• Title/Summary/Keyword: Mental Health

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Correlation between Urban Green Areas and Outdoor Crime Rates - A Case Study of Austin, Texas - (도시녹지와 옥외범죄율 간의 상관관계 연구 - 텍사스 오스틴 지역을 중심으로 -)

  • Kim, Young-Jae
    • Journal of the Korean Institute of Landscape Architecture
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    • v.47 no.1
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    • pp.49-56
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    • 2019
  • Urban green spaces have been contributing to the improvement of environmental, mental, and physical health for humans. In addition, recent studies showed the potential role of vegetation in reducing the amount of crime in inner-city neighborhoods at the micro-scale level. However, little is known about the positive role of urban green areas in improving urban safety at the regional level. The purpose of this study is to examine the relationship between urban green areas and actual outdoor crime rates, while also considering socio-demographic factors. The study area is the city of Austin, Texas, USA, which consists of 506 block groups. This study utilized socio-demographic factors based on U.S. Census data and vegetation-related factors utilizing GIS and ENVI software. For analyses, the analysis of variance (ANOVA) and an ordinary least square (OLS) regression were utilized. The results from ANOVA showed that yearly crime rates per acre for areas having 0%~25% trees in their neighborhoods were 0.46% and 1.05% higher than those of having 25%~50% and >50% trees in the neighborhoods, respectively. The results from the OLS regression represented that income, NDVI and park rates in neighborhoods were negatively associated with the crime rate per acre, whereas the percentage of minorities and the percentage of teenage school dropouts were positively associated with the crime rate per acre. This study implies that urban green areas may help to improve the safety of urban areas.

Maintaining Professional Dignity in the Age of Social Media (소셜미디어 시대에서 의료전문직으로서의 품위 유지)

  • KIM, Claire Junga;BHAN, Yoo Wha
    • Korean Journal of Medical Ethics
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    • v.21 no.4
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    • pp.316-329
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    • 2018
  • Although the use of social media by doctors raises important issues concerning medical professionalism, the relevant professional bodies in South Korea have failed to issue clear guidelines on social media usage. The Korean Medical Association's newly revised ethics guidelines do require members to maintain dignity while using social media, but the idea of "maintaining dignity" is far from clear, and its premodern connotation prevents it from being reliably used in professional codes of conduct. The authors of this article examine the concept of maintaining dignity and conclude that once it is clarified and redefined it can and should be used as a viable ethical standard in a variety of contexts, including the use of social media. Social media's unpredictability and uncontrollability, and the blurred distinction between professional/public and personal/private can be a threat to medical professionalism. In order to deal with this threat, the concept of dignity is important. We present three examples in which the dignity of medical professionals is undermined and explain why these jeopardize public trust. We conclude that in order to maintain public trust the Korean Medical Association should provide more detailed guidelines on the use of social media by its members.

Effects of Transcranial Direct-Current Stimulation Therapy on Primary Chronic Insomnia: A Proof-of Concept Clinical Trial (일차성 만성불면증 환자에서 경두개 직류전기자극법 치료 효과: 개념 증명 연구)

  • Jun, Jin-Sun;Kim, Tae-Joon;Koo, Sun A;Park, Ji-Sook;Kim, Keun Tae;Yang, Tae-Won;Lim, Jung-Ah;Byun, Jung-Ick;Sunwoo, Jun-Sang;Jung, Ki-Young
    • Journal of Sleep Medicine
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    • v.15 no.2
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    • pp.37-42
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    • 2018
  • Objectives: To assess the effect and safety of transcranial direct-current stimulation (tDCS) in primary chronic insomnia. Methods: A one-month, double-blind, randomized, sham-controlled trial was performed. A total of 7 patients with primary chronic insomnia received tDCS using anodal (n=3), cathodal (n=2), or sham stimulation (n=2). They were followed up at 1 week and 1 month after treatment. The primary outcome measures included improvement in total sleep time (TST), sleep latency (SL), and sleep efficiency (SE) at 1 month follow-up. Results: TST and SE were improved with tDCS at 1 month follow-up in all patients (100%) of the anodal group, one (50%) of the cathodal group, and one (50%) of the sham group. tDCS improved SL at 1 month follow-up in two patients (67%) of the anodal group, one (50%) of the cathodal group, and none (0%) of the sham group. With respect to adverse events, transient itching sensation occurred in one patient of the anodal group. None of the other groups reported adverse events. Conclusions: Our results suggest that tDCS may be effective and safe for treatment of primary chronic insomnia. A larger controlled study needs to be further investigated.

Fibromyalgia from the Psychiatric Perspective (정신과적 관점에서의 섬유근통)

  • Lee, Yunna;Lee, Sang-Shin;Kim, Hyunseuk;Kim, Hochan
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.2
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    • pp.99-107
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    • 2020
  • Fibromyalgia is a disorder characterized by the core symptom of chronic widespread pain, along with fatigue, sleep disturbances, mood changes, and cognitive difficulties. The etiology of fibromyalgia involves a combination of biological factors, such as genetic vulnerability, alterations in pain processing and stress response system ; psychological factors, such as anxiety, depression, anger, and perceived stress ; environmental factors, such as infections, febrile diseases, and trauma. Central sensitization, which is amplified in the process of sensory stimulation, has been emphasized as a key etiological factor, as supported by enhanced wind-up, delayed aftersensation, decreased nociceptive flexion reflex threshold and functional imaging studies. Several guidelines recommend that a multimodal approach be used to treat fibromyalgia, including both pharmacological and non-pharmacological treatments, tailored to each individual, and that clinicians should provide an intellectual framework through sufficient education and emphasis on the importance of self-management. The prevalence of mood disorders, anxiety disorders, and other psychiatric problems is 7-9 times higher in patients with fibromyalgia than in the general population ; moreover, the association between fibromyalgia and certain psychopathologies or sleep problems has also been suggested. Since psychiatric problems, with shared vulnerabilities and risk factors, interact with fibromyalgia bidirectionally and also affect the disease course, an integrated management approach is needed to determine the risk of comorbidities.

Factors Influencing Nursing Students' Intention to Drop out (간호대학생의 중도탈락의도에 영향을 미치는 요인)

  • Choi, Jung;Park, Young Mi;Ha, Young Ok;Kweon, Yoo Rim;Song, Jung-Hee;Kim, Min Kyeong;Kim, Dayoun
    • Journal of Industrial Convergence
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    • v.19 no.1
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    • pp.117-127
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    • 2021
  • The purpose of this study was to identify the relationship between social support, academic self-efficacy, and learning agility on intention of academic dropout among nursing students. Data collection was conducted online surveys from November 9 to 27, 2020. The 363 students were conveniently sampled from the school of nursing in K-do in Korea. The contents of the self-reported questionnaire included social support, academic self-efficacy, learning agility, intention of academic dropout. As a result, The score of each variables were like this: social support 4.32, academic self-efficacy 3.66, learning agility 3.40, intention of academic dropout 2.08. The factors that affecting intention of academic dropout among nursing students are academic self-efficacy, learning agility, satisfaction on major, perceived mental health status, grade in score and grade, which explained 30.4% of the variances. Therefore in order to lower the intention of dropping out of nursing students, it is considered that the development of programs considering individual characteristics and systematic support are necessary.

The Path Analysis of Action Planning and Physical Activity that affect the Depression in the Aged in Community (지역사회 노인의 우울에 영향을 미치는 행동계획과 신체활동의 경로분석)

  • Hwang, Hwan
    • 한국노년학
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    • v.37 no.3
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    • pp.567-582
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    • 2017
  • The purpose of this study is to investigate the path model consisted of action planning, physical activity, and depression in order to obtain an enhanced understanding of their relationship and to support the aged with depression in community. In order to achieve this, precedent study was reviewed and the program with physical activity and action planning was executed. the data of a investigation of action planning, physical activity, and depression of the aged participated in the program which was consisted of physical activity with Action Planning was used and 116 cases were analyzed. The data analysis was done by descriptive statistics, correlation analysis, and path analysis. The results were as follows. First, the path model was accepted. Second, the direct path of action planning to physical activity was significant. Third, the direct path of both action planning and physical activity to depression were significant. Fourth, the effect size of action planning to depression was more than that of physical activity. Fifth, the indirect path of action planning to depression through physical activity was significant. On the basis of these results, this suggests a need to add action planning on national physical activity plan, establish the delivery system for physical activity program with action planning in mental health center in community, and applicate narrative approach skills for qualitative improvement of action planning.

Early Childhood Education of Joseon Royal Family (조선시대 왕실의 유아교육)

  • Yuk, Su Hwa
    • (The)Study of the Eastern Classic
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    • no.32
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    • pp.311-362
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    • 2008
  • This study aimed to make clear the education process, from antenatal training to early childhood education, of Joseon Royal Family. Centered on the successors to the throne and reviewed also the education of other Royal Family members, this study carried out comparative analysis on them. Antenatal training is pregnant woman's essential physical and mental attitude. It is indispensable to the health and good nature of unborn baby. Antenatal training had been based on the theory of Oriental medical science that fetus can sympathize what mother see and feel. Such theory, combined with Confucian self-culture theory, had taken very important position in Confucianism. Not to speak of Royal Family, noble family regarded antenatal training very essential as beginning of education and root of nature formation. For firstborn son and firstborn grandson, Boyangcheong (輔養廳, special nursery agency) was set up before their age became three, but not for other sons and grandsons of Royal Family. When firstborn son or firstborn grandson grew up to read letters, Ganghakcheong (講學廳) was set up for their early education. Other sons of king also learned in their early ages at Ganghakcheong while other grandsons of king learned at Gyohakcheong (敎學廳). Education courses were almost same between successors and non-successors but there were wide difference in the ranks of their tutors; firstborn son's tutor marked 2nd Jeong(正) class, firstborn grandson's tutor marked 2nd Jong(從) class and other royal sons' tutors were just 9th Jong(從) class.

Effect of Community-Based 'Goal-Achieving Program' in Patient with Late-Life Depression : Preliminary Study (노인성 우울증 환자에서 지역사회 기반 '목표달성 프로그램'의 효용성 : 예비 연구)

  • Kang, Gyu Ha;Chang, Ki Jung;Lim, Hyun Kook;Han, Jin joo;Lee, Eun Hee;Roh, Hyun Woong;Noh, Jai Sung;Chung, Young Ki;Lim, Ki Young;Hong, Chang Hyung;Son, Sang Joon
    • Journal of Korean geriatric psychiatry
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    • v.21 no.1
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    • pp.35-40
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    • 2017
  • Objective : This study aimed to investigate the effect of community-based Goal-Achieving program in geriatric depressive symptoms preliminarily. Methods : We obtained data from elderly Korean subjects with major depressive disorder (n=51) aged 60 years or older at baseline, taking case management from community mental health center. Subjects were randomly assigned to intervention group (n=24) and control group (n=27). We investigated depressive symptoms through Short Form Geriatric Depression Scale-Korean version (SGDS-K) at baseline and every month for 3 months to all subjects. We tested interaction between group and time in SGDS-K score to evaluate the effect of program. And post hoc test examined between group differences of SGDS-K at each time points. Results : In quadratic linear mixed effects model analysis, interaction between group and time was statistically significant (Total SGDS-K score : coefficient=0.29, p<0.001 ; SGDS-K dysphoria subscale : 0.18, p<0.001 ; SGDS-K hopelessness subscale : 0.05, p=0.089 ; SGDS-K cognitive impairment subscale : 0.06, p=0.003). And significant between group difference was shown in post hoc test at time points of third month (SGDS-K score of control group : SGDS-K score of intervention group=$10.74{\pm}3.482$ : $7.25{\pm}4.475$, p=0.0184). Conclusion : These results may suggest that 'Community-based the Goal-Achieving program' has efficacy in reducing geriatric depressive symptoms.

A Study on the Necessity of Vertical Garden in Public Places for Urban Environment Improvement (도시환경 개선을 위한 공공장소의 수직정원 필요성에 관한 연구)

  • Kim, Chul-soo
    • Journal of the Korea Convergence Society
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    • v.12 no.6
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    • pp.75-81
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    • 2021
  • (Research background and purpose) Urban development has also had a significant impact on the eco-friendly industry. In the public environment, citizens are stressed in many areas, which has really made them need a natural ecological environment. Therefore, it is necessary to improve the environment into an eco-friendly urban public facility that breathes the urban environment space inside the building with plants. To this end, we want to show that the urban environment can be improved through vertical gardens. And through this, we want to contribute to the popularization of vertical gardens. (Research Methodology) we will analyze the problems of the current public environment in the city and look at the supplementation around vertical gardens. (Result) A study of the public environment in the city found problems such as gloomy environment, poor use of space, dim color, and poor air quality, and wanted to create a vertical garden to provide a pleasant shelter. These vertical gardens have influenced urban public places with improved aesthetics, increased social value, insulation and soundproofing effects of buildings, reduced urban heat island effects, and increased urban green appearance. (Conclusion)This study uses vertical gardens in public spaces to design public spaces that are more comfortable and share mental and physical health together.

A Study on the Experience of Life in Near Poor Elderly Living Alone in Depression: Phenomenological Study (차상위 계층 우울 독거노인 삶의 경험: 현상학적 연구)

  • Kim, Jae-Eun;Lee, Mi-Hyoung;Lee, Chai-Won;Lee, Sang-Eun;Park, Si-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.759-771
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    • 2020
  • The purpose of this study was to explore the meaning of life in near-poor elderly living alone and experiencing depression. We focused on their lived experiences so that we could understand the essential structure of what kind of life they live. The eligible population included those aged 65 or older, showing 9 points or higher in the Korean form of Geriatric Depression Scale (KGDS), currently living alone for more than 1 year, having no problems of communication difficulties, and nationally defined as a near-poor group. A purposive sample of 8 seniors enrolled in s mental health welfare center in Incheon Metropolitan City were recruited. The phenomenological approach suggested by Colaizzi was used. Data was collected from May 2018 to October 2019 through in-depth interviews. As a result of the study, 6 categories, including 48 themes and 19 theme clusters, were drawn from the data: 'a shabby life that cannot live without help', 'a life where the body and mind are sick', 'a life that wants to be self-reliant', 'a life of gratitude', 'a life with inner peace', and 'a life that needed institutional support.' Findings of this study can be evidence for developing suitable emotional support programs for the near-poor elderly living alone and to enact various welfare laws and policies at the national level.