• 제목/요약/키워드: Holistic health

검색결과 189건 처리시간 0.025초

취업 정신장애인의 직업 유지 과정: 근거이론적용 (Job Retention Process among Working People with Mental Illness: A Grounded Theory Approach)

  • 현명선;남경아;김현례;김수영
    • 대한간호학회지
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    • 제51권3호
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    • pp.320-333
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    • 2021
  • Purpose: The study was conducted to explore the experiences of job retention among working people with mental illness. Methods: The participants were members with mental illness at the S Community Mental Health Center in Gyeonggi Province and who had been working for more than six months. The data were collected through in-depth interviews with 11 participants between June 27 and August 20, 2018. The data were analyzed through Corbin and Strauss's grounded theory method. Results: The core category was struggling to take root in the community as a productive member. The core phenomenon was the desire to be a productive person, and the causal condition was the willingness to change for a purposeful life. The action and interaction strategies included maintaining regular living patterns, maintaining medication, developing one's tips for self-management, and self-approval. The intervening conditions were difficulties in forming social relationships, presence of symptoms, social resources, and acceptance of one's mental illness. The consequences were restoration of family relationships, healthy pleasure through work, social inclusion, development of self-worth, and transition to an independent person. Conclusion: Working people with mental illness are struggling to take root in the community as a productive member. This study suggests that a holistic understanding of the job retention experience among people with mental illness is required. The findings will provide the basis for developing interventions that can improve job retention among working people with mental illness.

A Comprehensive Review of Lipidomics and Its Application to Assess Food Obtained from Farm Animals

  • Song, Yinghua;Cai, Changyun;Song, Yingzi;Sun, Xue;Liu, Baoxiu;Xue, Peng;Zhu, Mingxia;Chai, Wenqiong;Wang, Yonghui;Wang, Changfa;Li, Mengmeng
    • 한국축산식품학회지
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    • 제42권1호
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    • pp.1-17
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    • 2022
  • Lipids are one of the major macronutrients essential for adequate growth and maintenance of human health. Their structure is not only complex but also diverse, which makes systematic and holistic analyses challenging; consequently, little is known regarding the relationship between phenotype and mechanism of action. In recent years, rapid advancements have been made in the fields of lipidomics and bioinformatics. In comparison with traditional approaches, mass spectrometry-based lipidomics can rapidly identify as well as quantify >1,000 lipid species at the same time, facilitating comprehensive, robust analyses of lipids in tissues, cells, and body fluids. Accordingly, lipidomics is now being widely applied in various fields, particularly food and nutrition science. In this review, we discuss lipid classification, extraction techniques, and detection and analysis using lipidomics. We also cover how lipidomics is being used to assess food obtained from livestock and poultry. The information included herein should serve as a reference to determine how to characterize lipids in animal food samples, enhancing our understanding of the application of lipidomics in the field in animal husbandry.

호주 태즈메이니아 유기농운동의 전개과정과 발전과제 (History of Organic Agricultural Movement and Perspective for Development of Organic Agriculture in Tasmania)

  • 김종숙
    • 현장농수산연구지
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    • 제15권1호
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    • pp.25-43
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    • 2013
  • Tasmania with its clean air, isolated from mainland Australia, has been producing high-quality agricultural products and has been continually developing organic farming since 1946 when the Living Soil Association of Tasmania(LSAT) was established. The organic farming movement in Tasmania has been actively advocated through three steps: the philosophical embryonic period, the movement diffusion period and the industrialised development period. The campaigns for informing about the connection between healthy soil and life unfolded during the embryonic period. This was followed by the birth of publicity of organic farming and the certification system through the dissemination of organic farming techniques and various events related to agriculture in the diffusion period when the Organic Gardening and Farming Society(OGFS) was established in 1972. In the industrialised development period, The Organic Coalition of Tasmania (OCT) which is representative of Tasmania was organised in 2000 and has been leading the organic farming industry. The organic farming movement in Tasmania not only limits the use of artificial agricultural chemical but pursues the quality of food, environment, the health of life including all animals and plants, the issue of development in rural society, social justice, and equity in understanding. It is far more holistic in its philosophy. The output of organic food accounts for 1 % of the total amount of agricultural production and 150 certified organic farms have managed with 5,000ha of land in 2010. The supply channels for organic foods vary from farmer's market, specialty stores, supermarket chains, local store to the cooperative community. Also the consumers' behaviour for organic foods has been establishing as an alternative life style. The education of the value and role of organic farming on the environment should be enlarged for the consumption of the organic food. In addition, organising for small farmers who act individually and the link with differentiated local food have still remained issues.

Models for Spiritual Care in Hospice and Palliative Care

  • Kang, Kyung-Ah
    • Journal of Hospice and Palliative Care
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    • 제21권2호
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    • pp.41-50
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    • 2018
  • 영성은 인간의 본질적인 부분으로 말기 환자와 가족의 실제적인 영적요구 충족을 위한 영적돌봄은 HPC에서 가장 중요한 영역이다. 말기환자와 가족의 실제적인 영적요구에 부응하는 돌봄모형을 확인하기 위해 최근 보건의료계에서 가장 많이 사용하는 국 내외 database를 검색하여 분석한 결과, 영성은 전인적 존재인 인간의 본질적인 부분으로, 삶의 위기상황에 더욱 충족되어야 할 존재론적 특성으로서, 말기 환자의 영성평가는 HPCT이 기본적으로 갖추어야 할 역량임이 확인되었다. HPC에 evidence based theory로 활용 가능한 총 10개의 모델이 제시되었다. 세 개의 모델들은 영적돌봄 결과에 초점을 둔 모델로서, spiritual health, QOL, and coping을 중요한 outcome으로 보는 모델들이었다. 영적돌봄수행에 초점을 둔 모델은 7개였으며, HPCT의 다학제간 협력을 통한 돌봄과정을 나타낸 'Wholeperson Care Model', 인간의 보편적인 실존적 요구충족이 보완된 'An Existential Functioning Model', 대상자의 문화적, 그 외 다양성을 고려하는 'An Open Pluralism View', HPCT와 말기환자와의 관계중심모델인 'A spiritual-relational view' and 'The Framework of Systemic Organization', 영적돌봄과정의 전체적 역동을 설명하는 'The principal components model' and 'The Actioning Spirituality and Spiritual care in Education and Training model'이 있다. 이러한 모델을 토대로 HPC에서 가장 최선의 영적돌봄 모델 구축을 위한 지속적인 임상연구 노력이 계속될 필요가 있겠다.

군 간부 건강검진 결과를 통한 검사항목 품질향상에 관한 연구 (A Study on the Quality Improvement of Test Items through the Results of Military Personnel Health Examination)

  • 이지철;이종형;양남영;강경희;박아르마;김광환
    • 한국융합학회논문지
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    • 제8권6호
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    • pp.55-64
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    • 2017
  • 본 연구의 목적은 군 간부건강검진결과를 분석하여 군 간부의 건강상태를 파악하고자 하는 것이다. 연구결과는 다음과 같다. 첫째, 연구대상자의 일반적 특성은 전체 120명의 연구대상자 중, 40세 미만이 60명, 40세 이상이 60명인 것으로 나타났다. 둘째, 연구대상자의 연령 및 체질량 지수와 검사결과간의 정준상관분석 결과, 3개의 정준함수가 도출되었다. 이 중, 2개의 정준함수가 각각 통계적으로 유의한 것으로 나타났다. 본 연구에서 군 간부에게는 건강에 대한 총체적 진단과 검진제도가 보완되어야 한다는 의미 있는 결과가 도출되었고, 향후 군 간부에 대한 건강검진은 확대된 건강검진 품질에 대한 추가 검사항목을 받아야 하며, 이를 위한 예산반영은 정책 관련기관에서 판단하여야 할 것으로 사료된다.

Effectiveness of Mass Drug Administration on Neglected Tropical Diseases in Schoolchildren in Zanzibar, Tanzania

  • Kim, Ju Yeong;Sim, Seobo;Chung, Eun Joo;Rim, Han-Jong;Chai, Jong-Yil;Min, Duk-Young;Eom, Keeseon S.;Mohammed, Khalfan A.;Khamis, Iddi S.;Yong, Tai-Soon
    • Parasites, Hosts and Diseases
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    • 제58권2호
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    • pp.109-119
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    • 2020
  • Soil-transmitted helminths and Schistosoma haematobium affect more than 3 billion people globally and mainly occur in sub-Saharan Africa. The present study assessed the overall infection status of a 1716-student cohort of schoolchildren in Zanzibar and applied mass drug administration (MDA) to the cohort from 2007 to 2009. Schools in Pemba, Zanzibar, had a much higher prevalence of soil-transmitted helminth infections than those in Unguja, and the Chaani, Ghana, and Machui schools of Unguja exhibited high S. haematobium infection rates. The MDA program only partially controlled parasite infections, owing to high rates of re-infection. The infection rate of S. haematobium across all 10 schools, for example, was only reduced by 1.8%, and even this change not significant, even though the S. haematobium infection rates of the Chaani and Mzambarauni schools were significantly reduced from 64.4 and 23.4%, respectively, at the first screening, to 7.3 and 2.3% at the last screening. The overall infection rate of Ascaris lumbricoides was reduced from 36.0% at the first screening to 22.6% at the last screening. However, the infection rates for both Trichuris trichiura and hookworm were generally unaffected by MDA. In the future, parasite control programs should involve strategically designed MDA schedules and holistic intervention (e.g., sanitation improvement, hygiene behavior changes, and control of intermediated hosts).

독립형 호스피스 센터 모델 개발에 관한 연구 (A Study on the Development of an Independent Hospice Center Model)

  • 노유자;한성숙;김명자;유양숙;용진선;전경자
    • 대한간호학회지
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    • 제30권5호
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    • pp.1156-1169
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    • 2000
  • The study was aimed at developing an independent hospice center model that would be best suited for Korea based on a literature review and the current status of local and international hospices. For the study, five local and six international hospice organizations were surveyed. Components of the hospice center model include philosophy, purpose, resources (workers, facilities, and equipment), allocation of resources, management, financial support and hospice team service. The following is a summary of the developed model: Philosophies for the hospice center were set as follows: based on the dignity of human life and humanism, help patients spend the rest of their days in a meaningful way and accept life positively. On the staff side, to pursue a team-oriented holistic approach to improve comfort and quality of life for terminally ill persons and their families. The hospice center should have 20 beds with single, two, and four bed rooms. The center should employ, either on a part-time or full-time basis, a center director, nurses, doctors, chaplains, social workers, pharmacists, dieticians, therapists, and volunteers. In addition, it will need an administrative staff, facility managers and nurses aides. The hospice should also be equipped with facilities for patients, their families, and team members, furnished with equipment and goods at the same level of a hospital. represented by a center director who reports to a board and an advisory committee. Also, the center director administers a steering committee and five departments, namely, Administration, Nursing Service, Social Welfare, Religious Services, and Medical Service. Furthermore, the center should be able to utilize a direct and support delivery systems. The direct delivery system allows the hospice center to receive requests from, or transfer patients to, hospitals, clinics, other hospice organizations (by type), public health centers, religious organizations, social welfare organizations, patients, and their guardians. On the other hand, the support delivery system provides a link to outside facilities of various medical suppliers. In terms of management, details were made with regards to personnel management, records, infection control, safety, supplies and quality management. For financial support, some form of medical insurance coverage for hospice services, ways to promote a donation system and fund raising were examined. Hospice team service to be provided by the hospice center was categorized into assessment, physical care, emotional care, spiritual care, bereavement service, medication, education and demonstrations, medical supplies rental, request service, volunteer service, and respite service. Based on the results, the study has drawn up the following suggestions: 1. The proposed model for a hospice center as presented in the study needs to be tested with a pilot project. 2. Studies on criteria for legal approval and license for a hospice center need to be conducted to develop policies. 3. Studies on developing a hospice charge system and hospice standards that meet local conditions in Korea need to be conducted.

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도시공원에 식재된 왕벚나무 수종을 중심으로 한 수목활력도의 정량평가지표 개발 및 이론적 고찰에 관한 연구 (Indicators for the Quantitative Assessment of Tree Vigor Condition and Its Theoretical Implications : A Case Study of Japanese Flowering-cherry Trees in Urban Park)

  • 송영근
    • 한국환경복원기술학회지
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    • 제17권4호
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    • pp.57-67
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    • 2014
  • The vigor condition of trees is an important indicator for the management of urban forested area. But difficulties in how to assess the tree vigor condition still remain. Previous efforts were limited in the 1) measurement of single indicator rather than using multiple indices, 2) purpose-oriented measurement such as for air-pollution effect or specific pathological symptom, and 3) ordinal-scale evaluations by field crews 4) despite human errors based on his/her experiences or prior knowledge. Therefore, this study attempted to develop a quantitative and objective methodology for assessing tree vigor condition, by measuring multiple modules and building the profile inventory. Furthermore, the possibility and limitations were discussed in terms of schematic frames describing tree vigor condition. The vigor condition of 56 flowering cherry plants in urban park were assessed by in-situ measurements of following eight items; growth of crown(Gc), growth of shoots, individual tree volume(Vol), plant area index, woody area index, leaf area index, leaf chlorophyll content(Lc) and leaf water content(Lw). For validation, these measurements were compared with the ranks of holistic tree vigor condition, which were visually assessed using a 4-point grading scale based on the expert's knowledge. As a result, the measures of each evaluation item successfully highlighted a variety of aspects in tree vigor condition, including the states of both photosynthetic and non-photosynthetic parts. The variation in the results depending on evaluated parts was shown within an individual tree, even though the broad agreement among the results was found. The result of correlation analysis between the tested measurements and 4-point visual assessment, demonstrated that the state of water-stressed foliage of the season (Lw) or the development of plant materials since sapling phase (Vol) could be better viewed from the outer appearance of trees than other symptoms. But only based on the visual assessment, it may be difficult to detect the quality of photosynthesis (Lc) or the recent trend in growth of trees (Gc). To make this methodology simplified for the broad-scale application, the tested eight measurements could be integrated into two components by principal component analysis, which was labelled with 'the amount of plant materials' and 'vigor trend', respectively. In addition, the use of these quantitative and multi-scale indicators underlies the importance of assessing various aspects of tree vigor condition, taking into account the response(s) on different time and spatial scale of pressure(s) shown in each evaluated module. Future study should be advanced for various species at diverse developing stages and environment, and the application to wide areas at a periodic manner.

중학생의 성별과 신체상에 따른 체육개념 및 체육목표의 차이 (Differences in the concepts and objectives of physical education by the body image and gender of middle school students)

  • 이정흔;이동진;서재하;이문숙;오병돈;조민행;조병준
    • 한국산학기술학회논문지
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    • 제11권12호
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    • pp.4945-4953
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    • 2010
  • 이 연구는 중학생의 성별 및 신체상에 따른 체육목표 및 체육개념에 대한 인식수준을 분석하는 것으로, 중학생을 대상으로 유층집락무선표집법을 이용하여 남학생 267명, 여학생 166명 등의 총 443명을 표집하였다. 연구목적을 위해 사용된 도구는 Figure Rating Scale(FRS)과 체육목표 및 개념에 관한 설문지이며, 수집된 자료는 Windows용 SPSS/PC Ver 12.0 프로그램을 이용하였다. 조사대상자의 성별에 따른 체육개념 및 목표의 차이를 분석하기 위해서 t-검증을 실시하였으며, 조사대상자의 신체상에 따른 체육개념 및 체육목표의 차이를 알아보기 위하여 일원변량분산분석을 실시하였고, Scheffe의 사후검정을 실시하였다. 이러한 분석을 통해 첫째, 중학생의 체육의 개념과 목표에 대한 인식에서 남학생이 여학생 보다 높은 인식을 가지고 있었다. 둘째, 정상 체형의 중학생이 다른 체형의 중학생에 비해 체육개념과 목표에 대한 인식도가 높았다. 이러한 결과는 올바른 신체상과 건강한 체형을 형성 유지할 수 있도록, 또한 여학생에게도 체육개념과 체육목표를 경험으로서, 문화재생산으로서, 교과내용을 경험할 수 있도록 포괄적인 개념의 범위와 계열 및 계획된 수업진행이 필요한 것으로 나타났다.

호스피스병동 간호사의 역할 변화 경험 (Nurse's Experience of Changing Role in the Hospice Unit of Medical Ward)

  • 김현주;구정일;변준혜;김수미;최화숙
    • Journal of Hospice and Palliative Care
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    • 제11권1호
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    • pp.30-41
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    • 2008
  • 목적: 본 연구의 목적은 호스피스 병동에서 근무하는 간호사의 역할 변화 경험이 무엇인지 조사하여 호스피스서비스의 질향상을 위한 기초자료를 제공하고자 함이다. 방법: 본 연구는 포커스 그룹 인터뷰 방법을 사용한 질적 연구로서 연구 참여자는 서울시내 일 대학병원의 호스피스병동 간호사 12명이었다. 자료 수집은 2006년 5월에서 7월 사이에 3차에 걸쳐 이루어졌으며 포커스 그룹 인터뷰에 사용된 연구 질문은 "호스피스 환자를 돌보면서 경험한 역할변화는 무엇인가?", "호스피스 간호를 하면서 변화된 역할에 대한 자신의 경험과 반응은?" 이었으며 3차 인터뷰에서는 위의 두 가지 질문과 함께 "호스피스 환자를 간호하면서 경험한 부담감과 어려움을 위한 해결책은 무엇이라고 생각하는가?"라는 질문을 추가하였다. 수집된 자료의 분석은 Kruger(1998)가 제시한 분석과정에 따라 4단계 지침을 이용하였다. 결과: 1차 포커스 그룹 인터뷰 결과 호스피스 병동 간호사가 경험한 역할 변화는 '기계적인 간호에서 인간적인 간호로의 변화', '임종을 지키는 간호', '가족지지 및 상담', '팀워크 조율' 등의 4개 범주인 것으로 나타났으며 일반병동에서 근무할 때와 비교하여 심리사회영적인 부분과 가족을 배려하는 진호실무의 질적향상을 경험한 것으로 나타났다. 2차 포커스 그룹 인터뷰 결과 변화된 역할에 대한 간호사의 경험과 반응은 두려움, 난감함, 성숙, 부담감, 미안함, 뿌듯함, 감정이입, 우울 등 총 8개의 범주인 것으로 확인되었으며 간호사들이 개인적으로 삶과 죽음에 대한 성숙을 경험한 것으로 나타났다. 3차 포커스 그룹 인터뷰 결과 두려움, 난감함, 부담감, 미안함 등의 부정적인 경험의 감소를 위한 해결책은 호스피스 간호를 수행하기 전에 간호사 인력에 대한 체계적인 호스피스 교육이 필요하고 호스피스 전용병상의 형태보다는 독립 호스피스 병동의 개설이 필요함을 강조한 것으로 나타났다. 결론: 호스피스 환자와 가족을 간호하는 간호사들은 자신들의 경험을 통해 신체적인 면뿐만 아니라 심리사회영적인 부분을 포함하는 전인간호, 가족을 배려하고 팀�p을 중시하는 발전된 간호를 수행하게 되었으며 개인적으로도 삶과 죽음을 이해하게 되는 성숙을 경험하게 되는 것을 알 수 있다. 또한 효율적인 호스피스간호 서비스의 제공을 위해서는 독립적인 호스피스 병동 형태인 것이 바람직하고, 호스피스 병동에 근무하게 된 간호사들이 사전에 적절한 호스피스 교육을 제공하는 것이 필수적이라 하겠다.

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