• Title/Summary/Keyword: 자해

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The Difficulty of Case Management or Counseling for Non-suicidal Self-injury in Adolescents: Focused on the Factors in the Community (청소년의 비자살적 자해 상담 및 사례관리의 어려움: 지역사회 요인을 중심으로)

  • Jeong, Yeo Won;Kim, In Hong;Park, Young Hee
    • Research in Community and Public Health Nursing
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    • v.32 no.1
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    • pp.1-11
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    • 2021
  • Purpose: This qualitative study is aimed to explore the factors in the aspect of the community that made it difficult for field experts to conduct counseling and case management. Methods: A total of four focus group interviews composed of 15 field experts including nurses were conducted. Results: A theme, six categories and 22 subcategories were derived. As for the theme, it was found that legal, educational, and environmental systems reflecting non-suicidal self-injury of the characteristics in adolescents were insufficient. In the legal aspect, the defect of the parental education legal system, the reality of having to rely on parental consent when supporting adolescents with non-suicidal self-injury; in the educational aspect, the lack of manuals and education for counseling and case management for adolescents with non-suicidal self-injury; in the environmental aspects, the defect of economic burden and support, a lack of information systems for various organizations in the local community, absence of a dedicated support system for adolescent with non-suicidal self-injury and a lack of human and physical resources. Conclusion: Based on the results of this study, there needs to be a responsible institution that can comprehensively manage the non-suicidal self-injury of adolescents, and efforts to develop the competence of community nurses.

The Effect of Senior Elementary School Students' Emotional Perception Clarity, Emotion Regulation, and Family Relationship on Non-Suicidal Self-Injury and Depression (초등학생 고학년의 정서인식 명확성, 정서조절전략, 가족관계가 비자살적 자해 및 우울에 미치는 영향)

  • Shin, Ji-hye;Kim, Suk-Sun
    • Research in Community and Public Health Nursing
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    • v.32 no.4
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    • pp.457-466
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    • 2021
  • Purpose: The purpose of this study was to examine the correlations among emotional perception clarity, emotion regulation, family relationship, non-suicidal self-injury, and depression, and to determine associated factors of non-suicidal self-injury and depression for senior elementary school students. Methods: Data were collected from 150 early adolescences in K region, Korea. A self-report questionnaire consisted of Trait Meta-Mood Scale, Cognitive Emotion Regulation Questionnaire, Family Relationship Assessment Scale, Functional Assessment of Self-Mutilation, and Children's Depression Inventory. The data were analyzed using t-test, Pearson's correlation coefficient, logistic regression, and multiple regression analysis. Results: Non-suicidal self-injury and depression were positively associated with maladaptive emotion regulation strategy and family conflict, but negatively related to emotional perception clarity and family support. Adaptive emotion regulation strategy and family togetherness were only significantly correlated with depression. In logistic regression analysis, significant predictors of non-suicidal self-injury were emotional perception clarity, maladaptive emotion regulation strategy, and family support. Multiple regression analysis found that significant factors of depression were adaptive and maladaptive emotion regulation strategies, which explained 38.0% of the variance. Conclusion: Our study findings suggest that targeted intervention to reinforce the adaptive emotion regulation strategy and family relationship may prevent non-suicidal self-injury, and depression for senior elementary school students.

Adolescents' Experiences of Non-Suicidal Self-Injury: An Interpretative Phenomenological Analysis Study (청소년의 비자살적 자해 경험: 해석 현상학적 분석)

  • Ko, Jung A;Kim, Ji Young
    • Journal of Korean Academy of Nursing
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    • v.53 no.5
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    • pp.538-555
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    • 2023
  • Purpose: This qualitative study used interpretative phenomenological analysis and photovoice methods to explore the meaning of non-suicidal self-injury experienced by adolescents. Methods: Participants were adolescents enrolled in middle and high schools in Gyeonggi-do and Jeollabuk-do who were selected through snowball sampling. Six participants had repeatedly engaged in self-injurious behavior for over a year. Data were collected through in-depth interviews and the photovoice method between November 2020 and July 2021. The collected data were analyzed using six steps of interpretative phenomenological analysis. Results: The results yielded 5 main themes and 18 subthemes. The main themes were 'a silent cry to an indifferent world', 'a heartache that one endures with scars', 'an inescapable cycle', 'filling the space in one's heart', and 'healing the wounds'. The study findings revealed that the self-injurious behavior of adolescents began as a consequence of feeling lost and struggling with conflicts at home and school, which helped them relieve tension and pain. Nonetheless, inflicting self-injury only left signs of regret and remorse, which became a trace that the participants wanted to hide. However, the wounds healed after receiving attention and support from others. They were determined to stop engaging in repeated self-injurious behaviors and made efforts to do so. Conclusion: This study can be used as a basis for the development of educational programs to prevent non-suicidal self-injury in adolescents. Additionally, it can inform nursing interventions that focus on building support systems to help adolescents who attempt self-injury.

Feature - Architectural System Over the 50 years and the Direction to a Happy System (기고 - 건축제도 50년과 행복한 건축제도 방향)

  • Lee, Jong-jung
    • Korean Architects
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    • s.558
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    • pp.150-157
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    • 2015
  • 대한건축사협회 50년 동안 제도의 생성과 흐름을 이해하는데 먼저 제도란 무엇인지에 대한 이해가 필요하다. 제도는 규범의 복합체라고 한다. 규범의 내용이 형식화되고 정리되어 공권력을 수반하는 법률에서부터 형식화되지 않은 채 일상생활에서의 막연한 약속과 같은 집단의 도덕적 기준이나 관습에 이르기까지 그 범위는 광범하다. 즉 정치 경제 교육 제도 등에서부터 도덕이나 언어와 같은 것까지 포함한다. 이 제도가 존재함으로써 사회를 구성하는 모든 개인의 행동은 얼마간 틀에 박히고 방향이 부여되기 때문에 사람들을 시행착오의 낭비를 절약하여 큰 불편 없이 어느 정도 자동적으로 행동할 수 있다. 이런 점에서 제도는 사회질서 유지를 그 중요한 기능으로 하는 한편 모든 개인의 자유를 다소나마 규제하고 부자연스럽게 하는 측면도 있다. 모든 개인에 대한 제한이나 속박이 심해져 정상적인 대다수의 개인의 생활요구가 자해되고 억제되는 정도가 지나치게 되면 그 사회의 가치체계나 규범이 흔들리기 시작하며, 마침내는 기존의 제도가 바뀌고 새로운 제도가 생기게 된다고 한다.

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Comparative Study on the Neck Collars Used for the Protection of Self-mutilation in Dogs (개에서 자해방지를 위해 사용되는 목칼라들에 관한 비교연구)

  • Hong Sung-Hyeok;Lee Ki-Chang;Kweon Oh-Kyeong;Nam Tchi-Chou
    • Journal of Veterinary Clinics
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    • v.9 no.2
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    • pp.367-372
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    • 1992
  • To investigate the effect of neck collars for the protection of self-mutilation, attainable sites of the body in dogs with collars and durability of collars were examined for 7 days. The collars used in the present experiment were hand made plastic basket collar, IASIS$\^$R/ ( heat moldable plastics), commerical plastic and cardboard collars The hand made plastic basket collar was made of basket which could buy at any supermarkets. The dogs with hand made plastic basket collar and IASIS$\^$R/ which was cast from the neck to the scapular region could lick only on digits of the forelimb. However, the dogs with commercial plastic and cardboard collars could lick not only the digits of forelimb but femur and digits of the hindlimb. It was suggested that hand made plastic basket collar was superior to the other collars in easiness of putting, durability, protection of self mutilation and economy.

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천마를 첨가한 두부의 품질 특성변화

  • 김진성;이준호;하영선
    • Proceedings of the Korean Society of Postharvest Science and Technology of Agricultural Products Conference
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    • 2003.10a
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    • pp.162.1-162
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    • 2003
  • 천마(Gastrodia Rhizoma)는 뽕나무 버섯과 편리공생하는 난초과(Orcbidan ceae)에 속하는 다년생 초본인 천마(수자해좇, 정풍초, Gastrodia elata Blume)의 뿌리를 지칭하는 것으로서 잎이 없으며, 땅속의 괴경이 한약재로 이용된다. 주로 고혈압, 신경성질환, 당뇨병 등의 성인병 뿐 아니라 스트레스해소, 피로회복 등에 효과가 있는 것으로 알려져 있는 한약재이다. 천마의 주요 효능으로는 항경련 작용 및 항간질 작용에 대한 보고가 있으며, 약리작용을 나타내는 주요성분은 gastrodin, p-hydroxy benzyl alcohol, p-hydroxy benzyl aldehyde, vanillin등의 ployphenol성분으로 알려지고 있다. 한편 두부는 동물성 단백질 식품과는 다르게 열량과 포화지방 함량이 낮고 콜레스테롤이 함유되어 있지 않으며 ,가격이 저렴하여 경제적인 단백질 식품으로 각광받고 있다. 따라서 임상적, 약리적 효능이 있는 물질을 강화하여 기존두부에 비해 영양학적인 기능성을 향상시킬 목적으로 두유에 천마즙을 혼합하여 제조하였고, 기능성 두부제조시 가수량, 가열시간 및 천마즙의 첨가량이 두부수율에 미치는 영향과 텍스쳐, 색도, 탁도, 세균수 등의 품질특성을 일반 두부와 비교·검토하였다.

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An autoethnography on the Development and counseling Experience of Non-face-to-face Mental Health Mobile Service Platform of Mental Health Social Welfare expert (정신건강사회복지 전문가의 비대면 정신건강 모바일 서비스 플랫폼 개발 및 상담 경험에 관한 자문화기술지)

  • Lee, Sol-Ji
    • Journal of Internet of Things and Convergence
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    • v.8 no.5
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    • pp.63-70
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    • 2022
  • This study is a study that collects and analyzes data through An autoethnographyon as one of method of qualitative research, through which researcher have experienced firsthand in the process of developmenting and counseling there a new concept professional mental health mobile service platform as a mental health social welfare expert. The results of this study are as follows.First, there are people in Korea who are directly exposed to mental health issues and need to receive professional medical services, but there are also quite a few members of the public who have a desire for general mental health services, although the level of therapeutic intervention is not required. Second, considering the characteristics of modern society and especially in the pandemic situation of infectious diseases such as COVID-19, more and more people are preferring various mental health service platforms using mobile devices. Third, all generations complain of mental health issues such as family problems, stress, interpersonal relationships, and occupations, and other mental health problems such as self-harm and suicide accidents are frequently mentioned in connection with mental disorders such as depression, anxiety disorder, addiction, and post-traumatic stress disorder. Fourth, youngth s were exposed to various mental health-related issues, and above all, they were complaining of serious mental health problems such as self-harm and suicide accidents. Fifth, in delivering professional mental health services, mental health experts with the ability also to provide professional services online through mobile devices are needed as well offline. Finally, based on the results of this study, policy and practical suggestions related to the provision of mental health services in the future, and directions for follow-up studies were suggested.

Carcinoma of Esophagus Developing at the Site of Lye Stricture (부식성 식도염에 의한 협착부에 발생한 식도암)

  • 김종훈;김중강;백준기
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1979.05a
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    • pp.10.4-10
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    • 1979
  • The cause of esophageal cancer is still unknown in the majority of patients, but pre-existing diseases of esophagus related to the development of cancer were reported by many authors: e.g. lye stricture, achalasia, Plummer-Vinson syndrome, dietary and alocholic habbits etc. Recently the authors had experienced one case of esophageal cancer with complaint of dysphagia, developing at the site of lye stricture, which was diagnosed by the esophagogram and esophagoscopic biopsy.

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A Study on the Modified Safety Valve for Vessels of Liquefied Petroleum Gas (LP가스 용기용 안전 밸브 개발에 관한 연구)

  • Rhim Jong-Kuk
    • Journal of the Korean Institute of Gas
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    • v.9 no.2 s.27
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    • pp.38-42
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    • 2005
  • This study introduced concept of safety valve about development of valve for LP gas cylinders. LP gas cylinders are used more because of convenience of use, but a lot of accidents are occurred. Specially, it is used by purpose to injure glossary or others and is sometimes used to a demonstration tool. Korean government was making mandatory to use overuse cutoff valve to reduce accident, but it is real condition that product development is not following. In this study, introduce concept of safety valve that introduce more original safety concept than overuse cutoff valve. This was developed by method that insert module to present use valve and flowing of gas is controlled in state that hose or regulator un-connects to valve. Also, flowing of gas cut-off immediately if hose is cut or occurrence of overuse is produced even if is using normally.

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Effects of Mindfulness-based Emotion Management Training on Preventing Self-harming Behaviors in Adolescents (청소년의 자해 행동 예방을 위한 마음챙김 기반 정서 관리 훈련 효과)

  • Lee, Woo Kyeong
    • Journal of the Korean Society of School Health
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    • v.30 no.3
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    • pp.295-305
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    • 2017
  • Purpose: This study was conducted to evaluate the effect of Mindfulness-based Emotion Management Training for adolescents immersed in self-harm behaviors. Methods: The participants were 61 middle school students located in Seoul. Thirty students were assigned to the Mindfulness-based Emotion Management Training (M-EMT) group and the other 31 students were assigned to the waitlist group. The students in the M-EMT group participated in a total of 12 sessions, twice a week, for 6 weeks. The modules of the program comprised of mindfulness for emotion, mindfulness for behavior/impulse, mindfulness for thought, and coping with self-harming behavior. The Distress Tolerance Scale, Deliberate Self-Harm Inventory, Cognitive Emotion Regulation Questionnaire, and Scale Suicidal Ideation were assessed at baseline and post-intervention. Results: Compared to the waitlist group, the intervention group exhibited a statistically significant improvement in distress tolerance and cognitive emotion regulation and a statistically significant reduction in self-harming behaviors and suicidal ideation. Conclusion: These results support the hypothesis that mindfulness-based emotional management training has a positive effect on reducing self-harming behaviors and enhancing distress tolerance and cognitive emotional regulation.