• 수면정신생리
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• 제23권1호
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• pp.16-24
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• 2016

목 적 : 폐쇄성 수면무호흡증 (obstructive sleep apnea, OSA)은 비록 그 진단율이 낮지만 개인의 건강에 미칠 수 있는 위험은 상당하다. 그러나 OSA 환자가 실제 증상을 느끼는 정도는 예상보다 적으며, 질병의 심한 정도와 상관이 없는 경우가 많다. 이 연구는 OSA군과 단순코골이군 사이의 OSA 증상 인식 정도를 비교하기 위해 시행되었다. 방 법 : 임상적으로 OSA가 의심되는 282명의 피험자들이 연구에 포함되었다. 모든 피험자들은 수면다원검사를 받았고, 무호흡저호흡지수(apnea-hypopnea index, AHI)에 따라 5 이상이면 OSA군, 5 미만인 경우는 단순코골이군으로 분류되었다. 모든 피험자와 그 배우자(또는 같이 자는 사람)에 대하여 수면 장애와 질병의 인식도에 대한 설문조사를 수행하였다. 결 과 : OSA군에 비해서 단순코골이군이 코골이, 불규칙적 호흡, 무호흡 등의 수면 장애 증상을 더 잘 인식하였다. 또한 배우자(또는 같이 자는 사람)의 경우도 단순코골이군에서 피험자의 증상을 더욱 잘 인지하였다. 그렇지만 증상을 느낀 기간은 OSA군에서 유의하게 더 길었다. 상관분석에서 OSA의 증상 인식 정도는 나이, AHI, BMI, ESS 점수와 음의 상관관계를 보였다. 수면 설문과 수면다원검사 결과 중에서 오직 피츠버그수면질평가척도(Pittsburgh Sleep Quality Index)만이 OSA의 증상 인식도와 양의 상관관계를 보였다. 또한 치료 방법에 있어서 양압기, 구강내 장치에 대해 알고 있는 피험자의 비율과 선호도가 낮게 나타났다. 결 론 : 본 연구 결과에서 단순코골이 환자가 OSA 환자보다 수면 장애를 더 잘 인식하였다. AHI가 높을수록 오히려 환자의 증상에 대한 인식은 낮아졌다.

• 대한간호학회지
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• 제46권2호
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• pp.271-282
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• 2016

Purpose: This study was done to explore adaptation experience of living kidney donors after donation. Specific aims were to identify challenges donors face in the process of adaptation following surgery and how they interact with recipients and other people. Methods: Grounded theory methodology was utilized. Participants were 13 living kidney donors at six months or more after donation. Data were collected by in-depth interviews with individual participants. Data were analyzed using constants comparative method with theoretical saturation. Results: A core category emerged as 'keeping the fences of my family in spite of vulnerability'. The adaptation process after donation was manifested in four phases: exploration, balance, maintenance, and acclimatization. Phenomenon was perception of vulnerability. Strategies to manage the vulnerability were assessing changes of body awareness, tailoring regimen to one's own body condition, coping with health problems, keeping restoration of health, and ruminating on the meaning of one's kidney donation. Consequences were reestablishing family well-being, realizing the values of one's kidney donation, and living with uncertainty. Conclusion: Findings of the study indicate that there is a need for health professionals to understand the vulnerability of living kidney donors and help their family system maintain a healthy and productive life. The results of this study can be used to develop phase-specific, patient-centered, and tailored interventions for living kidney donors.

• 한국응용과학기술학회지
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• 제37권3호
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• pp.496-508
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• 2020

This study reviews studies on the core stabilization of respiratory muscle training for the elderly health. Previous research data and presenting basic literature data suggest that respiratory activation is an important mechanism for core strengthening via exercise interventions for the elderly. The review found that first, the mechanism of improving the respiratory muscles weakened by aging to address the loss of core function due to old age sarcopenia among the elderly results entails promoting the autonomic nervous system by focusing on the respiratory muscle activation pattern, the core muscle sensation mobilized for body centering. Second, nerve roots, intraperitoneal pressure, and deep muscles in the trunk of the body can be promoted while controlling respiratory stimulation with cognitive feedback. Effortful inspiration increases the activation of respiratory assistive muscles and effortless exhalation can improve the core muscle mobilization by involving abdominal muscles. Third, through respiratory muscle training, the elderly can increase their awareness of spinal centering and improve the ability to control the deep core muscles that must be mobilized for core stabilization. In conclusion, respiratory muscle training to increase the utilization of the trunk muscles seems to be a useful core stabilization exercise for the elderly with chronic tension and joint degeneration.

• 한국실내디자인학회논문집
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• 제15권6호
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• pp.11-18
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• 2006

Ceaseless studies and efforts to verify today's Korean nature that has advanced into digital era of 21C are continued. At this point of time, it is required to look back our heritage in diverse points of view free from theoretical and formal studies on our traditional spaces. Phenomenology, which is rising as the important theme in recent modem Western philosophy, suggests interesting analyses from this standpoint. This study is intended to analyze Korea's traditional residents 'Dok Rak Dang' based on Marleau-Ponty's phenomenology, and explore phenomenological spatial principle and new point of view implied in it. Particularly, Marleau-Ponty's phenomenology is the philosophy that shows intersubjective and involved relations between space and human, and intended to accept coincidental incidents occurred by human's action truthfully as they are. With three spatial concepts of direction, depth, and movement in Ponty's phenomenology, and placement nature of the earth that intercombine with human's body who is subject of these three concepts as analyze tool, Korea's traditional residents, 'Dok Rak Dang' has been analyzed. More segmentalized analyses have been deduced, and principle of phenomenology, that perceptions such as direction, depth, movement, etc are working synthetically to be accepted as essence of experiences could also be found in Dok Rak Dang.

• 한국실내디자인학회논문집
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• 제23권4호
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• pp.83-93
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• 2014

Because the 'image' is the 'reality' in this era, there are the characteristics dematerialized between reality and non-reality in the contemporary architecture. These are promoting individualization, differentiation and multi-layered time with the development of electronic technology. This trend emphasizes the importance of imagines that are not only homogenized, simultaneous but also overlapped, multi-layered, discriminatory. Perspectives and essential characteristics of the architectural skin are changing in terms of the technical and social awareness and that means the skin has features as a complex body. Recently as an imagine creator, the architectural skin make form of media boundaries reflecting the various relationships between the observer and the external environment and also, the interior space become another sensory skin by removing the boundaries of the internal and external. It is important that making an identity of the architecture defined by the media or the imagine as well as the importance of space in architecture. These changes of skin make the third space based on the viewer's imagination and show the potential of new architectural skin with the expansion space by blurring the boundary between reality and illusion. It occurs to the diversity of the architectural skin with the identity. It will more diversified and be recognized immediately and sensibly through the interface attributes in contact with the city directly. In addition, it is more important that the skin become a unified body related with urban, social and cultural context.

• Clinical Psychopharmacology and Neuroscience
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• 제16권4호
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• pp.391-397
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• 2018

Objective: Meditation can elicit trait-like changes in psychological and social styles, as well as enhancement of emotional regulatory capacity. We investigated the relation between personality traits and emotional intelligence in meditation practitioners. Methods: Seventy-two long-term practitioners of mind-body training (MBT) and 62 healthy comparative individuals participated in the study. The participants completed emotional intelligence questionnaires and the Myers-Briggs Type Indicator (MBTI). Results: The MBT group revealed higher scores on all five emotional intelligence factors than did those in the control group, such as emotional awareness and expression, empathy, emotional thinking, emotional application, and emotional regulation (all $p{\leq}0.001$). MBT practitioners also had higher scores on the intuition of perceiving function (t=-2.635, p=0.010) and on the feeling of the judging function (t=-3.340, p=0.001) of the MBTI compared with those in the control group. Only the MBT group showed a robust relationship with every factor of emotional intelligence and MBTI-defined intuitive styles, indicating that higher scores of emotional intelligence were related to higher scores for intuition. Conclusion: Emotional intelligence of meditation practitioners showed notable relationships with some features of personality trait. In-depth associations between emotional intelligence and personality traits would help to foster psychological functions in meditation practitioners.

• Clinical and Experimental Pediatrics
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• 제64권6호
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• pp.251-259
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• 2021

Psychogenic nonepileptic seizures (PNES) is a neuropsychiatric condition that causes a transient alteration of consciousness and loss of self-control. PNES, which occur in vulnerable individuals who often have experienced trauma and are precipitated by overwhelming circumstances, are a body's expression of a distressed mind, a cry for help. PNES are misunderstood, mistreated, under-recognized, and underdiagnosed. The mind-body dichotomy, an artificial divide between physical and mental health and brain disorders into neurology and psychiatry, contributes to undue delays in the diagnosis and treatment of PNES. One of the major barriers in the effective diagnosis and treatment of PNES is the dissonance caused by different illness perceptions between patients and providers. While patients are bewildered by their experiences of disabling attacks beyond their control or comprehension, providers consider PNES trivial because they are not epileptic seizures and are caused by psychological stress. The belief that patients with PNES are feigning or controlling their symptoms leads to negative attitudes of healthcare providers, which in turn lead to a failure to provide the support and respect that patients with PNES so desperately need and deserve. A biopsychosocial perspective and better understanding of the neurobiology of PNES may help bridge this great divide between brain and behavior and improve our interaction with patients, thereby improving prognosis. Knowledge of dysregulated stress hormones, autonomic nervous system dysfunction, and altered brain connectivity in PNES will better prepare providers to communicate with patients how intangible emotional stressors could cause tangible involuntary movements and altered awareness.

• Perspectives in Nursing Science
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• 제13권2호
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• pp.88-95
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• 2016

Purpose: Gestational weight gain and prepregnancy body weight are important factors of childbirth outcomes, which further cause obesity, metabolic diseases, or psychological problems later in women's lives. Changes in diet, westernized lifestyle, traditional postpartum care, and childbirth at older age are thought to be threats to proper weight management in Korean women of reproductive age. Public health and antenatal care need to focus on the proper body weight management of women by carefully planning pregnancy to postpartum periods. Purpose: This study explored the body weight changes from pregnancy to postpartum and the related characteristics in women within 12 months after childbirth. Methods: A cross-sectional, retrospective study was conducted with 102 Korean women within 12 months after childbirth. Data were collected using an online survey system, and a structured questionnaire available for electronic self-administration was modified to include demographics, obstetrical history, and body weight at 6 time points. The International Physical Activity Questionnaire and Eating Habit Measurement instruments were also used in data collection. A professional survey agency recruited the participants, and data were automatically saved and then analyzed. Results: The average age of the participants was 33.8 years, 48% were housewives and were well-educated. Seventy-two percent of the participants were primiparas and 82% had breastfed their babies. The body mass index (BMI) ranged from 17.3 to 27.8, indicating that 21.5% of the participants were overweight or obese. The mean gestational weight gain was 11.8 kg, and weight loss was apparent during the first 3 months postpartum. The mean decline in weight was 3.4 kg at one year after childbirth. Women wanted to lose 5.6 kg (range: 3~20 kg), however 44% of them reported that they had not engaged in any weight control efforts. Further, 72% of them reported having engaged in a low level of physical activity. Body weight was not associated with women's characteristics, physical activity score, and diet. Conclusion: Women's awareness of gestational weight gain, lifestyle modification, and the risk of prolonged weight retention should be promoted through the antenatal and women's healthcare systems. As pregnancy and childbirth are critical events that affect women's health, integrative education to ensure healthy transition to life after delivery is required.

• International Journal of Advanced Culture Technology
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• 제10권2호
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• pp.148-153
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• 2022

This thesis investigates the meaning of a performer's energy taking into an account of the full bodily engagement as the flow of energy and/or psychophysical readiness focusing specifically on the significance of qualitative bodily transformation. In this contemporary era, the dominance of performer training and its approaches to acting/training has very frequently meant that how to play a character in a textual based approach by emphasizing on interpreting and impersonating the role as real as possible. In this sense, as a performer trainer, from my observation and research findings shows that it is common for the term energy is not to be motivated by what a performer's body needs within a specific moment in specific performance which they are working on. To address the problematic issues, this thesis begins by interrogating the practical meaning of transformation with addressing the principle and process of movement by means of the flow of energy on stage. For a performer, inhabiting/integrating his/her body and mind as oneness and/or unity means s/he sincerely encounter, confront, and therefore listen to his/her body in here and now. Because since the performer's physical appearance completely defined his/her psychological state, no one can play either the past or the future in the moment. In this manner, an appropriate use of energy synonymous with the flow of energy correspondence with the given time and space in which the performer's body informs and initiates movement as necessary action. To be precise, the performer's bodily movement either visible or invisible in a sense of training and rehearsal is perceived as attaining or achieving psychophysical involvement as the full body engagement which enable to make the event happen in the right moment. Here, this thesis argues that the significance of a performer's inner intensity reminds us of the necessity of qualitative transformation on which the performer could discover his/her own mode of awareness as well as a way his/her body function in the given circumstance. From this point of view, this research finding would advocates that the performer's body maintains in the field of energy flow where his/her conscious effort and/or mindfulness disappear. The performer's movement is a manifestation of the whole bodily engagement by means of being as real in that moment rather than representing reality.

• 치위생과학회지
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• 제3권2호
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• pp.59-66
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• 2003

치과위생사의 효율적인 건강관리와 건강증진을 위한 기초자료로서 치과위생사의 직업병 인식 수준에 영향을 미치는 요인을 파악하고자 문헌과 자료를 조사하고, 전국 치과병, 의원에 종사하는 구성원 160명을 대상으로 2003년 6월부터 10월까지 약 5개월 동안 설문조사를 실시하여 분석한 결과 다음과 같은 결론을 얻었다. 1. 치과위생사들의 직업병 인식수분을 살펴 본 결과 '특정 부위 사용으로 인한 근육, 목, 어깨 결림'과 '업무 특성상 인한 스트레스'가 90.6%로 인식수준이 가장 높게 나타났으며, 그 다음으로 '장기간 세밀한 업무로 인한 시력저하'가 65%, '직업특성상 장기간 서서하는 업무로 인한 디스크 증세'가 62.5% 순으로 나타났다. 2. 치과위생사들의 직업병에 대한 지각 수준을 살펴본 결과 전체 14점 만점 중 평균이 7.28로, 직업병에 대한 지각 수준이 그다지 높지 않았으며, 사용하는 재료의 인체 유해성에 대한 인식을 살펴본 결과 사용하는 재료가 인체에 유해하다고 인식하는 치과위생사가 74.4%로 대부분을 차지하였다. 3. 치과위생사의 직업병에 대한 인식을 살펴본 결과 직업병이 있다고 인식하는 치과위생사가 91.9%로 대부분을 차지하였으며, 치과위생사의 건강복지를 위해 각 직장별 작업장 환경개선이 우선적으로 이루어져야 한다고 인식하는 치과위생사가 41.9%로 가장 많았으며, 다음으로 직장 차원의 정기적 건강진단 실시 34.4%, 재료학적 유해성에 대한 보건교육 실시 13.1% 순으로 나타났다.