• 제목/요약/키워드: Internal experiences

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A Case of Atypical Bronchial Carcinoid Treated by Cryotherapy (냉동치료로 치료된 비전형적 기관지 유암종 1예)

  • Kim, Hye-Ok;Kim, Se-Joong;Lee, Seung-Hyeun;Lee, Eun-Joo;Hur, Gyu-Young;Lee, Sung-Yong;Lee, Sang-Yeub;Kim, Je-Hyeong;Shin, Chol;Shim, Jae-Jeong;In, Kwang-Ho;Kang, Kyung-Ho;Yoo, Se-Hwa
    • Tuberculosis and Respiratory Diseases
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    • v.70 no.6
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    • pp.521-525
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    • 2011
  • Bronchial carcinoid tumors are relatively uncommon neoplasms that are considered to be malignant tumors of low to intermediate grade. They are classified by pathologic features as typical or atypical carcinoids and have distinctly different prognoses and therapeutic options. Surgery is the treatment of choice in typical and atypical carcinoid tumors but the approach has been changing. Recently, several studies have described experiences using other technologies as adjuncts to bronchoscopic resection, technologies such as laser and cryotherapy with curative intent in endoluminal typical carcinoids. Here we present a case of atypical bronchial carcinoid that was treated with bronchoscopic cryotherapy.

A study on the expression types and internal meanings of ecology images appeared in modern digital fashion (현대 디지털 패션에 나타난 생태적 이미지의 표현유형과 내적 의미)

  • Kang, Junho;Kwon, Giyoung
    • The Research Journal of the Costume Culture
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    • v.29 no.3
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    • pp.422-436
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    • 2021
  • The fashion industry analyzes the value of its essence with ecological design and is expressed as an innovative sculpture using digital technology. Accordingly, this study explores ecological images and digital technologies, categorizes types and derives their meanings through analysis of ecological images shown in modern digital fashion. A literature survey was conducted on ecological images and digital technology as a theoretical background. To analyze the expression type and internal meanings of ecological images, designs with ecological formability were selected and analyzed from related journals, books, and internet sites. The finding are as follows: The expression type was first identified as organic curved garment silhouettes of a non-material liquid with digital retouching. Second, ecological fashion design includes structural shape that applies the silhouette of an organism and patterning of the ecosystem. Third, ecosystems consist of interactions between components of an ecosystem that appear in the interactive type. Accordingly, the internal meanings of ecological images in modern digital fashion are: first, digital fashion can encircle the inherent concepts of nature as organic collections of individuals; second, digital ecological images emphasize a sense of community with coexistence and harmony, playing a complementary role; and finally, the images express perceptual features by providing people with transcendent experiences. This study is significant as it analyzes new formative features based on ecological systems in the digital fashion environment, establishes an aesthetic system through internal meanings, and enhances awareness of human-natural relationships.

Experiences of Family Caregivers of Patients with Terminal Cancer (말기 암환자 가족의 돌봄 경험)

  • Choi, Eun-Sook;Kim, Keum-Soon
    • Journal of Korean Academy of Nursing
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    • v.42 no.2
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    • pp.280-290
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    • 2012
  • Purpose: This study done to identify the experiences of families caring for patients with terminal cancer. The question was, "What is the caregiving experience of a family who has a member with terminal cancer?" Methods: Grounded Theory was applied and in-depth interviews were done with 11 family members. Interviews were recorded with the interviewees' consent and were transcribed and analyzed. Participants' relationships to patients were 6 spouses, 4 daughters, and 1 mother. The ages of the participants were between 32 and 62, with an average of 47.5. Results: The study showed "enduring with bonds" as the main category and the main factor affecting this category was the "patients' diagnosis of terminal cancer." The caregiving experience was divided into four stages: shock, confusion, struggle, and acceptance. Mediating factors were relationship with the patient, intimacy with the patient, social support, communication, and trust. Conclusively, participants underwent internal maturity, and changes occurred in family and social and personal life. Conclusion: The families took care of the patients with responsibility and love. The study results should help with the understanding of a family with a member with terminal cancer and should be used to develop nursing, mediating, and consulting programs for these caregivers.

A Qualitative Study on The Full-Time Housewife's Everyday Child Caring and Education Experience (전업주부의 '자식 키우기 경험'에 관한 질적 연구)

  • Kim, Seon-Mi
    • Korean Journal of Human Ecology
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    • v.13 no.4
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    • pp.537-553
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    • 2004
  • This ethnographic case-study explores the daily experiences in child-rearing and education among Korean full-time housewives. For this purpose, 11 full-time housewives in their thirties and forties from the middle class were interviewed with an unstructured questionnaire. The findings are as follows: Full-time housewives tend to assume the full responsibility for child-caring and education. Their time is structured around the schedules of caring children and participating in educational programs for children. The most demanding tasks for them include preparing for a preschool, getting the children ready for school, rendering supports for children's schools, extra curricular education, and arranging and offering gift money to teachers. They feel that their husbands do not provide enough supports for child-caring and education. Despite all the negative experiences, Korean full-time housewives put in whatever they have to make sure their children's well-being and to provide the best education possible for their children; the maternal identity plays a role of the utmost importance in them.

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A Study on the In-Patients' Experiences of Informed Consent (사전동의(Informed Consent)에 관한 입원환자의 경험)

  • Yoo, Myung-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.2
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    • pp.255-264
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    • 2006
  • Purpose: This study was carried out to understand the in-patients' experiences related on informed consent for examination, treatment or surgery. Method: The study was conducted with 578 patients who were admitted to the departments of internal medicine and surgery for examination, treatment or surgery requiring informed consent from November 1 to 30, 2004 at three general hospitals in Daegu, Busan and Gyeongsangbuk-do. The data was analyzed by using SPSS 11.5 for Windows. Results: Although the one who explains during the process of informed consent should be doctors, 6.6% was informed by nurses or others. In addition, the majority has been told for complications and risk while relatively fewer patients were informed for necessity, method and costs of the procedure, and no one ever heard of other alternatives or the right to terminate the procedure at any time. While 40% of patients were not the final decision-makers of examination, treatment or surgery, 11.9% of patients answered their opinions were not considered during the final decision-making process. Conclusion: The study suggest that the ethically appropriate informed consent has not been achieved in the clinical practice, and therefore it is necessary to develop the specific behavioral guidelines and nursing ethics education program for nurses in order to settle down the desirable informed consent at the dimension of nursing management.

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Effects of house load operation on PSA based on operational experiences in Korea

  • Lim, Hak Kyu;Park, Jong-hoon
    • Nuclear Engineering and Technology
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    • v.52 no.12
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    • pp.2812-2820
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    • 2020
  • House load operation (HLO) occurs when the generator supplies power to the house load without triggering reactor trips during grid disturbances. In Korea, the HLO capability of optimized power reactor 1000 (OPR1000) plants has prevented several reactor trips. Operational experiences demonstrate the difference in the reactor trip incidence due to grid disturbances between OPR1000 plants and Westinghouse plants in Korea, attributable to the availability of the HLO capability. However, probabilistic safety assessments (PSAs) for OPR1000 plants have not considered their specific design features in the initiating event analyses. In an at-power PSA, the HLO capability can affect the initiating event frequencies of general transients (GTRN) and loss of offsite power (LOOP), resulting from transients within the grid system. The initiating event frequencies of GTRN and LOOP for an OPR1000 plant are reduced by 17.7% and 78.7%, respectively, compared to the Korean industry-average initiating event frequencies, and its core damage frequency from internal events is reduced by 15.2%. The explicit consideration of the HLO capability in initiating event analyses makes significant changes in the risk contributions of the initiating events. Consequently, for more realistic at-power PSAs in Korea, we recommend incorporating plant-specific HLO-related design features when estimating initiating event frequencies.

Characteristics Associated with Survival in Patients Receiving Continuous Deep Sedation in a Hospice Care Unit

  • Ahn, Hee Kyung;Ahn, Hong Yup;Park, So Jung;Hwang, In Cheol
    • Journal of Hospice and Palliative Care
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    • v.24 no.4
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    • pp.254-260
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    • 2021
  • Continuous deep sedation (CDS) is an extreme form of palliative sedation to relieve refractory symptoms at the end of life. In this study, we shared our experiences with CDS and examined the clinical characteristics associated with survival in patients with terminal cancer who received CDS. We conducted a chart audit of 106 consecutive patients with terminal cancer who received CDS at a single hospice care unit between January 2014 and December 2016. Survival was defined as the first day of admission to the date of death. The associations between clinical characteristics and survival were presented as hazard ratios and 95% confidence intervals using a Cox proportional hazard model. The mean age of participants was 65.2 years, and 33.0% (n=35) were women. Diazepam was the most commonly administered drug, and haloperidol or lorazepam were also used if needed. One sedative was enough for a majority of the patients. Stepwise multivariate analysis identified poor functioning, a high Palliative Prognostic Index score, hyperbilirubinemia, high serum ferritin levels, and a low number of sedatives as independent poor prognostic factors. Our experiences and findings are expected to be helpful for shared decision-making and further research on palliative sedation.

The role of Nurses in the Korean War

  • Jung, Eun Young
    • International Journal of Advanced Culture Technology
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    • v.10 no.2
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    • pp.174-180
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    • 2022
  • It is meaningful in that it can be used as valuable data in modern nursing by exploring the meaning and essence of the experiences experienced as women and nurses in the special situation of war to understand their experiences. To find the role of nurses in the war, the research was classified into primary data and secondary data. Among the many data, only those with high external and internal evaluations were selected and analyzed. However subjective opinions were not included. At a time when women's social advancement was difficult, the nurse faithfully fulfilled the role of a nurse on the battlefield, and as a result, it became a new channel for women's social advancement. Nurses performed various roles, such as nursing for soldiers wounded in the Korean War, as well as midwifery and health education for the general public. In this way, during the Korean War, both inside and outside the battlefield, nurses performed all the roles they could in their respective positions. Nursing activities on the battlefield have taken their true value in line with the characteristics of nursing education based on holistic nursing, integrated thinking, love for humanity, and dedication. Recently, disasters and war zones are increasing worldwide, and the number of nurses required in these fields is also increasing. Based on the research results of past nurses' activities, there is a need for interest and research on the new roles of nurses needed in the present and future society. In addition, while not forgetting the sacrifices of nurses in the past, this spirit must be continued and developed.

CHILD AND ADOLESCENT'S TRAUMATIC EXPERIENCES EXPRESSED IN MOVIES (영화에 나타난 소아, 청소년의 외상적 경험)

  • Kim, Jae-Won;Yoo, Hee-Jeong
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.13 no.1
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    • pp.30-37
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    • 2002
  • The authors reviewed the child and adolescent's traumatic experiences expressed in movies through late 1950s to year 2002. The movies are roughly classified by 3 categories based on the methods that used to express protagonist's experience and to uncover the meaning that is implied, that is, an important motive of growth, a metaphor of socio-political issues, or merely an event to develop a drama. Movie is a product of repetition compulsion and an activity like symbolic play between creator and spectators through screen, which enables a kind of corrective emotional experience. The curative elements in movies were also reviewed. The authors suggest the importance of mutual communications between movie creators and psychiatrists because media images about psychiatric issues can make internal stereotypes in conscious and unconscious mind of spectators.

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Developing a Short Form of the Korean version of the Experiences in Close Relationships Questionnaire-Revised (한국어 개정판 친밀관계경험 척도의 단축형 개발)

  • Yun, Hyerim;Lee, Won-Kee;Bae, Geumye;Lee, Sang-Won;Woo, Jungmin;Won, Seunghee
    • Anxiety and mood
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    • v.13 no.2
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    • pp.115-122
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    • 2017
  • Objective : The experiences in close relationships questionnaire-revised (ECR-R) (Fraley, Waller & Brennan, 2000) is a valuable tool for measuring adult attachment, and its Korean version, the ECRR-K (Kim, 2004), is widely used in Korea. However, given its substantial length, this study was aimed to develop and validate a short version of the ECRR-K called the ECRR-K14. Methods : Two hundred and ninety-four medical students participated in this study in 2016. They completed the ECRR-K, the Perceived Stress Scale (PSS), the Rosenberg Self-Esteem Scale (RSES), and the UCLA Loneliness Scale (UCLA-LS). The study authors applied the Rasch rating scale to check each item's model fit and then performed confirmatory factor analyses (CFAs) to test the new scale's validity. Results : The authors selected seven items each for the anxiety and avoidance subscales, and the ECRR-K14 showed fair to good internal consistency (Cronbach's ${\alpha}=0.93$ and 0.92 for anxiety and avoidance, respectively). The anxiety subscale showed concurrent validity with the PSS and the RSES while the avoidance subscale showed concurrent validity with the UCLA-LS. The CFAs also demonstrated the validity of the model with a goodness-of-fit index of 0.916. Conclusion : The ECRR-K14 showed excellent reliability and validity and appears to be a promising instrument for measuring the two attachment dimensions in adults.