Kim, Keum-Soon;Yi, Myung-Sun;Choi, Eun-Ok;Paik, Seung-Woon;Kwak, Sang-Man;Kwon, So-Hi
Journal of Korean Academy of Fundamentals of Nursing
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v.14
no.3
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pp.331-339
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2007
Purpose: This study aimed to investigate LDQOL (Liver Disease Quality of Life) and its related factors of patients with Hepatitis B. Method: A cross-sectional descriptive study. The LDQOL was formally translated to Korean and reliability was examined. One hundred thirty eight patients following gastroenterology outpatient clinic of S. hospital in Seoul, Korea participated. Results: The mean age of the patients was 45.43 years and 87.7% were men. The mean score of LDQOL was 77.34, and mean scores of subscale were followed; symptom of liver disease (SxLD) (82.12), effect of liver disease (ELD) (25.50), concentration (Conc) (84.47), memory (Mem) (83.24), health discomfort, (HD) (75.18), sexual function (SFun) (75.71), sexual problem (SProb) (84.70), Loneliness (85.50), Hopeless (67.43), and stigma of liver disease (SLD) (91.64). Women had a lower LDQOL score for Loneliness (p=.034), and over 45 year-old patients had a lower LDQOL overall score (p=.000). Patients who were HBV carriers, or who had Chronic Hepatitis B or Liver Cirrhosis reported lower QOL respectively(p=.032). Conclusion: Although the liver disease itself seemed to be stable, patients with HBV experienced poor QOL in ELD, SProb, SFun, and Hopeless. Therefore nursing interventions in these aspects are needed.
The Journal of Korean Society for School & Community Health Education
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v.7
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pp.1-17
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2006
Background: School is a primary health education setting for adolescents and the continuous support should be provided to renew school health education curriculum correspondent to cultural changes in Korean society. Objectives: This study was conducted to identify the principals and teachers' health education needs for their students and to analyze their conceptual map for health education curriculum at school. Methods: The sample size of the preliminary study was 321 of the teachers in elementary, middle, and high school, and that of the main study was 355 middle school principals and teachers over the country. The self-administered mailing survey was conducted to collect the available health education topics in the preliminary study, to identify the factor structure of the health education topics and to analyze the conceptual properties on health education with exploratory factor analysis and multidimensional scaling analysis in SPSS 12.0. Results: A total of 21 health education topics were collected from the preliminary survey and 31 topics were, comprehensively, generated for the main survey. In exploratory factor analysis, seven factors were generated in 1.0 or greater Eigen value standard. The seven factors were 'life health promotion,' 'disease prevention and drug control,' 'bulling and aggression prevention,' 'injury and sexual harassment prevention,' human-efficacy and regulation,' 'health protection for adolescence,' and 'alcohol and tobacco control.' The educational need scores were the highest in 'human-efficacy and regulation' and 'injury and sexual harassment prevention.' The two-dimensional cooperates were generated for the 31 health education topics and the two dimensional properties which divided the conceptual space were 'health-safety' for one and 'public/environmental-individual/personal' for the other. That is, middle school principals and teachers primarily, understand the health education curriculum in the sense of 'health vs. safety' and 'public/environmental vs individual/personal.' Conclusions: Health education curriculum and textbook should be developed based on teachers' needs and conditions for health education in school fields. The field-based health education programs or textbook would make more possible problem-solving health education for youth in real school fields.
The problem related to sex is closely connected with human life. It is important to acquire accurate sexual knowledge and desirable attitude specially during adolescence, in the physical, psychological and emotional changing period. This study was made to find out the high school girls' knowledge, attitude and experience related to sex, and to support the progress of sex education at school in the future. The design was nonequivalent control pretest-posttest in the quasi-experimental design. In current study, the subjects were 102 girls from the 1 st grade of girls' commercial high school. It was control group 54 and experimental group 48. To teach the experimental group, the sex education program was combined the sex education program made in Korea Education Development Institute, Information of sex education by the Ministry of Education, other concerning articles and previous studies. The research tool was a questionnaire based on the literature review. The pretest-posttest was given to the two groups. The sex education had been taken for the experimental group but not been taken for the control group. The data was collected from May 22, 1993 to July 20, 1993 and was analyzed through spss $^{pc}$. The frequency, $x^2$-test and t-test were calculated. Summarized findings from the study are as follows : groups before sex education. 1. Regarding the first hypothesis was supported as following : "The scores of sexual knowledge in the experimental group who was given sex education will be higher than those of the control group who was not given." (t=-14.11, p=.000) 2. Regarding the second hypothesis was supported as following : "The scores of the attitude toward sex in the experimental group who given sex education will be higher than those of the control group who was not given." (t=-6.15, p=.000) The result of this study suggests that it is so necessary that school nurses should teach about sex regularly at school.
The reality of violence involving youth has recently increased and has become a serious social problem. The study was done to identity violence related feetors including types of assault, victim status and a violence preventive plan. The subjects were students in boy's high schools in the Jinju area and data were collected through a questionnaire. The research was done to demonstrate the seriousness of school violence and to determine the origins of the problems present measures to eradicate school violence. 1. The types of assault included slander, violent language to classmates, destroying school property, stealing money by beating and violent conduct, sexual harrassment or sexual violence. About 19% of the high school students had experience as violent assaulters. The reasons for such assault were abuse by the victim, discontent at home & school and for amusement with friends without any reason. 2. With respect to the status of damage by violence most cases took place within the school which is considered to be safe for students. Violence such as slander, abuse, violence language, disregarding or excluding took place the most at school and in case of the assaulter it was a college student or a student in the senior grad. 3. As for measure to prevent violence identified by the students, the need to provide space for youth leisure activity was listed as important along with the need for guidance for the future which took into account suitability related to the student's ability and the need to get rid of education mainly for entrance exams. Endeavors to prevent violence must be persistent in all aspect, so that such inhuman like violence will not appear and the negative elements raised by youth will be solved one by one.
The purpose of this study is to present the results of in-depth analysis of family disintegration experience as a qualitative study to understand the meaning and nature of the experiences of marriage and divorce of women who have divorced in Vietnam. The participants were selected as six Vietnamese women who had been divorced for less than two years after five to 12 years of marriage. The collection of data and the analysis of the data were done by six concrete steps that should be followed in the scientific phenomenology suggested by Colaizzi(1978) Through this study, 74 subjects from 203 semantic meanings were derived and identified as 23 subject groups and finally organized into 7 categories. The seven categories were presented as life in Vietnam before marriage, motive of getting married, method and process of marriage, good experience of marriage, difficult experience in marriage, cause of divorce, changed life after divorce. The results of this study suggest that sexual relationship is a major conflict factor in marriage, and that this problem can lead to divorce. It is hoped that this study will help to find a solution for the dissolution of multicultural families.
The relation of endocrine in the western medicine and zangfu-organ functions in Korean medicine, related to growth disturbance, was studied and derived the following results. 1. The hormone most related to growth disturbance is, directly secreted from the anterior pituitary or is stimulated and secreted in the target grands, growth hormone, thyroid, adrenocortical hormone, gonadial hormone and is insulin secreted from $\beta$ cell of langerhans' slands of pancreas. 2. the pituitary has the most close relation with the kidney in the five zang-organ. Because the kidney is innate origin(先天之本) and promotes qi and blood(生化氣血), stores the essence of life(藏精), dominates the bones(主骨) and promotes the marrow(生骨髓). Especially it is connected with brain(通於腦). 3. In the children growth, the endocrine action in the pituitary has the most close relation with the kidney, As in the reports of the brain and spinal cord, bone, store essence of life, sexual maturation and decline(kidney-qi, sexual functions of both sexes(天癸)) etc, and cause of cretinism, dwarf in the main subject. 4. Somatomedin is the most important factor of the growth factors, IGF in another word. The unification of IGF and secretion is controlled firstly according to growth hormone, however is very closely related to the nutrition status in the non-hormonic causes. Also, it is affected very much by the insulin. 5. Insulin is one of the important hormone related to the growth and is secreted from the pancreas. Pancreas belongs to the functional system of spleen in oriental medicine, thus the growth disturbance, occurred due to error in insulin secretion and nutrition(in another words, the lack of postnatal essential substance from food-stuff(水穀精氣)), is closely related to the spleen. 6. From the results driven above, the hormone action of endocrine and problem in secretion, related to the growth disturbance, must be focused on the differentiation of symptoms and signs of the kidney and the spleen in oriental medicine.
Journal of the Korea Society of Computer and Information
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v.13
no.6
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pp.287-294
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2008
As shown in many precedent studies of sex violation, many rapes are done by acquaintances rather than strangers. Among them specially many are the cases carried out by date partners and so it is necessary to study on the date rape systematically and academically which is the most common sex violation. A recent study on the date rape executed in the country shows the seriousness of the problem clearly. The survey reported that 20.5 percentages of women had experienced the harmfulness of date rape. However compared with the general injured women, the injured ones of date rape rarely report it to related organs. The reason is that in the case of date rape both the injured ones and offenders just think of the injured things or offending works as a little excessive sexual relation or sexual contact, but not recognize it as sex violation. Therefore this study will introduce the results of precedent studies on the date rape based on the contents of Michael Shively, Perceived Risks of Date Rape, Judith M. Sgarzi, Victimology, and also introduce the prevention of the injury its countermeasures.
William Wordsworth's "The Thorn" revolves around the following questions: Who is Martha? Why does she go to the mountain top and repeat her doleful cry? To these questions, it gives us two different kinds of answers; one derives from the villagers, and the other from the narrator. This essay attempts to examine how the answers exemplify two different critical approaches to the problem of community, using Jacques Lacan's account of sexual difference in his seminar on Encore as a guiding thread of analysis. The important thing to retain here is that sexual difference in Lacan's seminar on Encore does not so much indicate biological determinations as two distinct forms of relating to the other which are intimately bound up with the question of how a community is constructed and maintained. The first form, called "masculine," suggests that it is a radical exception to a community that makes possible the community as a field of totality or sameness; the second form, called "feminine," shows that each of the subjects cannot be regarded as a member of a closed community which is guaranteed by the exceptionality, but as an exception that is radically singular. This in turn leads us to consider the possibility that the masculine form has to do with the villagers' effort to distinguish themselves from Martha and the feminine form with the way in which the narrator confronts and represents her. In the course of his formulation of sexuation graph, Lacan stresses that the masculine side must be supplemented by the feminine side, which allows us to elaborate on why, concerning Martha, the narrator does not just keep the completely different position from the villagers'. This is to say that the villagers' representation of Martha as an exception to the community should be supplemented by the narrator's attempt to tell Martha's story as the villagers do and at the same time to capture something of her enigmatic unrepresentability. Bearing in mind Charles Shepherdson's elaboration of traumatic memory, this essay also tries to clarify how the narrator preserves and even transmits something of Martha's truth that is embodied in her uncontrollable and unassimilable cry.
Introduction: Workplace violence (WPV) is a major occupational and health hazard for nurses. It affects nurses' physical and psychological well-being and impacts health service delivery. We aimed to assess the prevalence and describe the consequences of WPV experienced by nurses working in an emergency department in Kenya. Methods: We conducted a descriptive cross-sectional study among emergency nurses at one of the largest tertiary hospitals in Kenya. We collected data using a structured questionnaire adapted from the 'WPV in the Health Sector, Country Case Studies Research Instruments' questionnaire. We described the prevalence and effects of WPV using frequencies and percentages. Results: Of the 82 participating nurses, 64.6% were female, 57.3% were married and 65.8% were college-educated (65.8%). Participants' mean age was 33.8 years (standard deviation: 6.8 years, range: 23-55). The overall lifetime prevalence of WPV was 81.7% (n = 67, 95% confidence interval [CI]: 71.6%-88.8%) and the 1-year prevalence was 73.2% (n = 63, 95% CI: 66.3-84.8%). The main WPV included verbal abuse, physical violence, and sexual harassment. Most incidents were perpetrated by patients and their relatives. No action was taken in 50% of the incidents, but 57.1% of physical violence incidents were reported to the hospital security and 28.6% to supervisors. Perpetrators of physical violence were verbally warned (42.9%) and reported to the hospital security (28.6%). Conclusion: Workplace violence is a significant problem affecting emergency nurses in Kenya. Hospitals should promote workplace safety with zero-tolerance to violence. Nurses should be sensitised on WPV to mitigate violence and supported when they experience WPV.
Spontaneous pneumothorax is a common surgical problem and occurs most frequently in male patients under 40 years of age. The records of 336 cases in 269 patients, diagnosed and treated as spontaneous pneumothorax during the period of 1981, Jan.- 1987, Dec., at the department of thoracic and cardiovascular surgery, college of medicine, Hallym university, were reviewed retrospectively. The results were as follows; 1. Spontaneous pneumothorax was commonly found between the age of 20-40[55%]. 2. Sexual ratio of male to female was 4.4:1. 3. The most common symptoms were dyspnea and chest discomfort or chest pain. 4. Pulmonary tuberculosis was the most common cause of the disease[30.8%]. 5. Recurrent rate after closed thoracotomy drainage was 28.2%, and not recurred after operation. 6. Bullae or blebs were found most commonly at the apical segment of both upper lobes.
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