• 제목/요약/키워드: active coping

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Predictors of Complementary and Alternative Medicine Use by Breast Cancer Patients in Bandung, Indonesia

  • Azhar, Yohana;Achmad, Dimyati;Lukman, Kiki;Hilmanto, Dany;Aryandono, Teguh
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권4호
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    • pp.2115-2118
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    • 2016
  • Background: The study aimed to assess complementary and alternative medicine (CAM) use and their associated factors with breast cancer patients in Bandung, Indonesia. Materials and Methods: In total, 330 breast cancer patients were administered questionnaires on their CAM use and CAM predictive factors including socio-demographic parameters, clinical data and quality of life, trust in physicians, trust in hospitals, satisfaction and informational needs. Data were analyzed using univariate analysis and multivariate log regreesion analysis. Results: Overall 33.3% of patients reported use of CAM. Lower income, lower education, presence of metastasis, prolonged diagnosis, less trust in physician were found to be highly associated with CAM use. Conclusions: CAM use by breast cancer patients can be interpreted as an attempt to explore all possible options, an expression of an active coping style, or expression of unmet needs in the cancer care continuum. Physicians need to openly discuss the use of CAM with their patients and identify whether they have other unmet supportive needs.

백색소음하의 단어재인검사 수행에 따른 자율신경계 스트레스 반응 (AUTONOMIC MECHANISMS OF AN ACUTE STRESS RESPONSE DURING WORD RECOGNITION TASK PERFORMANCE WITH INTENSE NOISE BACKGROUND)

  • 최상섭;이경화;민윤기;;손진훈
    • 한국감성과학회:학술대회논문집
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    • 한국감성과학회 1999년도 춘계학술발표논문집 논문집
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    • pp.127-132
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    • 1999
  • Cardiovascular, respiratory and electrodermal responses to acute stress episodes modeled by combined presentation of intense white noise and performance of word recognition task with noise background were studied in 15 college students. Experimental procedure consisted in sessions with white noise, word recognition task presentation with noise background and test with noise background. Recorded physiological variables were analyzed in terms of their sensitivity to detect activation of sympathetic and parasympathetic branches of autonomic nervous system and thus reflect autonomic arousal level during shout-term stress-inducing experimental manipulations. It was shown that performance of effortful mental task with noise background elicited significant physiological responses typical for active coping behavior, namely electrodermal arousal and increased cardiovascular activity. this response profile was more profound as compared to white noise only or attending task in noise background. However, all physiological responses were mostly phasic, without long-term tonic changes, since almost all variables recovered to their initial baseline levels, suggesting that dominant autonomic mechanisms in transient acute stress episodes were of parasympathetic nature (withdrawal in stress with subsequent activation in restoration period), while sympathetic contribution was not long-lasting. Nevertheless, increased number of stressors and their longer exposure may result in higher profile of tonic sympathetic arousal and reduced functional role of vagal mechanisms in autonomic balance regulation.

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A case report overlapped vaccine and COVID-19 in disseminated atherosclerosis

  • Vecihe Bayrak
    • Clinical and Experimental Vaccine Research
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    • 제12권2호
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    • pp.172-175
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    • 2023
  • Coronavirus disease 2019 (COVID-19) has become a part of our lives now and we have no more effective way of coping than a vaccine. COVID-19 is a disease that causes severe thrombosis outside the respiratory tract. Vaccines also protect us in this respect, but in some rare cases, thrombosis has been found to develop after vaccination (much less frequently than COVID-19). What was interesting in our case was that it showed how a disaster could happen under three factors that predispose to thrombosis. A 65-year-old female patient with disseminated atherosclerosis was admitted to the intensive care unit with complaints of dyspnea and dysphasia. In the evening of the day, the patient had the vaccination 2 weeks ago, she had active COVID-19. On examination, lower extremity pulses could not be detected. The patient's imaging and blood tests were performed. Multiple complications such as embolic stroke, venous and arterial thrombosis, pulmonary embolism, and pericarditis were observed in the patient. This case may give consideration to anticoagulant therapy studies. We give effective anticoagulant therapy in the presence of COVID-19 in patients at risk of thrombosis. Can anticoagulant therapy be considered after vaccination in patients at risk of thrombosis such as disseminated atherosclerosis?

치매주간호자의 치매관리전략 영향요인과 부양부담 관계 연구 (A Study on Factors Influencing Dementia Management Strategies and Their relationships with Primary Caregivers' Burden)

  • 이현순;오진주
    • 지역사회간호학회지
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    • 제13권4호
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    • pp.629-638
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    • 2002
  • The impact of chronic diseases on patients and their families depends on how well the family members cope with it. Therefore, research on strategies for facilitating the coping of the families in a desirable manner is very important. Dementia management strategies refer to specific means families of dementia patients use to cope with dementing illness of their family members. This study was designed to examine type of dementia management strategies utilized by families and to identify factors influencing them. The subjects in this study were 103 conveniently selected demented patients and their primary caregivers who were registered to a public health center located in Chungcheong Province. The subjects were visited by 20 home visiting nurses, and the data were collected using a structured questionnaire. The data were collected form May 2, 2001 to June 2, 2001. The findings of this study were as follows. 1. The most frequently used types of dementia management strategies were active management (M=3.36, S.D=.96), and encouragement (M=2.94, S.D=.99). Criticism was least used type of dementia management strategy (M=2.71, S.D=.99). 2. The factors influencing each management strategy were as follows; 1) The criticism management strategy was most frequently used by the primary caregivers who graduated elementary school (F=3.21, p<.05). 2) The encouragement strategy was most frequently used by the primary caregivers in a case when the patients were in the mild stage of dementia (F=2.76, p<.05), when the patients never had any treatment experiences (F=2.01, p<.05), when the family could afford the provision of treatment for the patients (F=-2.44, p<.050), and when the primary caregiver had a job (t=2.90, p<.01). 3) The active management strategy was most widely used by the primary caregivers who could afford the provision of treatment for the patients (F=-2.31, p<.05) and were in their 70s (F=3.04, p<.05). This type of management strategy was significantly more used by those who discussed the difficulties of caring with their family members (F=3.46, p<.05). 3. The use of criticism management strategies was significantly correlated with the total level of burden of the primary caregivers. But the types of encouragement and active management strategies had negative correlations with the caregivers' burden although they were not significant. Since the findings of this study showed that the criticism management strategy had a significant positive relationship with caregivers' burden, those who are more likely to use the negative management strategy should be identified in future studies. The primary caregivers who are more likely to use negative strategy should be more closely monitored and be focused as the group who should be intervened in future studies.

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구조방정식 모형을 활용한 표준화 장애요인과 기업의 장애극복방안에 관한 실증연구 (An Empirical Study on the Obstacle Factor of Standardization and Overcoming the Obstacles of Enterprises Using the Structural Equation Model)

  • 정명선
    • 한국산학기술학회논문지
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    • 제19권3호
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    • pp.171-179
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    • 2018
  • 기업은 자사의 제품과 기술의 상호운용성을 확보하기 위하여 연구개발과정에서 표준기술을 적용하게 되는데, 이 과정에서 다양한 종류의 장애요인이 발생하게 되며, 활발한 표준화 활동을 통해 이를 극복하려고 한다. 연구개발과정에서 기업의 장애요인과 장애 극복전략 간의 연구는 다양하게 진행되어 왔으나 표준화 과정에서의 장애요인과 장애 극복전략에 관한 연구는 미흡한 상태이며, 표준화와 관련된 장애요인의 유형과 기업의 장애 극복활동에 대한 유형에 대해서도 부족한 상황이다. 이에 본 연구에서는 기업이 표준화 관련 장애요인의 유형을 도출하고, 이러한 장애요인들이 기업의 표준화 활동에 어떠한 영향을 미치는지에 대해 살펴보고자 하였다. 분석을 위해서 한국표준협회가 국내의 전기전자 정보통신 분야에 종사하는 기업을 대상으로 조사하였던 '국내표준실태조사'의 자료를 활용하였으며, 표준관련 장애사항과 필요성 그리고 표준화활동간 관계는 구조방정식 모형을 통하여 검증하였다. 분석결과에 의하면, 표준관련 장애사항은 표준화 활동에 일정한 영향을 미치고, 표준의 필요성에 의한 매개효과가 있는 것으로 조사됨에 따라 많은 기업들이 표준활동에 의한 장애사항이 발생하게 되면 이를 극복하기 위해 다양한 노력들을 수행하고 있다는 것을 알 수 있었다. 따라서 기업은 장애사항을 극복하기 위한 전략적 행동을 스스로 수행함으로써 표준화 활동은 활발해지고 표준관련 연구개발로 인해 발생하는 장애요인들은 감소되는 선순환 구조를 구축하게 될 것으로 판단된다.

행위기법을 중심으로 한 알코올의존 재발방지 프로그램 개발에 관한 연구 (A Study of a Relapse Prevention Program for Alcoholics focused on Action Methods)

  • 노인숙;김성재
    • 동서간호학연구지
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    • 제10권1호
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    • pp.27-40
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    • 2004
  • Relapse is one of the most series problems in alcoholics treatment. Previous studies have shown that significant proportions of treated alcoholics show an early relapse and go through a chronic phase. It is necessity to find more effective relapse prevention program. The Purpose of this study was to develop a relapse prevention program that emphasis on group activities using various action methods. Previous studies revealed that there was no effective therapeutic strategy to prevent relapse and proposed that action methods were more practical ways to be able ti cope with high-risk situation than verbal methods such as discussions and lectures. The special attempt of this program was the application of various actions methods and the integration of many psychosocial therapeutic strategies as compared with many relapse prevention programs. The theoretical framework of this relapse prevention program was based on mainly the Marlatt's Relapse Prevention model and Prochescha and DiClemente's Transtheoretical model. This Program consists of eight structure sessions. Every session has three phase: Warm-up phase, action phase, and sharing phase as sociodrama structure. Sociodrama is based on many of the principles of adult learning. And sociodrama looks at how groups work through an understanding of systems and role theory. Therefore, in working with a group a therapist might explore with them the roles that people play, roles that are missing at present such a visionary and how people can develop new roles or new ways of playing existing roles. The researchers explained the purpose of this study to all participants after their agreement to participate. Voluntary informed consent was obtained from all participants. Every session allows participants to recognize personal specific high-risk situation and to examine possible coping behaviors creatively. Multiple solutions can be proposed, tested and evaluated dramatically, giving new insights or breakthroughs in thinking. This is vital for the initiation of change, and if appropriate, expanding new role development. The first two sessions aim at understanding of relapse process and recognize of high-risk situations focused on orientation about action methods. The next four sessions deal with high-risk situations. The last two sessions give participants opportunities to venture new life-styles. The methods and approaches used in this program utilized as a tool to explore and practice possible coping strategies. and this program can contribute to prevent relapse episode if tune with the particular high-risk situation by using active practices in safe environment.

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COVID-19와 삶의 의미 탐구 (Exploring COVID-19 and Meaning in Life)

  • 배나래
    • 한국융합학회논문지
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    • 제13권4호
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    • pp.315-320
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    • 2022
  • 본 연구는 코로나바이러스감염증 19(COVID-19)시대에 실존주의 심리치료를 통해 부각되기 시작한 삶의 의미에 대해 그것이 갖는 함의를 논의하였다. 코로나바이러스감염증 19 팬데믹 상황에서 우리는 의미 있는 삶을 살아가기 위한 노력을 하고 있으며, 과연 어떻게 살아가는 것이 의미 있는 삶인지 개인과 공동체는 의미 찾기에 대한 노력을 기울이고 있다. 인류는 평안한 삶을 위한 전제를 가지며 과거부터 삶의 의미에 대한 관심이 지속되었다. 2019년 12월 전 세계를 강타한 COVID-19라는 치명적인 바이러스는 사람들에게 불안, 소외, 우울 등 스트레스를 형성하며 개인과 공동체의 삶을 위태롭게 하였다. 삶의 의미에 대한 연구는 COVID-19 이전에도 활발하였지만, 바이러스의 세계적인 대유행 속에 사람들의 삶의 의미에 대한 변화와 각 개인에게 COVID-19는 어떠한 영향을 미치고 있는지를 살펴보는 것이 필요하다고 생각한다. 다시 말해 COVID-19시대에 우리 삶의 의미를 명확히 한다라는 것은 스트레스를 줄이는 대처이며 삶의 질을 향상시키기 위한 촉매제이기도 하다. 본 연구는 삶의 의미에 대한 다양한 시각과 결과를 살펴보며 COVID-19시대에 삶의 질을 향상시킬수 있는 방안을 마련하는데 기초연구를 제공하고자 한다.

일부 보건계열 대학생의 취업 스트레스에 관한 연구 (A study on employment stress of health college students)

  • 신선행
    • 한국치위생학회지
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    • 제10권4호
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    • pp.663-670
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    • 2010
  • Objectives : The purpose of this study is to measure employment stress of health college students and to consider a proper means for the solution. Methods : The population of the research is some randomly chosen health college students located in Seoul City during the period from May 10 to June 11 2010, and the sample of 295 students were recruited as the analysis object group. The data on general characteristics and employment stress were collected by a questionnaire survey. The collected data were analyzed with the SPSS WIN 12.0 program. The following shows the results of this study. Results : 1. Mean scores of employment stress in female students were significantly higher than those in male(p<0.01). 2. Employment stress level was significantly higher in low group of home economy, competence for a schoolwork, personal relations, satisfaction in campus life. 3. In regression analysis, home economy, competence for a schoolwork, satisfaction in campus life were proved as significant factors that is related to the employment stress(p<0.01). In other words, It is significant statistically that the lower home economy, competence for a schoolwork, satisfaction in campus life, the higher employment stress level (p<0.05). Conclusions : I suggest with the result of the study that for coping effectively employment stress of health college students, we will need to open an exclusive employment counsel window for better administration welfare service in campus. Because of students are independent responsibility of employment, active effort must take precedence in order for the solution of problem by themselves. Also, we will need to create better academic environment and show more concern, consideration, love in family.

AEB 시험평가 방법에 관한 연구 (A Study on Evaluation Method of AEB Test)

  • 김봉주;이선봉
    • 자동차안전학회지
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    • 제10권2호
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    • pp.20-28
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    • 2018
  • Currently, sharp increase of car is on the rise as a serious social problem due to loss of lives from car accident and environmental pollution. There is a study on ITS (Intelligent Transportation System) to seek coping measures. As for the commercialization of ITS, we aim for occupancy of world market through ASV (Advanced Safety Vehicle) related system development and international standardization. However, the domestic environment is very insufficient. Core factor technologies of ITS are Adaptive Cruise Control, Lane Keeping Assist System, Forward Collision Warning System, AEB (Autonomous Emergency Braking) system etc. These technologies are applied to cars to support driving of a driver. AEB system is stop the car automatically based on the result decided by the relative speed and distance with obstacle detected through sensor attached on car rather than depending on the driver. The purpose of AEB system is to measure the distance and speed of car and to prevent accident. Thus, AEB will be a system useful for prevention of accident by decreasing car accident along with the development of automobile technology. This study suggests a scenario to suggest a test evaluation method that accords with domestic environment and active response of international standard regarding the test evaluation method of AEB. Also, by setting the goal with function for distance, it suggests theoretic model according to the result. And the study aims to verify the theoretic evaluation standard per proposed scenario using car which is installed with AEB device through field car driving test on test road. It will be useful to utilize the suggested scenario and theoretical model when conducting AEB test evaluation.

변화하는 국제표준에 효과적으로 대응하기 위한 우리나라의 민간표준화 활성화 방안 연구 (The Methods of the Activation of Korean Private sector-driven Standardization for coping with the Dynamic International Standards)

  • 이강인;정재익;최순양
    • 품질경영학회지
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    • 제31권3호
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    • pp.62-84
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    • 2003
  • The typical reason of the private sector's increasing share in standardization is that the procedures of official standardization organizations are out of step with the rate of technical development. At today's so fast pace that the success of a technology is decided in the market even before it is standardized, several industry leaders jointly make their draft standard at the early stage of development, which becomes 'De fecto Standard.' To respond effectively to current trends of standardization where the market's decision is thought much of than official standardization procedures, it is necessary to shift from our current public sector-driven to private sector-driven standardization. Therefore, to vitalize the private sector-driven standardization in Korea, there is a need to: Run a standard foundation to secure stable resources for standardization Make information exchange between the govertment and private sector active and policy-making on standards consistent by designating a private organization to cover the roles, policies on standards, and support of the national standardization organization Establish a system to make private sector-driven standards approved as international standards Offer a training program to forster standard experts Publicize the importance of standards Promote standardization forums driven by private businesses, like the Integrated Forum. Maximize the benefits of linking standards and patents Now, Korea is on the threshold of developing into a world-class standard leader, and the private sector-driven standardization should be a stepping-stone for crossing over the threshold. This study is designed to suggest a method of promoting private sector-driven standardization to effectively cope with fast-changing international standards, based on the cases in developed countries.