• Title/Summary/Keyword: Mental health understanding

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Wandering Behavior in Korean Elders with Dementia Residing in Nursing Homes (요양시설 치매노인의 배회행동)

  • Song, Jun-Ah;Lim, Young-Mi;Hong(Son), Gwi-Ryung
    • Journal of Korean Academy of Nursing
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    • v.38 no.1
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    • pp.29-38
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    • 2008
  • Purpose: This study investigated various factors relatied to wandering behavior of Korean elders with dementia (KED). Methods: A sample of 160 ambulatory residents with dementia from 14 long term care facilities was used to examine demographic, individual, cognitive, physical health, and environmental characteristics by comparing wanderers (N=108) to nonwanders (N=52). Subjects were evaluated by Korean versions of the Mini-mental State Exam (K-MMSE), the Physical and Instrumental Activities of Daily Living (K-PIADL), and the Revised Algase Wandering Scale Nursing Home version (KRAWS-NH) along its six dimensions. Demographic and environmental data were also obtained. Independent sample t-tests, Chi-square test, Fisher's Exact tests, and ANCOVAs were used to examine differences between wanderers and nonwanders. Results: Wanderers were significantly (p<.05) older and had more limitations in K-PADL and K-IADL. The degree of overall wandering and certain features of wandering were significantly different (p<.05) by total number of residents in the facility, type of bedroom (i.e., "Ondol"), and color of bedroom and living-room walls (i.e., sky blue). Conclusions: Findings of this study may be useful in understanding wandering behavior of KEDs and thus developing more culturally specific management strategies.

The Study on Aging (노화(老化)에 대한 연구(硏究) (황제내경(黃帝內經)을 중심으로))

  • Baek, Sang-Ryong
    • Journal of Korean Medical classics
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    • v.12 no.2
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    • pp.176-183
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    • 1999
  • Each life has its own properties that distinguish one another. With this property, Oriental medicine suggests original diagnosis and treament. Our process of aging shows typical outline of cycle, i. e. from one's birth to death. Understanding the life cycle of men gives us very good hint to predict one's state of health, possible diseases, characteristics of disease in each term of his/her life cycle. It's because body and mode of diseases change according to age. Aging starts when $\breve{U}$m Essence(陰精)-the essence one receive from parents-dries up or when Deficient Fire(虛火) soars. Parts that compose our body-bones, muscles, flesh, etc.-gradually weaken and worn out as they no longer get support from Yang-Ki(陽氣), In "Yellow Emperor's Classic", aging starts around one's forties when $\breve{U}$m Essence(陰精) is reduced to less than half. However, what is usually accepted is that women start aging from 49 and men 64, regarding significant geriatric disease. As it is mentioned, aging starts with exhaustion of $\breve{U}$m Essence(陰精) which results in soaring Deficient Fire. Main symptoms are weak mental state due to Sin(神) disorder, and weak physical state due to Spleen and Stomacn(脾胃) disorder. Main principle in treating and preventing diseases related to aging is preserving $\breve{U}$m Essence(陰精), as well as fortifying Ki and Blood(氣血). To do this, Lung(肺)-which collects $\breve{U}$m Essence(陰精), and Kidney(腎) stores-which stores $\breve{U}$m Essence(陰精).

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Analytic Study for Syndrome-differentiation and Sasang-constitution in 72 Adults with Chronic Fatigue (만성 피로를 주증으로 하는 성인 72명의 변증과 체질별 분석 연구)

  • Cho, Jung-Hyo;Yoo, Sa-Ra;Cho, Jong-Kwan;Son, Chang-Gue
    • The Journal of Internal Korean Medicine
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    • v.28 no.4
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    • pp.791-796
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    • 2007
  • Objective : This study was conducted to find the relationship between syndrome-differentiation and Sasang-constitution in chronic fatigue patients. Methods : The subjects were 72 adults with chronic fatigue who visited Dunsan Oriental Hospital of Daejeon University between March 2007 and April 2007. Their main complaint was fatigue for longer than 6 months and they did not have any physical or mental problems. We measured their fatigue degree by using Chalder fatigue scale and health habits. To evaluate relationship between syndrome-differentiation with sasang-constitution, The patients were divided into four syndrome-differentiations, such as liver and kidney asthenia of Yin, spleen and kidney deficiency of Yang, deficiency of lung and spleen qi, and deficiency of heart and spleen blood. We also diagnosed Sasang-constitution by using Questionnaire for Sasang Constitution Classification II (QSCCII). Results : Among the 72 patients, 41.4%, 34.5% and 24.1% of belonged in Soyangin, Soeumin and Taeumin respectively. Interestingly, we found a meaningful correlation between syndrome-differentiation and physiological function by Sasang-constitution. Conclusion : The result may help Oriental medicine understanding and treatment of chronic fatigue-related diseases and patients.

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Feminist Phenomenology on the Life Experiences of Young Korean Women with Attempted Suicide (자살을 시도한 젊은 여성들의 삶의 경험에 관한 페미니스트 현상학)

  • Yi, Myung-Sun;Hwang, Soon-Chan
    • Korean Journal of Adult Nursing
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    • v.23 no.2
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    • pp.123-134
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    • 2011
  • Purpose: The purpose of the study was to understand and describe the experiences of young Korean women with attempted suicide. Methods: The data were collected by individual interviews from four women who attempted suicide during 2008-2009. A total of 25 hours interviews were audio-recorded and transcribed verbatim. The data were analyzed using feminist phenomenology to reflect and respect the participants' view and experience as much as possible. Results: Five theme clusters and ten themes emerged from the analysis. Five theme clusters include "anger resulting from others-oriented life," "guilt resulting from selfish life," "confusion resulting from unbalanced life between self and others," "attempted suicide resulting from the chaos of life as a whole," and "peace resulting from balanced life between self and others." While these theme clusters represent the phases of life experience, ten themes indicate specific problems or strategies raised during these phases in the context of male-oriented Korean patriarchal society. Conclusion: The results of the study provide insights by deeply understanding of life of young women who attempted suicide in the Korean sociocultural context with the ideology of the subjection of women.

A Study about Systematic Classification of a Female′s Contemporary Underwear (현대 여자 속옷의 체계적 분류에 관한 연구)

  • 이연수;김선화
    • The Korean Journal of Community Living Science
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    • v.14 no.3
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    • pp.21-30
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    • 2003
  • An underwear originated from when a human lost his purity and recognized his situation. But, it could not be sure when underwear and an outer garment were classified according to a function. An underwear has been used for a decorative and mental function, as well as a practical one. Also, it is the most fundamental medium to understand a human and a period. However, many studies on outer garments not an underwear have been done till now Therefore, this study was done to be arranged and analyzed materials scattered in order to give a correct understanding of an underwear as a clothes. The data were based on the existing fashion pamphlets, fashion magazines and other materials. The main results were as follows; Female's contemporary underwear was classified into Hosiery, Foundation and Lingerie. The Hosiery was again classified into chemise, combination, drawers and brief. The most typical hosiery was a chemise for a health and hygiene, and the drawers was adhered closely to a body. The Foundation which had a function to be well shaped was classified into Brassiere, Girdle, All in one, Body suit, Corset, Waist nipper and Garter belt. A typical contemporary foundation was a brassiere and a girdle. A brassiere had a role to support the breast up and A girdle compensate a hip area. The Lingerie which made body silhouette be vivid was classified into Slip, Panty, Wintum, Linge, Home lingerie, and so on. A slip, a panty and a lingo were typical lingeries. A slip made an outer garment be well-formed.

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Myths and truths about pediatric psychogenic nonepileptic seizures

  • Yeom, Jung Sook;Bernard, Heather;Koh, Sookyong
    • Clinical and Experimental Pediatrics
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    • v.64 no.6
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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.

A phenomenological study on the emotional changes of medical students according to the phase of medical education (의학교육 시기에 따른 의과대학생들의 정서 변화에 대한 현상학적 연구)

  • Lee, Won Kyoung;Park, Kyung Hye
    • Journal of Medicine and Life Science
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    • v.17 no.3
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    • pp.86-93
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    • 2020
  • The study aimed to understand medical students' experiences of emotional changes, including their method of adapting to experiences, and the effect of the experiences in shaping their identities. We interviewed 12 medical students who were finishing their 1-year clinical internship in 2016. Data on their opinions and reasons for emotional changes during their school life were obtained. The descriptive phenomenological approach was applied to analyze the interviews. Their stress came from disappointment in themselves, competitive environment, observing a change in their personalities, meeting their parents' expectations, and interpersonal relations. The interviewees adjusted to the medical study by exercising self-control in their studies and daily lives, by practicing self-acceptance and observing their state of mind, and by breaking free from the competition-driven environment and obsession with grades. In addition, they cultivated endurance and found external support. Finally, they achieved self-efficacy and were comfortable in their identity as medical students. They still had to address the stress from working relationships and the difficulty in balancing studies and life. The medical students' self-evaluation and compulsive tendencies increased during the medical course due to the burden of studies. They evolved by learning self-control and introspection and seeking ways to adapt. Understanding this growth process of medical students will improve student support in medical schools.

Experience of reorganizing life in married immigrant women with chronic disease; With three Asian countries at the center (만성질환을 가진 결혼이주여성의 삶의 재편성 경험: 아시아 3개국을 중심으로)

  • Cheon, Soon-Mi
    • The Journal of Korean Academic Society of Nursing Education
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    • v.28 no.1
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    • pp.15-26
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    • 2022
  • Purpose: The purposes of this study was to describe the lived experience structures of married immigrant women with chronic diseases in reorganizing their lives in a variety of situations and contexts. Methods: This study applied grounded theory approach, and the participants were 15 married immigrant women with chronic disease. Data were collected through individual in-depth interviews and then analyzed by the method in Strauss and Corbin (1998). Results: The extracted data were organized 41 concepts, 21 subcategories, and 8 categories. The central phenomenon was determined to be "Life turned into a chronic disease." The causal conditions were "Undergoing physical and mental stress from marriage", "Lack of information on chronic diseases." The extracted contexts was "The demand for health resources." action and interaction strategies, "Finding problems and solutions." The intervention conditions influencing the strategies was "Establishing a support system." The result of such action was "To settle down in a way of life that suits your conditions." Conclusion: By providing a comprehensive and integrative understanding of how married immigrant women with chronic disease reorganize their lives, the study is expected to contribute to the development of social systems and national policies.

Generative Interactive Psychotherapy Expert (GIPE) Bot

  • Ayesheh Ahrari Khalaf;Aisha Hassan Abdalla Hashim;Akeem Olowolayemo;Rashidah Funke Olanrewaju
    • International Journal of Computer Science & Network Security
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    • v.23 no.4
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    • pp.15-24
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    • 2023
  • One of the objectives and aspirations of scientists and engineers ever since the development of computers has been to interact naturally with machines. Hence features of artificial intelligence (AI) like natural language processing and natural language generation were developed. The field of AI that is thought to be expanding the fastest is interactive conversational systems. Numerous businesses have created various Virtual Personal Assistants (VPAs) using these technologies, including Apple's Siri, Amazon's Alexa, and Google Assistant, among others. Even though many chatbots have been introduced through the years to diagnose or treat psychological disorders, we are yet to have a user-friendly chatbot available. A smart generative cognitive behavioral therapy with spoken dialogue systems support was then developed using a model Persona Perception (P2) bot with Generative Pre-trained Transformer-2 (GPT-2). The model was then implemented using modern technologies in VPAs like voice recognition, Natural Language Understanding (NLU), and text-to-speech. This system is a magnificent device to help with voice-based systems because it can have therapeutic discussions with the users utilizing text and vocal interactive user experience.

Structural studies of serotonin receptor family

  • Apeksha Parajulee;Kuglae Kim
    • BMB Reports
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    • v.56 no.10
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    • pp.527-536
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    • 2023
  • Serotonin receptors, also known as 5-HT receptors, belong to the G protein-coupled receptors (GPCRs) superfamily. They mediate the effects of serotonin, a neurotransmitter that plays a key role in a wide range of functions including mood regulation, cognition and appetite. The functions of serotonin are mediated by a family of 5-HT receptors including 12 GPCRs belonging to six major families: 5-HT1, 5-HT2, 5-HT4, 5-HT5, 5-HT6 and 5-HT7. Despite their distinct characteristics and functions, these receptors' subtypes share common structural features and signaling mechanisms. Understanding the structure, functions and pharmacology of the serotonin receptor family is essential for unraveling the complexities of serotonin signaling and developing targeted therapeutics for neuropsychiatric disorders. However, developing drugs that selectively target specific receptor subtypes is challenging due to the structural similarities in their orthosteric binding sites. This review focuses on the recent advancements in the structural studies of 5-HT receptors, highlighting the key structural features of each subtype and shedding light on their potential as targets for mental health and neurological disorders (such as depression, anxiety, schizophrenia, and migraine) drugs.