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Mediation Effect of Hope between Fatigue and Psychosoical Adjustment in Women with Breast Cancer (유방암환자의 피로와 심리사회적 적응에 대한 희망의 매개 (mediation) 작용)

  • Lee, Eun-Hyun
    • Journal of Korean Academy of Nursing
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    • v.30 no.4
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    • pp.857-868
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    • 2000
  • The purpose of the present study is to identify the mediation effect of hope between fatigue and psychosocial adjustment in women with breast cancer. The framework for this study was guided by concepts and propositions derived from the theoretical and empirical literature on fatigue, hope and adjustment. The design of this study is a descriptive correlation study using a cross-sectional design. One hundred and twenty two outpatients with early breast cancer, receiving post-surgical radiation therapy or chemotherapy, were selected from three major medical centers in Seoul, Korea. A packet including PABCF (Psychosoical Adjustment to Breast Cancer Factor), revised RPFS (Revised Piper Fatigue Scale), HHI (Herth Hope Index), and self-addressed return envelope was given to the participants at seven to eight weeks post surgery. The questionnaires were to be completed at home and returned to the researcher by mail. The obtained data were analyzed using three regression equations guided by Baron and Kenny (1986); first, hope was regressed on fatigue; second, psychosocial adjustment was regressed on fatigue; and third, psychosocial adjustment was regressed on fatigue and hope, simultaneously. In the first equation, fatigue explained 4% of the variance in hope. In the second equation, fatigue explained 47% of the variance in psychosocial adjustment. In the last equation, hope and fatigue significantly explained the variance in psychosocial adjustment. Therefore, all conditions for the test of mediation effect of hope were satisfied. For the test of the mediation effect, the beta coefficients of fatigue on psychosocial adjustment on the second and third regression equations were compared. The beta coefficients were decreased from .69 (p < .001) on the second regression equation to .63 (p < .001) on the third regression equation. Thus, the hypothesis of this study was supported. As a result of this study, the negative Influence of fatigue on psychosocial adjustment is dampened through the mediator effect of hope in women with breast cancer. Therefore, when planning care for the adverse effect of fatigue on psychosocial adjustment, oncology nurses should consider hope as a mediator between fatigue and psychosocial adjustment to breast cancer.

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A Study on the Experience of the Daughters-in-law's Relationship with Mothers-in-law (며느리들의 시어머니와의 관계 경험에 관한 연구)

  • Park, So-Young;Park, Tai-Young
    • Journal of Families and Better Life
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    • v.26 no.4
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    • pp.55-71
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    • 2008
  • Many studies on the relationships between mothers-in-law and daughters-in-law tended to regard the relationship as a conflicting one. This study, unlike the previous ones, aimed to explore the relationship as it is and to describe the experience of the real relationship. Another aim of this study, on the basis of the results, was to provide the basic data for social services to develop and maintain the positive relationships between mothers and daughters-in-law. To achieve these aims, the central question of the study was, "What are the daughters-in-law's experiences with their mothers-in-law like?" The participants for the study consisted of 12 daughters-in-law who volunteered to be interviewed. Data were collected through in-depth interviews and analyzed according to the grounded theory presented by Strauss and Corbin. As a result, 154 concepts and 42 sub-categories were induced, and finally 18 categories were induced in the course of classifying and integrating these sub-categories. This study discovered that the relationship might be both positive and negative, and that it might even be possible to change from one to the other. The results of the study showed that many factors influenced the quality of the relationship, and that the husband's role was one of the most important factors. Using this study's results as guidance, general programs designed to cultivate more positive relationships between mothers and daughters-in-law can be created and implemented; additionally programs that help the husbands understand the complex relationship and roles can be devised.

A Process Analysis of the Employment Preparation of Chinese International Marriage Migrant Women (중국국적 결혼이주여성들의 취업준비 경험에 대한 과정분석)

  • Kong, Su Youn;Yang, Sungeun
    • Journal of Families and Better Life
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    • v.32 no.1
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    • pp.133-150
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    • 2014
  • This study is aimed at examining the employment preparation of Chinese migrant women and exploring measures to support their employment in a practical manner. To accomplish the objectives, in-depth interviews with 15 Han Chinese and Korean Chinese women, who represent the highest proportion in Korea, were conducted. Each interview lasted for about an hour and a half on average, and there were additional questionnaires and observations on vocational courses. Collected data was analyzed in 4 steps by utilizing the analysis methods suggested by Lichtman (the three C's of data analysis: codes, categories, concepts), which were transformed to fit the final data. The research findings are as follows. First, the fundamental reasons that Chinese migrant women seek employment in Korea are as follows: role model as a mother based on motherhood and the desire to be recognized as a member of society. Second, as for employment strategies, although all the respondents were only dependent on the referral of their acquaintances and national institutions, Han Chinese and Korean Chinese women had ambivalent attitudes toward each other. Third, they attributed the causes of unemployment to personal aspects such as the amount of effort made and luck, and social structural aspects, including employment instability and low acceptance of multi- cultural individuals. Fourth, the migrant women hoping for 'complete integration' in the future, suggested some practical employment support measures. Such measures should be established by comprehensively reflecting their reasons for getting a job, employment strategies, attributions of unemployment, and employment outlook, rather than as response measures to the low birth rate and aging issues in Korea.

User Benefit Characteristics of Universal Design Guidelines for Homes in Ireland (아일랜드 '주택을 위한 유니버설디자인 가이드라인'의 사용자 혜택 특성 연구)

  • Lee, Yeunsook;Ahn, Somi;Hyun, Jiwon;Park, Jaehyun
    • Korean Institute of Interior Design Journal
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    • v.26 no.2
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    • pp.72-82
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    • 2017
  • Current world population is rapidly ageing and the disabled population is expected to age seriously as well. The concern about the elderly and the disabled is increased largely not just the field of social welfare and service but the housing planning where the physical environment of everyday life is. Recently in Ireland, 'Universal Design Guideline for Homes' is established and proposed in public. It is considered as initial and special national policy for the socially venerable. The purpose of this research is to analyze the User Benefit Characteristics(UBC) of 'Universal Design Guideline for Homes in Ireland' and clearly organize the characteristics for comprehensive communication. The research subjects are 444 guidelines of 'Universal Design Guideline for Homes in Ireland.' The research is conducted by contents analysis technique, and each guideline is analyzed by the 4 main concepts of UBC- 'Behavioral Facilitation(BF)', 'Physiological Maintenance(PhM)', 'Perceptual Maintenance(PM)', 'Social Facilitation(SF).' As results, the User Benefit Characteristic of 'Universal Design Guideline for Homes in Ireland' is ordered by PhM>PM>BF>SF. The design guidelines are supposed to support ageing in place and sustainable living in the existing houses even though people are ageing or being disabled. 'Universal Design Guideline for Homes in Ireland' supports safe behavior and comfort cognition especially in indoor and surrounding outdoor environment. This research is significant for sharing the knowledge and comprehension of decreasing environmental stress of the elderly in specific, and could be utilized for developing new elderly housing in future.

Study on the Recipe Using Fuzzy Theory (퍼지이론을 응용한 조리법에 관한 연구 -비빔밥을 중심으로-)

  • 권경순
    • The Korean Journal of Food And Nutrition
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    • v.13 no.4
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    • pp.353-359
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    • 2000
  • This study was carried out to introduce the fuzzy theory to standardize recipe of Korean foods, such as Pibimbab, Deonjang chigae (soybean stew), and Kimchi chigae (Kimchi stew). That is recipe of Pibimbab using fuzzy theory. Before this recipe was introduced, it thoroughly analyzed a number of data on Korean food such as materials used by cook book, commercial food, restaurants, food service operation recipes, and home recipes. And then the recipe of Korean food, Pibimbab will be possible to be standardized by fuzzy theory. The theory of fuzzy set is a theory of graded concept. The theory has matured into a wide ranging collection of concepts and techniques for dealing with complex phenomena. It defined a Membership function of fuzzy set by analyzed four sorts of data on Korean food, Pibimbab, and it established the fuzzy model using the quantity of materials as input and sensory test scores as output. This study will contribute to develop standard recipe for Korean foods and expert system of recipes using computer system.

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A Study on Daily Life Experiences of Adolescents Being Raised by Their Grandparents: Focusing on the Practical Experience of Learning and Emotional Support Services Provided by a Health Family Support Center (조손가정 청소년의 생활경험에 관한 연구: 학습정서지원 서비스 이용 경험을 중심으로)

  • Park, Kyung-Ae;Lee, Moo-Young;Kang, Ki-Jung
    • Journal of Families and Better Life
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    • v.30 no.4
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    • pp.59-75
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    • 2012
  • The purpose of the study shall be to achieve an understanding of learning and emotional support services for adolescents being raised by their grandparents. In-depth interview and qualitative methodology were used to find changes in the service experiences of 10 adolescents being raised by their grandparents by analyzing their experiences at a health family support center. 1 agency in the Chungnam area was selected as a model for its program for adolescents being raised by their grandparents. Ultimately, 78 items as sub-concepts, 44 items as sub-categories, and 4 items as subjects were identified. Specifically, these included school achievement, peer group relationship, family relationship and significant others. In conclusion, they were found to experience slower physical and emotional development and tend to withdraw in social situations. They were also found to have experienced difficulties in communicating with other people and with school achievement. However, it was shown that these adolescents have made positive changes after participating in a program involving a family coach who supports and provides services for them. Also, they were found to have experienced psychologically changes, and improved in their school achievement and personal relationships. Consequently, we will require more effort to provide emotional support, adult role models, counseling intervention, and social support for them.

A Practice Model for Strengthening Resilience among Remarried Families (재혼가족의 레질리언스 강화를 위한 실천모형 기초연구)

  • Kim, Yoo-Jung
    • Journal of Families and Better Life
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    • v.30 no.4
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    • pp.147-161
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    • 2012
  • Remarriage has been prevalent in Korea since the mid-1990s. Remarried families have reported that they face many challenges and difficulties. Life for those who remarry can worsen when the children from a previous marriage live together with new family members. It is interesting that some remarried families adjust well while others do not. This study focuses on developing a practice model for strengthening the resilience of remarried families with children based on a literature review. To understand and support remarried families, the resilience perspective was chosen, focusing on a strengths perspective with developmental, ecological, and preventative perspectives. In terms of resilience, the proposed practice model was developed on the basis of three concepts: belief systems, organizational patterns, and communication. The model can be used to help remarried families accomplish adequate integration by growing as a new family and can prevent another divorce. Moreover, it can assist practitioners and policy-makers develop programs and policies with a strengths perspective rather than a deficit or problem-oriented perspective. Based on the model, various programs need to be developed to strengthen the resilience of remarried families. The development of supportive programs is suggested. These can include remarriage preparation programs, remarriage life education programs, interactive web-based programs, and family camps. For a long time, remarried families have been labeled as abnormal and atypical owing to the normal family myth. This negative perception of remarried families must be altered so that they are accepted with a positive outlook in a society. For further studies, the development of diverse supportive adaptation programs for various types of remarried families and active research on them are recommended. The practice model can assist with the adaptation and growth of remarried families by strengthening their resilience.

Predictors of Psychological Well-Being in Single Elderly People Living Alone Across Developmental Stages and Implications for Elderly Policy (노년시기별 단독거주 노인의 심리적 복지감 예측 요인과 정책적 함의)

  • Yun, Kang-In;Sung, Miai
    • Journal of Families and Better Life
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    • v.35 no.1
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    • pp.1-16
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    • 2017
  • Using data from the 2015 Korea Welfare Panel Study, we examined the predictors of psychological well-being (life satisfaction and depression) of single elderly people living alone across development stages (young-old, mid-old, and old-old) and suggested implications for elderly policy. For this purpose, we selected 1,364 elderly people who lived alone but preserved their family relationships, and were 65 years of age or older. Separate analyses were conducted for the three groups of single elderly people living alone. Overall, the psychological well-being of single elderly people living alone was higher than moderate level, and they were generally satisfied with their everyday lives and less depressed. However, there were group differences: the young-old group was more satisfied than the old-old group with in their everyday lives and less depressed than the mid-old and old-old groups. In the young-old group, life satisfaction was significantly associated with subjective health, non-physical conflict with family, disposal income, house ownership, dietary deficiency, cost of living, and public pension. In addition, depression was significantly associated with subjective health, non-physical conflict with family, dietary deficiency, and physical conflict with family. In the mid-old group, life satisfaction was significantly associated with subjective health, housing non-physical conflict with family, disposal income, and dietary deficiency. Depression was significantly associated with subjective health, housing deficiency. In the old-old group, life satisfaction was significantly associated with subjective health and non-physical conflict with family. Depression was significantly associated with subjective health. Therefore, 'health'and 'family'are important key concepts to consider when making elderly policy.

Contents Analysis of Sexual Abuse Recognized by Elementary School Students (성폭력에 대한 초등학생의 인식 내용분석)

  • Kim, Shin-Jeong;Park, Sun-Jung;Kim, Sung-Hee;Kang, Kyung-Ah
    • The Journal of Korean Academic Society of Nursing Education
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    • v.19 no.4
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    • pp.518-530
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    • 2013
  • Purpose: Purpose: The purpose of this study was to provide basic data to develop sexual abuse prevention educational programs for elementary school students. Method: Ninety three third, fourth, fifth, and sixth grade elementary school students were interviewed for content analysis on sexual abuse. Results: The content recognized by elementary school students about sexual abuse was as follows: 1) The concepts of sexual abuse were 'compulsory contact', 'harassment', 'school violence', 'pornography', 'unpleasant sexual behavior' 'crime', and 'don't know'. 2) The causes of sexual abuse were 'intolerance of impulse', 'play', 'bullying', 'financial needs', 'home education and the environment', 'negligence of the victim', and 'don't know'. 3) The methods how to prevent and deal with sexual abuse were 'sexual education', 'avoidance of danger', 'protection', 'self-assertion', 'treat with kindness', 'strengthening of penalties', 'asking for help and notification', 'report', 'treatment and counselling', 'escaping', and 'don't know' 4) Educational needs for prevention of sexual abuse were 'more detailed sexual abuse prevention education', 'how to recognize sexual abuse', 'how to protect oneself', 'interpersonal relationship', 'practical education', and 'none'. Conclusion: These results suggest that based on elementary school students' recognition of sexual abuse, a sexual abuse prevention educational program and content should be organized.

cdma2000 Physical Layer: An overview

  • Willenegger, Serge
    • Journal of Communications and Networks
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    • v.2 no.1
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    • pp.5-17
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    • 2000
  • cdma2000 offers several enhancement as compared to TIA/EIA-95, although it remains fully compatible with TIA/EIA-95 systems and allows for a smooth migration from one to the other-Major new capability include:1)connectivity to GSM-MAP in addition to IP and IS-41 networks; 2) new layering with new LAC and MAC architectures for improved service multiplexing and QoS management and efficient use of radio resource ;3) new bands and band widths of operation in support of various operator need and constraints, as well as desire for a smooth and progressive migration to cdma 2000; and 4) flexible channel structure in support of multiple services with various QoS and variable transmission rates at up to 1 Mbps per channel and 2 Mbps per user. Given the phenomenal success of wireless services and desire for higher rate wireless services. improved spectrum efficiency was a major design goal in the elaboration of cdma2000. Major capacity enhancing features include; 1) turbo coding for data transmission: 2)fast forward link power control :3) forward link transmit diversity; 4) support of directive antenna transmission techniques; 5) coherent reverse link structure; and 6) enhanced access channel operation. As users increasingly rely on their cell phone at work and at home for voice and data exchange, the stand-by time and operation-time are essential parameters that can influence customer's satisfaction and service utilization. Another major goal of cdma2000 was therefore to enable manufacturers to further optimize power utilization in the terminal. Major battery life enhancing features include; 1) improved reverse link performance (i.e., reduced transmit power per information bit; 2) new common channel structure and operation ;3) quick paging channel operation; 4) reverse link gated transmission ; and 5) new MAC stated for efficient and ubiquitous idle time idle time operation. this article provides additional details on those enhancements. The intent is not to duplicate the detailed cdma2000 radio access network specification, but rather to provide some background on the new features of cdma2000 and on the qualitative improvements as compared to the TIA/EIA-95 based systems. The article is focused on the physical layer structure and associated procedures. It therefore does not cover the MAC, LAC, radio resource management [1], or any other signaling protocols in any detail. We assume some familiarity with the basic CDMA concepts used in TIA/EIA-95.

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