• 제목/요약/키워드: feeling of loss

검색결과 102건 처리시간 0.025초

우울증환자(憂鬱症患者)의 전신체열촬영(全身體熱撮影)에 의한 임상적(臨床的) 연구(硏究) (The clinical study of Digital lnfrared Thermographic Imaging on Depressed patients)

  • 김태헌;이용근
    • 동의신경정신과학회지
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    • 제11권1호
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    • pp.59-73
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    • 2000
  • Depression is a psychiatric syndrom consisting of dejected mood, psychomotor retardation, insomnia and weight loss, sometimes associated with irrational guilt feeling. And it is also similiar to Hwa-byung(火病) symptom in oriental medicine. But it is difficult to diagnose with objective method. Digital Infrared Thermographic Imaging(D.I.T.I.) is one of diagnotic method that measure the changes of skin temperature in body. Specially we checked the skin temperature on depressed patients by using D.I.T.I. and compared with Bell's palsy patients and normal persons group. The results are as follows; Average body temperature of the depressed patient group is $36.68{\pm}0.43^{\circ}C.$ and that of the control group is $36.73{\pm}0.40^{\circ}C.$. So there is no meaningful difference. The depressed patient group has higher temperature than the control group by ${\triangle}T>1.0^{\circ}C$ at the following acupuncture points in these body parts - upper and lower, left and right, anterior and posterior. When acupuncture points temperature was compared superior and inferior part of the body, depressed patient group have meaningful difference at the GV-4(Myung-moon) and also in the control group. When acupuncture points temperature was compared left and right part of the body, depressed patient group have no meaningful difference and also in the control group. When acupuncture points temperature was compared in the anterior and posterior part of the body, depressed patient group have meaningful difference at the GV-4(Myung- moon) and also in the control group. From this study, we think that D.I.T.I. could be used to diagnose objectively on the depressed patients and useful to another psychoneurogenic diagnosis in oriental medicine.

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도로교통소음에 대한 공동주택 내부소음 기준설정에 관한 연구 (A Study on the Indoor Noise Limits of Apartment Houses from the Road Traffic Noise)

  • 이주엽;송민정;장길수;김선우
    • 한국소음진동공학회논문집
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    • 제15권9호
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    • pp.1084-1091
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    • 2005
  • The indoor noise limit for road traffic noises is needed to secure comfortable acoustical quality in apartment houses. To achieve this goal, psycho-acoustic experiments were carried out with road traffic noise sources modulated by the transmission loss characteristics of the external windows. Finally, a correlation analysis between noise rating index and subjective responses, and an analysis of satisfactory percentage of the dose-response curves varied with respondents was conducted. As a result of this study, followings are suggested. (1) On correlation between dose level and psycho-acoustical response, the initial level of negative feeling is located on $40.1\~40.6\;L_{eq}$ dB(A), (2) On the degree of satisfaction to road traffic noise. near $35\;\%$ point being same dissatisfaction degree is to be assumed $40\~41$ dB(A) of indoor noise level presented into three vocabulary. It is suggested to be reasonable level of 40 dB(A) on the indoor noise limits for intruding road traffic noise. and it is appropriate to be the 5 dB level difference between grades. The results of this study may be used to evaluate the acoustic threshold level for road traffic noise or as a basis for specifying the desired acoustic environment of dwellings.

2샷 사출 압축 소프트 인스트루먼트 패널 개발 (Development of Two-Shot Injection-Compression Soft Instrument Panel)

  • 공병석;박동규
    • 한국산학기술학회논문지
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    • 제20권2호
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    • pp.638-643
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    • 2019
  • 자동차 소프트 인스트루먼트 패널의 비용과 중량을 줄이기 위하여 두 가지 사출을 동시에 수행하는 방법을 이용한 새로운 인스투르먼트 패널이 개발되었다. 첫 번째 사출은 뒷면 발포체 포일을 삽입하는 압축 사출을 하는 방법이고, 다른 하나는 동승석 에어백에 도어와 동시에 2샷 사출하는 방법이다. 우리는 그것을 'IMX-IP'라고 부르며, 이것은 인스트루먼트 패널의 모든 부품들이 종류가 다른 수지와 하나의 금형 안에서 만들어지는 방법인 것이다. 본 기술의 개발 과정은 (1) TRIZ 기법을 이용한 새로운 사출 금형 설계, (2) 사출 조건의 최적화와 폼의 손실과 두께 편차를 최소화하기 위한 뒷면 발포체 포일의 최적화, (3) 2샷 사출 압축에 대한 CAE 해석 검증, (4) 신뢰성 검증 시험과 양산에의 적용 순서로 이루어져 있다. 뒷면 발포체 포일 삽입을 이용한 2샷 사출을 통한 공정 감소는 개발비와 중량 절감과 함께 소프트 인스투루먼트 패널의 부드러운 느낌을 향상시키는 것을 가능하게 하였다.

난경(難經) 1-23난중(難中) 맥학조(脈學條)에 관한 연구(硏究) (A study on The Pulse taking diagnostics of Nan Jing 1-23 Nan)

  • 김법진;박원환
    • 동국한의학연구소논문집
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    • 제8권2호
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    • pp.131-154
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    • 2000
  • <난경(難經)>은 <내경(內經)>의 사상(思想)을 보다 자세(仔細)하고 심도(深度)있게 문답(問答)을 가설(假說)하여 의난(疑難)을 해석하는 방식으로 편찬된 서적(書籍)으로써, 논술(論述)은 기초이론(基礎理論)을 위주로 하고, 또 일부 병설(病說)도 분석(分析)하였는데 그 내용이 간요(簡要)하며, 변석(辨析)이 매우 정미(精微)하게 되어있다. 그 중 1-23난(難)은 맥(脈)을 논(論)하고, 23-29난(難)은 경락(經絡)을 논(論)하고, 30-47난(難)은 장부(臟腑)를 논(論)하고, 48-61난(難)은 병(病)을 논(論)하고, 62-68난(難)은 혈도(穴道)를 논(論)하고, 69-81난(難)은 침법(鍼法)을 논(論)하였다. 특히 <난경(難經)>에는 진법(診法)으로써 오늘날까지 한의학의 맥진방법(脈診方法)으로써, 가장 많이 응용되고 있는 '독취촌구법(獨取寸口法)'을 명확하게 밝히고 있다. 이에 본(本) 저자(著者)는 <난경(難經)>의 맥론(脈論)에 대한 이해를 높이기 위하여 <난경지연구(難經之硏究)>를 중심으로 1-23난(難)에 나오는 맥론(脈論)들을 정리하여 다음과 같이 정리하였다. 팔십일(八十一) 난경중(難經中) 일난(一難)부터 삼십삼난(三十三難)까지의 맥학(脈學)에 관(關)한 조문중(條文中)에는, 백맥(百脈)이 조회(朝會)하고 그 시작(始作)과 끝이 되는 촌구(寸口)를 중심개념(中心槪念)으로 하고 정상적(正常的)인 생리적(生理的) 맥(脈)과 병적(病的)인 맥(脈)이 대비(對比)되면서 제시(提示)되어있다. 1. 십난(十難)에서 오사(五邪)와 강유(剛柔)의 이론(理論)과 각(各) 장부(臟腑)의 고유(固有)한 맥상(脈狀)이 등장(登場)하고 있다. 2. 십삼난(十三難)에서는 색(色)과 맥(脈), 형육(形肉)의 세가지 요소(要素)가 상응(相應) 또는 상승(相勝)하는가에 따라서 병(病)의 난(難) 역치(易治)를 결정(決定)한다고 하였다. 3. 십사난(十四難)에서는 맥(脈)을 손(損)(지맥(遲脈))과 지(至)(수맥(數脈))으로 구분하는데, 맥(脈)의 손(損)에 따른 이경(離經), 탈정(奪精), 사(死), 절명(絶命)의 구분(區分)과, 맥(脈)의 지(至)에 따른 이경(離經), 탈정(奪精), 사(死), 절명(絶命)을 구분(區分)을 설명(說明)하였다. 4. 십오난(十五難)에서는 현(弦), 구(鉤), 모(毛), 석맥(石脈)으로 사시(四時)에 따라서 맥(脈)이 다르다는 것을 말하였다. 이와같이 난경(難經)에서는 "독취촌구(獨取寸口)"의 맥법(脈法)을 명화(明確)하게 확립(確立)하였으며, <내경(內經)>의 이론(理論)을 더욱 다져서 진일보(進一步)시키면서도 <내경(內經)>과는 다른 독창적(獨創的) 이론(理論)을 제시(提示)한 것이 <난경(難經)>의 가치(價値)를 더하게 하였다.

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선호하는 식물성 Base oil에 따른 클렌징 오일이 피부에 미치는 영향 (The Effects of Cleansing oil on Skin by preferred Vegetable Base oil)

  • 김정은;이재남
    • 한국산학기술학회논문지
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    • 제20권4호
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    • pp.264-274
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    • 2019
  • 본 연구는 선호하는 식물성 Base oil에 따른 클렌징 오일이 피부에 미치는 영향에 대해 알아보고자 하였다. 먼저 설문조사(100명)를 통해 세안 습관 실태 및 선호하는 식물성 Base oil를 파악하고, 이를 바탕으로 4종의 클렌징 오일을 제조하여 실험을 진행하였다. 실험은 20~30대 성인여성 10명을 대상으로 선정하여 실험 전 후 수분보유량, 유분보유량, 경피수분손실량(TEWL)을 측정하였고, 실험 후 만족도 설문조사를 실시하여 분석하였다. 그 결과, 클렌징 오일의 식물성 Base oil 종류에 따른 선호도 설문조사에서는 로즈힙 오일, 올리브 오일, 살구씨 오일, 동백 오일 순으로 나타났다. 임상 실험결과, 선호하는 식물성 Base oil에 따른 클렌징 오일(4종)의 클렌징 전 후 수분보유량과 유분보유량의 변화폭은 Base oil에 따라 차이는 있었으나 모두 증가하는 것으로 나타났다(p<0.001, p<0.001). 또한 TEWL의 변화량도 Base oil에 따라 차이는 있었으나 모두 감소하였다(p<0.01). 실험 후 주관적 만족도 설문조사 결과에서는 로즈힙 오일이 함유된 클렌징 오일(RHC)이 세정력 및 주관적인 만족도면에서 가장 높게 나타났다. 결론적으로 선호하는 식물성 Base oil에 따른 클렌징 오일이 피부의 유 수분보유량과 TEWL의 개선에 긍정적인 영향을 미쳐 피부장벽을 보호함으로서 피부개선 효과가 있음을 알 수 있었다. 따라서 개개인마다 피부타입과 선호하는 오일 및 사용감에 따른 만족도는 다르지만 본 연구의 식물성 Base oil에 따른 클렌징 오일은 단순히 세정의 차원을 넘어 피부건조와 피부장벽을 보호하는 피부보호 제품으로서 도움이 될 수 있을 것이다.

정완영 시조에 나타난 도가적 회귀주의 (The study of Taoistic Returnism in Jeong Wan-Young's sijo)

  • 민병관
    • 한국시조학회지:시조학논총
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    • 제30집
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    • pp.109-146
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    • 2009
  • 정완영 시조에 대해 학계에서는 일반적으로 동양적 사유세계가 잘 드러나 있다고 평가하고 있다. 본 연구는 기존 연구의 학문적 성취를 계승하고 심화 확대하는 작업의 일환으로 정완영 시조에 나타난 도가적(道家的) 경향을 분석하고자 한다. 정완영의 작품 중에서 도가적 특징이 두드러진 작품을 찾아 몇 가지 유형으로 분류한 결과 다음과 같은 결론을 얻었다. 정완영 시조에서 도가적 색채가 표출된 작품은 다음과 같이 세 가지 양상으로 유형화시킬 수 있다. 첫째, 정완영의 시조에는 상실감에서 비롯된 고향회귀의식이 드러나 있다. 예전의 모습과 달리 변해버린 고향, 고향에 돌아갈 수 없는 처지에서 느끼는 상실감을 극복하기 위한 방편으로 고향회귀를 꿈꾸고 있는 것이다. 이 작품들 속에서 고향의 의미는 상실감을 극복하기 위해 설정된 근원적, 본래적 의미의 고향이 주를 이루고 있다. 이는 노장사상(老莊思想)에서 추구한 '복귀기근(復歸基根)'의 개념과 상통할 것이다. 둘째, 정완영의 시조에는 순수성 추구를 통해 동심 회복을 열망하는 작품들이 있다. 봄을 통해 동심 회복을 노래한 작품, 유년의 꿈을 통해 동심 회복을 추구한 작품, 엄마에 대한 그리움을 통해 동심회복을 표현한 작품 등이 이에 속한다. 이러한 작품은 도가에서 지향한 '소박함, 연약함, 부드러움'을 추구한 의미로 해석할 수 있다. 셋째, 정완영의 시조에는 인간을 자연의 일부로 파악하고 자연과의 조화로운 삶을 지향한 작품들이 있다. 자신을 잊고 자타(自他)의 구별을 초월한, '물아양망(物我兩忘)'을 통해 자연과 인간과의 합일을 추구하고 있다. 이것은 도가에서 궁극적 도달 대상으로 설정한 자연으로의 회귀라고 볼 수 있을 것이다. 한편 이 연구가 앞으로 보완해야 할 과제는 다음과 같다. 먼저, 정완영 시조에 나타난 도가적 경향을 그의 생애 및 살아 온 시대 상황과 관련지어 분석해야 할 것이다. 그의 도가 관련 서적을 탐독한 독서 환경과 $1960{\sim}70$년대 근대화의 물결, 1980년대 시대 상황 등을 분석한 역사 전기적 방법에 의한 연구가 뒤따라야 할 것이다. 다음으로, 정완영 시조에 나타난 동양사상적 특징을 총체적으로 분석하고 정리하는 작업이 수반되어야 할 것이다.

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체질진단분류(體質診斷分類)에 따른 질병(疾病) 및 증상유형(症狀類型)에 관한 임상적(臨床的) 연구(硏究) II (문진표를 중심으로) (A CLINICAL STUDY OF THE TYPE OF DISEASE AND SYMPTOM ACCORDING TO SASANG CONSTITUTION CLASSIFICATION)

  • 김영우;김진원
    • 사상체질의학회지
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    • 제11권1호
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    • pp.119-135
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    • 1999
  • 본 연구(硏究)는 1996.3월(月)에서 1998.11월(月)사이에 동의대학교(東義大學校) 한의과대학(韓醫科大學) 부속한방병원(附屬韓方病院)에 내원(來院) 가료중(加療中) 환자(患者) 196명을 대상(對象)으로 하였으며 사상체질(四象體質)의 판별(判別)은 사상변증내용(四象辨證內容) 설문조사지(設問調査紙)(I)과 사상체질분류검사(象體質分類檢査)(QSCCII)를 중심으로 하였다. 본 결과는 사상체질(四象體質)과 질병(疾病) 및 증상유형(症狀類形)에 대한 설문지(說問紙)를 비교하여 얻은 것이다. 1. 태음인(太陰인)은 체중증가(體重增加), 땀이 많이 난다. 몸이 붓는다. 허리가 아프다는 증상(症狀)과 기름진 음식(飮食)을 잘 먹으며 음식(飮食)을 짜게 먹는 편이 다른 체질(體質)에 비하여 더욱 유발(頻發)하였다. 2. 소음인(少陰인)은 안색이 나쁘다. 목의 이물감, 수면장애(睡眠障碍) 식욕감퇴(食慾減退), 쉽게 피로(疲勞)해짐, 식사(食事)와 무관한 위(胃)의 통증(痛症), 두통(頭痛), 생리통증상(生理痛症狀)과 기름진 음식(飮食)을 잘 안 먹는다. 음식(飮食)을 싱겁게 먹는 편이 다른 체질(體質)에 비하여 더욱 유발(頻發)하였다. 3. 통계적(統計的)으로 유의성(有意性)을 가지지는 못하였지만, 소양인(少陽人)은 호흡기계질환(呼吸器系疾患)에서 단순한 기침증상(症狀) 근골격계질환(筋骨格系疾患)에서 관절(關節)의 운동장애(運動障碍), 부인과계(歸人科系)에서 월경(月經)의 조기(調期)와 양(量)의 변화(變化)와 생식기(生殖器) 소양증(搔痒症), 피부계(皮膚系)에서 가려움증과 부스럼증 등은 다른 체질(體質)에 비하여 비교적 많았고 심혈관계질환(心血管系疾患), 혈액계질환(血液系疾患)은 비교적 적었다. 소음인(少陰人)은 전반적(全般的)인 소화기계질환(消化器系疾患), 호흡기계질환(呼吸器系疾患)에서 인흡(咽吸)의 이물감 통증, 심혈관계질환(心血管系疾患), 혈액계질환(血液系疾患), 근골격계질환(筋骨格系疾患)에서 통증(痛症)이나 비증(痺症), 정신신경계질환(精神神經系疾患)에서 정신계질환(精神系疾患), 부인과계(婦人科系)에서 월경통(月經痛)을 비롯한 유방(乳房)의 몽우리 냉증(冷症), 피부계(皮膚系)에서 발진(發疹)이나 두드러기, 시각계질환(視覺系疾患)과 청각계질환(聽覺系疾患)등이 다른 체질(體質)에 비해 많았다. 태음인(太陰人) 호흡기계질환(呼吸器系疾患)에서 목이 잘 쉬는 증상, 근골격계질환(筋骨格系疾患)에서 요통(腰痛), 정신신경계질환(精神神經系疾患)에서 신경계질환(神經系疾患), 피부계(皮膚系)에서 발진(發疹)이나 두드러기등이 다른 체질(體質)에 비하여 다소 많았으며 부인과계질환(婦人科系疾患)은 적었다.

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쇼핑 가치 추구 성향에 따른 쇼핑 목표와 공유 의도 차이에 관한 연구 - 전자제품 구매고객을 중심으로 (Shopping Value, Shopping Goal and WOM - Focused on Electronic-goods Buyers)

  • 박경원;박주영
    • 마케팅과학연구
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    • 제19권2호
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    • pp.68-79
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    • 2009
  • The interplay between hedonic and utilitarian attributes has assumed special significance in recent years; it has been proposed that consumption offerings should be viewed as experiences that stimulate both cognitions and feelings rather than as mere products or services. This research builds on previous work on hedonic versus utilitarian benefits, regulatory focus theory, customer satisfaction to address two question: (1) Is the shopping goal at the point of purchase different from the shopping value? and (2) Is the customer loyalty after the use different from the shopping value and shopping goal? We surveyed 345 peoples those who have bought the electronic-goods within 6 months. This research dealt with the shopping value which is consisted of 2 types, hedonic and utilitarian. Those who pursue the hedonic shopping value may prefer the pleasure of purchasing experience to the product itself. They tend to prefer atmosphere, arousal of the shopping experience. Consistent with previous research, we use the term "hedonic" to refer to their aesthetic, experiential and enjoyment-related value. On the contrary, Those who pursue the utilitarian shopping value may prefer the reasonable buying. It may be more functional. Consistent with previous research, we use the term "utilitarian" to refer to the functional, instrumental, and practical value of consumption offerings. Holbrook(1999) notes that consumer value is an experience that results from the consumption of such benefits. In the context of cell phones for example, the phone's battery life and sound volume are utilitarian benefits, whereas aesthetic appeal from its shape and color are hedonic benefits. Likewise, in the case of a car, fuel economics and safety are utilitarian benefits whereas the sunroof and the luxurious interior are hedonic benefits. The shopping goals are consisted of the promotion focus goal and the prevention focus goal, based on the self-regulatory focus theory. The promotion focus is characterized into focusing ideal self because they are oriented to wishes and vision. The promotion focused individuals are tend to be more risk taking. They are more sensitive to hope and achievement. On the contrary, the prevention focused individuals are characterized into focusing the responsibilities because they are oriented to safety. The prevention focused individuals are tend to be more risk avoiding. We wanted to test the relation among the shopping value, shopping goal and customer loyalty. Customers show the positive or negative feelings comparing with the expectation level which customers have at the point of the purchase. If the result were bigger than the expectation, customers may feel positive feeling such as delight or satisfaction and they would want to share their feelings with other people. And they want to buy those products again in the future time. There is converging evidence that the types of goals consumers expect to be fulfilled by the utilitarian dimension of a product are different from those they seek from the hedonic dimension (Chernev 2004). Specifically, whereas consumers expect the fulfillment of product prevention goals on the utilitarian dimension, they expect the fulfillment of promotion goals on the hedonic dimension (Chernev 2004; Chitturi, Raghunathan, and Majahan 2007; Higgins 1997, 2001) According to the regulatory focus theory, prevention goals are those that ought to be met. Fulfillment of prevention goals in the context of product consumption eliminates or significantly reduces the probability of a painful experience, thus making consumers experience emotions that result from fulfillment of prevention goals such as confidence and securities. On the contrary, fulfillment of promotion goals are those that a person aspires to meet, such as "looking cool" or "being sophisticated." Fulfillment of promotion goals in the context of product consumption significantly increases the probability of a pleasurable experience, thus enabling consumers to experience emotions that result from the fulfillment of promotion goals. The proposed conceptual framework captures that the relationships among hedonic versus utilitarian shopping values and promotion versus prevention shopping goals respectively. An analysis of the consequence of the fulfillment and frustration of utilitarian and hedonic value is theoretically worthwhile. It is also substantively relevant because it helps predict post-consumption behavior such as the promotion versus prevention shopping goals orientation. Because our primary goal is to understand how the post consumption feelings influence the variable customer loyalty: word of mouth (Jacoby and Chestnut 1978). This research result is that the utilitarian shopping value gives the positive influence to both of the promotion and prevention goal. However the influence to the prevention goal is stronger. On the contrary, hedonic shopping value gives influence to the promotion focus goal only. Additionally, both of the promotion and prevention goal show the positive relation with customer loyalty. However, the positive relation with promotion goal and customer loyalty is much stronger. The promotion focus goal gives the influence to the customer loyalty. On the contrary, the prevention focus goal relates at the low level of relation with customer loyalty than that of the promotion goal. It could be explained that it is apt to get framed the compliment of people into 'gain-non gain' situation. As the result, for those who have the promotion focus are motivated to deliver their own feeling to other people eagerly. Conversely the prevention focused individual are more sensitive to the 'loss-non loss' situation. The research result is consistent with pre-existent researches. There is a conceptual parallel between necessities-needs-utilitarian benefits and luxuries-wants-hedonic benefits (Chernev 2004; Chitturi, Raghunathan and Majaha 2007; Higginns 1997; Kivetz and Simonson 2002b). In addition, Maslow's hierarchy of needs and the precedence principle contends luxuries-wants-hedonic benefits higher than necessities-needs-utilitarian benefits. Chitturi, Raghunathan and Majaha (2007) show that consumers are focused more on the utilitarian benefits than on the hedonic benefits of a product until their minimum expectation of fulfilling prevention goals are met. Furthermore, a utilitarian benefit is a promise of a certain level of functionality by the manufacturer or the retailer. When the promise is not fulfilled, customers blame the retailer and/or the manufacturer. When negative feelings are attributable to an entity, customers feel angry. However in the case of hedonic benefit, the customer, not the manufacturer, determines at the time of purchase whether the product is stylish and attractive. Under such circumstances, customers are more likely to blame themselves than the manufacturer if their friends do not find the product stylish and attractive. Therefore, not meeting minimum utilitarian expectations of functionality generates a much more intense negative feelings, such as anger than a less intense feeling such as disappointment or dissatisfactions. The additional multi group analysis of this research shows the same result. Those who are unsatisfactory customers who have the prevention focused goal shows higher relation with WOM, comparing with satisfactory customers. The research findings in this article could have significant implication for the personal selling fields to increase the effectiveness and the efficiency of the sales such that they can develop the sales presentation strategy for the customers. For those who are the hedonic customers may be apt to show more interest to the promotion goal. Therefore it may work to strengthen the design, style or new technology of the products to the hedonic customers. On the contrary for the utilitarian customers, it may work to strengthen the price competitiveness. On the basis of the result from our studies, we demonstrated a correspondence among hedonic versus utilitarian and promotion versus prevention goal, WOM. Similarly, we also found evidence of the moderator effects of satisfaction after use, between the prevention goal and WOM. Even though the prevention goal has the low level of relation to WOM, those who are not satisfied show higher relation to WOM. The relation between the prevention goal and WOM is significantly different according to the satisfaction versus unsatisfaction. In addition, improving the promotion emotions of cheerfulness and excitement and the prevention emotion of confidence and security will further improve customer loyalty. A related potential further research could be to examine whether hedonic versus utilitarian, promotion versus prevention goals improve customer loyalty for services as well. Under the budget and time constraints, designers and managers are often compelling to choose among various attributes. If there is no budget or time constraints, perhaps the best solution is to maximize both hedonic and utilitarian dimension of benefits. However, they have to make trad-off process between various attributes. For the designers and managers have to keep in mind that without hedonic benefit satisfaction of the product it may hard to lead the customers to the customer loyalty.

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마리화나 남용환자의 역동적인 발달요인과 문제해결 (Dynamic Developmental Factors and their Problem Solving of Patients that Abuse Marihuana)

  • 원정숙
    • 대한간호학회지
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    • 제4권3호
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    • pp.105-116
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    • 1974
  • This study was made on patients who were Hospitalized due to sickness caused by the abuse of marihuana at the Psychiatric Section of a hospital during the period from Feb. to Oct., 1974. The following conclusion was obtained by reviewing the literature with respect to the nursing, and problem solving of those patients. 1. It appears that marihuana is a comparatively mild intoxicant in ordinary preparation without causing physical dependence or tolerance. 2. According to the status of men who are marihuana smokers, approximately 20% of them were college students, those preparing to retake college entrance examinations, non-employed and pharmacists. The men belong mostly to the middle foreigner′s mistress of higher, income bracket, and in the case of women, most of the smokers were US. servicemen entertainers. 3. Dynamic developmental factors: Case 1. : The patient had a characteristic, hysterical and emotionally unitable character, and was of low intelligence, In addition, to this already existing problem, the added uses of marihuana caused a mental illness to develope. Case 2 : The character, was reserved and introspective, her creative power and sentiment was fading and his ability of self-control was weakened. She used the smoking of marihuana to get rid of her own feeling of inferiority complex and tensions coming from interpersonal relationships. Case 3 : The patient was unconditionally resistive to the authoritativeness of superiors and irresponsible in his relationship with women, in his attitude concerning sex in general. He smoked marihuana because he felt become peace-loving and get enchanted experience through smoking it. 4. The points of issue appearing from the above case; (1) Movement of anti-social feelings against the "established system" by the youngsters. (2) Family problem. (3) Shamelessness, loss of motivation, disorderly attitude toward the sex, (4) Worries concerning the future. (5) Lack of knowledge concerning smoking of cigarette and marihuana. Chronic use of marihuana made, those youngman who had originally been ambitions to achieve something in life, lazy, inefficient, unable to make long-term plans, are such weak mined persons that they did not try to overcome problems when encountered. This will pose a great and important question in the mental health of the society, 5. Treatment and Problem sieving According to the literature, we will have to place importance upon hospitalized treatment The phases of treatment were divided into five parts. (1) Prehospital phase (2) Withdrawal Phase (3) Rehabilitation phase (4) Transitional phase (5) After-care phase The experiments have proved that there was much progress in the recovery of patients through environment therapy, supportive therapy and group psychotherapy. This was the above mentioned 5 phases of treating process in accordance with the weekly schedule of the hospital. It was thought that the patients would require prolonged after care management even after they were released from the hospital and that they will also require periodic visit, to the hospital and doctor′s interview with their family. In conclusion, the question of the young generation and marihuana smoking is becoming a great social problem in which their resistances to the "established system" and society is growing in the from of antiestablishment movements. In our country, the smoking of marihuana is gradually developing, therefore, I think, that it would be a very fortunate thing for us, if this report could be helpful for the motivation of further study on the questions of the young generation and its problems.

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만성 질환이 자아개념 (Self Concept)과 신체상(Body Image)에 미치는 영향 -천식 환아를 중심으로- (A Study of the Influence of illness on Body Image and Self Concept -Specifically in Children with Asthma-)

  • 장효순
    • 대한간호학회지
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    • 제12권2호
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    • pp.80-90
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    • 1982
  • This study was undertaken to determine the influence of a chronic disease on body image, and to show that body image is directly related to one's self concept. Body image is the concept of one's own body based on present and past perception, and is elated to one's self concept. Body image is a dynamic concept constantly changing throughout the life cycle but it changes greatly in illness, surgery, and accident. The child with a chronic disease experiences pain and immobilization due to illness and he/she experiences a strange environment in the hospital. illness often brings feeling of frustration and loss of self-esteem. Therefore this study was done to compare the body image of a child with a chronic disease(Asthma), with that of a normal healthy child, and to determine the relationship between the body image and self concept. The subjects in this study were 36 children being treated for asthma at the allergy clinic of Y University Hospital in Seoul (patient group) and 44 children attending elementary school in Kwanak Ku Seoul (normal healthy group). For the measurement of the body image, the researcher used Secord & Jourard's Body Cathexis Scale, and another scale which was constructed after reading about Osgood's Semantic Differential Method. For the measurement of the self concept, the researcher used Jacox & Stewart's Health Self Concept. The period for data collection was from October 7th to October 27th, 1982. The analysis of data was done by use of Percentage, t-test, Chi-square test, Pearson Correlation Coefficient and ANOVA, The results of the study were as follows: 1. The first hypothesis,“That the chronically ill (Asthma) child will have a more negative body image than the normal healthy child.”was supported. 2. The second hypothesis,“The more negative the body image, the lower the self concept.”was also supported. 3. The researcher failed to obtain statistically significant results in the analysis of the general characteristics which affect the body image except in the case of the older child as compare to the younger Child having a mole positive body image (r=.2751, r=.2481, p<.05). However it was found that, 1) Boy's have a more positive body image than girls (Mean=〔37.81, 141.09〕,〔37.00, 126.54〕), 2) The child who has been hospitalized has a more negative body image than the child who has never been hospitalized (Mean=〔33.25, 122.45〕,〔35.68, 129.93〕). 3) The younger the child when the disease is discovered and diagnosed, the more negative the body image (Onset of illness: Mean=〔31.44, 117.33〕,〔34.00, 103.50〕, 〔35.75, 140.38〕,〔36.33, 130.00〕, Time of Diagnosis: Mean=〔29.00, 117.33〕,〔33.89, 115.00〕,〔33.36, 124.93〕,〔37.10, 139. 20〕). In conclusion the chronically ill(.Asthma) child has a more negative body image than the normal healthy child, and the more negative the body image the lower the self concept. Therefore the concept of body image is useful in understanding the influences of chronic disease on body' image and self concept.

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