• Title/Summary/Keyword: 사회적 고통

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Physical Symptoms and Psychiatric, Social, Spiritual and Economical Care Needs of Patients under Home-based Cancer Service (재가암환자의 신체 증상들과 정신적, 사회적, 영적, 그리고 경제적 돌봄 요구도)

  • Kang, Myung Hee;Moon, Young Sil;Lee, Young Joon;Kang, Yoon Sik;Kim, Hoon Gu;Lee, Gyeong Won;Lee, Won Sup;Kang, Jung Hun
    • Journal of Hospice and Palliative Care
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    • v.17 no.4
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    • pp.216-222
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    • 2014
  • Purpose: This study was performed to identify the symptoms and care needs of home-based cancer patients in Korea and to add to the scarce literature on this topic. Methods: Data were collected from patients who subscribed to home-based cancer care services in Jinju. Assessments were performed by nurses at the local public health center. The Edmonton Symptom Assessment System with a numeric rating scale (NRS) was used to identify symptoms, and a four-point Likert scale was used to assess psychological, social, and spiritual needs. Results: Cross-sectional data were collected in October 2013. A total of 209 patients participated and their median age was 65 years (range, 17~89 years). Most patients were diagnosed in the early stage of cancer (n=188); only 19 patients were diagnosed in the advanced stage. More than half the patients lived alone (n=115, 55.0%) and took care of themselves (n=128, 61.2%). Anorexia and fatigue were the most common symptoms (median NRS, 5 and 4, respectively). Patients needed economic support the most, whereas spiritual care was least needed (n=138 [67.3%] vs. n=128 [62.1%], respectively). Conclusion: Patients who signed up for home-based cancer care services in Jinju are struggling with a financial issue and physical symptoms. A customized approach is needed to improve the quality of the home-based care services.

Pattern Classification of Retinitis Pigmentosa Data for Prediction of Prognosis (망막색소변성 데이터의 예후 예측을 위한 패턴 분류)

  • Kim, Hyun-Mi;Woo, Yong-Tae;Jung, Sung-Hwan
    • Journal of Korea Multimedia Society
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    • v.15 no.6
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    • pp.701-710
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    • 2012
  • Retinitis Pigmentosa(RP) is a common hereditary disease. While they have been normally living, those who have this symptom feel frustration and pain by the damage of visual acuity. At the national level, the loss of the economic activity due to the reduction of economically active population will be also greater. There is an urgent need for the base study that can provide the clinical prognosis information of RP disease. In this study, we suggest that it is possible to predict prognosis through the pattern classification of RP data. Statistical processing results through statistical software like SPSS(Statistical Package for the Social Service) were mainly applied for the conventional study in data analysis. However, machine learning and automatic pattern classification was applied to this study. SVM(Support Vector Machine) and other various pattern classifiers were used for it. The proposed method confirmed the possibility of prognostic prediction based on the result of automatically classified RP data by SVM classifier.

Pharmacotherapy for Patients Complaining With Somatic Symptoms (신체증상을 호소하는 환자의 약물치료)

  • Lee, Kyung-Kyu
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.95-101
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    • 2021
  • Patients complaining with somatic symptoms are very common in clinical practice, and are often consulted to medical department. But it is difficult to treat well. The treatment of somatic symptom disorder is multi-modal as none of the methods on their own provide a satisfactory outcome. The treatment of somatic symptoms disorders is complicated by lack of boundary, conceptual clarity, and overemphasis on psychosocial causation and effectiveness of psychological treatments. In clinical practice all classes of psychotropics are used to treat somatic symptoms disorder. Drugs such as tricyclic antidepressants, serotonin reuptake inibitors(SSRI), serotonin and noradrenalin reuptake inhibitors (SNRI), atypical antipsychotics are studied. The evidence indicates that these drugs are effective in somatic symptom disorders. All classes of antidepressants seem to be effective against somatic symptom disorders. SSRIs are more effective against hypochondriasis and body dysmorphic disorder, and SNRIs appear to be more effective than other antidepressants when pain is predominant. The author suggest that psychiatrists should know how to treat patients complaining with somatic symptoms by using not only psychotherapeutic approach but also pharmacological treatment. It will be helpful to reduce suffering and increase quality of life of these patients.

Changes in Quality of Life and Related Factors of Surgical Patients with Thyroid Cancer (갑상선암 수술환자의 삶의 질 변화와 관련요인)

  • Choi, Hyang-Suk;Kang, Young-Mi;Lee, Tae-Yong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.11
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    • pp.370-379
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    • 2018
  • This study was conducted 1) to investigate the effects of treatment and other factors on the quality of life of thyroid cancer surgical patients and 2) to provide fundamental data for development of an intervention and symptom management program to improve the quality of life of those patients. A total of 76 patients who were diagnosed with thyroid cancer and underwent thyroidectomy from July 2013 to December 2014 participated in this study. To investigate the factors affecting quality of life, a t-test and ANOVA analyses were conducted, after which multiple regression analysis was performed. The results were statistically significant between preoperative and one month after surgery of sex, cancer history, fatigue, and quality of life until 3 months after surgery of stage, cancer history, anxiety, and pain. Multiple regression analysis showed that the most influential factors affecting the quality of life were depression and fatigue at one month prior to and after surgery and anxiety at three months after surgery, while no factors were found to be influential at six months after surgery. Overall, the results of this study suggested that it is imperative to manage depression and fatigue one month prior to and after surgery to reduce the physical and psychological pain experienced by thyroid cancer patients. Moreover, three months after the surgery, anxiety should be closely monitored and controlled to improve the quality of life of the patients. This approach is expected to reduce the burden on the health care system and social costs, which will positively affect public health.

The Sociocultural Characteristics of Korean Ethnics in Central Asia (중앙아시아 한인의 사회문화적 특성과 과제)

  • 정성호
    • Korea journal of population studies
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    • v.20 no.2
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    • pp.161-180
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    • 1997
  • There are about 400, 000 Korean ethnics living in Central Asia. Most of Koreans in Central Asia are leading a stable middle class life mostly engaged in farm work. With increase of educational attainment of their children, a number of Koreans are launching into political and academic circles as well as in the cultural world or the press. In recent years, however, the countries in this area(Uzbekistan and Kazakstan) for this study advocate an ethnic united policy to stabilize the politics and society and to carry out efficient transformation from the former socialistic economy to a market oriented economy. In addition, they are trying to recover the culture and the language of each nation which has been forgotten in the assimilation of Russia policy. Koreans have difficulty in adaption to this kind of change. In fact, a number of Koreans lost traditional culture and could not speak their mother language - Korean. Although they more or less maintain national consciousness, they recognize Uzbekistan or Kazakstan as their nation politically. They associated with North Korea unilaterally before the launching of the Perestroika policy. But after the Seoul Olympics held in 1998, there was movement to know and understand South Korea. There has been increased in the investment by Korean companies in Central Asia. Now, what is an alternative idea for Korean community consciousness\ulcorner It can be summarized as follows: 1) The increase of aid to Korean education institute : Considering the last few decades of Russia's strong racial assimilation policy, which leads most Koreans to lost their language and national culture, the priority should go to Koreans education. 2) Local Korean press support : Though Korean newspaper are published and Korean broadcasting is on the air currently in Uzbekistan and Kazakstan, they are suffering from qualified staff and poor financial status. Therefore, positive support should be established for these Korean mass communication media outlets to recover their own function and expand their dissemination powers quickly. 3) Research on the actual condition for Korean Community : It is essential to directly examine the local Korean community's regional distribution, population structure, Korean group's formation and operation, social and cultural understanding, racial consciousness, hope for their mother land and much more. 4) Increase of mother land and education opportunity : To stir up national culture and national consciousness within the Korean community, it is necessary to expand continuous opportunities for mother land visits and education training for local Koreans, especially for second and third generations.

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A Study on a Paradigm Shift to Archives of everyday life (일상 아카이브(Archives of everyday life)로의 패러다임 전환을 위한 소론)

  • Kwak, Kun-Hong
    • The Korean Journal of Archival Studies
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    • no.29
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    • pp.3-33
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    • 2011
  • No one can deny the harsh reality that archival culture has not yet been permeated extensively into all the spheres of our society. Only fragmented records in fixed areas are in the custody of archives. Records to build a living memory for the history of our present are hard to find or remain minimal, if anywhere. Above all, there are few records in archives concerned with the everyday life of common people. No consideration has not been made about the reason for being of archives, not to mention of the strategy for establishing the archival culture. Accordingly, a paradigm shift is required for archives directly connected with the everyday life of common people. Archives of everyday life means one which interprets the behaviour and experiences of individuals(groups) within the context of society through categorizing everyday life of common people into the lesser fields. And archives of everyday life also means an organization or facility/place which documents the everyday life of individuals(groups), and collect, appraise, select and preserve the records from the view point of humanities for the reconstruction of history from the bottom. Archives of everyday life is an attempt to reconstruct memory and records on behaviour by and torment of the common people in the modern history of Korea, on the basis of which we can seek out the oppressive structure in the daily life of capitalism. Archival community should discuss about what is the meaning of records in the age of democracy unlike that of authoritarian era. We also need to have definite direction on the what kinds of records are to be created and appraised from the standpoint of common people. We are to make it possible to create Zeitgeist in the tackle of records and archives' content. on this kind of attempt archival community could make a practical contribution forward a more advanced democracy, resulted in having an opportunity to change the essence of archives.

Process of Coping with Domestic Violence of Marriage Immigrant Women (결혼 이주 여성의 가정폭력 대처과정에 관한 근거이론 접근)

  • Ko, Ki-Sook;Jeong, Mee-Kyung
    • The Journal of the Korea Contents Association
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    • v.12 no.10
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    • pp.254-279
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    • 2012
  • This research aims to suggest a practical solution in order to make marriage immigrant women free from violence and stand on their own. The suggestion could be made by developing Substantive theory in terms of marriage immigrant women's coping with domestic violence. The research question is; How marriage immigrant women cope with domestic violence. The research used a route theory approach, and 11 of marriage immigrant women who have ever suffered from domestic violence participated in it. The research question used semi-structured open questions. As a result of paradigm model analysis, "mental and physical devastation" is defined as a core phenomenon, and causative conditions are "wheel of pain" and "helpless victims of violence". Besides, context conditions are "period growth with solitariness", "irrational marriage" and "indifferent reality". "Mental and physical devastation", the core phenomenon act and interact with effect of mediatory conditions; which are "social help", "cultural difference" and "helplessness". Here the action and reaction appear as "adaptation", "resistance", "self-protection" and "self-reinforcement", and the outcomes show up as "maintaining reality", "decision making" and "beginning a new life". "Coping with mental and physical devastation and standing on one's own feet" could be introduced as a core category. Process of coping with domestic violence presents its levels as; shocks ${\rightarrow}$ endurance ${\rightarrow}$ regret ${\rightarrow}$ overcoming. There are three patterns of coping, which are; "preserving realities", "returning", and "groping for the future".

Clinical Characteristics of Psychiatric Patients with Military Issues Using MMPI-2-RF (군복무 적합성 평가를 위해 정신건강의학과에 내원한 환자군의 MMPI-2-RF 프로파일)

  • Sung, Gyhye;Park, Ji-Hyun;Kim, Keun-Hyang;Lee, Sang-Hyuk;Park, Eun-Hee;Choi, Ji Young
    • Korean Journal of Psychosomatic Medicine
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    • v.25 no.1
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    • pp.33-45
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    • 2017
  • Objectives : The purpose of this study was to examine psychological characteristics of patients who visited psychiatric clinic for medical certificate for military service using MMPI-2-RF. We compared target group with general psychiatric patients with same age range. Methods : A total of 165 male patients for medical certificate and 154 general psychiatric patients were collected from the Department of Psychiatry of three university hospitals. There were significant differences of age and educational level between two groups. We used independent t-test, ANCOVA, ${\chi}^2$ test to examine differences between two groups. Results : Medical certificate group scored higher on the validity scales, the Higher-Order(H-O) scales, the Restructured Clinical(RC) Scales, the Specific Problems(SP) Scales, and the Personality Psychopathology Five (PSY-5) Scales. Especially, EID, RC7, HLP, SFD, SAV, SHY, DSF, and INTR-r showed significant differences between two groups on all three statistical tests. Conclusions : The present study showed that psychiatric patients who received psychological evaluation for military service have significantly higher emotional distress, helplessness, lower self-confidence, and lower quality of interpersonal relationships. And the difference of validity scales between two groups could be related with psychological burden of compulsory military service in the study sample which causes elevation on scales of infrequent responses. MMPI-2-RF would be helpful instrument to assess these emotional and psychological characteristics.

Exploratory Big Data Analysis of Albert Camus's La Peste in Post Corona era (포스트 코로나 시대 알베르 카뮈의 『페스트』에 관한 탐색적 빅데이터 분석)

  • MIN, Jinyoung
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.1
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    • pp.432-438
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    • 2021
  • This dissertation's object is to confirm the drastic popularity of La Peste of Albert Camus in Korea post-corona society using big data as the mean of inductive research. Analyzing news articles concerning Camus and investigating word frequency of the book La Peste will affirm the implications La Peste has on current Korea society as the outbreak spreads. As an analysis tool, Bigkinds of Korea Press Foundation and Nuagedemots, the French version of Word Cloud were used. For the past 30 years, Albert Camus has been known in Korea as the writer of L'étranger, but after the epidemic, he earned more reputation with La Peste. Compared to L'étranger that rebelled against the world's absurdity with ennui, La peste emphasizes the importance of resistance accompanied by solidarity. La peste conveys hope by depicting disastrous situations of citizens who confront the plague by organizing a health college. The novel delivers a lot of ethical inspiration to humanity in this exceptional circumstance of COVID-19.

Design of Life Habits Disease System using Neural Network (신경망을 이용한 생활습관성 질환 시스템 설계)

  • Lee, Young-Ho;Chung, Kyung-Yong;Kang, Un-Gu
    • Journal of Digital Convergence
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    • v.10 no.6
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    • pp.1-6
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    • 2012
  • In modern society, the amount of information has been significantly increased according to the development of IT convergence technology. That leads to develop information obtaining and searching technologies from lots of data. However, they don't seem to have been actually effective for users' health care and promotion not only for limitations of Web-based information and but for lack of personalization. Health information support services have been generally developed in a format of inputting data on bio-information acquired into the computer for the existing network-based transmission. In this paper, a life habits disease system that uses the existing medical data and Framingham risk factor(FRS) performs neural network is proposed. Based on the proposed system, it is possible to provide the fundamental data and guideline to doctors for recognizing the life habits disease diagnosis of patients and that represents increases in the welfare of patients.