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Caring Experience of Mothers with IDDM Children (인슐린의존형 당뇨병 환아 어머니의 돌봄 경험)

  • 최미혜
    • Journal of Korean Academy of Nursing
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    • v.28 no.1
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    • pp.81-92
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    • 1998
  • This study is to define the caring experience of mothers with insulin-dependent diabetes mellitus children, by finding core category, contextual factors, ntervening factors, and the patterns of caring, and to velop a practice theory on it. Research method followed grounded theory methodology by Strauss & Corbin. Subjects were six mothers. whose children have had insulin-dependent diabetes mellitus for 4 months to 14 years by the interview time. They were selected by theoretical sampling. Data were collected from September, 1995 to January, 1996. Interview were done by long interview technique and observation. Each interview took 50 minutes to 2 hours. Content of interview was recorded and transcribed later. Based on the results of previous interview, content of next interview was planned until data reached to the saturation point. Results were as follows : One hundred and forty concepts were found. These concepts were grouped into thirty-three categories, and then to ten categories. Mothers with diabetic child were revealed to face “being overwhelmed by burden”. Overwhelming by burden is found to be progressed through the cycle production-coping-decrease or in crease process. Mothers showed four patterns of adaptation in caring the diabetic children. 1) If mothers felt large amount of overwhelming by burden because of difficulty of caring and unsympathizing but they had sufficient support, no condition of the child, and their coping mechanism was positive, most of them overcome with strong will, but some fell into burnout. 2) If mothers felt large amount of overwhelming by burden because of difficulty of caring, unsympathizing, insufficient support. serious condition of the child, and their coping mechanism was negative, they fell into burnout by coping with feeling. 3) If mothers felt small amount of overwhelming by burden because of little difficulty of caring and sympathizing, sufficient support. no serious condition of the child, but their coping was negative, most of them fell into burnout by coping with feeling, but some overcome. 4) If mothers felt small amount of overwhelming by burden because of little difficulty of caring and unsympathizing, sufficient support, no serious condition of the child, and their coping was positive, they overcome with strong will. On the basis of the above result, in order to help mothers take good care of their children, nursing assesment and intervention on life readjustment, and getting support should be required. Especially, through understanding mothers' personalities, individual support consistent with each of them should be required. Therefore education. counseling, mutual support and exchange of information will have to be accomplished.

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Comparative Study on the Stress Response of Nurses Working on Pscychiatric Wards to that of Nurses Working on General Wards (정신과 병동 간호사와 일반병동 간호사의 스트레스 반응양상에 대한 비교연구)

  • 김영자
    • Journal of Korean Academy of Nursing
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    • v.25 no.3
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    • pp.399-418
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    • 1995
  • The purpose of this study was to investigate the stress response of nurses working on psychiatric wards (psychiatric nurses) compared with that of nurses working on general wards (general nurses) in order to provide assessment data for intervention of the stress response. The Symptoms of Stress Inventory was used to measure the stress response. Data were collected by a direct survey method using a questionnaire and were collected from March first to March 30, 1995. A sample of 200 nurses working in three psychiatric hospitals and psychiatric wards in four university hospitals in Seoul and Kangwon province were selected and 200 nurses working on general wards from two general hospitals in Seoul were also selected for a total sample of 400 nurses. Nurses who had experienced more than one of the major life events in the last two years were excluded from the total number in the samples, so the final sample was 161 psychiatric nurses, and 169 general nurses. The Scores for the total stress response, scores of the SOS subscales, stress response by sociodemographic characteristics of the nurses working on the psychiatric wards were compared with those of nurses working on the general ward. The results of this investigation are as follows 1. The mean total SOS score for the psychiatric nurse was 0.81 (SD=0.48) and that of the general nurses was 0.90(SD=0.53). 2. The Mean score for peripheral manifestation, con tral-neurological symptoms, gastrointestinal symptoms, muscle tension, habitual patterns, de-pression, anxiety, anger and cognitive disorganization for the general nurses showed a tendency to be higher than those of the psychiatric nurses. Mean score for cardiopulmonary symptoms for the general nurses was significantly higher than that of the psychiatric nurses. 3. The mean scores for the sixteen SOS items for the general nurses was significantly higher than for the psychiatric nurses. The 16 items were flushing of the face, sweating excessively even in cold weather, thumping of the heart, rapid breathing, dry mouth, a choking lump in the throat, hoarseness, muscle tension in hands or arm, muscle tension in leg, working tiring one out completely, severe aches a핀 Pain make it diffi-cult to do the work, severe nervous exhaustion, worrying about health, feeling weak and faint, so upset that one wants to hit something, unable to keep thoughts from running through one's mind. The mean score of only 505 item were significantly higher for the psychiatric nurses. 4. Stress responses between psychiatric nurses and general nurses were significantly different according to the following demographic characteristics : marriage, duration of work, position, accommodation, planning to move into another working site, working ward, education in psychiatric nursing.

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Development of a Breast Cancer Awareness Scale for Thai Women: Moving towards a Validated Measure

  • Rakkapao, Nitchamon;Promthet, Supannee;Moore, Malcolm A;Hurst, Cameron P
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.2
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    • pp.851-856
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    • 2016
  • Background: Breast cancer is a major health problem among women around the world. Recent developments in screening and treatment have greatly improved the prognosis of patients with breast cancer in developed countries. However, in developing countries breast cancer mortality remains high.Breast cancer awareness is a first and important step in reducing breast cancer mortality. The development of a validated instrument to measure breast cancer awareness is crucial for the understanding and implementation of suitable health education programs to facilitate early deletion and minimize mortality. Objective: The objective of this study was to develop an instrument for the assessment of breast cancer awareness in Thai women. Materials and Methods: This methodological study was conducted in two stages: (1) literature searches and semi-structured interviews were conducted to generate items of the breast cancer awareness scale (B-CAS) which were subsequently examined for content and face validity, and (2) an exploration of the factor structure of the resulting instrument and an examination of its reliability. Data were collected using a self-administered questionnaire in Thai women aged 20-64 in August, 2015. Results: A total of 219 women (response rate 97.4 %) participated in this validation study. The B-CAS contains five domains with 53 items on breast cancer awareness: 1) knowledge of risk factors, 2) knowledge of signs and symptoms, 3) attitude to breast cancer prevention, 4) barriers of breast screening, and 5) health behavior related to breast cancer awareness. Items with a content validity index < 0.80 were excluded, and factor structure for the remaining items reflected the hypothesized five factor model. The scales based on all retained items was shown to have strongly internal consistency reliability (Cronbach's ${\alpha}=0.86$). Conclusions: The B-CAS provides good psychometric properties to assess breast cancer awareness in women. It can be used to examine breast cancer awareness in Thai women and it could lead to the development and evaluation of suitable educational interventions for raising breast cancer awareness. Future research should focus on further validating the B-CAS including an assessment of construct and criterion-based validity.

Working in a Risky Environment: Coping and Risk Handling Strategies Among Small-scale Miners in Ghana

  • Wireko-Gyebi, Rejoice Selorm;Arhin, Albert Abraham;Braimah, Imoro;King, Rudith Sylvana;Lykke, Anne Mette
    • Safety and Health at Work
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    • v.13 no.2
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    • pp.163-169
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    • 2022
  • Background: It is estimated that about 13 million artisanal and small-scale miners carry out their activities under harsh, precarious, unfriendly, and risky conditions. Yet, our understanding of the extent to which these workers use personal protective equipment (PPE) and navigate through the various risks and hazards they face is still limited. This article has two main objectives. First, it explores the extent of usage of PPE among artisanal and small-scale miners for the prevention of hazards and risks. Second, it examines the coping strategies used by these miners as a response to experiences of occupational injuries and risks Methods: A cross-sectional survey of small-scale miners was conducted in six communities across three districts in Ghana, West Africa. The mixed methods approach was adopted. A total of 148 small-scale miners participated in the study. Six focus group discussions (FGDs) were held across the six communities. The data were analysed using descriptive statistics. Chi-square tests were used to analyse the relationship between some socio-demographic characteristics (sex, age, and educational background) and the usage of PPE. Open-ended questions and responses from FGDs were analysed based on the content and verbatim quotations from miners. Results: Findings suggest that 78% of the miners interviewed do not use the appropriate PPE citing reasons such as cost, and their personal discomfort associated with use of PPE. There was no significant relationship between socio-demographic characteristics (i.e., sex, age, education and major mining activity) and the usage of PPE. The study further revealed four main coping strategies used by miners to handle the risks. These are rest, taking unprescribed medication and hard drugs, registration with health insurance scheme and savings and investments. Conclusion: This study shows that very few artisanal miners use PPE despite the significant hazards and risks to which they are exposed. The study recommends to the government to put in place measures to ensure that miners adhere to health and safety regulations before undertaking mining activities. This means that health and safety plans and use of PPE should be linked to the license acquisition process for miners.

A study on program development to improve learning competencies of major courses for Chinese students in Korea (중국인 유학생의 전공학습역량 향상을 위한 교육 프로그램 개발 연구)

  • Im, Che-Ri;NING, LI XU;Park, Yoon-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.6
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    • pp.389-402
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    • 2020
  • This study aimed to develop an educational program for improving the learning competencies of major courses for Chinese graduate students who account for more than 70% of international students in Korea. In this study, the program was developed using Caffarella and Daffron's interactive model. Due to the internationalization of education, the number of foreigners who study in Korea for degree courses has already exceeded 100,000, but the dropout rate has increased due to the maladjustment to university life. More specifically, they face difficulties in academic achievement because of a lack of understanding lecture contents, conducting research, and presenting in class. Therefore, this study surveyed the Chinese students in the graduate course to identify the difficulties and needs in their study of major courses and to reflect those needs (major knowledge, communication, assignment writing, and presentation) in program development. This study focused on developing an educational program for improving their learning competencies of major courses rather than simply improving Korean language skills or adapting to university life. The results of the study are expected to help Chinese Graduate students perform well in their major course studies and make their study abroad successful.

Artist and History: Looking at the current problems of teaching art history in art school (미술가와 역사-미술사 교육의 한계와 전망)

  • Cho, Eun-Jung
    • The Journal of Art Theory & Practice
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    • no.2
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    • pp.49-74
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    • 2004
  • It has been frequently pointed out that the established art history with the stylistic and iconographic interpretations and monographic analysis is fallen behind the currency of modern art. Among those who claimed the crisis in the discipline of art history, there is a suggestion that the art historical study should be fostered by other factors in the fields of the humanities. The so called New Art History or 'visual Culture Studies' insists that art history has to be restructured to integrate the broader study of culture and society, and by now, such an opinion is not a novelty at all. One of the most significant yet overlooked elements that induced the new currency of art history is properties of contemporary art that conflict the traditional claim of art historians. Although the idea that art is not purely aesthetic but that it has many other functions has been brought up by the art historians, it was the artists that provoked such a perception. When Arthur C. Danto and Hans Belting proclaimed the End of Art and Art History in the 1980s, the concept of art has been changed radically through the avant-garde tendency of Modernism and a new pluralism of Postmodernism. One dominant concern that strikes art historians is to find a new approach to art, since the traditional method and goal of analysis for past art and past art history seem unavailable. The perplexity arising from the situation is intensified in the field of teaching art, especially for those who teach art history in art school. Basically art history is a pursuit of learning of art in history, and its purpose is to reconcile the present with the past and the future as well. Since Modernism, as it is confusing sometimes because it implies the present state, somehow art became considered 'tradition-less'. It does not mean that a work of art stands aloof from the past attainments, hut modern art imposed itself on a task seeking after the new for its own sake, turning its back on the tradition. And now in the era of Postmodernism, an historians face the requirement to revaluate the whole history of art including modernism. The necessity of art history in art education is indisputable, but methods and contents in the academic courses should he reexamined now. Because artists' concept of history and past art has been altered, and art history as a humanistic discipline can only maintain its identity through incorporation with art itself. Academics teaching art history, or, strictly speaking, past works of art and history, to the student in art school, confront with the need to rethink the object of art history and its meaning to the artists.

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A Study on the Closed-Loop Air Drying Technology for Drying Wastewater Sludge (하수슬러지 건조를 위한 폐루프 공기건조 기술에 관한 연구)

  • Lee, Jung-Eun;Cho, Eun-Man;Kang, Dong-Hyo
    • Journal of Korean Society of Environmental Engineers
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    • v.34 no.12
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    • pp.821-827
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    • 2012
  • Air drying is a technology to dry sludge at the ejector and multi cyclone as intaking and blowing air from outside. So, this technology has a weak point that operating fluctuation is large according to an outside conditions as well as energy consumption is also large due to open loop structure. This is to develop the closed-loop air drying system to be built the dehumidifier consisted of condenser, cooler and compressor at rear side of separator of air dryer, as a way to solve some problem. Air is circulation by the method of blowing-drying-dehumidifying-blowing within this system. It is analyzed that an air circulated at closed-loop air drying equipment contains the energy of 50% more compared with open-loop air drying and is operated regularly because of quality maintenance of air to dry sludge. And also it is analyzed that the cost of drying sludge of 1 ton by closed-loop air drying equipment is lower about 35% than conventional equipment. Therefore, this is evaluated by useful drying technology to face an unexpected climatic conditions due to regular operation as well as low energy consumption.

A study on supervision and ethical dilemmas in the field of social welfare administration (사회복지 행정영역에서 수퍼비젼과 윤리적 딜레마에 관한 연구)

  • Ae-Ra Lee;Hyun-Seung Park
    • Industry Promotion Research
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    • v.9 no.2
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    • pp.77-83
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    • 2024
  • This study seeks to find ways to make desirable decisions in the face of ethical dilemmas experienced by social workers through research on ethical dilemmas in the social welfare administrative field. Recognizing the importance of ethical issues in the social welfare profession, we have established a social welfare code of ethics, and have opened 'Social Welfare Ethics and Philosophy' in the social welfare major curriculum to address ethical issues as a major issue. However, despite changes and desires in practice and education, the theoretical and practical interest in social welfare academia was very insufficient. Among the various ethical issues in social welfare practice, it can be said that ethical decision-making is the most burdensome for social workers. Therefore, in order to perform a role as an expert in social welfare practice, there is a need to increase awareness of the importance of ethical issues and to seek ethical methods and procedures to make the right decision by considering ethical dilemma situations. In this study, through research on various ethical dilemmas occurring in social welfare practice, it will be possible to understand ethical sensitivity in the supervision process and consider ways to train supervision experts.

A Study on Present Status of Preferences in the Choice of Patterns in Clothing (의복문양(衣服紋樣)의 기호도에 관한 실태(實態) 연구(硏究) - 한복(韓服)을 중심(中心)으로 -)

  • Kim, Eun-Ju
    • Journal of the Korean Society of Costume
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    • v.6
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    • pp.65-87
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    • 1982
  • 1. Purpose: The purpose is to apply and adapt ancient textile pattern to practical life, and to contribute to the promotion of the creative development of modernization and Koreanization of textile pattern by the survey of the extent of taste for the textile pattern existent in Korean costume among costumes. 2. Hypothesis: Textile pattern is in most classical one expressed in fact, but nowadays abstract or geometric one is more exist. Consumers are in most part in forties, and so the taste cannot be ignored. Therefore aesthetic consciousness found Korean costume is more important rather than excessively bold or mordern one. 3. Method and Process: (1) This research is analysed 386 one through college student and parents of a primary or high school. (2) Taste of the pattern is comparisoned and analyzed as age. education, pocket money of the student or an income of a month in home through computer. And the analysis of the statistics research is operation through the Chi-Square Goodness of-Fit-Test. 4. Conclusion: (1) The Korean costume put on mostly party or formal dress, therefore it should be researched as an outdoor dress with traditional costume. (2) The most one is concerned in textile pattern, it's taste is different from color, constitution. Textile industry is developed not only weave pattern, gold-coverning pattern but embroidry pattern, dye pattern, therefore the various side of pattern design should be researched. (3) In Side of form, plant pattern is not only most various but highest in popularity. According to approach nowadays, all of the pattern becomes composition or geometric one with abstract tendency and so from these day pattern is necessary combinationed, researched with our people emotion. (4) The color of textile pattern is choiced individual taste. Through investige, research in various side of the modern taste and our costume, we take growing interest in the color, composition of textile, and should dressed with beauty and grace. (5) In side of size, textile pattern is choiced to individual face and body shape through research on form, color, size of these pattern, we should endeavor to dress well. (6) In side of application, most people is concerned in not only interior ornament but the costume is high. Costume research by some people of the outside and symbol with interior through the pattern analysis is not only very important but also is due to people culture.

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Attitudes and Practices on the Gender Division of Household Labor in South Korea, Japan, and Taiwan (동아시아 기혼여성의 성별분업에 관한 태도와 실천: 한국, 일본, 대만 비교 연구)

  • Lee, Jae Kyung;Na, Sung-Eun;Jo, Inkyung
    • Women's Studies Review
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    • v.29 no.2
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    • pp.139-173
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    • 2012
  • This paper examines the delayed situations for gender equality in South Korean, Japanese, and Taiwanese families despite the challenge to the gender division of labor in modern society, and to analyze the contradiction between the notions of gender equality and the experiences women face in East Asia countries. Using EASS data, we analyze the effective difference over the division of household labor according to women's age and length of school time, attitude for gender division of labor, couple's labor time, and family network. In South Korea and Taiwan, men's actual ratio of household division is higher than Japanese men's. On the other hand, Japanese women's ratio of household division is the highest in spite of their progressive attitude for gender equality. It is due to the difference of women's working time among the countries. In South Korea and Taiwan, women tend to work in full time job, so that they seem to inevitably reduce the time for household labor. The family characteristics have an effect on the women's ratio of household division in Taiwan, and the feature of women's employment does in South Korea. The high percentage of three-generation household contributes to the reduction of housework burden in Taiwan. In South Korea, the higher women's education levels, the higher the women's ratio of household division. Women's weakened bargaining power for household labor is due to the relatively low level of high-educated women's economic participation in South Korea. This paper reveals the effective factors on the gender division of household labor. We propose the necessity of the macro-level analysis as well as the analysis of the personal and conjugal feature.