• Journal of Neurogastroenterology and Motility
• /
• 제24권4호
• /
• pp.512-527
• /
• 2018

This review provides a comprehensive overview of brain imaging studies of the brain-gut interaction in functional gastrointestinal disorders (FGIDs). Functional neuroimaging studies during gut stimulation have shown enhanced brain responses in regions related to sensory processing of the homeostatic condition of the gut (homeostatic afferent) and responses to salience stimuli (salience network), as well as increased and decreased brain activity in the emotional response areas and reduced activation in areas associated with the top-down modulation of visceral afferent signals. Altered central regulation of the endocrine and autonomic nervous responses, the key mediators of the brain-gut axis, has been demonstrated. Studies using resting-state functional magnetic resonance imaging reported abnormal local and global connectivity in the areas related to pain processing and the default mode network (a physiological baseline of brain activity at rest associated with self-awareness and memory) in FGIDs. Structural imaging with brain morphometry and diffusion imaging demonstrated altered gray- and white-matter structures in areas that also showed changes in functional imaging studies, although this requires replication. Molecular imaging by magnetic resonance spectroscopy and positron emission tomography in FGIDs remains relatively sparse. Progress using analytical methods such as machine learning algorithms may shift neuroimaging studies from brain mapping to predicting clinical outcomes. Because several factors contribute to the pathophysiology of FGIDs and because its population is quite heterogeneous, a new model is needed in future studies to assess the importance of the factors and brain functions that are responsible for an optimal homeostatic state.

• 대한간호학회지
• /
• 제22권2호
• /
• pp.238-247
• /
• 1992

Immigration of Koreans to the United States has increased since the 1960's. Adjusting to life in the United States produces a great deal of stress for immigrants. Despite better economic opportunites, many see the U.S. culture as threatening to their family and cultural values. Differences in culture, language, expectations and social behavior can lead to misunderstandings between health care providers and clients. These misunderstanding can leaf to frustration on the part of each. The ultimate result of this is that often Korean-immigrants do not get their health care needs met and stress response symptoms can lead to disease if there is no appropriate care. To determine the health care needs and concerns of Korean-Americans, a health needs assessment is needed. Appropriate and adequate information about the health care needs of these individuals is important as it relates to American policy changes allowing greater numbers of immigrants to enter the U.S. The purpose of this prospective study was to describe Korean-American stress response. This study focused on the primary presenting problems for which subjects reported having sought care. These included a variety of stress-related symptoms, including peripheral manifestations, cardiopulmonary symptoms, central-neurological symptoms, gastrointestinal symptoms, muscle tension, habitual patterns, depression, anxiety, emotional irritability and cognitive disorganization. Of the 300 subjects who entered the study, 80% (N＝223) completed the questionnaire in full. Demographically, the percentage of females and males was 50% each and they ranged in age from 20 to 69 years. Ninety percent of the subjects were highly educated, 25% owners of business, 25% white collar professionals, 15% employed in sales or as skilled /unskilled labor, 30% had no occupation : and 5% were housewives or students. The SOS inventory is designed to quantify self-perception of behavioral, cognitive, and physiological components of the stress response. It consisted of 94 items divided into 10 subscales. The result of this study are as follows : The total mean 505 of all subjects (N＝223 was .8129 ; the mean 505 for male(N＝114) was .7665 and for females, (N＝108) .8594. The level of symptoms for central-neurologic and muscle tension was higher for than for males. The highest stress response of all subjects was emotional irritability symptoms(1.0644) : the lowest stress response of all subjects was peripheral manifestation symptoms.

• 성인간호학회지
• /
• 제23권5호
• /
• pp.494-502
• /
• 2011

Purpose: This correlation study was designed to examine the relationships among reported violence experience, hardiness, and job satisfaction of nurses in an emergency department and to identify the factors that predict their job satisfaction. Methods: The study was conducted using a convenience sample of one hundred and fifteen nurses from nine hospitals. Data were collected using structured questionnaires including Assault Response Questionnaire (Jung, 2008), Dispositional Resilience Scale-15 (Bartone, 1995) and job satisfaction Questionnaire (Yun, 2004). Data were analyzed by using descriptive statistics, Pearson correlation coefficients, and multiple regression. Results: Hardiness and job satisfaction were statistically significant positive correlation (r=.44, p<.001). Further, there was a negative correlation between response to violence experiences and job satisfaction (r=-.33, p<.001) and between hardiness and response to violence experiences (r=-.41, p<.001). Emotional response and physiological responses of violence experience and hardiness were significant predictors of job satisfaction, and explained 29.6% of the total variance. Conclusion: Previous experiences with violence were an important factor which contribute to lower job satisfaction as reported by emergency department nurses. However it was also noted that hardiness was an important factor that could be used to improve job satisfaction of emergency department nurses.

• 한국실내디자인학회논문집
• /
• 제25권3호
• /
• pp.60-69
• /
• 2016

This experimental study measures the emotional and physiological responses of customers as to cafe facade design. It is done through eye-tracking and EEG response experiments. Specifically, their visual concentration and EEG concentration are analyzed in line with their facade preferences. The findings are as follows. First, the correlation between their facade preferences and visual concentration on facades is as follows: Highly preferable facades have a lower visual concentration frequency than the less preferable facades. Second, an analysis of $12{\times}12$ lattice division of facades shows that all facades have a high visual concentration for signs. The exceptions are F(6), F(7), F(8), and F(10). There is no correlation between the facade preferences and visual concentration behaviors for particular facade elements. Third, an analysis of prefrontal lobe's facade concentration shows that there is no correlation between the preferences and EEG concentration. However, there are big differences in the prefrontal lobe activity of 12 subjects depending on the facade. In particular, nine of them (3, 9, 13, 14, 15, 28, 36, 38, 43) show an activated prefrontal lobe as to the highly preferable facades-F(1), F(2), F(3), and F(4). However, such activation is not detected on the less preferable facades-F(9), F(10), F(11), and F(12).

• 여성건강간호학회지
• /
• 제9권4호
• /
• pp.351-358
• /
• 2003

Purpose: The aim of this study was to examine the effect of Desexualization Care guided by dramaturgical interaction on women's embarrassment during cervical cancer screening. Method: This study was carried out in a nonequivalent control group non-synchronized post-test only design. 62 women who had cervical cancer screening were' conveniently recruited from a university hospital health promotion center. Embarrassment was measured under four distinctive sub-dimensions by the method of self-reported questionnaire and blood pressure and pulse rates monitoring. The data of control group had a conventional pap smear were collected in advance and then those of experimental group were gathered after completing data collection in the control group. Women in experimental group were provided with a newly developed cervical cancer screening programme in which interdisciplinary team conducted dramaturgical interaction. Result: There was no significant difference in the scores of VAS between the two groups. The score of physiological response of Embarrassment Measurement Scale was significantly lower in experimental group than in the control group (p <.05), while no significant difference was found in cognitive-emotional, non-verbal and verbal behavioral responses between the two groups. There was also no significant difference in blood pressure and pulse rates between the two groups during cervical s creening. Conclus ion: Desexualization Care guided by dramaturgical interaction during cervical screening was found to have positive effect on physiological response of women's embarrassment. Further research for identifying other main variables which might have influenced on women's embarrassment is needed.

• 대한간호학회지
• /
• 제30권3호
• /
• pp.776-790
• /
• 2000

Every year the number of the elderly increases in Korea thanks to the improvemen of social and economical levels and the development of medicine. However, many problems such as insufficent care and the isolation of the elderly have been commonplace. This trend exists not only because of increased lifespan but also the changing social structure of the nuclear family. Accordingly, inspite of the development of medicine, geriatric diseases including circulatory diseases are increasing in proportion of elderly population, as well as the severity. Therefore, it is important to emphasize that health care programs provide the best possible health care and functional capacities in terms of healthy elderly lifestyles. Especially, the phenomena of aging and geriatric diseases taking place with the elderly naturally are affected by lifestyle and the drastic changes in exercise patterns. This study aims to improve geriatric health by introducing a rhythmic movement program for the elderly to estabilish a health-promoting self-care system and by developing quality of life, perceived health status, their physical and physiological functions and emotional state. The theoretical framework used in this dissertation is derived from the Health-Promoting Self-Care System Model (Simmons, 1990), which integrates the Self-Care Deficit Nursing Theory (Orem, 1985), the interaction model of Client Health Behavior (Cox, 1982) and the Health Promotion Model (Pender, 1987). As a quasi-experimental design, the nonequivalent control group pretest-posttest design is utilized for this study. The subjects of this study consist of 64 people, over 65 years old who live in 2 nursing homes for the aged located in S city , Kyong-gi province and volunteered for this study from July, 12, 1999 to September, 17, 1999. They are divided into two groups：33 in the experimental group and 31 in the control group. The experimental group particpated in the Rhythmic Movement Program at the nursing home, which was comprised of 45 minutes a session, 5 sessions a week during 9 weeks. In order to measure the results of the Rhythmic Movement Program, aspects of perceived health status, balance, flexibility, grip strength, leg strength, heart rate, blood pressure, depression, anxiety and the quality of life were measured before and after participating in the Rhythimic Movement Program for the experimental group after 9 weeks, as well as the control group. The collected data were processed by SPSS PC+ and analyzed by the X2 test, t-test, ANCOVA and the Pearson Correlation Coefficient. The results of this study are as follows: 1. The perceived health status conditions in the experimental group show statistically significant improvement when compared to the control group (F=17.51, p=.000). 2. The physical and physiological functions, that is, balance (F=17.51, p=.000), flexibility (F=8.01, p=.006), grip strength (F=3.21, p=.018) and leg strength (F=25.78, p=.000) in the experimental group are higher than the control group. The vital signs, that is, the number of heart rate (F=.022, p=.884), systolic pressure (F=1.73 p=.193), and diastolic pressure (F=2.74, p=.103) in the experimental group compared to the control group decreased, but doesn't show statistically significant differences. Immune responses (F=5.13, p=.003) showed statistically significant increases in the experimental group when compared to the control group. 3. The emotional state are improved, that is, degree of depression (F=11.56, p=.001) and degree of anxiety (F=9.14, p=.004) in the experimental group showed statistically significant decreases. 4. The quality of life in the experimental group (F=3.03, p=.037) showed statistically significant differences compared to the control group. 5. The observations of the relationships among the perceived health status, emotional state , the quality of life, the relationships between the perceived health status, the degree of depression (r=-.653, p=.000) and the degree of anxiety (r=-.786, p=.000) were in contrary propotions, while the relationships between the perceived health status and the quality of life (r=.234, p=.008) were in direct propotion. In conclusion, the Rhythmic Movement Program used in this study for geriatric nursing care is simple and safe for application to the elderly and shows significant effects by implementing 5 sessions a week for 9 weeks. The Rhythmic Movement Program improves the quality of life, maintains as well as improves the physical and physiological fuctions and emotional state, therefore this program is strongly recommended for positive applications for independant geriatric nursing health care.

• 감성과학
• /
• 제14권1호
• /
• pp.101-116
• /
• 2011

정서 컴퓨팅 분야는 인간과 컴퓨터 간 상호작용을 효과적이게 하기 위하여 사용자의 정서를 재인하는 컴퓨터 시스템을 개발했다. 본 연구의 목적은 심리학적 이론에 기반한 정서 재인 연구들을 고찰하고 보다 진보된 정서 재인 방법을 제안하고자 하였다. 본 연구의 본론에서는 심리학적 이론에 근거한 대표적인 정서 재인 방법을 고찰하였다. 첫째, Darwin 이론에 근거한 얼굴 표정 기반 정서 재인 방법을 고찰하였다. 둘째, James 이론에 근거한 생리신호기반 정서 재인 방법을 고찰하였다. 셋째, 앞의 두 이론에 통합적으로 근거한 다중 모달리티 기반 정서 재인 방법을 고찰하였다. 세 가지 방법들은 이론적 배경과 현재까지 이루어진 연구 결과들을 중심으로 고찰되었다. 결론에서는 선행 연구의 한계점을 종합하여 보다 진보된 정서 재인 방법을 제안하였다. 본 연구는 첫째, 현재 사용되고 있는 제한된 생리 신호에 대한 대안으로 다양한 생리 반응(예., 뇌 활동, 얼굴온도 등)을 정서 재인에 포함하도록 제안하였다. 둘째, 애매한 정서를 구분할 수 있도록 정서의 차원 개념에 기반한 정서 재인 방법을 제안하였다. 셋째, 정서 유발에 영향을 미치는 인지적 요소를 정서 재인에 포함하도록 제안하였다. 본 연구에서 제안한 정서 재인 방법은 다양한 생리 신호를 포함하고, 정서의 차원적 개념에 기반하며, 인지적 요소를 고려한 통합적인 모델이다.

• 감성과학
• /
• 제15권1호
• /
• pp.1-8
• /
• 2012

많은 연구에서 정서 특정적 생리 반응을 밝히기 위하여 심박률, 혈류량, 피부전도 반응 등의 지표를 사용하였으나, 안면온도를 이용한 정서 연구는 많지 않다. 본 연구는 적외선 열화상을 통해 공포 및 기쁨 자극에 대한 안면온도 변화를 관찰하고자 한다. 98명의 대학생과 중고생을 대상으로 공포 또는 기쁨을 유발하는 자극을 제시하기 전과 후의 안면온도를 측정하였다. 온도값은 이마, 눈앞, 콧등, 코끝, 그리고 뺨에서 추출하였다. 공포자극을 제시한 조건에서는 콧등과 코끝의 온도가 유의하게 낮아졌다. 기쁨 자극을 제시한 조건에서는 이마, 눈앞의 온도 상승이 유의하였으며, 코끝에서 온도가 유의하게 낮아졌다. 두 조건에서 코의 온도가 유의하게 낮아졌는데, 이는 공포 또는 기쁨을 경험할 때 각성수준이 증가하여 코 혈관의 혈류량이 감소함으로써 온도가 낮아진 것으로 볼 수 있다. 공포나 기쁨을 경험할 때 나타나는 온도 변화는 정서를 경험할 때 손가락온도를 측정한 선행 연구결과와 일치한다. 이런 연구결과는 정서 측정기법의 개발과, 인간의 정서를 탐지하는 컴퓨터 시스템의 기초를 확립하는데 기여하는 바가 있을 것이다.

• 대한간호학회지
• /
• 제23권2호
• /
• pp.299-315
• /
• 1993

Koreans are one of the fastest growing immigrant groups in America. Stress responses and stressors among this large cultural minority has been rarely been studied by nursing researchers. Adjusting to life in foreign country produces a great deal of stress. Differences in culture, language, expectations and social behavior can lead to misunderstandings between health care providers and clients. These misunderstandings are not well accounted for in health assessment. This study investigated the relationship between life events or / and daily activities as a stressor and the symptoms of stress among a sample of Korean immigrants in America. The symptoms of stress scale (SOS) was used to identify stress responses and open-ended questions were used to identify life events and daily activities considered by the respondents to be stressful. A simple random sample of 283 subjects was selected from the Directory of the Korean Society of Chicago, New York, Los Angeles, Philadelphia and Seattle. Demographically, the subjects ranged in age from 20 to 69 years, and the percentage of women and men was approximately 50% each. Almost ninety percent of the subjects were highly educated, 17% owners of business, 19% white collar professionals, 14% employed in sales or as skilled /unskilled labor, 27% as housewives and students and 3％ had no occupation. The total group SOS mean was 0.8042 ; the SOS men for man was 0.7371, and for women was 0.8713. The stress response of this subject group was high, -the stress response of women higher than that for men. In an earlier study(June, 1992) with another sample, the total mean SOS score was similar to this one. The main stressful life events or / and daily activities were, in order, economic problems (N=97), interpersonal problems (N=68), children care problems (N=258), health problems (N=49), communication problems (N=42), family problems (N=38), worry about future career (N=36), and religious problems (N=25). There was a significant difference in the SOS means between the group that expressed life events or / and daily activities to be stressful and the group that did not. Interpersonal relationships and economic and family problems were stressors for those who complained about peripheral manifestations. cardiopulmonary symptoms, central-neurological symptoms, gastrointestinal symptoms, muscle ten-sion, habitual patterns, depression, anxiety, emotional irritability and cognitive disorganization. In summary, interpersonal relationships and economic and family problems influenced stress response manifestations. Income, the number of people in the family, the year of immigration. the level of education, and marital status were related to physiological and psychosocial stress responses.

• 성인간호학회지
• /
• 제14권2호
• /
• pp.276-286
• /
• 2002

Purpose: The concept of embarrassment as an unpleasant emotion is important in caring for those who are in the continuum of illness and health requiring body care and facing sexual problems. In spite of its nursing implication, embarrassment has not been focused in nursing research. Therefore, the purpose of this paper is to develope a conceptual analysis of embarrassment. This analysis would help to understand comprehensively an embarrassing situation in which an intimate relationship between nurse and patient regarding body care of the patient could develope. Futhermore, it would be a basis for developing strategies for prevention of embarrassment which could lead for both patient and nurse to emotionally vulnerable situation because of their failure of self-presentation (impression management). Method: The concept analysis model suggested by Walker and Avant (1988) is used to clarify what is meant by the term 'embarrassment'. Result: This analysis defines the attributes of embarrassment such as follows. First, embarrassment is often attributed to situational factors interrupting a smooth interaction such as intimacy, confusion, vulnerability, exposure of interaction and characteristics of audience. Second, embarrassment is closely related with cognitive factor such as fear of losing face resulted from a behaviour being out of line. Third, embarrassment is closely associated with dispositional factor such as embarrassability. Fourth, embarrassment is an unpleasant and unwanted emotion arising reactively after an interaction had occurred. Fifth, embarrassment encloses physical, physiological and behavioral aspects such as a variety of unique and easily noticeable reactions and a pattern of verbal and non-verbal behaviour for coping in an embarrassing situation. The antecedents were normally socialized adolescents with normal cognitive ability, concern of losing face, embarrassability, embarrassing events related with situational intimacy, confusion, vulnerability, exposure of interaction and characteristics of audience, physical, behavioral blunders resulting in a failure of impression management. The consequences were an emotional coping behaviour, audience's embarrassment responses, and verbal and non-verbal coping strategies of interactional participants. Conclusion: It is hoped that this analysis will stimulate further exploration of this concept and study for developing systematic assessment and nursing practice that diminishes embarrassment of interactional participants.