• The Korean Journal of Pain
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• v.11 no.2
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• pp.258-262
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• 1998

Background: In view of the safety and effectiveness of butorphanol as a postoperative analgesic, we designed to compare its activity and side effects with those of ketoprofen, when administered intramuscularly. Methods: Ninety four patients, scheduled for elective total abdominal hysterectomy, received either ketoprofen 100 mg (ketoprofen group) or butorphanol 2 mg (butorphanol group) intramuscularly after surgery. For the first six hours after injection of butorphanol or ketoprofen, the patients were asked to reevaluate the intensity of pain, using numeric rating scale (NRS) and pain score. If the pain score was above 2, supplemental ketoprofen was administered IM. Incidence of side effects were also checked. Results: Butorphanol group showed lower NRS and pain score for the first four hours compared to ketoprofen group, but the incidence of drowsiness was higher in butorphanol group. There were no significant difference in the incidence of other side effects such as nausea and dizziness. In both group, there were neither respiratory depression nor pruritus. Conclusions: Butorphanol gave better relief of postoperative pain compared to ketoprofen. Butorphanol might be a useful drug for postoperative analgesia after hysterectomy with minor side effects.

• The Korean Journal of Pain
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• v.11 no.2
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• pp.317-320
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• 1998

Since Reiestad and Str$\ddot{o}$mskag reported interpleural installation of local anesthetic solutions as a technique for the management of postoperative pain in the patients undergoing cholecystectomy, renal surgery and breast surgery, many physician applied this technique for upper abdominal pain from various reasons such as technically simple, effective pain relief, less respiratory depression. So we tried interpleural analgesia in two patients who suffered from severe upper abdominal pain. One had upper abdominal pain due to chronic pancreatitis and the other had right upper abdominal pain after PTBD (percutaneous transhepatic bile drainage) for biliary cirrhosis and systemic jaundice. Both were injected 10 ml of 1% lidocaine and infused continuously with 1% lidocaine (2 ml/hr) using 2-Day Baxter$^{(R)}$ infusor. After bolus injection of lidocaine, pain scores (VAS 0~100) were recorded below 25mm and had not exceed that level during continuous infusion. After removing the catheters, two patients were all satisfied with this therapy. Our experiences with this technique showed that continuous infusion of local anesthetics through an interpleural catheter is effective in the control of refractory upper abdominal pain without any complication.

• Research in Community and Public Health Nursing
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• v.27 no.4
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• pp.337-345
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• 2016

Purpose: This study aims at identifying individual- and school-level factors associated with unintentional injuries to Korean adolescents at school by applying multilevel modeling. Methods: From the database of the eleventh Korea Youth Risk Behavior Web-based Survey (KYRBS), the researchers selected 68,043 adolescents from the $7^{th}$ to the $12^{th}$ grades. Data were analyzed using ${\chi}^2$ test for prevalence and multilevel modeling for related factors of unintentional injuries at school. Results: About 22.9 percent of the adolescents had treatment experiences for unintentional injuries at school in the past 12 months. At the individual level, the significant factors associated with unintentional injuries at school included gender, grade, academic achievement, current smoking, alcohol consumption, frequency of high caffeine intake, depression, and relief of fatigue after sleep. At the group level, the significant factors included number of physical education per week and safety education. Conclusion: School based injury prevention programs should be sensitive to both individual- and school-level factors associated with unintentional injury at school among Korean adolescents.

• Women's Health Nursing
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• v.10 no.4
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• pp.291-300
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• 2004

Purpose: This study attempted to show the implications of obese female college students' weight control experiences and to use this as primary data for developing a nursing intervention. Method: The participants were 7 obese students who had tried losing weight at C College on Jeju Island. Their average age was 22 and BMI was $25.6kg/m^2$ on average. The data were collected from May 17th to July 6th 2004, and in-depth interviews were conducted with open-ended questions. Result: The analysis was conducted by Colaizzi's phenomenological method, and the analyzed results were categorized into 9 criteria, 22 theme clusters and 50 themes. The 9 criteria include withdrawal, desperation, self-restraint, relief, satisfaction, distraction, depression, regaining self-control and negligence of health. They tended to go through a weight gain loss cycle in a repetitive manner, and were faced with great physical and mental difficulties. In addition, they often went on a severely-strict diet without taking their health condition into consideration, which, in effect, causes various health problems. Conclusion: This study gives insights into the weight control experiences of obese female college students, and it shows developing more practical and effective nursing interventions are urgently needed.

• Safety and Health at Work
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• v.6 no.4
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• pp.338-344
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• 2015

Background: The present study aims to investigate job stressors and stress relievers for Korean emotional laborers, specifically focusing on the effects of work conditions and emotional labor properties. Emotional laborers are asked to hide or distort their real emotions in their interaction with clients. They are exposed to high levels of stress in the emotional labor process, which leads to serious mental health risks including burnout, depression, and even suicide impulse. Exploring job stressors and relieving factors would be the first step in seeking alternatives to protect emotional laborers from those mental health risks. Methods: Using the third wave data of Korean Working Conditions Survey, logistic regression analysis was conducted for two purposes: to examine the relations of emotional labor and stress, and to find out job stressors and relievers for emotional laborers. Results: The chances of stress arousal are 3.5 times higher for emotional laborers; emotional laborers experience double risk-burden for stress arousal. In addition to general job stressors, emotional laborers need to bear burdens related to emotional labor properties. The effect of social support at the workplace is not significant for stress relief, unlike common assumptions, whereas subjective satisfaction (wage satisfaction and work-life balance) is proven to have relieving effects on emotional laborers' job stress. Conclusion: From the results, the importance of a balanced understanding of emotional labor for establishing effective policies for emotional laborer protection is stressed.

• The Journal of the Korea Contents Association
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• v.19 no.3
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• pp.396-404
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• 2019

This study was systematic review to confirm the effects of the yoga on dysmenorrhea. Seven articles were extracted from the CINAHL, the Cochrane library, Embase, PsycINFO, PubMed, and Koreamed electronic databases. Menstrual pain intensity and duration, menstrual distress, QOL, anxiety, anger, and depression levels, homocysteine, TSH, FSH, LH, and prolactin levels were decreased significantly in the yoga group, compared with control group. These findings imply that yoga are a favorable intervention for dysmenorrhea.

• Journal of Korean Academy of Nursing
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• v.31 no.2
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• pp.206-220
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• 2001

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.

• The Journal of the Convergence on Culture Technology
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• v.8 no.4
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• pp.163-171
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• 2022

This study was conducted to understand the research trends and central concepts of middle-aged women' health in Korea. For the analysis of this study, target papers published from 2012 to 2021 were collected by entering the keywords of 'middle-aged woman' or 'menopausal woman'. 1,116 papers were used for analysis. The co-occurrence network of key words was developed and analyzed, and the research trends were analyzed through topic modeling of the LSD by dividing it into five-year units (2012-2016, 2017-2021), and visualized word cloud and sociogram were used. The keywords that appeared the most during the last 10 years were obesity, depression, body composition, stress, and menopause symptom. Five topics analyzed in the thesis data for 5 years from 2012 to 2016 were 'postmenopausal self-efficacy and satisfaction enhancement strategy', 'exercise to manage obesity and risk factors', 'intervention for obesity and stress', 'promotion of happiness and life management' and 'menopausal depression and quality of life' were confirmed. Five topics of research conducted for the next five years (2017-2021) were 'menopausal depression and quality of life', 'management of obesity and cardiovascular risk factors', 'life experience as a middle-aged woman', and 'life satisfaction and psychological well-being' and 'menopausal symptom relief strategy'. Through the results, the trend of research topics related to middle-aged women's health over the past 10 years have been identified, and research on health of middle-aged women that reflects the trend of the future should be continued.

• Journal of the Korea Convergence Society
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• v.13 no.2
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• pp.123-129
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• 2022

This study investigated a differences in grade (G), academic performance (AP), and household income (HI) on adolescents' stress (S), peer relationship (PR), and depression (D) in the coal mine area. The study method was to measure S, PR and D according to different of G, AP, HI for 87 middle school students located in Taebaek and Samcheok Dogye area. As a result, there were significant differences in PR in the 2^nd G, and significant differences were shown in PR and D according to HI and AP. Based on these results, it is necessary to expand the support program for PR of middle school students in the coal mine area, and to develop and support active health promotion programs in the community for stress relief and academic activities, especially for low HI.

• Korean Journal of Social Welfare
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• v.69 no.2
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• pp.171-190
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• 2017

This study examined the impact of indebtedness on depressive symptoms and suicidal ideation. The data came from the 4th to 10th waves of the Korea Welfare Panel Study, collected from 2009 to 2015. Analyses were conducted using logistic regression for longitudinal data that combines the fixed effects and random effects approaches. The results show that a high level of indebtedness substantially increased the risk of depressive symptoms. The household leverage ratio-the ratio of total household debt to disposable personal income-of 400% or higher increased the odds of probable depression by 50% compared with the ratio under 100%. When the percentage of personal income that goes toward paying debt is 30% or higher, the odds of probable depression went up by 66% than when the percentage of debt payment of disposal income is under 10%. The findings suggest that debt relief agencies and their programs need to incorporate means to identify and address emotional stress related to the excessive debt. This study also contributed to enriching the literature on social determinants of health by demonstrating that indebtedness is an important socioeconomic characteristic affecting individuals' mental health.