• 제목/요약/키워드: disharmony

검색결과 211건 처리시간 0.028초

Mediating Effects of Burnout in the Association Between Emotional Labor and Turnover Intention in Korean Clinical Nurses

  • Back, Chi-Yun;Hyun, Dae-Sung;Jeung, Da-Yee;Chang, Sei-Jin
    • Safety and Health at Work
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    • 제11권1호
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    • pp.88-96
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    • 2020
  • Background: The current lack of the number of nurses and high nurse turnover rate leads to major problems for the health-care system in terms of cost, patient care ability, and quality of care. Theoretically, burnout may help link emotional labor with turnover intention. The purpose of this study was to investigate the mediating effect of burnout in the association between emotional labor and turnover intention in Korean clinical nurses. Methods: Using data collected from a sample of 606 nurses from six Korean hospitals, we conducted a multiple regression analysis to determine the relationships among clinical nurses' emotional labor, burnout, and turnover intention, looking at burnout as a mediator. Results: The results fully and partially support the mediating role of burnout in the relationship between the subfactors of emotional labor and turnover intention. In particular, burnout partially mediated the relationship between emotional disharmony and hurt, organizational surveillance and monitoring, and lack of a supportive and protective system in the organization. In addition, we found that burnout has a significant full mediation effect on the relationship between overload and conflicts in customer service and turnover intention. Although the mediating effect of burnout was significantly associated with the demands and regulation of emotions, no significant effects on turnover intention were found. Conclusion: To reduce nurses' turnover, we recommend developing strategies that target both burnout and emotional labor, given that burnout fully and partially mediated the effects of emotional labor on turnover intention, and emotional labor was directly associated with turnover intention.

구치부 교합지지가 상실된 II급 악간관계 환자의 교합 재설정을 통한 완전 구강회복 증례 (Full mouth rehabilitation on the patient with class II jaw relation and posterior bite collapse using reestablishment of occlusal vertical dimension: a case report)

  • 김재현;조혜원;정지혜
    • 구강회복응용과학지
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    • 제31권3호
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    • pp.262-272
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    • 2015
  • 구치부 교합지지 상실과 비정상적 악간 관계는 교합 부조화로 이어지며 다양한 병적 징후를 동반한다. 저작, 심미 및 발음 기능을 회복하기 위해 교합고경과 교합평면 재설정에 따른 완전구강회복이 필요하게 된다. 본 증례는 75세의 여성으로 교합지지 상실과 불균일한 교합평면 및 II 급 부정교합을 가지고 있었다. 안모를 관찰하고 악간관계를 평가한 결과 상하악의 최대교두간접촉위가 상실되면서 수직교합고경이 감소된 것으로 진단되었다. 상악 국소의치와 하악 고정성보철물로 상실된 교합수직고경을 회복하고 조화로운 교합평면을 형성하였다. 수직고경 거상량은 7.5 mm로 하였고, 임시보철물을 이용하여 8 주간 경과 관찰 후 최종 보철물을 제작하였으며 저작효율과 심미성은 개선되었다.

건망증(健忘症)에 대(對)한 동서의학적(東西醫學的) 고찰(考察) (The oriental-western literatural study of Amnesia)

  • 윤상학;이상룡
    • 혜화의학회지
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    • 제9권2호
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    • pp.293-313
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    • 2001
  • The oriental-western Literatural study of Amnesia, the results were as follows. 1. esia is caused by qi-depression resulted from excessive thought and deficiency of the kidney resulted from congenital deficiency and deficiency of the heart, the disharmony between the heart and the kidney, phlegm, stagnant blood, loss of the blood etc. resulted from deficiency of the heart blood. 2. The treatment method of Amnesia is as follows, the highest frequence was growing blood-tranquilization-regulating spleen, in descending order removing phlegm-stagnant blood-relaxing the mind and invigorate the heart-spleen-kidney and much tonification qi-blood and growing nutrient qi-manifesting source qi and regulating the harmony between the heart and the kidney and maintaining patency for the flow of gi were the most treatment method. 3. The treatment medicine of Amnesia is as follows, the highest frequence was Kuei Bi Tang(歸脾湯) in decending order Jeng Ji Whan(定志丸), Su Seng Whan(壽星丸), Chun Whang Boo Sim Dan(天王補心丹), Ju Jak Whan(朱雀丸), Doo Dam Tang(導痰湯), Yin Sin Kuei Sa Dan(引神歸舍丹), Ga Gam Go Bon Dan(加減固本丸), Ryung Ji Go(寧志膏), Jang Won Dan(壯元丹), Tong Ol Tang(通鬱湯). 4. In oriental medicine functional physiology and pathology was significant in differential diagnosis and treatment and in western medicine it was explained organically and psychologically. 5. In western medicine As one of memory disorder Amnesia is divided into psychogenic amnesia and organic amnesia, and organic amnesia is divided into anterograde amnesia and retrograde amnesia and psychogenic amnesia is divided into localized amnesia, generalized amnesia selective amnesia.

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골격성 3급 부정 교합을 지닌 법랑질 형성 부전증 환자의 복합적 치료 (MULTIDISCIPLINARY MANAGEMENT FOR AMELOGENESIS IMPERFECTA PATIENT WITH SKELETAL C III MALOCCLUSION)

  • 오정환;김학렬;황윤태;김여갑;류동목;이백수;윤병욱;전준혁
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제29권1호
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    • pp.91-96
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    • 2007
  • 법랑질 형성부전증은 전치부 개교합과 같은 골격적인 문제를 자주 동반하며, 이러한 경우 구강악안면외과, 보철과, 보존과, 교정과 의사들이 함께 치료하여야 한다. 본 증례는 법랑질의 약화와 치아 우식증 등의 이유로 일반적인 교정치료를 시행할 수 없어 보철적 방법으로 치료하였다. 보존적, 보철적 방법을 이용하여 술전 교정과 같은 안정된 교합을 형성하였다. 악교정 수술을 시행하고 SAS 등을 이용하여 악간고정을 시행하여 양호한 결과를 얻을 수 있었다.

산업간호사의 역할 경험 (Occupational Health Nurses' Role Experiences)

  • 전경자;주혜주;김영미
    • 한국직업건강간호학회지
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    • 제20권3호
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    • pp.250-260
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    • 2011
  • Purpose: The purpose of this study was to describe the role experiences of occupational health nurse. The research question was "what are daily experiences in practice?" Methods: The data were collected through the focus-group interviews with nine occupational health nurses and analyzed by the grounded theory of Strauss and Corbin (1998). Results: The core category on occupational health nurse role experience was named as "struggling alone with the dual role". The causal conditions included 'unfamiliar area' and 'new work'. The contextual conditions included 'overload of work, 'tasks beyond OHN job' and 'disharmony with colleagues'. The intervening conditions were analyzed as supportive factors and discouraging factors. There were action/interaction strategies 'getting information about tasks', 'working as a professional', 'establishing a cooperative relationship', 'seeking help' by trying to regulate the phenomenon. Finally they succeed in 'establishing the identity' and 'feeling proud', but sometimes they could be 'suffering from low morale', or 'considering turnover'. Conclusion: Through these results, it can be explained that occupational health nurses have been exerting themselves to establish their role with various situation through the conflicted context. Based on the findings, we suggest developing the diverse continuing education programs to be tailored for OHN's needs and reinforcing the occupational health services under the legal and political support.

심한 교모증 환자에서의 진단 및 치료계획 수립 (Diagnosis and Treatment Planning in Severely Worn Dentition)

  • 정재현;최민호;박영록
    • 구강회복응용과학지
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    • 제19권3호
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    • pp.239-245
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    • 2003
  • The occurrence and pattern of tooth wear are related to cultural, dietary, occupational, and geographic factors, Excessive occlusal wear can result in pulpal exposure, occlusal disharmony, functional inability. Surface loss can be differentiated into 3 general causal categories: i) mechanical loss, which includes attrition, ii) abrasion chemical loss including erosion, and finally iii) a proposed biomechanical category described as abfraction. Considering that mechanical wear is frequently asymptomatic, patients may have parafunctional habit. Structured clinical decision analysis in fixed prosthodontics, as other branches of dentistry do, allows the practitioner to consider the patient's problems more thoroughly based on the clinical data and extenuation factors. This discipline of decision making is intended to complement the experience level and educational background of the clinician in assisting the patient through the decision process. Additionally, CDA helps the clinician define not only the pre-existing condition of the patient prior to irreversible therapy, but also better treatment strategies for the patient over an extended period. The systematic nature of decision analysis stimulates the dentists to pay further attention to those factors, which is germane to the overall complexity of the case, and exclude factors, which have little influence on its final outcome. Further implementation of computerized databases, procedural outcome probabilities based on clinical and laboratory studies and the clinical experience of those who use it, may provide quite a promising future in the field of structured and formalized clinical decision analysis.

상악 전치의 매복을 동반한 환자의 치험례 (Orthodontic Traction of Multiple Impacted upper Anterior Teeth: Case Report)

  • 탁명현;조진우;장나영;조진형
    • 구강회복응용과학지
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    • 제28권4호
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    • pp.407-421
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    • 2012
  • 악악면 부위의 교정적 문제는 크게 골격적인 문제와 치성적 문제로 나룰 수 있다. 치성적 문제로 인해서 많은 교합의 부조화가 발생하는데 이중 치아의 결손 또는 치아의 맹출 실패는 기능적 문제뿐만이 아니라 심미적 문제도 같이 유발한다. 또한 추가적으로 발생하는 심리적인 문제도 환자를 내원하게 만드는 중요한 이유이다. 상악골에 다수의 치아가 맹출 하지 못하는 경우에는 교합적, 심미적 문제 뿐만 아니라 치조골의 유지 또한 어렵게 하는 문제가 발생한다. 따라서 다수치의 맹출에 문제가 있는 경우에는 보다 단계적 접근이 필요하다. 본 증례의 환자는 #13, 12, 11, 23, 43이 맹출하지 못하는 문제를 주소로 내원하였으며, 상악 치아들을 맹출하게 하기위한 외과적 노출술 및 단계별 교정적 정출을 통하여 완벽한 교합을 이룰 수 있었다. 또한 추가적인 치주 처치를 통하여 치아맹출시 발생한 치은 퇴축을 제거하였다. 우측 매복 하악 견치는 자연스러운 악궁 확장과 leeway space를 이용하여 특별한 외과적 처치 없이 성공적으로 이루어졌다.

Drinking Patterns and Needs for Nutrition Education of Male Workers Diagnosed by NAST, Alcoholism Screening Test of Seoul National Mental Hospital

  • Hong, Soon-Myung;Jung, Soon-Im;Kim, Mi-Ree;Jo, Jee-Ye
    • Journal of Community Nutrition
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    • 제8권3호
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    • pp.142-146
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    • 2006
  • The aim of this study was to identify the drinking patterns and needs for nutritional education of male workers. The subjects in this study were 285 male workers in Ulsan City. The average age of the subjects was 41.2 years old, height was 171.8cm, weight was 69.6kg and Body Mass Index(BMI) was $23.6kg/m^2$. The subjects were classified into 3 drinking patterns such as 'normal drinker(ND)', 'excessive drinker(ED)', and 'alcoholic drinker(AD)' diagnosed by NAST (Alcoholism Screening Test of Seoul National Mental Hospital). Each group was 31.6%(ND), 43.2%(ED) and 25.3% (AD). The amount of one time drinking, frequency, kind of alcohol and spending money were significantly different among the groups. 87.8% of ND thought that the self identity of drinking habits was good. But twenty seven percent of AD thought that it was just not bad, one-half of them(51.4%) thought they seemed to have problems and 20.8% of them thought they were serious. 38.9%(AD), 22.8%(ED) and 6.7%(ND) of each group tried to abstain by turn. Reasons of trying to abstain were health problems, disharmony of family and bad influence on the business and job place. The methods of abstaining were to avoid a drinking gathering or to refuse drinking in the party. 70.8% of AD, 59.3% of ED and 40% of ND thought they needed to take an educational program about abstaining. 58.3% of AD, 43.1 % of ED and 31.1 % of ND answered they would join an alcohol program.

애니메이션에 나타난 그로테스크 표현방법 추이 연구 (A Study on the Transition of the Grotesque Expression Method in Animation)

  • 이종한
    • 디자인학연구
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    • 제17권3호
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    • pp.51-60
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    • 2004
  • 그로테스크의 미학과 그 오락적 가치는 애니메이션이라는 표현매체가 갖는 특징과 그 속성에서 많은 공통점을 지니고 있으며 이러한 애니메이션에 나타난 그로테스크한 이미지 표현 방식은 현대 이미지 디지털화 기술이 발전하면서 그 표현 영역이 확대되었다. 실사와 애니메이션의 합성, 오브제 애니메이션으로 표현되던 그로테스크 이미지는 Full 3D 애니메이션의 기술, 그리고 모션캡쳐로 인한 가상캐릭터에 대한 현실감 있는 움직임 부여로 좀 더 사실감 있게 그 부조화성을 발전시키고 있다. 그 소재 또한 현대 과학문명의 발달과 더불어 다양해 졌다. 그 한 예가 사이보그 캐릭터의 등장이며 이러한 그로테스크한 이미지는 현대에 이르러 그 여러 특징 중에 인간소외를 다루는 애니메이션에서 주로 등장하기 시작한다. 그리고 이러한 그로테스크 이미지 표현방식의 변화는 향후 영상기술의 발달과 더불어 방법적 양식을 달리하여 VR 형태, 인터랙티브한 영상으로 그 표현매체를 옮기면서 그로테스크한 이미지와 성향은 비인간성을 강조하는 영상장르로 대변되어 갈 것으로 본다

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에릭 휘슬(Eric Fischl)의 "비둘기의 삶", 구조분석과 해석 (A Structure Analysis & Interpretation of Eric Fischl's $\lceil$The Life of a Dove$\rfloor$)

  • 오세권
    • 조형예술학연구
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    • 제4권
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    • pp.123-146
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    • 2002
  • [ $\lceil$ ]The Life of Pigeons$\rfloor$ consists of seven different canvases without a leading image It contains fragments of disassociated ordinary subjects from a capitalistic and consuming society. In this respect, the text itself attains multiple meanings throughout with inner disharmony, disassociation and relationships of differences. The divided seven images look as if they are connected as one and are connected events that are happening at the same time and in similar places. A liberal interpretation of this work is given to viewers when the seven canvases have both relations and gaps at the same time. $\lceil$The Life of Pigeons$\rfloor$ attempts the viewer's disruption through its middle stratum of meaning structure, which is a device for viewers to rearrange and deeply analyze the seven images. As a result, the artist allows the viewers to get lost in self-contradiction. A fundamental formal structure adopting post-modernism and abandoning modernism is what we can detect with detailed analysis of the work. For instance, changing surface style appears by dividing or putting images in obliquely, furthermore it clearly shows that the main subject is divided in form such as the subject's division into seven spaces. There are three major characteristics. First, the form of the images is divided and composed through oblique and overlapped images. Second, the main content of the subject tends to be scattered. Third, the subjects are interpreted in multiple meanings due to their allegory and symbolism. The inquiry of $\lceil$The Life of Pigeons$\rfloor$ proves that it takes a post artistic spirituality as its basis and its subjects are divided by the differences and surrounding relationships.

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