• Title/Summary/Keyword: intervention of state

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A Study on the Effect of Doula's Roles including Therapeutic Touch on Labor and Delivery Process (치료적 터치를 병용한 듀라 (Doula)의 역할이 분만 제 요인에 미치는 영향에 관한 연구)

  • Kim, Gum-Juing;Yoo, Eun-Kwang
    • Women's Health Nursing
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    • v.5 no.2
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    • pp.262-277
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    • 1999
  • The purpose of this study is to define the effects of the roles played by the Doulas : one group educated on the conventional Lamaze method known to have effects on birth pang during delivery process and the other group educated both on Lamaze and therapeutic touch. On the various factors of delivery, and thereby, provide for some basic data to develop an effective nursing intervention to relieve women of their birth pang. 136 mothers who were hospitalized in a general hospital from June 13, 1998 to May 13, 1998 to May 13, 1999 to deliver their first babies were sampled to be divided into control group, test group I and test group II and thus be subject to interviews and observations. As for the tool of study, melzack's(1975) 'pain scale', McCaffery's(1972) and Mcrachlan's(1974) 'pain expression scales' and Spielberger's (1975) 'anxiety scale' were used. The preparatory educational programs consisted of 5week Lamaze method and therapeutic touch. The research, design was quasi-experimental, non equivalent, posttest only control group design. The collected data were processed using the SPSS/PC statistics software for frequencies, means and one-way Anova as well as Tukey HSD and Scheffe test as post hoc for individual comparison. Moreover, chi-square test was used to test the differences between groups, while Pearson's correlation coefficients were analyzed to determine the correlations between anxiety and variables. The findings are as follows ; 1. The birth pain of the mothers delivering first babies scored in a subjective and objective pain scale; 1) There was a significant difference of subjective birth pain at 8~10cm opening of cervix between control group and two test groups. 2) There was no significant difference of objective birth pain as per opening of cervex among three groups in terms of sweating, facial movement, bodily posture and vocal changes. 2. There was no significant difference of trait anxiety among three groups. however, there was a significant difference of state anxiety during labor process between control group and two test groups. On the other hand, all the three groups showed a significantly lower level of anxiety during labor process than when they were carried to the hospital. 3. There was a significant difference of the time of total and first-stage labor among three groups, while there was a significant but small difference of the time elapsed from 8~10cm cervix open to the full among three groups. 4. Two test groups showed a higher frequency of natural deliveries than the control group. 5. Two test groups were subject to these drugs than the control group. In conclusion, it was found that the test group I and II showed a shorter delivery time than the control group, a higher frequency of natural delivery and a lesser use of anodyne or epidural. In particular, this study is significant to develop a nursing intervention service or a therapeutic touch which the nursing administrators can apply to their hospitals in marketing programs.

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Aged garlic extract enhances exercise-mediated improvement of metabolic parameters in high fat diet-induced obese rats

  • Seo, Dae Yun;Lee, SungRyul;Figueroa, Arturo;Kwak, Yi Sub;Kim, Nari;Rhee, Byoung Doo;Ko, Kyung Soo;Bang, Hyun Seok;Baek, Yeong Ho;Han, Jin
    • Nutrition Research and Practice
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    • v.6 no.6
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    • pp.513-519
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    • 2012
  • Aged garlic extract (AGE) is known to have a protective effect against immune system, endothelial function, oxidative stress and inflammation. We examined the effects of exercise with and without aged garlic extract administration on body weight, lipid profiles, inflammatory cytokines, and oxidative stress marker in high-fat diet (HFD)-induced obese rats. Forty-five Sprague-Dawley rats were fed either a HFD (HFD, n = 40) or a normal diet (ND, n = 5) for 6 weeks and thereafter randomized into ND (n = 5), HFD (n = 10), HFD with AGE (n = 10), HFD with Exercise (n = 10), or HFD with Exercise+AGE (n = 10) for 4 weeks. AGE groups were administered at a dose of 2.86 g/kg body weight, orally. Exercise consisted of running 15-60 min 5 days/week with gradually increasing intensity. AGE (P<0.01), Exercise, and Exercise+AGE (P<0.001) attenuated body weight gain and food efficiency ratio compared to HFD. Visceral fat and liver weight gain were attenuated (P<0.05) with all three interventions with a greater effect on visceral fat in the Exercise+AGE than AGE (P<0.001). In reducing visceral fat (P<0.001), epididymal fat (P<0.01) and liver weight (P<0.001), Exercise+AGE was effective, but exercise showed a stronger suppressive effect than AGE. Exercise+AGE showed further additive effects on reducing visceral fat and liver weight (P<0.001). AGE significantly attenuated the increase in total cholesterol and low-density lipoprotein-cholesterol compared with HFD (P<0.05). Exercise+AGE attenuated the increase in triglycerides compared with HFD (P<0.05). Exercise group significantly decrease in C-reactive protein (P<0.001). These results suggest that AGE supplementation and exercise alone have anti-obesity, cholesterol lowering, and anti-inflammatory effects, but the combined intervention is more effective in reducing weight gain and triglycerides levels than either intervention alone.

A Study on the Guard System in the Last Period of the Joseon Dynasty (구한말의 호위제도 고찰)

  • Lee, Sung-Jin
    • Korean Security Journal
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    • no.21
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    • pp.35-52
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    • 2009
  • The guard system in the last period of the Joseon Dynasty, established at the time of the struggle of invading world powers and the loss of the Dynasty rights, was strengthened to protect the Royal family and the Dynasty from the attacks of foreign powers. While investigating both the military system and the guard system from the beginning of King Gojong's direct royal governing to the time of Japanese annexation of Korea, we realize that the Joseon Dynasty not only lost the support of the public but also had little power to cope with the aggression of foreign countries. The reformation and strengthening by Daewongun, King Gojong's father, was made in preparation for King Gojong's direct royal rule. Nevertheless, the intervention of foreign countries in the domestic affairs of the Joseon Dynasty got worse. As opposed to their intervention, Queen Minbi had engaged in politics, which resulted in murderous attempts on her. The Joseon Dynasty had tried to reform and intensify the guard system. New names such as Muwiso, Chingunyeong, and Siwidai, had been given respectively. Such reformation and intensification had little effect because of two successive victories at the Sino-Japanese War and the Russo-Japanese War of Japan. Japan occupied the Joseon Dynasty by force after all. The guard system of Daehan-jeguk(the Empire of Korea) was eventually incapacitated; an army in the cause of justice was raised instead. However, The state of things and the guard system at that incapacitated period gives a good lesson for the establishment of a modern guard system at the present day.

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Exploring the causes and overcoming of low fertility in terms of family culture and value education (가족문화와 가치관 교육의 관점에서 본 저출산의 원인 및 극복 방안 탐색)

  • Jeon, Se Kyung
    • Journal of Korean Home Economics Education Association
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    • v.29 no.4
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    • pp.85-100
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    • 2017
  • The purpose of this study is to raise the importance of 'family culture and values' in the process of diagnosing and discussing the causes and measures of low fertility in Korean society. In addition, I sought to find the causes of over - fertilization and ways to cope with it in terms of educational approach to establishing family culture and values. Specifically, this study firstly reviews the causes of low fertility in Korea by examining the evaluation of low fertility policies, secondly, examines the actual conditions and changes in family culture and values related to low fertility, and third, In this paper, I examined the validity of educational intervention, the actual state of intervention, the contents of education in institutional education, the necessity and effect of education, the composition of educational content, and possible policies and arguments based on educational approach. The issue of low birth rate is a national social problem facing the Korean society in the modern age. Considering its causes and countermeasures at the same time, it is necessary to pay attention to the factors of family culture and values as well as economic factors. To further emphasize the educational approach to gender equality and family-friendly family culture and values.

THE PRELIMINARY STUDY ON THE DEVELOPMENT OF COGNITIVE-BEHAVIORAL GROUP THERAPY FOR SCHOOL BULLIED (집단 따돌림 피해학생을 대상으로 한 인지행동적 집단치료 개발을 위한 예비 연구)

  • Lee, Ju-Hyun;Shin, Jee-Yong;Yeon, Byeong-Kil;Han, Chang-Hwan
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.11 no.2
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    • pp.221-230
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    • 2000
  • Bullying is the intentional, unprovoked abuse of power by one or more children to inflict pain on or cause distress to another child on repeated occasions. Bullying can be considered to be a form of child abuse:peer abuse. Victims suffer adverse effects in the short and long term. If bullying is regarded as a form of abuse then professionals have a duty to detect it, take it seriously, and ensure that it is deal with to reduce the child's suffering and minimize the potential long term effects. This study is aimed preliminarily the development of cognitive behavioral group therapy for school bullied. 202 normal middle school freshman responded to self report scales- Offer's Self-Image Questionnaire-Revised, Children's Depression Inventory, Spielberger State/Trait Anxiety scale, and Defining Issues Test. The data were analyzed with Pearson's correlation to test the relationship among the above 4 variables. Self Image, depression, and anxiety were correlated strongly each other. But moral development was not correlated with self image, depression, and anxiety. Five school bullied students were referred by their teacher for school maladjustment. The author tried 12 sessions of Cognitive-Behavioral group therapy and assessed their behaviors pre- and post intervention by above 4 scales. There were no significant different intervention effects statistically. But It is meaningful that improvement of psychological mindedness in diary written by subject in treatment sessions

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The Effect of Aromatherapy on Depression and Anxiety of Chronic Hemodialysis Patients (아로마요법이 혈액투석환자의 불안과 우울에 미치는 효과)

  • Lee, Myung-Hwa;Koh, Kwang-Wook;Song, Myung-Sook;Woo, Kyung-Mi;Jo, Sun-Hwa
    • Journal of Korean Biological Nursing Science
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    • v.6 no.1
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    • pp.53-64
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    • 2004
  • Introduction : Chronic hemodialysis patients have been psychological problems because of being compelled to follow a dialysis schedule for a long period of time. Specifically, depression and anxiety are so frequently observed that psychological management is required for most hemodialysis patients. Fragrance has been known to have beneficial psychological and physiological effects on human. This study was designed to investigate the psychological effect of aromatherapy on chronic hemodialysis patients. Methods : 40 subjects of this study selected from Je Young-Sung Internal Medicine Clinic in Busan. The experimental group were random assigned to 20 subjects who had visited on Monday, & Wendesday & Friday and received aromatherapy every day for 2 weeks. the control group were random assigned to 20 subjects who had visited on Tuesday & Thursday & Saturday and did not receive any intervention. Experiment had been conducted from July. 7th July 21, 2003 and anxiety by Spilberger's state anxiety scale and depression by Zung's Scale were measured in the course of aromatherapy for both experimental group and control group. A control period consisting of natural hospital smells was established before each test session, and then aromatic test conditions were systematically evaluated for odorless conditions as well as aromatic conditions containing 100% lavender necklace for 2 weeks. Data were analyzed by, frequency, percentage, mean, S.D. $x^2$- test, t-test. Results:1) Anxiety scores were not significantly decreased in the experimental group($54.57{\pm}13.20$) after treatment compared to the control group($49.45{\pm}12.41$)(t=1.225, p=.228). 2) Depression scores were significantly decreased in the experimental group($43.95{\pm}5.63$) after treatment compared to the control group($49.65{\pm}9.84$)(t=-2.367, p=.023). Conclusions : These findings indicate that the aromatherapy may decreased depression. It is suggested that the aromatherapy could be an effective nursing intervention to reduce to depression by chronic hemodialysis patients.

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Retrospective Study of Patent Ductus Arteriosus in 37 Dogs: Clinical Presentations and Interventional Therapy (37마리 개의 동맥관 개존증의 임상소견과 비외과적 치료의 회고연구)

  • Park, Jong-In;Choi, Ran;Lee, Seung-Gon;Hyun, Changbaig
    • Journal of Veterinary Clinics
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    • v.30 no.2
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    • pp.87-94
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    • 2013
  • This retrospective study reviewed the clinical and diagnostic features, therapeutic outcome and compilations of interventional ductal occlusion in 37 dogs with patent ductus arteriosus (PDA). Malteses and female dogs were over-presented. Bounding pulse and left basal continuous murmur were most common findings in physical examination, while the differential cyanosis was rarely observed. Left ventricular (LV) enlargement patterns and sinus tachycardia were common in the ECG. Typical radiographic findings included LV elongation and triple bumps indicating left atrial (LA), aortic and pulmonary dilation. Echocardiographic features were typical shunt flow at the ductus arteriosus and marked LV dilation with mild to moderate mitral regurgitation (MR). The 32 of 37 dogs were interventionally treated with either thromboemolic coils (TCE) or Amplatz canine ductal occluder (ACDO). Transient hemoglobinuria caused by incomplete closure was occurred in 2 dogs treated with TCE, although the hemoglobinuria was disappeared within a week of intervention. The dislodgement of occlusion device was occurred in 2 dogs with TCE and 1 dog with ACDO. However there were no significant complications associated with this dislodgement, since those were dislodged at the lower pulmonary vasculature. We also found that no serious complications and no further medical intervention in 29 dogs having long-term follow-ups.

ANGER, ANGER COPING AND STRESS RESPONSE IN DELINQUENT ADOLESCENTS RELEASED WITH WARNING BY POLICE - FOCUSED ON THE PARTICIPANTS OF THE INTERVENTION PROGRAMS - (훈방대상 비행청소년의 분노, 분노대처 및 스트레스반응 -비행예방프로그램 참가자를 중심으로-)

  • Park Sang-Kun;Lee Hoo-Kyeong;Yoon Sung-Chul;Ahn Hyun-Joo;Kim Sun-Jae;Bang Yang-Weon;Jang Hye-Jin
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.16 no.2
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    • pp.261-269
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    • 2005
  • Objects : We performed this study to investigate anger, anger coping, stress response, grade differences and gender differences in delinquent adolescents who were released with warning by police. Methods The subjects consisted of 285 delinquent adolescents who participated in the intervention program for preventing delinquency and 391 school students (male : 377, female : 299/middle school : 346, high school 330) in Seoul. STAXI-K and IES were used. Results : 1) The delinquent adolescent group had the higher scores of 'state anger', 'trait anger', 'total anger' than the student group. But the delinquent adolescent group had the lower scores of 'anger in', 'anger control' and 'stress response' than the student group. 2) The male delinquent adolescent group had the higher scores of 'anger control', 'stress response' than the female delinquent adolescent group. But there was no significant difference in anger. 3) The high school delinquent adolescent group had the higher scores of 'trait anger', 'anger control' than the middle school delinquent adolescent group. The high school adolescent group had the higher scores of 'stress response' than the middle school adolescent group. Conclusion : In anger, anger coping and stress response, the normal student group were different form the adolescent group who were released with warning by police committed. According to the grade and gender, differences were reported in this study. These characteristics can be more easily and more effectively applied to programs for the adolescent group who were released with warning by police committed.

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The Effects of Guided Imagery Activities Using Music on Mood States, and Physiological Responses of Psychiatric Inpatients (음악을 사용한 지시적 심상이 입원 정신질환자의 기분상태 및 생리적 변화에 미치는 영향)

  • Cho, Hyun-joo;Moon, Ji-young
    • 재활복지
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    • v.20 no.1
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    • pp.113-130
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    • 2016
  • The purpose of this study is to determine the effects of guided imagery activities using music on both mood states and physiological responses of psychiatric inpatients. The experimental group was consisted of 27 psychiatric patients participating in the guided imagery activities using music for 11 minutes. Also, the control group was formed with 27 psychiatric patients with non-musical intervention. Mood states, blood pressure, pulse and skin temperature were checked before and after session. We could see the significant difference in the score of five areas-tension, depression, anger, vigor, fatigue-showed most differences in score. Also, the score of skin temperature of both experimental group and between two groups showed significant differences, too. Therefore, we can conclude that these results were showing that guided imagery activities using music was an effective nursing intervention method for altering mood state of psychiatric patients. Besides, it seemed to have physiological impact to make patients relax tension backed up by change of skin temperature.

A Study on the Psychological Characteristics of Parents Affecting Mobile Dependence in School-Aged Children (학령기 아동 모바일 의존에 영향을 미치는 부모의 심리적 특성 연구)

  • Hyewon Kim;Hyerin Kim;Seohyun Lee;Saerom Lee
    • Knowledge Management Research
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    • v.25 no.3
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    • pp.301-323
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    • 2024
  • This study aims to investigate the factors that may influence mobile dependence among school-aged children (7-9 years old), a growing social issue. Understanding the causes of mobile dependence is crucial as it can significantly impact school adaptation among these children. Given that children in this age group are greatly influenced not only by their individual characteristics but also by environmental factors, particularly parental influence, this research focuses on examining the psychological state of parents (e.g., parental stress, depression), parental ambivalence towards mobile use, and parental intervention in mobile use. The study was conducted through surveys at two different points in time. The results indicate that parental stress affects parental depression, ambivalence towards mobile use, parental intervention, and ultimately the mobile dependence of school-aged children, which in turn impacts their school adaptation. Through this study, we were able to verify the mechanisms by which parental stress and psychological attitudes toward mobile use influence mobile dependence and school adaptation in school-aged children.