• Title/Summary/Keyword: mental act

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Current State of Vocational Rehabilitation Program for Individuals with Disabling Mental Illness in Korea (우리나라 정신장애인 직업재활 현황 조사연구)

  • Han, Myung Hun;Kim, Ji-Woong;Kim, Do Yoon;Park, Hye Sun;Park, Hanson;Hwang, Tae-Yeon;Seo, Yongjin;Kim, Seung-Jun;Im, Woo-Young;Lee, Sang Min
    • Korean Journal of Psychosomatic Medicine
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    • v.25 no.2
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    • pp.145-152
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    • 2017
  • Objectives : There has been long lasting trend of deinstitutionalization and public health centered care in management of individuals with disabling mental illness. We aimed to investigate current vocational rehabilitation state and effectiveness of system in korea. Methods : We carried basic survey via telephone and e-mail beforehand to figure out how many and which institutions are operating vocational rehabilitation programs to psychiatric patients. A questionnaire packages were sent to total of 108 institutions in Korea which were operating occupation rehabilitation program. Results : Of 108 institutions, 40.74% were returned with answers. The person in charge of vocational rehabilitation at each institution was mainly mental health social worker(48.8%), and the budget under \1,000,000 was the majority(61.5%) among surveyed institutions. The most commonly used vocational rehabilitation programs was case management(23.1%), followed by psychosocial rehabilitation program(21.2%), and on-the-job training(17.9%). The most effective program was case management(27.4%), followed by psychosocial rehabilitation program(19.8%), on-the-job training(17.9%). The main barrier of occupation rehabilitation to be conducted widely was 'worries about being excluded from beneficiary of National Basic livelihood Protection Act'. Conclusions : Our results suggest that, in spite of high demand in vocational rehabilitation programs, government financial support is still lacking.

Process of Coping with Domestic Violence of Marriage Immigrant Women (결혼 이주 여성의 가정폭력 대처과정에 관한 근거이론 접근)

  • Ko, Ki-Sook;Jeong, Mee-Kyung
    • The Journal of the Korea Contents Association
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    • v.12 no.10
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    • pp.254-279
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    • 2012
  • This research aims to suggest a practical solution in order to make marriage immigrant women free from violence and stand on their own. The suggestion could be made by developing Substantive theory in terms of marriage immigrant women's coping with domestic violence. The research question is; How marriage immigrant women cope with domestic violence. The research used a route theory approach, and 11 of marriage immigrant women who have ever suffered from domestic violence participated in it. The research question used semi-structured open questions. As a result of paradigm model analysis, "mental and physical devastation" is defined as a core phenomenon, and causative conditions are "wheel of pain" and "helpless victims of violence". Besides, context conditions are "period growth with solitariness", "irrational marriage" and "indifferent reality". "Mental and physical devastation", the core phenomenon act and interact with effect of mediatory conditions; which are "social help", "cultural difference" and "helplessness". Here the action and reaction appear as "adaptation", "resistance", "self-protection" and "self-reinforcement", and the outcomes show up as "maintaining reality", "decision making" and "beginning a new life". "Coping with mental and physical devastation and standing on one's own feet" could be introduced as a core category. Process of coping with domestic violence presents its levels as; shocks ${\rightarrow}$ endurance ${\rightarrow}$ regret ${\rightarrow}$ overcoming. There are three patterns of coping, which are; "preserving realities", "returning", and "groping for the future".

The Dopamine $D_2$ Receptor Locus as a Modifying Gene in Korean Schizophrenia, Alcoholism and Drug Addiction (정신분열증, 알코올중독, 약물중독에서 도파민 $D_2$ 수용체 유전자의 조절유전자(modifying gene)로서의 역할 - 충동적.강박적.탐닉적 행동을 나타내는 정신질환들에서 도파민 $D_2$ 수용체의 조절유전자로서의 역할 -)

  • Jung, Hyun-Mo;Lee, Hong-Seock;Chang, Dong-Won;Lee, Min-Soo
    • Korean Journal of Biological Psychiatry
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    • v.4 no.2
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    • pp.225-233
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    • 1997
  • The authors attempted to examine the allelic association between the A1 allele of Dopamine $D_2$ receptor and schizophrenia, alcoholism, drug addiction in Koreans. Schizophrenic patients(n=31), alcoholism(n=65), drug addiction(n=18) and controls(n=52) were examined by case-control study for distribution of the TaqI polymorphism of the dopamine $D_2$ receptor gene in Korean population to minimize the effect of racial differencies in gene frequencies. In schizophrenics, the numbers of schizophrenics with A1A1, A1A2, A2A2 were 9(29.0%), 15(48.4%) and 7(22.6%) respectively and in alcoholics with A1A1, A1A2, A2A2 were 14(21.5%), 36(55.4%) and 15(23.1%) respectively and in drug addiction with A1A1, A1A2, A2A2 were 2(11.1%), 10(55.6%) and 6(33.3%) respectively and in controls with A1A1, A1A2, A2A2 were 4(7.6%), 24(46.2%) and 24(46.2%) respectively. The prevalence of the A1 allele in schizophrenics, alcoholics, drug addiction and controls were 77%, 76.9%, 67% and 53.8% respectively. And the frequency of the A1 allele in schizophrenics, alcoholics, drug addiction and controls were 0.53, 0.49 0.39 and 0.31 respectively. There was significant difference in the frequency of the A1 allele between schizophrenics, alcoholics and controls. We also classified our alcoholic population. For classification by severity, we used the median MAST score 30 in our samples. There was also significant difference in the frequency of the A1 allele between less severe group(0.42) and more severe group(0.57). This data suggest that the A1 allele is associated with schizophrenia and alcoholism in Koreans. Furthermore the prevalence of the A1 allele increassed in more severely affected alcoholics. The authors conclude that our data support an allelic association between the A1 allele at dopamine $D_2$ receptor and schizophrenia, alcoholism. These results suggest the A1 allele of the $DRD_2$ gene is associated with a number of behavior disorders in which it may act as a modifying gene rather than as the primary etiological agent.

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A Study on the Daily Hassles and Health-Related Quality of Life of Middle-Aged Women: Focusing on the Mediation and Buffering Effects of Spiritual Well-Being and Coping Styles (중년 여성의 일상생활스트레스와 건강 관련 삶의 질에 관한 연구: 영적 안녕과 대처기제의 매개효과와 조절효과를 중심으로)

  • Kim, Jean-Ie
    • Korean Journal of Family Social Work
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    • no.54
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    • pp.41-75
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    • 2016
  • This study explored the impact of daily hassles and the mediated effect of spiritual well-being and the moderated effect of coping styles on health and depression of middle-aged women. Subjects for this study were 230 Christian midlife women attending in the 10 churches on the metropolitan area. The data was analyzed using path analysis and moderator effect model with the structural equation modeling. Daily hassles are found to act as causes that damage physical or mental health and also elevate the level of depression. Daily hassles have a direct impact on health and depression, and at the same time, they also produce a partial mediation effect on spiritual well-being as a mediation factor. In other words, daily hassles impede spiritual well-being, and the deteriorated spiritual well-being, although its connection to physical health is not clear, is shown to damage mental health and elevate the level of depression. Analysis of coping styles related to the relationship between daily hassles and health and depression showed that, of the 12 coping styles, three, namely, self-criticism, positive interpretation and self-control, produced significant buffering effects. This study hopes to reveal the mediation factors that can minimize negative impact in the relationship between middle-aged women's daily hassles and healthiness and provide the basic material for figuring out practical implications and policy measures regarding the issue.

A Study of Effectiveness of Outpatient Treatment Orders and Compliance with Outpatient Treatment (외래치료 명령제의 실효성과 외래 치료 순응도에 관한 연구)

  • Jang, Seung-Ho;Park, In-Hwan;Lee, Sang-Yeol;Roh, Suhee;Seo, Jeong-Seok
    • Korean Journal of Psychosomatic Medicine
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    • v.25 no.1
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    • pp.46-55
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    • 2017
  • Objectives : Outpatient treatment orders refer to a mandatory social program in which mentally ill persons are ordered by the court to participate in specified outpatient treatment programs. This study aimed to investigate the factors that affect outpatient treatment orders and adherence to outpatient treatment in mental health patients. Methods : A survey on outpatient treatment orders and adherence to outpatient treatment was conducted on 60 psychiatrists between October and November 2016. The questionnaire items were drafted based on a literature review, and they were then evaluated by 3 psychiatrists and 1 law school professor before being finalized. Answers from the respondents were analyzed using descriptive statistics, and the median, maximum, and minimum values of the effectiveness scores of outpatient treatment orders were calculated. Results : Among the 60 psychiatrists, 45(75.0%) were aware of outpatient treatment orders; however, only 2 out of the 45(4.0%) had actually used the program in the last 12 months. The subjective effectiveness was very low, with only 40 points out of 100. Furthermore, of the readmitted patients, 37.7% had received continued outpatient treatment, whereas 53.1% chose to quit the outpatient treatment programs, meaning that the number of dropouts was higher. Among the discharged patients, approximately two-thirds were receiving continued treatment. With regard to follow-up for dropouts, majority of the responses were either "Not taking any action"(n=27) or "Not following up"(n=15). Only two respondents answered "Contact the community mental health promotion center," meaning that this response was very rare. Meanwhile, when asked about efficient measures to be implemented for dropouts, a vast majority of the respondents(n=30) selected the answer "Work with the community mental health promotion center." Conclusions : The outpatient treatment orders currently being administered were found to be ineffective, and the associated adherence to outpatient treatment was also found to be extremely poor. Hence, the effectiveness of the therapeutic interventions could benefit from institutional as well as administrative improvements. Community mental health promotion centers are expected to have an important role in the future.

A Study on Volunteerism for Beauty Services (뷰티 자원 봉사활동에 관한 실태 조사)

  • Ji, Jeong-Hun;Choi, Keun-Hee
    • Journal of the Korean Society of Fashion and Beauty
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    • v.4 no.4 s.10
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    • pp.75-80
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    • 2006
  • There are three goals of college students volunteerism. First, to act up to community needs. Second, to strengthen the academic ability and social responsibility, required skill as a citizen. Third, to provide opportunity for students quantitatively as well as qualitatively. We have many social backgrounds why we need beauty volunteerism but, if we summarize, things going like this, 1. An advanced age has come, and most of the elderly citizens are suffering from financial difficulties. 2. They have strong desire for youth regardless their physical mental aging. 3. The elderly citizens: living in solitude, the disabled, war veteran's family and low-income family. 4. The coverage of beauty is getting various and has many services areas. Up to present, beauty services are just limited to hair but skin and make-up have the various ways. This study final aims are how to do effective healthy volunteer activity and develop a program to fit according to each person's major, improve the curriculum in order to have effective volunteerism.

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Transcendency and Embracement in Fashion Designs

  • Shin, Young-Sun
    • Journal of Fashion Business
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    • v.6 no.6
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    • pp.56-67
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    • 2002
  • Fashion designs reflect the trend of the times embedded within the cultural structures of eastern and western civilizations as well as the traditional styles. However, the motives in fashion designs fundamentally come from human beings' willingness for creation through deep understand of nature or using symbolism and artificial esthetic appreciation. Mankind has expressed their willingness for creation through speculation not with the attitude of conquering nature but by acknowledging the flow between their lives and nature. The purpose of this paper is to investigate human beings' transcendental and embracing attitude toward the natural environment and the human environment in fashion design. In natural environment factors, sublimity toward nature's marvelous powers and the transcending state of mind within happiness and delight or the extreme fear or unavoidable coerciveness and the consequential daunting feelings and smallness, and sorrow all stimulate the will of mental speculation and cause a transcending sublimity. A sublime state of mind does not exist in a superficial framework of enjoyment. It is rather an act of transcendence and embracement residing in a sublime object and leading man's spirit into a state of philosophical thought. Also, in man-made Environment factors, we found from magnanimity we were ability to see the true nature of an era's culture.

Differential Effects of Typical and Atypical Neuroleptics on Mitochondrial Function In Vitro

  • Josephine, S.;Napolitano, Modica;Lagace, Christopher-J.;Brennan, William-A.;Aprille, June-R.
    • Archives of Pharmacal Research
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    • v.26 no.11
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    • pp.951-959
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    • 2003
  • A series of typical (chlorpromazine, haloperidol and thioridazine) and atypical (risperidone, quetiapine, clozapine and olanzapine) antipsychotics were tested for effects on integrated bioenergetic functions of isolated rat liver mitochondria. Polarographic measurement of oxygen consumption in freshly isolated mitochondria showed that electron transfer activity at respiratory complex I is inhibited by chlorpromazine, haloperidol, risperidone, and quetiapine, but not by clozapine, olanzapine, or thioridazine. Chlorpromazine and thioridazine act as modest uncouplers of oxidative phosphorylation. The typical neuroleptics inhibited NADH-coenzyme Q reductase in freeze-thawed mitochondria, which is a direct measure of complex I enzyme activity. The inhibition of NADH-coenzyme Q reductase activity by the atypicals risperidone and quetiapine was 2-4 fold less than that for the typical neuroleptics. Clozapine and olanzapine had only slight effects on NADH-coenzyme Q reductase activity, even at 200 $\mu$ M. The relative potencies of these neuroleptic drugs as inhibitors of mitochondrial bioenergetic function is similar to their relative potencies as risk factors in the reported incidence of extrapyramidal symptoms, including tardive dyskinesia (TD). This suggests that compromised bioenergetic function may be involved in the cellular pathology underlying TD.

A Study on the Characteristics of Clothing and Configuration of Item in Foreign Adaptive-Clothing for the Disabled Seniors (국외 거동불편노인을 위한 기능성의류에 나타난 의복의 특성 및 아이템 유형)

  • Lim, Hyun-Jung;Lee, Kyoung-Hee
    • Fashion & Textile Research Journal
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    • v.13 no.1
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    • pp.17-24
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    • 2011
  • This study aims to provide basic materials for adaptive-clothing development for disabled seniors by considering the characteristics of design with both functionality and beauty, which is displayed to overseas functional clothing for disabled seniors. After 341 photographs from 15 overseas websites which sold adaptive-clothing for disabled seniors were collected, their designs were analyzed. The content analysis and frequency analysis using the descriptive statistics were performed as the analytical methods for this study. The results are as follows; first, the design of buttons uses snap fasteners, zippers, Velcro fasteners and rubber bands so as to attach easily and keep fasteners unseen. Second, the used open system is the Back open, the Side open, the Front open and the Hip open. Third, in terms of design, the change follows easy and loose silhouette in order to act comfortably outdoors as well as indoors by making the design of onepiece dresses, jackets and cardigans similar to ordinaries. From the details aspect, a few trimmings such as color, patterns, ruffles around edge, laces and smooth shirring do not stand in the way and give mental please.

A Study on the Characteristics and the Disaster Prevention Measures of Incendiary Fire (방화(放火)화재의 특성 및 방재대책에 관한 연구)

  • Choi, Jin
    • Fire Science and Engineering
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    • v.22 no.5
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    • pp.9-21
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    • 2008
  • The objective of this study is to suggest a fire prevention measure for suppressing and preventing loss of precious human lives and property damages. The characteristics of incendiary fire are analyzed in terms of fire engineering to review a plan for promoting for coping with the risk. In this study, a medical aspect such as mental and psychological analysis of the motive or act of an incendiary and legal and administrative problems such as the penalty for the incendiary are not included in the scope of the study. Fire statistics data of Korea, Japan, and U.S. are investigated for analysis of actual states of incendiary fire occurrences. In particular, to quantitatively recognize the burning characteristics of common fire and the burning characteristics of incendiary fire, a fire model test and computer simulation were performed. And a plan for promoting the optimal incendiary fire prevention measure were suggest.