• Korean Journal of Psychosomatic Medicine
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• v.25 no.2
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• pp.120-128
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• 2017

Objectives : Although antipsychotics are commonly used to control symptoms of delirium, there is a lack of research on the prescription pattern and its clinical effects. The purpose of this study was to investigate the effect of antipsychotics prescription pattern on clinical course of delirious patients consulted to psychiatry. Methods : During the period from July 2016 to February 2017, 212 patients who were referred for delirium were reviewed for their medical records. The duration of delirium was monitored using CAM-ICU, and duration of admission, mortality, and delirium at discharge were reviewed. Clinical course was compared among three groups according to the antipsychotic drug administration pattern: Continuous use group, optimal use group and PRN use group. Results : The pattern of taking antipsychotic medication longer than duration of delirium did not associated with better clinical course compared with the pattern of adapting to the period of delirium and rather increased the risk of taking antipsychotic medication at discharge. When used for a shorter period than the delirium period, it was associated with poor clinical course. Conclusions : The results of this study suggest that a strategy to administer antipsychotics for a minimum period, according to periods of delirium, is appropriate. Also, efforts are needed to minimize the use of antipsychotic drugs after recovery from delirium.

• 재활복지
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• v.21 no.2
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• pp.247-259
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• 2017

We investigated the improvement of cognitive functions, activity of daily living (ADL), and quality of life (QoL) after hemorrhagic stroke and identified associated factors. For this research, twenty-five patients with a hemorrhagic stroke were enrolled. We measured cognitive function, activity of daily living (ADL), and quality of life (QoL) from 7 days to 12 months after onset of stroke. Then we analyzed the correlation between cognitive function and other risk factors. According to results, cognitive functions improved during 12 months with statistically significant differences. Other functions were similar to cognitive functions. Improvement of cognitive functions were correlated with age, the type of hemorrhagic stroke and Glasgow coma scale at 7 days after stroke. Overall, cognitive function in patients with hemorrhagic stroke recovered from acute to 12 months after onset of stroke. And, improvement of cognitive function at this phase were associated with age, the type of hemorrhagic stroke and GCS score at 7 days. These results would provide us an information to plan cognitive rehabilitation in patients with hemorrhagic stroke.

• Journal of Venture Innovation
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• v.4 no.1
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• pp.39-50
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• 2021

This was empirical research aimed at determining the effects of emotional labor, Resilience and service environment, on the performance of Long-term Care Hospital Employee. The participants were 180 employees working in long-term care hospitals in Gyeonggi-do. The collected data were analyzed using the SPSS statics19.0 program. The study were analyzed by frequency analysis and descriptive statistics, ANOVA, Scheffe? test, Pearson correlation coefficients, and stepwise regression. As a result of the study, age, marriage status, career, and position affected performance among the general characteristics.tion coefficients, and stepwise regression. As a result of the study, the average performance was 91.25 (±12.46) points, emotional labor was 41.25 (±4.21) points, Resilience was 52.89 (±6.37), and the service environment was 78.93(±15.3) points. The performance showed a positive correlation with emotional labor(r=.326, p<.001) service environment (r=.384, p=.005) and Resilience (r=.417, p<.001) of Long-term Care Hospital Employee. Service environment was the biggest factor affecting performance, and the second was resilience. The explanatory power of this regression model was 48.2% and was statistically significant (F=58.249, p<.001).

• Korean Medical Education Review
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• v.8 no.1
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• pp.1-11
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• 2006

의사는 인간의 생명을 구하는 권한이 있으니까 마치 생명을 죽이는 권한도 포함된 것 같은 생각에 그야말로 막강한 권한을 가진 것 같이 보인다. 오늘의 한국에서는 과거와 달리 의사의 사회적 위상에 많이 떨어져 있지만 아직도 미국이나 독일 같은 선진 사회에서 의사의 위상은 준신에 가깝게 높고 그의 말과 판단이라면 비록 건강에 관한 이슈뿐만 아니라 삶에 대한 지혜로도 존중되고 수용된다. 의사의 사회적 위상이 높아진 것은 의학이라는 특수한 학문과 이와 연결된 의술의 그동안의 엄청난 발달과 무관하지 않다. 역사적으로 보면 고대 희랍시대부터 의학은 인간의 질병을 고치고 생명을 건강하게 보존하는 특별한 지식 그리고 이 지식을 기반으로 응용되는 치료기법으로 기예 (techne)라는 존칭으로 불리었다. 즉, 건강의 회복이라는 실질적인 목적을 가진 지식과 테크닉을 합친 이른바 귀중한 실천 (praxis)이다. 의학에 대한 낙관적인 전망은 시대와 문화가 바뀌면서 또한 의학 자체가 좀 더 발달하면서 도전을 받는다. 20세기에 들어서서 인간의 생명을 위협하고 또 고통을 주는 질병의 종류와 양상이 변하고, 의 과학이 앞으로 인류의 병들을 퇴치시킬 수 있다는 기대에 차질이 생기게 되었다. 미국 같은 선진국에서는 일찍이 1960년도 말부터 의학교과목 개혁의 일환으로 인문학의 과목들을 같이 가르치기 시작했다. 대표적인 과목들이 윤리학, 철학, 역사, 문학 등이다. 인문학의 보강은 의학과 기술과 인간성의 연결을 위해 의사들이 쓸 수 있는 인지적 도구 (cognitive tools)를 갖추게 하는 목적에서이다. 인문학의 도입으로 의사들이 인간의 삶을 좀 더 깊게 이해하고 풍부한 인간성으로 지식과 기술을 환자에게 적용할 수 있기 위해 각자의 마음과 머리 속에 포용통합능력을 발달시키자는 데 있다. 즉 의사들의 의식과 자유로운 상상력이 확장되면서 새로운 정체성을 갖게 되는 것을 바라는 것이다. 선진국의 의학교육에서 이 같은 교육이 좋은 의사를 만든다는 신념을 굳혀가고 있다. 성과를 증명하는 연구결과가 없어 아직도 회의적인 반응도 있으나 이와 같은 교육이 윤리적 상황에 대한 예민도를 높이는 것은 확실하다. 연세대학교 의과대학은 기독교 이념이 기본 교육철학이다. 인간성을 강조하고 의사들이 자신의 인간성을 개발 강화하는 교육이 하나님의 사랑을 의사 지신의 인간성과 그의 인간애로 내재화 시킬 수 있다면 그리스도의 정신을 의학과 의술에 연결시키는 고귀한 목적을 이룰 수 있는 길이라고 생각한다.

• Fire Science and Engineering
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• v.32 no.5
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• pp.95-104
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• 2018

The 119 emergency medical services(EMS) personnel studied in this research are constantly exposed to traumatic events, which can lead to a variety of psychosocial problems and poor quality of life. In this study, we examined the effects of the Mind Subtraction Meditation Program on post-traumatic growth and resilience of 119 EMS personnel. In this study, we measured the conditions of 26 EMS personnel of A firefighting headquarters based on post-traumatic growth and resilience before and after implementing the short-term intensive for 2 nights and 3 days in $201^*$. The results showed that there was a significant increase in post-traumatic growth from $2.85({\pm}.67)$ to $3.60({\pm}.72)$ and resilience from $2.45({\pm}.39)$ to $2.83({\pm}.48)$ of the subjects between before and after the Mind Subtraction Meditation. In conclusion, the Mind Subtraction Meditation Program was effective in improving the posttraumatic growth and resilience of 119 EMS personnel. Therefore, Mind Subtraction Meditation Program could be proposed as a mental health promotion program for EMS personnel.

• Korean Journal of Psychosomatic Medicine
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• v.26 no.1
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• pp.68-75
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• 2018

Objectives : Since pain in cancer patients is an important factor that greatly affects the quality of life and prognosis, many attempts have been actively made to reduce the pain. Despite continuous effort on reducing pain after Endoscopic submucosal dissection (ESD), research has not been done on psychological factors as much as on biological factors affecting pain. The objective of this study is to investigate the psychological factors affecting postoperative pain in gastric tumor patients who underwent gastric ESD. Methods : 91 gastric tumor patients who visited National Health Service Ilsan Hospital in Korean between May 2015 and June 2016, and received ESD were evaluated. Baseline characteristics including sociodemographic factors, anxiety, depression, and resilience were evaluated before the procedure. Multivariate logistic regression was done to analyze factors affecting postoperative pain. Results : The group with high postoperative pain showed lower alcohol consumption and higher depressive symptom scores than the group with low postoperative pain. Also, the group with high postoperative pain showed lower total resilience score with lower subtotal scores in self-control and positive item. Multivariate logistic regression analysis of the postoperative pain showed that patients with lower score in self-control of resilience [odd ratio (OR), 0.911 ; 95% CI, 0.854-0.971, p=0.004) reported more pain after ESD. Conclusions : This study showed that patients with lower self-control ability of resilience felt more pain after ESD. Among the psychological factors evaluated in this study, resilience of an individual seems to have effect on pain.

• Journal of Korean Society of Forest Science
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• v.110 no.1
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• pp.82-90
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• 2021

In this study, the validity of the forest therapy process, in which forest activities using forest therapy factors lead to immunity promotion and health promotion, was analyzed theoretically and qualitatively to refine and systemize the forest therapy concept. Research and analysis data were collected from the websites of institutions related to forest therapy; 33 theses and 33 original research articles from 2000 to March 2020 were searched for forest therapy key words, as well as the prize winning work of the 2016 forest therapy experience essay. A word cloud was generated by frequency of nouns and adjectives and from the key words in the web pages, theses, articles, and the forest therapy experience essay. Through interpretation of word frequency, the systemic flow of forest therapy was defined. The results suggest that the source of forest therapy's power was a positive experience of the forest and an improved attitude toward nature as well as forest therapeutic factors. The therapeutic effect is maximized through the forest healing program, leading to physical and mental resilience and resistance; consequently, health and immunity are promoted. From this study, forest therapy is proposed as "a health promotion activity for the psychological, physical, and spiritual resilience of the subjects through various environmental factors of the forest, positive experiences, and attitudes toward the forest."

• Korean Journal of Social Welfare
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• v.39
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• pp.238-265
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• 1999

The purpose of this study was to examine the degree of depression in housewives and to analyze the effects of psychosocial factors on the depression. Especially the focus was on the differences in the degree of depression and the influencing factors on depression between those in early adulthood and those in middle adulthood The subjects consisted of 130 early adulthood housewives and 142 middled adulthood housewives. They asked to complete several self-report measures that were used to assess the variables of interest. The result indicated that the depression in housewives were serious enough to arouse social workers' attention. The average housewives were suffered from mild depression, and 17.1% of the housewives were in need of professional treatment. There was no significant difference in the degree of depression between the early adulthood housewives and the middle adulthood housewives. There were, however, differences in the factors which explain and predict the depression between these two groups. The results of step-wise multiple regression analysis indicated that the factors which predict the depression for the early adulthood housewives were self-esteem, conflict with the spouse, experience of painful events, age, and conflict with the children. On the other hand, the factors which predict the depression for the middle adulthood housewives were self-esteem, conflict with the spouse, job, and income. Implications of the findings for social work interventions were discussed.

• Journal of Digital Convergence
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• v.16 no.1
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• pp.343-350
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• 2018

The purpose of this paper is to explore the characteristics of a digital culture, its negative effects, especially automatism of perception, a poetic strategy against automatism of perception and the utility of poetry including the therapeutic function of poetry. The new technologies offer us various experience, great opportunities and rosy future by freeing us from boring and laborious tasks, and difficult decisions. Through the excessive and habitual use of new technologies, we may become too dependent on machines, losing our thinking abilities, sensibility, perception and creativity. Therefore, we need poetry to recover the sensation of life and make us feel things. Reading poetry allows us to look into someone else's soul and cultivate the ability to empathize. As a healing fountain, poetry leads us to a way for a change of heart, a recovery of psychic health and universal love through perfect communion in ourselves and in society. Furthermore we need a systematic and in-depth study of digital poetry as well as traditional poetry.

• Journal of Digital Convergence
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• v.17 no.12
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• pp.337-344
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• 2019

The purpose of this study is to explore the uncertainty as the healing function in the poetry of Robert Frost. One of the therapeutic functions in poetry therapy is to make us look into life from a new perspective, which appears in the uncertainty of his poetry. His uncertainty is based on his peculiar poetic theory and philosophy of dualism. This paper reviews these things and deals with aspects of the uncertainty in detail through his poems. The result of this study shows that Frost conveys elements of ambiguity, illogical development and unpredictability in our society and fear, loneliness and anxiety in our daily life, and also offers realistic depictions of complex life as a therapeutic medium for overcoming these problems. So it seems that his poetry provides us with a recovery of psychic health and a possibility of healing and personal growth. Furthermore we need a practical in-depth study on the healing function of English poetry.