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The Lived Experience of Children of Alcohol Dependent Fathers (알코올중독 아버지와 사는 자녀의 경험에 관한 연구)

  • Kim Myung Ah
    • 한국보건간호학회:학술대회논문집
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    • 2002.10a
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    • pp.224-227
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    • 2002
  • Alcoholism affects not only the individuals who depend on it, but also their families. Children who have an alcohol dependent parent have various problems and need help, but little attention has been given to them. Many references report only negative characteristics of these children. In order to help the children of alcohol dependent parents, health professionals need more information. A wholistic understanding and analysis of these children is needed as a basis for the development of suitable programs of help them. A phenomenological methodology was used to identify the experience of children whose fathers were addicted to alcohol. The findings portray the essence of the lived experience of children of alcohol dependent fathers. Nine adolescents participated in in-depth inverviews and observation with the researcher, done between October and December 2001. The data were recorded on audio tape and transcribed. Sampling was continued until the data were theorectically saturated. The Colaizzi's method was used for data analysis. The results of this study are as follows. Three themes and twenty six meanings were identified. The first theme is Living Alone: living abusively as partner to an alcohol dependent father, living dangerously like an explosive fury, living as an object that ha no self, living with rejection of fatherly being, living with felt responsibility but having no power to help mother who suffers patiently with pain and abuse, living along with no shoulder to lean on, and living with the prejudice of sex discrimination. The second theme is Paradoxical Coping in Life. The meanings are obsessive behavior as a way to control father's behavior, always on the defensive due to anxiety and tension, being afraid of life alone due to paranoid thoughts, contradictory expectation about father's drinking behavior due to life with chronic tension, stress becoming familiar and life being boring and tendious without stimulation, life that is fake and filled with misinterpretations about reality, affection sought from others due to loneliness, compensatory life within peer group, negative expectation about the future due to negative experiences, controling others to protect ego, denial of real emotion to protect self from hurt, life of regretting self, and strong need for approval from others. The third theme is sustaining life. The meanings are ambivalence between revenge on father and pity, struggle for desirable self against fear of gather-like image, understanding father through self reflection, hope to find fatherly being through father's recovery, being able to stand through emotional control and cognitive restructuring, nurturing the seed of hope for the future while in a situation of desperation. The contribution of this study is to give a wholistic understanding of the empirical reality of children of alcohol dependent parents and to develop substantive theory in nursing knowledge. In nursing practice, the results of this study can provide a foundation for the development of programs for children of alcohol dependent parents.

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The Effect of Servicescape of an Eco-friendly Restaurant on Customer Perceived Value, Attitude and Behavior Intention (친환경 레스토랑의 서비스스케이프가 소비자의 지각된 가치, 태도 및 행동의도에 미치는 영향)

  • Choi, Won-Sik;Lee, Soo-Bum
    • Culinary science and hospitality research
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    • v.18 no.5
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    • pp.45-62
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    • 2012
  • The purpose of this study is to secure the basic data for the physical environment of an eco-friendly restaurant by surveying and analyzing customer perceptions of the servicescape of an eco-friendly restaurant and to verify the organic causation of the servicescape of an eco-friendly restaurant and customer perceived value, attitude and behavior intention. The samples for empirical analysis were selected from the customers over 20 years who lives in Seoul and Kyung-gi suburbs have experienced visiting eco-friendly restaurant or green restaurant more than once a month. Total 300 copies of questionnaire were distributed for the survey from the second day to the fifteenth day of April for 14 days, and total 264 (88.0%) copies of survey questionnaire except for some questionnaires that had much strong lean tendency or the missing value was discovered. The research results are as follows; when a customer recognizes an eco-friendly restaurant favorably, he or she considers that servicescape plays an important role in deciding perceived value through tangible and intangible perceived values. Since, customer perceived value has a positive effect on attitude and behavior intention, the customer considers as affected on his/her behavior intention when satisfied with the eco-friendly restaurant, which is considered that positive customer attitude will have an effect on behavior intention. Thus, it is considered based on this in-depth analysis result that maintaining and providing servicescape of high standard in the manager's perspective will have a direct effect on ensuring tangible outcomes.

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Osteoporosis in Patients with Asthma-Chronic Obstructive Pulmonary Disease Overlap Syndrome

  • Oh, Jee Youn;Lee, Young Seok;Min, Kyung Hoon;Lee, Sung Yong;Shim, Jae Jeong;Kang, Kyung Ho;Hur, Gyu Young
    • Tuberculosis and Respiratory Diseases
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    • v.81 no.1
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    • pp.73-79
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    • 2018
  • Background: Osteoporosis is a common disease that occurs comorbidly in patients with chronic inflammatory airway diseases, including asthma, chronic obstructive pulmonary disease (COPD), and asthma-COPD overlap syndrome (ACOS). However, the prevalence of osteoporosis in patients with ACOS has not widely been evaluated. Therefore, we investigated the prevalence of osteoporosis and its relationship with the clinical parameters of patients with asthma, COPD, and ACOS. Methods: This was a retrospective, cross-sectional study. Bone mineral density (BMD), lung function tests, and disease status evaluations were conducted. Results: A total of 321 patients were enrolled: 138 with asthma, 46 with ACOS, and 137 with COPD. One hundred and ninety-three patients (60.1%) were diagnosed with osteoporosis (53.6% of asthma, 65.2% of ACOS, and 65.0% of COPD). Patients with ACOS showed a significantly lower BMD and T-score than did those with asthma. In addition to age, sex, and body mass index (BMI), which were previously reported to be associated with BMD, BMD also had a negative correlation with the diagnosis of ACOS, as compared to a diagnosis of asthma, after adjusting for age, sex, BMI, smoking, and inhaled corticosteroid use (p=0.001). Among those patients with COPD and ACOS, BMD was negatively associated with the COPD Assessment Test (CAT) after adjustment (p<0.001). Inhaled corticosteroid was not associated with the prevalence of osteoporosis and BMD. Conclusion: Patients with ACOS, particularly aged and lean women, should be more carefully monitored for osteoporosis as compared to patients with asthma.

Cooling and Antisolvent Crystallization of Potassium Bicarbonate in the Presence of Sterically Hindered Alkanolamines (입체 장애 알카놀아민 혼합 수용액에서 중탄산칼륨 결정의 냉각 반용매 결정화)

  • Jo, Chang Sin;Jung, Taesung;Yoon, Hyoung Chul;Kim, Jong-Nam;Rhee, Young Woo
    • Clean Technology
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    • v.20 no.4
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    • pp.383-389
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    • 2014
  • $CO_2$ absorption processes have a good potential for large scale capture of $CO_2$ but a large amount of absorbing solution has to be regenerated, undesirably increasing the consumption of energy such as sensible heat and latent heat of vaporization. In this study, a cooling crystallization process which would separate the $CO_2$-rich potassium bicarbonate crystals from $CO_2$-lean water was developed to reduce the energy penalty. Sterically hindered alkanolamine additives were used to enhance the $CO_2$ removal efficiency and their antisolvent effect on the crystallization was found in a continuous cooling crystallizer. The production yields of crystals were increased in the sequence of 2-amino-2-methyl-1-propanol (AMP) < 2-amino-2-methyl-1,3-propanediol (AMPD) < 2-amino-2-hydroxymethyl-1,3-propanediol (AHPD), which are related to the number of hydroxyl groups in the additive molecules. Using $^{13}carbon$ nuclear magnetic resonance, the additives favored the formation of bicarbonate ions by steric hindrance effect and increased the supersaturation of $KHCO_3$. It is shown that the additives increase the mean size of crystals and crystal growth rate by increasing supersaturation. The additives are promising for enhancing the $CO_2$ removal efficiency and reducing the regeneration energy cost of $CO_2$ absorbing solution by promoting $KHCO_3$ crystallization.

Change in Dietary Intake and Nutritional Status Using Mealworms as Hospital Meal in Postoperative Patie (갈색거저리를 이용한 식사 섭취에 따른 영양 섭취 및 영양상태 변화 : 수술 후 환자를 대상으로)

  • Kim, Seong Hyeon;Shon, Jin Young;Park, Jun Sung;Kim, Jong Won;Kang, Jung Hyun;Yun, Eun Young;Hwang, Jae Sam;Kim, Hyung Mi
    • Journal of the Korean Dietetic Association
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    • v.22 no.4
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    • pp.292-309
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    • 2016
  • The purpose of this study was to verify the validity of Mealworms as a hospital meal with increased nutrition density. We provided a meal for postoperative patients and conducted analysis of dietary intake and nutritional status of patients and assessment of acceptability of the meal. This study was carried out as a randomized control trial. Patients were supplied either a hospital meal using Mealworms (Experimental group) or a regular hospital meal (Control group). We investigated the administration amounts of parenteral nutrition (PN) and food intake of patients after surgery and measured anthropometry, body composition, and blood tests before surgery and at hospital discharge. We included 34 postoperative patients who were admitted to Gangnam Severance Hospital from March to September. In the groups of patients not supplied with PN, the experimental group ($964.68{\pm}284.6kcal$, $38.82{\pm}12.9g$) had significantly higher dietary calorie and protein intake than the control group ($666.62{\pm}153.7kcal$, $24.47{\pm}4.9g$)(P<0.05). Additionally in the group of patients not supplied with PN, the experimental group (1.37%) showed a significantly higher increase in fat free mass index than the control group (-3.46%)(P<0.05). In all subjects, calorie density and protein density were significantly higher in the experimental group (P<0.001), and acceptability of calorie (P=0.036) and protein (P=0.001) was also significantly higher in the experimental group. Therefore, the results of this study support the validity of the introduction of hospital meals using Mealworms.

Effect of 8 Weeks of Low Calorie Diet on Body Composition and Blood Parameters in the People with BMI Greater than $23\;kg/m^2$ (체질량지수 $23\;kg/m^2$ 이상 남녀에서 8 주간의 의학 영양 치료에 의한 저열량 식이 섭취가 체격지수 및 혈액학적 지표에 미치는 영향)

  • Kim, Yun-Young;Lee, In-Hoe;Lee, In-Seok;Choue, Ryo-Won
    • Journal of the East Asian Society of Dietary Life
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    • v.18 no.5
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    • pp.725-731
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    • 2008
  • The principal objective of this study was to assess the effects of low-calorie diets(LCD) for 8 weeks of medical nutrition therapy in individuals with BMI in excess of $23\;kg/m^2$. 41 over-weight or obese individuals (male=14, female=27, age $28.6{\pm}8.9\;yrs$), none of whom were diagnosed with a medical disease, were administered MNT 4 times over the study period. Approximately $1,100{\sim}1,300\;kcal/day$ were prescribed by a dietitian, via individualized counseling. Anthropometric parameters, daily nutrient intake, and blood levels of leptin, insulin, and lipid profiles were measured prior to and after the 8 weeks of the intervention period. We noted significant reductions in body weight, body mass index (BMI), fat mass (FM), visceral adipose tissue (VAT), abdominal skin-fold thickness, and waist circumference in both men and women. The mean body weight losses in men and women were $3.2{\pm}0.6\;kg$/8 weeks and $2.8{\pm}0.6\;kg$/8 weeks, respectively. However, the % of lean body mass (LBM) in men and women was shown to increase significantly (p<0.05). The daily intake of calorie, fat, protein, vitamin E, folate, and iron were significantly reduced during the LCD period. Blood levels of lipids and glucose were in normal range, and evidenced no changes after LCD. However, the serum levels of leptin in female subjects were significantly reduced (p<0.00l) from $8.9{\pm}4.8\;ng/mL$ to $6.9{\pm}4.8\;ng/mL$. In conclusion, 8 weeks of LCD with individualized counseling by a dietitian effectively reduced body fat and visceral fat in both men and women with BMI in excess of $23\;kg/m^2$.

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Effect of Injection Pressure and Injection Timing on Combustion Characteristics of Spray-Guided Direct-Injection Spark-Ignition Engine under Lean Stratified Combustion Operation (성층희박연소 운전조건에서 분사압과 분사시기에 따른 분무유도식 직접분사 가솔린엔진의 연소특성)

  • Oh, Hee-Chang;Lee, Min-Seok;Park, Jung-Seo;Bae, Choong-Sik
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.35 no.10
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    • pp.981-987
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    • 2011
  • In this study, single cylinder engine experiment was carried out to investigate combustion characteristics spray guided direct injection spark ignition engine. In the result of engine experiment, it was shown that flammable window of injection timing was existed. The combustion efficiency increased with retarding injection timing, reaching a peak value, subsequent to decrease again. These results were likely due to the effect of ambient pressure on stratified-premixed mixture preparation. 150 bar injection pressure condition and retarded injection timing from the best combustion efficiency injection timing showed the highest IMEP value due to the advanced combustion phase of the maximum combustion efficiency condition. HC emission showed same trend of combustion efficiency, and smoke emission was increased as injection timing was retarded due to the increased locally rich area in the high ambient pressure. NOx emission showed decreasing trend as injection timing was retarded. This is likely due to the maximum in-cylinder temperature was decreased with retarded combustion phase.

Numerical Study on the Flow and Combustion Characteristics in Swirl-Premix Burners (스월 예혼합 버너의 유동 및 연소특성에 관한 수치적 연구)

  • Lim, Jun-Seok;Lee, Jong-Hyeok;Baek, Gwang-Min;Cho, Ju-Hyeong;Kim, Han-Seok;Sohn, Chae-Hoon
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.36 no.1
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    • pp.103-110
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    • 2012
  • The flow field, fuel-air mixing, and behaviors of turbulent flames have been investigated using the large eddy simulation (LES) numerical technique in a premixed swirl combustor equipped with EV double cone burners. Recirculation zones are generated by the swirl burner, and lean premixed flames are formed within a distance of 0.2 m from the tip of the burner. NOx emission of 0.46 ppm is predicted at 1 atm and an air/fuel ratio of 38.7. However, most of the CO generated in a flame front continues to be oxidized as it moves toward the exit, and CO emission of 5.45 ppm is predicted at the exit. The NOx emission can be reduced by decreasing the pressure and air/fuel ratio. The characteristics of NOx emission have been investigated through RANS simulations for various fuel injection types, and it is found thereby that five-lance-hole injection produces the lowest NOx emission rate.

WBCEx1 Reduces Feeding Efficiency Ratio and Visceral Obesity in Obese Mice Induced by High Fat Diet (고지방식이 비만마우스에서 월비가출탕(越婢加朮湯)이 식이효율과 내장지방에 미치는 영향)

  • An, Jeong-Ran;Kang, Yeon-Kyeong;Chang, Dong-Ho;Lee, In-Seon;Shin, Soon-Shik;Jeong, Hae-Gyeong;Lee, Hee-Young;Lee, Hye-Rim
    • Journal of Korean Medicine Rehabilitation
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    • v.21 no.1
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    • pp.1-22
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    • 2011
  • Objectives : This study was undertaken to verify the effects of Wolbigachul-tang1(WBCEx1) on obesity using high fat diet-induced male mice and to investigate the molecular mechanisms involved. Methods : 8-week old C57BL/6 mice were divided into 5 groups; lean control, obese control, WBCEx1, 2, 3. After mice were treated with WBCEx1(water extract), 2(30% ethanol extract), 3(water extract; Ephedra sinica Stapf., Gypsum fibrosum) for 12 weeks, body weight gain, feeding efficiency ratio, plasma lipid and glucose metabolism, the messenger RNA(mRNA) expression of peroxisome proliferator activated receptor(PPAR)$\alpha$ target genes were measured. In addition, $PPAR{\alpha}$ target gene expression was examined in liver, white adipose tissue and skeletal muscle. Results : 1. WBCEx1-treated mice had significantly lower body weight gain and feeding efficiency ratio. 2. Consistent with the effects on body weight gain, WBCEx1 decreased the weights of epididymal and retroperitoneal white adipose tissue, inguinal subcutaneous adipose tissue, and brown adipose tissue. 3. WBCEx1 significantly decreased plasma triglyceride and total cholesterol levels. 4. The size of adipocytes were significantly decreased by WBCEx1, whereas the adipocyte number per unit area was increased. Hepatic lipid accumulation was decreased by WBCEx1. 5. WBCEx1 did not affect the mRNA expression of $PPAR{\alpha}$ target genes in liver, adipose tissue, and skeletal muscle. 6. Plasma asparate aminotransferase(AST), alanine aminotransferase(ALT), blood urea nitrogen(BUN) and creatine concentrations were in the physiological range. Liver and kidney weights were significantly lower following WBCEx treatment compared with obese controls, indicating that WBCEx does not show any toxic effects on liver and kidney. Conclusions : These results suggest that WBCEx1-induced body weight reduction is associated with appetite control and mediated by a mechanism other than the activation of $PPAR{\alpha}$.

Phenomenological Study on Husband's Role in Rural Multicultural Family (농촌 다문화가정 여성의 남편역할 인식과 경험에 대한 질적연구)

  • Cho, Hae Sun;Ryu, Jin A
    • Journal of Agricultural Extension & Community Development
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    • v.20 no.1
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    • pp.265-297
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    • 2013
  • This study performed quality study to examine cognition and experience as it is about husband role of wife's perception in rural multicultural family. Specifically the results of in-depth interviews with 13 females in rural multicultural family was analyzed through phenomenological method. The results were as followings: first, wife's cognition about husband role in rural multicultural family, they were 'nice and warm man', 'no special thought', 'clean and cool looking man', 'man without straitening wife', 'husband taking care of housekeeping', 'having independent family' and 'strong responsibility to children'. Females in rural multicultural family did not deeply think about husband's role at international marriage, but it could be known that vague longing for rich country, Korea by Korean wave and its expectation continued to expectation on husband. Second, they were 'good-tempered and nice to me', 'adjust to me', 'irresponsibility and apathy', 'cannot lean to him', 'no housekeeping', 'intermediate role between his family', 'more taking care of children, parents and relatives', 'drink, gambling and violence'. The experience of husband role was little different from cognition of husband role by females in rural mulitcultural family.