• Title/Summary/Keyword: 가정치료

Search Result 607, Processing Time 0.026 seconds

Research to the recognition and the need of development for proper insurance costs for Home Physical Therapy, Visiting Physical Therapy and School of Physical Therapy (가정.방문물리치료 및 학교물리치료의 적정 보험수가 개발의 필요성과 인식에 대한 연구)

  • Kwon, Hei Jeoung;Kim, Yong Kwon;Moon, Tae Sun;Hwang, Seong Soo;Lee, Kwang Jae
    • Journal of Korean Physical Therapy Science
    • /
    • v.20 no.1
    • /
    • pp.27-35
    • /
    • 2013
  • Background : This study aims to examine the awareness as to the terminological comprehension about the home and visiting physical therapy and the school physical therapy and the need for development as to the associated insurance costs. And the purpose of the study is to provide the basic data in terms of the preparation process for implementation of the related system. Methods : The study conducted the research that targeted the physical therapists, who were working at the rehabilitation hospital located in Seoul and Gyeonggi-do as for the survey questionnaires as to the need and awareness of development of the adequate insurance fee of home physical therapy, visiting physical therapy and school physical therapy. Result : Even though the level of understanding for the terminologies was low, the need for development of insurance fee for home physical therapy, visiting physical therapy and school physical therapy was shown to be high regardless of age and work experience. However, there was not a statistical difference in accordance with age and work experience (p>.05). Conclusion : It directly reflects the result, which hopes home physical therapy, visiting physical therapy and school physical therapy to enter immediately into the frame of system.

  • PDF

Evaluation of Stability using Monte Carlo Simulation in 2 People Isolation Treatment Room of Radiation Iodine (몬테카를로 모의 모사를 이용한 방사성옥소 2인 치료병실의 안전성 평가)

  • Jang, Dong-Gun;Ko, Sung-Jin;Kim, Chang-Soo;Kim, Jung-Hoon
    • Journal of radiological science and technology
    • /
    • v.39 no.3
    • /
    • pp.385-390
    • /
    • 2016
  • Radioactive iodine treatment that uses the 2 people isolation room is to cause unnecessary radiation exposure between patients. This research is to be tested safety of 2 people Isolation treatment room and dose-rate through conservative perspective except physiology characteristic and biology information on the assumption that patient have iodine without excretion in 2 people isolation treatment room. This research shows that 364 keV gamma rays emitted by the radioiodine was to determine that the air layer about 30 cm or lead shield 3 mm a half-layer. In addition, In addition, patients in the distance, and lead shielding, length of hospital stay (48 hours) for external radiation exposure that is received from the other patients, two of treatment as appears to be lower than the legal isolation standard dose less than 5 mSv isolation room effective analyzed that manageable.

Current Situation and Perspectives for Home.Visiting and School Physical Therapy in Korea (한국 가정.방문 물리치료 및 학교 물리치료의 현황과 전망)

  • Kwon, Hei-Jeoung;Kim, Yong-Kwon;Ann, Chang-Sik;Hur, Jin-Gang;Hwang, Seong-Soo
    • Journal of Korean Physical Therapy Science
    • /
    • v.18 no.4
    • /
    • pp.47-58
    • /
    • 2011
  • The purpose of this study was to analyses the main factors of research papers for related with home physical therapy. This study was retrospective descriptive study, the period of data collection was from 1991 to 2011. The data was collected by the journal related in physical therapy, the dissertation of academic degree, National Assembly Library and the web-site for academic information. In the web-site, searched with the keyword 'home physical therapy' and 'after school voucher'. The results were as follows; 1. In the home physical therapy, visiting physical therapy, school physical therapy, there were different based on laws; home physical therapy was based on medical law, visiting physical therapy was based on law for community health and law for long term health insurance, school physical therapy was based on special education law. 2. The summary of research title/thema from 1991 to 2011 was as follows; for the home and visiting physical therapy 'the needs and necessity of home and visiting physical therapy' was 18 papers, 'the contents of service of home and visiting physical therapy' was 18 papers, 'program and skill development' was 16 papers, 'system developing and induction strategy of home and visiting physical therapy 'was 15 papers, 'costs of nome and visiting physical therapy' was 2 papers, 'perception and information of home and visiting physical therapy' was 9 papers, 'Recoding system and administration management' was 9 papers, 'the others 'was 14 papers, for the school physical therapy 'after school voucher system' was 9 papers, the others was 4 papers. The total papers was 114 papers. 3. Finally suggested 'Model of Educational Program for HomeVisiting and School Physical Therapy'.

  • PDF

A Study on the Effects of a Bibliotherapy Program on the Stress Recognition and Reactions of Middle School Students: With a Focus on Picture Books and Paper Craft Art Activities (독서치료 프로그램이 중학생의 스트레스 인지와 반응에 미치는 영향에 관한 연구 - 그림책 조형활동을 중심으로 -)

  • Ryu, Ji-Seon;Cho, Miah
    • Journal of the Korean BIBLIA Society for library and Information Science
    • /
    • v.25 no.4
    • /
    • pp.129-146
    • /
    • 2014
  • This study aims to present the effects that a bibliotherapy program based on picture books and paper craft art activities had on middle school students' stress recognition and the changes in their reactions. To this end, we adopted an experimental research design model with pre/post-test measurements of stress recognition and reactions using first grade middle school students with emotional difficulties. The results show that a bibliotherapy program based on picture books and paper craft art activities does have significant effects on the stress recognition and reactions of middle school students. The 5 of 5 sub-domains of the stress recognition had significant difference. The sub-domains are: family environment, friends, study, teacher/school. The 6 of 7 sub-domains of the stress reactions except fatigue had significant difference. The sub-domains are: tention, frustration, anger, depression, somatization, aggression.

Design and Implementation of Psychological Diagnosis Expert System based on the SandTray (모래 상자 놀이 기반 심리 진단 전문가 시스템 설계 및 구현)

  • Son, Se-Jin;Lee, Kang-Hee
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
    • /
    • v.7 no.11
    • /
    • pp.235-244
    • /
    • 2017
  • This paper aims to design a system for psychological diagnosis in sandbox play by applying rule based expert system. Sandbox play is one of play therapy and it is a technique that can be combined with psychological diagnosis and treatment using sand and various kinds of figures. In this technique, we focus on psychological diagnostic factors and try to implement a system that automatically diagnoses psychological types when input values are given. Therefore, six kinds of language objects are set and the rules are created according to the types of figures, arrangement of figures, and production time in the sand box used as a reference element in the diagnosis method. In this system, it is assumed that the client recognizes the finished sandbox as a sensor device. Then, when the recognized state enters the input value, the rules based on the language object are ignited in order. Through this, the client is diagnosed with one of 26 types of psychology. As a result, the diagnostic process is simplified and automated. Accordingly, a more detailed psychological diagnosis and treatments are provided.

Improvement of Activities of Daily Living Training to Promote Social Participation at a Pilot Project of Rehabilitation Medical Institutions (재활의료기관 시범사업에서의 사회복귀 촉진을 위한 일상생활훈련 개선방안)

  • Song, Young-Jin;Woo, Hee-Soon
    • Therapeutic Science for Rehabilitation
    • /
    • v.7 no.3
    • /
    • pp.35-45
    • /
    • 2018
  • Objective : Questionnaires completed by occupational therapists and patients in institutions conducting a "Pilot Project of Rehabilitation Medical Institutions" were used to determine whether occupational therapy was able to establish appropriate patient support systems for return to home and community. Methods : The questionnaire was completed by 293 occupational therapists from 13 institutions conducting pilot projects and 296 patients from 8 institutions who were able to respond. Results : Although the Pilot Project of Rehabilitation Medical Institutions is being implemented to enable early return of patients to activities of daily living, the most important therapeutic goal is not efficiently applied. In addition, since the health insurance systems utilized in medical institutions are applied as in the pilot project, there is no basis for evaluation and mediation of practical daily activities and vocational rehabilitation for actual return to the community. Conclusion : Through a detailed review of the pilot project, it will be necessary to improve the quality of life through the early return of patients to social activity, and to make practical improvements to reduce unnecessary societal expenditures.

Multicultural Childcare in Japan: Current Circumstances and Future Perspectives (다문화 사회에서의 일본의 「다문화보육」)

  • Kang, Ran Hye
    • Korean Journal of Childcare and Education
    • /
    • v.5 no.2
    • /
    • pp.73-90
    • /
    • 2009
  • The number of multi-cultural members, such as immigrant labors, international marriage women are gradually increasing in Japan society. Now it might be said that Japan has become a multi-cultural society. Recently in Japanese kindergartens and nursery schools the numbers of foreign and bi-cultural children are increasing. The aim of this paper is to review the researches on the cultural diversity in the Japan, especially in childcare. Methodology proceeds from a review of related literature to internet-based data and to the statistics issued by the government. Through reviewing them, the problems of teachers' assumptions and the importance of discussions about teachers' competencies to educate minority children and to communicate with their parents were suggested. As a switch over to multi-cultural society is occurring in Japan, the attitude of assimilationism is weakening, and the local community is now beginning to tolerate the multi-cultural childcare. Consequently, It was over to age that is distinguish identity from only nationality.

  • PDF

Occupational Therapy Intervention for Improving Play of Children : A Systematic Review (아동의 놀이 향상을 위한 작업치료 중재에 관한 체계적 고찰)

  • Lee, Sun-Hee;Park, Hae Yean
    • The Journal of Korean Academy of Sensory Integration
    • /
    • v.15 no.2
    • /
    • pp.93-106
    • /
    • 2017
  • Objective : The purpose of this study is to provide an evidence for clinical practice by systemic analysis on occupational therapy interventions for improvement of children's play. Methods : Articles used in this study were collected from database of Pubmed, ProQuest, EBSCOhost, Scopus, RISS, KISS, and National Library of Korea. The key words used in the search were "Play AND Occupational Therapy AND (Intervention OR Treatment)" and the publication period was limited from January 2007 to April 2017. 11 articles in total were selected for the systematic review analysis. Results : The results revealed that the majority of studies was one-group non-randomized study and the majority of intervention used was play-based intervention in case of that play itself was the intervention goal. The most frequently used environment for the intervention was parallel setting of home and treatment room. The majority of studies was for children with ADHD and the most commonly used assessment tool was Test of Playfulness (ToP). Dependent variables measured along with play were language skills, social interactive skills, communication and pragmatic skills, problem-solving skills, caregiver responsiveness, and parent-child interaction. Conclusion : This study help to understand the current state of occupational therapy intervention for improvement of children's play. Starting with the understanding, it is expected that various studies on play of children will be done in the future.

Effect of Microwave Hyperthermia on Radiotherapy of Human Malignant Tumors -An Analysis of Clinical Response of 42 Patients- (극초단파를 이용한 국소온열 치료 효과 -표재성 종양 42예의 분석-)

  • Yoon Sei Chul;Oho Yoon Kyung;Gil Hak Jun;Chung Su Mi;Shinn Kyung Sub;Bahk Yong Whee
    • Radiation Oncology Journal
    • /
    • v.5 no.1
    • /
    • pp.31-36
    • /
    • 1987
  • Radiobiological and clinical evidences indicate that hyperthermia combined with ionizing radiation produces a significant improvement in therapeutic effect of cancer. In general, malignant cells are more sensitive to heat than normal cells in the heat range of $41\~45^{\circ}C$. We report the experiences obtained from 42 patients with advanced malignant neoplasms managed with 2,450MHz microwave-induced local hyperthermia and ionizing radiation at the Department of Radiology, Kangnam St. Mary's Hospital, Catholic University Medical College. A clinical analysis of 42 thermoirradiated patients showed result of 11(26\%),\;15(36\%),\;11(26\%)\;and\;5(12\%)$ patients with complete response (CR), partial response (PR), minor response (MR) and no response (NR), respectively. Histologically there were $17(40.2\%)$ squamous cell carcinomas, $12(28.6\%)$ adenocarcinomas and $6(14.3\%)$ miscellaneous cancers. Eleven patients with CR consisted of five squamous cell carcinomas, five adenocarcinomas, and one chloroma. Among 15 patients with PR were five squamous cell carcinomas, five adenocarcinomas, three unknown primary tumors, and one poorly differentiated, and miscellaneous tumor each.

  • PDF

Usability Assessment of Plan Transfer between TOMO HAD and Radixact : Planning Study (TOMO HDA와 Radixact 치료 계획 간 Transfer에 대한 유용성 평가 : Planning Study)

  • An, Ye Chan;Kim, Jong Sik;Kwon, Dong Yeol;Kim, Jin Man;Choi, Byeong Ki
    • The Journal of Korean Society for Radiation Therapy
    • /
    • v.30 no.1_2
    • /
    • pp.117-128
    • /
    • 2018
  • Purpose : To evaluate the usability of plan transfer between TOMO HD and Radixact, we compared the differences of dose in transferred plans by evaluating the dose of normal organ and target. TOMO HDA and Radixact. The completed plans were transferred each other and we compared the differences of dose by evaluating the DVH of each plans. Materials and Methods : We planned 4 different plans assuming the treatment of 2 cases in Head and Neck Cancer and 2 cases Prostate cancer. Each plan was designed so that 95 % of the prescription dose was irradiated over 99 % of the target volume, and the normal organ constraints dose was based on the SMC tolerance dose protocol. Each plan was transferred to each equipment and DVH(dose volume histogram) analysis of the transferred plans was compared and evaluated. Results : The Mean dose of CTV and GTV was increased and decreased in the transferred plans, but there was no significant differences. The target coverage of CTV and GTV was decreased in all cases of transferred plans from TOMO HAD to Radixact, and the change of CI and HI in CTV was within 0.1. Normal organ dose was increased in most cases when transferring from HAD to Radixact in both treatment plans. Conclusion : According to the results of this experiment, the target coverage was above the standard and the normal organ dose was almost same or decreased when transferring the plans from Radixact to HDA equipment. However the target coverage was reduced when transferring the plans from HDA to Radixact and there was an increase in dose in normal organs that could cause sever side effects such as Optic Chiasm ($D_{max}$1.38 Gy), Bladder ($D_{max}$3.07 Gy), Penile Bulb ($D_{max}$1.14 Gy). Therefore, it is necessary to pay attention to the dose change when transferring the plan and one-time transfer due to equipment inspection will be useful for efficient radiation therapy, but if the transferred treatment plans continue for several consecutive days, the treatment plan should be resumed.

  • PDF