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Effect of Relational Aggression on Depression of Nursing Home Residents -Focusing on Low-income Elderly- (시설거주 노인의 관계적 공격성이 우울감에 미치는 영향 -기초생활수급권자 입소노인을 중심으로-)

  • Kim, Dongbae;Min, Jungsun;Jung, Guhyung
    • Korean Journal of Social Welfare Studies
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    • v.43 no.1
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    • pp.203-227
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    • 2012
  • This study analyzes the effect on depression of mutual relational aggression experienced by elderly residents at charity nursing home. It also verifies the mediated effect of adaption by the residents to the nursing home. For this end, the researchers conduct a survey for 182 elderly residents in 7 charity nursing homes in Seoul and Kyonggi Province. The statistical methods for the analysis were SPSS version 18.0 and AMOS 7.0program. Following are the findings. First, there turns out to be no statistical significant effect between mutual relational aggression and depression. Second, elderly residents' adaption to the nursing home is proved to serve as a mediated effect between mutual relational aggression and depression. In other words, the more the relational aggression, the more difficult it is for residents to be adapted to the nursing home, and the more depressed the residents are prone to be. Following are suggestions based on the findings. First, nursing home staffs need to establish a system in consideration both of relational aggression and of resident's adaption, to reduce its elderly residents' consequential depression. Second, nursing home staffs need to take measures to help adaption of new residents to prevent or reduce their depression. For example, new residents can be allowed to bring their belongings to the nursing home as much as they want and the nursing home can stand. Third, nursing homes also need to develop programs to prevent or reduce any negative relation, including bullying or casting out, among peer residents in the nursing home.

The Usefulness of Fluorescein Angiography and Alternative Tests for Assessment of Fundus Hemorrhage (안저 출혈 시 형광안저혈관조영술 및 대체 검사의 유용성)

  • Yeon, Je-Jin;Koo, Bon-Kyeong;Park, Sang-Ku
    • Korean Journal of Clinical Laboratory Science
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    • v.53 no.3
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    • pp.266-276
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    • 2021
  • Fundus hemorrhage refers to abnormalities in the retinal tissue and blood vessels. Therefore, when a hemorrhagic change in the fundus occurs, the ophthalmologist orders various ophthalmic tests to evaluate the degree of hemorrhage and determine the progress of the lesion before, during, and after treatment to accordingly establish a treatment plan. Currently, the most useful and universal fundus examination includes optical coherence tomography (OCT), fundus photography (FP), and fluorescein angiography (FAG). Existing fluorescein angiography test methods for establishing a treatment plan for severe fundus bleeding have limitations. The authors propose that peripheral pupil and the 5-quadrant method should be performed using ultra-wide-angle fluorescence fundus angiography (UWFFA). Using this method, it is possible to quickly determine the area to be described, avoid the radius of bleeding as much as possible, and provide the ophthalmologist with a range of damaged tissue and abnormal blood vessels. Nevertheless, there are cases in which ophthalmologists judge that fundus bleeding is so severe that ultra-wide-angle fluorescence fundus angiography is meaningless. In such cases, ophthalmic ultrasound and electroretinogram may be used in that order as alternative methods of examination. Therefore, some clinical situations require the use of ophthalmic ultrasound and electroretinogram and should be performed accurately.

A Study on the Introduction of a Dramaturg System for the Active Management of Local Public Theaters (지역 공공극장 운영 활성화를 위한 드라마투르그 제도 도입 연구)

  • Hwang, ARam
    • Korean Association of Arts Management
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    • no.60
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    • pp.69-92
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    • 2021
  • This study was designed to insist on the need of introducing the position of dramaturgs as professionals at performance venues. A dramaturg is a professional staff member that proposes an artistic orientation in the making process of performing arts works such as play and dance. Dramaturgs are divided into production dramaturgs participating in individual works and permanent dramaturgs resident in the theater. In the present study, discussions developed around plans to make use of permanent dramaturgs at local public theaters. The study introduced the advantages of the dramaturg position at culture and arts centers serving as a public theater in the community and proposed institutional improvement measures for it. At a culture and arts center, a dramaturg will play the roles of expanding culture and arts service to local residents, increasing creative chances for local artists, contribution to the vitalization of local culture, and narrowing the cultural gap between the Seoul metropolitan region and the rest of the nation. The introduction of a permanent dramaturg system should be supported by efforts across various aspects including the revision of Culture and Arts Promotion Act and Public Performance Act, improvement of the management system of culture and arts centers, change of performance evaluation methods for performance venues, and introduction of a cultivation course for the public sector.

Korean Multicenter Registry of ELUVIA Stent for Femoropopliteal Artery Disease: K-ELUVIA Registry

  • Joongmin Kim;Young-Guk Ko;Seung-Jun Lee;Chul-Min Ahn;Seung-Woon Rha;Cheol Ung Choi;Pil-Ki Min;Jong Kwan Park;Ji-Yong Jang;Young Jin Youn;Tae-Soo Kang;Chang-Hwan Yoon;Donghoon Choi
    • Korean Circulation Journal
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    • v.54 no.9
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    • pp.565-576
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    • 2024
  • Background and Objectives: The K-ELUVIA study aimed to investigate the clinical effectiveness and safety of EluviaTM, a polymer-coated, paclitaxel-eluting stent, for femoropopliteal artery disease using data from a prospective Korean multicenter registry. Methods: A total of 105 patients with femoropopliteal artery disease who received endovascular treatment (EVT) with EluviaTM stents at 7 Korean sites were enrolled in a prospective cohort and followed for 2 years. The primary endpoint was the 2-year clinical patency. The secondary endpoint was 2-year freedom from clinically driven target lesion revascularization (TLR). Results: Mean patient age was 68.2±10.4 years, and most patients (82.7%) were male. Mean lesion length was 168.3±117.6 mm. Chronic total occlusion was found in 57.7% of patients. Trans-Atlantic Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II) type C or D lesions were present in 46.1% of patients. Procedural success was achieved in 99.0% of patients. The clinical patency rate was 84.4% at 1 year after EVT and 76.3% at 2 years post-EVT. The freedom from TLR rate was 89.1% at 1 year after EVT and 79.1% at 2 years post-EVT. Chronic total occlusion (hazard ratio [HR], 3.53; 95% confidence interval [CI], 1.08-11.67; p=0.039) and smaller mean stent diameter (HR, 0.40; 95% CI, 0.16-0.98; p=0.044) were identified as independent predictors of loss of clinical patency at 2 years. Conclusions: The K-ELUVIA study demonstrated favorable 2-year clinical effectiveness and safety outcomes of Eluvia stent for femoropopliteal artery lesions in real-world practice.

Implementation Strategy of Global Framework for Climate Service through Global Initiatives in AgroMeteorology for Agriculture and Food Security Sector (선도적 농림기상 국제협력을 통한 농업과 식량안보분야 전지구기후 서비스체계 구축 전략)

  • Lee, Byong-Lyol;Rossi, Federica;Motha, Raymond;Stefanski, Robert
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.15 no.2
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    • pp.109-117
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    • 2013
  • The Global Framework on Climate Services (GFCS) will guide the development of climate services that link science-based climate information and predictions with climate-risk management and adaptation to climate change. GFCS structure is made up of 5 pillars; Observations/Monitoring (OBS), Research/ Modeling/ Prediction (RES), Climate Services Information System (CSIS) and User Interface Platform (UIP) which are all supplemented with Capacity Development (CD). Corresponding to each GFCS pillar, the Commission for Agricultural Meteorology (CAgM) has been proposing "Global Initiatives in AgroMeteorology" (GIAM) in order to facilitate GFCS implementation scheme from the perspective of AgroMeteorology - Global AgroMeteorological Outlook System (GAMOS) for OBS, Global AgroMeteorological Pilot Projects (GAMPP) for RES, Global Federation of AgroMeteorological Society (GFAMS) for UIP/RES, WAMIS next phase for CSIS/UIP, and Global Centers of Research and Excellence in AgroMeteorology (GCREAM) for CD, through which next generation experts will be brought up as virtuous cycle for human resource procurements. The World AgroMeteorological Information Service (WAMIS) is a dedicated web server in which agrometeorological bulletins and advisories from members are placed. CAgM is about to extend its service into a Grid portal to share computer resources, information and human resources with user communities as a part of GFCS. To facilitate ICT resources sharing, a specialized or dedicated Data Center or Production Center (DCPC) of WMO Information System for WAMIS is under implementation by Korea Meteorological Administration. CAgM will provide land surface information to support LDAS (Land Data Assimilation System) of next generation Earth System as an information provider. The International Society for Agricultural Meteorology (INSAM) is an Internet market place for agrometeorologists. In an effort to strengthen INSAM as UIP for research community in AgroMeteorology, it was proposed by CAgM to establish Global Federation of AgroMeteorological Society (GFAMS). CAgM will try to encourage the next generation agrometeorological experts through Global Center of Excellence in Research and Education in AgroMeteorology (GCREAM) including graduate programmes under the framework of GENRI as a governing hub of Global Initiatives in AgroMeteorology (GIAM of CAgM). It would be coordinated under the framework of GENRI as a governing hub for all global initiatives such as GFAMS, GAMPP, GAPON including WAMIS II, primarily targeting on GFCS implementations.

Survey on Radiotherpv Protocols for the Rectal Cancers Among the Korean Radiation Oncologists in 2002 for the Development of the Patterns of Care Study of Radiation Therapy (방사선치료 Patterns of Care Study 개발을 위한 2002년 한국 방사선종양학과 전문의들의 직장암 방사선치료 원칙 조사연구)

  • Kim, Jong-Hoon;Kim, Dae-Yong;Kim, Young-Ho;Kim, Woo-Chul;Kim, Chul-Yong;Sung, Jin-Shil;Son, Seung-Chang;Shin, Hyun-Su;An, Young-Chan;Oh, Do-Hum;Oh, One-Yong;Yu, Mi-Ryung;Yu, Hung-Jun
    • Radiation Oncology Journal
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    • v.21 no.1
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    • pp.44-65
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    • 2003
  • Purpose : To conduct nationwide surgery on the principles In radiotherapy for rectal center, and develop the framework of a database of Korean Patterns of Care Study. Materials and Methods : A consensus committee was established to develop a tool for measuring the Patterns in radiotherapy Protocols for rectal cancer. The Panel was composed of radiation oncologists from 18 hospitals in Seoul Wetropolltan area. The committee developed a survey format to analyze radiation oncologist's treatment principles for rectal cancer. The survey items developed for measuring the treatment principles were composed of 1) 8 eliglblllty criteria, 2) 20 Items for staging work-ups and prognostic factors, 3) 7 Items for principles of combined surgery and chemotherapy, 4) 9 patient set-ups, 5) 19 determining radiation fields, 6) S radiotherapy treatment pians, 7) 4 physicalilaboratory examination to monitor a patient's condition during treatment, and 8) 10 follow-up evaluations. These items were sent to radiation oncoioglsts In charge of gastrolntestlnal malignancies in all hospitals (48 hospitals) In Korea to which 30 replies were received (63$\%$). Results : Most of the surrey Items were replied to without no major between the repliers, but with the fellowing items only 50$\%$ of repliers were in agreement : 1) Indications of preoperative radiation, 2) use of endorectal ultrasound, CT scan, and bone scan for staging work-ups, 3) principles of combining chemotherapy with radiotherapy, 4) use of contrast material for small bowel delineation during simulation, 5) determination of field margins, and 6) use of CEA and colonoscopy for follow-up evaluations. Conclusions : The Items where considerable disaggrement was shown among the radiation oncologists seemed to make no serious difference In the treatment outcome, but a practical and reasonable consensus should be reached by the committee, with logical processes of agreement. These Items can be used for a basic database for the Patterns of Care Study, which will survey the practical radiotherapy Patterns for rectal cancer in Korea.

Multitrophic Interactions as a trigger of the Gyrodinium aureolum Bloom in Reeves Bay, New York (미국 뉴욕 Reeves만에서 쌍편모조류인 Gyrodinium aureolum의 대발생에 영향을 미친 먹이연쇄내의 상호작용)

  • Kim, Woong-Seo;Chang, Man;Shim, Jae-Hyung
    • 한국해양학회지
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    • v.27 no.4
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    • pp.268-276
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    • 1992
  • Multitrophic interactions among gelatinous planktivores, zooplankton, and phytoplankton were in vestigated in Reeves Bay. New York from mid-March to July in 1989 to evaluate the top-down effect by gelatinous macrozooplankton on the Gyrodinium aureolum bloom through cascading tropic interactions. Zooplankton abundances reached maximal density following a decrease in gelatinous macrozooplankton (hydromedusae and scyphomedusae) abundances, and phytoplankton biomass was low at this time. Subsequently, as ctenophore populations increased zooplankton abundances decreased sharply, and the cell concnetration of G. aureolum began to increase. This field observation supports that the top-down control by gelatinous macrozooplankton on grazers, resulting in low grazing pressure on phytoplankton, can cause an algal bloom. The minimal zooplankton grazing measured using /SUP 14/C tracer technique during the bloom period indicated that zooplankton did not prefer G. aureolum as a good source.

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Effects of Lactation Stage and Individual Performance on Milk cis-9, trans-11 Conjugated Linoleic Acids Content in Dairy Cows

  • Wang, T.;Oh, J.J.;Lim, J.N.;Hong, J.E.;Kim, J.H.;Kim, J.H.;Kang, H.S.;Choi, Y.J.;Lee, H.G.
    • Asian-Australasian Journal of Animal Sciences
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    • v.26 no.2
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    • pp.189-194
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    • 2013
  • The goal of this study was to evaluate the effects of lactation stage and individual performance on milk cis-9, trans-11 conjugated linoleic acid (CLA) content in dairy cows. In experiment 1, the milk cis-9, trans-11 CLA content from dairy cows in early ($0.33{\pm}0.014%$), middle ($0.37{\pm}0.010%$), and late stages ($0.44{\pm}0.020%$) showed significant differences (p<0.05); and the individual contents of the major fatty acids, especially cis-9, trans-11 CLA in cows of the same lactation were also variable. In the second experiment design as a validation test, our results once again showed that the individual contents of cis-9, trans-11 CLA were various, and a difference of about 2-fold (0.55% vs 0.95%) was observed, although the animals were offered same diet. These data demonstrated that lactation stage and individual performance have considerable effects on milk cis-9, trans-11 CLA contents.

A Qualitative Evaluation of Short-Term Intensive Home-Based Rehabilitation Program for Disabilities Through In-Depth Interview: Community-Based Participatory Research Approach (지역사회기반 참여연구 방법에 입각한 단기집중 방문재활프로그램 질적 평가: 치료사와 대상자 심층면담을 중심으로)

  • Lee, Min-young;Kim, Eun-seung;Yoon, Bum-chul
    • Physical Therapy Korea
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    • v.23 no.2
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    • pp.44-56
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    • 2016
  • Background: The Community-Based Participatory Research (CBPR) approach is recognized in the field of health promotion as a way to optimize intervention for promoting health by taking into account specific social, economical, and institutional situations of the community. However, the CBPR approach has not been applied in the field of community-based rehabilitation. Objects: This study was conducted to explore the self-perceived satisfaction of therapists and disabilities on the Short-term Intensive Home-based Rehabilitation (SIHR) program developed using the CBPR approach as well as determine the points that need improvement. Methods: This research was conducted through in-depth interviews. The SIHR program was developed, applied, and evaluated by both the researchers and four therapists on the basis of the CBPR approach. The SIHR program was administered to four disability for 1 hour a day, 2 or 3 times a week, for 8 weeks, and their self-rehabilitation was monitored once a week for 4 weeks. After all intervention periods, in-depth interviews were conducted by using a semi-structured questionnaire for the therapists and disability. Results: The therapists were satisfied with the contents of the SIHR program, such as behavioral change technique and goal-directed training. They were also satisfied with the process of developing the program through a community network. Disabilities were satisfied with the therapists' persuasive and emotionally interactive way of delivering the SIHR program as well as the individually customized rehabilitation training and physical improvement. The short period (8 weeks) of the SIHR program was noted by both therapists and disabilities as the part that needs improvement. Conclusion: The SIHR program developed using the CBPR approach was feasible and satisfying to therapists and disabilities. However, a longer SIHR program should be developed. Community networks could help therapists effectively utilize community resources and thereby provide more rehabilitation program for persons with disability.

Adolescent Prejudice towards Immigrants: The Role of Parents and the Effect of Adolescent Prejudice on Self-Identity and Coping Styles (청소년의 이주민에 대한 편견: 부모의 영향 및 청소년의 자아정체감과 대처양식에 미치는 영향)

  • Lim, Ji Young;Chung, Grace H.
    • Journal of the Korean Home Economics Association
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    • v.50 no.6
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    • pp.1-11
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    • 2012
  • As the immigrant population is rapidly growing in South Korea, it is important for the next generation of Korean adolescents to foster unprejudiced attitudes towards immigrants. This paper thus seeks to shed light on adolescent prejudice towards immigrants, by addressing the following three questions: (1) Does a mother's prejudice towards immigrants and parenting style influence their adolescent children's prejudice towards immigrants? (2) Does an adolescent's prejudice towards immigrants influence his/her self-identity? (3) Does an adolescent's prejudice towards immigrants influence his/her coping styles? The sample consisted of 288 pairs of Korean adolescents and their mothers. According to hierarchical regression analyses, a mother's prejudice towards immigrants significantly predicted her adolescent's prejudice towards immigrants, after taking sociodemographic variables into account, whereas her parenting style did not. In addition, having a low level of prejudice towards immigrants among adolescents predicted high levels of self-identity (e.g. independence, proprioceptive, and mission orientation), and a greater use of positive coping skills (e.g. support-seeking and problem-solving). Overall, results showed that mothers played a significant role in shaping their adolescent's prejudice towards immigrants. Results also provided evidence that prejudice towards immigrants may interfere with the healthy development of self-identity and coping style during adolescence. In conclusion, this study suggests that multicultural education for adolescents can be more effective, when it is provided in partnership with a parent education program that is designed to raise parental multicultural awareness.