• 대한간호학회지
• /
• 제29권1호
• /
• pp.61-71
• /
• 1999

Sleep is a necessity for survival. Disruption of sleep leads to numerous adverse physiological and psychological consequences. These could be particularly undesirable for older patients, who are subject to many additional factors. But there is limited research related to hospitalized elderly in Korea. The purpose of the study is to explore sleep patterns and disturbing factors of before and after hospitalization, in order to present basic information regarding elderly sleep to develop nursing intervention. The sample consisted of 32 elderly men and women between the ages of n and 87 years. Data collection was done from September to November 1997. Measures of sleep patterns and related factors were obtained from self-reported sleep questionnaires. Analysis of data was done by use of t-test, paired t-test, ANOVA, and Pearson Correlation Coefficient. The results of this study were summarized as follows : 1. In comparision between before and after admission of their sleep pattern, “sleep onset” tends to be delayed and nocturnal sleep time was significantly reduced. So, hospitalized elderly reported less total sleep time than before admission. 2. Regarding the sleep disturbing factors, medication(hypnotics ; 37.5%), physiological factor (snoring ; 59.4%) environmental factor (pillow ; 78.1%), emotional factor(anxiety related to disease ; 37.5%), and illness factor(fatigue ; 34.7%) were reported. 3. Significant differences in gender were found. Men had more disturbances in sleep than women owing to difficulty in falling a sleep and lack of nocturnal sleep. Women consumed more sleep inducing drugs. Significant increase was reported in napping during the day with increasing age. 4. Significant differences between good sleepers and poor sleepers were found for the following variables : nocturnal sleep time, total sleep time, bed time, sleep onset latency time, sleep latency time after nocturnal awakening, time spent in bed upon arousal, environmental factors, and emotional factors. In conclusion, it was found that the quantity and quality of sleep were significantly altered in hospitalized elderly, but adequate strategies for better sleep were not practiced. Further research is needed to develop Intervention strategies to promote sleep and to prevent sleep problems.

• The Korean Journal of Pain
• /
• 제21권2호
• /
• pp.164-167
• /
• 2008

Frozen shoulder is known to be a self-limited disease, and it is associated with chronic pain and limitation of joint movement. Although its etiology is still unknown, frozen shoulder is associated with several diseases. The diagnosis is made based on the medical history, the clinical and radiological examinations and exclusion of other shoulder pathologies. The skeleton is one of the most common sites of metastasis in patients with lung cancer. It has been reported that the incidence of bone metastases in lung cancer patients is approximately 30-40%, and the median survival time of patients with such metastases is 6-7 months. We experienced a case of a 77-year-old female patient who complained of right shoulder pain and limited joint mobility, and these symptoms were due to metastatic lung cancer in the shoulder.

• 한국콘텐츠학회논문지
• /
• 제13권9호
• /
• pp.382-391
• /
• 2013

최근 모든 분야에 변화의 속도는 빨라지고 다양한 위기 또한 더욱 빈번하게 발생하고 있다. 이로 인해 위기관리 능력은 국가를 포함한 모든 조직의 생존에 직결되는 문제인 동시에 조직의 능력이라고까지 말할 수 있게 되었다. 일반적으로 기업의 경우, 위기는 경영을 책임지는 최고경영자(CEO: Chief Executive Officer)와 밀접하게 연계될 수밖에 없으며, 기업의 위기관리 대비 정도는 CEO의 리더십 유형에 따라 크게 좌우되고 있다. 이에 따라 위기관리에 대한 CEO의 리더십은 갈수록 중요해지고 있다. 외국에서는 위기관리와 리더십 사이의 상관관계에 대한 연구가 부분적으로 진행되고 있으나, 국내에서는 매우 미미한 상태이며, 지금까지 리더십과 위기관리에 대해 개별적으로 연구되고 있다. 따라서 본 연구에서는 CEO의 리더십 유형에 따라 기업의 위기관리에 대한 중요성인식과 대응수준은 어떠한 차이를 나타내는가를 연구문제로 설정하였다. 국내 200 여개 기업의 CEO의 리더십 유형과 위기관리 중요성인식과 대응수준을 설문조사 하였다. 본 연구를 통해 CEO의 리더십 유형별로 기업의 위기관리 대응에 시사점을 제시하고자 한다.

• Journal of the Korean Data Analysis Society
• /
• 제20권6호
• /
• pp.3069-3085
• /
• 2018

본 연구에서는 구직기간과 근속기간에 미치는 비인지적 요인의 영향을 살펴보았다. 한국노동연구원의 노동패널 18차 삶의 인식에 대한 부가조사자료에는 개인의 비인지적 특성을 묻는 질문 문항이 들어있다. 노동패널자료를 사용하여 big5 성격특성과 통제소재 변인에 대한 내적일치도를 살펴보고, 분석방법으로는 구직기간과 근속기간 등 절단(censored)이 있는 표본을 포함하고 있는 자료의 분석에 적합한 비례위험해저드모형을 사용하였다. 추정결과 성격특성과 통재소재 등 비인지적 요인이 개인의 노동시장 성과에 영향을 미치는 것을 확인하였다. 구직기간 분석에서 성격요인 중 성실성이 성인구직자의 구직기간을 길게 하여 실업탈출률을 낮추는 것으로 나타났다. 이는 실업과 같은 불확실한 상황에서는 성실성으로 표현되는 신중함이 구직에 필요한 정보해석을 잘못하거나 왜곡할 수 있고, 결단성의 결여로 실업탈출에 제약이 되는 것으로 보인다. 근속기간 분석에서는 내적통재 소재자의 경우 근속기간이 길어 직장이탈가능성이 낮았다. 내적통재소재자는 내가 열심히 하면 조직에서 성공과 승진이 가능하다고 믿는 경향이 강하기 때문에 조직에 의해 더 선호될 수 있으며, 내적통제 경향이 강할수록 스스로의 행동에 대한 동기부여와 자제심이 크기 때문에 한 직장에 오래 머물 수 있는 요인이 되는 것으로 보인다.

• Tuberculosis and Respiratory Diseases
• /
• 제82권3호
• /
• pp.217-226
• /
• 2019

Background: Depression is a recognized complication of lung cancer underreported in developing countries such as Malaysia. Treating and identifying depression in cancer patients increases survival and quality of life. Our objectives are to study prevalence of depressive symptoms in newly diagnosed lung carcinoma, and examine the relationship of depressive symptoms with other influencing risk factors. Methods: A 2-year, cross sectional study February 2015-February 2017, was conducted at Hospital Tengku Ampuan Afzan, and Penang General Hospital. One hundred and three patients with newly diagnosed, biopsy confirmed primary lung carcinoma were recruited. Self-rated patient's identification sheet, validated Center for Epidemiologic Studies Depression (CES-D), and Dukes University Religion Index score from three different main languages were used. Results: Prevalence of current depressive symptoms (CES-D total score ${\geq}16$) is 37.9%. The result suggests prevalence of those at high risk of moderate to major depression, may need treatment. Multivariate analysis reveals those with good Eastern Cooperation Oncology Group factor (${\eta}2=0.24$, p<0.001) married (${\eta}2=0.14$, p<0.001) with intrinsic religiosity (IR) (${\eta}2=0.07$, p<0.02) are more resistant to depression. Conclusion: One in three of lung carcinoma patients, are at increased risk for depression. Clinicians should be aware that risk is highest in those with poor performance status, single, and with poor IR. We suggest routine screening of depression symptoms as it is feasible, to be performed during a regular clinic visit with immediate referral to psychiatrist when indicated.

• 영미문화
• /
• 제16권2호
• /
• pp.89-110
• /
• 2016

Since he was an exile, Henry James himself was well aware of agonies as an outsider in either Europe or America. Such an anguish is deftly depicted in the character of Felix Young with James's unique ironic tone. Unlike James, however, Felix is neither affluent nor distinguished as an artist. Nor is he supported by any patron. Furthermore, at first, he doesn't seem to survive the strict joyless environment in New England, but he possesses his own survival value. His unique esthetic value and his beautiful smile enable him to win Gertrude's heart. His adroit balance between pleasure-seeker and respect for American serious culture without hostility ultimately ends up with his marrying Gertrude. His arrival in Boston might pose a threat as Mr. Wentworth fears. Actually he subverts the traditional idea of an artist. He is armed with amiability and frankness, which are incongruous with a stereotypical idea of an artist: a willful, freakish, and self-righteous person. Felix here suggests to us that a new kind of modern art be possible. Gertrude is also a new woman who opposes to staying put under the patriarchal society. She is always wavering in and out of the house, searching for opportunities to quench her curiosity to see the world by breaking the bond of New England. Her ceaseless quest for independent values results in fortuitous encounter with a new species of artist Felix. Unlike Henry James's other novels, in which male characters assume a role of sophisticated "fortune-hunter," the union of Felix and Gertrude in The Europeans represents the compromise between two different cultures. According to Nietzsche, the birth of superman is possible by the union of Athens and Jerusalem. In other words, the matrimony of Felix and Gertrude means the commingling of his liberal arts and Gertrude's moral seriousness might contribute to the birth of the new culture.

• 영어영문학
• /
• 제54권4호
• /
• pp.483-509
• /
• 2008

For the last decades, criticism on Frankenstein has tried to make a link between Victor's Creature and Rousseaurean "man in a state of nature." Like the Rousseaurean savage in a state of animal, the monster has only basic instincts least needed for his survival, i.e. self-preservation, but turns into a civilized man after learning language. Most critics argue that, despite the monster's acquisition of language, his failure in entry into a cultural and linguistic community is the outcome of a lack of sympathy for him by others, which displays the stark existence of epistemological barriers between them. That is to say, the monster imagines his being the same as others in the pre-linguistic stage but, in the linguistic stage, he realizes that he is different from others. Interpreting the Rousseaurean idea of language, which appears in his writings, as much more focused on emotion than many critics think, I read the dispute between Victor and his Creature as a variation of parent-offspring conflict. Shelley criticizes Rousseau's parental negligence in putting his children into a foundling hospital and leaving them dying there. The monster's revenge on uncaring Victor parallels the likely retaliation Rousseau's displaced children would perform against Rousseau, which Shelley imaginatively reproduces in her novel. The conflict between the monster and Victor is due to a disrupted attachment between parent and child in terms of Darwinian developmental psychology. Affective asynchrony between parent and child, which refers to a state of lack of mutual favorable feelings, accounts for numerous dysfunctional families. This paper shifts a focus from a semiotics-oriented perspective on the monster's social isolation to a Darwinian perspective, drawing attention to emotional problems transpiring in familial interactions. In doing so, it finds that language is a means of communicating one's internal emotions to others along with other means such as facial expressions and body movements. It also demonstrates that how to promote emotional well-being in either familial or social relationships entirely depends on the way in which one employs language that can entail either pleasure or anger on hearers' part.

• 한국콘텐츠학회논문지
• /
• 제21권6호
• /
• pp.494-504
• /
• 2021

넷플릭스를 대표하는 OTT(Over-The-Top) 서비스의 확산과 코로나19로 인한 사회적 거리두기 현상은 국내 멀티플렉스 영화관에 있어 전반적인 악재로 작용했다. 이에 더해 디지털 시프팅(Digital Shifting) 현상이 가미되며 국내 오프라인 영화관은 새로운 성장의 판로를 모색할 필요성이 대두되었다. 본 연구는 이러한 문제의식 속에서 소비자의 가치 인식이라는 개념에 주목하여 소비자의 가치 인식 유형에 따른 멀티플렉스 영화관의 브랜드이미지와 구매 만족도의 관계를 규명하고자 시도되었다. 총 350명의 연구대상자에게 설문조사를 통해 자료를 표집한 뒤, 연구 모형에 따른 실증분석을 시행한 결과는 다음과 같다. 오프라인 영화 관람객의 가치인식 유형 중 실용성이 브랜드이미지 구축에 대해 가장 강한 영향을 미치고 있었으며, 자기충실성이 오프라인 영화 관람의 구매 만족도에 대해 가장 강한 영향을 미치고 있었다. 또한, 오프라인 영화관의 브랜드이미지는 영화 관람객들의 구매 만족도에 정(+)적 영향을 미쳤다. 본 연구는 이를 토대로 오프라인 영화관의 뉴노멀 시대 속의 새로운 생존 전략을 제시하였다.

• 동의생리병리학회지
• /
• 제34권4호
• /
• pp.177-183
• /
• 2020

The Hippo-YAP signaling pathway is critical for cell proliferation, survival, and self-renewal in both Drosophila and mammals. Disorder of Hippo-YAP pathway leads to tumor development, progression and poor prognosis in various cancers. YAP/TAZ are the key downstream effectors of the Hippo pathway and they can be inhibited through LATS1/2, core kinases in the Hippo pathway, mediated phosphorylation. In this study, we investigated the effect of Angelica gigas Nakai extract (AGNE) on Hippo-YAP/TAZ pathway. First, ANGE induced YAP/TAZ phosphorylation and dissociation of the YAP/TAZ-TEAD transcription complex. By qRT-PCR, we found that ANGE inhibits the expression of YAP/TAZ-TEAD target gene, CTGF and CYR61. In addition, the transcriptional activity of YAP/TAZ was not suppressed significantly in LATS1/2 double-knockout (DKO) cells by ANGE compared to LATS1/2 wild-type (WT) cells, which means AGNE inhibits YAP/TAZ signaling through direct action on LATS1/2. Further, it was confirmed that AGNE-induced activation of LATS1/2 inhibited the migration potential of the vector-expressing cells by suppressing YAP/TAZ activity. The reduced migration potential was restored in active YAP-TEAD expressing cells. Taken together, the results of this study indicate that ANGE downregulates YAP/TAZ signaling in cells through the activation of LATS1/2.

• 한국인터넷방송통신학회논문지
• /
• 제22권6호
• /
• pp.63-68
• /
• 2022

현재 대한민국의 서울특별시를 기준으로 응급실은 총 68개가 있으며, 응급실의 위치를 조회할 수 있는 포털 사이트가 존재하지만, 구와 자치동을 선택하는 방법으로 구성되어 실제 응급 상황에서는 활용하기가 어렵다. 또한, 119 구조대를 요청하고, 기다리는 상황에서 생존에 필요한 골든타임을 놓칠 수 있기 때문에 직접 응급실로 이동하는 방안이 더 효율적일 수도 있다. 따라서 본 논문에서는 MongoDB에서 지원되는 다양한 기능을 통해 특정 위치를 기준으로 빠르게 응급실의 위치를 조회할 수 있는 서비스를 제안한다. 서울특별시를 기준으로 응급실 위치 데이터를 다운로드하고, MongoDB에 저장한 후 다양한 처리 기술을 통해 데이터를 처리하고, 공간 인덱스를 적용하여 특정 위치에서 거리를 기준으로 응급실을 실시간으로 조회할 수 있다.