• 한국콘텐츠학회논문지
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• 제19권9호
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• pp.338-347
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• 2019

본 연구에서는 노인의 삶의 질 향상을 위한 정책과 실천적 제언을 제공하려는 목적으로 노인의 심리 정서적 변인과 노인의 삶의 질에 대한 메타분석을 실시하였다. 총 65편의 학술지 논문을 선정해 위험요인과 보호요인으로 구분하여 메타분석을 진행한 결과, 심리 정서적 변인의 위험요인은 우울, 고독, 외로움, 불안, 스트레스 순으로 중간효과크기가 나타났으며 자살생각과 죽음불안은 작은 효과크기를 보였다. 보호요인으로는 자아존중감이 가장 큰 효과크기를 보였고 자아효능감, 자아통제 순으로 효과크기가 나타났다. 본 연구를 통해서 우울이 노인의 삶의 질에 중요한 영향요인이 되고 있음을 확인할 수 있었으며 노인의 삶의 질 향상을 위해서 우울을 조기발견하고 개입할 수 있는 게이트키퍼의 활용과 찾아가는 상담서비스의 확대가 필요하며 자살생각이나 죽음불안을 경감시키기 위해 죽음준비교육을 일반화시키고 자아존중감을 높이기 위해 노인에게 적합한 일자리를 창출하고 재능기부 및 자원봉사활동 참여 기회의 확대를 제언하였다.

• Clinical Psychopharmacology and Neuroscience
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• 제16권4호
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• pp.422-433
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• 2018

Objective: Neuropsychiatric manifestations like depression and cognitive dysfunction commonly occur in inflammatory bowel disease (IBD). In the context of the brain-gut axis model, colitis can lead to alteration of brain function in a bottom-up manner. Here, the changes in the response of the hypothalamic-pituitary-adrenal axis and inflammation-related markers in the brain in colitis were studied. Methods: Dextran sodium sulfate (DSS) was used to generate a mouse model of colitis. Mice were treated with DSS for 3 or 7 days and sacrificed. We analyzed the gene expression of brain-derived neurotrophic factor (BDNF), cyclooxygenase 2 (COX-2), and glial fibrillary acidic protein (GFAP), and the expression of GFAP, in the hippocampus, hypothalamus, and amygdala. Additionally, the levels of C-reactive protein (CRP) and serum cortisol/corticosterone were measured. Results: Alteration of inflammatory-related markers varied depending on the brain region and exposure time. In the hippocampus, COX-2 mRNA, GFAP mRNA, and GFAP expression were upregulated during exposure to DSS. However, in the hypothalamus, COX-2 mRNA was upregulated only 3 days after treatment. In the amygdala, BDNF and COX-2 mRNAs were downregulated. CRP and corticosterone expression increased with DSS treatment at day 7. Conclusion: IBD could lead to neuroinflammation in a bottom-up manner, and this effect varied according to brain region. Stress-related hormones and serum inflammatory markers, such as CRP, were upregulated from the third day of DSS treatment. Therefore, early and active intervention is required to prevent psychological and behavioral changes caused by IBD, and region-specific studies can help understand the precise mechanisms by which IBD affects the brain.

• 대한간호학회지
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• 제48권6호
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• pp.669-678
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• 2018

Purpose: The purpose of this study was to examine the effects of integrated psychoeducational program for distress management of newly diagnosed patients with breast cancer. Methods: A quasi-experimental trial was conducted. The participants consisted of 47 female patients with breast cancer assigned to an intervention group (n=25) and control group (n=22). The intervention group participated in integrated psychoeducational program, consisting of individual face-to-face education and telephone-delivered health-coaching sessions. Data were collected at three time points: pre-intervention (T1), post-intervention (T2), and 6-month follow-up (T3). Study instruments were Distress thermometer, Supportive Care Needs Survey Short Form 34 and Functional Assessment of Cancer Therapy-Breast. Results: Compared with the control group, breast cancer patients in the intervention group reported lower distress and supportive care needs than the control group. The intervention group reported higher quality of life (QOL) overall and higher emotional well-being than the control group. Conclusion: These findings indicate that the integrated psychoeducational program is an effective intervention for reducing distress and supportive care needs and increasing QOL of newly diagnosed patients with breast cancer. Oncology nurses need to provide psychoeducational intervention to support patients with breast cancer in managing their distress and helping them adjust to their life.

• 감성과학
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• 제22권2호
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• pp.101-108
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• 2019

본 연구의 목적은 심전도를 활용하여 원룸형 평면 계획 구성에 따른 자율신경계의 반응을 측정하는 것이다. 지금까지의 생리 신호는 대부분 제한된 건축요소에 대해 개별적으로 측정되었고, 이 결과들은 실제의 전체 원룸공간에서 측정된 데이터와는 차이가 있다. 그러므로 보다 동적인 환경에서 인간의 감성을 추출하고자 본 연구를 수행했다. 먼저, 무작위로 수집 된 43 개의 원룸은 욕실과 주방의 위치에 따라 10 가지 유형의 평면 구성으로 분류되었다. 그 다음 건강한 10명의 피험자로부터 평면 구성 변화에 따른 자율신경계의 반응을 측정하였고, 쾌적성 및 선호도에 대한 주관 평가가 시행되었다. 결과적으로 평면 구성 따른 유형별 LF/HF의 평균 비율에는 통계적으로 유의미한 차이가 있었다(p < 0.05). 본 연구 결과는 평면의 구성이 원룸의 공간의 질에 영향을 미칠 수 있다는 것을 보여주는 확실한 증거를 제공하며, 이 접근법이 일인가구의 정신 질환을 악화시킬 수 있는 스트레스를 해소하는 데 효과적임을 제시한다. 앞으로 피험자수를 늘려 보다 정확한 통계적 분석을 하고자 한다.

• 동의신경정신과학회지
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• 제30권3호
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• pp.237-249
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• 2019

Objectives: Interest in the use of complementary and alternative treatments to treat dementia. Meditation is used to treat various symptoms of physical and psychological diseases. Some studies suggest that meditation might have positive effects on cognitive functions, especially attention, in the elderly. However, how meditation affects Alzheimer's disease (AD) patients remains unclear. In this review, we assessed the effectiveness of practicing meditation in combination with standard care in AD. Methods: We searched the CCRCT, MEDLINE, EMBASE, AMED and CINAHL databases on 30 May 2017. We included randomized controlled trials (RCTs) that used meditation in adult patients diagnosed with AD. We allocated patients to a meditation combined with standard care or a standard care-only group. Results: The two RCTs met the inclusion criteria. A total of 98 patients were included in the meditation with standard care and standard care-only groups in this review. All meditation programs in the included trials were based on practicing mindfulness. The results of our meta-analysis indicatedthat adjunctive mindfulness meditation programs exerted favourable but non-significant effects on cognitive function on the Mini Mental State Examination (MMSE) (MD=4.68, 95% CI -0.11 to 9.46; Z=1.92, p=0.06). Only one study assessed depression, anxiety, quality of life and stress. No adverse events related to meditation were reported in the included studies. Conclusions: Insufficient data iscurrently available to determine the effectiveness of practicing meditation on patients diagnosed with AD. Hence, further RCTs with high methodological quality and larger sample sizes are needed to effectively estimate the effects of meditation on AD.

• The Korean Journal of Pain
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• 제32권4호
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• pp.292-300
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• 2019

Background: The aim of this study was to investigate the clinical characteristics of complex regional pain syndrome (CRPS) in young male patients in South Korea, especially focusing on the association with military service. Methods: From January 2007 to May 2017, we investigated the electronic medical records of 430 consecutive patients, aged 18 to 30 years, who visited Seoul National University Hospital Pain Center, with a suspected diagnosis of CRPS at the initial visit. The following patient details were available for analysis: demographic and disease-related variables, relevance to military service, medications, and the treatment modalities received. Results: Out of 430 patients, 245 (57.0%) were diagnosed with CRPS, of which, 200 were male patients and 45 were female patients. Of the male patients, 95 (47.5%) developed CRPS during military service. CRPS during military service was more likely to result from sprain/strain, and the incidence of CRPS was significantly higher in the lower extremities in patients from the military service group than in those from the non-military service group. During the follow-up period, 37.9% of male CRPS patients (n = 61/161) were treated successfully. Patients with moderate to severe initial pain intensity, and diagnosed during their military service, showed better outcomes. Conclusions: Our results demonstrated that manifestation of CRPS in the young Korean population was more common in male and among those male CRPS patients, about half the cases developed during the military service period.

• 디지털융복합연구
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• 제17권9호
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• pp.31-37
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• 2019

본 연구결과는 선행연구와 같이 피해자의 작업동기 상실, 조직 불신, 신경과민, 이직의도 증가, 좌절감, 스트레스와 감응저항, 무력감과 소외감을 나타냈다. 노동조합이라는 집단의 부정적인 힘에 눌려 일개 개인이 대항하거나 해결책을 찾을 수 없는 현실에 분노를 경험하였다. 또한 노조의 집단 따돌림에 대한 조합원의 두려움이라는 심리적 요인들이 파업에 합류하지 않은 노조원, 노조에 미가입한 근로자들에게 압력요소로 작용하여 기존 노동조합 노조원의 이탈을 방지하는데 영향을 미치는 것으로 나타났다. 노동조합의 집단따돌림 행동이 비록 집단의 목적을 달성하는데 효과가 있다고 하더라도 윤리적이어야 할 조직이 윤리적으로 벗어나는 모습을 보인다는 점에서 집단따돌림 행동이 타당한가에 대한 문제를 고려해 볼 필요가 있다.

• 한국학교보건학회지
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• 제34권1호
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• pp.76-86
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• 2021

Purpose: This study was conducted to describe the experience of school health teachers in regard to the COVID-19 pandemic in South Korea. Methods: We conducted a qualitative study using content analysis. Ten school health teachers were recruited from 6 elementary schools, 2 middle schools and 2 high schools in Seoul, using purposive sampling. They participated in semi-structured in-depth interviews in person or using an online communication system from January to February, 2021. Interviews were transcribed verbatim and analysed using qualitative content analysis. Results: Three main categories and nine generic categories emerged from the analysis. Firstly, it was discovered that school health teachers had psychological and physical stress to cope with COVID-19 due to the 1) fear of the unexpected infectious disease, 2) burden of having to deal with it alone, 3) breakdown of personal life and physical exhaustion and 4) heavy duty as a health teacher caused by the lack of an organic cooperation system with institutions related to school infectious diseases. Secondly, school health teachers had an increased sense of empowerment in regard to infectious disease management as a result of 1) feeling rewarded and appreciated and 2) gaining confidence and trust in infectious disease management. Finally, school health teachers experienced the urgent need for an effective response strategy for infection control because of the 1) confusion over infectious disease response due to lack of practical manuals applicable to the field as well as training, 2) disappointing response system without an expert response team dedicated to managing infectious diseases in schools, and 3) growing awareness of the need for change. Conclusion: It is expected that school health teachers' experience of COVID-19 will be used as important data for building effective and advanced school infectious disease response systems.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제47권4호
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• pp.257-268
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• 2021

Objectives: Cleft lip and palate is a common congenital anomaly that impairs the aesthetics, speech, hearing, and psychological and social life of an individual. To achieve good aesthetic outcomes, presurgical nasoalveolar molding (NAM) has become important. Currently, the intraoral NAM technique is widely practiced. Numerous modifications have been made to intraoral NAM techniques, but the original problem of compliance leading to discontinuation of treatment remains unsolved. Therefore, the present study compared an extraoral NAM technique with the intraoral NAM technique. Materials and Methods: Twenty infants with complete unilateral cleft lip and palate were included and divided into two equal groups. Group A received the intraoral NAM technique, and Group B received the extraoral NAM technique. Pre- and postoperative extraoral and intraoral measurements were recorded. Results: Groups A and B did not differ significantly in any extraoral or intraoral parameter. Conclusion: The extraoral NAM technique is as effective as the intraoral NAM technique in achieving significant nasal and alveolar changes in complete unilateral cleft lip and palate patients. Additionally, it reduces the need for frequent hospital visits for activation and the stress associated with the insertion and removal of the intraoral NAM plate, thereby improving compliance.

• 한국학교보건학회지
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• 제34권3호
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• pp.179-189
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• 2021

Purpose: The purpose of the study was to investigate health behavior changes in Korean adolescents before and during the COVID-19 pandemic. Methods: A descriptive cross-sectional design was employed. Data were obtained from the 15~16th (2019~2020) Korea Youth Risk Behavior Web-based Survey. Overall, the data of 112,251 students, 57,303 before the COVID pandemic and 54,948 during the pandemic, were included. The data were analyzed using rao-scott 𝝌²-test, t-test, ANCOVA and logistic regression analysis. Results: While sitting time for study decreased, sitting time for leisure increased in the 2020 group compared to the 2019 group. The 2020 group was more likely to skip breakfast and have a higher BMI than the 2019 group. The 2020 group was less likely to consume fruit and engage in moderate and vigorous physical activities than the 2019 group. The 2020 group was less likely to engage in CC, EC, and HTP current smoking and be exposed to secondhand smoke at home, school, and public places than the 2019 group. The 2020 group was more likely to be satisfied with sleep, but less likely to experience stress, depression, suicidal ideation, suicidal plans, and suicidal attempts than the 2019 group. Conclusion: It is necessary to reduce sedentary time, encourage physical activities, manage smoking and drinking rates continuously, and establish a network system to prevent psychological loneliness and isolation for adolescents, which requires participation of experts from the community as a whole.