• 한국환경보건학회지
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• 제38권2호
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• pp.166-174
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• 2012

Introduction: After 17 years since the first production of humidifier disinfectants in Korea, Korea Centers for Disease Control and Prevention (KCDC) announced that the odds ratio of lung injury related with humidifier disinfectant usage was 47.3 (95% confidence interval 6.0-369.7) according to a case-control study with 18 adult cases, including 8 pregnant women at a university hospital in Seoul. Results: From September 2011 to April 2012, one-hundred and seventy four victim cases have been reported to an environmental non-governmental group (NGO). We summarized timetable of humidifier disinfectants accidents, analyzed health outcomes (death, lung or lung and heart transplantation, pulmonary disease) of reported victims, and classified some information for humidifier disinfectants with health outcomes, and government action for this accident. Among the victims, number of death cases are 52 (30.0%), including 26 babies less than 3 years old. Sixty-nine victims come from twenty-seven family with 2 to 4 members per family. About twenty types of humidifier disinfectant products and about 600,000 product items a year have been sold. Fifty-two death cases used 7 different types of disinfectant products, including imported goods and some private brands of well-known supermarkets. KCDC confirmed inhalation toxicity of 6 products through an animal experimental test, and based on this observation recalled disinfectants containing PHMG (polyhexamethylene guanidine) and PGH (Oligo(2-(2-ethoxy)ethoxyethyl guanidinium chloride). Discussions: The use of these biocides involved highly fatal consequences among biologically vulnerable victims, such as pregnant women, several family member victims after semi-acute exposure. This is the first biocide disaster in Korea with non-specific targets, and unknown scale of victims, warranting concerns on use of biocides in the living environment. Conclusions: Special administrative agency for chemical safety and compensation act for environmental health victims are needed to prevent similar problems.

• Journal of Trauma and Injury
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• 제25권3호
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• pp.79-86
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• 2012

Purpose: The most common cuase of transfusion for trauma victims in an emergency department is hypovolemic shock due to injury. After an injury to an internal organ of the chest or the abdomen, transfusion is needed to supply blood products and to compensate tissue oxygen transport and bleeding. From the 1990's, there have been some reports that transfusion is one of the major factors causing multiple-organ failure. Thus, as much as possible, tranfusion has been minimized in the clinical setting. This study aims to analyze the prognostic factors for mortality among trauma victims transfused with blood products in an emergency department. Methods: We conducted this study for the year of 2010 retrospectively. The study group included adult trauma victims tranfused with blood products in our ED. The exclusion criteria were discharge against medical advice, and missing follow-up due to transfer to another facility. During the study period, 34 adult trauma victims were enrolled. We compared the clinical variables between survivors and non-survivors. Results: the mean age of the 34 victims was 58.06 years, and males account for 58.5% of the study group. The most-frequently used form transportation was ambulance(119, 55.9%), and the most common injury mechanism was mobile vehicle accidents(67.6%). The mean revised trauma score (RTS) was 5.9, and the mean injury severity score (ISS) was 47.76. The mortality rate in the ED was 58.5%, Comparison of survivors with non-survivors showed statistical differences in injury mechanism, initial SBP, DBP, RTS, ISS, and some laboratory data such as AST, ALT, pH, PO2, HCO3, glucose (p<0.05). Regression analyses showed that mortality among adult trauma victims transfused in the ED correlated with RTS. Conclusion: When an adult trauma victim is transported to the ED and needs a tranfusion, the emergency physician carefully assess the victim by using physiologic data.

• 대한간호학회지
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• 제24권3호
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• pp.364-376
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• 1994

This study was initiated to find the characteristic awareness of disease in Korean culture and then, with its applying to psychological nursing, to help cancer victims cope with their disease. Research period was from Dec. 1, 1989 to Aug.3, 1992. The research method, while the method of face-to-face interview with 33 cancer victims were mainly adopted, was to identify the causal perception through analyses of literature and traditional sayings deeply rooted in Korean culture. The causal perceptions were differentiated into 4 sections, which apply to 32 cancer victims with Q-sorting. Be-ing coded into grades from 1 to 9, the data were analyzed with the aid of Quanal program on PC ; in analyzing Q-factor principal component analysis method was used. The results were revealed as follows : 1. Subject victims owe their disease to 1) the omnipotent and animating powers in Shamanism rooted in Korean culture, 2) their intimate persons, i.e. their husband, wife, children, or other fellows ameng their groups. 3) victims themselves, and 4) nowhere, for they thought the disease is the struggle with their own self. 2. In Q-methodology analysis, cancer victims are categorized into 5 types. The first type, self-mastery type, consisting of 11 subjects, has the characteristic of overcoming their disease with their own strong will or by the help of the Omnipotent God, which is estimated to be the ideal type to cope with the disease. The second type, omnipotent & animating powers-dependent type, consisted of 7 subjects, who have the causal perception of traditional shamanism. The third type, intimate person-dependent type, consisted of 4, all of whom are women and whose causal perception has the characteristic of the their complains about each member of their family, espectially about their husband. The fourth type, fate-recipient type, was the com-plex form of the first and the second types. It consisted of 6 subjects, to whom cancer had meant bad fate coming on them but had to be overcome by their strong will. The fifth type, personal type, consisted of 4, whose causal perception is toward themselves personality It is hoped that the study provide the chance of developing nursing intervention to help cancer victims accept and overcome their disease as their own reality instead of attributing to anyone or any-thing else.

• 한국사회복지학
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• 제62권1호
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• pp.55-81
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• 2010

본 연구는 기존의 자활 관점이 경제적 자활에 초점 맞추어져 특정시점의 '결과'로서 이해되어왔다는 한계점을 인식하고, 성매매피해여성의 자활성과를 측정함에 있어, 당사자의 경험이 내포되는 일련의 '과정'으로 이해되어야 한다는 문제제기로부터 출발한다. 이를 위해, 성매매피해여성 34명의 심층인터뷰를 통해 분석된 자활경험에 기반하여 자활 과정 척도문항을 구성하였고, 성매매피해여성 243명의 설문조사를 통해 척도의 구성타당도와 신뢰도를 검증하였다. 탐색적 요인분석 결과 4개 요인, 24문항의 척도 타당도가 검증되었으며, 각 요인의 신뢰도는 .823에서 .871로 높았다. 더불어, 척도 영역별 점수분포 양상의 검토와 함께 자활과정 척도의 측정방법을 제시하였다. 이처럼 비가시적인 자활의 과정을 가시화시키는 척도개발을 통해 기존 자활개념과 성과측정의 한계를 보완하고, 자활 현장의 현실성을 보다 반영할 수 있다.

• 지역사회간호학회지
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• 제30권2호
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• pp.217-225
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• 2019

Purpose: The purpose of this study is to assess socio-demographic, disaster-related, physical health-related, psychological, and social factors that may adversely affect disaster victims' QoL (Quality of Life). Methods: A cross sectional study was designed by using the secondary data. From the 3rd Disaster Victims Panel Survey (2012~2017), a total of 1,659 data were analyzed by using descriptive statistics including frequency, percentage, t-test, ANOVA, and multivariate linear regression. Results: Older people with lower health status lacking financial resources prior to a disaster were more at risk of low levels of QoL. Lower levels of perceived health status, resilience, and QoL were reported by disaster exposed individuals, while their depression was higher than the depression in the control group of disaster unexposed ones. Resilience, social and material supports were positively associated with QoL whereas depression and PTSD (Post-Traumatic Stress Disorders) were negatively associated. Conclusion: These findings suggest that psychological symptoms and loss due to disasters can have adverse impacts on the QoL of disaster victims in accordance with their prior socio-demographic background. They also indicate that targeted post-disaster community nursing intervention should be considered a means of increased social support as well as physical and mental health care for disaster victims.

• 한국간호교육학회지
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• 제9권1호
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• pp.126-135
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• 2003

Purpose: The purposes of this study are as follows: Identifying the types of bullying; describing the relationship among social support, parent-adolescent communication and bullying types; identifying factors influencing the bullying. Method: 374 subjects were 5-6th grade students of two elementary schools in Daejeon. We collected the data from June 10 to October 29, 2002. The data were analyzed by using the frequency, ANOVA, pearson's correlation and stepwise multiple regression in the SPSS. Result: The 7 % of the subjects were found as bullies and another 23.8 % as victims, while 25.9 % were found as bully-victim group. The number of the victims in peer-support got less than in the normal or bully group. In the correlation analysis, the score of bullies, victims and bully-victim group were reversely-correlated with the social support. The score of victims was reversely-correlated with the mother-adolescent communication. In regression analysis, the social support influenced significant effects on both the bullies and victims. Conclusion: Findings indicated that the health professionals need to identify social support and parent-adolescent communication according to bullying types. Therefore, adequate approaches for the three independent groups of bullying are necessary.

• 한국보건간호학회지
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• 제28권3호
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• pp.633-643
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• 2014

Purpose: The purpose of this study is to identify protective factors associated with school adjustment of victims in school bullying. Methods: Data were collected from 114 victims among 825 middle school students. The measurements were the self-report questionnaire on resilience, and the Childrearing Behavior Questionnaire, measurements of relationship with friends, and attitude of teachers toward bullying. Descriptive, Pearson correlation, and multiple regression analyses were used. Results: A significant relationship was observed between school adjustment of victims and resilience (r=.355, p<.01), warmth-acceptance parenting behavior (r=.482, p<.01), rejection-restriction parenting behavior (r=-.213, p<.01), and teacher's attitude toward bullying (r=.381, p<.01). The result of multiple regression analysis showed significant association of school adjustment with resilience (${\beta}$=0.247, p<.05), warmth-acceptance parenting behavior (${\beta}$=0.302, p<.001), and teacher's attitude toward bullying (${\beta}$=0.285, p<.01). Conclusion: Comprehensive interventions designed to enhance the resilience of students, improve warmth-acceptance parenting behaviors and teacher's attitude toward bullying may be helpful in promoting school adjustment of victims.

• 한국실내디자인학회논문집
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• 제25권6호
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• pp.23-31
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• 2016

The study aims to identify the existing problems and suggests the implication for the planning of emergency shelter in terms of users' habitability. The results of the study show that the concept of shelters for disaster victims need to set up and be distinctively defined as emergency phase and temporary residency phase. In emergency phase, the various types of buildings and facilities should be considered as temporary shelters for disaster victims such as transitional shelters including the public facilities. Based on the results of the critical review, this research proposed an analytic framework emphasizing habitability for disaster victims including vulnerable people such as the disabled, the aged, women and children. The framework is composed of four dimensions: safety, health, convenience and comfortability. The manual guidelines for emergency shelters should reflect the barrier-free design or universal design for various types of disaster victims considering habitability to provide the positive opportunity and future hope for restoration after disaster. This research can be a basis for the planning and application of temporary shelters for disaster victims.

• 수산해양교육연구
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• 제20권1호
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• pp.46-57
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• 2008

In an attempt to help improve school bullying victims' self-esteem and interpersonal skills, this study explored the effects of a cognitive-behavioral group counselling program on the victims. The subjects of this study were six middle school female students who were identified as bullying victims by their teachers. They had T-scores of 65 or more on one or more scales in the MMPI-A. The cognitive-behavioral group counselling program was developed to improve their self-esteem and interpersonal skills and was administered twice a week from November 28 to December 30, 2005, totalling ten occasions. Major findings of the study include the following: First, there was a significant difference in self-esteem between pre- and post-tests. All the scores on six tests given on a period-by-period basis showed significant changes at the significance level of 0.1%. Secondly, there was a significant difference in interpersonal skills between pre- and post-tests at the level of 5%. All the scores on six tests given on a period-by-period basis also showed significant changes at the significance level of 0.1%. These findings demonstrate that cognitive-behavioral group counselling is effective in improving school bullying victims' self-esteem and interpersonal skills.

• 대한가정학회지
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• 제49권6호
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• pp.1-12
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• 2011

본 연구는 유아를 대상으로 또래 괴롭힘에 관련된 네 집단을 공격적 피해, 수동적 피해 및 가해 유아로 구분하여 각 집단의 분포와 심리사회적 특성 및 언어능력을 살펴보았다. 연구대상은 4, 5세 남녀 유아 297명이다. 교사를 통해서 또래 괴롭힘과 사회적 행동 특성 및 교사-유아관계를 측정하였으며, 유아 면접법을 사용하여 언어능력과 자아 개념을 측정하였다. 연구결과를 보면 하위 집단 별로 선행연구와 유사한 심리사회적 특성을 보였으며 이는 유아기 또래 괴롭힘에 개입된 하위 집단의 이질적인 특성을 보여준다.