• 제목/요약/키워드: Self-neglect

검색결과 80건 처리시간 0.03초

등분포 축하중을 받고 첨가질량이 재하된 적충복합판의 고유진동수 (Natural Frequencies of Laminated Composite Plates Attached Point Mass Under an Uniform Axial-Loading)

  • 박제선;홍창우;이정호;이주형
    • 산업기술연구
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    • 제19권
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    • pp.235-243
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    • 1999
  • Vibration analysis for some of simple supported antisymmetric composite laminated plate loaded uniformly distributed axial force and attached mass was carried out. Because it is complicated to analysis this type of plate by theory of antisymmetric laminate, possibility for application of theory of special orthotropic laminate was studied, and natural frequency of laminated plate attached mass was calculated. Stiffness $B_{16}$, $B_{26}$, $D_{16}$, $D_{26}$ for this type of antisymmetric laminated plate converge on zero as the number of ply increases and it is possible to use classical theory by reason that considered plate has quasi-homogeneity without relevance to variation of angle. Difference between results by theory of antisymmetric and special orthotropic laminate is 0.36~1.96%, therefore it is convenient to analyze this by use of theory of special orthotropic laminate. When composite laminated plate with attached mass is analyzed range that was able to neglect self-weight of plate was proposed.

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등분포 축하중을 받고 첨가질량이 재하된 적층복합판의 고유진동수에 관한 연구 (Natural Frequencies of Laminated Composite Plates with Attached Mass Under an Uniform Axial-Loading)

  • 홍창우;김경진
    • 한국구조물진단유지관리공학회 논문집
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    • 제4권4호
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    • pp.181-190
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    • 2000
  • Vibration analysis for some of simple supported antisymmetric composite laminated plate loaded uniform axial-loading and attached mass was carried out. Because it is complicated to analyze this type of plate by theory of antisymmetric laminate possibility for application of theory of special orthotropic laminate was studied, and natural frequency of laminated plate attached mass was calculated. Stiffness $B_{16}$, $B_{26}$, $D_{16}$, $D_{26}$ for this type of antisymmetric laminated plate converge on zero as the number of ply increases and it is possible to use classical theory by reason that considered plate has quasi-homogeneity without relevance to variation of angle. Difference between results by theory of antisymmetric and special orthotropic laminate is 0.36~1.96%, therefore it is convenient to analyze this by use of theory of special orthotropic laminate. When composite laminated plate with attached mass is analyzed range that Was able to neglect self-weight of plate was proposed.

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보육교사의 아동학대 신고의도에 관한 연구 (A Study on Teacher Intention to Report Child Abuse at Child Care Centers)

  • 박소연;조인주
    • 한국보육지원학회지
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    • 제15권2호
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    • pp.1-19
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    • 2019
  • Objective: This study aims to examine the factors associated with teacher intention to report child abuse in child care centers. Methods: Data were collected from teachers at child care centers in the Jeonbuk region, using a self-administered questionnaire. In this study, 186 completed questionnaires were used to analyze the data. Results: The respondents reported their intention to report child abuse as follows: physical abuse(49.5%), emotional abuse(16.1%), sexual abuse(12.9%), and neglect(15.6%). The multiple hierarchical regression analyses revealed that participation at child abuse prevention training programs and awareness of reporting procedures were significantly associated with teacher intention to report child abuse at child care centers in Model 2. Also, attitudes towards reporting child abuse were significantly associated with teacher intention to report child abuse in Model 3. Conclusion/Implications: This study suggests evaluating chid abuse prevention training programs more accurately because the respondents who did not participate in the programs showed statistically significant higher mean scores of intention to report child abuse than who participated(1.83 vs .85). In addition, educational programs about child abuse for teachers in child care centers need to focus on changes in attitudes towards reporting child abuse, which in turn can change behavior.

Breast and Cervical Cancer Related Practices of Female Doctors and Nurses Working at a University Hospital in Turkey

  • Kabacaoglu, Meryem;Oral, Belgin;Balci, Elcin;Gunay, Osman
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권14호
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    • pp.5869-5873
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    • 2015
  • Background: Breast and cervical cancers are among the most frequent and most fatal cancers in women. Life span of patients may be increased and quality of life improved through early diagnosis and treatment. This investigation was performed in order to determine knowledge and practices of female health personnel working at a university hospital regarding breast and cervical cancers. Materials and Methods: This descriptive investigation was performed in Erciyes University Hospitals in 2014. A total of 524 female health personnel were included in the study. Data were collected through a questionnaire of 36 questions prepared by the researchers. The Chi square test and logistic regression were used for statistical analyses. Results: The mean age of the study group was $32.8{\pm}6.9$ years, 18.3% being doctors and 81.7% nurses. Of the study group, 60.5% stated that they performed self breast-examination, 4.4% underwent HPV testing, 26.3% thought about taking an HPV test, 34.7% of those who are 40 years and over had mammography regularly and 19.5% of those who were married had a Pap smear conducted regularly. Most important causes of not performing the methods for early diagnosis of breast and cervical cancers are "forget and neglect". Conclusions: It was concluded that female doctors and nurses do not pay sufficient attention to screening programs for breast and cervical cancers. The importance of early diagnosis and treatment should be emphasized during the undergraduate education and in-service training programs. Health condition of personnel and their utilization of preventive health care should be followed by occupational physicians.

뇌졸중과 척수손상환자에게 적용되는 간호진단에 관한 연구 (A Study on Rehabilitation Nursing Diagnoses used for the Clients with Stroke and Spinal Cord Injury in Korea)

  • 서문자;임난영;강현숙;김금순;양광희;조복희;이명화;오혜경
    • 재활간호학회지
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    • 제2권1호
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    • pp.22-28
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    • 1999
  • The development of standards and guidelines of rehabilitation nursing has been the major concerns for providing better nursing to the rehabilitation clients. As the patients with stroke and spinal cord injuries are the most prevalent physical disabilities in Korea, this study focussed on the nursing diagnoses of these two groups of patients. In order to identify the nursing diagnoses frequently used In their practice for the patients with stroke and spinal cord injuries, a survey was done with the questionnaire form developed by the research team. The surveyee were the staff nurses working at rehabilitation wards more than 2 years from 8 general hospitals in Korea, They identified and set the priorities of 13 nursing diagnoses from 79 stroke patients and 10 nursing diagnoses from 35 patients with spinal cord injuries during the periods from March 1 to June 2, 1999. The identified nursing diagnoses for the stroke patients are impaired physical immobility, sensory-perceptual alteration, activity intolerance, self-care deficit, altered defecation, altered urination, risk for injury, unilateral neglect, impaired skin integrity, altered thought processes, pain, altered health maintenance, dysreflexia. The identified nursing diagnoses for spinal cord injuries are altered urination, altered defecation, impaired skin integrity, pain, risk for injury, reflex incontinence, impaired physical immobility, self-care deficit, activity intolerance, knowledge deficit.

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Exploring Reproductive Health Education Needs in Infertile Women in Iran: A Qualitative Study

  • Khakbazan, Zohreh;Maasoumi, Raziyeh;Rakhshaee, Zahra;Nedjat, Saharnaz
    • Journal of Preventive Medicine and Public Health
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    • 제53권5호
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    • pp.353-361
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    • 2020
  • Objectives: An inadequate understanding of infertility can affect individuals' self-efficacy and ability to perform self-care; thus, reproductive health education is an important part of infertility treatment. The present qualitative study aimed to explore the experiences and educational needs of infertile women with regard to reproductive health. Methods: In this qualitative study, we utilized a content analysis approach. Purposive sampling was performed to ensure maximum diversity. In total, 23 individual interviews were conducted with 20 Iranian women with infertility and 3 key informants between July 2018 and February 2019 in northern Iran. Data were collected through in-depth, semi-structured interviews. Data analysis was performed using a conventional content analysis approach. Results: Reproductive health education needs were identified by analyzing interview data from 4 main categories: familiarity with the fertility process and preparation for pregnancy, recognition of infertility and expectations around seeking treatment, recognition of preventive actions associated with reproductive health, and correction of false beliefs. Recognizing the causes of infertility and understanding the different approaches to infertility treatment are among the most important educational needs of infertile women. The potential for neglect of health-related issues due to concerns about fertility and the maternal experience necessitates education about preventive measures for cervical cancer, breast cancer, and sexually transmitted infections. Correcting misconceptions, including those related to contraceptives and traditional medicine, can also help promote reproductive health. Conclusions: In infertile women, the educational needs associated with reproductive health are multifaceted. Satisfying these needs can help achieve optimal treatment results and promote reproductive health.

저소득 모자가족 아동방임 개입 프로그램 개발 및 효과성 연구 (Intervention Program on the Child Neglect of Low-income Female-headed Families)

  • 박영희;신혜섭
    • 한국사회복지학
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    • 제44권
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    • pp.146-177
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    • 2001
  • One of the difficulties of female-headed families face is economic hardship. Low-income single mothers work long hours, become isolated and feel burdened for dual roles. And many of them don't have relatives to share parenting roles. As a result, children of low-income female-headed families are easy to be neglected and left to form a delinquency-prone group in neighborhood. Traditionally, it has been viewed that children in female-headed families have problems due to the loss of father role. However, study indicates that these children can adjust well if the relationship between mothers and children is consistent and adequate. An Intervention program for low-income female-headed elementary children was developed and delivered in two community social welfare centers. The purpose of the program is to raise self-esteem. Two goals were 1) management of daily living habits and 2) improvement of family relations. Social workers maintained contact with mothers to talk about children's behaviors and to prompt hugging and touching. In addition, workers helped children to form good relationships with peers and school teachers. Children were satisfied with the program. Their family relations were improved statistically significantly after the program(wilcoxon signed rant test z=-2.934 p<.05). However, their self esteem were not improved significantly (wilcoxon signed test z=-1.173 p>.05). Qualitative analysis of each children were also discussed. The implications of the study are the followings: Intervention programs need to be delivered separately for low-grade and high grade elementary children because they have different developmental needs. The program also need to include education on sex and marriage as well as aggression reduction. Society needs to provide more support to single mothers for their personal and parenting needs.

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비만의 정신분석적 고찰 (Psychoanalytic Aspect of Obesity)

  • 이무석
    • 정신신체의학
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    • 제3권2호
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    • pp.207-213
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    • 1995
  • 비만환자들의 정신역동과 정신분석치료의 기법을 문헌 고찰하였다. 비만의 원인은 구강기 고착과 충동조절을 못하는, 자아와 초자아의 결함에 있었다. 비만환자들은 사랑의 상실에 의한 고통을 해결하는 방법으로 음식을 사용한다. 먹음으로 자신을 달래주고(self-soothing), 대리만족을 취한다. 부모의 양육태도가 문제인데, 비만아의 부모는 아이를 통하여 자신의 욕망을 이루려는 분들이어서 지배적이고 음식을 강요하며 어린이의 성취에 대한 기재가 높다. 어린이에게 따뜻한 보살핌이 필요할 때에도 부모의 목표가 더 우선되기 때문에 어린이는 늘 욕구불만에 빠지게 된다. 가정에서 어린이에게 사랑이 필요할 때마다 사랑 대신에 음식을 먹이는 부모였다. 그래서 성장후에 사회적 좌절을 당하면 음식에서 위로를 받고, 음식을 씹음으로 공격욕구도 발산한다(Stunkard, 1985). 또한 비만환자의 부모는 정상적인 부모역할을 전반적으로 소홀히 하는 편이었다. 절제를 가르치지 못하는 부모였다. 그것은 부모 자신의 초자아에 문제가 있어서 요구할 것을 요구하지 못하기 때문이기도 했고, 특별히 어떤 자식을 유난히 무관심 속에 방치해 두어서 비만을 만들기도 한다(Wilson, 1992). 이처럼 비만환자들은 전에디푸스기에 병의 원인(preoedipal pathology)을 가지고 있기 때문에 이런 갈등을 가지고 있는 환자들을 치료할 때는 언제나 그렇듯이 분석가는 좀더 적극적인 해석을 해주어야 한다. 또한 전이대상만으로는 안되고, 이에 추가하여 아이를 잘 키우는 새로운 대상(new and different object)이 되어 줘야한다(Wilson 1989). 비만환자들의 거구를 대하면서 치료자들은 위축되는 역전이에 빠질 수가 있다는 것도 염두에 두어야 한다.

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노인학대 유형화 및 유형결정요인 연구 (A Study on Typology and the Casual factors of Elderly-abuse)

  • 이윤경;김미혜
    • 한국노년학
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    • 제28권4호
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    • pp.1165-1178
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    • 2008
  • 본 연구는 노인학대의 새로운 유형화를 통해 노인학대의 중복적 특성을 간명화하여 노인학대에 대한 이해를 돕고, 노인학대의 유형별 결정요인 분석을 목적으로 한다. 이를 위해 전국노인보호전문기관의 81명의 상담가가 조사일자를 기점으로 최근 종결한 5개 사례에 대해서 주어진 노인학대 판정지표 및 사정도구에 회고적으로 응답하는 설문조사방법을 활용하였으며, 조사결과 350명의 노인학대 사례에 대해 통계분석을 실시하였다. 분석방법은 17개의 노인학대 판정지표를 활용한 군집분석을 통해 노인학대를 유형화하고, 유형화결과에 따라 logit-regression을 활용하여 유형결정요인을 분석하였다. 연구결과 노인학대는 '폭력성 노인학대'와 '회피성 노인학대'로 유형화되었다. 폭력성 노인학대는 직접적으로 폭력을 행하거나, 거친행위로 노인을 위협하거나 협박하는 행위, 노인을 무시하는 언어적 표현과 행동과 같이 직접적으로 노인에게 해를 가하는 언행이 나타나는 유형이며, 회피성 노인학대는 방임, 유기, 자기방임과 노인과의 접촉을 기피하는 유형으로 구분되었다. 폭력성 노인학대와 회피성 노인학대의 유형 결정요인 분석결과, 피학대노인의 기능상태와 학력, 가해자의 성별과 학력, 가해자가 느끼는 피해자에 대한 수발부담, 가해자와 피해자의 동거여부가 노인학대 유형 결정에 유의미한 영향을 미치는 것으로 나타났다. 피해노인의 학력이 높을수록 폭력성 노인학대 발생율이 높으며, 기능상태(IADL)가 나쁠수록 회피성 노인학대 발생율이 높게 나타났다. 또한 가해자가 여성일수록 회피성 노인학대 발생율이 높으며, 가해자의 학력이 높을수록 폭력성 학대 발생율이 높게 나타났다. 가해자가 노인의 수발부담이 높다고 느낄수록 폭력성 노인학대가 높게 나타났으며, 동거는 회피성 노인학대보다는 폭력성 노인학대의 발생율을 높이는 것으로 나타났다. 본 연구는 노인학대의 복잡성을 간명하게 이해할 수 있도록 하는 새로운 노인학대의 유형화를 시도하였으며, 노인학대의 유형 결정요인을 밝힘으로써 추후 노인학대 개입기법을 세분화하고 노인학대 발생원인 이론개발의 기초자료로서의 의미를 갖는다.

구강위생관리능력이 구취 자각증상에 미치는 영향 (Effect of Oral Hygiene Controllability on the Subjective Oral Malodor)

  • 박혜숙
    • Journal of Oral Medicine and Pain
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    • 제33권2호
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    • pp.147-158
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    • 2008
  • 경기도 남부지역 714명의 대학생들(459명의 치과관련 보건 계열 대학생들과 255명의 비보건계열 대학생들)을 대상으로 설문지를 이용한 역학조사를 통해 구강위생관리능력을 평가하고 이러한 구강위생관리능력이 구취의 자각증상에 미치는 영향을 조사하여 다음과 같은 결과를 얻었다. 1. 설태가 자주 끼는 군에서 구취를 심하게 느끼는 비율이 상대적으로 높았다. 2. 본 조사 대상자 중 스스로 구취를 느낀다고 응답한 자의 비율은 81.1%였다. 3. 칫솔질 소요시간이 짧은 군에서, 칫솔질 시기가 일정치 않은 군에서 구취를 심하게 느끼는 비율이 상대적으로 높았다. 4. 구취를 심하게 느끼는 군에서는 다른 군에 비해 상대적으로 혀솔질 하는 사람의 비율은 낮았다. 5. 칫솔질 지수와 구강위생 관리능력 지수가 낮은 군에서 구취를 심하게 느끼는 비율이 상대적으로 높았다. 6. 칫솔질 지수(p<.0001), 혀솔질 지수(p=0.0439), 구강위생 관리능력 지수(p<.0001) 모두에서 보건대생 평균치가 비보건대생 평균치보다 높았다. 이와 같은 소견을 종합해 볼 때 구강위생관리능력이 구취의 자각증상에 주요한 역할을 하는 것을 알 수 있었으며, 치과 관련 교육을 받은 보건대생의 구강위생 관리능력이 높은 것으로 보아 일반인을 대상으로 한 적절한 구강위생 유지 및 구취에 대한 올바른 교육과 적극적인 홍보가 필요하리라 본다.