• Title/Summary/Keyword: Response Strategies

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A Study on Clinical Nurses' Coping to Workplace Bullying: Q Methodological Approach (임상간호사의 직장 내 괴롭힘에 대한 대처 경험: Q 방법론적 접근)

  • Lee, Hye Jin;Sim, Won Hee;Lee, Dain
    • Journal of Korean Clinical Nursing Research
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    • v.29 no.3
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    • pp.283-295
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    • 2023
  • Purpose: The purpose of this study was to provide basic data to understand the organizational culture of nurses by categorizing nurses' experience of coping with bullying in the workplace through Q methodology and analyzing the characteristics of each type, and to induce correct policy measures and interventions to create an atmosphere created in the nursing clinical field to be more advanced and positive. Methods: To form the Q population, focus group interviews were conducted with nurses working for more than six months at two general hospitals in Seoul and Gyeonggi. Interviews were conducted by 12 nurses introduced to participants who can provide researchers with a wealth of information on workplace bullying experiences without filtration. In addition, the Q population was extracted by reviewing the results. Based on the results derived from this, 38 Q statements in total were extracted. Forty clinical nurses were required to classify Q sample statements, and the data collected through this were analyzed using the pc-QUANAL program. Results: As a result of the analysis, a total of five types of clinical nurses' experiences of coping with bullying in the workplace were identified: 'tense emotion-based tolerance response,' 'positive thinking-based self-effort response', 'individualistic thinking-based passive response', 'support system-based emotional expression response' and 'active response centered on problem-solving'. Conclusion: The derived response types are expected to be guidelines for suggesting strategies to eradicate bullying in the workplace at the organizational level, individual level, prevention level, and organizational culture level.

Factors Influencing Self-regulated Strategies: On Autonomy Support and Beliefs of Intelligence Ability of Gifted and Non-gifted Students (영재와 평재의 자기조절 전략에 미치는 요인: 자율성 지지와 지적 능력에 대한 신념을 중심으로)

  • Shin, Min;Ahn, Doehee
    • Journal of Gifted/Talented Education
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    • v.24 no.5
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    • pp.877-892
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    • 2014
  • This Study was to examine whether high school students' autonomy support and beliefs of intelligence ability influence their self-regulated strategies. Of the 600 high school students surveyed from 3 high schools in two metropolitan cities, Korea, 478 completed and returned the questionnaires yielding a total response rate of 79.7%. Among the final sample consisted of 109 gifted students (22.8%), 190 high-achieving non-gifted students (39.7%), and low-achieving non-gifted students (37.4%). Measures of students' perceived autonomy support (i.e. from parents, teacher, peer), beliefs of intelligence ability (i.e. incremental, entity) and self-regulated strategies (i.e. managing environment and behavior, seeking and learning information, maladaptive regulatory behavior). Spearman's rho(${\rho}$) indicated that students' achieving level was positively associated with autonomy support (i.e. parents, teacher), beliefs of intelligence ability (i.e. incremental) and self-regulated strategies (i.e. managing environment and behavior, seeking and learning information). However, students' achieving level was negatively associated with beliefs of intelligence ability (i.e. entity) and self-regulated strategies (i.e. maladaptive regulatory behavior). Hierarchical multiple regression analyses showed that students' perceived autonomy support (i.e. from teacher) and beliefs of intelligence ability (i.e. incremental) were the crucial contributors for enhancing students' self-regulated strategies. Results are discussed in relation to theoretical implications and school settings.

Condom negotiation strategies of Korean college students: Interactive perspective of Sexual-risk behavior (한국대학생들의 콘돔협상전략 탐색: 콘돔연구에서 협응적 관점의 제안)

  • Taekyun Hur;Ja Ee Cho
    • Korean Journal of Culture and Social Issue
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    • v.13 no.1
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    • pp.43-61
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    • 2007
  • Most previous research on safer sex and condom use has been mainly focused on individual's dispositional factors such as attitudes, perceived control, intention, and etc. However, a few researchers recently started to propose that condom use is not a matter of individual behavioral decision but a product of serious interactive negotiation processes and condom negotiation would be the proximal key-determinant of condom use behaviors. The present research categorized condom-negotiation strategies and preferences of Korean college students and examined relationship between the strategies and other sex-related concepts. 186 participants' strategies on a free-response questions of condom negotiation revealed 7 types of persuasion strategies for condom use; Pregnancy risk, responsibility, care for partner, withholding sex, sexual disease, direct request, and sexual satisfaction (in order of preference). 6 types of persuasion strategies for condom avoid were abstracted: Pregnancy free, Sexual satisfaction, responsibility, direct request, unfaith toward condom, and withholding sex (in order of preference). The effects of gender, sexual experience, and culture were found and discussed in their implications for sexual education,

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Selective Neurotomy of Sacral Lateral Branches for Pain of Sacroiliac Joint Dysfunction

  • Kim, Hyo-Joon;Shin, Dong-Gyu;Kim, Hyoung-Ihl;Shin, Dong-A
    • Journal of Korean Neurosurgical Society
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    • v.38 no.5
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    • pp.338-343
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    • 2005
  • Objective : The sacroiliac joint complex is often related with functionally incapacitating pain in old aged people. The purpose of this study is to delineate the investigation strategies and to determine the long-term effect of radiofrequency [RF] neurotomies for pain arising from sacroiliac Joint dysfunction[SIJD]. Methods : Sixteen patients were diagnosed as having chronic pain from SIJD by comparative controlled blocks on L5 dorsal rami, sacroiliac Joints and deep interosseous ligaments. After confirming the positive response [more than 50% of pain relief], sensory stimulation was applied to detect the 'pathological' branches. Subsequently, RF neurotomies were performed on the selected nerve branches. Surgical outcome was graded as successful, moderate improvement, and failure after a 6month follow-up period. Results : Stimulation intensity was 0.45V to elicit pain response in the L5 dorsal rami and lateral sacral branches. The number of RF-lesioned nerve branches was 6per patient. The average number of lesions for each branch was 1.3. Most commonly selected branches were L5 dorsal ramus [88%] and S2-upper division [88%]. Ten patients [63%] reported a successful outcome according to the outcome criteria after 6months of follow-up, and five patients [31%] reported complete relief [100%]. Five patients [31%] showed moderate improvements. One patient reported failure. Conclusion : RF neurotomy of lateral sacral branches is an excellent treatment modality for the pain due to SIJD, provided that comparative controlled block shows a positive response.

Review of Clinical Cancer Research Methodology of Botanical Agents (한약 및 천연물의 항암 임상연구 방법론에 대한 고찰)

  • Oh, Hye Kyung;Lee, Jee Young;Ryu, Han Sung;Yoon, Seong Woo
    • Journal of Korean Traditional Oncology
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    • v.20 no.1
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    • pp.11-21
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    • 2015
  • Objectives : The cancer incidence and cancer burden is increasing. In addition, the use of botanical agents in cancer care is increasing. This article aims to review a research strategy for botanical agents. Methods : The clinical studies of anticancer botanical agents and the papers about clinical research methodology of botanical agents were reviewed. Results : In phase I study, safety confirmation, optimal dose determination and drug interaction study are important. Most botanical agents have low toxicity and some have non-monotone dose response. Therefore, dose-response curve must be evaluated separately from the dose-toxicity curve to determine optimal dose. Although anticancer botanical agents can't shrink tumor size rapidly, they do extend survival. So, in phase II study, response should be evaluated by the survival. Conclusions : Clinical research of botanical agents in cancer is different from traditional methods and strategies. Considering the characteristics of botanical agents and experimental mechanism is necessary in conducting botanical based clinical trials.

Milk Proteins and Allergy (우유 단백질과 알레르기)

  • Nam, Myoung-Soo
    • Journal of Dairy Science and Biotechnology
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    • v.28 no.1
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    • pp.35-41
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    • 2010
  • Food allergy is defined as adverse reactions toward food mediated by aberrant immune mechanisms. Therefore, an allergic response to a food antigen can be thought of as an aberrant mucosal immune response. Food allergy most often begins in the first 1~2 years of life with the process of sensitization by which the immune system responds to specific food proteins, most often with the development of allergen-specific immunoglobulin E (IgE). Over time, most food allergeies are lost, although allergy to some foods is often long lived. The most important allergen sources involved in early food allergy are milk, eggs, peanut, soybean, meat, fish and cereals. Milk allergy seem to be associated with casein and whey protein. Important features of proteins as allergenicity are size, abundance and stability. Strategies for the prevention of milk allergy is breast-feeding, partially hydrolysised infant formula, using of probiotics, immune components in milk, preparation of low allergenicity milk protein and allergy therapy (immune therapy).

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A Study on Determinants Affecting At-home Laver Consumption Expenditures : Type II Tobit Model Treating Sample Selection Bias (김 가정 소비 지출의 결정 요인 분석 : 선택 편의를 고려한 Type II 토빗 모형을 이용하여)

  • Lee, Min-Kyu;Park, Eun-Young
    • The Journal of Fisheries Business Administration
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    • v.40 no.3
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    • pp.147-167
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    • 2009
  • The objective of this study is to analyze the determinants of at-home laver consumption expenditures using the data from a survey of households implemented in 2009. It happened that non-response ratios of monthly expenditures on dry laver and flavored laver among sampled households are 18.8% and 25.6%. Accordingly, this study tries to analyze the determinants affecting at-home laver consumption expenditures by using type II tobit model, one of sample selection models, to deal with sample selection bias caused from non-response data. Analysis results show the age variable positively affects expenditures on dry laver but negatively contributes to expenditures on flavored laver. In addition, the household size, the household's income, the degree of preference for laver have positive relationships with both expenditures. Household size elasticity and income elasticity of the expenditure on dry laver are estimated as 0.220 and 0.251. In the case of flavored laver, these elasticities are estimated as 0.484 and 0.261. Such analysis results can provide information on division of the at-home laver consumption market into groups with high willingness to expense and implementation of detailed marketing strategies to increase at-home laver consumption. The methodology of this study can be applied to consumer preference analysis on other marine products and other analyses on sample with non-response data in the fishery research.

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Reversal of Immunogenicity in Pediatric Inflammatory Bowel Disease Patients Receiving Anti-Tumor Necrosis Factor Medications

  • Kang, Elise;Khalili, Ali;Splawski, Judy;Sferra, Thomas J.;Moses, Jonathan
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.21 no.4
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    • pp.329-335
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    • 2018
  • Loss of response to anti-tumor necrosis factor (anti-TNF) agents in the treatment of inflammatory bowel disease (IBD) is a major consideration to maintain sustained response. Reversal of immunogenicity can re-establish response and increase the durability of these agents. Strategies to reverse immunogenicity include dose-intensification and/or the addition of an immunomodulator. However, there is a relative paucity of data on the efficacy of such interventions in pediatric IBD patients. Available reports have not strictly utilized homogenous mobility shift assay, which reports on anti-drug antibodies even in the presence of detectable drug, whereas prior studies have been confounded by the use of drug sensitive assays. We report four pediatric inflammatory bowel disease patients with successful reversal of immunogenicity on an anti-TNF agent using dose intensification and/or addition of an immunomodulator.

Effect of Protection Motivation Factors on Behavioral Intention to Reduce Sodium Intake among University Students in Gyeongnam and Busan (보호동기요인이 나트륨 저감화 관련 행동 의도에 미치는 영향 - 경남·부산 지역 대학생을 중심으로 -)

  • Jang, Soo-Hyun;Yoon, Eunju
    • The Korean Journal of Food And Nutrition
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    • v.29 no.1
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    • pp.104-114
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    • 2016
  • In this study, we investigated protection motivation and behavioral intention to prevent serious illnesses related to excessive sodium intake among the university students in Gyeongnam and Busan. Within the protection motivation theory (PMT) framework, a survey questionnaire was developed to measure participants' perceptions on the severity of and the vulnerability to the threat of serious diseases due to the high sodium intake as well as the effectiveness of preventive measures (response efficacy), and the ability to perform them (self-efficacy) along with their willingness to follow recommendations (behavioral intention). Data was collected in June 2015. Study participants were divided into either low (n=117) or high (n=177) sodium intake behavior groups based on their current behaviors. Exploratory factor analysis was performed to measure construct validity and Cronbach's alpha was calculated to check reliability of measurement items. The high sodium intake behavior group perceived higher vulnerability than the low sodium intake behavior group among four PMT factors. Differences of the other three factors were not significant between the two groups. The results of hierarchical regression analysis indicated that self-efficacy and response efficacy affected behavioral intention of high sodium intake behavior among students. Hence, development of strategies to increase self-efficacy and response efficacy are strongly recommended.

The Effects of Abdominal Relaxed Breathing Exercises using Biofeedback on Stress Response and Blood Pressure in Elderly People with Hypertension (Biofeedback을 이용한 복식호흡 이완훈련이 고혈압 노인의 혈압과 스트레스반응에 미치는 영향)

  • Yu Su-Jeong;Kim Keum-Soon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.10 no.1
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    • pp.14-22
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    • 2003
  • Purpose: To improve self-management in elderly people with hypertension, the researcher examined the effects of an abdominal relaxed breathing exercises using biofeedback on blood pressure. These exercises regulate physical response to stress and lessen the activity of sympathetic nerves. Method: A single-experimental pre-and post-test design was used. Eight elderly people with hypertension participated in the study from April, 6 to June, 14, 2000. Biofeedback was done with soft ware by developed by J & J Company (1-410 form for abdominal respiration training). The abdominal relaxed breathing exercises are based on Mason's suggestion (1985) and were modified by Yu & Song(2001). This program consisted of 4 sessions once a week for four weeks. Data were analysed using SPSSPC+(10.0). Result: There was a significant decrease in systolic and diastolic blood pressure over three different times. There was a significant difference in the level of total stress response, overall health and quality of life but no significant difference in the level of emotional condition over three different times. Conclusion: The results of this study will contribute to the development of nursing strategies for the regulation of blood pressure in older people as the exercises are easy to learn and are a nonpharmacologic approach.

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