• 제목/요약/키워드: distressed

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포괄적 부부상호작용 코딩시스템(MICS-G) 국내 타당화 연구 (The Marital Interaction Coding System-Global(MICS-G): A Validation Study)

  • 박우철
    • Human Ecology Research
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    • 제57권1호
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    • pp.109-125
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    • 2019
  • Few studies have utilized observational methods in the field of couple research even though using self-report questionnaires is prone to the subjective biases of the reporter. This study validates the Marital Interaction Coding System-Global (MICS-G), a global version of the well-established microanalytic observational coding system, Marital Interaction Coding System (MICS). Participants in the study consisted of 30 married couples with varied levels of marital adjustment who visited one of the Healthy Family and Multicultural Family Support Centers in Seoul, either for couple therapy or the "Marriage Checkup"program. Ten-minute problem-solving discussions were rated by two undergraduate student raters who were trained for 10 hours. Interobserver agreement based on percentage agreement and intraclass correlation coefficients showed a high level of agreement between raters in establishing interrater reliability. Convergent validity was established by: correlations among marital adjustment, psychological aggression, mental health, and MICS-G categories of conflicts, validation, invalidation, facilitation, and withdrawal. MICS-G categories also were successful in discriminating between distressed and nondistressed couples, which provides evidence of discriminant validity for MICS-G. This study showed that MICS-G is a promising method for researchers to observe couple interactions in a more cost-effective way. Methodological issues and practical applications are also discussed.

Myths and truths about pediatric psychogenic nonepileptic seizures

  • Yeom, Jung Sook;Bernard, Heather;Koh, Sookyong
    • Clinical and Experimental Pediatrics
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    • 제64권6호
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    • pp.251-259
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    • 2021
  • Psychogenic nonepileptic seizures (PNES) is a neuropsychiatric condition that causes a transient alteration of consciousness and loss of self-control. PNES, which occur in vulnerable individuals who often have experienced trauma and are precipitated by overwhelming circumstances, are a body's expression of a distressed mind, a cry for help. PNES are misunderstood, mistreated, under-recognized, and underdiagnosed. The mind-body dichotomy, an artificial divide between physical and mental health and brain disorders into neurology and psychiatry, contributes to undue delays in the diagnosis and treatment of PNES. One of the major barriers in the effective diagnosis and treatment of PNES is the dissonance caused by different illness perceptions between patients and providers. While patients are bewildered by their experiences of disabling attacks beyond their control or comprehension, providers consider PNES trivial because they are not epileptic seizures and are caused by psychological stress. The belief that patients with PNES are feigning or controlling their symptoms leads to negative attitudes of healthcare providers, which in turn lead to a failure to provide the support and respect that patients with PNES so desperately need and deserve. A biopsychosocial perspective and better understanding of the neurobiology of PNES may help bridge this great divide between brain and behavior and improve our interaction with patients, thereby improving prognosis. Knowledge of dysregulated stress hormones, autonomic nervous system dysfunction, and altered brain connectivity in PNES will better prepare providers to communicate with patients how intangible emotional stressors could cause tangible involuntary movements and altered awareness.

Effects of Physical Environment on Quality of Life among Residents with Dementia in Long-Term Care Facilities in Canada and Sweden: A longitudinal study in a large-scale institutional setting versus a small-scale homelike setting

  • Lee, Sook Young;Hung, Lillian;Chaudhury, Habib;Morelli, Agneta
    • Architectural research
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    • 제23권2호
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    • pp.19-28
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    • 2021
  • Reduction in competence makes older adults with dementia more sensitive to the influence of the physical environment. The aim of the longitudinal study was to examine whether residents with dementia in long-term facilities with variability in physical environmental characteristics in Vancouver (N= 11), Canada and Stockholm (N=13), Sweden had a difference in their quality of life (QoL). QoL was assessed using Dementia Care Mapping tool three times over one year for the reliability of data. The results of the study demonstrated that the residents with dementia living in a homelike and positive stimulating setting showed less withdrawn behaviors and a higher level of well-being compared to those in a large-scale institutional setting. This study also found that the residents living in a large-scale institutional environment spent more monotonous times than the other groups, which may be to provision of fewer structured activity programs or less social interaction with neighbors or staff members. Residents living in a large-scale institutional setting in Canada showed so far as five times more agitated/ distressed behaviors and twice more withdrawal compared to the ones living in a small-scale homelike setting in Sweden. The study supports that the large-scale institutional environment was considerably associated with levels of lower quality of life among the residents with dementia.

Competition Impacts on the Financial Distress of Firms in the Healthcare Sector in India

  • Venkata Mrudula, BHIMAVARAPU;Jagjeevan, KANOUJIYA;Vikas, TRIPATI;Pracheta, TEJASMAYEE;Rameesha, KALRA;Sanjeev, KADAM;Poornima, TAPAS;Shailesh, RASTOGI
    • The Journal of Asian Finance, Economics and Business
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    • 제10권2호
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    • pp.175-181
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    • 2023
  • Competition assures improved products and services to meet customers' needs. The soundness of a firm's financial health is crucial for the country's economic well-being. Distressed companies cause investor panic, which has a knock-on effect on the economy and leads to a deterioration in the image and value of the companies. This paper aims to empirically investigate the influence of competition on financial distress (FD) in the healthcare industry using the Altman Zscore values as the proxy for FD. This study uses secondary data from ten healthcare companies operating in India between 2016 and 2020. The study's findings indicate a significant negative relation with the exogenous variables of the study, implying that a higher level of competition enhances a firm's FD or adversely affects financial health. The main implication of the study is two-pronged. Firstly, the firms' managers and decision-makers need not worry about competition as a deterrent to stability. Secondly, the policymakers need not be concerned that high competition may lead to financial stress for the firms. Therefore, this paper concludes that competition is good for firms operating in India.

중년기 복합부위통증증후군 환자의 삶의 경험 (Lived Experience of Middle-Aged Patients with Complex Regional Pain Syndrome)

  • 서영숙;이선희
    • 대한간호학회지
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    • 제52권6호
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    • pp.598-607
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    • 2022
  • Purpose: This qualitative study aimed to explore the lived and true meaning of experiences of middle-aged patients with complex regional pain syndrome. Methods: The participants were 10 men and women aged 40 to 60 years who received outpatient treatment at a university hospital, could communicate, and agreed to participate in the study. Data were collected through individual interviews using open and semi-structured questions from September 2019 to July 2021 and were analyzed using the content analysis method suggested by Hsieh and Shannon (2005). Results: As a result of this study, 42 summarized semantic units related to life experience, 15 subthemes, and seven themes were derived. The seven themes were "pressed by severe pain," "frustrated because I cannot be part of the community," "distressed because people do not recognize my disease," "sad about conflicts with family," "unmotivated because of desperate life," "appreciating for support," and "putting oneself together and living daily life." Conclusion: The vivid experiences of the participants derived in this study are the basic data for developing treatment guidelines. In the future, we propose a study on life and family care experiences according to the developmental characteristics of the life cycle of patients with complex regional pain syndrome and develop and apply programs to support patients and their families.

다문화가정 주거 계획에 관한 연구 - 전주시 결혼이주여성의 주거실태 및 요구중심으로 - (Direction of Residential Planning for Multi-cultural Families - A Case of The Living Status And Needs of Married Female Immigrants in Jeonju City -)

  • 정화;이연숙;이홍성
    • 한국주거학회논문집
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    • 제23권3호
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    • pp.29-42
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    • 2012
  • It is common that most countries focus on the development of their capital cities. As a result, other areas do not develop as well as capital cities. Some areas even develop into a kind of distressed community. This leads to the outflow of population and also difficulties for remaining people in these areas. Under such social background, international marriages are on the increase in rural areas and small and medium-sized cities, causing many problems in connection with that. Many researches on multi-cultural families had been conducted recently, but most of them approached their studies from the viewpoint of social welfare. The physical, economical and cultural environments of multi-cultural families are closely connected to each other. Therefore it is necessary to study these families from a holistic point of view. Therefore the purpose of the research is to study the living conditions and the potential needs of married female immigrants in an in-depth and holistic way. The direction of residential planning for multi-families is also provided. To do that, there are three stages of the research which are theoretical review, preliminary survey and main survey. Methods of literature review, workshop, and questionnaire are used. Based on the results of the research, recommendations for the direction of multi-cultural families residential planning are provided. Physically, living-room, bedroom, kitchen and toilet should be adjusted based on their needs. Socially, the feelings of alienation and exclusion should be reduced for married female immigrants. Economically, it is necessary to find a way to make sure that the second generations of multi-cultural families do not inherit poverty from their parents. Culturally, it is important to consider the different needs of immigrants and to embrace their own culture.

미야자키 하야오 감독의 애니메이션 <센과 치히로의 행방불명>에 나타난 세계관 -인물과 사건에 관한 분석적 논의를 중심으로- (A View of the World Shown in the Miyazaki Hayao Director's Animation -Focus on Analytic Discussion about the Character and the Incident-)

  • 김종태
    • 한국콘텐츠학회논문지
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    • 제11권7호
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    • pp.110-120
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    • 2011
  • 본고는 <센과 치히로의 행방불명>에 나타난 세계관을 분석하는 것을 목적으로 하였다. 2장 '존재 왜곡을 치유하는 휴머니즘'에서는 존재의 원형을 회복시키는 데 기여하는 휴머니즘 사상을 논의하였다. 실명(失名) 위기를 맞은 치히로에 대한 하쿠의 사랑, 귀신 세계에 갇힌 엄마 아빠에 대한 치히로의 사랑, 용으로 변하여 고통스러워하는 하쿠에 대한 치히로의 신뢰 등에서 대가를 바라지 않는 휴머니즘을 읽을 수 있었다. 3장 '공생 공존을 지향하는 금욕주의'에서는 공동체 질서에 기여하는 금욕주의를 논의하였다. 돼지로 변한 치히로의 엄마 아빠의 모습, 직원들을 착취하는 유바바의 모습, 보이는 대로 먹어치우는 가오나시의 모습 등은 지나친 욕망의 폐해를 보여준다. 반대로 순진무구한 치히로, 소박한 제니바의 모습에서 금욕주의적 가능성을 읽을 수 있다. 4장 '근대 문명을 반성하는 생명사상'에서는 자본주의의 모순을 반성하는 생명 사상을 논의하였다. 오물신은 근대 문명에 대한 철저한 반성을 촉구하고 있다. 고향인 강을 떠나온 하쿠의 삶 역시 자연과 생명의 소중함을 일깨워준다.

Talc를 이용한 늑막유착술 후 발생한 급성 호흡곤란증후군 1례 (A Case of Acute Respiratory Distress Syndrome(ARDS) after Talc Pleurodesis)

  • 김기업;차건영;한상훈;윤여일;박성우;김도진;나문준;어수택;김용훈;박춘식
    • Tuberculosis and Respiratory Diseases
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    • 제51권3호
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    • pp.265-269
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    • 2001
  • 저자들은 악성 늑막삼출 환자에서 talc로 늑막유착술을 시행하여 급성 호흡곤란증후군을 보인 환자를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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종합대학교 건강증진센터 모형개발을 위한 기초조사 (A Descriptive Study on the Health Status of University Students and School Personnel for the Development of a University Health Promotion Center)

  • 이은주;김정희;여정희;박은옥
    • 지역사회간호학회지
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    • 제13권2호
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    • pp.306-320
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    • 2002
  • Purpose: The purpose of this study was to identify health problems and health behaviors of university students and school personnel based on the PRECEDE model, which will be used as basic data for developing a health promotion center. Method: Data were collected from a convenient sample of 878 university students and school personnel at C-university located in Jeju. The data were collected from May to June 2001 using a self report questionnaire. The data were analyzed using descriptive statistics. Result: 1. 17.2% of the school personnel and 36.7% of the university students reported that they were not satisfied with their life. 2. 44.0% of the school personnel and 42.1% of the university students described that they consider themselves healthy in terms of perceived health status. 3. The smoking and drinking rates of the school personnel were 30.4% and 78.5%. respectively. For university students, their smoking and drinking rates were 27.3% and 89.9%, respectively. 4. 91.3% of the school personnel and 88.8% of the university students responded that they were distressed. Conclusion: The findings of this study showed that the university students and school personnel had various types of health problems, and poor health behavior practices, despite their satisfaction for life. They were vulnerably exposed to unhealthy practices. Therefore, it is suggested that a health promotion program should be provided for university students and school personnel in order to help them maintain healthy lifestyles.

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RFID 기술을 활용한 해양인명구조 시스템 개발에 관한 연구 (A Study on the Development of an RFID System for Recreational Boating Safety)

  • 양동신;성철;최태성
    • 해양환경안전학회:학술대회논문집
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    • 해양환경안전학회 2006년도 추계학술발표회
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    • pp.119-123
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    • 2006
  • 해양레저사고가 발생한 경우 레저활동자의 신속 정확한 위치확인은 조난자의 생존과 직결되지만 기존의 위치확인 기술은 여러 가지 자연적, 기술적 제약이 있어 이를 대체할 수 있는 방법이 필요하다. 본 연구개발센터는 현재 여러 분야에서 널리 활용되고 있는 RFID 기술을 적용하여 해양레저활동자의 위치를 일정 범위 내에서 정확하게 확인할 수 있는 시스템을 개발하였다. 본 시스템은 조 난자의 라어프재킷에 부착된 태그, 안테나, 리더 및 미들웨어로 구성되었다. 수차례 실험을 통해 3.5km 범위 내에서 RFID의 정보를 96.7% 이상 수신할 수 있음을 확인하였다.

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