• Clinical Psychopharmacology and Neuroscience
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• 제16권4호
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• pp.376-382
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• 2018

We reviewed clinical studies investigating the pharmacological treatment of major depressive episodes (MDEs) with mixed features diagnosed according to the dimensional criteria (more than two or three [hypo]manic symptoms+principle depressive symptoms). We systematically reviewed published randomized controlled trials on the pharmacological treatment of MDEs with mixed features associated with mood disorders, including major depressive disorder (MDD) and bipolar disorder (BD). We searched the PubMed, Cochrane Library, and ClinicalTrials.gov databases through December 2017 with the following key word combinations linked with the word OR: (a) mixed or mixed state, mixed features, DMX, mixed depression; (b) depressive, major depressive, MDE, MDD, bipolar, bipolar depression; and (c) antidepressant, antipsychotic, mood stabilizer, anticonvulsant, treatment, medication, algorithm, guideline, pharmacological. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We found few randomized trials on pharmacological treatments for MDEs with mixed features. Of the 36 articles assessed for eligibility, 11 investigated MDEs with mixed features in mood disorders: six assessed the efficacy of antipsychotic drugs (lurasidone and ziprasidone) in the acute phase of MDD with mixed features, although four of these were post hoc analyses based on large randomized controlled trials. Four studies compared antipsychotic drugs (olanzapine, lurasidone, and ziprasidone) with placebo, and one study assessed the efficacy of combination therapy (olanzapine+fluoxetine) in the acute phase of BD with mixed features. Pharmacological treatments for MDEs with mixed features have focused on antipsychotics, although evidence of their efficacy is lacking. Additional well-designed clinical trials are needed.

• 한국학교보건학회지
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• 제9권2호
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• pp.185-195
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• 1996

This study attempts to discover ways to prevent and cope with stress m primary school students, Specific, ally, we wish to investigate the sources of stress and to identify the variance and frequency of coping methods which have been used by the subjects. After examining the school children's list of items about stress and coping strategies by on open structure method, subjects ranked the seventy of stressor's and frequency of a coping strategies by closed structure method. A survey was done of 720 students who were from the 4th to 6th grade in 4 primary schools in the Chonbuk area from April 1st to May 30th, 1995. The major results obtained from this study were the following. 1. The sources of stress bad were classified in 57 items Among the 57 items, 'were school records' 'illness of parents' 'death of family members' 'meetings with trouble makers' ranked high ranking in the stress ratings. 2. Severity of stress. the mean total stress scores were 186.4 with 285 as the highest score. 3. The kinds of coping with stress using were classified in 35 items, Among the 35 items, 'wandering and walking alone' 'mood getting out of the in any way' 'trying to forget the stressor' 'were among the highest scored. 4. Frequency of coping with stress: mean total stress coping scores were 67.9 with 140 as the highest score. 5. Difference m stress and coping strategies between sex, age, living district and religion groups were examined. 1) Significant variables influencing stress scoring were sex (t=-2,29, p<.001) and grade (F=6.33, p<.001). 2) Significant variables influencing stress coping practice were residence (t=1.94, p<.05), sex (t=-3.17, p<.002) and religion (F=5,95, p<.0001).

• Journal of Nutrition and Health
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• 제46권3호
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• pp.261-275
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• 2013

본 연구는 만 40세 중년기의 대규모 성인을 대상으로 우울한 기분상태와 비만, 복부비만, 대사증후군, 혈압 검사, 혈액 검사 및 요검사의 건강특성 그리고 영양 생활습관 특성과의 관련성을 파악하고, 이들을 대상으로 효과적인 건강증진 프로그램을 개발하는데 기초자료로 활용하고자 시도하였다. 연구는 2011년 1월 1일부터 12월 31일까지 전국의 16개 한국건강관리협회 건강증진의원을 방문하여 생애전환기 건강진단을 수검한 총 27,684명의 검진결과에 대해 생애전환기 1차 건강진단의 문진에서의 정신건강 간이검사 결과에 따라 우울기분군과 비우울군을 분류하여 건강상태 및 영양생활습관과의 관련성을 분석하였고 그 결과는 다음과 같다. 전체 연구대상자의 6.4%인 1,781명은 우울기분군으로, 93.6%인 25,903명은 비우울군으로 분류되었다. 성별로는 남성의 4.3%, 여성의 8.0%가 우울기분군으로 우울기분의 분포는 남성보다 여성에서 유의하게 높았으며, 지역에 따라 다소 편차를 보였고, 건강보험가입자보다 경제적으로 취약한 의료급여수급자에서 높은 분포를 보였다. 또한 가족력이 없는 경우보다 있는 경우, 기존질환이 없는 경우보다 있는 경우 우울기분의 높은 분포가 유의하게 높았다. 체질량지수 (BMI)가 18.5 $kg/m^2$ 이하의 저체중에서 우울기분과의 관련성이 유의하게 높았으나 과체중 및 비만군은 정상군과 유의적 차이를 보이지 않았다. 그러나 허리둘레 기준 남성 90 cm 이상/여성 85 cm 이상의 복부비만에서 우울기분의 분포가 유의하게 높았고, 복부비만에서 우울기분의 오즈비가 유의하게 증가함을 보였다. 체질량지수의 저체중과 복부비만은 다른 일반 특성 및 흡연, 음주, 신체활동 등의 보정 후에도 유의적인 관련성을 나타냈다. 혈액 및 요검사 결과에서는 HDL-콜레스테롤과 트리글리세라이드 결과에 대한 질환의심 비율이 비우울군에서 유의하게 높았으며, 혈색소 결과에서는 질환의심의 비율이 우울기분군에서 유의하게 높았으나, 우울기분의 오즈비에 대해서는 다른 일반 특성 및 흡연, 음주, 신체활동 등의 보정 후 모두 유의한 차이를 보이지 않았다. 영양생활습관 평가 결과에서는 총점 28점 미만으로 바람직하지 않은 식습관을 갖고 있는 비율이 우울기분군에서 비우울군보다 유의하게 높았다. 특히 '우유, 두유, 유제품', '육류, 생선, 달걀, 콩, 두부를 통한 단백질 식품', '김치이외의 채소', '과일이나 과일 주스' 등의 섭취빈도가 낮을수록 '매끼 정해진 시간 식사'를 하지 못하는 경우에 우울기분과 더 높은 관련성을 가지는 결과를 보여주었다. 결론적으로 본 연구에서는 중년기 만 40세 성인의 우울기분은 영양 생활습관과 체질량지수 및 허리둘레에 따른 주요 건강특성과 관련성을 가지고 있으며, 부정적인 영양생활습관은 우울기분과 높은 관련성을 가지고 있음을 알 수 있었다. 따라서 이들을 대상으로 효과적인 질병예방과 건강증진 프로그램을 제공하기 위해서는 심리적 정신적인 건강관리를 위한 지원을 함께 병행하는 것이 매우 중요하며, 우울기분의 관리를 위해서는 영양생활습관의 개선을 교육, 지원하는 것이 필요하다 사료된다.

• 한국전문물리치료학회지
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• 제28권2호
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• pp.146-153
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• 2021

Background: Researchers have previously commenced examining the degree of concordance between parent proxy and child self-reports on health-related quality of life (HRQOL) of many disease and impairment populations. Objects: To explore the differences between parent proxy and child self-reports on the HRQOL using Korean version of KIDSCREEN-10 questionnaires for applying to elementary school children and their parents who participated for a school-based wellness program. Methods: The focus groups were recruited for a school-based wellness program by implementing the following wellness services: 1) referring to a screening session for detecting potential posture-related musculoskeletal problems and 2) recommending home exercise programs. Before a primary field testing for the program, two focus groups were formed with a group of 9 parents and their 9 elementary school children aged 8-10 years of age. The parent proxy and child self-report versions of KIDSCREEN-10 questionnaires were administered to both groups after completion of the wellness program. Item level Rasch rating scale analysis was applied to compute logit scales of KIDSCREEN-10 questionnaire. Intraclass correlation coefficients (ICCs) and scatterplot of item difficulty between two reports were analyzed. Results: For fit statistics of parent proxy report, all items except 4 items (i.e., psychological well-being, mood/emotions, self-perception, parent relation) were found to be acceptable. For fit statistics of child self-report, all items except 3 items (i.e., psychological well-being, autonomy and home life) were acceptable. The relationship between two reports using ICCs were ranging from weak to very strong at p = 0.05 (i.e, ICCs = 0.011 to 0.905). Scatterplot analysis between two reports showed a major disparity on self-perception item at 95% confidence intervals. Conclusion: Both item level analyses and ICC comparisons provided a disparity between parent proxy and child self-reports of the HRQOL on self-perception item after competing a school-based wellness program. Therapist should consider the item as part of the HRQOL assessment.

• 가정간호학회지
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• 제30권1호
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• pp.105-114
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• 2023

Purpose: This study aimed to comprehensively analyze the recent revision of the Outcome and Assessment Information Set (OASIS)-D to version E in the United States to identify the most recent trends in home health care and provide suggestions for implementing home health care in Korea. Methods: This study is a comprehensive literature review. We compared all items in OASIS-D and OASIS-E and identified the most significant changes. Additionally, we have discussed the context in depth. Results: The addition of items related to health literacy and medication reconciliation, strengthening assessment in the cognitive and mood domains, and improving items related to pain assessment were identified. These major revisions resulted from a greater emphasis in the healthcare field on social determinants of health. Additionally, the COVID-19 outbreak highlighted the importance of monitoring and managing the symptoms of home care patients in the community. Conclusion: The key items of the OASIS amendment and their background analysis proposed in this study could serve as a cornerstone for the revision of home health care assessment tools or the development of systematic common assessment tools in Korea.

• 한국의류학회지
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• 제42권1호
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• pp.58-73
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• 2018

This study examines the socio-cultural background of a Nerd-chic look, establishes a conceptual foundation for Nerd-chic look and examines its aesthetic characteristics in order to understand the latest modern fashion phenomenon. Nerd-chic look is a combination of 'nerd' as a popular collective style and 'chic', which refers to the aesthetic value of a costume style. It is a look that is expressed in fashion that reflects the contemporary aesthetic desires based on a nerd's external features and inner values. The aesthetic characteristics of the Nerd-chic look are as follows. First, the Nerd-chic look express the aesthetic characteristic of bricolage that transforms the familiar meaning of an outdated nerd style to 'chic' image by the rearrangement of the typical nerd style and retro fashion elements. Second, the Nerd-chic look express the aesthetic characteristic of supernormal, as a plain, restrained beauty based on the Normcore fashion mood, disassembly and recombination of ordinary items, fit-free styling, and asexual styling. Third, the Nerd-chic look expresses the aesthetic characteristics of deluxe poor, which rejects stereotypical and expensive luxury and presents a more contemporary and futuristic spirituality. It is expressed in oversized shapes that are not intended to fit the body and show incompatibility between fashion items or way of dressing.

• 대한불안의학회지
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• 제8권2호
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• pp.153-160
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• 2012

Objectives : The purpose of this study was to develop an employee's stress response scale (ESRS) and examine its validity and reliability. Methods : The study was conducted as follows : item generation, and test of validity and reliability. Items were developed via literature review, review of instruments, and data acquired from email-survey of counselors in the field of Employee Assistance Program (EAP). In order to test validity and reliability, data were collected from 400 employees. Results : The result of exploratory factor analysis of ESRS suggested 4 factor structures (work-related, anger, somatization, depression & anxiety) with a total of 25 items. ESRS showed a relatively strong positive correlation with Hospital Anxiety-Depression scale (HAD), Perceived Stress Scale (PSS), and Psychological Wellbeing Index (PWI), which showed ESRS had high convergent validity. Cronbach's ${\alpha}$ and test-retest reliability was .95 and .610 respectively. Conclusion : The ESRS is reliable and valid brief scale for measuring stress responses of employees. This scale would be useful in quantitatively evaluating job stress in workplace.

• 대한가정학회지
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• 제42권10호
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• pp.173-188
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• 2004

Concerning the actual characteristics of Italian men's fashion design, the following conclusions can be obtained from an analysis of the works of Gianni Versace. First, regarding the use of patterns, existing patterns are enlarged, reduced, and transformed. Second, chosen patterns are closely examined and analysed before actual use. Third, the transfusion of unexpected patterns can be seen as the shapes of various combinations. Fourth, inspired patterns from art works or based on some exotic mood are also devised and used. Last, the selected patterns are used in an items of outerwear and innerwear. Furthermore, once a pattern is chosen, it is coordinated at the same time with a complete outfit of shirts, pants, suits, etc.

• 한국의류산업학회지
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• 제12권2호
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• pp.139-148
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• 2010

As a designer, Rei Kawakubo had become one of the most influential woman of the 20th century. Comme des Garçons, which means "like boys"-what women in the early 1980s were least supposed to be-expressed criticism of the prevailing social construct of women and, importantly, of the very concept of fashion. The press had a field day with the so-called post Hiroshima look, with its aesthetic of destruction, poverty, and hunger and with its depressing mood engendered by the use of the color black. This research divided the change of design transition on Kawakubo's fashion by the three categories. The first category was experimental pattern, the second category was esthetics of omission and the third category was innovation of body consciousness. The costume messages through these design works of Kawakubo could summarize 5 items, punk sprit, beyond sex, reality, proposal of new body consciousness and representation of black.

• 패션비즈니스
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• 제8권1호
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• pp.117-132
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• 2004

The purpose of this study is to analyze consumers attitude toward PPL (Product Placement) of fashion products on TV, with regarding PPL as a new-communication sphere of marketing. This study used a questionnaire method, and the results of the analysis are as follows. First, as for the information availability of PPL related to fashion products on TV, it was shown to be higher in order of trend, brand, color, practicability, price and material. Second, as a result of analyzing, through 11 items, the attitude on PPL experience of fashion products on TV, there were many positive responses as to 5 items (The commodity with PPL is the product of a renowned brand, The commodity with PPL is the expensive product, An image of the product with PPL becomes good, The product with PPL is suitable to the mood in a drama, I try to think whether the product with PPL matches with myself), and there were more negative responses as to 6 items (Because of desiring to know a brand of the product with PPL, I look for it, The product with PPL is practical, The product with PPL is same as the real situation, I will also buy the product with PPL, Because there are too many commodities with PPL, I become angry, In case of facing PPL, I change a channel). Third, it was shown that the purchase experience and purchase intention as to the product with PPL on TV, have a positive correlation with TV viewing time and with whether or not re-approval as to PPL of a specific company. Also, the purchase experience as to the product with PPL on TV was shown much in the group of viewing TV via internet and in the group of using the digital TV broadcasting. The purchase intention as to the product with PPL on TV was shown higher in the group of using much cable TV broadcasting and general TV broadcasting, while the group of viewing TV via internet had purchase experience, but the response of not having intention of repurchasing was the highest.