• Journal of Preventive Medicine and Public Health
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• 제32권3호
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• pp.400-414
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• 1999

Objectives: This is a descriptive study which was carried out to identify characteristics of the chronic mentally ill and their families in a rural area and the influencing factors on family burden. Methods : Data was collected for seven months beginning April 1, 1998 by questionnaire from chronic mentally ill patients and their families in two towns and seven townships of the rural areas of Kyonggi Province. In additional to the mental diagnosis of the mentally ill patients, family burden was measured by interviewing the other family members using the questionnaire developed by Pai & Kapur (1981). Of those interviewed, 103 patients were selected for final analysis. Results : Of 103 mentally ill patients, 36.1% of the subjects were not under treatment. In particular, of 29 patients with schizophrenia, 48.3% of the subjects had stopped taking medication and 6.9% of the subjects had never been treated. According to the results of a specialized examination by a psychologist, 81% of patients were in need of Hospitalization. Most primary caregivers were parents. Of the 101 primary caregivers in the study, 39.6% were over 65 years old. In case of death of the primary caregiver, 50.5% of these 101 mentally ill patients would not have anyone to care for them. Of the various kinds of family burden, primary caregivers most often reported psychological stress. Overall, the families of dementia and schizophrenia patients complained of the most family burden. Through univariative analysis, the variables of sex, education and current treatment type of the patients, the relationship with the patient and marital status of the primary caregiver and the number of people living together in the household showed significant correlation with the family burden of schizophrenia patients. Univariative analysis also showed that there were a number of variables which were correlated to the family burden in mentally retarded patients. Concerning the need for mental health services, the most common requests were for entitlement to disability benefits and housing programs. Conclusions: Community mental health services in rural areas must be developed, planned and executed in consideration of the local situation. In particular, the development of various family support programs is needed in order to mitigate emotional, mental and economic burdens and carry out a positive role to care for and rehabilitate patients.

• 정신신체의학
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• 제7권1호
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• pp.134-141
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• 1999

연구목적 : 암환자에서는 암의 임상적 특성이나, 치료방법에 따라 다양한 심리적인 문제들이 발생한다. 특히 방사선 치료는 다른 방법의 치료를 받는 환자들에서 볼 수 없는 다른 심리적 반응을 보이는 경우가 많으며, 정서적 고통과 갈등이 가중될 수 있다. 이에 저자들은 방사선 치료중인 암환자들에게는 어떠한 정신과 장애가 발생하는지 알아보고, 정신과 질환이 암과 관련된 다양한 임상적 특성과 어떠한 연관성을 지니는지 알아보고자 본 연구를 시행하였다. 방법 : 방사선 치료를 위해 치료방사선과에 입원한 암환자 47명을 대상으로 하여. DSM-IV 진단기준에 따라 정신과 장애를 평가하고, 환자들의 인구학적 자료, 암의 부위, 이환기간, 재발횟수 등의 임상적 특성, 암환자의 암에 대한 인지여부, 치료결과에 대한 기대 등의 요인과 정신과 장애의 관련성을 살펴보았다. 결과 : 1) 21 명(44.7%)의 환자가 정신과 장애를 가지고 있었다. 적응장애가 14명(66.7%)으로 가장 많았고, 다음은 5명(23.8%)의 환자에서 동반된 주요 우울장애였다. 2) 성별, 연령, 학력, 결혼상태, 종교 등의 인구학적 변인과 정선과적 장애와의 관련성은 통계적 유의성을 보이지 않았다. 3) 암의 부위별로는 골반부에 위치하는 암이 22명(46.8%)으로 가장 많았으며, 암의 부위, 이환기간과 정신과 장애와의 유의한 관련성은 없었다. 4) 암의 재발에 있어 재발의 증거가 없는 경우에 비해 재발한 경우 통계적으로 유의하게 정신과 장애의 이환율이 높았다. 5) 암의 인지여부와 정신과 장애는 통계적으로 유의한 연관은 없었다. 6) 치료결과에 대한 기대와 관련하여, 방사선 치료가 단지 보조적인 것으로 생각하는 군이 방사선치료에 의해 완치될 것으로 생각하는 군에 비해 통계적으로 유의하게 정신과 장애의 이환율이 높았다.

• 한국응용과학기술학회지
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• 제35권3호
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• pp.956-962
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• 2018

Childhood obesity causes a higher risk of obesity, premature death and disability in adulthood. In addition, obese children experience an increased risk of respiratory problems, hypertension, cardiovascular disease, insulin resistance and psychological effects. This study aimed to investigate how an exercise intervention affects health-related physical fitness and inflammatory-related blood factors in obese children after. We hypothesized that there would be positive effects on serum levels of insulin-like growth factor-1 (IGF-1), connecting peptide(C-peptide) and resistin, as well as in muscle and cardiovascular-related physical capacities, after an exercise intervention in obese children. Thirty-seven obese children haveperformed health-related fitness tests and provided blood samples for the analysis of changes in circulating biomarkers, both before and after an 8-week exercise intervention, which includes stretching, aerobic exercise, resistance exercise and sports games. The results indicate that exercise training beneficially affects body compositions, especially percentage body fat and muscle mass, without influencing to body weight and height. The results of the physical fitness tests show that muscle and cardiovascular capacity were increased in obese children in response to exercise training. Simultaneously, the exercise training decreased circulating levels of C-peptide, which equated to a "large" effect size. Although there were no significant effects on the levels of IGF-1 and resistin, they show a "small" effect size. Therefore, our findings suggest that the exercise intervention have beneficial effects on body composition and physical fitness levels in obese children, whichmight be associated with the decline in circulating C-peptide.

• Strategy21
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• 통권30호
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• pp.236-262
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• 2012

Morgenthau claims that in international relations, there are the economic, political, and military powers that enable a nation to achieve its political and diplomatic goals. This paper explores the possibility of resolving international conflicts with naval power. First, the theoretical and historical perspective, naval power was used as a final resort to force a nation's political or diplomatic objective on an enemy nation when negotiations failed, and this was done through the physical and psychological destruction of the enemy by naval power. But as the use of military power has decreased because of the invention of the nuclear weapon, the existence of a large and capable navy deterrent has become one of the most useful military options among a nation's diplomatic measures. In other words, he focused on the political usefulness of naval power as a deterrent and coercive diplomatic tool for persuading other nations to acquiesce, rather than using naval power and actual military action as a final resort. The reason for this is that compared to army and air force, navy's flexibility, continuity, and the ability to deter are greater. The navy provides excellent accessibility through its wide mobility on the sea, and it has been shown through research that the navy possesses a political usefulness that facilitates the solution of conflicts through presence, naval intervention, and naval blockade. On the other hand, among the factors that could improve the influence of the navy are alliance relations, a reliable and powerful navy, carrots and sticks that it would have to deal with in the case of successful or unsuccessful negotiations, and support from international opinion. On this paper I introduce E.N.Luttwak's naval suasion theory. By the his theory, there are two mode of naval suasion. One is latent naval suasion the other is active suasion. Latent suasion there are deterrent mode and supportive mode. Active naval suasion there are coercive mode and supportive mode. Coercive mode has positive and negative. The limitations of naval suasion have been identified as follows. First, because the objective of the use of naval power is persuading enemy nations, the results are unpredictable. Second, the leaders of all countries possess limited understanding on the complexities of naval power and therefore lack understanding of the usefulness of naval power when choosing options. Third, in case of failure through naval suasion, prestige and reputation of a nation can be damaged. Finally, the following are additional possible research topic. First, a research on the decision making process of choosing naval power as a measure to resolve conflicts is needed. Lastly, research on the size of the navy and types of ships required for efficient naval suasion is needed. Today's world requires cooperative security regime so that middle class navy also requires political use of naval power in solving international conflicts. Therefore, additional research on this topic is needed.

• 대한간호학회지
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• 제2권1호
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• pp.217-236
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• 1971

Introduction: The integration of theoretical material in the classroom with clinical practice in the field is an important concept in nursing education. nursing students at all levels need to acquire individual patient's needs, and applying creativity in the comprehensive nursing care. Problem solving and observation skills are important aspects in the development of nursing skills. Nursing students during their clinical work in maternal and child health observed that the major difficulties experienced by new mothers centered around psychological and physiological changes. Breast engagement and throbbing breast pain were the most frequent complaints by primiparas during the postpartum phase. In order to understand the factors affecting the discomfort, and to devise appropriate nursing care, these complaints were experimented. resent study represents an attempt to evaluate the impact of antepartal care (including breast care) on the subsequent of breast feeding difficulties. For the research purposes, hypotheses were made as follows: 1. There is a relationship between breast care and anthemata care attendance. 2. If primiparas practice treat care during their anthemata relied, they will have less throbbing breast pain during the postpartum phase. 3. If primiparas practice breast care during their antenatal period, they will have less breast engagement during the postpartum phase. Method: The researcher selected two highly specialized nurses in maternity clinical ward. They checked mother's chest circumference on the top line of breast every morning including mother's fever, caked breast, and lymphnodes on axillae. These nurses checked mother's breast while they staying hospital for four days. The total number of primiparas were 62 during June 5th to July 15th in 1971 at the Severance Hospital. For 40 days among 62 members of new mothers, 28 of them had breast care during antenatal period. Rest of them did not have breast care during antenstal period. Result: The result of this research revealed that the first hypothesis was accepted that the group which had breast care during antenatal period, had positive relationship with antenatal care. If the mothers were more educated, the more anticipated to antenatal care including breast care. For the second hypothesis, on the delivery day, there was no change on breast between two groups. On the first day of delivery, there were breast throbbing pains to the group who did not receive breast care, than the group who received the breast care. Therefore, second hypothesis was also accepted. For the third hypothesis, there was no breast engagement difference between two groups for the entire period. The third hypothesis was rejected.

• 디지털융복합연구
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• 제16권2호
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• pp.57-64
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• 2018

본 연구는 천안시의 학교밖 청소년 250명을 대상으로 생활실태와 심리적 특성을 분석하고 행복감에 영향을 주는 요인을 파악하여, 학교밖 청소년들의 행복감 증진을 위한 정책적 제언을 하고자 수행되었다. 분석 방법은 SPSS PC+ Win. 21.0을 활용하여 기술통계분석, 신뢰도분석, 평균비교분석, 상관분석 및 다중회귀분석을 하였고, 연구의 결과는 다음과 같다. 첫째, 가정문제로 학업을 중단한 청소년의 자아존중감이 다른 이유로 학업을 중단한 청소년보다 낮았고, 행복감은 학업중단 기간이 2년 이상인 청소년이 가장 낮았다. 둘째, 학교밖 청소년들은 하루 중 수면 7.9시간, 일 3.91시간 등으로 사용하였고, 활동 장소는 집 10.73시간, 일터 3.66시간 등이었으며, 장래계획은 취업계획이 가장 많았고, 친구는 함께 게임 놀이할 친구가 가장 많았다. 셋째, 학교밖 청소년의 자아존중감, 희망 및 행복감 간에는 정적 상관관계가 있었다. 넷째, 학교밖 청소년의 행복감에 대한 상대적 영향은 자아존중감이 가장 높았고, 희망, 취업계획, 가정소득수준 순이었다.

• 한국응급구조학회지
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• 제8권1호
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• pp.71-86
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• 2004

This study selected emergency medical technicians at 24 fire police boxes in Jeonnam in order to examine the relationship between job stress, fatigue and job satisfaction of 119 emergency medical technicians. Data were collected from Apr. 10 to May 9, 2004, questionnaires were mailed and returned by mail. Total 109 questionnaires were distributed and 89 questionnaires were collected and 80 except 9 omitting answers and showing inappropriate answers were used for final analysis. The results of this study are as follows. A. The total mean of areas composing job stress in the degree of job stress of 119 emergency medical technicians was over the average as 2.54 (SD .44) of 4 full marks. According to the degree of job stress by each area, the highest area of job stress was crisis situation (2.98), followed by role conflict as professional job (2.58), social factors (2.57), involvement in organization (2.55). To the contrary, the areas of the lowest job stress were professional knowledge and technique (2.35), psychological burden of medical limitation (2.38), conflicts in personal relationship and services (2.45) and improper treatment (2.53). B. The degree of fatigue of 119 emergency medical technicians by areas was over mean as 2.09(SD .49) of 4 full scores and physical fatigue was highest (2.18), followed by mental fatigue (2.11) and neurosensory fatigue (1.99). C. The degree of job satisfaction of 119 emergency medical technicians was 2.71 of 5 full scores and working condition area (3.70) showed the highest job satisfaction, followed by requirement of organization (2.85) and the lowest job satisfaction area was job itself (2.18), followed by desire for job (2.49). D. According to differences in demographical characteristics of 119 emergency medical technicians, there was no variable of statistical difference at job stress and job satisfaction in significance level .05, but fatigue showed statistical difference at final education (F=2.393, p=.046). E. According to differences related to job characteristics of 119 emergency medical technicians, job stress showed statistical differences at motif of current services (F=4.935, p=.003), fatigue showed those at health conditions (F=2.732, p=.008), job satisfaction at overtime (F=3.038, p.034) and the greatest reason of having job (F=3.217, p=.017), F. As a result of analyzing correlations between job stress. fatigue and job satisfaction of the subject, job stress showed positive correlations (r=.411, p=.000) with fatigue and negative correlation (r=-.267, p=.008) with job satisfaction. Fatigue showed negative correlation (r=-.287, p=.005) with job satisfaction. Therefore, the hypothesis of this study. "There will be relationship between degree of stress, fatigue and job satisfaction of subjects." was supported.

• 가정과삶의질연구
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• 제6권1호
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• pp.189-203
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• 1988

The main objective of this dissertation is to find out the measurement methods of household work organization and manger style and the quantitative analysis methods of influential factors on household work organization and manager style. Subjects were homemakers living in metropolitan , medium and small cities. Questionnaires were sent to subjects and usable responses were 1139 out of 1239 received questionnaires. Data collected through both preliminary and main survey were analyzed by using frequencies, percentage, analysis of variance, chi-square test and pearson's correlation analysis. Results are as follows; 1) The degree of household work organization was distributed on upper middle level exceeding middle score. Among subsystems of household work such as task assignment , test regularization, task arrangement and task standardization. subjects show the highest positive attitude in task standardization. 2) The characteristics of management in household work have task centered orientation. By the prority of task centered orientation, the order was integrated style. dedicated style. It means that the most ideal style is an integrated style which accounts for one-third of the total homemakers. 3) Household organization's subsystems and household work manager style are related with socio-demographic variables. Integrated style is significantly related with homemaker's employment and having helpers for household work. homemakers who are employed and have helpers for household work exhibit high scores in task assignment and task arrangement. Dedicated style is significantly related with homemaker's age and the number of children. Homemakers who are older and have many children exhibit high scores in task assignment. Related style is significantly related with marriage duration, education level and income level. Homemakers who have a long marriage duration exhibit high scores in task assignment and who have high education and income level exhibit high scores in task regularization. Seperates style is significantly related with homemaker's age m marriage duration an family life cycle. homemakers who ar older, have a long marriage duration and are of late stage in family life cycle exhibit seperated style and high scores in organization. To summarize research findings, household work manger and household work organization are related with family life experiences, and task assignment is an influential variable on manager style. in conclusion, it is evident that household work organization emphasizes efficiency as cognitive component and such organization. Finally it is necessary to broaden this research considered social psychological variables. And also it needs to build household manger style models appropriate fro the characteristics of each style.

• 성인간호학회지
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• 제13권1호
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• pp.15-28
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• 2001

The purpose of this study was to identify the trends of resourcefulness researche studies for suggesting the future direction of study. Study design, types of subjects, measurement tools, study concept, and outcome were examined by reviewing 61 research studies published from 1980 to 1999. The results were as follows: 1. There were 24 works in the 1980s and 37 works in 1990, according to the published year of resourcefulness study. Nonexperimental studies like descriptive study, correlational study and comparative study were more frequent than experimental studies. 2. Research studies that consisted of 30- 100 subjects were the most numerous with 27 studies in all. The majority of study subjects was shown as healthy students and depressive patients. 3. Most studies used Rosenbaum's Self Control Schedule(SCS) for assessing resourcefulness. Reliabilities of resourcefulness researches were cronbach ${\alpha}=.70$ or more. According to statisitical tests done for internal validity, SCS was negatively correlated to maladaptation. Factor analysis revealed that the most parsimonious structure was 3 to 6 factors. The total communality variance in the SCS was about 40 %. Other tools used with the SCS were about coping, depression, satisfaction of life and symptoms, self management and health promotion. 4. In correlational studies, concepts like depression, anxiety, and psychological symptoms were related to resourcefulness negatively. Adaptive functioning, life satisfaction and self achievement had positive correlations to resourcefulness. 5. Studies on comparison between a healthy person and depressive patient or smoker and non-smoker were done. There were coping, depression, symptom, self efficacy, health problem and self-control as comparative concepts. 6. Study subjects consisted of depressive patients in 9 of 18 experimental studies. The majority of studies were done with cognitive-behavioral therapy as an experimental intervention. The most effective treatment was revealed in high resourcefulness group. Since the above findings, resourcefulness research increased since 1980 and mostly non-experimental design for quantitative study were done. In the field of nursing, research about resourcefulness was in an initial stage. It is expected that further research needed to be done. Recommendations on the basis of the present research suggest that it is necessary to replicate studies, develop nursing intervention enhancing resourcefulness and apply it to patients with chronic diseases including cancer.

• 정보화정책
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• 제24권1호
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• pp.3-29
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• 2017

본 연구는 가상현실, 증강현실, 혼합현실, 360도 동영상 등 다양하게 사용되는 차세대 실감미디어에 대한 사용자 관점의 이해를 목적으로 한다. 한 때, 3D 영상의 광풍이 불더니 곧 초고화질(UHD) TV가 그 자리를 차지하고, 지금은 가상현실이 실감미디어를 대표하는 그리고 차세대 먹거리 산업이라는 표현으로 미래 혁신 산업의 핵심 키워드로 자리하고 있다. 가상현실이 이렇게 산업적으로 중요한 역할을 함에 따라, 본 논문에서는 미디어 풍요성, 상호작용성, 프레즌스, 신체소유감, 사용자 경험 그리고 시지각과 같은 가상현실과 관련된 여섯 개의 이론적 접근을 통해 학술적 이해와 더불어 현장에 적용 가능한 가능성을 담아내고자 한다. 이 여섯 개의 이론은 3D 영상과 같은 실감미디어 연구에 많이 사용되는데, 미디어 풍요성과 상호작용성은 긍정적 또는 부정적 태도를 형성하는 주요한 요인이고, 프레즌스는 몰입을, 사용자 경험은 총체적 심리적 반응을 그리고 시지각은 '본다'라는 경험이 뇌의 활동과 더불어 얼마나 복잡한 과정을 겪는지 설명한다. 특히 신체 소유감은 그간 미디어 연구에 적용된 사례가 많지 않으나 가상현실 연구에 활용가능성이 매우 높은 이론으로 추후 실감미디어 연구에 많은 기여를 할 수 있을 것으로 보인다. 가상현실과 관련된 사용자 관점의 주요 이론은 가상현실을 연구하는 연구자는 물론, 하드웨어와 콘텐츠 제작자에게도 많은 함의를 제공할 것이다.