• Title/Summary/Keyword: social suffering

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Effects of Cognitive Behavioral Therapy on Attention Deficit Hyperactivity Disorder among School-aged Children in Korea: A Meta-Analysis (한국 학령기 ADHD 아동을 위한 인지행동중재의 효과 연구: 메타분석)

  • Park, Wan-Ju;Park, Shin-Jeong;Hwang, Sung-Dong
    • Journal of Korean Academy of Nursing
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    • v.45 no.2
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    • pp.169-182
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    • 2015
  • Purpose: This study was a meta-analysis designed to identify effects of Cognitive Behavioral Therapy (CBT) interventions in alleviating main symptoms of Attention Deficit Hyperactivity Disorder (ADHD) among school-aged children in Korea. Methods: Examination of several databases including Research Information Sharing Service, Korean Studies Information Service System, Data Base Periodical Information Academic and hand-searched article references, resulted in identification of 1,298 studies done between 2000 and 2013 of which 21 met the inclusion criteria. Comprehensive Meta-Analysis version 2.0 was used to analyze effect sizes, explore possible causes of heterogeneity, and check publication bias with a funnel plot and its trim-and-fill analysis. Results: Overall effect size of CBT intervention was large (g=1.08) along with each outcome of self-control (g=1.26), lack of attention (g=1.02), social skills (g=0.92), and hyperactivity (g=0.92). For heterogeneity, moderator analysis was performed, but no significant differences were found between the RCT (Randomized Controlled Trials) group and the NRCT (Non RCT) group. Also, meta-regression was performed using sample size, number of sessions, and length of session as predictors, but no statistically significant moderators were found. Finally, a funnel plot along with trim-and-fill analysis was produced to check for publication bias, but no significant bias was detected. Conclusion: Based on these findings, there is clear evidence that CBT intervention has significant positive effects on the main symptoms of school-aged children suffering ADHD. Further research is needed to target diverse age groups with ADHD along with more RCT studies to improve the effectiveness of the CBT intervention.

An AI Service to support communication and language learning for people with developmental disability (발달장애인을 위한 커뮤니케이션과 언어 학습 증진을 위한 인공지능 서비스)

  • Park, Chan-Jun;Kim, Yang-Hee;Jang, Yoonna;Umadevi, G.R;Lim, Heui-Seok
    • Journal of the Korea Convergence Society
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    • v.11 no.6
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    • pp.51-57
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    • 2020
  • Children with language developmental disabilities often struggle through their lives from a lot of challenges in everyday life and social activities. They're often easily deprived of the opportunity to engage in social activities, because they find difficulty in understanding or using language, a core means of communication. With regard to this issue, AAC(Augmentative and Alternative Communication) can be an effective communication tool for children who are suffering from language disabilities. In this paper, we propose a deep learning-based AI service to make full use of the pictogram as an AAC tool for children with language developmental disabilities to improve not only the ability to interact with others but the capacity to understand language. Using this service, we strive to help these children to more effectively communicate their intention or desire and enhance the quality of life.

Contemporary Disasters, Mediation, and Cultural-Politics of Compassion: A Consideration on Some Main Issues (재난과 미디어 매개, 그리고 공감의 문화정치: 주요 의제들에 관한 시론)

  • Park, Jin-Woo
    • Korean Journal of Cognitive Science
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    • v.26 no.1
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    • pp.97-123
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    • 2015
  • This paper theoretically examines the mediations of media on disaster and the structure of the politics of compassion, from the cultural politics approaches. The media has treated for a long time many different forms of disaster and sentimental reactions that were bound to the human life. In the present paper we shall take a different approach from traditional ones that focus on how the media represents these subjects and how it arouses cognitive, affective, behavioral reactions of the audience. We will instead focus on how these subjects of disaster and compassion constitute new social meanings through the mediation of media. And we will investigate that the experiences of social sufferings mediated by media are related to the ethical potentiality vital to the construction of global public sphere and global civil society that need to be reshaped in the $21^{st}$ century media environment. This paper attempts to understand new cultural-politics meanings of the media as a major factor conducting the audience's new public actions through mediating sufferings of the others.

Factors Influencing Ego-resilience in Adolescents Suffering from High-risk of Abuse (고위험 학대피해 경험 청소년의 자아탄력성에 영향요인)

  • Choi, Yoonam;Kim, Jiyeon;Shin, Jiin
    • Journal of the Korean Society of School Health
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    • v.31 no.1
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    • pp.18-28
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    • 2018
  • Purpose: The purpose of this study was to investigate the factors that influence ego-resilience among adolescents who have experienced abuse by parents in South Korea. Methods: This correlational study used the 4th year cross-sectional data of the seventh-grade middle school students who participated in the Korean Children and Youth Panel Survey (KCYPS) in fourth grade. Data analysis was performed by using SPSS/WIN 23.0 program, which included descriptive statistics, Pearson's correlations coefficient, and hierarchical regression. Results: The results of the hierarchical regression of model 5 revealed that the quality of peer relations played the most significant role in predicting ego-resilience of abused adolescents, followed by self-identity. Also, self-esteem, the quality of teacher-student relationships, excessive expectations from parents, and community awareness had a significant impact on the variance of self-resilience in abused adolescents. This regression model explained 42% of the variance. Conclusion: This study showed that ego-resilience, an asset and resource to help adolescents overcome adverse effects of abuse, was influenced by social environment as well as individual factors. In addition, social support from peers and teachers had greater influence on ego-resilience than support from family members. Thus, the factors identified in this study need to be considered in programs designed to improve ego-resilience as well as in policies for abused adolescents.

A Case Study on Family Therapy for Parents with a Daughter Suffering from Multiple Tic Disorder (복합틱장애 증상이 있는 딸을 둔 부부에 대한 가족치료 사례연구)

  • Park, Tai Young;Yu, Jin Hui
    • Journal of Families and Better Life
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    • v.31 no.5
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    • pp.47-63
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    • 2013
  • This study deals with a counseling case in which a mother requested counseling due to the problems of her daughter, who suffers from multiple tic disorder. The participants of this study included five family members (grandmother, father, mother and two female children) and a total of 23 sessions were held from September 2006 to December 2007. Additional counseling ($24^{th}$ counseling session) was conducted on April 1st, 2009. The data was based on recorded transcripts and notes from 24 family therapy sessions. The study used a constant comparative analysis, which uses matrix and network display as an analysis method suggested by Miles&Huberman(1994). The characteristics of the family of origin and the indifference of the husband had caused the wife stress. The couple had frequent conflicts due to dysfunctional communication methods, a clash of values, sexual dissatisfaction, and a lack of communication. This marital conflict became the primary factor of the daughter's multiple tic disorder. Intervention of the family therapist resulted in the setting of treatment goals based on MRI's communication theory and Bowen's family systems theory in order to solve the problem of the daughter's multiple tic disorder. Also, the therapist's intervention techniques included exploring experiences with the family of origin, shedding light on the multigenerational transmission process, exploring dysfunctional attempts at solutions, the therapist's self-disclosure, providing similar cases, dealing with resistance, and suggesting a new communication method. To solve the problem, the therapist helped the family separate the daughter spatially from her parents. Therefore, the therapist's intervention helped reduce the daughter's tics and improve relationships among the family.

An Inquiry of the Possibility of the Healing Function of Art Museums (미술관의 치유적 기능에 대한 가능성 탐색)

  • Kim, Eun-Jin
    • The Journal of the Korea Contents Association
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    • v.15 no.10
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    • pp.56-65
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    • 2015
  • The purpose of this study is to find out the possibility of the healing function of art museums in modern times with the precedent studies and to explore the healing potential specifically. There have been studies on the various healing programs regarding patients with Alzheimer, learning disability, seniors, etc. The researcher approached this study in three aspects, art appreciation, space, communication as healing potential of art museums. These findings will be able to draw more social attention on art museums. Therefore, this study will provide a new perspective on the art museums to people concerned art museums. And it will make the professionals, working for company workers, students and other people suffering under the modern stress, recognize the art museums as a place to look inside in the professionals' own mind and to heal as well as a place for culture and sophistication. These findings will be able to draw more social attention on art museums.

An Empirical Study on the Use of Trade Insurance by Korea Agricultural and Marine Products Trading Companies (한국 농수산물 수출업체의 무역보험상품 이용에 관한 실증분석)

  • PAK, Myong-Sop;PAK, Young-Hyun
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.66
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    • pp.285-312
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    • 2015
  • Export and import of food, agriculture, forestry, fishery products are suffering from low growth rate due to the European financial crisis, global recession, and Japan's 2012 export expansion following the aftermath of 2011 earthquake. Upon the signing and enactment of Free Trade Agreement with the U.S. and the EU, agriculture and fishery product have become the center of attention. Agriculture and fishery was reported to be 80million dollars, 1.46% of total national export, in 2012. Starting from2000, South Korea's government began its effort to expand agriculture and fishery export and as a result, export has steadily increased despite decreased consumption led by global recession. K-Sure has started an insurance program with the purpose of promoting SME business's export. It protects SME business against risk arising from credit, emergency, bad debt, and domestic price increase. This study aims to evaluate the service quality of K-Sure's insurance program via surveying SME businesses in the agriculture and fishery industry. Also this study will identify key service factors for SME businesses and explore ways to expand SME exports of agriculture and fishery by analyzing consumer satisfaction index. Results indicated service product quality factor, service communication quality factor, and social quality factor was key to improving consumer satisfaction for SME businesses in agriculture and fishery industry. Service product quality factor had a negative effect on consumer satisfaction in term of variety and results indicated that service communication quality factor's responsiveness element had minimal impact on consumer satisfaction. Conversely, all elements for social quality factor had positive effects on consumer satisfaction. Thus, leading to the conclusion that improvements in service product quality factor and service communication quality factor will indeed increase consumer satisfaction.

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Behavior Patterns of Health Care Utilization in Terminal Cancer Patients (말기암 환자들의 의료이용행태)

  • Han, Tae-Hyung;Cho, Byung-Jin;Shin, Baek-Hyo
    • The Korean Journal of Pain
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    • v.12 no.1
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    • pp.101-107
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    • 1999
  • Background : In order to improve the quality of life of dying patients, they need to receive not only the physical, psychological, social, and spiritual care, but also systematic and continuous care to die with dignity. However, no adequate medical services are available for these terminal cancer patients. We studied their behavior patterns of health care utilization to understand more of their medical and social needs. Methods : We investigated 108 bereaved families through the telephone interview with structured questionnaires. They were randomly selected through the retrospective chart review of the terminal patients who passed away due to cancer. Results : Most of the terminal cancer patients received their care from proper medical services including admission to hospital (45.4%), outpatient clinic (22.2%), emergency room (16.7%), and oriental medicine (12.0%). But during the terminal phase of their illness, 32.4% of patients never received medical care including oriental medicine, and 28.7% received alterative natural care. 26 bereaved families (24.1%) pointed out the indifference of medical staff as a problem receiving proper hospital care, and 22 (20.4%) emphasized emotional strain of their helplessness with the patients' suffering as a problem of caring at home. Over 90% suggested availability of continuous care, hospice care, home care, and 24 hour telephone service to be improved. Conclusions : Due to various reasons, adequate medical care is not delivered to the terminal cancer patients in our present medical system. These problems can be approached with the establishment of proper education and medical delivery system. The role of comprehensive medical specialty cannot be overly emphasized to accomplish this most effectively.

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Public Health Policy and Health Equity (공중보건정책과 건강 형평성)

  • Kim, Chang-yup
    • Health Policy and Management
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    • v.26 no.4
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    • pp.256-264
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    • 2016
  • Equity-focused public health policy has solid theoretical and practical basis, in addition to ethical one. In the Republic of Korea (hereafter Korea), however, equity in health has not had a high priority in policy goals, regardless of policy areas and particular actors or approaches. Equitable health has been only a minor concern in most public health issues and their decision-making. Generic public health policies are needed to reduce inequity in health, but the importance of a firm basis for sound policy-making cannot be overemphasized. Health equity should be 'mainstreamed' in all public health policies. Potential approaches include intersectoral collaboration, health impact assessment, and 'Health in All Policies.' Public policy agendas for equitable health cannot be formulated without measurement and recognition of the problem. Korea is still suffering from the lack of reliable information on the current status of health inequity, resulting in a relatively weak awareness of the problem among both the general public and policy-makers. More information is needed to increase recognition and awareness that will increase intervention and actions. The absence of decision-making and actions should not be justified even by the lack of information on determinants and pathways of health inequities. Generic plausible solutions can often work in the real world according to political and social commitment. I have discussed several aspects of public health policy from the perspective of health equity, focusing on current status and plausible explanation. Policy process, agenda setting in particular, is highlighted and theories and concepts are presented along with analysis and description of current situation.

Illness Experience of Married Korean Women with Epilepsy (우리나라 결혼여성 뇌전증 환자의 질병 체험)

  • Shon, Young-Min;Joung, Woo Joung
    • Journal of Korean Academy of Nursing
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    • v.47 no.3
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    • pp.289-304
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    • 2017
  • Purpose: The purpose of this study was to understand and describe the illness experience of married Korean women with epilepsy. Methods: Data were collected during 2015~2016 through individual in-depth interviews with 12 married women with epilepsy. Verbatim transcripts were analyzed using Giorgi's phenomenological analysis to uncover the meaning of the illness experience of the participants. Results: The study results showed that the illness experience of married Korean women with epilepsy was clustered into a specific description of situated structure and a general description of situated structure. Six themes from 20 meaning units were identified: 1) Undermined self-esteem with stigma of being epileptic; 2) Limited social interaction; 3) Suffering sorrow as a 'disqualified being'; 4) Shuttling back and forth across the boundary between healthy and epileptic; 5) Desperate struggle to meet the expectation of given role; 6) Self-empowering through self-restriction and realization. Conclusion: The findings from this study show that both the enacted and felt stigma of epilepsy impact on the life of married Korean women with epilepsy. Although the participants face social and interpersonal restriction and prejudices, they try their best to fulfill their role rather than to be cared for as patients. As the stigma and hardships of the participants are related to lack of knowledge, health professionals should focus not just on clinical intervention but also on providing targeted educational programs and counseling for these women to dispel the stigma of the disease and to increase their quality of life.