• Title/Summary/Keyword: 기초의학

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The Effects of Postural Control based on Bobath Approach for Body Schema and Visual Perception of Middle Cerebral Artery Infarcts : Case Report (보봐스 개념에 기초한 중대뇌동맥 경색 환자의 자세조절이 신체도식과 시지각에 미치는 영향 : 단일사례연구)

  • Lee, Dae-Hee;Ro, Hyo-Lyun
    • Journal of the Korean Society of Physical Medicine
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    • v.4 no.3
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    • pp.193-200
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    • 2009
  • Purpose:In this study is to verify the effects postural control training based on Bobath approach for body schema and visual perception on Middle Cerebral Artery(MCA) Infarcts. Methods:The subject was a 46 years old man with MCA infaction, lives in B city. An AB design for a single-subject research was used for this study. The procedures consisted of 1 time of baseline phase(A), 20 times of treatment phase(B). We applied the Bobath approach at the subject. Treatments included to facilitate trunk alignment and stability, and to train weight bearing and shifting, to facilitate pelvis movement, and to train walk especially stance phase and assist up-down stairs locomotion in environment similar to actual daily life. Results:With this treatment, the majority of body schema and visual perception and postural control was improved in treatment phase compared with in baseline phase. Therefore, this study supported the effectiveness of postural control training based on Bobath approach for body sechma and visual perception of hemiplegia. Conculusion:This study is integrated postural control training with Bobath approach that are widespread for hemiplegia and measured outcomes based on individualized therapy goals. Consequently the study is suggested the meaning of quality effectiveness of Bobath approach.

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Anatomical Reconstruction of the Lateral Ankle Ligaments using Semitendinosus (반건양근 건을 이용한 족관절 외측 인대의 해부학적 재건)

  • Lee, Woo-Chun
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.7 no.1
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    • pp.19-23
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    • 2008
  • Purpose: Several methods of anatomical reconstruction for chronic lateral ankle instability has been reported to avoid the problems of nonanatomical reconstruction. Precise reconstruction of the normal anatomy is essential to the restoration of normal joint mechanics and stability. The problem with anatomical reconstruction is that it is very difficult to reconstruct the normal anatomic course of the ligaments. We thought making one tunnel at the fibular attachment of anterior talofibular ligament and calcaneofibular ligament was more anatomical than making separate tunnels for each ligaments because the two ligaments are contiguous. In this article, the basis of anatomical reconstruction of the lateral ankle ligaments was reviewed and a technique of reconstruction using semitendinosus was introduced.

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The Implementation of TMM test phantom for evaluating the thermal performance in High Intensity Focused Ultrasound system (강력 집속 초음파 시스템의 열적 성능 평가를 위한 팬텀 개발에 관한 기초연구)

  • Yu, Woo-Jin;Noh, Si-Cheol;Park, Moon-Kyu;Min, Hae-Ki;Park, Jae-Hyun;Choi, Heung-Ho
    • Proceedings of the KIEE Conference
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    • 2008.10b
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    • pp.484-485
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    • 2008
  • 초음파는 의학적 진단 및 치료의 목적으로 널리 사용되어 왔다. 일반적으로, 초음파 조사의 생물학적 무해성은 많은 연구를 통하여 보고되었으나, 최근 초음파 집속을 통한 강력 초음파의 사용에 대한 열적 안전성 평가가 중요한 요소로 대두되고 있다. 이에 본 연구에서는 강력 집속 초음파의 전달 에너지와 열적 분포를 측정하여 안전성 평가에 활용 가능한 초음파 열분포 팬텀을 제안하였다. 온도 분포 측정용 팬텀은 초음파 조직유사 팬텀 재료인 한천을 이용하였으며, 음향학적 특성의 유사성을 평가하였다. 온도 효과를 측정하기 위하여 $3{\times}3$의 형태로 온도 센서를 팬텀 내부에 배열하여 초음파 조사에 따른 온도 분포를 측정하였고 온도 측정을 위한 시스템을 개발하여, 초음파 가열 실험을 수행하였다. 본 연구에서 제안된 초음파 온도 분포 측정용 팬텀의 유용성을 확인하였으며, 온도 분포용 팬텀을 통한 강력 집속 초음파 장비의 열적 성능 평가에 적용 될 수 있을 것으로 사료되었다.

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Impact of Empowerment on Job Involvement and Organizational Commitment of Physical Therapists: have a Rehabilitation Medicine in Hospital (물리치료사의 임파워먼트가 직무몰입, 조직몰입에 미치는 영향: 재활의학과 개설 병원 중심)

  • Jang, Mak-Sook;Jang, Hyo-Kang;Jung, Yong-Mo
    • The Journal of the Korea Contents Association
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    • v.10 no.9
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    • pp.293-301
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    • 2010
  • The purpose of this study is to provide some basic materials for the efficient hospital management through administrating manpower, by analyzing the influence of empowerment, which is recognized by the Physical therapist, in the respects of their general characteristics, working at the hospital which provides rehabilitative therapy on Job involvement and organizational commitment. First, the average of overall empowerment was 3.37. Second, the degree of the Job involvement was 3.39 and organizational commitment was 3.37 in average. Third, the study found out that higher the meaning of psychological empowerment and its impact and increased development chance, resources supper and information offer in structural empowerment positively influenced both job involvement and organizational commitment drastically.

Analyzing Training Program for Hospital Coordinators (병원코디네이터 교육프로그램 분석연구)

  • Yang, Hye-Jung;Suh, Won S.
    • The Journal of the Korea Contents Association
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    • v.13 no.12
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    • pp.530-539
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    • 2013
  • It is needed to provide a supplicated and standardized training program for hospital coordinators to boost their competencies as professionals. The purpose of this study was to propose a standardized training program for hospital coordinators especially trained at private institutions. Using DACUM method, with 11 professionals, we first developed competencies required for hospital coordinators. They were service mind, attitude, MOT(Moment of Truth) & phone-call etiquette, communication skill, customer behavior, basic medical terminology, insurance, computer skills, etc. Finally, we proposed a standardized training program for hospital coordinators which covers 16 subject areas.

ATTACHMENT AND ATTACHMENT DEVELOPMENT (애착과 애착의 발달)

  • Jang, Hwee-Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.15 no.1
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    • pp.16-27
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    • 2004
  • The purpose of this article is to review the recent studies about what attchment is, which historical background it has, how it develops and affects on the following development. Also the clinical implications of attachment and problems for its clinical application were discussed. As the quality of the attachment formed at earlier years is continued for a lifetime as the form of the internal working model, it affects persons' pathological development as well as normal one. Accordingly this article will be able to give a insight for prevention and treatment of pathological attachment and various psychological disorders.

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A preliminary study for the cerbral infarcted brain atrophy and osteoprosis via female reproductive physiology (Osteoporosis formation and alteration of female sex hormone after Cerebral Infarction) (여성의 뇌졸중후 골다공증에 대한 조경론적(調經論的) 기초연구)

  • Lee, Jong-Soo;Yoon, Sang-Hyub
    • The Journal of Korea CHUNA Manual Medicine
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    • v.1 no.1
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    • pp.125-137
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    • 2000
  • the aim of this study was to investigate whether osteoporosis can be advanced after cerebral infarction Of not and role of female sex hormone. all animals were classified 4 groups; group of ovariectomy (OVXgroup) group of cerebral infarction( INF group), group of combination ovariectomy and cerebral infarction(OVX + INF group), naturally intact group for control data (NOR group ). cerebral infarction was made by Chen,s method with some modification and ovariectomy was performed by Wayforth,s method. experimental data was collected at 15 days, 1 month, 3 months and 6months after starting observation. serum 17 ${{\beta}-estradiol\;(E_2)}$ was determined by radioimmunoassay, for comparision of osteoporosis formation, bone density, serum osteocalcin, Serum total calcium and phosphorus, Serum AST Concentration, Serum ALT Concentration, Creatinine Concentration were also calculated. we have found that cerebral ischemia decreases not only the serum concentration of 17 ${{\beta}-estradiol\;(E_2)}$ and inhibits but also the physiologically compensatory function of the ovariectomized rats and that the decreased estrogen concentration followed by cerebral infarction have not produced osteoporosis, regretfully.

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Botulinum Toxin : Basic Science and Clincal Uses in Otolaryngology (Botulinum Toxin : 기초과학과 이비인후과 영역에서의 임상적 사용)

  • 최홍식;문인석;김한수;김현직
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.13 no.2
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    • pp.164-172
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    • 2002
  • The role of botulinum toxin as a therapeutic agent is expanding rapidly in otolaryngology. Botulinum toxin is a protease that blocks the release of acetylcholine from nerve terminals. Its effects are transient and nondestructive, and largely limited to the area in which it is administered These effects are also graded according to the dose, allowing for individualized treatment of patients and disorders. Botulinum toxin has been used primarily to treat disorders of excessive or inappropriate muscle contraction. In the field of otolaryngology, these include spasmodic dysphonia, oromandibular dystonia, and blepharospasm, vocal tics and stuttering, cricopharyngeal achalasia, various tremors and tics, hemifacial spasm, temporomandibular joint disorders and a number of cosmetic applications. Botulinum toxin treatment has recently begun to show some benefit in the control of pain from migraine and tension headache. It may also prove useful in the control of autonomic dysfunction, as in Frey syndrome, sialorrhea, and rhinorrhea. In over 20 yews of use in humans, botulinum toxin has accumulated a considerable safety record, and in many cases represents relief for thousands of patients unaided by other therapy.

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Fundamental Study on Curriculum of Domestic and Foreign Medical Schools (국내외 의과대학의 교육과정 기초조사 및 분석)

  • Ryue, Soo-hee;Kim, Bo-Hyun
    • Korean Medical Education Review
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    • v.10 no.1
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    • pp.9-17
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    • 2008
  • Objectives: Medical schools are trying to improve the quality of medical education by offering students better medical curriculum. In this study, we intend to provide basic information for improvement and development of medical curriculum by analyzing the medical curriculum of domestic and foreign medical schools. Methods: Based on various materials, we selected out 5 domestic medical schools and 11 foreign medical schools and collected materials relevant to medical curriculum of each medical school. Then, we divided collected materials into four domains(educational objectives, educational contents, educational assessment, and curriculum implementation), and analyzed them synthetically. Results and Conclusion: First, concerning the educational objectives, it is necessary that more various educational objectives are included to medical curriculum. Especially, there is a growing need for medical curriculum reflecting social responsibility and requests of local community. Second, educational contents should be constantly improved and constructed considering students' academic achievement levels and traits. Third, not only students but also educational program, educational contents, and professors should be included to the objects of educational assessment. Also, various assessment methods should be developed. Finally, especially for domestic medical schools, it is necessary to make use of more educational specialists in medical education.

의과대학생의 미래와 진로지도

  • Yang, Eun-Bae
    • Korean Medical Education Review
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    • v.8 no.1
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    • pp.35-54
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    • 2006
  • 의사에게 있어 자신의 적성과 능력에 부합하는 세부 전공을 선택하는 것은 자신의 자아실현뿐만 아니라 환자들에게도 중요한 의미를 갖는다. 이것은 의과대학생들의 전공 선택을 위해 의과대학 재학 중에 이루어지는 진로개발의 중요성을 시사한다. 이 글은 의과대학생 개개인의 적성과 소질에 따른 전공 선택을 어떻게 지도할 수 있는지 단계별 진로지도 전략에 대해 고찰하였다. 전공 선택 지도의 첫 번째 단계는 자기평가이다. 자기평가는 자신의 적성과 능력에 맞는 전공을 선택하기 위해 스스로에 대한 정보를 모으고 이해하는 과정이다. 두 번째는 전공탐색 단계이다. 이 단계는 자신의 적성과 능력에 부합할 가능성이 높은 전공과목에 대한 정보를 수집하는 것이다. 세 번째는 전공 선택 단계이다. 이 과정은 학생 스스로에 대한 자기평가 결과 및 전공에 대한 탐색 결과에 기초하여 자신이 어떤 분야에 더 적합한가에 대한 의사결정을 하는 과정이다. 전공 선택을 위한 접근 방법의 마지막은 전공 영역의 수련을 위해서 자신이 결정한 전공 선택을 이행하는 단계이다. 이 단계에서는 자신이 선택한 전공영역, 그리고 전공의 수련교육과정을 제공하는 교육기관에 응시원서를 제출하고, 면접을 실시하는 과정이 포함된다. 의과대학생들이 자신의 적성과 소질에 따른 전공 선택과 의과대학생 개개인의 선택의 문제를 넘어 의료 인력의 수급, 의료서비스의 질적인 수준과 밀접하게 관련되어 있다. 그러므로 의과대학은 대학의 책무성 수행차원에서 학생들의 가치관 확립과 진로지도를 위한 체계적인 학생 진로지도 프로그램을 개발하고 학생들을 적극적으로 지원해야 한다.