• Title/Summary/Keyword: Communication Anxiety

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Sedation for Dental Treatment of Patients with Disabilities (장애인 환자의 치과치료를 위한 진정법)

  • Bing, Jung-Ho;Jeon, Jae-Yoon;Jung, Se-Hwa;Hwang, Kyung-Gyun;Park, Chang-Joo;Seo, Kwang-Suk;Kim, Hyun-Jeong;Yum, Kwang-Won;Shim, Kwang-Sup
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.7 no.2
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    • pp.114-119
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    • 2007
  • Background: Dental disabilities mean the poor cooperation for dental treatment because of patient's inherent disability, severe fear and anxiety, and communication problem. Sedation and general anesthesia are usually used for behavioral control in dentally disabled patients. In particular, sedation (conscious and deep) can help them to tolerate the proper dental treatment effectively and safely. Methods: From March 2002 to September 2007, total 35 sedation were carried out in 33 patients (male : female = 20 : 13) with dental disabilities at Seoul National University Dental Hospital and Hanyang University Medical Center. Patients' dental charts and sedation records were retrospectively reviewed. Results: Tooth extraction (19 cases) was the most common dental treatment performed under intravenous sedation (30 cases). Occasionally, inhalation sedation using Sevoflurane 1-2% was adapted (5 cases). Deep sedation (28 cases) was carried out using midazolam 2-3 mg bolus injection and propofol infusion via TCI (4.2 ${\pm}$ 0.9 mg/kg/h), and conscious sedation (7 cases) was carried out using midazolam bolus onlywithout severe complications. The duration of dental treatment was 25.5 ${\pm}$ 12.3 min and that of sedation was 43.2 ${\pm}$ 9.7 min. Conclusion: Sedation for dentally disabledpatients should be selected for effective behavioral control in conjunction with general anesthesia, considering the duration and pain-evoking potentials of dental treatment, the type and severity of patients' disabilities, and the experience of dental anesthesiologists altogether.

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A Case Study of Home Health Care for Postpartum Women and their Newborns (산욕부와 신생아의 가정간호 사례연구)

  • Jun, Eun-Mi
    • 모자간호학회지
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    • v.4 no.1
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    • pp.3-11
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    • 1994
  • Presently there is an increasing demand for home health care services due to changes in the demographic structure as a result of an increasing elderly population, socio-economic improvements, and changes in the family structure, as well as the growing number of people with degenerative diseases. In addition to these reasons, rising medical costs and there a shortage of patient beds space in the hospital, particularly since introduction of national medical insurance. There has been an increasing demand for health care health care services. This study was done to identify the basic data for home health care management. It focused on developing client selection criteria, assessment tools, and recording methods. This was accomplished by the researchers visiting the patients in their homes. The research process included preparation investigation, tool development, training of the project researcher, and visiting the clients in their homes. The research tools are as follows : 1. Record development : a) The selection criteria tool for home health care of postpartum women was a structured tool and consisted of four parts. b) The structured assessment tool consisted of a general items, obstetric history, past medical history, methods of feeding, medications taken before admission, laboratory test results, discharge instructions, discharge medications, family tree, economic status, environmental status, a map, health assessment of postpartum women and their newborns. c) The visit note I consisted of the frequency of visits. Visit note II consisted of the date ; nursing problems ; nursing process including the initial assessment ; nursing goal ; visit plan ; postpartum women and their neonate health status, diagnosis, goal, implementation, evaluation, summary, next plan, for visit revision. d) Problem note consisted of the date, problem numbers, nursing diagnosis, problem appearance date problem resolution date. The research results are as follows : 1. Nursing problems : The nursing problems of the postpartum women and their neonates were evaluated by the number of nursing diagnoses and the change in the pattern of nursing diagnosis related to the number of visits. a) Nursing diagnosis The nursing diagnosis was classified according to physical function, psychosocial function, family system maintained function. b) The changes of nursing diagnosis related to the number of visits. As the type of nursing diagnosis changed related to the number of visits the number of nursing diagnoses decreased. 2. Contents of home health care : The content was categorized according to assessment, direct care, counseling, education, family care, reporting to with the attending doctor. The recommendations based on the research results are as follows : 1. Tool development Replication of this study is needed to test the validity of the assessment tools used. 2. Home visit a) Home health care nurses should be licensed and qualified. A referral form from the attending doctor is needed for legal protection of nurses. b) The first home visit need to be within 24 hours of discharge from the hospital to decrease the anxiety of frightened postpartum women. c) When the changes occur in the newborn's status, home health care nurses should consult a pediatrician. Communication within the home healthcare team is essential and needs to consistent and done smoothly. 3. Home health care A Study is required to develop protocols for education of staff and for operation of all aspects of this program.

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Health-Related Quality of Life in the Early Childhood of Premature Children (미숙아로 출생한 유아의 건강 관련 삶의 질 정도와 영향요인)

  • Lim, Eun-Hee;Ju, Hyeon-Ok
    • Child Health Nursing Research
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    • v.21 no.1
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    • pp.37-45
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    • 2015
  • Purpose: In this study, a comparison was done of the extent of health-related quality of life (HRQoL) for preterm and fullterm children during early childhood, and factors affecting HRQoL in the early childhood of premature children were analyzed. Methods: Eighty mothers of children born prematurely and 83 mothers of children born at fullterm listed on two Internet cafes were sampled for this study. The major instrument used for the study was the TNO-AZL Preschool Quality Of Life (TAPQOL) questionnaire. Results: Total score for HRQoL in the premature group was 80.5 (${\pm}9.9$) and for the full term group, 85.0 (${\pm}8.3$), on a 100-point scale. A comparison of the premature group and full term group showed that the domains which scored relatively lower with respect to HRQoL included the stomach, motor function, anxiety, liveliness and communication. Among the factors that have an impact on HRQoL were 'length of stay in neonatal intensive care unit (${\geq}7$ days)' and 'birth weight (<1,000 gm)'. The explanation power of the model was 17%, which was statistically significant. Conclusion: These findings indicate that a differentiated premature infant follow-up program for children who are hospitalized over 7 days in NICU or weighed under 1,000g at birth is urgently needed.

e-Gov's Big Data utilization plan for social crisis management (사회 위기관리를 위한 전자정부의 빅데이터 활용 방안)

  • Choung, Young-chul;Choy, Ik-su;Bae, Yong-guen
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.21 no.2
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    • pp.435-442
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    • 2017
  • Our anxiousness has risen for recent increase in unpredicatable disaster. Accordingly, for the future society's preventing measure in advance against current considerable disasters due to societal crisis, we need to prepare secure measure ahead. Hence, we need to recognize the significance of governmental role and the value of Big Data application as ICT developed country in order to manage social crisis all the time. This manuscript analyzes human anxiety from listed disasters and describes that our government seeks new way to utilize Big Data in public in order to visualize Big Data related issues and its significance and urgency. Also, it suggests domestic/international application trend of Big Data's public sector with new practical approach to Big Data. Then, it emphasizes e-Gov's role for its Big Data application and suggests policies implying governmental use of Big Data for social crisis management by case-studying disaster measures against unpredictable crisis.

A Study on the De-socialization and Re-socialization of Private Security Agent (민간경비원의 탈사회화와 재사회화에 관한 연구)

  • Park, Young-Man
    • Korean Security Journal
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    • no.42
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    • pp.87-113
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    • 2015
  • This research study aims to analyze the process, you may encounter in the process of re-socialization through desocialization cause and the preparation of a study on private security agents desocialization and re-socialization of private security guards. In order to achieve the objectives of this study served as a private security agents who ride a moderator after desocialization to conduct in-depth interviews aimed at seven subjects experienced a re-evaluation of the socialization another chapter of the study, data analysis and content analysis coming from d derived through the following results: First, private security agents became the de-socialization due to various factors, different for each individual. In other words, the vision for the low-paid and insecure jobs, and excessive work environment and poor welfare was the main cause. Second, the preparation period of private security agents were called desocialization appropriate time before and after 40 business nature. That is, when considering the physical changes and their ability to work Mangan expenses that require expertise that can be interpreted in the context affordable. Third, private security agents were experiencing anxiety and duryeomum for the new job, rather than sinking feeling regret after retirement, showed that receive help for families and the surrounding communities to adapt and re-socialization through communication with people. There were also shown the safety and satisfaction of the new job and re-socialization experience to adapt to society looking for a new job.

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Edith Stein : Body, Life and Religion (에디트 슈타인과 몸, 생명 그리고 종교)

  • Lee, Eun-young
    • Journal of Korean Philosophical Society
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    • v.123
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    • pp.281-307
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    • 2012
  • In the modern society, we have come to recognize human emotions such as anxiety, fear, pain, anger, sadness, longing, desire and pleasure as important topics of philosophy. How shall we study the 'problem of emotions', or in a bigger sense, the 'problem of empathy'? With this critical mind, the research into empathy can be called as a starting point for studying the deepest feelings and thoughts of human beings in connection with the feelings of other people. Most of all, in order to understand other people and to understand human being itself, the role of sympathy or empathy has been emphasized among the problems of emotions, and this trend is especially distinctive in the philosophy of psychology. I definitely acknowledge that empathy or sympathy takes loneliness and agony away from a human being and therefore it is the starting point of communication between people. However, the very fundamental question of 'what are human beings, and who are they?' is once again reminded. In other words, this thesis focuses on the fact that humans are viewed not only as the existence with a soul or heart, but also as a "unique existence" containing something "material-, life- and spiritual", and in that sense, this world is an ecological organism that contains organic connections of humans, material things, plants and animals, which should be the point of view for approach. And it is also emphasized in this study to approach the question about human beings from the religious spirituality point of view that the society with true love for neighbors could be achieved through religious practices that provide principles and value.

The Effect of COVID-19 Pandemic on University Libraries: Forced on the Perception of University Librarians (코로나 19가 대학도서관에 미치는 영향에 관한 연구 - 대학도서관 사서의 인식을 중심으로 -)

  • Chung, Jae-Young;Oh, Se-Hoon
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.32 no.3
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    • pp.93-114
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    • 2021
  • COVID-19 has been affecting the library, not to mention society as a whole. Especially, there are many changes in the role and service of the university libraries as all the classes of the universities are turned into non-face-to-face and the use of the university libraries is restricted. The changes in users' use of information and communication behavior due to COVID-19 could be an opportunity for new utilization of human and material resources the university libraries have and for the development of services. However, on the contrary, the university libraries could face another crisis if they fail to respond appropriately to current changes. Therefore, it is necessary to grasp, analyze the impact of COVID-19 and plan how to respond. A survey on the effects of COVID-19 and the response of the university libraries and the perceptions of the university libraries found that most university libraries are responding appropriately to COVID-19. However, a survey on the perceptions of the present and future of the university libraries under COVID-19 showed that many survey respondents think COVID-19 would have a negative impact on the university libraries. This means that the changes caused by COVID-19 are causing a crisis and anxiety in the university libraries. Therefore, by working hard together, the university libraries need to present the university libraries' new role, service and direction in the post-COVID-19 era as well as responding to the current situation.

A Case Study on Mother's Perceived the Adaptation Process and Program of One-year-old Toddlers in Daycare Center (어머니가 인식하는 만 1세 영아의 어린이집 초기 적응과정 및 적응프로그램에 관한 사례연구)

  • Chung, Hyo Jin;Choi, Hyun Suk
    • Korean Journal of Child Education & Care
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    • v.19 no.3
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    • pp.99-113
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    • 2019
  • Objective: This study is a case study on mother's perceived the adaptation process and program of a one-year-old toddlers in daycare center. Methods: This study is a case study of four mothers who live in Seoul, South Korea and whose first child enters in daycare center at 18 or 20 months. The data collection method was applied to group interview and the individual in-depth interview method. Results: After the interview data was analyzed, first, they decided to enroll their child to a daycare center after two mothers were pregnant with the second child or the others received a phone call for admission. The first impression of the teachers had a great influence on the choice of admission when mother first visited the daycare center. mother, as well as toddlers who exhibited anxiety, experienced an adaptation process. Through communication between mother and teacher, mothers could feel the toddler's adaptation. Second, as for the difference of the adaptation program according to the daycare center type through the adaptation process of the one-year-old toddlers, there was a big difference in the program guide, the period, the content and the proceeding method. Conclusion/Implications: Based on the results of this study, it is expected that it will be a basic data for the development of the adaptation program for one-year-old toddlers in daycare center at the national level.

Effect of Aromatherapy on Behavioral and Psychological Symptoms of Dementia (아로마요법이 치매행동심리증상에 미치는 효과)

  • Choi, Seung Wan
    • 한국노년학
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    • v.28 no.4
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    • pp.1069-1087
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    • 2008
  • The purpose of this study was to closely examine the effects of aromatherapy on Behavioral and Psychological Symptoms of Dementia(BPSD) to the elderly in a nursing home, and to help the application of aromatherapy is expected to be conducive to managing the quality life in the dementia and the care-giver, and to provide a base of the aromatherapy application as an elderly program in geriatric institutions. This is an one group pre-post test design and the research subjects were the dementia in a nursing home those were totally 15 available for communication or intention observation. Aromatherapy was offered for 3 weeks totally 15 times by once a day in each with aroma hand massage and inhalation, by blending essential oils, Lavender, Chamomile Roman and Grapefruit. The results are as follows. Given examining a change in the whole about whether there are effects of aromatherapy on BPSD, there was significant difference in a change depending on the experimental period with 1.47 for the pre-measurement value, 1.09 for the post 1-measurement value, 1.01 for the post 2-measurement value and 0.71 for the post 3-measurement value. And, even the difference in experimental period was indicated to have significant difference(F=11.501, p<0.001). As an itemized results, the effect of aromatherapy were indicated to have significant difference on easing the anxiety, anguish, fear, dreadful feeling, depressed feeling, and outstandingly bustling movement, and outstandingly inactive behavior, and sleep disturbance and behavior of wandering about at night. On the basis of the result in this study, the application of aromatherapy is expected to lead the quality life in the dementia, and to contribute to health of mind and body in the dementia as an program in geriatric institutions.

Research on Intelligent Space Design of smart rural - Focus on Xikou village, Zhejiang Province, China (스마트 향촌을 위한 지능형 공간 디자인 연구 - 중국 저장성 시커우촌을 중심으로)

  • Zhu, Miaomiao;Jang, Wan-Sok;Pan, Young-Hwan
    • Journal of the Korea Convergence Society
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    • v.13 no.4
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    • pp.245-259
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    • 2022
  • Smart rural construction is an important direction for the Chinese government to promote the cause of "Rural Revitalization". In this paper, in the Xikou village project of the "future community" smart rural demonstration development project proposed by the local government of Zhejiang Province, China, the researcher participated in the design of the intellectualization of the smart rural life circle from the perspective of UX design and through qualitative and quantitative research methods. Through field investigation, understand the users' needs for intelligent design of smart countryside, and on this basis, design the maximum space of the region as a cognitive smart rural demonstration park, and quantitatively analyze the user experience feedback after the completion of the project. Before and after the actual design and application of the "Xikou village" in the demonstration area, chapters 3 and 4 are the symbols that can remember the rural era, the Rural Cultural Exchange Square. In the intelligent office space and living space, the user needs are composed of the design results. In order to reduce the anxiety of residents and tourists caused by the intelligent environment, the artificial manual service part is also designed. Now, as a case of intelligent rural space design, resident residence is developing continuously.