• Asian Pacific Journal of Cancer Prevention
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• 제14권11호
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• pp.6971-6978
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• 2013

Background: Smoking among adolescents has been linked to a variety of adverse and long term health consequences. "Susceptibility to smoking" or the lack of cognitive commitment to abstain from smoking is an important predictor of adolescent smoking. In 2008, we conducted a study to determine the psycho-sociological factors associated with susceptibility to smoking among secondary school students in the district of Kota Tinggi, Johor. Materials and Methods: Two thousand seven hundred students were randomly selected by proportional stratified sampling. Analyses on 1,736 non-smoking students revealed that prevalence of adolescents susceptible to smoking was 16.3%. Results: Male gender (aOR=2.05, 95%CI= 1.23-3.39), poor academic achievement (aOR 1.60, 95%CI 1.05-2.44), ever-smoker (aOR 2.17, 95%CI 1.37-3.44) and having a smoking friend (aOR 1.76, 95%CI 1.10-2.83) were associated with susceptibility to smoking, while having the perception that smoking prohibition in school was strictly enforced (aOR 0.55, 95%CI 0.32-0.94), and had never seen friends smoking in a school compound (aOR 0.59, 95%CI 0.37-0.96) were considered protective factors Conclusions: These results indicate that follow-up programmes need to capitalise on the modifiable factors related to susceptibility to smoking by getting all stakeholders to be actively involved to stamp out smoking initiation among adolescents.

• 디지털융복합연구
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• 제15권8호
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• pp.247-256
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• 2017

본 연구는 성인용 한국사회의 사회 심리적 불안 실태조사 자료를 이용하여 에코세대의 사회인식 및 건강상태가 사회적지지에 미치는 융복합적 영향을 파악하기 위하여 실시되었다. 성인용 한국사회의 사회 심리적 불안 실태조사 자료는 2015년 8월 8일부터 9월 22일까지 실시되었고, 분석대상자는 1,653명이었다. 수집된 자료는 SPSS WIN Version 23.0을 이용하여 기술통계, Independent t-test, ANOVA, 위계적 중회귀분석을 실시하였다. 연구결과, 에코세대의 사회적지지 평균점수는 19.60점이었다. 에코세대 사회적지지 영향요인은 이웃관계 원만함, 계층인식, 행복감 유무, 사회의 평등성 여부, 사회의 안정성 유무, 자존감 정도, 의사소통 정도 및 스트레스 정도로 나타났다. 에코세대의 사회적지지를 향상시키기 위하여 에코세대의 사회인식 및 건강상태의 특성을 반영한 지역사회네트워크프로그램을 개발하고 지역사회 연계 체계를 구축하며 지속적인 상담과 교육이 필요하다.

• 한국소음진동공학회:학술대회논문집
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• 한국소음진동공학회 2012년도 춘계학술대회 논문집
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• pp.348-353
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• 2012

This paper presents the HRTF based experimental approach to figure out why the human auditory perception on the interior noise source including the directional tonal components does not well match with the dominant features extracted from recorded acoustic signals in terms of psycho-acoustics. Since the general objective evaluation models for tonalness among various sound attributes are a function of width, frequency, excessive level of tonal components respectively, the directional tonal components cannot be properly evaluated without considering the effects of head-related transfer function on the binaural auditory perception. Thus, the directivity of source is additionally considered to prevent the erroneous conclusions from the same sound source in the process of source identification. The signal synthesis technique is used to solve a little difficulty in measuring all of desired acoustic signals for jury evaluation. The sound attributes of synthetic acoustics signals are analyzed to roughly predict the results of jury evaluation in advance by using sound quality factors such as loudness, sharpness, roughness, fluctuation strength and tonality. The jury evaluation is carefully conducted based on the recommended guideline suggested by N. Ottoet al. Each sound is respectively evaluated by selecting a value between -2 and 2 in intervals of 0.2 point. Through above procedure, based on the results of jury evaluation, it is confirmed that serious problems can be caused in the process of analyzing the dominant sound attributes in terms of psycho-acoustics according to the type of a microphone and a playback system.

• 한국사회복지학
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• 제65권3호
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• pp.53-78
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• 2013

이 연구는 미혼모가 경험한 입양결정 과정의 전반적 의미를 이해하고자 Rennie가 제안한 해석학적 근거이론의 방법을 활용하였다. 분석 결과, 191개 의미단위, 46개 하위범주, 11개 해석학적 범주가 구성되었고, 연구 참여자들의 입양결정 과정을 관통하는 핵심범주는 '모성의 밀어냄과 끌어안음의 이중성 속에 새겨진 흔적안고 살아가기'로 상정되었다. 미혼모들의 입양결정 과정은 임신 인지, 현실 회피, 입양 탐색, 혼란 증폭, 결단, 합리화 혹은 상실의 단계로 나타났다. 이러한 연구결과를 토대로 미혼모의 입양결정 과정은 모성 실현의 또 다른 방식이 될 수도 있다는 점, 이들의 삶의 질을 제고할 수 있는 심리사회적 지지프로그램의 필요성을 제안하였다.

• 성인간호학회지
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• 제22권1호
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• pp.19-30
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• 2010

Purpose: The purpose of the study was to describe psychosocial difficulties experienced by cancer patients. Methods: Three focus group interviews were conducted to collect the data from 19 outpatients with cancer undergoing treatments during 2009. All interviews were audio-recorded and transcribed verbatim. The data were analyzed using constant comparative analysis of grounded theory. Results: As a result of constant comparative analysis, 'psychosocial distress' was identified as a core category, and seven subcategories were identified. 'Plunged into negative emotions' and 'damaged self-identity' were identified as major categories in the individual dimension. 'Difficulty in dealing with diagnosis' and 'hasty expectations and concerns' were identified in the dimension of family. 'Inefficient communication' and 'lack of necessary information' were identified in the dimension of health care setting. 'Lonely journey into a strange territory' was identified in the dimension of society. Conclusion: The results of the study indicate that cancer patients experience a wide range of psychosocial problems. Thus, in assessing and relieving psychosocial distress of cancer patients, it is necessary to focus not only on the level of the individual but also on the levels of family, health care setting, and society in general is necessary.

• Asian Pacific Journal of Cancer Prevention
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• 제16권3호
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• pp.1063-1067
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• 2015

Background: Tumor associated fatigue (TAF) or cancer related fatigue (CRF) is not a new concept. Nonetheless, no real headway has been made in the quantitative analysis of its successful treatment via cognitive behavioral therapy. Since 20 to 30% of all breast cancer patients suffer from anxiety and/or depression within the first year of their diagnosis, this issue needs to be addressed and a standard treatment protocol has to be developed. This study focused on developing a simple, reproducible and short (8 weeks) protocol for the cognitive behavioral therapy support of tumor associated fatigue patients. Materials and Methods: Between the year 2011 and 2012, 23 breast cancer patients fulfilled the diagnosis TAF requirements and were introduced into this study. Our method focused on a psycho-oncological support group using a predetermined, highly structured and reproducible, cognitive behavioral therapy treatment manual. Eight weekly, 90 minute sessions were conducted and patients were evaluated before and after this eight session block. Tumor fatigue specific questionnaires such as the multidimensional fatigue inventory (MFI) as well as the hospital anxiety and depression scale (HADS) were used in order to quantitatively evaluate patient TAF. Results: Of the 23 patients enrolled in the study, only 7 patients fulfilled the TAF diagnostic criteria after the psycho-oncological group treatment. This represents a 70% reduction in diagnosable tumor associated fatigue. The HADS analysis showed a 33% reduction in patient anxiety as well as a 57% reduction in patient depression levels. The MFI scores showed a significant reduction in 4 of the 5 evaluate categories. With the exception of the "mental fatigue" MFI category all results were statistically significant. Conclusions: This study showed that a highly structured, cognitive behavioral therapy group intervention will produce significant improvements in breast cancer patient tumor associated fatigue levels after only 8 weeks.

• Journal of Korean Neurosurgical Society
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• 제29권12호
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• pp.1620-1627
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• 2000

Objectives : DAMA cases were analyzed to examine what the main casual factors of DAMA were and how to deal with these cases effectively in hospital with the DAMA interdisciplinary team including medical social worker whose role is to perform psycho-social assessment, family counsel, to evaluate family's DAMA need. Patients and Methods : The content analysis of medical record and social work record were reviewed in 37 cases referred by medical doctor to DAMA team. These cases were reported by patients' self discharge request or family's request for discharge from September 1998 to February 2000. The DAMA team consists of Assistant Director of Hospital as team leader, medical staff in-charge, social worker, QI nurse, other staff members who are not involved in direct treatment for patient, and administrative clerk. Results : The results of content analysis are as follows : 1) The most causal factors of DAMA consist of combination of more than 2 factors. 2) The major decision-maker is revealed to be son and daughter of patient. 3) In 59.4% of cases, family was not informed of patients' prognosis, alternatives, the consequence of DAMA at all. 4) In cases of DAMA report, the rapid intervention of social worker is carried out. Conclusion : In this study, we propose the interdisciplinary team approach to make decision legitimately and ethically for DAMA. The suggestions from this study are as follows : 1) To deal with DAMA case properly, the interdisciplinary team approach should be considered. 2) The criteria for DAMA case should be formed carefully. For the explicit selection of DAMA case, preliminary system for high-risk patient screening is recommended. 3) The medical social worker is available for the psycho-social problems of the patient once family members. For the effective family counselling, discharge planning and nursing home placement, the participation of medical social worker should be mandatory.

• 대한간호학회지
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• 제42권4호
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• pp.496-507
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• 2012

Purpose: This study was based on social-role theory, and purposes were to investigate (1) how depression and health determinants vary with married and employed women, and (2) what factors contribute to depression according to family cycle. Methods: A stratified convenience sample of 765 married and employed women was recruited during May to August 2010. Study variables of depression, socio-demographic threatening factors, psycho-stimulating factors, and social-role related factors were measured via a structured questionnaire. Results: Prevalence rate for depression was 18.6%, with highest rate (25.4%) from elementary laborers. Greater levels of depression were related to women's occupation, higher life stress, and poorer health; lower social support and vulnerable personality; higher levels of social-role related stress. From multivariate analysis, women with preadolescents were the most vulnerable to depression affected by occupation, life stress, personality, and parenting stress. These factors (except for occupational class) combined with economic status, social support, and housework unfairness were significant for depression in women with adolescents. Conclusion: Depression among married and employed women differs by psycho-stimulating and social role relevant factors in addition to occupational class and family life cycle. Female elementary laborers and women with children need to have the highest prioritization for community mental health programs.

• 근관절건강학회지
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• 제9권1호
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• pp.40-52
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• 2002

This study was conducted to describe disease characteristics, psycho-social factors and treatment behavior of patients with lupus and to analyze relationships anions these variables. The subjects were consisted of 120 lupus patients at G university hospital in Seoul. Data were collected by means of structured interview with questionnaires, and analyzed by using frequencies, $x^2$test, t-test, ANOVA, and correlation. The results were as follows; 1. The average age of the subjects was 31.34 years and average duration of suffering lupus was about 7.3years. Severity of symptoms was moderate and the disturbance of living activities was at the very low level. 2. Self-efficacy score of lupus patients was high, and life satisfaction was at moderate level. 3. Dosage for most of the subjects was about twice a day. 16.7% of them took non-prescribed medicine and only 27.5% perform exercise. 4. Positive correlation was shown among symptom, discomfort of living activities, self-efficacy and life satisfaction, while there was negative correlation among symptom and self-efficacy, symptom and life satisfaction, discomfort of living activities and self-efficacy, and discomfort of living activities and life satisfaction. In addition, exercise showed significant relationship with discomfort of living activities, and non-prescribed medicine showed significant relationship with discomfort of living activities and self-efficacy. These results show that lupus is a chronic disease of long suffering duration among young people. Severity of the symptom was at modest level, while discomfort of living activities were relatively insignificant. However self-efficacy was relatively high. Furthermore self-efficacy has influences on symptom and discomfort of life activities, just as exercise affects discomfort of life activities. Therefore it is required to examine further measures for continuous exercise.

• 한국펄프종이공학회:학술대회논문집
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• 한국펄프종이공학회 1999년도 Proceedings of Pre-symposium of the 10th ISWPC
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• pp.209-213
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• 1999

In the society of the 21\ulcorner century under multiphase media conditions, the rapidly glowing electronic media will replace the conventional paper media in a variety of areas. However, if human being still has an affinity for paper media and an instinct for hardcopy from electronic-based text or image, the new market will be created for the paper industry. To what extent the consumer choses paper media for output will depend upon the availability of functions of paper media appealing to human senses; i.e., "sensory functions of paper". As a whole, on-demand type personal as well as business communications will increase in the next century and this trend will lead certainly to a rapidly expanding "contents hardcopy market". The technological progress of the paper industry in the 21\ulcorner century depends upon the market needs for higher products quality and higher efficiency of manufacturing process as well as an endeavour to overcome constraints from forest resource, energy, and environmental issues. Under the conditions with above constraints, the paper media will be polarized into two categories; (1)paper for higher image reproduction capability for original image or text and (2)paper for lower reproduction but with higher appeals for human senses. To cope with these trends, psycho-physical analysis and a sensory engineering approach for developing new paper media is vitally required. Also newly emerged roles of paper physics in the multimedia age is pointed out associated with sensory functions of paper that are not well-understood so far.