• Title/Summary/Keyword: family functioning

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A Study Analyzing Nursing Diagnoses and Nursing Interventions used in a Demonstration Home Care Project (가정간호 시범사업 간호진단 및 간호중재 분석 연구)

  • Suh, Mi-Hae;Lee, Hae-Won;Chun, Choon-Young
    • The Korean Nurse
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    • v.34 no.5
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    • pp.52-67
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    • 1996
  • As home care in developing and becoming part of the health care delivery system in Korea, it is necessary to examine the use of nursing diagnoses and related nursing interventions with a view to increasing the standardization of nursing recording. This study was done to examine the nursing diagnosis and related nursing interventions used in home care. Data were collected using a chart review of the nursing notes written for the home care given to 38 patients who had pulmonary diseases or traumatic brain or spinal cord injuries and who had received home care as part of a demonstration home care project in a college of Nursing in Seoul. Early on in the project discussions as to format and use to nursing diagnosis was done and a tool was developed based on Gordon's eleven functional catergories with the addition of categories to cover family and environment. This tool was used in the data collection. Data included nursing diagnosis, etiologies and interventions. Real numbers and percentages were used in the analysis. The results show that the most frequently used diagnoses were in the category of physical function (75.6%), followed by the category of emotional and social function (21.8%). The least frequently used category was the one for family and environment (2.6%). The order of the frequency of recorded nursing interventions was the same, 82.3% for physical function, 16.2% of emotional and social function and 1.5% for family and environment. Under the category of physical functioning the most frequently used nursing diagnoses were related to mobility (62.2%), nutrition (23.6%) and elimination (11.9%). The frequencies of nursing interventions for these three diagnostic categories were 69.8%, 16.0% and 10.8% respectively. For emotional and social functioning, the most frequently used diagnoses were for cognition-perception (37.1%), self-perception (30.6%) and perception of health (23.7%). The ordering of the frequency of nursing interventions varied slightly. The most frequently used interventions were for the category of self-perception (31.7%) followed by cognition-perception (24.1%) and perception of health (22.9%). Looking at individual diagnoses, it was found that within the categroy of physical functioning, the most frequently used diagnosis was "impaired physical mobility" (29.5%) and this diagnosis involved 43.9% of the interventions. This was followed by "ineffective breathing pattern" (19.4%) with 17.7% of interventions, and "alteration in nutrition, less than body requirements" (11.2%) with 8.1% of the interventions. For the emotional social category, noncompliance was the most frequently used nursing diagnosis (18.2%) with 19.2% of the interventions. This was followed by "anxiety" (13.4%) with 13.6% of the interventions and by "knowledge deficit" (13.4%) but with only 5.5% of the interventions. The other diagnoses and interventions did not follow this pattern of frequency. Although there were a large number of diagnostic and intervention events, the number of actual diagnoses and interventions used were relatively small ranging from six interventions for "knowledge deficit" to 40 interventions for "imparied physical mobility". From this it can be concluded that the results of this study could be used as basic data for the development of standardized charts with respect to nursing diagnosis and interventions for clients with pulmonary disease and clients with traumatic brain or spinal cord injuries. Interventions that were direct care activities (1178) were much more frequent that education (430), and assessment and observation (148). There were also few diagnoses or interventions related to the family and the environment. This suggests two areas that need to be developed in home care and that need to be considered in the development of standardized records for use in home care.

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The Relationship among Family functioning, Intimacy Risk with the Opposite Sex and Campus Life Satisfaction of College Students (대학생의 가족기능, 이성과의 친밀감 위험, 대학생활만족에 관한 연구)

  • Ahan, Seong-Aha;Oh, Su-Mi;Kong, Jeong-Hyeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.10
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    • pp.432-441
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    • 2017
  • The aim of this study was to investigate the relationship among family function, intimacy risk with the opposite sex, and campus life satisfaction among college students. A descriptive study was conducted. Data were collected from May 11, 2017 to May 20, 2017 by using a structured questionnaire. The participants were 180 college students at two colleges in J-city. Data were analyzed using t-test, one way ANOVA, Scheffe test, pearson correlation coefficient, and multiple regression analysis with SPSS 20.0. The mean scores were as follows: family function $3.07{\pm}0.44$(5 points), intimacy risk with the opposite sex $2.03{\pm}0.59$(4 points), and campus life satisfaction $3.20{\pm}0.50$(5 points). There was a significant correlation between the family function, intimacy risk with the opposite sex, and campus life satisfaction variables. Multiple regression analysis showed that factors influencing campus life satisfaction were family communication(${\beta}=0.341$, p=.001) and parental economic activity type(${\beta}=0.161$, p=.007). The explanation power of this regression model was 13.1%. These results of this study indicate that effective campus life satisfaction should be developed by including improvement of family community of family function.

Somatoform Disorders of Children and Adolescents (소아 및 청소년의 신체형장애)

  • Kim, Seung-Tai P.
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.2
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    • pp.277-285
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    • 1996
  • Somatoform disorders do occur among children and adolescents. Among the seven disorders under the grouping of somatoform disorders of DSM-IV, three disorders, namely somatization disorder, pain disorder and conversion disorder are seen relatively more often than one can expect in childhood and adolescence. Pain disorders are more prevalent among children before adolescence, whereas conversion disorder and somatoform disorder are seen more often during adolescence and early adulthood. Diagnoses of somatofram disorders should not be made by the process of exclusion, but based on positive findings that positive evidence that normal functioning is possible and that a positive history of psychosocial stress and or intrapsychic conflict exists. Treatment strategy should be mindful of including collaboration with primary care health professionals and family therapy staff in addition to all the basic treatment modalities essential for the treatment of children and adolescents.

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Treatment and Management of Conversion Disorder (전환장애의 치료와 관리)

  • Oh, Duck-Won
    • Physical Therapy Korea
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    • v.4 no.2
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    • pp.77-88
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    • 1997
  • Conversion disorder is a psychologically produced alteration or loss of physical functioning suggestive of a physical disorder. Conversion symptoms are often superimposed on organic disease and can be overlooked. Psychological techniques are central to the management include the following: avoiding confrontation with the patients; avoiding reinforcement or trivializing the symptoms; reviewing results of tests and exams and creating an expectation of recovery; educating the patient before a treatment is begun; evaluating the patient's emotional adjustment and considering it at a treatment; using caution in labeling the condition; considering referral for psychotherapy; establishing particularly a treatment plan and making a definite treatment program; adjusting patient' s environment; letting participate a family at appropriate time; developing a reinforcement program for a treatment of chronic symptoms; developing a home program for outpatients. Use behavior therapy reinforcement may be helpful with more chronic or resistant symptoms, especially when there is a history of vague or excessive somatic complaints or significant secondary gain.

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Regulation of a Novel Guanine Nucleotide Binding Protein Tissue Transglutaminase ($G{\alpha}_n$).

  • Im, Mie-Jae
    • BMB Reports
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    • v.34 no.2
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    • pp.95-101
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    • 2001
  • Tissue transglutaminase (TGII, $G{\alpha}h$) belongs to a family of enzymes which catalyze post-translational modification of proteins by forming isopeptides via $Ca^{2+}$-dependent reaction. Although TGII-mediated formation of isopeptides has been implicated to play a role in a variety of cellular processes, the physiological function of TGII remains unclear. In addition to this Tease activity, TGII is a guanosine triphosphatase (GTPase) which binds and hydrolyzes GTP It is now well recognized that the GTPase action of TGII regulates a receptor-mediated transmembrane signaling, functioning as a signal transducer of the receptor. This TGII function signifies that TGII is a new class of GTP-binding regulatory protein (G-protein) that differs from "Classical" heterotrimeric G-proteins. Regulation of enzyme is an important biological process for maintaining cell integrity. This review summarizes the recent development in regulation of TGII that may help for the better understanding of this unique enzyme. Since activation and inactivation of GTPase of TGII are similar to the heterotrimeric G-proteins, the regulation of heterotrimeric G-protein in the transmembrane signaling is also discussed.

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Independence of SCI patients after HALLIWICK hydrotherapy method - A Case report - (수중치료후 척수손상 환자의 독립 - 증례 보고 -)

  • Kim, Chi-Hyok;Kim, Yong-Kwon
    • Journal of Korean Physical Therapy Science
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    • v.6 no.4
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    • pp.241-249
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    • 1999
  • One of the major purpose of rehabilitation program is for the individual to achieve independence. That means independence from family members, independence from friends, and independence from rehabilitation team. An independent attitude is essential for autonomous functioning. Unless a disabled person is motivated to function independently, he will never do so. 3) Hydrotherapy, HALLIWICK method was applied to SCI patient. Especially, metacentric effect, density, buoyancy and breathing control are very very important theory.

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A Concept Analysis of Uncertainty in Epilepsy (뇌전증 환자의 불확실성 개념분석)

  • Lee, Juna;Lee, Insook
    • Journal of Korean Academy of Nursing
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    • v.47 no.4
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    • pp.499-513
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    • 2017
  • Purpose: This concept analysis was done to clarify 'uncertainty in epilepsy'. Methods: Walker and Avant's methodology guided the analysis. In addition, the concept was compared with uncertainty in other health problems. Results: 'Uncertainty in epilepsy' was defined as being in the condition as seen from the epilepsy experience where cues were difficult to understand because they changed, were in discord with past ones, or they had two or more contradictory values at the same time. Uncertainty in epilepsy is evolved from appraisal of the epilepsy experience. As a result, uncertainty leads epilepsy patients, their family or health care providers to impaired functioning and proactive/passive coping behavior. Conclusion: Epilepsy patients with uncertainty need to be supported by nursing strategies for proactive, rational coping behavior. This achievement has implications for interventions aimed at changing perception of epilepsy patients, their families or health care providers who must deal with uncertainty.

A Comparisons of Characteristics of Infants Born Prematurely According to Results of Denver II Screening Test (추후 덴버발달스크리닝 결과에 따른 미숙아의 특성 비교)

  • Bang, Kyung-Sook
    • Child Health Nursing Research
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    • v.12 no.3
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    • pp.398-404
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    • 2006
  • Purpose: To investigate the rate of questionable development in infants born prematurely and explore factors affecting developmental delays. Method: The participants were 46 infants born prematurely being seen in one of two urban health centers. A questionnaire and the HOME checklist were used to collect data, and the Korean Denver II developmental screening test was administered. Results: Of the participants 21.7% were classified as having questionable development. The only variable with a significant difference between the two groups was acceptance in the HOME checklist. Psychosocial factors such as mothers' burden, depression, family functioning, and social support were not significantly different between the two groups. Conclusion: An early developmental screening test for prematurely born infants is needed. Also, the childrearing environment was identified as a significant factor in infants' development. These findings suggest that HOME score might be useful for identifying infants at risk for developmental delays and interventions for these infants will probably be more effective if their mothers can provide a more appropriate social environment. Further studies are suggested with larger samples.

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Study on the Effectiveness of Resilient Parenting Program ("탄력적 부모되기" 프로그램의 효과성연구)

  • Yang, Ok-Kyung;Kim, Yoen-Soo;Kwon, Ja-Young
    • Korean Journal of Social Welfare
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    • v.58 no.1
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    • pp.143-173
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    • 2006
  • This study is about the verification of the effectiveness of 'Resilient Parenting Program' based on Walsh's family resilience approach. The program was developed for strengthening parenting self-efficacy and increasing parent satisfaction and family relation as well. The program was practiced once a week for 8 weeks at the B community service center and each session lasted for 2 hours. The participants of the program were 13 mothers of elementary schools who had a need to increase their parenting skills and satisfaction. Among the 13 participants, 7 of them were arranged to the experimental group and 6 of them were included to the control group. The scores of the two groups at the point of pre-test, post-test and follow-up test, 3 months after the termination of the program, were analysed and compared through the Wilcoxen matched pairs signed rank test and Mann-Whitney U test. The scales adapted in this study were the Parent Satisfaction Scale, the Parenting Self-efficacy Scale, and the Family Relation Scale. As the results of the analyses, there were significant differences of the increases in the area of parent-child relationship satisfaction, general parent satisfaction, parenting self-efficacy, and family relation between the two groups. In conclusion, the effectiveness and utilization of the program were confirmed. Also, it is verified that the program can be an important tool for strengthening healthy family functioning through the interventions of parents in the field of community based social work practice.

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Cloning, Sequencing, and Expression of the Gene Encoding a Multidomain Endo-$\beta$-1,4-Xylanase from Paenibacillus curdlanolyticus B-6, and Characterization of the Recombinant Enzyme

  • Waeonukul, Rattiya;Pason, Patthra;Kyu, Khin Lay;Sakka, Kazuo;Kosug, Akihiko;Mori, Yutaka;Ratanakhanokchai, Khanok
    • Journal of Microbiology and Biotechnology
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    • v.19 no.3
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    • pp.277-285
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    • 2009
  • The nucleotide sequence of the Paenibacillus curdlanolyticus B-6 xyn10A gene, encoding a xylanase Xyn10A, consists of 3,828 nucleotides encoding a protein of 1,276 amino acids with a predicted molecular mass of 142,726 Da. Sequence analysis indicated that Xyn10A is a multidomain enzyme comprising nine domains in the following order: three family 22 carbohydrate-binding modules (CBMs), a family 10 catalytic domain of glycosyl hydrolases (xylanase), a family 9 CBM, a glycine-rich region, and three surface layer homology (SLH) domains. Xyn10A was purified from a recombinant Escherichia coli by a single step of affinity purification on cellulose. It could effectively hydrolyze agricultural wastes and pure insoluble xylans, especially low substituted insoluble xylan. The hydrolysis products were a series of short-chain xylooligosaccharides, indicating that the purified enzyme was an endo-$\beta$-1,4-xylanase. Xyn10A bound to various insoluble polysaccharides including Avicel, $\alpha$-cellulose, insoluble birchwood and oat spelt xylans, chitin, and starches, and the cell wall fragments of P. curdlanolyticus B-6, indicating that both the CBM and the SLH domains are fully functioning in the Xyn10A. Removal of the CBMs from Xyn10A strongly reduced the ability of plant cell wall hydrolysis. These results suggested that the CBMs of Xyn10A play an important role in the hydrolysis of plant cell walls.