantly higher than those of SE II and SE III groups. MIS (Malnutrition Indicator Score) was significantly different among the SE I, SE II and SE III groups. We conclude that self-esteem score is positively correlated with protein intake, nutrition status, health status and MIS in elderly care hospital. To improve nutritional status of elderly in care hospitals, systematic nutrition management and self-esteem education program should be implemented.

Tea and Curing through Analysis of Yin-Yang Theory (음양학설 해석을 통한 차와 양생)

  • Kim, Meong-Ju
    • Journal of Industrial Convergence
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    • v.18 no.1
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    • pp.97-107
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    • 2020
  • Since long ago, there has been a saying that "Drink water to quench thirst, drink alcohol to remove anguish and anxiety, and drink tea to recover from fatigue and refresh mind." Tea is really better for body and mind than water when it is drunken long and is valuable Jinda(眞茶) given by mother nature. In particular, curing tea reflecting characteristics of climate changes in all seasons helps in keeping health. Since tea contains the Yin-Yang system, which is a philosophical ideology of ancient people, old predecessors knew which tea they should brew and drink for curing in harmony with Yin and Yang. As a factor that influences component changes of tea, a complex interaction of heaven, earth and man is important and especially, mind of a person to handle tea is most important. Tea is a natural curing drink, which plays a role as a bridge between humans and nature.

A Study on the Development and Effectiveness of Mind Healing Program for University Students Based on Reality Therapy (현실요법을 활용한 대학생 마음치유 프로그램 개발 및 효과)

  • Ha, Tai-Hyun;Baek, Hyuen-Ki
    • Journal of Digital Convergence
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    • v.10 no.11
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    • pp.433-439
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    • 2012
  • This article aims at developing Mind Healing Program for university students, whose anxiety and depression are getting serious. Reality therapy was experimented total 10 times(one time per week), which was the revision and supplement of Woo(1994)'s reality therapy program. It consists of introducing program and self, understanding 5 mind desires, identifying obstacles of conversation, learning efficient communication skills, controling irrational expectation of others, recognizing mind gap, problems of choice and responsibility, nurturing mind, etc. The effectiveness of this program was verified through a model whose research variants were participation motivation, participation satisfaction, and mental health. Direct effects of participation motivation, participation satisfaction, and mental health were less satisfactory than indirect effects of the time when program satisfaction is a variant. It is concluded that mental health of participants is getting better when more satisfactory program should be provided, rather than motivation of simple participation.