• Title/Summary/Keyword: perceived isolation

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A Trial for Development of Health Profile (KHP 1.0) to Measure the Self-Perceived Health Status of Korean (한국인의 자가평가 건강수준 측정도구(KHP 1.0) 개발)

  • Yang, Jin-Sun;Chun, Jin-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.36 no.1
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    • pp.11-23
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    • 2003
  • Objectives : The 1990s has seen advances in the conceptualization of self-perceived health status which has important roles for individual health and the quality of life. Many types of standardized questionnaires have been developed with the current wide use of SF-36, NHP, andEuroQol. However, the outcomes of these tools may be different with regard to regional, cultural and emotional backgrounds. The purpose of this study was to trial the development of a Korean Health Profile (KHP 1.0) to measure the self-perceived health stati of Koreans. Methods : The KHP 1.0 was designed on the basis of the Medical Outcome Study Form 36 (SF-36), the Nottingham Health Profile (NHP), and the EuroQOL. It was composed of 9 scales; physical functioning, role limitation-physical, pain, general health, energy, social isolation, sleep, role limitation-emotional, and e-motional health. Self-reported chronic disease conditions, and the Zung's Self-Rating Depression Scale (SDS), were also checked for the evaluation of clinical validity. This study was conducted, from December 2000 to January 2001, on 800 middle-aged parents, with four high school students, with 100 retest sets being conducted two weeks later. From the 800 subjects there were 588 complete responses (effective response 73.5%). The reliability of the test-retest results, and the factor analysis on the validity of the KHP 1.0 components, were evaluated using the SPSS (ver 10.0) software. Results : The reliability of the KHP 1.0 was good with Cronbach's alpha (>0.6), test-retest correlation coefficients (>0.5), but with no significant differences from the paired t-test. From the psychometric validity tests, the 9 scales of the KHP 1.0 were divided into two components; physical and mental, and trimmed to the established model with 55% of the total variance, with the exception of role limitation-emotional. The clinical validity on the basis of the comparison for the four characteristic groups; healthy, physical conditions only, mental conditions only, and physical and mental conditions were also good. Conclusions : The KHP 1.0 appears to be a valid measurement tool of self-perceived health stati of Koreans, although there are limitations, i.e. sample size was too small, a limited number of middle-aged subjects, and it was based on unconfirmed diagnoses, etc. Therefore, further study is required to standardize the assessment.

The Effect of Strong Syllables on Lexical Segmentation in English Continuous Speech by Korean Speakers (강음절이 한국어 화자의 영어 연속 음성의 어휘 분절에 미치는 영향)

  • Kim, Sunmi;Nam, Kichun
    • Phonetics and Speech Sciences
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    • v.5 no.2
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    • pp.43-51
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    • 2013
  • English native listeners have a tendency to treat strong syllables in a speech stream as the potential initial syllables of new words, since the majority of lexical words in English have a word-initial stress. The current study investigates whether Korean (L1) - English (L2) late bilinguals perceive strong syllables in English continuous speech as word onsets, as English native listeners do. In Experiment 1, word-spotting was slower when the word-initial syllable was strong, indicating that Korean listeners do not perceive strong syllables as word onsets. Experiment 2 was conducted in order to avoid any possibilities that the results of Experiment 1 may be due to the strong-initial targets themselves used in Experiment 1 being slower to recognize than the weak-initial targets. We employed the gating paradigm in Experiment 2, and measured the Isolation Point (IP, the point at which participants correctly identify a word without subsequently changing their minds) and the Recognition Point (RP, the point at which participants correctly identify the target with 85% or greater confidence) for the targets excised from the non-words in the two conditions of Experiment 1. Both the mean IPs and the mean RPs were significantly earlier for the strong-initial targets, which means that the results of Experiment 1 reflect the difficulty of segmentation when the initial syllable of words was strong. These results are consistent with Kim & Nam (2011), indicating that strong syllables are not perceived as word onsets for Korean listeners and interfere with lexical segmentation in English running speech.

An Application Effect of Rhythmic Movement Program for the Health Promotion in the Elderly (노인의 건강증진을 위한 율동적 운동프로그램의 적용효과)

  • 이숙자
    • Journal of Korean Academy of Nursing
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    • v.30 no.3
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    • pp.776-790
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    • 2000
  • Every year the number of the elderly increases in Korea thanks to the improvemen of social and economical levels and the development of medicine. However, many problems such as insufficent care and the isolation of the elderly have been commonplace. This trend exists not only because of increased lifespan but also the changing social structure of the nuclear family. Accordingly, inspite of the development of medicine, geriatric diseases including circulatory diseases are increasing in proportion of elderly population, as well as the severity. Therefore, it is important to emphasize that health care programs provide the best possible health care and functional capacities in terms of healthy elderly lifestyles. Especially, the phenomena of aging and geriatric diseases taking place with the elderly naturally are affected by lifestyle and the drastic changes in exercise patterns. This study aims to improve geriatric health by introducing a rhythmic movement program for the elderly to estabilish a health-promoting self-care system and by developing quality of life, perceived health status, their physical and physiological functions and emotional state. The theoretical framework used in this dissertation is derived from the Health-Promoting Self-Care System Model (Simmons, 1990), which integrates the Self-Care Deficit Nursing Theory (Orem, 1985), the interaction model of Client Health Behavior (Cox, 1982) and the Health Promotion Model (Pender, 1987). As a quasi-experimental design, the nonequivalent control group pretest-posttest design is utilized for this study. The subjects of this study consist of 64 people, over 65 years old who live in 2 nursing homes for the aged located in S city , Kyong-gi province and volunteered for this study from July, 12, 1999 to September, 17, 1999. They are divided into two groups:33 in the experimental group and 31 in the control group. The experimental group particpated in the Rhythmic Movement Program at the nursing home, which was comprised of 45 minutes a session, 5 sessions a week during 9 weeks. In order to measure the results of the Rhythmic Movement Program, aspects of perceived health status, balance, flexibility, grip strength, leg strength, heart rate, blood pressure, depression, anxiety and the quality of life were measured before and after participating in the Rhythimic Movement Program for the experimental group after 9 weeks, as well as the control group. The collected data were processed by SPSS PC+ and analyzed by the X2 test, t-test, ANCOVA and the Pearson Correlation Coefficient. The results of this study are as follows: 1. The perceived health status conditions in the experimental group show statistically significant improvement when compared to the control group (F=17.51, p=.000). 2. The physical and physiological functions, that is, balance (F=17.51, p=.000), flexibility (F=8.01, p=.006), grip strength (F=3.21, p=.018) and leg strength (F=25.78, p=.000) in the experimental group are higher than the control group. The vital signs, that is, the number of heart rate (F=.022, p=.884), systolic pressure (F=1.73 p=.193), and diastolic pressure (F=2.74, p=.103) in the experimental group compared to the control group decreased, but doesn't show statistically significant differences. Immune responses (F=5.13, p=.003) showed statistically significant increases in the experimental group when compared to the control group. 3. The emotional state are improved, that is, degree of depression (F=11.56, p=.001) and degree of anxiety (F=9.14, p=.004) in the experimental group showed statistically significant decreases. 4. The quality of life in the experimental group (F=3.03, p=.037) showed statistically significant differences compared to the control group. 5. The observations of the relationships among the perceived health status, emotional state , the quality of life, the relationships between the perceived health status, the degree of depression (r=-.653, p=.000) and the degree of anxiety (r=-.786, p=.000) were in contrary propotions, while the relationships between the perceived health status and the quality of life (r=.234, p=.008) were in direct propotion. In conclusion, the Rhythmic Movement Program used in this study for geriatric nursing care is simple and safe for application to the elderly and shows significant effects by implementing 5 sessions a week for 9 weeks. The Rhythmic Movement Program improves the quality of life, maintains as well as improves the physical and physiological fuctions and emotional state, therefore this program is strongly recommended for positive applications for independant geriatric nursing health care.

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Social Worker's Perceptions and Working Experiences of Older Adults Who Live Alone in Severe Social Isolation Based on the Case of 「Making Friends of Older Adults who Live Alone」 (「독거노인 친구만들기」를 통해 살펴본 '숨겨진 이웃', 사회적 고립이 심각한 노인 1인 가구에 대한 사회복지사의 인식과 경험에 관한 연구)

  • Kim, Yujin
    • 한국노년학
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    • v.38 no.4
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    • pp.1149-1171
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    • 2018
  • The purpose of this study is to increase understanding of the social intervention for severely isolated older adults who live alone and are in serious isolation as if they were 'hidden'. Through qualitative descriptive methods, it intends to describe how social workers in the "Making Friends of Older Adults who Live Alone" project have perceived older adults living alone in serious isolated situation, whether there have been changes in the perception of the elderly according to the progress of the project, and what kinds of experiences these social workers have had while providing case management to older adults. In-depth interviews with 40 social workers, case management records of 70 senior citizens, and research journals were collected and analyzed using qualitative content analysis methods. The results of data analysis were presented in two categories and four subcategories each. Based on the research findings, four kinds of implications were suggested.

Resilience and Mental Health among Migrant Workers in Busan, Korea (이주노동자의 레질리언스와 정신건강)

  • Im, Hyuk;Lee, Hyo Young
    • Korean Journal of Health Education and Promotion
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    • v.29 no.5
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    • pp.13-26
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    • 2012
  • Objectives: The purpose of this study was to identify the relationship between resilience of migrant workers and their mental health for improving their quality of life and adaptation in Korean society. Methods: Data were collected from March 21 to May 7, 2011. The participants included 488 migrant workers who lived in Busan Metropolitan City or Gyoungnam province. Results: First, heavy working burdens and lack of rests, low wages, poor living environments, low economic status & deficiency of living necessities, hard physical labors, and conflicts with Korean workers had negative effects on mental health. Second, high perceived stress caused by usual 'living difficulties', high 'cutural shock', high feeling of 'social isolation', and high discomfort from 'lack of Korean language proficiency' gave negative effects on migrant worker's mental health. Third, the most important factor on the mental health was the 'cultural shock' among stressors. Even though many stressors existed among migrant workers, these negative effects on mental health were lessened by their high resilience level. Conclusions: This study highlights the importance of migrant workers in Busan, Korea. To improve their mental health, social support including financial supports and educational programs that foster resilience needed.

Critical Care Nurses' Perception of Life-sustaining Treatment at End of Life: A Content Analysis (생애 말 연명의료에 대한 중환자실 간호사의 인식: 내용 분석 연구)

  • Koh, Chin-Kang;Ko, Chung Mee;Park, Hyeyoung
    • Journal of Korean Critical Care Nursing
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    • v.10 no.1
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    • pp.41-50
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    • 2017
  • Purpose: The purpose of this study was to describe what critical care nurses perceived about life-sustaining treatment at end of life. Methods: A qualitative content analysis method was utilized. The unit of analysis was interview text obtained from fifty critical care nurses of a general hospital. Results: Seven categories in two content areas were abstracted. In the negative perception area, the following five categories were abstracted: patients' suffering, dying with damaged dignity, patients' isolation from family members, regret about choosing life-sustaining treatment, and family members' burden. In the positive perception area, the following two categories were abstracted: willingness to sustain life and duty as family members. Conclusions: Nurses have better competencies pertaining to understanding patients' responses and suffering than any other health care professions do. Nurses should play an important role in advocating for patients and their family in the process of end-of-life care decision making.

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The Family Characteristics Affecting the Socio-Cultural Adjustment of North Korean Defectors (가족특성에 따른 새터민의 사회문화적 적응)

  • Chin, Mee-Jung;Yi, Soon-Hyung
    • Journal of the Korean Home Economics Association
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    • v.45 no.5
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    • pp.63-74
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    • 2007
  • As the number of North Koreans defectors entering South Korea with their family members increases, it becomes more important to explore the family characteristics that facilitate their adjustment. The data used in the present study was collected from a survey of 195 North Korean defectors. The aim of this study was to investigates how the structural and relational aspects of family influence the socio-cultural adjustment of North Korean defectors. The structural characteristics of family life included whether or not the defectors exited with their family members, whether they were living with family members, and whether they were living with family members under the age of 18. The relational characteristics included family cohesion and adaptability. The study results showed that living with young family members was negatively associated with the social activity restriction problems commonly perceived by North Korean defectors. Family cohesion was also negatively associated with the social activity restriction problems and positively associated with the social isolation problems. The results of this study also showed that family adaptability was not significantly associated with any socio-cultural adjustment problems.

Sustainable Industrial Value Creation in SMEs: A Comparison between Industry 4.0 and Made in China 2025

  • Muller, Julian M.;Voigt, Kai-Ingo
    • International Journal of Precision Engineering and Manufacturing-Green Technology
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    • v.5 no.5
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    • pp.659-670
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    • 2018
  • The Industrial Internet of Things (IIoT) confronts industrial manufactures with economic, ecological, as well as social benefits and challenges, referring to the Triple Bottom Line of sustainability. So far, research has mainly investigated its dimensions in isolation or economic aspects have not been compared with ecological and social perspectives. Further, research misses studies that are devoted to the special characteristics and requirements of Small and Medium-sized Enterprises (SMEs). This study aims to contribute to close this research gap, providing a research context that encompasses all three dimensions of sustainability. The results are based on data obtained from 329 SMEs, 222 in Germany and 107 in China, therefore allowing for a comparison of the concepts "Industrie 4.0" and "Made in China 2025" in the context of SMEs. In general, German SMEs expect a lower impact through "Industrie 4.0", perceiving the concept as more beneficial for larger enterprises. We further find that Chinese SMEs foremost see social benefits. Challenges whilst introducing "Industrie 4.0"by German SMEs as well as several frame conditions are perceived more relevant than for "Made in China 2025", as seen by Chinese SMEs. The paper closes with implications for research and practice based on these findings.

Internet Users' Willingness to Expression and Perception of Public Opinion: The Comparison between Real Space and Cyber Space (인터넷 이용자의 여론 지각과 의견 표현: 현실공간과 사이버공간의 비교)

  • Han, Hye-Kyoung
    • Korean journal of communication and information
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    • v.23
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    • pp.189-221
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    • 2003
  • This study compares the influence of perceived public opinion on Internet users' willingness to expression in real space with in cyber space. In real space, people who perceive their opinions as minority opinion are reluctant to express theirs publicly because of fear of isolation. But cyber space is the anonymous world. So we can expect that people express their opinions freely without the fear of isolation in this space. This study's results provide the support for our expectation. In cyber space, the minority perception group has as the high willingness to expression of their opinion about the abrogation of the Korean Family Rights Raw as the majority perception group. Both of in cyber space and in real space, it is the perception failure group that makes discrepancy in the willingness to expression. This group has the lowest willingness to expression in both space. However, the other predictors of willingness to expression in cyber space are similar to those in real space. Issue salience, Communication apprehension, and Age are the very significant predictors of willingness to expression in both spaces. Sex and ideology are significant predictors in real space, while the frequency of online conversation is the significant predictor in cyber space.

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A Study on the Perceived Affordance of Kim, Ju-Tae House in Eum-Seong through Analysis of Visual Structure (시각구조분석에 의한 음성 김주태 가옥의 지각된 환경지원성에 관한 연구)

  • Hong, You-Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.4
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    • pp.420-425
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    • 2016
  • This study discusses the architectural space's phenomenology, focusing on the physical environment and psychological behavior. Kim, Ju-Tae House, which is divided by special relationship, was analyzed by method of constructing space, and behavioral meaning with the perspective of visual structure. Kim, Ju-Tae House was constructed in a clear way by reflecting the users social, and cultural relationship. It has a relational and independent territories by physically surrounding Chae and wall. Each independent limited space is suggesting the space being opened by accessing the space stage by stage. This method of constructing the space makes the user aware of the relative difference from the induced space experience, and recognize the incremental strong isolation. Between the yard, which is located in the center of the house, forms a three-dimensional layer between Sarangchae and Anchae, emphasizing the spacial depth. The physical space is relatively small but because of the environmental conditions, such as the positioning of the observer's perspective, short cycle reorientation, and overlapped layer, it is recognized as far or deep compared to the actual size. This is the relative method as a visual perspective that is intended, and is understood as an active element that induces the psychological attitude by the recognized environment affordability of the user.