The purpose of this study is to explore the concept spirituality and to gain understanding of nursing intervention that may improve spiritual well-being. The concept analysis framework developed by Walker and Avant (1995) was used to clarify the concept. In the study, 'Harmonious interconnectedness', 'Transcendence', 'Integrative Energy' and 'Purpose and Meaning in Life' emerged as the critical attributes of spirituality. The first attribute, 'harmonious Inter- connectedness', has three categories including intrapersonal, (self), interpersonal (others/ nature) and transpersonal (the Supreme Being). The second attribute, 'Transcendence', is defined as the ability to extend one's own self beyond the limits of usual experiences and to achieve new perspectives. This attribute is demonstrated by 'coping with situations', to 'self-healing', and 'transformation'. The third attribute of spirituality is 'Integrative Energy', which integrates all dimensions and acts as a creative and dynamic force that keeps a person growing and changing. 'Integrative Energy is also defined as an inner resource that gives a sense of empowerment. Therefore the highly spiritual person demonstrate 'inner peace', 'growing', 'inner strength,' and 'well-being'. The fourth attribute 'Purpose and Meaning in Life' represents a sense of connectedness with one's inner values and with a greater purpose in life. It is demonstrated by 'hope' and 'a powerful life'. In this study, the antecedents of the spirituality represented as 'spirit' and its potential enablers were 'Introspection/reflection', 'Interconnectedness with all living things', and an 'Awareness of a Higher-Power'. The consequences of this concept may be described as 'physical, psychosocial, and spiritual well-being'. Empirical referents of this are 'purposeful life' 'self-worth' 'hope' 'love' 'service' 'forgiveness' 'trust/belief' 'inner peace' 'self-actualization' 'religious practices' 'transformation' 'inner strength' and 'coping'. In conclusion, spirituality can be defined based on these critical attributes. Spirituality is a dynamic, integrative energy based on a feeling of harmonious interconnection with self, others and a higher power. Through it, one is enabled to transcend and to live with meaning and purpose in life.
Goto, Yasuyuki;Syam, Ari Fahrial;Darnindro, Nikko;Hapsari, Florentina Carolin Puspita
Asian Pacific Journal of Cancer Prevention
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v.17
no.10
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pp.4747-4753
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2016
Background: The prevalence of Helicobacter pylori (H. pylori) infection in Indonesia has been reported to be exceedingly low. The purpose of our study was to confirm whether this is the case in Northern Jakarta using a sensitive 13C-urea breath test (UBT), and to examine any associations with lifestyle/environment factors and potential routes of transmission. Methods: We recruited a total of 196 subjects from a low-income community in Northern Jakarta, Indonesia, data from 193 who completed a questionnaire about their lifestyle/environment and had UBT being included as the final. Odds ratios (ORs) adjusted for sex and age with 95% confidence intervals (CIs) were calculated using a logistic regression model. Results: The overall H. pylori infection rate was 15.0% (95%CI, 10.3-20.9), with variation among Javanese (9.1%, total=77), Buginese (40.0%, 35), Betawi (9.1%, 33), Sundanese (3.7%, 27), and Batak (40.0%, 5). On multivariate analysis, the ORs for intake of soybean milk, cucumber more than once a week, infrequent hand washing practice before meals, and alcohol consumption were 0.10 (95%CI: 0.01-0.97), 6.61 (95%CI: 1.87-23.3), 4.10 (95%CI: 1.15-14.6), and 61.9 (95%CI: 1.67-2300.8), respectively. Rates for Buginese (OR=7.84; 95%CI: 1.82-33.8) and Batak (OR=20.1; 95%CI: 1.90-213.2) were significantly higher than for Javanese. Conclusions: The H. pylori infection rate in this study was relatively low, in line with previous studies. Regarding ethnicity factors, Buginese and Batak reported eating food using fingers more frequently than Javanese, Betawi, and Sundanese. Our study indicated that person-person transmission is possible in this low prevalence area. The low infection rates for H. pylori among Javanese, Betawi, and Sundanese ethnics could be partly due to their sanitary practices.
This study aimed to interpreting the view of current media by artificial intelligence(AI) with the case of a TV show Person of Interest, which was broadcasted until 2016 in US. In this study, we first attempted to find how AI reflects the three laws of robotics, which often appear in Science Fictions. In addition, we paid attention to how the society looks according to the change of the manipulator of the AI, and as a result we derived the distinguishes of the show from other content dealing with robots or AI in terms of narrative. Through this study, we classified the messages in accordance of AI into three categories- importance of data sovereignty, potential of intelligence explosion, and blind faith in high technology. This study suggested that the show emphasizes the consciousness and attitude that should be possessed as a citizen who meets the era of AI prior to raising issue of 'what artificial intelligence is should be developed for our convenience?'
A project of developing marine environmental risk assesment and management technology was proposed to improve the level of marine environmental management research. This paper attempts to measure the non-market benefits of the project. To this end, the dichotomous choice contingent valuation method is used. In particular, recently proposed one and one-half bounded model is applied. The model can reduce the potential for response bias comparing to the double bounded model while maintaining much of its efficiency. Moreover, in order to deal with zero WTP observations, a spike model is adjusted for our data. A survey of randomly selected 600 households was implemented and the respondents were asked in person-to-person interviews about how they would be willing to pay for implementing the project. Respondents overall accepted the contingent market and were willing to contribute a significant amount (2,663 won), on average, per household per year. The aggregate value of the project in the nation amounts to approximately 46.3 billion won per year. The figure 2.16 of cost-benefit ratio shows that economic validity of this technical development.
The elderly have higher potential for contracting chronic diseases and suffering from development of a complication. Also, the extended old age period leads the elderly to demand more medical services. All those facts indicate that the elderly need more medical services than any other age groups. Consequently, medical care for the elderly with chronic diseases causes high costs burden. However, there is few studies researching the financial burden of chronic illness of the elderly. This study aimed to 1) understand how much the elderly with chronic diseases pay for medical expenses; 2) find out some specific factors related to health care financial burden; 3) suggest the alternative policies to decrease excessive financial burden of caring for the elderly with chronic illness. National Health and Nutrition Survey, which was surveyed by the Korea Institute for Health and Social Affairs in 1998, was used in this study. 4,707 persons with chronic diseases out of 5385 persons over age 60 were selectively sampled. Using SPSSWIN, correlation analysis, T-test, ANOVA and Regression were used as statistical methods in this study. Stepwise multiple regression was employed to analyze the data with a ratio of health care expenditure to income(financial burden) as a dependent variable. Out of Korean old people, 87% had the chronic diseases and their health care financial burden rate showed the average of 17.9%, which meaned they expended almost 20% income to buy medical services. The variables having a great influence on financial burden were monthly income, activity, limitation and single household of an old person. The excessive financial burden was experienced by people who had more than 4 activity limitations(37.1%) and were in the lowest Income level(32.6%), and single household of an old person(31.4%). The new policies should be considered to 1) reduce the financial burden in these groups and to develop the sliced medical cost system considering the characteristics of chronic illness and income level; and 2) develop the medical management system to care for the elderly with chronic illness.
This paper proposes a method to track persons robustly in illumination changes and partial occlusions in color video frames acquired from a fixed camera. To solve a problem of changing appearance by illumination change, a time-independent intrinsic image is used to remove noises in an frame and is adaptively updated frame-by-frame. We use a hierarchical human model including body color information in order to track persons in occlusion. The tracked human model is recorded into a persons' list for some duration after the corresponding person's exit and is recovered from the list after her reentering. The proposed method was experimented in several indoor and outdoor scenario. This demonstrated the potential effectiveness of an adaptive model-base method that corrected distorted person's color information by lighting changes, and succeeded tracking of persons which was overlapped in a frame.
Rural Development Administration (RDA) has developed a manufacturing technology which can increase the amount of platycodin D in Platycodon grandiflorum. A study is needed to estimate the value of this new technology and predict the market demand for a new product. This study estimates additional amount of willingness to pay (WTP) using contingent valuation method (CVM) for a new product with the technology that RDA has developed. The survey was created under virtual health functional foods market of Platycodon grandiflorums. It was conducted with 1,000 adult males and females aged between 19 and 59 years old in 17 major cities and provinces nationwide from December 4 to December 7, 2018. The amount of WTP for the health functional Platycodon grandiflorum was drawn using maxinum likelihood estimation method. The estimated average and median WTP values are 21,933.85 won per person and 10,000 won per person, respectively. The independent factors, including the ratio of monthly average health function food consumption to income, the average monthly income level of a household, and existence of family members or relatives engaged in food and nutrition-related professions in a household, have been shown to have a statistically significant influence on the WTP. This study presents the potential magnitude of health functional food market and the value of the new technology based on health functional food market.
Journal of Korean Society of Occupational and Environmental Hygiene
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v.26
no.4
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pp.436-444
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2016
Objectives: Despite recent efforts to prevent suffocation disasters, a number of confined space accidents still happen and each year deaths continue to occur. There have been insufficient studies on the dangers of various potential disaster sites, such as manholes, septic tanks, reactors, and other tanks according to type, characteristics, task-specific disasters, equipment specific disasters, etc. The purpose of this study was to analyze recent suffocation disasters based on place and properties. Methods: In this study, we analyzed confined space accident cases from 2005 to 2015 in Korea and grouped them by type, size, monthly occurrence, continuous service period, accident location, person-specific group, age, employment, structural work and subcontracting work. We studied examples of accidents developed in other countries. Results: (1) We reviewed confined-space accident statistics, compared legal standards and analyzed cases of suffocation accidents in the United States and Japan. (2) Using a case study report from the Korea Occupational Safety & Health Agency, we specified confined-space accident statistics based on place, person-specific group, age, employment, structural work and subcontracting work. As a result we generated some precautions about confined-space accidents for the prevention of such accidents. Conclusions: Conclusions: Statistical analysis of recent suffocation disaster cases was performed to establish improvement measures, compare practices from developed countries, and develop precautionary measures accordingly. In this study, we presented the causes of disaster that occur in a confined space and proposed related preventive measures.
Recently, the problem of noise has received much attention in the urban environment. This paper attempts to measure the economic benefits of urban noise reduction in the metropolitan area. To this end, the dichotomous choice contingent valuation method is applied. In particular, recently proposed one and one-half bound model that reduces the potential for response bias in the double bound model while maintaining much of its efficiency. We surveyed a randomly selected sample of 800 households in the metropolitan area and asked respondents questions in person-to-person interviews about how they would willing to pay for the noise reduction. Respondents overall accepted the contingent market and were willing to contribute a significant amount (997 to 1,778 won), on average, per household per month. This willingness varies according to individual characteristics such as concerns about noise, dwelling area, and income. The aggregate value of the noise reduction in the sampled metropolitan area amounts to approximately 79.26 to 141.35 billion won per year.
In recent years, energy consumption in the transportation sector by expanding motorization continues to increase in almost every country in the world. Moreover, the growth rate of the transportation energy consumption is significantly higher than those of the civilian and industrial sectors. Therefore, every country strives to reduce its dependence on private transport, which is the main contributor to the transportation energy consumption. In many countries, concepts such as Transit Oriented Development (TOD) or New Urbanism, which controls road traffic by increasing the proportion of the public transportation significantly, have been implemented to encourage a modal shift to public transport. However, the level of change required for eliminating environmental problems is a challenging task. Minimizing transportation energy consumption by controlling the increase of the traffic demand and maintaining the level of urban mobility simultaneously is a pressing dilemma for each city. Grasping the impact of the diversity of the urban transport and infrastructure is very important to improve transportation energy efficiency. However, the potential for reducing urban transportation energy consumption has often been ineffectively demonstrated by the diversity of cities. Therefore, the accuracy of evaluating the current efficiency rate of the urban energy consumption is necessary. Nevertheless, quantitative analyses related to the efficiency of transportation energy consumption are scarce, and the research on the current condition of consumption efficiency based on international quantitative analysis is almost nonexistent. On the basis of this background problem definitions, this research first built a database of the transportation energy consumption of private modes in 119 cities, with an attempt to reflect individual travel behaviors calculated by Person Trip data. Subsequently, Data Envelopment Analysis (DEA) was used as an assessment method to evaluate the efficiency of transportation energy consumption by considering the diversity of the urban traffic features in the world cities. Finally, we clarified the current condition of consumption efficiency by attempting to propose a target values for improving transportation energy consumption.
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