• Journal of Hospice and Palliative Care
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• 제25권3호
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• pp.133-137
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• 2022

A 72-year-old woman with metastatic lung cancer to bone and brain and with left external iliac vein thrombosis was under the care of a community palliative care provider. She experienced an acute pain crisis due to acute limb ischemia of the left lower limb. Goals-of-care discussions were held with the patient and her family; she prioritized symptom control and end-of-life care at home. The family and patient were aware of her short prognosis. Her complex pain was managed by the community palliative team, and her family was empowered to give subcutaneous injections. We illustrate a case showing the importance of community health services with palliative care support in providing symptom management and support to patient and family caregivers throughout the course of a life-limiting illness. It also highlights family caregivers' potential psychological distress in delivering subcutaneous injections in terminal care for a patient at home.

• 한국융합학회논문지
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• 제12권12호
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• pp.281-286
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• 2021

본 연구는 COVID-19와 인간의 삶의 질에 대한 기초연구이다. 재난 후 사람들의 삶에 어떠한 변화가 있는지를 밝히고, 이를 토대로 이 시대를 살아가는 모든 대상에게 효과적으로 재난 이후 삶의 만족도를 향상시키기 위한 위기개입 연구의 기초자료를 제공하는 것이 연구의 목적이다. 본 연구는 COVID-19를 경험한 성인 3명을 대상으로 질적연구를 실시 하였다. 연구결과 COVID-19 이전과 이후 삶의 변화는 대상에 따라 달랐다. COVID-19는 분명 우리 사회에 큰 재난이다. 이러한 재난 상황을 슬기롭게 대처하기 위해서는 위기 개입프로그램이 절실하다고 할 수 있다. 대상에 따른 위기 상황에 즉각적으로 초점을 맞추고 현재 어려움을 평가하여 상황에 대해 클라이언트가 느끼는 반응을 파악하여 그들의 분노와 불안 등의 감정을 해소할 수 있는 프로그램이 요청된다고 할 수 있다.

• 한국사회복지학
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• 제59권3호
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• pp.99-124
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• 2007

본 연구는 '유방완전절제술을 받은 여성의 심리사회적 경험은 무엇인가'라는 연구 질문을 가지고 유방완전절제 후 자조집단에 참여하는 여성의 심리사회적 경험을 심층면담과 참여관찰로 탐색한 것이다. 특히 현상학적 이론과 분석방법을 바탕으로 여성이 갖는 유방의 의미와 본질 그리고 유방완전절제술을 받은 후 겪게 되는 독특한 경험을 연구하고자 하였다. 연구 분석을 통해 '삶과 죽음과의 기로', '성(性) 정체성으로 인한 아픔', '사회의 이중적 시각에 억울함', '신체적 장애와 심리적 장애 사이의 갈등', '지지체계에 대한 고마움과 아쉬움', '현실적으로 바라는 소망과 바램'의 본질을 찾게 되었다. 연구 참여자는 여성으로서의 정체성 혼란을 가지지만 삶에 대한 열망으로 자아와 타인과의 끊임없는 내면적 투쟁을 경험하고 있다. 연구 결과에 대한 요약과 제언은 계속 증가하는 유방암 환자들에 대한 정부의 정책과 사회복지 서비스를 현실화 하고 구체화 하는데 유용한 자료가 될 것으로 기대한다.

• 의료법학
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• 제19권1호
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• pp.23-80
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• 2018

정신질환자의 인권이라는 관점에서 우리나라의 정신질환자에 관한 법과 정책도 강제입원과 치료가 중심이 아니라, 정신질환자의 삶에 주목하여 그들의 회복(Recovery)과 사회통합(Inclusion)을 목표로 지역사회에서의 복지와 지원에 중점을 두어야 한다. 정신건강복지법으로의 개정으로 강제입원의 요건과 절차를 엄격하게 강화하였지만, 지역사회에서 정신질환자의 안정적 치료와 사회복귀를 지원할 서비스가 충분히 확보되어 있지 않다. 그 중에서도 지역사회에 복귀한 정신질환자들의 안정적인 치료의 유지와 위기상황에 빠졌을 때에 지원받을 수 있는 서비스 체계를 구축하는 것은 정신질환자의 회복과 지역사회에서 살아갈 권리를 실현하는 데에 매우 중요하다. 이 점에 있어서 미국의 외래치료명령제도와 위기대응프로그램이 많은 시사를 제공해 줄 수 있다. 먼저 미국에서의 외래치료명령제도의 발생과 최신 동향으로부터 다음과 같은 시사를 얻을 수 있다. 첫째, 미국의 AOT와 같이 외래치료명령 신청 주체를 넓게 확대하는 것, 둘째, 사법기관에 준하는 독립성을 갖춘 기관의 심의와 절차적 권리를 보장하는 것, 셋째, 실효성 확보를 위해 정신보건전달체계에도 동일한 내용의 명령을 하는 것, 넷째, 외래치료명령에서 반드시 사례관리를 포함하는 '치료계획'을 수립하는 것, 다섯째, 외래치료명령과 병행하여 동의에 기반한 외래치료지원제도를 시행하는 것, 여섯째, 대상을 자 타해행위의 이력이 있는 입원환자로 제한하지 않는 것에 주목할 필요가 있다. 나아가 지역사회에 복귀한 정신질환자가 병상(病狀)의 변화에 따라 겪게 되는 정신과적 위기상황을 안전하게 극복하기 위해서는 미국의 위기대응 프로그램과 같은 사회서비스의 제공이 반드시 필요하다. 특히 정신과적 위기상황에서 강제입원이나 자살, 중대범죄의 위험으로부터 본인과 타인을 보호하기 위해서 위기대응 프로그램은 중요한 역할을 할 수 있을 것이다. 이때 미국이 경험한 위기대응서비스 제공의 기본원칙과 다양한 형태의 위기대응 서비스가 우리나라의 제도 설계와 운영에 많은 참고가 될 것이다.

• International Journal of Computer Science & Network Security
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• 제21권8호
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• pp.203-211
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• 2021

The article studies the discourse and a legal uncertainty of the popular and generally understandable concept of cybercrime. The authors reveal the doctrinal approaches to the definition of cybercrime, cyberspace, computer crime. The analysis of international legal acts and legislation of Ukraine in fighting cybercrime is carried out. The conclusion is made about the need to improve national legislation and establish international cooperation to develop the tools for countering cybercrime and minimizing its negative outcomes. The phenomenon of nicknames is studied as a semantic source, which potentially generates a number of threats and troubles - the crisis of traditional anthroponymic culture, identity crisis, hidden sociality, and indefinite institutionalization, incognito style, a range of manifestations of loneliness - from voluntary solitude to traumatic isolation and forced detachment. The core idea is that it is the phenomenon of incognito and hidden name (nickname and other alternatives) that is the motivational stimulus for the fact of information trouble or crime.

• 한국항공운항학회지
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• 제31권1호
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• pp.43-56
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• 2023

The aviation industry has continued to grow despite the influence of external environmental factors such as SARS and MERS. However, this growth has led to a sharp decrease in air traffic and a crisis of flight suspension due to the collapse of the global value chain and the decline of the world economy as the World Health Organization (WHO) declared a COVID-19 pandemic. Due to the decrease in the number of international flights, aviation workers such as pilots and cabin crew were exposed to high psychological stress and fatigue, such as large-scale layoffs, job instability, decrease in income, and increased risk of infection during. Recently, the international community has eased immigration restrictions through quarantine activities, and airlines are taking a step further to recover existing air demand. However, during the crisis period, a significant number of professional workers have been turned off or fired, and the physical and mental fatigue of those who can perform their duties is increasing. Therefore, this paper intends to examine the direction of policy improvement and the identification of problems in aviation safety and fatigue management after the pandemic.

• 동의신경정신과학회지
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• 제34권4호
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• pp.453-461
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• 2023

Objectives: Major depressive disorder is a severe disease that is associated with suicidal ideation and behavior. In this case, Korean medicine psychotherapy and Korean medicine treatment were used to treat an adolescent patient with major depressive disorder. Methods: The Beck Depression Inventory, Reynolds Suicidal Ideation Questionnaire, and Crisis Triage Rating Scale were used as psychological evaluation scales. Korean medicine psychotherapy focuses on Giungoroen-therapy and IiGyeungByunQi-therapy and Korean medicine treatment combined with acupuncture, moxa, and herbal medicine. Results: Comparison before and after treatment showed improvement in clinical symptoms, Beck Depression Inventory, Reynolds Suicidal Ideation Questionnaire, and Crisis Triage Rating Scale. Conclusions: As a result of applying Korean medicine, psychotherapy and Korean medicine treatment reduces to an adolescent patient with major depressive disorder, depression, suicidal thoughts, and suicidal behavior.

• 대한불안의학회지
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• 제15권1호
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• pp.45-52
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• 2019

Objective : The objective of this study is to determine the effects of fear of Middle East respiratory syndrome (MERS) on socio-psychological health during an outbreak of MERS and the post-traumatic stress as a mediator on the relationship between stress and socio-psychological health. Methods : Visual Analog Scale, Impact of Event Scale -Revised, Psychosocial well-being index short form was implemented for 150 medical persons who worked at the hospital in which exposure to MERS cases had been confirmed and 96 ordinary people. A Pearson correlation coefficient and a hierarchical multiple regression was carried out to confirm the effect of fear of MERS and the mediating effect of post-traumatic stress between fear and socio-psychological health. Results : The higher the fear, the lower the socio-psychological health in both healthcare workers and the public (r=0.32, p<0.01) and the higher post-traumatic stress (r=0.32, p<0.01). But, the research results showed that only healthcare workers had a partially mediating effect of post-traumatic stress in the relationship between fear and socio-psychological health (${\beta}=0.45$, t=6.33 p<0.001), (${\beta}$ value : 0.39>0.26). Conclusion : This study demonstrated that the post-traumatic stress can indirectly lead to a negative effect on the socio-psychological health of healthcare workers when under the fear of MERS and shows adverse effects on psycho-social wellbeing. This suggests that clinical intervention and psycho-social approach aiming at reducing post-traumatic stress is important to maintain mental health during crisis development.

• Asian Journal for Public Opinion Research
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• 제8권4호
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• pp.478-492
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• 2020

The COVID-19 global health crisis has affected the mental and psychological health and well-being of the people around the world. However, little is known about the impact of COVID-19 among Filipino teachers. This study was conducted to determine the impact of the COVID-19 pandemic on the quality of life (QoL) of professional teachers in the Philippines. A descriptive cross-sectional study was used involving 139 licensed professional teachers. The COVID-19 Impact on Quality of Life (COV19-QoL) was the primary measure used in this study. Descriptive statistics, t-test, and one-way ANOVA were the statistical tools employed to analyze the data. Results indicated a moderate COVID-19 impact on the QoL of the teachers. There was a significant difference in the impact of COVID-19 on QoL by degree program. However, the impact of COVID-19 on QoL did not significantly differ by age, sex, marital status, employment status, monthly salary, presence of a COVID-19 case near their residence, personal knowledge of someone who was infected or died of COVID-19, presence of a medical condition, and perceived threat. The psychological well-being and QoL of teachers must be recognized and teachers must be provided with support as they continue to adapt to the impact brought by the COVID-19 pandemic. This study contributes to the growing literature on the impact of the pandemic.

• Journal of Nutrition and Health
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• 제54권1호
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• pp.1-9
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• 2021

This review describes the risk factors of the nutrition crisis in coronavirus disease 2019 (COVID-19) infections and suggests precision nutrition against long-term psychological and physiological stress. The mandatory quarantine and the social distancing are associated with an interruption of the lifestyle routine, resulting in psychological (i.e., boredom) and physiological stress. The stress with multiple causes and forms induces over-compensation of energy-dense food, such as sugary comfort food, and is defined as "food craving" because carbohydrates positively affect the psychological stability with serotonin secretion. The consumption of foods that promote an immune response against viral infections (vitamins & minerals; Cu, folate, Fe, Se, Zn, and Vit A, B6, B12, C, and D), reduce inflammatory cytokines (w-3 fatty acids, Vit D, fibers, and Mg), contain antioxidants (beta-carotene, Vit E, C, Se, and phenolics), and sleep-inducing proteins (serotonin, melatonin, and milk products) is essential. In addition, a reduced Vit D deficiency in winter due to less time spent outdoors under quarantine has been reported to be associated with viral infections. The case fatality rate of COVID-19 was significantly dependent on age, sex, race, and underlying health condition. To prevent malnutrition and cachexia in elderly people, weight loss and muscle wasting should be monitored and controlled. Inadequate protein intake, sedentary lifestyle, and inflammation are significant risk factors for sarcopenia. Moreover, relatively high intakes of fat or carbohydrate compared to low protein intake result in abdominal obesity, which is defined as "sarcopenic obesity." Keeping the food-safety guidelines of COVID-19, this study recommends the consumption of fresh and healthy foods and avoiding sugar, fat, salt, alcohol, and commercially frozen foods.