• Title/Summary/Keyword: 대체 요법

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Renal replacement therapy in children with acute renal failure (소아 급성 신부전증의 신장 대체 요법)

  • Paik, Kyung Hoon
    • Clinical and Experimental Pediatrics
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    • v.50 no.10
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    • pp.938-947
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    • 2007
  • Many dialysis modalities such as peritoneal dialysis (PD), hemodialysis (HD) and continuous hemofiltration or hemodialysis (CRRT) are available for the management of pediatric patients with acute renal failure (ARF). PD is a relatively simple, inexpensive modality and can be used in hemodynamically unstable patients. But, it may not be the optimal therapy for patients with severe volume overload or life threatening hyperkalemia. HD is the preferred modality for the treatment of severe volume overload, severe hyperkalemia, but it needs vascular access. Improvements in the HD equipment have allowed HD to be performend in small children. Recents technological improvements in CRRT therapies have enabled pediatric patients who are less stable to be treated. CRRT is becoming the preferred method of acute therapy in pediatric intensive care units. A sound knowledge of the underlying principles of dialysis and awareness of recent technological advancements in differnet dialysis modalities will hopefully result in improved management of children with ARF.

IPAA의 효과를 고찰하기 위한 분류분석방법들의 비교연구

  • Lee, Seung-Yeon;Lee, Eun-Ju;Choe, Ho-Sik
    • Proceedings of the Korean Statistical Society Conference
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    • 2005.05a
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    • pp.291-298
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    • 2005
  • 지속성 외래 복막투석은 말기 신부전 환자들에게 널리 시행하는 신 대체 요법으로, 복막투석 환자에게서 주된 합병증으로 일어나는 단백질-열량 영양실조를 치료하기 위하여 아미노산을 복강 내로 주입하는 치료방법이다. 이현석 등(2004)의 연구에서는 아미노산 복막 투석액(IPAA)이 영양실조 환자들에게 실제로 영양상태에 미치는 영향을 평가하기 위하여 지속성 외래 복막투석 환자 43명을 12개월 동안 3개월 주기로 관측하여 얻어낸 반복측정자료를 바탕으로 IPAA의 효과 여부에 따라 반응군과 비반응군을 분류하였다. 본 논문에서는 이러한 두 그룹을 효과적으로 분류할 수 있는 분류기준변수들을 찾아내고 이 분류기준변수의 값을 바탕으로 새로운 환자에게 IPAA의 투여 여부를 진단할 수 있는 여러 분류방법들을 고찰하여 비교 연구하였다. 모수적인 방법으로 선형판별분석, 이차판별분석 및 로지스틱 판별분석을 소개하고 비모수적인 방법으로 support vector machine(SVM)을 소개하여 분류분석의 결과를 비교하여 두 그룹을 최소한의 오류로 분류하는 방법을 제안하였다.

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Effects of Sujungro on Blood Glucose and Lipid Level in Streptozotocin-Diabetic Rats (수정로 음용이 당뇨성 흰쥐의 혈당 및 지질 성분에 미치는 영향)

  • Yang Seung-Mi;Shon Mi-Yae;Sung Nak-Ju
    • Food Industry And Nutrition
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    • v.9 no.3
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    • pp.40-44
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    • 2004
  • 당뇨병 환자의 예방과 치료식으로 민간요법에서 제조되어 사용되는 수정로의 섭취가 streptozotocin으로 유발한 당뇨쥐의 혈당 강하 효과와 체내 지질개선에 미치는 영향을 조사하기 위하여 S.D계 웅성 흰쥐를 정상군, 당뇨대조군, 50% 및 100% 수정로 음용군으로 나누어 식이를 6주간 급여하였다. 식이 섭취에 따른 체중증가는 당뇨 대조군에 비해 유의적으로 차이가 나타났으며, 식이섭취 6주 후의 혈당 강하 효과는 50% 수정로 음용군이 당뇨 대조군보다 42.1%의 혈당 저하 효과를 나타내었다. 혈청 콜레스테롤의 함량은 당뇨 대조군에 비하여 50%와 100%수정로 음용군이 유의적으로 낮게 나타났지만, 간에서의 중성지질의 함량은50% 수정로 음용군이 정상군과 유의적인 차이를 보이지 않았다. 결론적으로 흰쥐에게 수정로를 음용시키면 혈당 강하와 체내 지질개선 효과를 나타냈으며, 특히 50% 수정로 음용군이 대체로 100% 수정로 음용군보다 효과적이었다.

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호스피스 완화요법으로서의 미술치료

  • An, Jeong-Hui
    • 한국호스피스완화의료학회:학술대회논문집
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    • 2003.12a
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    • pp.217-227
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    • 2003
  • 신체적 질병의 심리적이고 신체적인 측면을 위한 미술치료의 사용은 여러 가지 이유로 확대되었다. 그 이유로는 대체의학에 대한 관심과 이미지를 제작하는 창조적인 과정이 심각한 질병과 싸우는 사람들에게 효과적인 치료라는 인식의 확산을 들 수 있다. 미술치료는 사람들이 고통과 몸을 쇠약하게 하는 그 밖의 증상들과 대결하도록 도와 감정과 신체적 증상들의 정체를 밝히고 그들이 의학적 치료에 능동적으로 참여하게 한다(1998, Cathy A. Malchiodi), 완화의학이 삶이 제한된 질환을 가진 환자 삶의 질을 최대한 높이는데 목적을 두고 연구하며 치료하는 의학의 한 전문분야로서 질환의 초점을 완치에 두는 것이 아니라 통증과 증상 조절 등 완화에 두고 의학적 문제뿐만 아니라 정신사회적, 영적인 문제까지 해결하는데 관심을 둔다면 예술치료의 한 분야인 미술치료는 그 대안이 될 수 있다.

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Recognition and Attitudes on Complementary & Alternative Medicine in College Students -Focused on Comparison between Nursing and Non-Nursing Department College Students- (보완대체요법에 대한 대학생들 간의 인식 및 태도 비교 -간호대학생과 비 간호계열대학생을 대상으로-)

  • Kim, Sung-Mi
    • The Korean Journal of Health Service Management
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    • v.6 no.4
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    • pp.267-277
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    • 2012
  • The purpose of this descriptive research is to identify the recognition and attitude of college students towards Complementary & Alternative Medicine (CAM). The subjects of the study were 620 students of a junior college in the D metropolitan city. The data was collected from July 2 to July 31, 2012 and SPSS/WIN 18.0 program was used to analyze the data. From the comparison of CAM recognition between the two groups. There were significant differences for each item of CAM recognition. For the attitude on CAM, there were significant differences between the two groups. There needs to be more follow-up studies based on the current study in order to establish the basic data that can help find specific educational methods for the areas of CAM that lack recognition from the students.

Change Measurement and Analysis of Vocal Cords Vibration According to Lemon Intake (레몬 섭취에 따른 성대 진동의 변화 측정 및 분석)

  • Seo, Youn-Taek;Yoo, Hwang-Jun;Cho, Dong-Uk;Ka, Min-Kyoung;Kim, Bong-Hyun
    • Annual Conference of KIPS
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    • 2012.04a
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    • pp.904-907
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    • 2012
  • 최근 들어 리얼 버라이어티가 TV 프로그램의 주를 이루면서 인체 기관에 자극을 주는 다양한 음식을 먹는 것이 게임에 등장하고 있다. 특히, 까나리액젓이나 레몬 빨리 씹어 먹기 등 인체에 자극을 주는 벌칙 게임들이 펼쳐지고 있다. 레몬은 모든 독의 해독제라고 할 만큼 우리 몸에 이로운 점이 많으나 과하거나 급할 경우 오히려 병이 될 수도 있다. 따라서 본 논문에서는 대체 및 예방의학에 이용되는 중요한 요소 중 하나인 식이요법에 대한 효능을 입증하기 위한 방법으로 음성신호 분석 기술을 적용하여 레몬 섭취에 따른 성대 진동의 변화를 측정하고 이에 대한 분석을 통해 레몬과 음성과의 관계를 규명하는 연구를 수행하고자 한다.

Effects of Hormone Replacement Therapy on Motor Functions in Postmenopausal Women: A Systematic Reviews and Meta-Analysis (호르몬 대체 요법 제공이 폐경기 이후 여성들의 운동기능에 미치는 영향: 체계적 문헌고찰 및 메타분석 연구)

  • Lee, Hanall;Park, Young-Min;Kang, Nyeonju
    • Korean Journal of Applied Biomechanics
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    • v.32 no.2
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    • pp.56-68
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    • 2022
  • Objective: The purpose of this systematic review and meta-analysis was to investigate potential effects of HRT (hormone replacement therapy) on motor functions in postmenopausal women. Method: In this meta-analysis, 19 studies that examined changes in motor functions between postmenopausal women with and without HRT intervention were qualified. We additionally conducted moderator variable analyses including: (1) motor function type, (2) hormone type, and (3) duration of HRT intervention. Results: The random effects model showed no significant overall effects (SMD = 0.199; SE = 0.115; 95% CI = -0.026~0.425; Z = 1.730; p = 0.084; I2 = 93.258%). Additional three moderator variable analyses revealed no significant effect sizes indicating that specific HRT protocols did not improve different motor functions in postmenopausal women. Conclusion: These meta-analytic findings suggest that HRT had no positive effects on motor functions in postmenopausal women.

Reduction Effect of Aromatherapy on Stress and Insomnia (아로마요법의 스트레스 및 수면장애 감소효과)

  • Park, Sang-Ock;Kim, Seok-Beom;Lee, Kyeong-Soo;Kang, Pock-Soo
    • Journal of agricultural medicine and community health
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    • v.27 no.2
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    • pp.17-26
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    • 2002
  • Reducing the level of stress and insomnia by aromatherapy is proposed as a method of self-care and health promotion in the future. Of the people who received aromatherapy from July, 1999 to February, 2000 at the Complementary and Alternative Medicine Center at the Gyeongu City Health Center, 48 people agreed to participate in a questionnaire survey, presented before and after their aromatherapy, and the data were analyzed. When the people received aromatherapy at the Complementary and Alternative Medicine Center, they inhaled the aroma from a vaporizer and when at home, they inhaled from a tissue, gauze or washbowl. Two sessions per week (2 hrs./session) were provided at the Center in the total 1-month duration of the therapy. The oil made from a blend of clarysage, geranium, rose at a ratio of 3:2:1 was used for relieving stress, and the oil made from a blend of clarysage, lavender, and lemon at 2:2:1 ratio was used for relieving insomnia. The scores of stress of 92.5 17.5 points before aromatherapy significantly reduced to $87.4{\pm}4.2$ points after therapy(p<0.01), and the scores of insomnia of $2.5{\pm}1.2$ points before aromatherapy significantly reduced to $1.0{\pm}1.1$ points after therapy(p<0.01). The reduction in stress and insomnia from aromatherapy was more significant in those who were experiencing high levels of stress and insomnia. Therefore, stress and its related insomnia can be effectively relieved with proper application of aromatherapy. With benefits such as little side-effects, convenient and simple education, low cost, and the do-it-yourself feature. aromatherapy can be expanded into a self-management program for promoting health of the community people.

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Use of Various Treatment Modalities for Autism Spectrum Disorder and Mental Retardation (정신지체 및 자폐스펙트럼장애에서 다양한 치료방법의 사용실태)

  • Kim, Kyung Min;Choi, In Chul;Lee, Seok Bum;Lee, Kyung Kyu;Paik, Ki Chung;Lee, Jeong Yeob;Lim, Myung Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.25 no.2
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    • pp.73-81
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    • 2014
  • Objectives : The purpose of this study was to investigate the use of various treatment modalities including pharmacotherapy, educational-behavioral therapy, and complementary alternative treatment for children with mental retardation (MR) or autism spectrum disorder (ASD) in Korea. Methods : The sample consisted of 50 parents who have children with MR (N=28) or ASD (N=22) : 38 boys, 12 girls ; mean age 14.06 (4.14) years old. A questionnaire was composed of the experienced modality, duration, cost, satisfaction, etc. Results : According to the results, 56.0%, 100.0%, and 36.0% of children with MR or ASD have experienced pharmacological treatment, educational-behavioral therapy and complementary alternative medicine (CAM), respectively. Children who experienced educational-behavioral therapy and CAM experienced 3.52 kinds of education-behavioral therapy and 2.78 kinds of CAM, respectively. Monthly cost of pharmacological treatment was lowest among three modality categories. Regarding treatment satisfaction by parental report, the lowest score was recorded for CAM. Conclusion : Parents who have a child with MR or ASD are trying many treatment modalities and feeling the burden of their treatment.

Development of Polymeric Human Jelly Phantom for Hyper-Thermic Therapy by High Frequency Magnetic Field (고주파 자기장을 이용한 온열요법 치료용의 젤리형 고분자 모의인체)

  • Choi, Chang-Young;Kim, Byung-Hun;Hwang, Young-Jun;Kim, Oh-Young
    • Polymer(Korea)
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    • v.32 no.1
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    • pp.90-93
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    • 2008
  • We developed a variety of polymeric jelly phantoms that can be used in hyperthermia using an electromagnetic wave as an auxiliary cancer therapy. Particularly, using an appropriate material composed of polyethylene, deionized water, and sodium chloride, jelly phantoms for brain was prepared. Also, their electrical properties were characterized by measuring the dielectric constant and conductivity. As the results, overall electrical values of the phantoms decreased with increasing the amount of the components of the materials, excepted for sodium chloride. Additionally, storage characteristics of the phantoms showed a sustainable stability up to 6 months. Based on the experimental results, it can be proposed that jelly phantoms containing a ferro-magnetic particle could be a potential material for cancer therapy following the further study on the temperature elevation effect and the evaluation of electromagnetic properties of the materials.