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Use of Hand Massage with Presence to Increase Relaxation in Korean -American Elderly (재미 한국이민노인에게 시행한 손마사지가 이완에 미치는 영향)

  • Cho, Kyung-Sook;Snyder Mariah
    • Journal of Korean Academy of Nursing
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    • v.26 no.3
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    • pp.623-631
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    • 1996
  • 간호사가 사용하는 중재로서 관심을 표현하는 방법이며 의사소통의 통로인 접촉의 한 형태로서의 마사지가 이완과 안녕감을 증진시킬 수 있는지를 알아보기 위해 간편하면서도 장소에 거의 구애를 받지 않는 손마사지를 미국 미네소타주에 살고 있는 22명의 한국 이민노인에게 시행하였다. 자료수집 기간은 1992년 12월부터 1993년 6월까지 약 6개월이 소요되었다. 편의표출방법으로 대상자를 선정한 원시실험연구설계로, 독립 변수로 손마사지를 사용하였고 이완행동, 수축기혈압, 이완기 혈압, 맥박수로 측정한 이완의 정도와 안녕감을 종속변수로 사용하였다. 손마사지는 Snyder등이 개발한 방법으로 한 손에 2분 30초씩 5분이 소요되는데 이틀에 한번씩 6회 실시하였다. 안녕 감을 측정하는 Cantril ladder는 10개의 사다리로 된 도구로 첫번 마사지전, 세번째 마사지후, 그리고 여섯번째 마사지후에 대상자로 하여금 직접 사다리 점수를 매기도록 하였다. Luiselli등이 개발한 이완행동 측정도구로 각 마사지 전후에 대상자의 이완정도를 관찰하였고, 마사지 전후에 혈압과 맥박수를 측정하였다. 자료는 paired t-test와 ANOVA, repeated measures ANOVA로 분석하였다. 연구의 결과는 다음과 같다. 1. 1-6회 동안의 마사지전의 이완점수의 평균값과 1-6회 동안의 마사지후의 이완점수의 평균값을 비교한 결과 마사지후에 이완의 정도가 유의하게 증가하였고 (t=10.70, p=.000), repeated measures ANOVA로 검증한 시간에 따른 효과도 유의한 차이를 보였다. 2. 1-6회 동안의 마사지전의 수축기 혈압의 평균값과 1-6회 동안의 마사지후의 수축기 혈압의 평균값을 비교한 결과 마사지후에 수축기 혈압이 유의하게 저하되었 다(t=6.09, p=.000). 3. 1-6회 동안의 마사지전의 이완기 혈압의 평균값과 1-6회 동안의 마사지후의 이완기 혈압의 평균값을 비교한 결과 유의한 차이를 보이지 않았다(t=.27, p=.793). 4. 1-6회 동안의 마사지전의 맥박수의 평균값과 1-6회 동안의 마사지후의 맥박수의 평균값을 비교한 결과 마사지후의 맥박수가 유의하게 감소하였다. (t=4.45, p=.001). 5. Cantril 안녕감의 점수는 유의한 차이를 보이지 않았다(F=2.42, p=1.01)

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Effects of Activities of Daily Living and Self-Esteem on Life Satisfaction in Home-Dwelling Elderly (재가노인의 일상생활활동과 자아존중감이 생활만족도에 미치는 영향)

  • Seo, Soon-Yi;Chang, So-Young;Kwag, Oh-Gye
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.2
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    • pp.952-961
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    • 2014
  • This study was performed to identify the effects of activities of daily living and self-esteem on life satisfaction in Home-dwelling elderly, and to find the strategies improving the elderly's life satisfaction. The participants were 153 in home-dwelling elderly from D city. Data were collected from July 20 to August 20, 2013 through a structured questionnaire. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation and hierarchical regression analysis with the SPSS 20.0 program. There was a positive correlations between Activities of daily living, Self-esteem and Life satisfaction. Factors that have an effect on Life satisfaction were Leisure activity(${\beta}$=-3.927, p<.05), Perceived health(${\beta}$ =-2.793, p<.05), Self-esteem(${\beta}$=1.003, p<.001). These factors explain 53.5% of the variance in ife satisfaction.

The Effect of Alternative Material Satisfaction of the Visually Impaired on the Social Participation and Mediation Effect of Self-Efficacy (시각장애인의 대체자료 이용 만족도가 사회참여에 미치는 영향과 자기효능감의 매개효과)

  • Park, Yeon Ju;Ha, Kyung Hee
    • 재활복지
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    • v.18 no.4
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    • pp.75-93
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    • 2014
  • This study attempted to verify the impacts of the level of satisfaction in the user of alternative materials among people with visual impairment on their social participation, and the mediation effect of self-efficacy during such process. The subject of the study was the visually impaired who were live in Gyeonggi Province and were registered in the Korea Blind Union. The data of final 120 participants through a telephone survey were analyzed. The subject of the study used the recorded materials the most for the purpose of leisure and information research mainly at the braille library. The analysis of the mediation effect demonstrated that the level of satisfaction in the user of alternative materials among people with visual impairment had a statistically significant influence on social participation, and self-efficacy had a full mediation effect. These results imply the importance of alternative materials to assure the right to information access which can ultimately expand the social engagement of the visually impaired. Based on these study results, political suggestions are proposed to vitalize alternative materials in the future.

Legibility Factors of Disparate Image Fomation in Urban Space - Focused on Busan Urban Space - (도시공간의 이질적 이미지를 형성하는 레지빌리티 요소 - 부산시 도시공간을 대상으로 -)

  • Hong, Ji Su;Kim, Jong Gu
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.39 no.1
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    • pp.227-237
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    • 2019
  • In terms of the concept of space in urban planning and design, the modern city approaches from the perspective that all spaces are made up of different places based on identity. In this study, we analyzed disparate image by paying attention to the difference between the individual spaces that form the city. And the physical and behavioral factors that respond to the disparate spatial images are derived through legibility measurement. As a result, the urban space in Busan has disparate images such as closure, openness, dynamic + closure, dynamic + openness, quiet space. The following are the legibility factors that make each image stronger. The elements of closure are high-density and high-rise buildings, residence, work, openness appeared as a factor of water space, walking and viewing. Dynamic & Closure is the element of industrial activity, dynamic & openness is open space, water space, swimming element, quiet space image is green space, walking, stay factor.

A Study of AR Art Exhibitions in a Post-COVID World (포스트 코로나 시대의 AR(증강현실)전시 유형 연구)

  • Yun, Kusuk
    • The Journal of the Korea Contents Association
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    • v.21 no.10
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    • pp.264-273
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    • 2021
  • To study how digital content can be effectively developed and transformed in a post-COVID world in which the normal operations of museums have been disrupted, this paper analyzes the rapid development and limitations of VR exhibitions and proposes, as an alternative, the development of AR exhibitions. Studying VR/AR exhibitions that ran before and after COVID-19, this paper finds that VR, on the one hand, translates physical objects into digital video, which lacks aesthetic depth, and encounters operational problems originated by devices. By using mobile devices that are widely distributed and convenient to use, AR exhibitions can, on the other hand, be divided into three types: "museum-specific exhibitions" can present digital content in a specific indoor space, while "place-specific exhibitions" can be used in open outdoor spaces. The "non-place-specific exhibitions", can, as third type, combine digital content with printed material sent by postal mail. Among these three types, the specific/unspecified place type shows the highest "uncontact effect," which can suggest the best direction for effective museum content development in the pandemic era.

A Study on Commemoration Culture of Vietnam War Memorials in Vietnam (베트남전쟁 메모리얼에 나타난 기념문화)

  • Lee, Sang-Suk
    • Journal of the Korean Institute of Landscape Architecture
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    • v.39 no.3
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    • pp.26-38
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    • 2011
  • The purpose of this study was to analyze the commemoration culture of Vietnam War Memorials (VWM) in Vietnam. Through site survey, the researcher selected 23 VWM in Vietnam and analyzed 5 categories: memorial type, design concept and narratives, location and spatial form, landscape elements, and content expressed in landscape details. The results are as follows: 1. Because of the long, drawn out Vietnam War, which lasted from 1955 to 1975, VWM were divided into 10 types mainly as soldier cemeteries based on a traditional memorial style, battlefields and places of tragedies considering sense of place, war museums representing victory and atrocity in war, and peace parks promoting reconciliation and peacemaking. 2. The analysis revealed that the main concepts and narratives of VWM were to value the victims of the Vietnam War, remember soldiers' contributions, highlight the victory in war and resistance to the United States, and express a sense of place. Peacemaking applied only to My Lai Peace Park and Han-Viet Hoa Binh Cong Vien, built by international cooperation. 3. Cemeteries and appreciation memorials were designed to follow a traditional memorial space form that highly regard both axis and symmetry. The design concept at battlefields and places where tragedies occurred depended mainly upon a sense of place and used symbolic landscape elements to compensate for the undefined concept. 4. Sculptures and towers were mainly used to highlight war victory and resistance as the representative style of a Socialist country, weapons and pictures exhibited in war museums and battlefield showed the reality and strain of war. Symbolic elements of Buddhism and Confucianism were often introduced as a way to venerate the memory of deceased persons. 5. The state and heroic actions in the Vietnam War were realistically depicted on sculptures and walls. Also, the symbolic phrase, 'TO-QUOC-GUI-CONG' meaning 'our country remember your achievement', were written on the memorial tower and 'Quagmiire' was used to metaphorically represent the difficulties faced by the U.S. military on battlefields during the war and the uncertainly that pervaded U.S. society in those days. 6. In VWM, ideologies like nationalism, patriotism, socialism, capitalism were mixed and traditional cultures like Buddhism, Confucianism, Taoism were inherent. Differing from their Confucianism culture, war heroes, particularly including women, were often described by sculpture, monument, and pictures and the conflict in and outside the country regarding the Vietnam War was shown. Further study will be required to analyze design characteristics of VWM in the u.s. and to understand the difference in commemoration cultures between Vietnam and the U.S.

Psychological and behavioral profiles of adolescent on probation and high school students: With specific focus on moral disengagement, self-efficacy, delinquency, and academic achievement (보호관찰 청소년과 일반 청소년의 심리 행동특성 비교: 도덕적 이탈, 자기효능감, 가출, 학업성취를 중심으로)

  • Youngshin Park;Uichol Kim;Sooyeon Tak
    • Korean Journal of Culture and Social Issue
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    • v.12 no.2
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    • pp.45-76
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    • 2006
  • This article compares the psychological and behavioral profiles of adolescents on probation and high school students. A total of 253 adolescents on probation and 257 high school students completed an open-ended questionnaire developed by the present researchers and structured questionnaire that assessed moral disengagement and self-efficacy developed by Bandura (1995), delinquent behavior and academic achievement. Adolescents on probation reported that they engaged in delinquent behavior due to the fault of others and they were angry for being forced to be on probation. They are not likely to take responsibility and morally disengage from their delinquent actions. When compared to high school students, adolescents on probation are likely to report low self-efficacy, low academic grade, and less likely to feel proud of themselves. They are more likely to meet their friends in Internet and video game rooms and less likely to focus on academic achievement. Results of ANCOVA indicate that adolescents on probation have higher scores on moral disengagement, social efficacy, but lower score on efficacy for self-regulated learning. They are more likely to run away from home and have lower academic grade. The results of the discriminant analysis indicate that running away from home, social efficacy and moral disengagement are predictive of adolescents on probation and academic achievement and efficacy for self-regulated learning are predictive of high school students.

A Study of the Influence Factors on the Internet Addiction of the Elderly (노인의 인터넷 중독 경향에 영향을 미치는 요인에 관한 연구)

  • Ko, Jea Ug;Kim, Soo Bong
    • 한국노년학
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    • v.32 no.2
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    • pp.649-668
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    • 2012
  • The purpose of this study ahead of the aging society in Korea to prevent problems of the elderly aged new addiction Internet Addiction and identify factors affecting the quantitative increase and qualitative improvement beyond that aims to promote. To this end, residents in Seoul over the age of 60's targets, local welfare, cultural centers, senior centers and other research in the area through one-on-one interviews were conducted the survey. Findings The average degree of Internet addiction elderly 36.16 points (SD = 10.02) and the distribution of at least 20 points to 65 points, respectively. Factors affecting the degree of Internet addiction as a computer time (β = .248, p <.001), mon allowance (β = .180, p <.01), age (β = .139, p <.01) and social support (β = .087, p <.05), self-efficacy (β = - .078, p <.05), most used location (β = - .116, p <.05), degree of family relationship (β = - .147, p <.01), housing type (β = - .153, p <.01), were of the order, this factor was 17.6% of the variance. In other words, the more computer time, the higher the age, the more mon allowance, housing is not self, the lower the degree of family relationship, the house is not a place most used, lower self-efficacy, social support is high As increasing the degree of Internet addiction was thought to be the two predictor variables. Survey results to target the elderly through the Internet addiction group psychotherapy program implementation, and production and distribution of manuals related to Internet use and addiction-related factors, according to the case-by-case Case management services are tailored to be done, and the Internet in general for seniors potential risks related to use in training and preventive services for the elderly will need to be made.

CASE STUDY : FLUOXETINE INDUCED MANIA IN A SCHIZOPHRENIC PATIENCT AND REVIEW OF LITERATURES (정신분열증 여아환자에서 Fluoxetine 투여후 발생한 조증 증례보고 및 문헌고찰)

  • Kim, Bung-Nyun;Cho, Soo-Churl
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.6 no.1
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    • pp.116-122
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    • 1995
  • 목적 : 다음과 같은 fluoxetine으로 유발된 조증 증례를 보고한다. 이와 함께 fluoxetine사용이후 보고된 조증 증례보고를 모아서 정리하고 함께 문헌고찰을 하였다. 증례요약 : 가족력상 기분장애의 병력이 없었으며, 다른 주요 정신과적 질환의 병력은 없었다. 환아는 개인력상 5세경에 주의력 결핍, 과잉행동의 양상을 보였던 병력이 있었고, 13세때에 피해 망상, 환청이 지속되어 haloperidol로 치료받기 시작하였다. 이후 피해 망상의 내용을 언급하거나 환청에 영향받는 행동은 없어졌고 간혹 우울감을 호소하였다. 이후 정신분열증의 진단 하에 haloperidol만으로 3년간 유지하였다. 1994년 환아는 18세때 고3이 되면서 대입에 대한 걱정과 신체적인 허약감을 자주 호소하며, 우울증상이 두드려져 fluoxetine 20mg를 3일간 투여하던 중 갑자기 조증의 임상적 양상을 보이기 시작하여 본원의 입원치료를 받게 되었는데, 입원당시 보인 임상양상은 앙양된 기분, 이자극성(irritability), 사고의 비약, 연상의 이완과 지리멸렬, 과대망상, 피해망상, 관계망상, 환청 등이었고 사람, 장소, 시간에 대한 지남력까지 일시적으로 상실되는 심헌 정신병적 조증상태였다. 토의 : fluoxetine 사용이후 현재까지 세계적으로 문헌상 보고된 14개의 증례보고를 모아서 정리하였다. fluoxetine-induced mania의 병태생리학적인 기전은 명확하지 않지만 가능한 기전에 대해 토론하였다. 이 약물의 중대한 부작용중의 하나인 조증을 예방하기 위해, 이 약물을 다루는 의사는 가능한 조증 발병의 위험인자들에 대하여 인식하고, 약물의 용량조절시에도 주의를 하여야 한다. 가능한 발병 위험인자들에 관해서도 검토하였다.

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Effect of Acupuncture Treatment in Patients with Bronchial Asthma (기관지천식에 대한 침치료의 임상적 효과 검토)

  • Masao, Suzuki;Kenji, Namura;Masato, Egawa;Tadashi, Yano
    • Journal of Acupuncture Research
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    • v.24 no.5
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    • pp.185-195
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    • 2007
  • 목적 : 부신피질 스테로이드약을 포함한 약물치료에도 조절되지 않았던 기관지천식 환자 6 증례에 대하여 침구치료를 행하여,연구방법의 하나인 조건반전법(N-of-1)을 이용하여 침치료의 효과를 검토하였다. 방법 : 연구디자인 : 조건반전법으로 침치료 기간(A기간)과 침치료 휴지기간(B기간)을 서로 반복하였다. A기간은 10주간으로 하고 1주간에 1회의 침치료를행하였다. 실시장소 : 메이지 침구대학부속병원 내과와 부속침구센터 대상 : 기관지천식의 표준적인 약물치료를 행하여도 천식발작이 충분히 개선되지 않았던 중등증에서 중증의 천식환자 6 증례를 대상으로 하였다. 평가 기관치천식에 대한 침치료의 효과를 아래의 항목을 이용하여 평가하였다. (1) 발작상태를 천식일지에 의해 평가 (2) 호흡곤란감을 VAS(Visual Analogue Scale)에 의해 평가 (3) 호흡기능검사 (4) 말초혈호산구수 (5) 스테로이드약의 투여량 (6) 중증도 효과 : A기간에 동시적으로 모든 예에서 천식발작과 호흡곤란감의 개선이 인정되었다. 한편 B기간에서는 6례 중 5례에서 천식발작의 재연이 확인되었다. 또한 천식발작의 개선에 수반하여 모든 예에서 중증도의 개선도 인정되었으며,6례 중 4례에서 스테로이드약의 감량이 가능하게 되었다. 결론 : 약물치료로 조절되지 않았던 기관지천식 환자에 대하여 침치료를 행한 결과, 환자의 천식발작, 자각증상, 호흡기능의 개선에 유효하였다고 생각된다.

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