• Title/Summary/Keyword: Consequences

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A Paradigm Analysis Related to Spiritual Experiences Focused on Christian of Patients with Terminal Cancer (기독교인 말기 암환자의 영성체험 과정에 관한 패러다임 분석)

  • Lee, Hiun-Ju
    • Journal of Korean Academy of Nursing
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    • v.36 no.2
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    • pp.299-309
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    • 2006
  • Purpose: The main purpose of this study was to develop a substantive theory on the process of the spiritual experience in Christian terminal cancer patients in the context of Korean society and culture. The question for the study was 'What is the spiritual process in Christian terminal cancer patients?'. Method: The research method used was the Grounded Theory Method developed by Strauss & Corbin(1998). Participants for this study in total were 9 Christian terminal cancer patients. Data was collected using in-depth interviews during April 2003 to March. 2004. Data collection and analysis were carried out at the same time. Result: From the analysis 58 concepts and 20 categories emerged. The categories were presented into a paradigm, which consisted of condition-actions/interactions-consequences. The theoretical scheme was described by organizing categories. In total, 4 stages were developed from the condition-actions/ interactions-consequences. Throughout these stages, the 'overcoming process of unbalanced interconnectedness' was the core category discovered. Conclusion: This study provides a framework for the development of individualized care interventions in the 'overcoming process of unbalanced interconnectedness' for Christian terminal cancer patients.

Reviews of Rural In-Migration Studies and Its Practical Implications (도시민 농촌이주에 대한 주요쟁점과 시사점)

  • Lee, Min-Soo;Park, Duk-Byeong
    • Journal of Agricultural Extension & Community Development
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    • v.18 no.1
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    • pp.1-33
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    • 2011
  • In-migration has long been recognized as on important factor in rural development. Its impact can be expected to increase even further as the elderly population continues to grow. Recently with the retirement of baby boomers, postretirement moves have become increasingly important issue in rural Korea. Because the consequences of rural in-migration are often most pronounced at the local or regional level, rural planners are among the many scholars and practitioners seeking to understand the patterns and consequences of in-migration. At the same time, however, planners have sometimes overlooked basic research on the causes and determinants of mobility, and on the relationships between retirement migration and other socioeconomic processes. The papers aims to explore the reviews of rural in-migration studies and its practical implications, providing an interdisciplinary review of the most important studies published between 1990-2009. Through the literature review of in-migration, this study suggests that main arguments for rural in-imgration studies such as rural populations, counterurbanization, rural businesses incubator and rural amenity be emphasized to vitalize and diversify rural economies.

Health Literacy: An Evolutionary Concept Analysis (건강정보 이해능력(Health Literacy)에 대한 개념분석)

  • Kim, Sungeun;Oh, Jina;Lee, Yunmi
    • The Journal of Korean Academic Society of Nursing Education
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    • v.19 no.4
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    • pp.558-570
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    • 2013
  • Purpose: In these days, the concept of health literacy becomes important because it is essential to have a clear grasp of patients' basic ability to understand health-care information. Therefore, we intended to discover attributes, antecedents and consequences of health literacy through contextual analysis. Method: Following Rodgers' evolutionary concept analysis, we did a literary review. The databases KMBase, KoreaMed, Kstudy, NDSL, and RISS were searched for articles. Among published literature about health literacy, twenty articles which satisfied the inclusion criteria were chosen. Results: Health literacy consists of three attributes: information seeking, information understanding, and information utilizing. Furthermore antecedents are as follows: health status, health belief, socioeconomic status, and information quality. Finally, we were able to explain the consequences of health literacy by showing improvement of self-care and interaction, and a decrease of social costs. Conclusion: We expect this study to guide the direction of future studies, and as a concept analysis that examines the conceptual attributes in the context of health literacy. Based on the result of this study, the design of a standardized tool and the program of health literacy promotion education need to be developed.

Self-Care in Elders with Dementia: A Concept Analysis

  • Yeom Hye-A
    • Journal of Korean Academy of Nursing
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    • v.34 no.8
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    • pp.1402-1408
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    • 2004
  • Purpose: The purpose of this study was to analyze the concept of self-care in elders with dementia through a review of nursing literature and to provide more understanding of the definition and perspectives of the concept of self-care notion in elders with dementia. Methods: The technique developed by Walker and Avant was used as a guide in analyzing the concept of self-care. Results: Attributes of self-care in dementia may include a single or group of actions needed for sustaining life, a personal effort to maintain functional independence while minimizing other's assistance, an outcome behavior from the person's interaction with inter-personal and/or contextual environment, and a functional ability that may decline in parallel to cognitive impairment. Antecedents of self-care in dementia may include at least presence of a certain degree of cognitive appraisal for the self-care needs, self-willingness for the self-care action, spatial and visual orientation, cultural pre-conception of the self-care behavior, presence of environmental context/equipment available for self-care, and sufficient time available. The consequences may include sustaining of life, feel of satisfaction, achieving independence, extended life expectancy, increased self-confidence, decreased caregiver distress and/or burden, savings in health care costs. Discussion: Defining attributes and antecedents and consequences of self-care in dementia identified in this study provided empirical ground of a middle-range theory of self-care for a clinical population with dementia and generated possible hypotheses to be tested in future studies.

Motivations of Adolescents Smoking Cessation: Use of Focus Group Interview (포커스 그룹 인터뷰를 이용한 청소년의 금연동기 탐색)

  • Ha Eun Hee;Park Hye Sook;Lee Bo Eun;Han Young Ran
    • Korean Journal of Health Education and Promotion
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    • v.22 no.1
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    • pp.55-71
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    • 2005
  • Purpose: The purpose of this study was to find out what are the major motivations of middle and high school students to quit attempts and stay as non-smokers. Method: Data was collected through focus group interviews with 3 groups(15 students), and was analyzed according to Morgan and Kruger(1998)'s analytic method. Results: We identified 6 categories of motivations for Smoking Cessation. They include perceptions of negative consequences of smoking on health, influences in significant others, being ashamed of oneself, drop of academic achievements, narrowness in interpersonal relationships, determining priorities for a student. Although 'perceptions about negative health consequences' was one of the most significant motivation of smoking cessation for adolescents, participants did not know the seriousness of nicotine addiction. Moreover, their contents of motivations were different from those of adults such as responsibility for their family, decreasing curiosity about smoking and test of self willingness. Also most of them were extrinsic motivations and related to their highly competitive school life. Conclusion: To conclude, considering the results of our analysis, smoking cessation programs should be carefully developed to more effectively help adolescents quit and stay away from smoking.

Mutation of the lbp-5 gene alters metabolic output in Caenorhabditis elegans

  • Xu, Mo;Choi, Eun-Young;Paik, Young-Ki
    • BMB Reports
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    • v.47 no.1
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    • pp.15-20
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    • 2014
  • Intracellular lipid-binding proteins (LBPs) impact fatty acid homeostasis in various ways, including fatty acid transport into mitochondria. However, the physiological consequences caused by mutations in genes encoding LBPs remain largely uncharacterized. Here, we explore the metabolic consequences of lbp-5 gene deficiency in terms of energy homeostasis in Caenorhabditis elegans. In addition to increased fat storage, which has previously been reported, deletion of lbp-5 attenuated mitochondrial membrane potential and increased reactive oxygen species levels. Biochemical measurement coupled to proteomic analysis of the lbp-5(tm1618) mutant revealed highly increased rates of glycolysis in this mutant. These differential expression profile data support a novel metabolic adaptation of C. elegans, in which glycolysis is activated to compensate for the energy shortage due to the insufficient mitochondrial ${\beta}$-oxidation of fatty acids in lbp-5 mutant worms. This report marks the first demonstration of a unique metabolic adaptation that is a consequence of LBP-5 deficiency in C. elegans.

Concept Analysis of Post Intensive Care Syndrome (집중치료 후 증후군에 관한 개념분석)

  • Kang, Ji yeon;Won, Youn Hui
    • Journal of Korean Critical Care Nursing
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    • v.8 no.2
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    • pp.55-65
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    • 2015
  • Purpose: The purpose of this study was to identify the attributes, antecedents, and consequences of post-intensive care syndrome. Methods: The study was conducted in accordance with Walker and Avant's conceptual analysis process. We searched the Medline, ProQuest, Google scholar, NANET (Korean National Assembly Library), and RISS (Korean Education and Research Information Service) databases resulting in 29 studies for in-depth review. Results: The attributes of post-intensive care syndrome include (1) new or worsening impairment persisting after discharge, (2) physical impairment, (3) psychological impairment, (4) cognitive impairment, and (5) symptom experience. The antecedents of the concept include a critical condition that requires intensive care, stressful events, immobility, sedation, delirium, insomnia, frailty, and invasive procedures. The consequences of post-intensive care syndrome are increased dependency in activities of daily life, decreased social interaction, delayed return to previous occupation, decreased quality of life, familial post-intensive care syndrome, and readmission/death. Conclusion: The concept of post-intensive care syndrome has multifaceted and integrative features. Further research needs to be conducted to develop a measurement tool that reflects the attributes of the concept and to develop multidisciplinary interventions to prevent post-intensive care syndrome.

An Evolutionary Concept Analysis of Forensic Nursing Competency (법의간호 역량에 대한 진화론적 개념분석)

  • Jo, Na Young;Lee, Yun Mi;Son, Youn-Jung
    • Journal of Korean Critical Care Nursing
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    • v.11 no.2
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    • pp.34-50
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    • 2018
  • Purpose : This study aimed to clarify attributes, antecedents, and consequences of forensic nursing competency. Method : Rodgers' evolutionary concept analysis was used to analyze twenty nine articles on forensic nursing based on a systematic review of theology, medicine, psychology, and nursing literature. Results : Forensic nursing competency consists of the following seven attributes: awareness of the medico-legal problem, multidisciplinary integrated knowledge, education and training in forensic science, professional career development, evidence based practice in forensic nursing, collaborative forensic nursing with community partner, safety and security effective communication, and supportive relationships. Finally, we could explain the consequences of forensic nursing competency on knowledge construction in nursing, enhancing professional nursing, and establishing a human rights and social justice based approach. The antecedents of forensic nursing competency were forensic science interest, forensic science experience, and nurses' view of person in forensic-works. Conclusion : Based on these results, we recommend the development of a Korean version of a scale to assess forensic nursing competency.

A Study on Implementation of Risk Based Inspection Procedures to a Petrochemical Plant (RBI 절차의 석유화학 플랜트 적용에 관한 연구)

  • Song, Jung-Soo;Shim, Sang-Hoon;Kim, Ji-Yoon;Yoon, Kee-Bong
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.27 no.3
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    • pp.416-423
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    • 2003
  • During the last ten years, the need has been increased for reducing maintenance cost for aged equipments and ensuring safety, efficiency and profitability of petrochemical and refinery plants. RBI (Risk Based Inspection) methodology is one of the most promising technologies satisfying the need in the field of integrity management. In this study, a user-friendly software, realRBl for RBI based on the API 581 code was developed. This software has modules for evaluating qualitative and semi-quantitative risk level, analyzing quantitative risks using the potential consequences of a failure of the pressure boundary, and assessing the likelihood of failure. A quantitative analysis was performed for 16 columns in a domestic NCC (Naphtha Cracking Center) plant whose operating time reaches about 12 years. Each column was considered as two equipment parts by dividing into top and bottom. Generic column failure frequencies were adjusted based on likelihood data. After determining release rate, release duration and release mass for each failure scenario, flammable/explosive and toxic consequences were assessed. Current risks for 32 equipment parts were evaluated and risk based prioritization were determined as a final result.

Alterations in Striatal Circuits Underlying Addiction-Like Behaviors

  • Kim, Hyun Jin;Lee, Joo Han;Yun, Kyunghwa;Kim, Joung-Hun
    • Molecules and Cells
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    • v.40 no.6
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    • pp.379-385
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    • 2017
  • Drug addiction is a severe psychiatric disorder characterized by the compulsive pursuit of drugs of abuse despite potential adverse consequences. Although several decades of studies have revealed that psychostimulant use can result in extensive alterations of neural circuits and physiology, no effective therapeutic strategies or medicines for drug addiction currently exist. Changes in neuronal connectivity and regulation occurring after repeated drug exposure contribute to addiction-like behaviors in animal models. Among the involved brain areas, including those of the reward system, the striatum is the major area of convergence for glutamate, GABA, and dopamine transmission, and this brain region potentially determines stereotyped behaviors. Although the physiological consequences of striatal neurons after drug exposure have been relatively well documented, it remains to be clarified how changes in striatal connectivity underlie and modulate the expression of addiction-like behaviors. Understanding how striatal circuits contribute to addiction-like behaviors may lead to the development of strategies that successfully attenuate drug-induced behavioral changes. In this review, we summarize the results of recent studies that have examined striatal circuitry and pathway-specific alterations leading to addiction-like behaviors to provide an updated framework for future investigations.