• Journal of Families and Better Life
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• v.28 no.5
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• pp.75-88
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• 2010

This study analyzed a family therapy case which dealt with family violence and was consisted of 14 sessions. The therapeutic perspective for this case was MRI model, a strategic family therapy model which emphasizes attempted solutions and interactions. The results of this study were as follows. This study found the interaction process of occurring family violence. When the husband attempted conversations with his wife after drinking, the wife who was anxious and dreadful avoided conversation. This avoidance made the husband felt rejected feeling, and he battered his wife. The avoidance of conversation, an attempted solution of wife, was made from her frame of reference which was affected from her original family context and the couple's communication style in ordinary times. The therapist made the couple recognize their attempted solutions were not effective, and he helped them begin new solutions or coping behaviors. This intervention process was long and hard, but the couple changed their attempted solutions to new solutions which were clear communication styles and functional interaction process. This study results showed the effectiveness of couple therapy on family violence. The effectiveness of MRI model was also proved from the study. The results of study will be helpful to the family therapists and counsellors in the field of family violence.

• Health Policy and Management
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• v.24 no.1
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• pp.71-84
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• 2014

Background: Informal care is increasingly recognized as placing a significant burden on the lives of family caregivers. The purpose of this study is to investigate factors related to family caregivers' burden with the community-dwelling disabled elderly under the long-term care insurance system, using the Stress Process Model developed by Pearlin (1990). Methods: Total 1,233 family caregivers with the disabled elderly, using the long-term care services in their home from May to June 2009, completed questionnaires finally. The questionnaire of this study consists of a total of 32 questions, including 11 questions related to background and context, 17 questions related to objective stressors, and 4 questions related to coping resourses. Family caregivers' burden is measured by the Korean Revised Caregiving Appraisal Scale (K-RCAS, Cronbach's alpha=0.86). To investigate factors related to family caregivers' burden, multiple regression analysis was conducted. Results: The average score of caregivers' burden was 22.0 (${\pm}6.12$). In multiple regression analysis, there were statistically significant factors affecting on the family caregivers' burden, that are related to background and context (region, living status, education level, relationship with beneficiary), objective stressors (duration of caregiving), coping resourses (caregiver's health status). Conclusion: This study found that family caregivers experience a considerable burden. The findings suggest that policies must be taken to relieve family caregivers of their duties temporarily, and to support them with counselling and education.

• Journal of Korean Academy of Nursing
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• v.46 no.2
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• pp.271-282
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• 2016

Purpose: This study was done to explore adaptation experience of living kidney donors after donation. Specific aims were to identify challenges donors face in the process of adaptation following surgery and how they interact with recipients and other people. Methods: Grounded theory methodology was utilized. Participants were 13 living kidney donors at six months or more after donation. Data were collected by in-depth interviews with individual participants. Data were analyzed using constants comparative method with theoretical saturation. Results: A core category emerged as 'keeping the fences of my family in spite of vulnerability'. The adaptation process after donation was manifested in four phases: exploration, balance, maintenance, and acclimatization. Phenomenon was perception of vulnerability. Strategies to manage the vulnerability were assessing changes of body awareness, tailoring regimen to one's own body condition, coping with health problems, keeping restoration of health, and ruminating on the meaning of one's kidney donation. Consequences were reestablishing family well-being, realizing the values of one's kidney donation, and living with uncertainty. Conclusion: Findings of the study indicate that there is a need for health professionals to understand the vulnerability of living kidney donors and help their family system maintain a healthy and productive life. The results of this study can be used to develop phase-specific, patient-centered, and tailored interventions for living kidney donors.

• Journal of Korean Society of Transportation
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• v.2 no.1
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• pp.3-16
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• 1984

Development of para-transit is imminent in modern metropolis which are galloping toward motorization. Compared with other already industrialize countries, our metropolis can take a vantage of late starter in coping with urban transportation problem. Our metropolis are still heavily relying on public and/or pare-transit in modal split. Current government policy toward taxi-cab, however, seems to contradict with the objective of developing para-transit. If it is not adequately developed, the middle-class people of higher income would have no other option than having their own auto as already been observed. It will centainly accelerate our motorization process so that we follow the model of industrialized countries, and their problems too. Insisting that our transport policy should be drastically reformulated in favor of paratransit in addition to public transit, this study reappraise current policy on taxi-cab with respect to fare, prohibition of shared-ride, and other regulatory measures and propose and management model for taxi fare and operating policy in metropolis.

• Journal of Korean Society of Water and Wastewater
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• v.32 no.2
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• pp.97-106
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• 2018

In this study, the effect of chemically enhanced backwash(CEB) coping with algal(Heterosigma Akashiwo) inflow was evaluated in the seawater desalination pretreatment process using ceramic membrane. In order to confirm the possibility of long-term filtration operation, the recovery rate of transmembrane pressure(TMP) due to the CEB using NaOCl was examined. When the membrane flow rate was 83.3 LMH, the TMP was maintained within 200 kPa for 84 hours in seawater influent. As the algal counts of 30,000 cell/mL were injected into the influent of seawater, however, the TMP rapidly increased and exceed maximum value. Membrane fouling caused by the algae was very poorly recovered by usual physical backwash. The CEB was performed for 30 min(3 min circulation / 27 min immersion) with 300 mg/L of NaOCl. As a result of the CEB application, it was possible to maintain a stable operating of filtration during 10 days and the average recovery rate of TMP by the CEB was 98.1%. It has been confirmed that the CEB using NaOCl is very effective in removal of membrane fouling by algae, resulted in stable membrane filtration for the long-term operation.

• Perspectives in Nursing Science
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• v.15 no.1
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• pp.29-40
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• 2018

Purpose: The present study aimed to review the characteristics of cognitive behavioral therapy (CBT) programs for alcohol use disorders and to examine the outcomes of such programs. Methods: We searched for domestic and foreign studies that implemented a CBT program for alcohol use disorders, published from 2006 to 2017. Studies that met inclusion/exclusion criteria were selected and a quality assessment was performed using the Risk of Bias (RoB) and Risk of Bias Assessment Tool for Nonrandomized Studies (RoBANS) instruments. We utilized a five-stage analysis process, through which nine experimental studies were selected. Results: Of these nine studies, four were randomized controlled trials, four used a quasi-experimental design, and one used a qualitative design. The CBT involved the three domains of cognitive reconstruction, problem solving, and coping. Coping with drinking situations and communication constituted most of the sessions. The outcomes of such interventions showed that CBT had a positive effect on alcohol use and self-evaluation. Conclusion: CBT is an effective way to change alcohol use behaviors, motivation, interpersonal relationships, emotional control, and self-efficacy among patients with alcohol use disorders. This study provides evidence for the effectiveness of CBT-based programs for the treatment of alcohol use disorders.

• Korean Journal of Social Welfare
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• v.65 no.4
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• pp.367-393
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• 2013

Quality of life(QoL) of older cancer patients have not gained enough attention from researchers even when cancer is the number one cause of death of Korean elderly. Therefore, this study aims at understanding the QoL of older cancer patients and factors related to it, applying Taylor(2012)'s Stress-Coping Process model, and by comparing with older chronic disease patients and middle-aged cancer patients. Results indicated that physical health QoL of older cancer patients was the worst and their mental health QoL was similar with middle aged cancer patients. Multi-group analysis of Structural Equation Modeling indicated that the relation between QoL and the stress coping resources was not statistically different from older cancer patients and older chronic disease group, as well older cancer patients and middle-aged cancer patients. Implications of results to improve the QoL of older cancer patients are discussed.

• Journal of Korean Academy of Nursing
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• v.47 no.1
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• pp.14-24
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• 2017

Purpose: The purpose of this study was to construct and test a hypothetical model of self-management in patients with hemodialysis based on the Self-Regulation Model and resource-coping perspective. Methods: Data were collected from 215 adults receiving hemodialysis in 17 local clinics and one tertiary hospital in 2016. The Hemodialysis Self-management Instrument, the Revised Illness Perception Questionnaire, Herth Hope Index and Multidimensional Scale of Perceived Social Support were used. The exogenous variable was social context; the endogenous variables were cognitive illness representation, hope, self-management behavior, and illness outcome. For data analysis, descriptive statistics, Pearson correlation analysis, factor analysis, and structural equation modeling were performed. Results: The hypothetical model with six paths showed a good fitness to the empirical data: GFI=.96, AGFI=.90, CFI=.95, RMSEA=.08, SRMR=.04. The factors that had an influence on self-management behavior were social context (${\beta}=.84$), hope and cognitive illness representation (${\beta}=.37$ and ${\beta}=.27$) explaining 92.4% of the variance. Self-management behavior mediated the relationship between psychosocial coping resources and illness outcome. Conclusion: This research specifies a more complete spectrum of the self-management process. It is important to recognize the array of clinical resources available to support patients' self-management. Healthcare providers can facilitate self-management through collaborative care and understanding the ideas and emotions that each patient has about the illness, and ultimately improve the health outcomes. This framework can be used to guide self-management intervention development and assure effective clinical assessment.

• Journal of Mechanical Science and Technology
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• v.20 no.12
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• pp.2094-2104
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• 2006

As demands for complex microstructures with high aspect ratios have increased, the existing methods, MEMS and LIGA, have had difficulties coping with the number of masks and fabricable heights. A microstereolithography technology can meet these demands because it has no need of masks and is capable of fabricating high aspect ratio microstructures. In this technology, 3D part is fabricated by stacking layers, 2D sections, which are sliced from STL file, and the Dynamic Image Projection process enables the resin surface to be cured by a dynamic image generated with $DMD^{TM}$ (Digital Micromirror Device) and one irradiation. In this paper, we address optical design process for implementing this microstereolithography system that takes the light path based on DMD operation and image-formation on the resin surface using an optical design program into consideration. To verify the performance of this implemented microstereolithography system, complex 3D microstructures with high aspect ratios were fabricated.

• Journal of Korean Academy of Nursing
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• v.43 no.3
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• pp.409-419
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• 2013

Purpose: The purpose of this study was to describe and explore the experience process of life of patients with Crohn's disease. Methods: Using a grounded theory methodology, 24 interviews were performed with 7 men and 5 women, 17-47 years of age, suffering from Crohn's disease. Results: 'Tuning of two conflicting lives' was identified as the core category, and 5 subcategories were identified and they were integrated into the core category. The identified outcomes were 'Living a withdrawn life', 'coping flexibly', 'drifting with tangled emotions' and 'maintaining long-term remission'. Conclusion: When caring for these patients, it is important to identify needs, allow patients to express what they want at that moment and support them in maintaining a daily life that can be perceived as normal.