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Factors affecting Non-suicidal self-injury: Ecological Momentary Assessment using a Daily Diary Method study (일상생활에서의 비자살적 자해에 영향을 미치는 요인: 생태순간평가 일기법 연구)

  • Hoin Kwon ;Sunjin Kim
    • Korean Journal of Culture and Social Issue
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    • v.29 no.3
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    • pp.321-340
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    • 2023
  • This study was conducted to understand the emotional and situational context where non-suicidal self-injury occurs in everyday life. Sixty adults(age 19-35) completed daily surveys assessing positive and negative emotions, stressful events, self-injury thoughts, and behaviors for two weeks. Using a total of 663 collected entries, we analyzed specific personal emotions and stressful events related to non-suicidal self-injurious thoughts and behaviors. As a result, high negative emotions, low positive emotions, and total stress event scores were significantly related to self-injury thoughts and behaviors. In the model in which both emotion and stress were inserted as predictors, the low level of positive emotion showed a significant related to non-suicidal self-injurious behavior. These results suggest that negative emotion management and overall positive emotion reinforcement are important in emotion regulation intervention for non-suicidal self-injurious patients. The meaning of this study is that it searched for risk factors of non-suicidal injury in everyday life using a short-term longitudinal method.

Effects of a Portable Computerized Cognitive Training System on the Visual-perceptual Function of Stroke Patients with Mild Cognitive Impairment : A Pilot Study (휴대용 전산화 인지훈련 시스템이 경도인지손상이 있는 뇌졸중 환자의 시지각에 미치는 효과)

  • Jeon, Min-Jae;Moon, Jong-Hoon
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.8
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    • pp.603-610
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    • 2019
  • This pilot study investigated the effects of a portable computerized cognitive training system on the visual-perceptual function of stroke patients with mild cognitive impairment. Subjects were twelve stroke patients with mild cognitive impairment, who were assigned to an experimental group (n=6) or a control group (n=6). All subjects were trained in their respective groups for 30 min/day, five times a week, for four weeks. In each session, the experimental group received a portable computerized cognitive training program, and the control group received conventional cognitive training. The Motor-Free Visual Perception-3 (MVPT-3) was used to measure subjects' visual-perceptual ability. The MVPT-3 total scores for both groups significantly improved after the intervention (p<.05). The total score on the MVPT-3 and the score on the visual short-term memory subcategory of the MVPT-3 significantly improved for the experimental group compared to the control group (p<.05). These findings suggest that the portable computerized cognitive training system might be effective to improve the visual-perceptual function of stroke patients with mild cognitive impairment.

Factors Influencing Nursing Students' Performance on Standard Precautions of Healthcare-associated Infection (간호대학생의 의료관련감염 표준주의지침 수행도에 영향을 미치는 요인)

  • Kim, Yu-Jeong
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.4
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    • pp.349-361
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    • 2019
  • Objectives: The purpose of this study was to investigate nursing students' knowledge, awareness and performance and to identify the influencing factors on performance of standard precaution for Healthcare-associated Infection. Methods: Subjects were 334 nursing students who were 3rd and 4th years in the nursing university in Gwangju. Data were collected using questionnaires from April 24 to May 25, 2018. The collected data was analyzed by descriptive statistics, pearson's correlation coefficient and stepwise multiple regression using IBM SPSS 21.0 program. Results: Mean scores of knowledge, awareness and performance about standard precaution for Healthcare-associated Infection were 19.95±2.43, 4.71±0.37, 4.55±0.49, respectively. Statistically significant differences were shown in the performance of standard precaution related to grade(t=-3.627, p=.000) and experience of infection prevention education(t=3.239, p=.001). Significant relationships were found among knowledge(r=.201, p=.000), awareness(r=.522, p=.000) and performance of standard precaution in nursing students. The results of stepwise multiple regression indicates that awareness(β=.507, p=.000) and grade(β=.169, p=.000) and experience of infection prevention education(β=.094, p=.043) predicts 30.8% in performance of standard precaution(F=50.520, p=.000). Conclusions: to enhance performance of standard precaution for nursing students, it is necessary to develop and utilize a program that experience of infection prevention education according to the appropriate grade group and enhances awareness.

A Study on the Factors of Safety Enhancement in Mass Casualty Incidents (다수 환자 발생 시 안전 증진 요인에 관한 연구)

  • Lee, Jeong-Hyeok;Park, Joung-Je;Kim, Bo-Kyun
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.4
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    • pp.229-240
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    • 2019
  • Korea is experiencing various disasters both natural and artificial. This study is descriptive research designed to examine the perception of the disaster response ability of fire-paramedics during the response stage of disaster management. The subjects of this study were EMT-P's who had more than 2 years of experience in the field at a fire station in G Province. The questionnaire, including the items for the sub-factors of the field response ability, were prepared and 161 final questionnaires were collected and analyzed with the SPSS program. The mean scores of triage ability, patient treatment ability, patient transfer ability, disaster support ability, and disaster response speed were 3.53, 3.68, 3.66, 2.95, and 3.44, respectively. As a result of multiple regression analysis, variables affecting the speed of disaster response were in the order of patient treatment ability, patient transfer ability, and disaster support ability. In conclusion, fire-paramedics will have to consider the ability to treat patients, transfer patients, and disaster support to improve disaster response speed, and, ultimately, disaster response guidelines should be developed to improve disaster response capabilities.

The Effect of Positive Psychological Capital on the Communication Competence and Job Satisfaction of Geriatric Hospital Nurses (긍정심리자본이 노인요양병원 간호사의 의사소통능력과 직무만족에 미치는 영향)

  • Jung, E-Hwa
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.1
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    • pp.235-243
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    • 2019
  • The purpose of this study was to positive psychological capital on the Communication competence and Job Satisfaction, of Geriatric hospital Nurses. Data were collected using questionnaires from 255 Geriatric hospital Nurses located in G Metropolitan City with over one year career experiences. The collected data was analyzed by descriptive statistics, pearson's correlation coefficient and stepwise multiple regression using IBM SPSS 23.0 program. The mean scores for the positive psychological capital(3.23±.49), Communication competence(3.56±.47) and job satisfactions (2.88±.55). Second, positive psychological capital positive mentality has positive correlations with communication capital and job satisfaction. Third, Optimism have statistical significance on communication competence in 33% level. Hope has positive correlations with job satisfaction in 6% of an explanatory power. As a conclusion, it is necessary to lower the turnover rate of nursing homes for the elderly and increase the job satisfaction effect, many factors related to positive psychological capital are continuously found in order to solve the nursing workforce of geriatric nursing hospitals.

The Effects of Yongin-Emotional Management Training Program on the Improvement of Life Care in Patients with Chronic Schizophrenia (만성 조현병 환자의 라이프케어 증진을 위해 용인 정서관리 훈련 프로그램이 미치는 영향)

  • Lee, Eun-Young;Jin, Myung-Ja;Kim, Young-Woon
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.4
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    • pp.385-400
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    • 2019
  • We reviewed existing studies and proposed future research on the sustainability of short-term effects, and of the Yongin Emotion Management Training program (Y-EMT). In this study, we conducted Y-EMT to verify its effectiveness in relation to affective disorders associated with chronic schizophrenia. Thirty-five patients were assigned to the experimental group, and 35 to the control group. First, results of repeated-measures analysis supported the effectiveness of Y-EMT. Comparisons of the results on the pre-test with those for the 5-month and 1-year post-training tests showed significant differences in mean scores between the experimental and control groups. Furthermore, these differences persisted at the 2-year follow-up. Second, in the experimental group, interactions between emotional behavior and expression, self-efficacy, and changes in interpersonal relationships showed significant effects at 5 months after the program ended, and these effects continued to increase up to 1 year post-training. Taken together, the findings indicate that, to maintain the effects of therapy in patients with chronic schizophrenia, patients should undergo Y-EMT along with cognitive rehabilitation training and social skills training. Human relations training such as Y-EMT is most helpful for rehabilitation when it is paired with high levels of medication.

The Effects of Reading-Based Learning Coaching Program for Middle School Students in County-level City (지방의 군 단위 지역 중학생 대상 독서기반 학습코칭 프로그램의 효과성 검증)

  • Kim, Seok Won;Chung, Eun Kyoung
    • The Korean Journal of Coaching Psychology
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    • v.5 no.1
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    • pp.67-83
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    • 2021
  • The purpose of this research is verifying the effects born by reading-based learning coaching programs on Korean language performance and the psychological variables of middle school students. A reading-based learning coaching program applied alongside a coaching model was developed and presented to first grade middle school students living in a local county-level city. The psychological variables were measured three times: prior to the program, immediately following the end of the program, and one month after the end of the program. Korean language performance was only measured twice: prior to the program and following the end of the program. Results revealed that compared to the control group, the experiment exhibited showed significant improvement in the scores of learning efficacy and self-regulation efficacy after the program. As well, these changes lasted for up to one month after the program. The future time perspective didn't show any significant interaction effects between time and group. The experimental group's performance in terms of Korean language was also significantly improved after completing the program. Based on these results, implications and limitations are discussed.

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Severity of grinder injuries and related factors compared with other high-rotation cutting tool injuries: a multicenter retrospective study from 2011 to 2018

  • Juni Song;Yang Bin Jeon;Jae Ho Jang;Jin Seong Cho;Jae Yeon Choi;Woo Sung Choi
    • Journal of Trauma and Injury
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    • v.36 no.1
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    • pp.32-38
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    • 2023
  • Purpose: This study aimed to identify the characteristics of patients injured by high-rotation cutting tools and the factors related to the severity of their injuries. Methods: Adult patients (≥18 years), who presented to the emergency department (ED) after a high-rotation cutting tool injury and who were registered in the Korean Emergency Department-based Injury In-Depth Surveillance (2011-2018) database, were included. Patients' demographic characteristics, injury-related factors, and Injury Severity Scores were collected. All included cases were categorized into two groups according to the tool that caused the injury: grinder versus nongrinder. The characteristics of the two groups were compared, and the factors associated with the severity of injuries were investigated. Results: Among 8,697 ED visits, 4,603 patients had been using a grinder and 4,094 had been using a nongrinder tool. The most frequently injured body part while using a grinder was the hand (46.4%), followed by the head (23.0%). While using a nongrinder tool, the most frequently injured body part was also the hand (64.0%), followed by the lower leg (11.4%). The odds of a severe injury were affected by patient age (odds ratio [OR], 1.024; 95% confidence interval [CI], 1.020-1.028) and using a grinder (OR, 2.073; 95% CI, 1.877-2.290). The odds of a severe injury using a grinder were higher in arm injuries (OR, 1.60; 95% CI, 1.40-1.83) and multiple-part injuries (OR, 1.998; 95% CI, 1.639-2.437). The odds of a severe injury using a grinder were lower for head injuries (OR, 0.481; 95% CI, 0.297-0.781). Conclusions: Injuries from grinders were more likely to affect the head and neck than nongrinder injuries, despite the lower severity. The current lack of regulations on grinders in occupational safety and health standards warrants relevant legislation and the development of applicable safety equipment.

Primary somatosensory cortex and periaqueductal gray functional connectivity as a marker of the dysfunction of the descending pain modulatory system in fibromyalgia

  • Matheus Soldatelli;Alvaro de Oliveira Franco;Felipe Picon;Juliana Avila Duarte;Ricardo Scherer;Janete Bandeira;Maxciel Zortea;Iraci Lucena da Silva Torres;Felipe Fregni;Wolnei Caumo
    • The Korean Journal of Pain
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    • v.36 no.1
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    • pp.113-127
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    • 2023
  • Background: Resting-state functional connectivity (rs-FC) may aid in understanding the link between painmodulating brain regions and the descending pain modulatory system (DPMS) in fibromyalgia (FM). This study investigated whether the differences in rs-FC of the primary somatosensory cortex in responders and non-responders to the conditioned pain modulation test (CPM-test) are related to pain, sleep quality, central sensitization, and the impact of FM on quality of life. Methods: This cross-sectional study included 33 females with FM. rs-FC was assessed by functional magnetic resonance imaging. Change in the numerical pain scale during the CPM-test assessed the DPMS function. Subjects were classified either as non-responders (i.e., DPMS dysfunction, n = 13) or responders (n = 20) to CPM-test. A generalized linear model (GLM) and a receiver operating characteristic (ROC) curve analysis were performed to check the accuracy of the rs-FC to differentiate each group. Results: Non-responders showed a decreased rs-FC between the left somatosensory cortex (S1) and the periaqueductal gray (PAG) (P < 0.001). The GLM analysis revealed that the S1-PAG rs-FC in the left-brain hemisphere was positively correlated with a central sensitization symptom and negatively correlated with sleep quality and pain scores. ROC curve analysis showed that left S1-PAG rs-FC offers a sensitivity and specificity of 85% or higher (area under the curve, 0.78, 95% confidence interval, 0.63-0.94) to discriminate who does/does not respond to the CPM-test. Conclusions: These results support using the rs-FC patterns in the left S1-PAG as a marker for predicting CPM-test response, which may aid in treatment individualization in FM patients.

Evaluation of Radiographic Positioning Techniques Used in Local Hospitals after Teleradiology Consultation

  • Sojin Kim;Miju Oh;Yooyoung Lee;Minju Lee;Jiyoung Ban;Uhjin Kim;Jiwoon Park;Jaepung Han;Dongwoo Chang
    • Journal of Veterinary Clinics
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    • v.39 no.6
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    • pp.326-333
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    • 2022
  • The purpose of this study was to evaluate the radiographic positioning techniques used in local animal hospitals, identify the most common positioning problem, and determine whether there were changes after teleradiology consultations. From September 2016 to April 2021, 15 local animal hospitals that requested radiographic interpretation more than 10 times and for more than six cases of thoracic radiographs were selected. Six sets of two-views of (lateral and ventrodorsal [VD] or dorsoventral [DV] views) digital thoracic radiographs from six dogs per hospital were evaluated in four categories. For the lateral view, radiographic technique scores used in ten local animal hospitals improved, one remained the same, and four became worse. For the VD/DV view, the score for eleven hospitals improved and worsened for four. The most common problem was rotation (57/90) for the lateral view, followed by an inappropriate field of view (59/90), and incorrect beam center (71/90). For the VD/DV view, an inappropriate field of view (54/90) was the most common problem, followed by asymmetry (63/90), and incorrect beam center (73/90). Every factor, except rotation in the lateral view, improved after obtaining technical consultation; however, the degrees of improvement were not remarkable. There was no significant correlation between the number of requests and the degree of improvement. According to the results, the radiographic technique used in local animal hospitals was improved by technical advice on teleradiology. These changes make it possible to provide accurate diagnoses of the requested images. There are some limitations regarding the indicators of evaluation and the number of cases; therefore, further studies that use detailed indicators in large cohort group are needed. In addition, an effective method of teaching should be developed to improve radiographic techniques in local animal hospitals.