• 한국보건간호학회지
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• 제32권3호
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• pp.451-467
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• 2018

Purpose: The aim of this study was to determine the related factors for psychological crises in Korean middle aged adults. Methods: RISS, KISS, National Assembly Digital Library, CINAHL, and PubMed were searched for relevant articles published until October 3, 2016. Finally, a total of 23 studies were included. Meta-analysis of the studies was conducted using Comprehensive Meta-Analysis 3.0 software to calculate the effect size. Results: The related variables of psychological crisis were categorized into 23 variables and 5 factor groups. The effects size (ES) of the overall defensive variables was -0.28. In the defensive factors, the psychological factor (ES=-0.67), followed by cognitive and behavioral factor (ES=-0.34), physical factor (ES=-0.31), and social relational factor (ES=-0.29) had the greatest effect on psychological crises. The effects size of the overall risk variables was 0.48. In the risk factors, the physical factor (ES=0.61) had the greatest effect on psychological crises, followed by the psychological factor (ES=0.53), and cognitive and behavioral factor (ES=0.10). Conclusion: An intervention program is needed to strengthen the defensive factors and reduce the risk factors for psychological crises of Korean middle aged adults.

• 대한한방내과학회지
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• 제43권2호
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• pp.244-253
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• 2022

Objective: This study reports on the management of a patient with myasthenia gravis (MG) following myasthenic crisis (MC) using Korean medicine. Methods: A 77-year-old Class V MG patient was treated with acupuncture, moxibustion, and Korean herbal medicine. A manual muscle test was used to derive a Medical Research Council (MRC) score and the patient's subjective view of his dyspnea was measured to assess MG symptoms. Results: The MRC grade indicated significant deterioration after 65 days of treatment, although there was no change in the patient's subjective dyspnea assessment. But no other MG or MC complications occurred. Conclusion: This study suggests that Korean medicine could be used for the management of Class V MG patients.

• 사회복지연구
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• 제47권4호
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• pp.255-280
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• 2016

성폭력 경험자들을 위한 통합적 지원체계의 구축과 효과적 서비스 모델 개발에 있어서 피해사례들의 유형화와 지원 서비스 이용양태에 대한 파악은 중요한 과제이다. 그러나 이러한 문제의식에 대한 답은 그간 2013년의 전국 성폭력 실태조사를 위시한 회고적 자기보고자료와 성범죄 관련 통계자료 등을 통해 다소 제한적인 정보로만 남아 있었다. 이에 본 연구는 성폭력 피해자 지원기관들에 기록되어 있는 실제 사례관리 데이터를 활용하여 성폭력 피해특성에 따른 유형화를 시도하였고, 해당 유형들과 성폭력 지원 서비스 이용 간의 관계를 살펴보는 것을 목적으로 삼았다. 이를 위해 전국의 피해자 지원 기관 29개소로부터 수집된 총 1077개 피해 사례가 분석에 활용되었다. 분석결과, 피해 유형 및 연령과 가해자와의 관계에 따른 개별 피해특성들의 차이를 발견하였고, 피해특성을 바탕으로 한 총 6개의 하위 유형을 확인할 수 있었다. 또한 해당 유형들에 따라 다양한 성폭력 지원 서비스 이용에 차이가 있음을 알 수 있었다. 본 연구는 이러한 연구결과를 바탕으로 기존 전국 성폭력 실태조사의 결과 및 성폭력 관련 범죄 통계와의 차이를 논하였고 실천적 함의와 향후 연구방향을 제시하였다.

• 지역연구
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• 제11권1호
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• pp.79-91
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• 1995

As an exit to solve the economic depression of the development countries in the early twentieth century, the 'old international division of labor' developed. The economic crisis(i.e., under-consumption crisis) was due to the absence of the mode of regulation compatible with the extensive regime of accumulation(i.e., "Fordist" regime). The crisis was solved by the state intervention through the creation on institutions in order to increase the level of consumption. Until the late 1960s when "high Fordism" reached(i.e., a harmonious relation between the monopoly mode of regulation and the intensive accumulation of capital), the developed core countries enjoyed a remarkable economic growth. The external market was not a necessity for the economic growth because there were increases in labor productivity and proportional increases in real wages and thus increases in consumption level. In the 1970s, however, the core faced with economic crisis again. Due to the breakdown of the postwar "Fordist" regime of capital accumulation and the post 1973 world depression, the core needed the Third World as a solution for their internal and international economic crisis. Thus the 'new international division of labor'(NIDL) arose. The "Fordist" method of production(i.e., the divisions of production process) led to the territorial division of labor and to the detailed division of labor. The aim of the NIDL is to exploit reserve armies of labor on a world scale and thus to reduce production costs. According to the NIDL model, the Third World countries have been developing by the core countries' investment on mainly labor-intensive industries and thus have been playing an important role in the global economy. And the NIDL theorists argue that multinational corporations have increasingly invested in the Third World nations and contributed to the economic growth in those regions. Tables presented in the paper show that the global trend since the 1970s does not follow the argument exactly as the NIDL theorists predicted. On the contrary, the core countries focus on developing technology, adopting the automation of production process, and trading within the core countries rather than on investing in the periopheral countries. The continuing investment of multinational corporations into the periphery is not because of cheap labor force but because of the market potentials in the regions. Majority of corporations of the core tries to reduce production costs by investing in technological development more intensively and also by changing regional strategies (i.E., investment from metropolitan areas to medium - or small - size cities, focusing on agglomeration economy, boosting regional diversification, etc.) within their own countries. The main purpose of the paper is to review and to criticize the NIDL theory based on some empirical data.IDL theory based on some empirical data.

• Journal of Hospice and Palliative Care
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• 제6권1호
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• pp.58-64
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• 2003

Cancer is a life crisis which inflicts major psychological and physical trauma upon the victim. Most of the cancer patients suffer from major depression, profound frustration, and impaired social adjustment. Therefore suicidal ideation and suicidal attempt are also becoming a serious threat to cancer patients and their families. Hospice is patient-centered, and accepts the inevitability of 'death' while simultaneously being life-affirming. Even though there is no chance of physical cure, there is much scope for psychosocial and spiritual healing. Most of cancer patients who commit suicide suffer hem many mental problems. Hospice specialists must play an important role in evaluating and managing emotional or behavioral problems associated with suicidal ideatior and are also are expected to serve as informed commentators regarding suicide. It is crucial that hospice specialists define their role and develop clinical skills to intervene in suicidal event effectively. A systematic approach to suicidal cancer patients is a essential, and there is need for specific training for all hospice professionals. In this case report, the author introduced knowledge and clinical guidelines for a desirable approach to suicidal cancer patient.

• Journal of Preventive Medicine and Public Health
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• 제44권1호
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• pp.2-8
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• 2011

Objectives: Public release of and feedback (here after public release) on institutional (clinics and hospitals) cesarean section rates has had the effect of reducing cesarean section rates. However, compared to the isolated intervention, there was scant evidence of the effect of repeated public releases (RPR) on cesarean section rates. The objectives of this study were to evaluate the effect of RPR for reducing cesarean section rates. Methods: From January 2003 to July 2007, the nationwide monthly institutional cesarean section rates data (1 951 303 deliveries at 1194 institutions) were analyzed. We used autoregressive integrated moving average (ARIMA) time-series intervention models to assess the effect of the RPR on cesarean section rates and ordinal logistic regression model to determine the characteristics of the change in cesarean section rates. Results: Among four RPR, we found that only the first one (August 29, 2005) decreased the cesarean section rate (by 0.81 percent) and continued to have an impact period through the last observation in May 2007. Baseline cesarean section rates (OR, 4.7; 95% CI, 3.1 to 7.1) and annual number of deliveries (OR, 2.8; 95% CI, 1.6 to 4.7) of institutions in the upper third of each category at before first intervention had a significant contribution to the decrease of cesarean section rates. Conclusions: We could not found the evidence that RPR has had the significant effect of reducing cesarean section rates. Institutions with upper baseline cesarean section rates and annual number of deliveries were more responsive to RPR.

• 한국사회복지학
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• 제41권
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• pp.173-200
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• 2000

The purpose of this study is to examine the variables that may influence the level of family adaptation to schizophrenic patients using the Family Resiliency Model. The Family Resiliency Model is the most current extension of family stress Model. According to the Family Resiliency Model, The level of family adaptation in the face of a crisis situation is determined by a number of interacting components. The subjects are 151 family members with schizophrenic patient. The result from the research were as follows: 1) The following variables significantly correlated with the family adaptation: income of the family, educational level of the family, intimacy between family and patient, knowledge on schizophrenia, recognition of prognosis on schizophrenia. 2) The factors that compose the Family Resiliency Model significantly correlated with the level of family adaptation. 3) The result of stepwise multiple regression analysis indicated that factors which predict the level of family adaptation were the family control, the quality of family communication, and the support from the extended family, these findings give us significant practical implications for social work intervention.

• Journal of mucopolysaccharidosis and rare diseases
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• 제5권1호
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• pp.8-11
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• 2021

Glutaric aciduria type 1 (GA1; OMIM #231670) is a rare autosomal recessive-inherited neurometabolic disorder caused by the deficiency of glutaryl-CoA dehydrogenase (GCDH), which is encoded by the GCDH gene. It results in the accumulation of glutaric acid (GA), 3-hydroxyglutaric acid (3-OH-GA), glutaconic acid, and glutarylcarnitine (C5DC). These metabolites are considered to damage the striatum through an excitotoxic mechanism. The treatments of GA1 known to date are metabolic maintenance treatment based on a low-lysine diet and emergency treatment during acute illness. However, treatment after the onset of neurological symptoms has limited effectiveness and is associated with poor outcomes, and the effect of treatment and disease course after treatment are not good. After the implementation of newborn screening, the incidence of acute encephalopathic crisis fell to 10%-20% with early diagnosis, preventative dietary management, and aggressive medical intervention during acute episodes. Recently, several cohort studies have been published on the natural course and treatment of GA1 patients. This mini review will cover the clinical symptoms, natural history, and treatment of GA1 through a literature review.

• 한국지역지리학회지
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• 제13권1호
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• pp.82-103
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• 2007

신자유주의는 국가 개입을 통해 작동하는 경로의존적, 혼종적, 모순적 프로젝트로 이해된다. 신자유주의 하에서 실제 국가의 개입은 그 힘이 약화되었다기보다는 전략이 변화했다고 할 수 있으며, 이는 특히 도시공간의 재구성을 위한 신자유주의적 정책들에서 잘 나타난다. 이러한 점에서 이 논문은 발전국가로 특징지워지는 한국에서 신자유주의의 도입과정과 이에 따른 도시정책의 특성 변화를 고찰하고자 한다. 이를 위해 이 논문은 우선 1960년대 이후 국가주도적, 수출지향적 경제개발을 주도한 발전국가 및 그 공간정책의 특성을 살펴보고, 1980년대 후반 이후 신자유주의의 전개과정을 두 단계, 즉 1980년대 후반에서 1997년 경제위기 이전(1단계)과 그 이후 현재까지(2단계)로 구분하여 고찰하고자 한다. 특히 이러한 신자유주의화 과정은 기존 발전주의와 상호 중첩적, 혼종적으로 결합되어 있으며, 이러한 성향은 공간정책의 변화과정에 반영되고 있다고 주장한다. 끝으로 국가와 시장 간 결합(즉 발전주의적 신자유주의)은 다양한 유형으로 전개될 수 있지만, 국가의 발전 전망과 공간정책은 산업(자본)중심이 아니라 복지(인간)중심이어야 한다는 점이 강조된다.

• 대한간호학회지
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• 제19권1호
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• pp.63-80
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• 1989

This study was undertaken at Yonsei University Medical Center to identify the crisis responses and nursing problems of patients who had been diagnosed with cancer, and changing patterns of grieving over time periods, and to analyse the effectiveness of follow up care through home visiting nursing. This study was carried out in three stages. The 1st study data were collected from a total of 205 patients who had been diagnosed with cancer from Sept.1 to Dec. 31, 1987 using a cross-sectional method. The 2nd study data were collected three times from 30 patients with cancer at 4 weeks intervals from March 1 to June 31, 1988 using a longitudinal method. The 3rd study data were collected from two different groups from March 1 to June 31, 1988. One was an experimental group who was visited by nurses and the other one was a control group not visited by nurses. The subjects of the 3rd study consisted of 60 patients with cancer and a Quasi-experimental research design was used. The results were as follows ; 1. The patients did not experience one stage at a time among the five stages of grieing, denial anger, bargaining, depression and acceptance, as identified by Kubler Ross. They experienced a combination of stages, especially of the bargaining and the depression stages. This stages did not change with the passing of time. 2. The patients expressed more physical and socioecounomical problems than emotional problems. And they used more problem coping methods than emotional coping methods. 3. Follow up care through home visiting nursing positively influenced the patient's quality of life, especially their physical well-being and symptom control The patients responded positively to the home visiting nursing, stating that it was helpful In them. It was concluded that the development of a home visiting nursing program is needed for the effective home care of patients with cancer.