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Effects of Resilience, Family Support, and Spiritual Well-Being on Posttraumatic Growth in Patients with Lung Cancer Undergoing Chemotherapy (항암화학요법을 받은 폐암 환자의 회복탄력성, 가족 지지, 영적 안녕이 외상 후 성장에 미치는 영향)

  • Moon, Ha Young;Nam, Ki Sook;Oh, Hye Won;Cho, Yeon Soo;Choi, Ju Yeon
    • Journal of Korean Clinical Nursing Research
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    • v.30 no.2
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    • pp.147-156
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    • 2024
  • Purpose: The purpose of this study is to confirm the effect of resilience, family support, and spiritual well-being on posttraumatic growth(PTG) in lung cancer patients undergoing chemotherapy. Methods: The study collected data from January 20 to July 6, 2023 on 124 lung cancer patients who were admitted to hospital of C university in Seoul and received chemotherapy treatment. Patients were asked to complete a questionnaire consisting of general characteristics, disease characteristics, resilience, family support, spiritual well-being and PTG. Data were analyzed using t-tests, One-way ANOVA, Pearson's correlation and multiple regression analysis. Results: The mean score for PTG in lung cancer patients was 55.17, resilience was 72.46, family support was 49.00, and spiritual well-being was 53.50. Significant positive correlations were found for PTG with resilience (r=.62, p<.001), family support (r=.40, p<.001) and spiritual well-being (r=.47, p<.001). Factors contributing to PTG of lung cancer patients were resilience (β=.50, p<.001), spiritual well-being (β=.20, p=.008), and gender (β =.14, p=.043). Conclusion: This study aims to provide basic data for the PTG intervention program by identifying factors affecting the PTG of lung cancer patients. It is necessary to develop new nursing intervention programs to improve PTG for patients with lung cancer based on strategies to enhance resilience and spiritual well-being.

A Study of Multidisciplinary Customized Curriculum Model for 21st Century Learning Ability Extension (21세기 학습 능력 신장을 위한 다학문적 맞춤형 교육과정 모형 연구)

  • Jeong, Jae-Hoon;Kim, Sun-Hoi;Nam, Dong-Soo;Lee, Tae-Wuk
    • Journal of the Korea Society of Computer and Information
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    • v.17 no.11
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    • pp.197-206
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    • 2012
  • The objectives of this study are to investigate core learning ability necessary for the 21st century and to develop core human resources required for social and national development in the future. The '21st Century Learning Ability Project' is to approach the existing knowledge and learning multidisciplinary and interactively based on the learning ability of each learner and individually and socially valuable themes. Even in Korea, a variety of intersubject integrative educational curriculum was attempted to cultivate learning ability. However, there are not enough teachers who can teach the differences between the content and characteristics for each subject by fully understanding them. Thus, it is difficult to apply them easily to the field of education. Thus, this study develops the multidisciplinary customized educational curriculum in order to develop the learning ability necessary for the 21st century, analyzes the reality of the educational curriculum integrating the academic knowledge in order to support this effectively. As a result, this study offers the interdisciplinary customized integrated model applicable to elementary and middle schools.

Fish Community Structure in the Wicheon River, Nakdong River System, Korea (낙동강수계 위천의 어류군집구조)

  • Chae, Byung-Soo;Kang, Young-Hun;Yang, Hong-Jun
    • Korean Journal of Ichthyology
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    • v.10 no.1
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    • pp.77-86
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    • 1998
  • The ichthyofauna and the structure of fish community were surveyed from August 1995 to October 1997 at twenty one stations in the Wicheon river which is a first tributary located at the middle reach of the Nakdong river system. During the surveyed period, 40 species belonging to ten families were collected. Of them cyprinid fish occupied 65.0% (26 species) and cobitid fish 12.5% (5 species). Sixteen species (40.0%) were known as Korean endemic species. Dominant species were Zacco temmincki (15.35%), Zacco platypus (14.12%), and Squalidus gracilis majimae (11.32%). Rare species which occupied less than 0.1% of total individuals were Cyprinus carpio, Culter brevicauda, Misgurnus mizoiepis, Cobitis rotundicaudata, Leiocassis ussuriensis, Silurus asotus, Macropodus chinensis, and Channa argus. A tendancy were shown in regional distribution that Moroco oxycephalus dominated in upper stream, Zacco temmincki, Squalidus gracilis majimae, and Niwaella multifasciata in mid - upper stream, acheilognathid fishes and Zacco temmincki in mid - lower stream, and Zacco platypus and microphysogobioid fishes in lower stream. St. 9, 10, and 11 which located in mid - reach of main stream and St. 17, 18 and 19 which located in mid - reach of the Ssanggye stream had the most stable and diverse community structure.

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Short-term Mortality Prediction of Recurrence Patients with ST-segment Elevation Myocardial Infarction (ST 분절 급상승 심근경색 환자들의 단기 재발 사망 예측)

  • Lim, Kwang-Hyeon;Ryu, Kwang-Sun;Park, Soo-Ho;Shon, Ho-Sun;Ryu, Keun-Ho
    • Journal of the Korea Society of Computer and Information
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    • v.17 no.10
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    • pp.145-154
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    • 2012
  • Recently, the cardiovascular disease has increased by causes such as westernization dietary life, smoking, and obesity. In particular, the acute myocardial infarction (AMI) occupies 50% death rate in cardiovascular disease. Following this trend, the AMI has been carried out a research for discovery of risk factors based on national data. However, there is a lack of diagnosis minor suitable for Korean. The objective of this paper is to develop a classifier for short-term relapse mortality prediction of cardiovascular disease patient based on prognosis data which is supported by KAMIR(Korea Acute Myocardial Infarction). Through this study, we came to a conclusion that ANN is the most suitable method for predicting the short-term relapse mortality of patients who have ST-segment elevation myocardial infarction. Also, data set obtained by logistic regression analysis performed highly efficient performance than existing data set. So, it is expect to contribute to prognosis estimation through proper classification of high-risk patients.

Contrast Enhanced Cerebral MR Venography: Comparison between Arterial and Venous Triggering Methods (조영 증강 자기공명정맥 촬영술에서의 동맥과 정맥 triggering 방법의 비교)

  • Jang, Min-Ji;Choi, Hyun-Seok;Jung, So-Lyung;Ahn, Kook-Jin;Kim, Bum-Soo
    • Investigative Magnetic Resonance Imaging
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    • v.16 no.2
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    • pp.152-158
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    • 2012
  • Purpose : To compare the arterial and venous detection sites of triggering methods in contrast-enhanced-MR-venography (CE-MRV) for the evaluation of intracranial venous system. Materials and Methods: 41 healthy patients underwent CE-MRV with autotriggering at either the cavernous segment of internal carotid artery with an inserted time-delay of 6 seconds (n = 20) or the superior sagittal sinus without any timedelay (n = 21). 0.1 mmol/kg gadolinium-based contrast material ($Magnevist^{(R)}$, Schering, Germany) was intravenously injected by hand injection. A sagittal fast-spoiled-gradient-echo-sequence ranging from one ear to the other was performed (TR/TE5.2/1.5, Matrix $310{\times}310$, 124 sections in the 15-cm-thick volume). 17 predefined venous structures were evaluated on all venograms by two neuroradiologists and defined as completely visible, partially visible, or none visible. Results: The rate of completely visible structures were 272 out of 323 (84%) in the arterial triggering CE-MRV and 310 out of 340 (91%) in the venous triggering CE-MRV. The venous triggering CE-MRV demonstrated an overall superior visualization of the cerebral veins than the arterial triggering CE-MRV (Fisher exact test, p < 0.006). Conclusion: CE-MRV using venous autotriggering method provides higher-quality images of the intracranial venous structures compared to that of arterial.

The Wound Healing Effects of Opuntia Ficus-indica in Dogs (개에서 손바닥 선인장의 피부 결손창 치료 효과)

  • Lee Hyun sung;Cheong Jongtae;Park Hyun jung;Shin Tae-kyun;Kim Jae hoon;Lee Joo myoung
    • Journal of Veterinary Clinics
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    • v.22 no.1
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    • pp.43-49
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    • 2005
  • The aim of this study is to investigate the wound healing effects of the Opuntia ficus-indica. Four full-thickness skin wounds(2.5 cm × 2.5 cm) were made in different areas on the back in each of five dogs. Two wounds were used for wound size measurement and two for skin biopsy. The ten full-thickness wounds were treated with the extract of Opuntia ficus-indica, and the ten full-thickness wounds were treated with normal saline. The wound areas were measured every other day for three weeks after wounding. Statistical analysis was performed with the paired t-test. The wound healing rates were 32.9±4.0%, 28.2±7.1%, 42.2±4.1%, 55.0±4.3%, 76.6±2.8%, 86.8±2.3%, 94.0±1.l%, 97.3±0.8%, 99.3±0.3%, 99.8±0.2%, 100.0±0.0% in the experimental group, and 18.0± 8.2%, 13.S± 11.6%, 15.2±6.1 %, 36.9±8.8%, 62.4±4.1%, 80.0±2.3%, 86.0±1.4%, 94.0±0.9%, 96.9±0.8%, 97.8±0.3%, 99.7±0.1% in the control group on the 1/sup st/, 3/sup rd/, 5/sup th/, 7/sup th/, 9/sup th/, 11/sup th/, 13/sup th/, 15/sup th/, 17/sup th/, 19/sup th/, 21/sup st/ day. On the 17/sup th/ day, the wound closed above 99.9% in 1 dog of the experimental group. On the 19/sup th/ day, the wound closed above 99.9% in 3 dogs of the experimental group. On the 21/sup st/ day, the wound closed above 99.9% in 5 dogs of the experimental group, and 1 dog of the control group. The wound healing period was shortened by 2 to 4 days in the experimental group as compared with the control group. The tensile strength was 4,508±513 g/㎠ in the experimental group and 2,772±400 g/㎠ in the control group on the 21/sup st/ day after wounding. The tensile strength was significantly higher in the experimental group than in the control group(p< 0.05). Inflammation rapidly spread and disappeared in the experimental group but not in the control group. Fibroblast and vascularization were found on the 5/sup th/ day in both group and increased only in the experimental group on the 9/sup th/ day. The firs finding of epithelialization was on the 13/sup th/ day in the experimental group and the 21/sup st/ day in the control group. A significantly higher wound healing rate(p< 0.05), tensile strength(p< 0.05) and better histopathological findings were observed in the experimental group than in the control group throughout the experimental period. These results suggest that topical application of Opuntia ficus-indica extract can promote wound healing in dogs.

Evaluation of useful treatment which uses dual-energy when curing lung-cancer patient with stereotactic body radiation therapy (폐암 환자의 정위적방사선 치료 시 이중 에너지를 이용한 치료 방법의 유용성 평가)

  • Jang, Hyeong Jun;Lee, Yeong Gyu;Kim, Yeong Jae;Park, Yeong Gyu
    • The Journal of Korean Society for Radiation Therapy
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    • v.28 no.2
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    • pp.87-99
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    • 2016
  • Purpose : This study will evaluate the clinical utility by applying clinical schematic that uses monoenergy or dual energy as according to the location of tumors to the stereotactic radiotherapy to compare the change in actual dose given to the real tumor and the dose that locates adjacent to the tumor. Materials and Methods : CT images from a total of 10 patients were obtained and the clinical planning were planned based on the volumetric modulated arc therapy on monoenergy and dual energy. To analyze the change factor in the tumor, Comformity Index(CI) and Homogeneity Index(HI) and maximum dose quantity were each calculated and comparing the dose distribution on normal tissues, $V_{10}$ and $V_5$, first ~ fourth ribs closest to the tumor ($1^{st}{\sim}4^{th}$ Rib), Spinal Cord, Esophagus and Trachea were selected. Also, in order to confirm the accuracy on which the planned dose distribution is really measured, the 2-dimensional ion chamber array was used to measure the dose distribution. Results : As of the tumor factor, CI and HI showed a number close to 1 when the two energies were used. As of the maximum dose, the front chest wall showed 2% and the dorsal tumor showed equivalent value. As of normal tissue, the front chest wall tumors were reduced by 4%, 5% when both energies were used in the adjacent rib and as of trachea, reduced by 11%, 17%. As of the dose in the lung, as of $V_{10}$, it reduced by 1.5%, $V_5$ by 1%. As of the rear chest wall, when both energies were used, the ribs adjacent to the tumors showed 6%, 1%, 4%, 12% reduction, and in the lung dose distribution, $V_{10}$ reduced by 3%, and $V_5$ reduced by 3.1%. The dose measurement in all energies were in accordance to the results of Gamma Index 3mm/3%. Conclusion : It is considered that rather than using monoenergy, utilizing double energy in the clinical setting can be more effectively applied to the superficial tumors.

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Quality Characteristics of Yogurt prepared with Rice Bran Streptococcus thermophilus and Lactobacillus casei (Streptococcus thermophilus와 Lactobacillus casei를 이용한 미강 첨가 발효유의 품질특성에 관한 연구)

  • Hong, Sung-Moon;Gu, Min-Seong;Chung, Eui-Chun;Kang, Pil-Gu;Kim, Cheol-Hyun
    • Journal of Dairy Science and Biotechnology
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    • v.33 no.1
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    • pp.17-25
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    • 2015
  • The present study was carried out to evaluate the preparation of the fermented milks with rice bran and to prove that the bacteria used are necessary for providing amino acids in this process. The rice bran on fermented milk with Streptococcus thermophilus (ST-body1) and Lactobacillus casei (LC-10). The fermentation limit was set until acidimetry score reaches 1. There are reports of titratable acidity, pH, viable cell count and amounts of organic acids affecting amino acid production about physical and chemical analysis measured using HPLC. Finally, sensory test was surveyed. In this study, the rate of acidification was higher in the fermented milk with rice bran than in the common fermented milk. In case of the number of cells was $1.0{\times}10^8CFU/mL$ in group. The lactic acid and citric acid content in yogurts prepared with rice bran using Streptococcus thermophilus (ST-body1) and Lactobacillus casei (LC-10) was higher than that in the control yogurt. Amino acids derived by rice bran were effected in fermentation for each bacteria's necessary amino acid production, and it made bacteria growth larger. From the physical test of the fermented milk with rice bran, flavor, texture, sweetness, overall taste of the fermented milk of Streptococcus thermophilus (ST-body1) were found to be much better than those of the other groups. The results obtained for the fermented milk prepared with rice bran using Streptococcus thermophilus (ST-body1) are significant.

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Adherence Rates of Salmonella Typhimurium and Salmonella spp. in Pork Meat Contaminated during Processing (포장돈육 중 Salmonella Typhimurium과 Salmonella spp.에 오염된 돈육으로부터 식품과 식품접촉면으로의 오염 부착율)

  • Kim, Seong-Jo;Bahk, Gyung-Jin;Ding, Tian;Kim, Tae-Woong;Oh, Deog-Hwan
    • Korean Journal of Food Science and Technology
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    • v.40 no.3
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    • pp.349-353
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    • 2008
  • This study was performed to determine the adherence rates of standard type Salmonella Typhimurium (ST) and wild type Salmonella spp.(WT) in pork after the following contact types and times at $10^{\circ}C$: pork meat (2, 6, 24 hr), conveyer belt (2, 6 hr), stainless steel (2, 6 hr), and cutting board (2, 6 hr). After 6 hr of pork meat to meat fat contact, the adherence rates for ST and WT were approximately 4.21 and 26.87%, respectively, and after 6 hrs of pork meat to red meat contact they were 16.40 and 27.48%, respectively. However, after 24 hr of both types of contact, ST and WT showed 100% adherence rates. The adherence rates for ST after 2 hr and 6 hr of pork meat to conveyer belt contact were 1.34 and 0.60%, respectively, while the adherence rate for WT was 5.14% after 6 hr of contact. After pork meat to stainless steel contact, ST showed adherence rates of zero and 1.59% after 6 and 24 hr of contact, respectively, while the adherence rates for WT ranged from 0.17% after 2 hr to 5.01% after 6 hr. On the other hand, neither ST nor WT offered adherence data following pork meat to cutting board contact. These results suggest that the adherence rates of ST and WT after pork meat to pork meat contact or pork meat to processing surface contact were significantly affected by the contact time and WT presented much higher adherence rates for both types of transmission than ST.

Distribution characteristic of Octopus minor in the Tando Bay on the southwest coast of Korea (탄도만에 서식하는 낙지의 분포 특성)

  • Oh, Taeg-Yun;Kim, Joo-Il;Seo, Young-Il;Lee, Sun-Kil;Choi, Mun-Seung
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.48 no.4
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    • pp.370-378
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    • 2012
  • This study is to find out the distribution characteristic of Octopus minor in the Tando Bay on the southwest coast of Korea with conducting surveys from May of 2006 to April of 2007. Surveys were carried out at 20 stations on 2 and 3 tide time in the low speed of high tide at night and conducted during 30minutes (4 times fishing) per station. Catch per unit effort (CPUE) was estimated by total catch per 500hooks at each station. Monthly CPUE showed that they put highest in October, November, April and June at 10.4, 10.5, 9.4 and 7.7 individuals respectively. On the other hand, CPUE put lowest in January, the coldest month, and August, the hottest month, at 0.2 and 0.3 individuals respectively. As for geographical mantle length distribution, average mantle length ranged from 6.2cm to 7.3cm at stations near the tidal channels (St. 1, 4, 5, 6, 8, 9, 10, 13, 14, 15, 18, 19 and 20), and was smaller than 6.0cm at stations located inside of bay (St. 2, 3, 7, 11, 12 and 17). In terms of geographical distribution density, CPUE showed higher than 8.0 at St.4 in Changmaeri, St.8 in Taecheonri, St.13 near Seondo, St.18 in Naeri and St.14 in western part of Tando which are located near the main tidal channels. And distribution density showed low that CPUE was lower than 5.0 individuals at stations located inside of bay (St. 1, 3, 5, 6, 7, 11, 12, 16 and 20). Through the results, the difference of distribution density reflects that distribution of Octopus minor is affected by direction of current and inflow of pollutant from land in direct. Therefore, it is considered that bottom composition of tidal flat and distribution of live food are the crucial cause of identifying the distribution characteristics of Octopus minor. For this reason, it is judged to need additional research on it.