• Journal of Hospice and Palliative Care
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• 제18권1호
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• pp.1-8
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• 2015

돌발성 암성 통증은 상대적으로 기저 통증이 규칙적인 진통제 사용으로 잘 조절됨에도 발생하는 일시적인 통증의 악화이다. 돌발성 통증은 암성 통증을 가진 환자에게서 매우 흔하여, 전체적으로 70~90%의 유병률을 보인다. 이는 삶의 질에 부정적인 영향을 끼치는데, 일상 생활 능력의 감소나, 사회적인 관계성 저하를 비롯하여 우울과 불안의 유병률이 높아진다. 게다가 가족과 사회, 건강 보험 재정에도 큰 부담을 준다. 돌발성 통증은 병태학적 기전에 따라 특발성(또는 자발성) 통증과 사건 통증으로 나눌 수가 있다. 각각의 돌발성 통증 삽화는 전형적인 특징을 보이는데 5~10분 이내에 통증이 최대가 되며, 심한 통증 강도, 30-60분 이내에 소실되는 짧은 지속시간 등이 있다. 그러나 지속시간과 통증의 강도에는 환자마다, 같은 환자라도 다소 차이가 있을 수 있다. 그러므로 매 통증마다 철저한 평가가 필요하고, 치료 계획은 최적의 치료를 위해 개별화가 되야 한다. 옥시코돈, 모르핀, 하이드로모르폰과 같은 여러 속효성 경구 제제들이 상대적으로 느린 진통 효과에도 불구하고 널리 사용되어 왔다. 점막 흡수형 펜타닐 제제는 경구 마약성 진통제의 이런 한계를 극복하기 위해 개발되었다. 여러 연구에서도 점막 흡수형 펜타닐 제제가 돌발성 통증 조절에 좀 더 빠른 효과를 보이는 것으로 보고하고 있다. 저자들은 각각의 환자와 통증삽화에 따른 좀 더 효율적인 진통제를 사용함으로 돌발성 통증 조절이 개선되기를 기대한다. 그리고 한국인들을 대상으로 각각의 마약성 진통제의 효과와 비용 대비 효율성을 평가하는 추가 연구가 필요할 것으로 생각한다.

• 가정과삶의질연구
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• 제27권4호
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• pp.31-39
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• 2009

The purpose of this study is to how the music therapy effects to older person's self-esteem feeling and a emotional mood improvement after reminiscence therapy through songs. The object of this research were 10 old men and women, age of 67 to 90 with dementia, and mental and physical dysfunction, but can be self-walking and the stool was made up in social welfare center in the Yuseong-gu, Daejeon-city, The experiment of the research was done from June 18th until July 18th, week 2 each 50 minutes the total 12 times. This study was an experiment, the treatment of a same group before and after treatment. Before the first session I check the self-esteem and emotional mood. And after the final 12th session, post-therapy examination was conducted the same tests. The tools of Self-esteem test is the self-esteem scale developed by Rosenberg(1965) and Jun Byung-se(1974), which was translated. Emotional state check tools developed by MoNair(1992), which was translated by Yun Jae-ryang, and it can also apply to the Korean older person has been modified by Shin yon-hee. The results of changing mood state to 3 factors are as follows: The score of anxiety-depression factor changes from 50.42($\pm$14.15) to 35.10($\pm$10.60), and this is statistically significant.(p<.05). The score of anger factor changes from 11.20($\pm$4.39) to 6.90($\pm$2.51), and this is statistically significant.(p<.01). The score of vitality factor Changes from 30.00($\pm$4.27) to 23.90($\pm$5.09), and this is Statistically significant.(p<.05). For this research, I selected older person's favorite songs which have a positive lyrics and bright melody. And This has significance in terms give positive effects to older person's emotion which influence on their self-esteem and better mood positively. In the clinical treatment for the elderly to improve the positive sentiment and give practical assistance on the basis of this research is done to the future, And I look forward to the future development of a variety of music therapy.

• Journal of Preventive Medicine and Public Health
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• 제36권4호
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• pp.390-398
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• 2003

Objectives : To evaluate the degree of adolescent internet addiction, and investigate its relationship to the general characteristics, internet environments, and contents, especially the stress measured by the psychosocial wellbeing index-short form(PWI-SF). Methods : The data was obtained from self-administered questionnaires from 886 11th grade urban area students. The questionnaires consisted of general characteristics, internet user's environments, frequencies by internet contents, internet addiction test and PWI-SF. Results : The possible rate of internet use at home was 95.1%, and the area of most internet use was the home. The frequencies of internet game and porno site use were higher in males, with web searching and community uses higher in females. The total mean of internet addiction score was 56.8, and was higher for male than for female students. From multiple regression, as analyzed by the internet addiction score as a dependent variable, on-line friends, internet use times, years of internet use, frequencies of internet game, & porno site use, and PWI-SF scores were significant in male. Internet use times, the frequencies of internet game, chatting, community use, and PWI-SF score were significant in female. Four PWI-SF subscales(social role & self reliability, depression, general health & vitality, and sleep disturbance & anxiety) and internet addiction were significantly correlated in both male and female students, with depression having the most correlation. Conclusion : The results of this study suggest that intervention should be provided to prevent internal addiction, especially for coping with stress in Korean teenage students.

• 대한간호학회지
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• 제26권2호
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• pp.483-496
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• 1996

The purpose of this study was to describe how Korean nurses overcome the language barrier while working in the U.S. hospital settings. Twelve Korean nurses living in New York metropolitan area were asked open-ended, descriptive questions to collect the data. The interviews were done in Korean. All interviews were audiotaped under the permission of the participants and were transcribed verbatim. The data were analyzed using grounded theory analysis. The research process consisted of two phases. In the first phase 8 Korean nurses were interviewed and analyzed. In the second phase, further data were collected to verify categories and working hypotheses that were emerged from the first phase. The results of this study show that all Korean nurses experienced severe psychological stress such as confusion, anxiety, frustration, loss of self-confidence, embarrassment, guilt, depression, anger, and fear. Among the mode of communication such as listening, speaking, leading, and writing, they had the most difficulty in speaking. Speaking ability was especially important for them because of the emphasis of individualism and self-defense in the U.S. Among the verbal communication modes, non-face-to-face communications such as phone conversation and body language were the most difficu1t for them to overcome. It took at least 2 years for the participants to initially overcome the language barrier in U.S. hospitals. After 2-5 years they began to feel comfortable even in non-face-to-face communication. They could actively search for the better place to work after 5 years. They finally felt comfortable in English and in their job almost after 10 years. The factors that influenced the English improvement were ‘the years of clinical experience in Korea’, ‘the decade they came to the U.S.’ ‘coming to U.S. alone or with other Korean nurses’, ‘racial homogeneity or heterogeneity of the working unit’, and ‘the degree of social support’. The strategies Korean nurses used to overcome the language barrier included depending on the written communication, using ‘nunchi’, working and studying hard, and establishing good interpersonal relationships with co-workers. They also employed assertive behavior of the U.S., such as using more explicit verbal language and employing smiles and eye contact with others during the conversation. The results of the study may help Korean nurses and nursing students who try to work in U.S. hospital settings by understanding problems other Korean nurses faced, factors that influenced their English improvement, and strategies they used. They may also help U.S. nurses and administrators in developing and implementing efficient programs for newly employed Korean nurses by understanding major problems and feelings the Korean nurses experienced and strategies they used to overcome the language barriers.

• 한국의상디자인학회지
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• 제4권1호
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• pp.61-72
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• 2002

This paper is the second part of a series of the research about the Teddy boy style which is to examine various fashion changes in subcultural styles in 1900s. The main concern of this research is to investigate the creation and meaning of the Teddy boy style, how it interacted with the elements of class and generation and how the materials needed by the group constructed and appropriated into the visible systematic cultural form of correspondence. The Teddy Boys are the first recognized members of the British youth culture, which is known as the new Edwardian because of their dress. They had created the concept of the "teenagers," which forms the basis of the sense of a "generation" in the 20th century. The Teds set the style that would be used and modified in the following generations. They adopted the Edwardian style of the upper class, and changed it into their own style by modifying it and adding to it some other elements. The Teddy boys style is a special version of the sartorial appropriation encountered in the sphere of the fashion history. It actually began immediately after the war by the upper class youth far from the working class neighborhood. In the late 1953, the elitist aura surrounding the Edwardian suit was suddenly shattered. Within just a few months, the Edwardian suit became a source of social anxiety and the focus of a symbolic battle. Although the Edwardian look had initially went back to the upper class root, it became a symbol of rootlessness. In appropriation of this image, The Teddy boys were also rejecting the sartorial conformism of the English working class with its modest tradition. In this respect, the Teds effected the ascent or fall of the working class in the area of fashion. The Teds dress was not a merely borrowed fashion, but was a bastard fashion in the form of American trends, the Zoot suit. At this time members of the working class possessed only work dress for the week and waist suits for the Sunday outings. Teds broke this pattern, and developed the working class dandyism of wearing clothes simply to show off. The results were that they succeeded in opening the teen market, and popularizing a working class style for the first time in British history. The Teds became the first British street style with ties music, and remain as an symbol of the rising of a new age of values and styles.f values and styles.

• 대한치과기공학회지
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• 제32권1호
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• pp.25-34
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• 2010

This study was the study verifying dental technicians' motivation and job satisfaction in Seoul through the positive method as well as its purposes were to investigated the effect of dental technicians manpower supply/demand prospect on motivation, job satisfaction and the effect of other job satisfaction factors on dental technicians motivation and job satisfaction. For then, general characteristics of study objects were classified by sex, married/unmarried, age, career, salary, highest level of education, working place, position and job as well as job satisfaction factors were classified with future supply/demand prospect, future prospect, working hours, working environment and salary. We conducted a frequency analysis, crossing analysis and multi-linear regression analysis about the effect of the classified articles on motivation and job satisfaction. Also, for verifying the relationship of motivation and job satisfaction, we conducted correlation analysis and its result is as followed. First, it showed that the job related with making orthodontic appliance influenced on motivation, among the age, career and job of the general characteristics, and other jobs between working place and job influenced on job satisfaction. Second, the dark future prospect was showed to influence on motivation and job satisfaction highly so we could grasp that negative opinions are included in that. And low-paying was showed to highly influence on job satisfaction s fall so we could grasp the subjective low-salary standard at the present. But we expected that the manpower supply/demand prospect would influence on motivation and job satisfaction but there was little influence. Third, the correlation between motivation and job satisfaction was showed to be somewhat high, motivation had the standard which is above average and job satisfaction had the standard which is below the average. So with a little improving of job satisfaction, it s possible that motivation can be very high. Therefore, in rapidly changing generation, we think that the dental technicians are actively coping with the reality of low-paying and high-working. But it's implying that anxiety for uncertain future was reflected. Furthermore, because institutional strategies for dental technicians' efficient management are insufficient in relation with policies so it's necessary the policy consideration for solve the job-unsatisfying factors actively.

• Journal of Preventive Medicine and Public Health
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• 제41권5호
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• pp.307-314
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• 2008

Objectives : We conducted an epidemiologic survey to evaluate the effect of the aircraft noise exposure on the health of the residents near the military airbases in Pyeongtaek City. Methods : The evaluation of environmental noise level, questionnaire survey, and health examination were performed for 917 residents. The study population consisted of four groups: subjects who lived in the village close to the fighter airbase (high exposure), subjects who lived along the course of fighters (intermediate exposure), and subjects near a helicopter airbase, and the control group. Results : The prevalence of the aircraft noise related accident and irritable bowel syndrome in the exposure groups were higher than that of the control group. The risks of noise induced hearing loss, hypertension and diabetes mellitus were higher in the exposed groups than in the control group. The prevalence of anxiety disorder and primary insomnia were higher in the exposed groups than in the control group. Prevalence odd ratios of the risk for primary insomnia after adjusting age, sex, agricultural noise, and occupation were 4.03 [95% confidence interval (95% Cl) 1.56-10.47] for the subject near the helicopter airbase, 1.23 (95% Cl 0.40-3.76) for those intermediately exposed to fighter noise, and 4.99 (95% Cl 2.14-11.64) for those highly exposed to fighter noise. Conclusions : The results of the present study suggest that the aircraft noise may have adverse effects on hearing function, cardiovascular health and mental health. Therefore, it seems to be needed to take proper measures including the control of the aircraft noise and the management of the exposed people's health.

• 한국콘텐츠학회논문지
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• 제20권5호
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• pp.457-466
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• 2020

본 연구의 목적은 최근 확산되고 있는 코로나19의 뉴스 빅데이터를 활용하여 언론을 통해 사회적으로 형성되고 있는 주요 의제가 무엇이며 어떻게 변화하는지 파악해, 추후 언론보도의 방향성을 제안하는 것이다. 이를 위해 2019년 12월 31일부터 2020년 3월 11일까지 보도된 47,816건의 뉴스 빅데이터를 감염병 위기경보 4단계(관심-주의-경계-심각)를 기준으로 4개 시기로 구분하여 토픽모델링 분석을 실시해, 총 20개의 토픽을 도출하였다. 토픽 모델링 분석 결과를 토대로, 본 연구에서는 다음 사항들을 제안하였다. 첫째, '불안', '공포' 등의 자극적인 표현을 자제하고 중립적이고 객관적인 보도용어 사용이 필요하다. 둘째, 단순 사건보도식 뉴스제작을 탈피하여, 더욱 심층적이고 맥락적인 뉴스 제작이 요구된다. 셋째, 감염병 관련 상황별 세부 위기커뮤니케이션 매뉴얼 마련이 필요하다. 넷째, 시민주도의 위기 극복노력을 중점적으로 조명하는 보도가 필요하다. 본 연구는 코로나19 뉴스 빅데이터를 토픽모델링 분석방법을 활용하여 분석한 최초의 논문이라는 학술적 의의와 국가 위기커뮤니케이션 정책개발의 기초자료로 활용될 수 있는 정책적 의의를 가진다.

• 한국산학기술학회논문지
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• 제19권2호
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• pp.497-507
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• 2018

본 연구는 암생존자의 삶의 질에 대해 보다 면밀한 검토를 통해 이들을 위한 서비스 및 정책 마련을 위한 기초자료를 제공하고자 수행되었다. 이에 본 연구는 사회문화적 영향을 다르게 수용하게 되는 성차(gender difference)를 중심으로 암생존자의 삶의 질의 차이와 예측 요인들의 상대적 영향력을 검증하였다. 이를 위해 국민건강영양조사 제 6기 중 2013년 자료에서 추출한 암생존자 203명을 표본으로 남녀 집단간 삶의 질 평균차이 검증과 위계적 회귀분석을 실시하였다. 그 결과 삶의 질의 하위 영역 모두에서 여성이 남성에 비해 낮은 삶의 질을 보였으며, 전체적인 삶의 질에 있어서도 여성의 삶의 질은 유의미하게 낮았다. 위계적 회귀분석 결과, 성차에 따른 예측 변인이 다르게 나타났는데 남성은 주관적 건강인식이 유의한 정적 영향을 미치고 있었으며 여성은 미충족 의료욕구(unmet medical need)가 가장 큰 예측력을 가진 유의미한 변인으로 부적 영향을 미치고 있었으며, 또한 연령이 높을수록 삶의 질이 낮았으며, 주관적 건강인식과는 유의미한 정적 관계를 보였다. 이러한 결과를 통해 성차를 고려한 암생존자 관리의 방향성 제고가 필요하며 여성암생존자 중 고령, 건강상태가 좋지 못한 경우, 의료서비스의 접근성이 낮은 집단에 대한 보다 집중적 서비스를 마련해야하는 등의 실천적 함의와 후속연구에 대한 제언을 제시하였다.

• 한국산학기술학회논문지
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• 제19권2호
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• pp.508-515
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• 2018

본 연구의 목적은 예술분야 대학생들의 진로지도에 관한 국내 연구 동향을 분석하여 향후 연구의 시사점을 제공하는데 있다. 이를 위해 2006년부터 2016년까지 연구된 학술지 게재 논문과 석 박사학위 논문 총 74편의 논문을 연구시기, 연구주제, 연구방법, 성별, 학년별, 예술분야별로 분석하였다. 분석결과, 연구주제는 6가지 분석기준에서 적응 행동 경험과 관련된 주제가 총 24편(32.5%)으로 가장 많이 연구되었음을 알 수 있다. 성별연구에서는 남녀 전체 대상의 연구가 전체의 96%로 대부분을 차지하고 있으며, 학년별 연구에서는 전 학년을 대상으로 한 연구가 49편으로 전체의 66%로 가장 많았다. 연구방법에서의 동향을 살펴보면, 양적연구는 모든 주제에서 연구가 진행되었다. 예술분야별 연구동향에서는 무용(발레, 한국무용, 현대무용 포함)분야 연구가 54건으로 전체의 73%를 차지하고 있어 가장 많은 연구가 이루어졌으며 주제별로도 고르게 연구되고 있음을 알 수 있다. 진로지도 연구는 아직까지 세분화된 특성을 반영한 연구가 미미하게 이루어지고 있으며, 전체적으로 연구의 수가 충분히 축적되지 않아 분류하기에는 어려움이 있으며, 앞으로는 다양한 관점과 사회적 이슈, 학생들의 전공분야, 학년, 성별, 다양한 연구방법을 반영한 연구가 확대되어야 할 것이다.