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The Effects of Depression on Fear of Recurrence and Health-related Quality of Life in Young Adults with Stroke (젊은 뇌졸중 환자의 우울감이 재발염려와 건강관련 삶의 질에 미치는 영향)

  • Yoon, Su-Sie;Han, Sang-Ho
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.4
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    • pp.371-380
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    • 2020
  • This study was conducted to investigate the effects of depression on fear of stroke recurrence and health-related quality of life in Young Adults with Stroke. The subjects of this study were 240 young stroke patients who visited the outpatient department of neurology at a tertiary hospital in C province and J university hospital from July 24, 2018, to November 22, 2018. The collected data were analyzed for statistical significance and hypothesis verification using SPSS 24.0 and SmartPLS 3.0. The results showed that guilt and mental depression in depression factors had an effect on fear of stroke recurrence, and mental depression had a statistically significant impact on health-related quality of life. Also, fear of recurrence has a significant impact on health-related quality of life. The results of this study suggest that overcoming fear of stroke recurrence by interventions that reduce guilt and mental depression through early assessment of their depression, thus it can significantly contribute to improving health-related quality of life in young adults with stroke.

Middle Aged's Dementia Knowledge, Attitudes and Needs for Dementia Prevention Education (중년층의 치매지식, 태도 및 치매예방교육 요구도)

  • Kim, Hye-Jeong
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.5
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    • pp.245-253
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    • 2020
  • This study was executed to develop an education program, which improves knowledge for dementia prevention of the middle aged and enhances positive attitudes, and provide basic data that can apply to communities by inquiring into the middle aged's dementia knowledge, attitudes and needs for dementia prevention education. The study data were collected from 218 people aged 40 to 64 in N city from October 15th to November 30th 2018. For data analysis, frequencies and percentages, t-test, ANOVA, Scheffé test and Pearson's correlation coefficients were applied. The study result displayed that the score of the middle aged's dementia knowledge was above average(9.13±2.20). The question 'Dementia is a disease.' earned the highest percentage of correct answers(88.1%), whereas the question 'Dementia is caused by medical, neurologic or psychiatric disorders.' earned the lowest percentage of correct answers(30.3%). The scores of attitudes towards dementia(34.33±5.69) and needs for dementia prevention education(23.58±3.46) were above average. In addition, there was a statistically significant positive correlation between attitudes towards dementia and needs for dementia prevention education(r=.275, p<.000). In conclusion, it was revealed that positive attitudes towards dementia had a close relation with needs for dementia prevention education. These findings implies that there will be a need to develop a systematic education program about dementia for the middle aged and seek proper political improvements of dementia through cooperation between communities and the country.

Effects of Color Therapy using Color Frames on Nurses' Job Stress and Depression (색채액자를 활용한 컬러테라피가 간호사의 직무스트레스와 우울에 미치는 영향)

  • Kang, Mi-Ae
    • Journal of Internet of Things and Convergence
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    • v.7 no.4
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    • pp.51-58
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    • 2021
  • This study is a quasi-experimental study designed to examine the effects of color therapy on job stress and depression by applying color therapy to intensive care unit nurses. The subjects of this study were S hospital located in S city, a secondary medical institution with 500 beds, P hospital located in B city, and nurses in the intensive care unit of two general hospitals. The data collection period was 8 weeks from November 2, 2020 to December 25, 2020, with 29 patients in the experimental group and 29 in the control group. The data were analyzed by chi-square test, independent t-test and paired t-test using the SPSS WIN 22.0 program. The experimental group applied color therapy twice a day (before and after work) using a standardized canvas frame painted in yellow, red, blue, and three colors, and a total of 20 times for 10 days, and the control group lived and woked as usual without appiled color therapy. As a result of study, the experimental group showed a significant decrease in job stress score by 0.43 points and depression score by 0.26 points compared to the control group

A study of well-dying and well-aging through death and life appeared in Korean literature (한국문학에 나타난 죽음과 삶을 통한 웰다잉(well-dying)과 웰에이징(well-aging) 연구)

  • Kwon, On;Kim, Moon-Joon;Park, Arma;Lim, HyoNam;Kim, Kwang-Hwan
    • Journal of the Korea Convergence Society
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    • v.13 no.5
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    • pp.21-34
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    • 2022
  • This study attempted to identify the life and death reproduced in literary works and present well-aging and well-dying using literary studies that considered Korean literature. Literary works such as poems, novels, and plays recorded between the 13th and 20th centuries covered in 10 literary studies in this study were investigated and analyzed. The survey methods include general and outline sections, literary genre sections, period sections, and keyword review. As a result of the analysis, most of the literature studies corresponded to details including author theory. They were concentrated on the novel and poem, and mainly dealt with 20th century literary works. In addition, the relationship between death, life patterns, well-dying, and well-aging inherent in literary works was identified. It was the concept of a whole set and a subset. In conclusion, this study has a limitation in studying literary works at a specific period. Nevertheless, we examined the nature of well-aging in life as a hope to secure a prospect from Korean literature. And this study recognized the nature of well-dying in death and meaningful death as a rite of passage derived from Korean literature. In the future, it is expected to contribute to the realization of well-dying, well-aging, and application of convergence research in Korean society in the 21st century.

Diet Quality in Elderly Patients with Type 2 Diabetes - Focused on Demographic Characteristics and Depression - (제2형 당뇨병 노인환자의 식사의 질 - 인구학적 특성 및 우울을 중심으로 -)

  • Min-jung, Nam
    • Journal of agricultural medicine and community health
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    • v.47 no.4
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    • pp.229-241
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    • 2022
  • Purpose: This study was attempted to identify the demographic characteristics, depression, and dietary quality of elderly patients with type 2 diabetes, and to identify the difference in food quality according to these variables. Methods: The subjects of the study were 216 elderly patients with type 2 diabetes over the age of 65 visiting elderly welfare centers and senior citizens' centers in G city and H districts. Data were collected from December 2020 to July 2021. The collected data were analyzed by descriptive statistics, t-test and one-way ANOVA using IBM SPSS Statistics 21 program. Results: There were significant differences in dietary quality according to the subject's gender, education level, residential area, spouse or not, family living together or not, subject of meal preparation, calorie requirement recognition or not, exercise practice for diabetes management or not, and depression. Depression and Fasting Blood Sugar management were important influencing factors on dietary quality, and Residence and Gender were also verified as influencing factors. Conclusions: The results of this study can be provided as basic data to establish a program to improve the quality of meals for diabetic elderly patients.

A Study on the Perception of Communication Between Doctors and Nurses in Advanced General Hospital (상급 종합병원 내 의사, 간호사 간 의사소통 인식에 대한 조사연구)

  • Yoo, Mi-Ja
    • Journal of Industrial Convergence
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    • v.20 no.1
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    • pp.77-86
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    • 2022
  • This study is a descriptive research study to understand the level of communication awareness between doctors and nurses, who are professional medical professionals, and the detailed areas and satisfaction of communication. Data were collected from 372 doctors and nurses at general hospitals located in C city from March to May 2021. The collected data were analyzed with descriptive statistics, mean and standard deviation, t-test, ANOVA, Scheffe test, and correlation analysis, using the SPSS/WIN 20.0 program. As a result, there was a difference in the awareness level of communication between doctor and nurse groups. Specifically, out of the detailed areas of communication recognized by doctors and nurses, there were statistically significant differences in openness(t=9.91), mutual understanding between occupations(t=5.25), and satisfaction(t=8.13) between the two groups. In addition, a positive correlation was found between the detailed areas and the communication satisfaction in both groups, showing that nurses have higher communication satisfaction with the higher openness(r=.72, p<.001), mutual understanding between occupations(r=.71, p<.001) and similarly, doctors also have higher communication satisfaction with the higher mutual understanding between occupations(r=.79, p<.001), timeliness(r=.73, p<.001). Therefore, these result suggest that it is necessary to develop a communication program that can effectively improve the weak areas such as mutual understanding between occupations and openness in nurses and doctors in order to ensure patient safety and provide quality medical care.

Effect of HPV Prevention Education on College Students Based on Planned Behavior Theory (계획된 행위이론에 근거한 대학생의 HPV예방교육 효과)

  • Lee, Sun-Young;Lee, Hye-Kyung
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.6
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    • pp.1722-1734
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    • 2021
  • The purpose of this study was that HPV prevention education based on the planned behavioral theory was designed to provide college students with HPV vaccine knowledge, cervical cancer knowledge, attitude toward HPV vaccination, subjective norms for HPV vaccination, perceived behavioral control for HPV vaccination, and HPV vaccination. This is an experimental study to confirm the effect on the intention to vaccinate and the behavior of HPV vaccination. The subjects were arbitrarily expressed as 32 subjects in the experimental group and 34 subjects in the control group. The collected data were analyzed by descriptive statistics, t-test, χ2-test, Fisher's exact test and repeated Measures ANOVA. As a result, the experimental group participating in HPV prevention education was compared to the control group who did not participate in HPV vaccine knowledge (t=5.66, p<.001), cervical cancer knowledge (t=4.13, p<.001), attitude (t=2.24, p=) .032 ), subjective norm (t=2.83, p=.008), perceived behavioral control (t=2.65, p=.013), and intention (t=3.91, p<.001) were significantly different. After 4 weeks of HPV prevention education intervention, there was a significant difference in the interaction between group and time course of HPV vaccination intention (F=6.95, p=.002). Therefore, it was confirmed that HPV prevention education is an educational program that can be applied to college students.

The Effects of Mental Health Guardian Program on Awareness of Rights, Empowerment, and Resilience of People with Mental Disabilities (정신건강지킴이 프로그램이 정신장애인의 권리인식, 임파워먼트, 회복력에 미치는 효과)

  • Kang, Gwang-Soon
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.8
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    • pp.203-211
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    • 2020
  • This study is a similar experimental study using parallax design before and after the non-equality control group conducted to investigate the effects of the Mental health guardian program for mentally disabled people on the awareness of rights, empowerment, and resilience of mentally disabled people. The mentally handicapped persons who participated in the mental health guardian program were significantly higher in the awareness of the rights of the handicapped compared to the mentally handicapped persons who did not participate. In terms of empowerment, there was no significant difference between the two groups. In terms of resilience, the experimental group significantly increased compared to the control group. Among the sub-areas of resilience, excluding spirituality, difficulty overcoming, self-competence, learning and self-financing, basic functions, overall life satisfaction, new potential, advocacy and fullness all significantly increased. It has been shown to be effective in increasing the resilience of the disabled. In this study, the reason why mental health guardian program is effective for awareness of rights and resilience is not a one-way education, but a participatory curriculum in which a person with mental disabilities who participated in the education finds and corrects the wrong news and creates a card news again. It seems to be because it did. As a result of this study, it seems that the mental health guardian program has contributed to enhancing the recognition of the rights of the mentally impaired and enhancing resilience.

Diverse Mechanisms of Relaxin's Action in the Regulation of Smooth Muscles and Extracellular Matrix of Vasculature and Fibrosis (혈관과 섬유증의 평활근 및 세포외기질 조절에 대한 릴랙신의 다양한 작용기전)

  • Min, Gyesik
    • Journal of Life Science
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    • v.32 no.2
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    • pp.175-188
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    • 2022
  • Relaxin has been demonstrated to have regulatory functions on both the smooth muscle and extracellular matrix (ECM) of blood vessels and fibrotic organs. The diverse mechanisms by which relaxin acts on small resistance arteries and fibrotic organs, including the bladder, are reviewed here. Relaxin induces vasodilation by inhibiting the contractility of vascular smooth muscles and by increasing the passive compliance of vessel walls through the reduction of ECM components, such as collagen. The primary cellular mechanism whereby relaxin induces arterial vasodilation is mediated by the endothelium-dependent production of nitric oxide (NO) through the activation of RXFP1/PI3K, Akt phosphorylation, and eNOS. In addition, relaxin triggers different alternative pathways to enhance the vasodilation of renal and mesenteric arteries. In small renal arteries, relaxin stimulates the activation of the endothelial MMPs and EtB receptors and the production of VEGF and PlGF to inhibit myogenic contractility and collagen deposition, thereby bringing about vasodilation. Conversely, in small mesenteric arteries, relaxin augments bradykinin (BK)-evoked relaxation in a time-dependent manner. Whereas the rapid enhancement of the BK-mediated relaxation is dependent on IKCa channels and subsequent EDH induction, the sustained relaxation due to BK depends on COX activation and PGI2. The anti-fibrotic effects of relaxin are mediated by inhibiting the invasion of inflammatory immune cells, the endothelial-to-mesenchymal transition (EndMT), and the differentiation and activation of myofibroblasts. Relaxin also activates the NOS/NO/cGMP/PKG-1 pathways in myofibroblasts to suppress the TGF-β1-induced activation of ERK1/2 and Smad2/3 signaling and deposition of ECM collagen.

Effect of COVID-19 vaccinations on deaths of the COVID-19 cases in some elderly long-term care facilities, Gwangju (광주광역시 요양시설 코로나19 집단 발생 사례에서 코로나19 백신 접종에 의한 사망 예방 효과)

  • Ryu, So Yeon;Cho, Jun Hwi;Lee, Ran;Park, So Yeong;Jung, Daun;Bae, So Hyun;Ko, HwaPyeong
    • Journal of agricultural medicine and community health
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    • v.47 no.2
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    • pp.109-120
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    • 2022
  • Objectives: The purpose of this study was to identify the effectiveness of COVID-19 vaccinations on deaths of the COVID-19 cases in some elderly long-term care facilities (LTCF) in Gwangju Metropolitan City. Methods: The study subjects were 659 COVID-19 cases in residents of 7 elderly LTCF, Gwangju, from 21 Dec. 2021 to 28 Jan. 2022. The used variables were confirmed dates for COVID-19, demographic characteristics, co-morbidities, presentation of symptoms, death and vaccination related characteristics including type of vaccine, doses and dates. Vaccination status were classified as not vaccinated, partially and fully vaccinated. The associations of vaccination status and deaths of COVID-19 cases were tested by chi-square test and multiple logistic regression analysis. Results: The rates of not vaccinated, partially vaccinated and fully vaccinated were 19.4%, 10.2% and 70.4%, respectively. The mortality rate of the cases was 6.4%. The death rate by vaccination status was 16.4% in not vaccinated, 15.4% in partially vaccinated and 2.6% in fully vaccinated, showing a statistically significant difference. The adjusted odds ratios (ORs) (95% confidence intervals, CIs) of death compared to fully vaccinated were 7.64 (3.87-16.34) in non-vaccinated, and 6.97 (3.44-14.14) in partially vaccinated. Conclusions: COVID-19 vaccination seems to work effectively in preventing deaths of COVID-19 cases of elderly LTCF residents. This finding support that fully vaccinations in high risk group such as elderly LTCF residents is very important for one of strategies of COVID-19 management.