Daily stress is emerging as one of major problems to affect oral health in complicated and diversified modern society. The purpose of this study was to examine the influence of the daily stress of adults on their oral symptoms. The subjects in this study were 460 adults, on whom a survey was conducted from July 1 to October 30, 2012. The findings of the study were as follows: As to the impact of daily stress on oral symptoms, symptoms of the lips and cheeks and symptoms of the tongue were under the significant influence of physical, behavioral and psychoemotional stress. Physical and psychoemotional stress had a significant impact on symptoms of the teeth and the gums, and temporomandibular symptoms were significantly affected by psychoemotional and physical stress. The findings of the study showed that daily stress exerted a larger influence on the lips, cheeks and mucous membrane of oral cavity, and that multiple oral diseases took place when there were not only physical and psychoemotional stress but behavioral stress.
Purpose: This study was conducted to evaluate the effects of integrated palliative care intervention on quality of life in terminally ill patients. Methods: A comprehensive literature search was performed via PubMed, Cochrane Library CENTRAL, LWW (Ovid), CINAHL and several Korean databases. The main search strategy was to combine terms indicating palliative care intervention, presence of terminal illness and study design. Methodological quality was assessed using Cochrane's Risk of Bias for randomized studies and Risk of Bias Assessment tool for non-randomized studies. Data were analyzed by the Stata 10 program. Results: Eight clinical trials met the inclusion criteria with a total of 356 participants. Integrated palliative care interventions were administered for a mean of 6.5 weeks, 5.6 sessions and an average of 47.8 minutes per session. Effect sizes were heterogeneous, and subgroup analysis was done. Integrated palliative care interventions had a significant effect on quality of life (ES=1.83, P=0.018, $l^2=92%$), spiritual well-being (ES=0.78, P=0.040, $l^2=0$), depression (ES=0.86, P<0.001, $l^2=32$) and anxiety (ES=0.69, P=0.041, $l^2=71.1$). But integrated palliative care interventions had no significant effect on pain (ES=0.365, P=0.230, $l^2=69.8$). Conclusion: Results support findings that integrated palliative care interventions were helpful in lessening depression and anxiety and improving quality of life and spiritual well-being, however, the interventions did not assist pain management in terminal cancer patients. These findings suggest that various integrated palliative care interventions can assist terminal cancer patients with better quality of life in the socio-psycho-spiritual dimension.
The purpose of this study is to investigate the relationship between suicidal ideation and psycho-social factors such as depression, stress, self-esteem, and support from family, friends, and teachers. Data from a sample of 224 male and female high school sophomore students. The results were analyzed by t-test, one-way ANOVA, person's correlation, and multiple regression. The findings of this research are as follows. Firstly, there was no statistically significant gender difference in suicidal ideation. However females reported greater suicidal ideation than males. Secondly, there were a statistically significant gender differences in depression. stress, self-esteem, and support from teachers. Thirdly, the variables in the cause model accounted for 42.3% for males, and 36.4% for females, of the variance in suicidal ideation. Fourthly, there were gender differences in the predictive power of variables within the cause model for suicidal ideation. Depression, self-esteem. and stress were found to be significant predictors of suicidal ideation in males. On the other hand, depression and lack of family support were shown as significant predictors of suicidal ideation in females. These findings suggest that the following approaches should be taken in order to decrease suicidal ideation among adolescents. With males self-esteem should be strengthened, depression should be reduced, and stress should be managed. With females family problems need attention, and depression need to be reduced.
This qualitative study is designed for the reconstruction of the experience of single mothers in poverty based on the bottom-up approach. Welfare dependency is identified as vital help to protect their own and children's lives, through their stories telling that welfare services provided by government and community take care of them "in place of their husbands", and "raise them up by hand." What is self-sufficiency to them is more of a process-orientation through welfare dependency than a state out of it, and a way to look through building their self-esteem and working to discover their self-worth except their economic power. Restoring their potential to self-sufficiency through dealing with their psycho-social stresses and expanding services for them related to child-care(education) and occupation ability development for long-term self-sufficiency, rather than hasty focusing on welfare exit, should be built on the foundation of helping them self-sufficient. In order for the self-sufficiency program to overcome the participant's images of "subordination and stigma" and to convey the original meaning of "welfare to work", the performance and evaluation system of self-sufficiency programs that reflects the insider's perspectives on their participation motive and process, and the self-sufficiency program customized for their needs and interests should be encouraged to develop.
Journal of the Institute of Electronics Engineers of Korea SC
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v.45
no.3
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pp.59-67
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2008
Due to the fast increase in cellular phone users, public interest on health effect of electromagnetic fields(EMFs) by cellular phonos is gradually increasing. Some EHS(electromagnetic hypersensitivity) patients complain of psycho-neurophysiological symptoms such as headaches, insomnia, memory loss resulting from RF radiation by CDMA cellular phones. However, EHS is difficult to diagnose and depends on the individual's subjective judgement. And we don't know clearly if the cause of EHS is uneasiness or real exposure. There have been various EHS volunteer studies on heart rate, blood pressure and subjective symptoms using GSM phones. But there are few studies on experimental case-control study investigating physiological parameters, subjective symptoms, and perception of EMFs. In this study, two volunteer groups of 17 self-declared EHS and 19 controls were exposed to both sham and real RF exposure by CDMA cellular phones for half an hour each. We investigated not only the physiological parameters such as heart rates, respiration rates and HRVs(hear rate variability), but also the perception of EMFs and subjective symptoms. As the results, EMF exposure did not have any effects on the subjective symptoms or physiological parameters for both groups. For the EMF perception, there was no evidence that EHS group perceived the EMFs correctly than the control group.
Journal of the korean academy of Pediatric Dentistry
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v.40
no.4
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pp.306-313
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2013
Speech is complex psycho-physiological mutual process which includes many orofacial organs. Especially, teeth play an especially important role as an articulation organ in conjunction with the lips and tongue. When teeth are missing, the position of tongue and mandible is adjusted to produce correct sound. If a patient's adaptive function is inadequate for modification of malocclusion, prosthodontic and orthodontic interventions are necessary. Missing teeth of young patients should be reconstructed bacause it can cause malocclusion, decreased masticatory efficiency, articulation disorders, esthetic problem, and temporomandibular disorder. Valplast$^{(R)}$(Valplast International Corp, New York, USA) flexible denture is useful for rehabilitation due to its excellent physical properties, esthetics, and small volume. This case is regardingan intellecturally disabled patient with anarticulation disorder caused by missing lower incisors due to trauma. The patient showed improvement in articulation by using flexible partial denture. The purpose of this report is to figure out the influence of missing lower anterior teeth on articulation.
The purpose of this study is to find the difference of the climacteric symptoms and quality of life according to hormone replacement therapy (HRT) in climacteric women. The research design was a descriptive survey with questionaries. A convenience sample of 181 climacteric women aged 45-65 who had climacteric symptoms were selected in Kwangju city, Korea. Sixty-six climacteric women among those subjects were receiving HRT at K university hospital in Kwangju city. Data were collected by the interview with questionaries from Feb 3. 1999 to March 25, 1999. Climacteric symptoms were measured using scores developed by Neugarten(1965) and modified by Park(1989), and the quality of life scale related to climacteric symptoms developed by Hildtich(1996) and modified Kim(1998). Data were analyzed by $x^2$-test, t-test, ANOVA and Pearson's correlation procedures, using SAS/win PC+. The results were as follows ; 1. No statistically significant differences were found between the receiving HRT group and not receiving HRT group in demographic, obstetrical and health related characteristics. 2. There were no significant difference on the climacteric symptoms between the group of women receiving HRT (score 2.4) and the group of women who were not (score 2.6) except psychological area (t= 2.407, p= 0.017). 3. The quality of life of the group of women receiving HRT was significantly higher than that the group of women who were not (t=2.151, p=.032). 4. The quality of life of the group of women receiving HRT were high scores There were significantly high of the quality of life in the vaso-motor change area (t=2.634, p= 0.009), psycho-social change area (t=3.239, p=0.001), and physical change area (t=2.031, p=0,043) in the group of receiving HRT compared to not receiving HRT group. 5. The variables showed significantly differences on the degree of climacteric symptoms of the group of women not receiving HRT were the subjective health state (t=15.81, p=0.000), age (t=7.50, p=0.007), feeling of menopause (t=30.88, p=0,000) and climacteric periods (t=8.66, p=0.003), and receiving HRT were number of para (t=3.95, p=0.050) and feeling of menopause (t=3.94, p=0.050). 6. The variables showed significantly difference on the quality of life of the group of women not receiving HRT were the subjective health state (t=4.14, p=0.044) and feeling of menopause (t=10.86, p=0.001). 7. There were significantly positive correlations between the climacteric symptoms and the quality of life in climacteric women (r=0.512, p=0.000).
The purpose of this study was to investigate the impact of depression, discomfort, spirituality, physical care, and opioid use on pain with terminally ill cancer patients residing in hospice units. The convenient sample of this study consisted of 41 terminally ill cancer patients at three hospice units in university affiliated hospitals. Patients were interviewed with structured questionnaires three times at predetermined intervals: admission to the hospice unit (Time 1), one week later (Time 2), and two weeks later (Time 3). The data was collected from January 1998 to January 1999 and was analyzed using ANOVA, Pearson correlation coefficient, and multivariate multiple regression. 1. The mean age of the participants was approximately 55 years old. In terms of diagnosis, lung cancer showed the highest frequency (19.5%), followed by stomach cancer and rectal cancer (17.1%). The motive of seeking hospice unit admission was control (72. 2%), followed by spiritual care (50%), and symptom relief (38.9%). 2. Regarding the type of pain felt, the highest pain frequency the participants experienced was deep pain (55%), followed by multiple pain (25%), intestinal pain (10%), then superficial (5%) and neurogenic pain (5%). For the level of pain measured by VAS, there was no significant difference among the three time points; Time 1 (5.04$\pm$2.21), Time 2 (4.82$\pm$2.58) and Time 3(4.73$\pm$2.51). 3. There was significant change seen in spirituality and physical care in each time interval. Namely, the longer the length of admission at the hospice unit, the higher the importance of spirituality (p=0.0001) and the more the physical care the participants received (p=0.01). The opioid use at the three time points showed the following frequencies : Time 1 (75.6%), Time 2 (85.4%) and Time 3 (75.6%). 4. Regarding factors influencing pain, the pain level was significantly affected by the depression level (p〈0.01) and the opioid use (p〈0.1). These results were the most significant at the two time points (Time 1 and Time 2). At Time 3 (two weeks later), the pain level was significantly affected by the depression level (p〈0.05) and the amount of physical care the participants received (p〈0.1). In conclusion, the terminally ill cancer patients had moderate pain, were generally depressed, and were treated with opioid analgesics. As approaching death, the patients received more physical care due to increased physical symptoms experienced and they had a higher perception of the importance of spirituality. Thus, health care professionals need to provide continuous care for each of them to die comfortably physically, psycho- logically, and spiritually.
Journal of the Korea Academia-Industrial cooperation Society
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v.18
no.12
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pp.372-383
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2017
This paper attempted to verify that Investigative Enterprising(IE) axis in the Holland hexagonal model can measure the internal and external job value. This study analyzed internal and external job values of 19 subjects who participated in the 150 Job cards classification test. The results of this study are as follows: First, the study group with Holland hexagonal model centered on the Investigative Enterprising type(IE) axis and artistic type(A) and social type(S) showed internal job value and supported the hypothesis. Second, the hypothesis that the group with the hexagonal model centered on the Investigative Enterprising(IE) axis and the bias toward the realistic type(R) and the conventional type(C) would pursue external job value was rejected. This is due to the Korean cultural context that pursues psycho-cultural value in Confucian culture. There is also a Holland hexagonal model that is not exactly distributed to the left of the Investigative Enterprising(IE) axis. Third, the group of amphibolic job value based on the Investigative Enterprising(IE) axis, and the Holland hexagonal model is expressed in artisic type(A), social type(S), realistic type(R), and conventional type(C) supported some hypotheses. This paper is the first to suggest that the Investigative Enterprising(IE) axis of the Holland hexagonal model can be used to measure job value, and the Holland hexagonal model can predict job value as well as career choice. This paper is intended to expand the foundation of the Holland theories, and to provide meaningful contribution to the basis for vocational studies.
Nowadays, aggressive driving is a common driving behavior and it is raised as a dangerous factor for both drivers and passengers. However, it is hard to find studies on aggressive driving in Korea, and even the definition of aggressive behavior is not clearly explained. In this study, the term "aggressive behavior" is defined based on previous studies, and the significance of several psycho-social factors which affect aggressive driving were verified with the 'habit' factor from the Theory of Planned Behavior (TPB). In the pilot study, domestic drivers reported that aggressive behaviors included speeding, traffic light signal violation, and improper passing (cutting drivers off when passing). In this study, controlling the demographic characteristics of these three aggressive behaviors, the authors explored the relationship of the behaviors with TPB factors such as the habit factor. Consequently, in the case of drivers' intentions for speeding and traffic light signal violations, subjective norm, perceived behavioral controllability, and habit were significant factors. In the case of intentions for improper passing, only perceived behavioral controllability and habit were significant. In speeding behavior and traffic light signal violations, only habit was significant besides intention; however, in improper passing, both perceived behavioral controllability and habit were significant besides intention. The authors also tested an alternative model including TPB and habit factors for three types of aggressive driving. Finally, there are several implications for a possible intervention program for aggressive driving, though there are some limitations of the study.
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