• 제목/요약/키워드: coping measures

검색결과 131건 처리시간 0.021초

Covid-19 시대의 적극적인 국제교류방안 (Active international exchange measures in the Covid-19 era)

  • Park, Tim
    • 국제교류와 융합교육
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    • 제1권1호
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    • pp.36-45
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    • 2021
  • 코로나-19시대에서 대학의 국제교류도 예외 없이 종단되거나 새로운 방안을 요구하고 있다. 특히 대학교육에서 국제교류는 큰 비중을 차지하는 바, 학생들이 재학하는 기간 동안 코로나-19로 인해 피해를 받는 일을 최소화하여야 하는데 국제교류도 큰 영향을 받고 있는 현실이다. 이에 적극적으로 대응할 수 있는 미국하와이주립대의 국제교류 방안을 예시로 제안하며, 양국 대학의 교류에 도움이 되기를 희망한다.

2018년 북미영화산업 발전 연구 (Research on the Development of North American Movie Industry in 2018)

  • 팽박
    • 한국엔터테인먼트산업학회논문지
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    • 제13권6호
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    • pp.15-24
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    • 2019
  • 할리우드 전통 영화 회사들이 스트리밍(streaming media) 콘텐츠로 위주의 새로운 회사가 가져올 위협에 지속적으로 직면하고 있다. 본 연구는 최신 시장 데이터 통계를 바탕으로 제작, 배급, 상영, 해외시장 등 여러 측면에서 2018년 북미 영화산업이 글로벌 디지털 미디어 대응 과정에서 변화와 발전을 분석하여, 또한 할리우드 주류 영화회사들이 새로운 미디어 소비 환경에서 자신의 구조와 운영 시스템 조정을 통하여 발전을 유지하는 데 효과적인 조치를 살펴보고자 한다.

작업치료 전공 학생들의 코로나19로 인한 실습 중단 경험: 현상학적 연구 (Occupational Therapy Student's Experience of Interruption of Fieldwork Practice due to COVID19 : Phenomenological Study)

  • 정남해
    • 한국산학기술학회논문지
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    • 제21권9호
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    • pp.473-479
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    • 2020
  • 연구의 목적은 코로나19로 인하여 실습이 중단된 작업치료학 전공 대학생들의 경험의 의미를 파악하고, 추후 대책 마련을 위한 기초로 활용하는 것이다. 본 연구는 현상학적 연구로, 코로나바이러스감염증-19로 인하여 실습이 중단된 작업치료학과 학생 총 7명을 대상으로 하였다. 연구자는 전화로 코로나바이러스바이러스감염증-19와 관련하여 실습 중 경험에 대하여 면담을 실시하고 면담내용은 Colaizzi(1978) 자료 분석에 따라 분석하였다. 면담 결과, 17개의 주제, 6개의 주제모음, 2개의 범주로 조직화하였다. 주제모음은 무관심기, 문제인식기, 방황기, 대처기, 후유기, 대처에 대한 기대이었다. 코로나바이러스감염증-19에 대한 문제를 인식한 이후에는 혼란스럽고 답답한 상황을 경험하였고, 실습 중단 과정에서는 불안감, 아쉬움 등을 경험하였다. 학생들은 모든 학교가 동시에 일괄적이고 빠른 대처를 시행하기를 기대하였다. 추후 이와 같은 사태를 대비하여 임상기관, 협회 및 학교가 빠르게 대책을 마련하고 동시에 시행할 수 있는 체계적인 소통 및 전달체계가 필요하다.

강원도 노인의 수해경험과 재해인식에 관한 연구 - 남성노인과 여성노인의 비교 - (Disaster Experiences and Perception of Older People in Gangwon Province: A Comparison of Elderly Men and Women)

  • 정순둘;기지혜
    • 한국방재학회 논문집
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    • 제8권1호
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    • pp.57-62
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    • 2008
  • 본 연구의 목적은 우리나라의 주요 수해지역인 강원도 지역의 노인을 대상으로 수해경험과 재해인식에 관한 조사를 실시하고, 이를 성별로 비교해 본 후 분석자료를 바탕으로 노인의 재해취약성을 극복할 수 있는 방안을 모색하고자 하였다. 2006년 집중호우로 직간접적인 피해를 입은 강원도 인제군과 평창군의 거주하는 60세 이상 노인 183명을 대상으로 수해경험과 재해인식에 관한 설문조사를 실시하였다. 연구 결과 성별에 따른 수해경험은 유의미한 차이가 없었으나 재해인식에는 차이가 있었다. 여성노인이 남성노인에 비해 재해재발인식수준이 높았지만 실제 재해발생에 대한 지식이나 대응능력은 남성노인보다 낮았다. 또한 학력이 낮고, 소득수준이 낮으며 무배우자의 혼자 사는 여성노인이 많이 이들을 재난취약집단으로 간주하고 성별을 고려하는 적합한 대응체제 마련이 필요한 것으로 나타났다.

Assessment of Household Catastrophic Total Cost of Tuberculosis and Its Determinants in Cairo: Prospective Cohort Study

  • Ellaban, Manar M.;Basyoni, Nashwa I.;Boulos, Dina N.K.;Rady, Mervat;Gadallah, Mohsen
    • Tuberculosis and Respiratory Diseases
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    • 제85권2호
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    • pp.165-174
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    • 2022
  • Background: One goal of the End tuberculosis (TB) Strategy is to see no TB-affected households experiencing catastrophic costs. Therefore, it is crucial for TB-elimination programs to identify catastrophic costs and their main drivers in order to establish appropriate health and social measures. This study aimed to measure the percent of catastrophic costs experienced by Egyptian TB patients and to identify its determinants. Methods: We conducted a prospective cohort study with 151 Egyptian TB patients recruited from two chest dispensaries from the Cairo governate from May 2019 to May 2020. We used a validated World Health Organization TB patient-cost tool to collect data on patients' demographic information, household income, and direct and indirect expense of seeking TB treatment. We considered catastrophic TB costs to be total costs exceeding 20% of the household's annual income. Results: Of the patients, 33% experienced catastrophic costs. The highest proportion of the total came in the pre-treatment stage. Being the main breadwinner, experiencing job loss, selling property, and the occurrence of early coronavirus disease 2019 lockdown were independent determinants of the incidence of catastrophic costs. Borrowing money and selling property were the most-often reported coping strategies adopted. Conclusion: Despite the availability of free TB care under the Egyptian National TB Program, nearly a third of the TB patients incurred catastrophic costs. Job loss and being the main breadwinner were among the significant predictors of catastrophic costs. Social protection mechanisms, including cash assistance and insurance coverage, are necessary to achieve the goal of the End TB Strategy.

「전간기 영국의 전략 우선순위 논의와 영국해군의 대응, 1919-1939」 (Discussion on the Strategic Priorities and Navy's Coping in the Interwar Period Britain, 1919?1939)

  • 전윤재
    • Strategy21
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    • 통권32호
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    • pp.123-159
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    • 2013
  • The purpose of this research paper is to re-valuate the factors that affected the Royal Navy's rearmament and preparation for war by conducting analysis on the discussion held in the Britain on the strategic priorities and Navy's coping measures adopted during the interwar period. After the end of the WWI, each of the military arms of the Britain faced significant difficulty in securing budget and increasing their military power all throughout the interwar period, and the Navy was not an exception. The WWII that got started on September 1939 was the turning point in which this difficulty led to full-fledged crisis. Immensely many criticisms followed after the war and problems were identified when it comes to the Royal Navy's performance during the war. This type of effort to identify problem led to the attempt to analyze whether Royal Navy's preparation for war and rearmament policy during interwar period were adequate, and to identify the root causes of failure. Existing studies sought to find the root cause of failed rearmament from external factors such as the deterioration of the Britain itself or pressure from the Treasury Department to cut the budget for national defense, or sought to detect problems from the development of wrong strategies by the Navy. However, Royal Navy's failed preparation for the war during interwar period is not the result of one or two separate factors. Instead, it resulted due to the diverse factors and situations that the Britain was facing at the time, and due to intricate and complex interaction of these factors. Meanwhile, this research paper focused on the context characterized by 'strategic selection and setting up of priorities' among the various factors to conduct analysis on the Navy's rearmament by linking it with the discussion held at the time on setting up strategic priorities, and sought to demonstrate that the Navy Department's inadequate counter-measures developed during this process waned Royal Navy's position. After the end of WWI, each of the military arms continued to compete for the limited resources and budget all throughout the interwar period, and this type of competition amidst the situation in which the economic situation of Britain was still unstable, made prioritization when it comes to the allocation of resources and setting up of the priorities when it comes to the military power build-up, inevitable. Amidst this situation, the RAF was able to secure resources first and foremost, encouraged by the conviction of some politicians who were affected by the 'theory of aerial threat' and who believed that curtailing potential attack with the Air Force would be means to secure national security at comparatively lower cost. In response, Navy successfully defended the need for the existence of Navy despite the advancement of the aerial power, by emphasizing that the Britain's livelihood depends on trade and on the maintenance of maritime traffic. Despite this counter-measuring logic, however, Navy's role was still limited to the defense of overseas territory and to the fleet run-off instead of sea traffic route production when it comes to the specific power build-up plan, and did not understand the situation in which financial and economic factors gained greater importance when it comes to the setting up of strategic priorities. As a result, Navy's plan to build its powers was met with continual resistance of the Treasury Department, and lost the opportunity to re-gain the status of 'senior service' that it had enjoyed in the past during the competition for strategic prioritization. Given that the strategic and economic situation that Korea faces today is not very different from that of the Britain during the interwar period, our Navy too should leverage the lessons learned from the Royal Navy to make the effort to secure viable position when it comes to the setting of priorities in case of national defense strategy by presenting the basis on why maritime coping should be prioritized among the numerous other threats, and by developing the measures for securing the powers needed effectively amidst the limited resources.

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간호사의 간호관련법에 대한 지식$\cdot$태도 및 간호사고에 대한 원인$\cdot$대처양상에 관한 연구 (A Study of Nurses' Knowledge, Attitude on the Nurses' Law and Nurses' Perception on the Causes, Coping Patterns with the Nursing Accidents)

  • 문희자;이미애
    • 한국보건간호학회지
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    • 제13권1호
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    • pp.41-62
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    • 1999
  • Recently the request of the patients to participate in the medical courses has been expanding due to elevated sense of right on the people's health. merchandised medical treatment by mass supply, human right declaration of the patients, generalized medical informations by the mass media and the change of human relation between the medical personnels and the patients. Under these phenomena the accident by the nurses have been increasing by the area of the nurses having been expanded and their independent roles having been increased. Such nursing accidents are the important subject which the professional occupation of the nurses has been facing but legal protective capability of the nurses has been very weak. Therefore this study has examined the degree of the experience of the nursing accident that happens in the clinical nursing scenes in the general hospital to provide the basic materials for the protection and the counter measures of the nursing accidents. The following is the conclusion based by the above examination. 1) The general characters of the subjects of this study is that they are mostly single in their twenties and graduate from nursing college. Their total clinical career is above 5 years$(44.8\%)$ and their current clinical parts' career is between 1-3 years$(40.1\%)$. So these facts suggest that most hospitals has taken the working rotation policy on nurses. 2) The level of nurses' knowledge on the nursing law is accurate partially but isn't it patially. So it is suggested that nurses need the accurate information and education about the nursing law. But the nurses' attitude is very approved of the establishment of a unilateral nursing law. 3) The relation between the demographic characters of the subjects and their attitudes on the nursing law shows that there is no significant differences except the relation between the attitude 6(the sufficient level of education on nursing law in formal education course) and age. total clinical career. 4) The perception of the nurses shows that the cause of the nursing accident has been due to the heavy work$(78.2\%)$. short of professional knowledge and skill$(60.2\%)$, discordance with Doctors. patients and patients' families. They report the accident to the head nurse first$(81.8\%)$ and within 30 minute$(75.1\%)$. The hour of nursing accident frequently happened is regardless of service hour with $49.4\%$ in response rate. the highest rate. and the nursing accident happens in the night more than the daytime. Even though most nurses think that they are themselves responsible for nursing accident. it is found that the chief cause of the nursing accident is due to the nurses' heavy work$(78.2\%)$. So the causes of nursing accidents is analysed. it may be suggested that the endeavor of hospital and nursing organizations to decrease nursing accidents is very important. 5) The coping patterns of patients with nursing accidents are mostly active attitude such as a violent words$(69\%)$. sue or accusation$(36.4\%)$, monetary compensation $(35.6\%)$ except a understanding cases$(38.7\%)$. But the coping patterns of hospitals with nursing accidents are mostly to investigate the accurate cause.

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독거노인생활관리사의 외상 후 스트레스 관리 실태와 개선 방안: 서울 지역 종사자를 중심으로 (The Status of Managing Posttraumatic Stress in Life Managers for Elderly People Living Alone and Measures for its Improvement: Focusing on Employees in Seoul)

  • 김근홍;양재석;이경진;김정연
    • 한국노년학
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    • 제37권2호
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    • pp.293-308
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    • 2017
  • 돌봄 서비스를 수행하는 독거노인생활관리사는 사회안전망 서비스 구축에서 매우 중요한 역할을 감당하고 있다. 그러나 독거노인생활관리사들이 독거노인들을 관리하면서 나타나는 역할갈등이나 그들의 욕구와 불만들을 직접적으로 받아들이고 해결하는 상황에서 받고 있는 외상 후 스트레스나 압박감이 높다는 실천 현장의 목소리가 많다. 따라서 독거노인 돌봄 서비스의 성공적 정착을 위해서라도 독거노인생활관리사의 심리적 소진에 대한 개입 필요성 연구는 중요할 수밖에 없다. 이에 본 연구에서는 서울 지역 독거노인생활관리사를 대상으로 외상 경험 및 외상 후 스트레스에 대한 장애현황 실태를 파악하여 이를 바탕으로 개선 방안을 마련하는데 목적을 두고 있다. 연구방법은 서울 지역 독거노인생활관리사를 대상으로 외상경험 여부, 외상경험 유형, 외상 후 스트레스 진단, 외상경험에 대한 대처 실태 등을 자기기입식 설문조사 방식으로 진행하였다. 연구결과 응답자 중 186명 (37.57%)이 부분 혹은 완전 외상 후 스트레스 증상을 갖고 있는 것으로 조사되었다. 그럼에도 이에 대한 대처 실태는 매우 열악한 것으로 나타났다. 이에 다음과 같이 몇 가지 의미 있는 대안들을 제시하였다. 첫째, 외상 후 스트레스 장애를 갖고 있는 독거노인생활관리사를 발견하고 이들을 지속적으로 관리할 수 있는 시스템을 마련하여야 한다. 둘째, 외상 경험 및 외상 후 스트레스 관리에 대한 교육을 활성화해야 한다. 셋째, 외상 경험을 하였거나 외상 후 스트레스 장애군으로 진단을 받은 독거노인생활관리사를 위한 지원 체계 구축이 시급하다. 넷째, 전문적인 지식과 기술을 가진 전문가 양성 및 배치가 필요하다. 다섯째, 의료기관과의 네트워크를 구축하여 신속한 진단과 전문적인 치료를 받을 수 있도록 해야 한다.

Working in a Risky Environment: Coping and Risk Handling Strategies Among Small-scale Miners in Ghana

  • Wireko-Gyebi, Rejoice Selorm;Arhin, Albert Abraham;Braimah, Imoro;King, Rudith Sylvana;Lykke, Anne Mette
    • Safety and Health at Work
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    • 제13권2호
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    • pp.163-169
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    • 2022
  • Background: It is estimated that about 13 million artisanal and small-scale miners carry out their activities under harsh, precarious, unfriendly, and risky conditions. Yet, our understanding of the extent to which these workers use personal protective equipment (PPE) and navigate through the various risks and hazards they face is still limited. This article has two main objectives. First, it explores the extent of usage of PPE among artisanal and small-scale miners for the prevention of hazards and risks. Second, it examines the coping strategies used by these miners as a response to experiences of occupational injuries and risks Methods: A cross-sectional survey of small-scale miners was conducted in six communities across three districts in Ghana, West Africa. The mixed methods approach was adopted. A total of 148 small-scale miners participated in the study. Six focus group discussions (FGDs) were held across the six communities. The data were analysed using descriptive statistics. Chi-square tests were used to analyse the relationship between some socio-demographic characteristics (sex, age, and educational background) and the usage of PPE. Open-ended questions and responses from FGDs were analysed based on the content and verbatim quotations from miners. Results: Findings suggest that 78% of the miners interviewed do not use the appropriate PPE citing reasons such as cost, and their personal discomfort associated with use of PPE. There was no significant relationship between socio-demographic characteristics (i.e., sex, age, education and major mining activity) and the usage of PPE. The study further revealed four main coping strategies used by miners to handle the risks. These are rest, taking unprescribed medication and hard drugs, registration with health insurance scheme and savings and investments. Conclusion: This study shows that very few artisanal miners use PPE despite the significant hazards and risks to which they are exposed. The study recommends to the government to put in place measures to ensure that miners adhere to health and safety regulations before undertaking mining activities. This means that health and safety plans and use of PPE should be linked to the license acquisition process for miners.

생식기 기형을 가진 영유아와 모의 심리 사회적 특성 (Psychosocial Characteristics of Infants with Genital Anomalies and Their Caregivers)

  • 이지연;정경미;한상원;조상희;정현진;임영재
    • 한국심리학회지ㆍ건강
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    • 제16권1호
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    • pp.169-187
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    • 2011
  • 본 연구의 목적은 생식기 기형의 대표적인 하위유형인 요도하열과 잠복고환 영유아와 양육자의 심리 사회적 특성을 탐색하는 것이다. 생후 6~38개월 요도하열(103명), 잠복고환(48명)을 대상으로 생식기 기형과 관련한 걱정과 사건 충격, 수치심을 탐색하였다. 이들을 정상통제군(131명) 양육자와 비교하여 영아의 기질과 양육자의 정신 건강, 양육자의 사회적 지지와 결혼 만족도, 양육 스트레스와 대처기제를 비교하였다. 결과, 요도하열군 모는 '배뇨와 신체기능'과 '출산 능력'을, 잠복고환 모는 '마취에 대한 부담'과 '출산 능력'을 가장 걱정하였다. 또 요도하열 모는 임상수준의 심리적 충격을 보고하였다. 정상군과의 비교에서, 요도하열 영아는 정상영아에 비해 부정적 정서가 높았고, 잠복고환 영아는 주의 전환성이 유의하게 낮았으며, 요도하열과 잠복고환 모는 정상군모보다 대인 예민성이 낮았다. 사회적 지지에서 세 집단 간 차이는 없었으나, 잠복고환 모는 정상군 모에 비해 원가족과의 갈등이 적다고 보고하였다. 요도하열과 잠복고환 모는 정상군 모보다 양육 스트레스 중 부모의 고통은 낮았고, 대처 전략을 많이 사용하였다. 양육 스트레스 총점이나 까다로운 자녀, 역기능적 상호작용에서는 집단 간 차이는 나타나지 않았다. 결과에 대해 임상적 함의와 연구적 함의를 논의하였다.