• Title/Summary/Keyword: 보조적치료

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Implant-assisted removable partial denture in a maxillary edentulous patient: A case report (상악 무치악 환자에서 전방부 임플란트 지지 고정성 보철물을 이용한 임플란트 보조 국소의치 수복 증례)

  • Kang, Hyun-Mo;Kim, Jee-Hwan;Kim, Jae-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.4
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    • pp.442-452
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    • 2022
  • Implant-assisted removable partial denture (IAPRD) can be considered as a simple and cost-effective treatment approach for an edentulous patient with anatomical or financial limitations. Recently, it was reported that the application of IARPD with implant supported fixed prostheses covered by the National Health Insurance Service (NHIS) were increasing. This case report describes the treatment of maxillary fully edentulous patient with anterior four-implant-supported fixed prosthesis and distal extension IARPD. This treatment approach may be advantageous over maxillary implant overdentures in some circumstances. The patient was satisfied with improved function and esthetics in the anterior area and financial benefit from the NHIS. Further long-term clinical studies are needed to establish clinical validity of the treatment approach described in this case report.

Hypnotherapy in Cases with Psychosomatic Disorders (정신신체장애의 최면치료)

  • Choe, Byeong-Moo
    • Korean Journal of Psychosomatic Medicine
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    • v.10 no.2
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    • pp.176-180
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    • 2002
  • Hypnosis as a traditional healing method, in its recent development, has generated a multitude of techniques. These serve as practical tools which can be combined with other therapy techniques for the treatment of a variety of psychiatric and medical conditions. The empirical evidence for the effectiveness of hypnosis is considerable and proves its clinical impact in various areas of application. This case review describes the integration of hypnotherapeutic methods into the continuum of psychiatric encounters in a general practice. Guidelines for the application of hypnosis in approaching and treating each patients with headache, sexual dysfunction and bronchial asthma were illustrated. As hypotheses mechanism of effectiveness in psychosomatic disorders has been formulated. Training in hypnotherapy provides the psychiatrist with skills needed to address psychophysiological disorders. Emphasis is placed on the necessity and opportunity for research on the efficacy and specific technique of hypnosis in the psychosomatic disorders.

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Clinical Outcomes of Associated with Adaptive Seating Device Using FIATS-AS (FIATS-AS를 활용한 자세보조기구의 기능적 효과평가)

  • Kwon, Hyuk Cheol;Kong, Jin Yong
    • 재활복지
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    • v.18 no.4
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    • pp.207-220
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    • 2014
  • The purpose of this study is to determine the parent-perceived effect of adaptive seating devices on the lives of infant or young children with physical and brain lesion disabilities(age 1-13y) and their families. Using the seating device for disabled parents of 42 people with disabilities who use FIATS-AS to investigate functional outcomes. All parents completed the FIATS-AS 4 times-2 times before and 2 times after their child received a new adaptive seating system. Repeated-measures analysis of variance detected significant mean differences among the FIATS-AS scores. Also to estimating the impact of the new seating intervention for the 3 age cohorts using the FIATS-AS scores. The FIATS-AS detected a significant interaction between age cohort and interview time. Providing adaptive seating devices has been found that the positive effects on guardians. The change was significant in 1~7 years of age. Environmental modification, such as seating and other assistive technology devices, may have an important role to play in the lives of young children with disabilities and their families.

Effects of a Logotherapy-Based Music and Imagery Program on the Self-Worth of Personal Assistants for the Disabled (의미치료에 기반한 음악과 심상 프로그램이 장애인 활동보조인의 자기가치감에 미치는 효과)

  • Hong, Geum Na;Kim, Seong Chan;Choi, Min Joo
    • Journal of Naturopathy
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    • v.10 no.1
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    • pp.1-9
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    • 2021
  • Purpose: This study has proved the intervention effects of the proposed logotherapy-based music imagery (LBMI) program on the self-worth of the personal assistants for the disabled. The program, in the image activities and at the stage of postlude after listening to music, unites logodrama of logotherapy, paradoxical intention and dereflected techniques. The intervention effects of the LBMI program were tested for the 28 personal assistants for the disabled who found themselves without the value and meaning of life and were randomly equally divided into the experimental and control groups. This intervention was carried out for the six different terms, each of which was alloted 60 minutes. To evaluate the intervention effects, the self-worth scale were examined before and after the intervention for both experimental and control group. The result shows that the self-worth improved significantly in the experimental group(p < 0.001), whereas it remained unchanged in the control group(p > 0.459). This finding proves that the proposed LBMI program ameliorates the self-worth of the personal assistants for the disabled.

Effects of Limited Hyperextension at Knee Joint Using Limited Motion Knee Brace on Balance, Walking in Patients with Hemiplegia (슬관절 움직임 제한 보조기를 이용한 슬관절 과신전 제한이 편마비 환자의 균형과 보행에 미치는 영향)

  • Lee, Eun-Hyuk;Min, Kyung-Ok;Lee, Kang-Sung
    • The Journal of the Korea Contents Association
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    • v.10 no.3
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    • pp.258-265
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    • 2010
  • The purposes of this study was to determine the effects of limited hyperextension at knee joint using Limited Motion Knee Brace on balance and walking in patients with hemiplegia. The subjects of this study were 20 post-stroke hemiplegic patients admitted. Subjects were randomly assigned to either experimental group (Limited Motion Knee Brace group) or control group (manual restriction group). Both groups received traditional physical therapy intervention. The effects of each therapeutic method were evaluated by measurements of gait ability assesment, Berg balance scale (BBS), 10-meter walk speed (10MWS), Timed Up & Go (TUG) Test. The results of this research were as followings: (1) After treatment, there were significant BBS scores differences in both experimental and control group compared with pre-treatment(p<0.05). (2) After treatment, there were significant TUG test scores differences in both experimental and control group compared with pre-treatment (p<0.05). (3) After treatment, there were significant 10MWS differences in both experimental and control group compared with pre-treatment (p<0.05). (4) There were significant BBS scores differences in third and fourth week between experimental and control group (p<0.05). It was concluded that Limited Motion Knee Brace was effective for improving balance and for reducing fatigue for experimental group. Therefore, further studies are required to investigate the effect of knee orthosis for improving balance and walking in patients with hemiplegia.

Relationship between locus of control and treatment compliance in adult orthodontic patients (성인교정환자의 내외통제소재와 치료협조도에 대한 연구)

  • Lee, Shin-Jae
    • The korean journal of orthodontics
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    • v.32 no.2 s.91
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    • pp.71-78
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    • 2002
  • It could be suggested that adult orthodontic patients may have peculiar psychological features as well as different periodontal tissue conditions compared with adolescent patients. The aims of the present investigation were to explore the relationships between psychological characteristics and treatment compliance of patient to orthodontist and assistants (dental hygienists). Two types of locus of control data (I-score, Internal locus of control score ; E-score, External locus of control score) were obtained for 312 adult patients and 765 adolescents and then analyzed in relation to their sex and treatment compliance. In general, orthodontic patients showed higher I-score trends than ordinary persons and adult patients manifested higher I-score than adolescent patients. Unlike adult patients, female adolescent patients showed higher I-score than male adolescent patients. Adult patients with higher E-score and adolescent patients with higher I-score than their counter-part subgroup were classified into more compliant group. Orthodontist performed more generous decision about patients' compliance than assistants. The results of this study also suggest that psychological survey in orthodontic field could comprise useful diagnostic criteria.

Epithelioid Sarcoma (유상피 육종)

  • Cho, Wan-Hyeong;Jeon, Dae-Geun;Park, Jong-Hoon;Song, Won-Seok;Lee, Soo-Yong;Koh, Jae-Soo;Koh, Han-Sang
    • The Journal of the Korean bone and joint tumor society
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    • v.12 no.1
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    • pp.30-36
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    • 2006
  • Purpose: Epitheliod sarcoma is an obscure clinical entity. This study analyzes the correlation between the clinical course and the AJCC stage, presence of residual tumor and ezrin-expression. Materials and Methods: Twenty-three cases of epithelioid sarcoma were eligible. All the cases had operation. Fifteen cases had systemic chemotherapy and 6 cases had adjuvant radiotherapy. Immumohistochemical analysis was done for 15 cases. Analyzed factors were initial stage, adjuvant treatment, local recurrence, residual tumor immumohistochemical results and surgical margin. Results: The event free survival rate of 15 stage II, III cases was 47.4% at 129 months. The actual survival rate of 8 stage IV cases was 37.5% at 80 months. The presence of residual tumor tissue on re-excision specimen showed statistical significance on event free survival rate(P=0.03). Adjuvant therapy showed no impact on outcome. The stage IV and locally recurrent cases had a positive relation with Ezrin-positivity. Conclusion: Residual tumor showed correlation in the outcome of epitheliod sarcoma. Chemotherapy and radiation therapy did not affect the outcome. Further case collection and analysis is needed for the significance between Ezrin expression and clinical behavior.

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관절 연골세포에서 glucosamine sulfate가 미치는 영향

  • Im, Jeong-Eun;Jo, Yeo-Won;Cheon, Jong-Hui;Lee, Hyeon-Jeong;Jeong, Su-Il;Min, Byeong-Hyeon;Park, So-Ra
    • Proceedings of the Korean Nutrition Society Conference
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    • 2004.05a
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    • pp.122-122
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    • 2004
  • 골관절염은 관절연골의 퇴행성 변화로 연골기질의 분해로 인하여 연골 강도와 cushion으로서의 능력이 감소되는 질환이다. 골관절염의 대부분 약물치료는 통증과 염증을 감소시키는 목적으로 사용되며, 근본적인 치료효과를 주는 약물은 현재까지 개발되어 있지 않다. 영양약학 제품에 대한 질병의 예방적, 치료 보조적 차원에서 인체에 대한 기초적인 생리활성의 중요성을 인식하게 됨으로써 그 역할이 중요하게 인식되고 있다. 특히, 골관절염 치료에 쓰이는 glucosamine은 proteoglycan (PG)와 glucosaminoglycans(GAGs)의 합성의 전구물질로서 연골세포 생성을 자극하며, 통증, 염증의 경감 및 진행과정을 억제시키고, 관절기능 회복을 촉진하는 것으로 알려져 있다. 그러나 glucosamine이 어떤 기전에 의해 관절연골세포에 직접적인 영향을 주는지 밝혀져 있지 않다. 본 연구에서는 glucosamine sulfate가 연골세포에 미치는 영향을 규명하고자 하였다.

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Effectiveness of Once-weekly Compared with Thrice-weekly Subcutaneous Epoetin Alpha for the Treatment of Chemotherapy-induced Anemia (항암치료로 인한 빈혈의 치료에서 Epoetin Alpha 주일회요법과 주삼회요법의 약효 비교 연구)

  • Lee, Yoon-Duck;Kim, Kyung-Im;Kim, Young-Ju;Shin, Wan-Gyoon;Oh, Jung-Mi
    • Korean Journal of Clinical Pharmacy
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    • v.19 no.2
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    • pp.146-152
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    • 2009
  • Purpose : 본 연구의 목적은 항암치료로 인한 빈혈환자의 치료에서 epoetin alpha (rHuEPO) 피하주사 시, 주일회 요법과 주삼회요법의 헤모글로빈(hemoglobin, Hb) 상승 효과를 비교하는 것이다. Methods : 본 연구는 1999년 3월부터 2005년 3월까지 국립암센터에서 항암치료로 인한 빈혈로 epoetin alpha를 투여 받은 환자를 대상으로 의무기록의 자료를 후향적으로 수집하여 분석하였다. 연구에 포함된 환자는 rHuEPO 10,000 IU 주삼회투여군(n = 127)과 20,000 IU 주일회투여군(n = 81)으로 구분되었으며, 이들은 필요에 따라 경구용 철분보조제를 섭취하였다. Epoetin alpha 치료 시작 후 최대 8주까지 2주 간격으로 Hb 수치변화를 분석하였다. Results : 치료 시작 시점의 rHuEPO 10,000 IU 주삼회투여군과 20,000 IU 주일회투여군의 평균 Hb수치는 유사하였 다 (9.4 g/dL vs. 9.7 g/dL). Epoetin alpha 치료 후 8주까지 두 그룹간의 헤모글로빈 수치의 상승 정도에는 유의한 차이가 없었다 ($1.57{\pm}1.39$ g/dL vs. $1.68{\pm}1.35$ g/dL, p=0.59). 또한 경구용 철분보조제 투여여부, cisplatin 포함 항암제 투여여부 및 성별에 따른 군의 분류에 있어서도 rHuEPO 10,000 IU 주삼회투여군과 20,000 IU 주일회투여군의 평균 Hb 상승수치는 유의한 차이를 보이지 않았다. Conclusion : 한국인에서 항암치료로 인한 빈혈의 치료 시에 rHuEPO 20,000 IU 주일회투여 용법은 10,000 IU 주 삼회투여 용법과 유사한 Hb 상승효과를 가진다.

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Parents' Perceptions on Their Experiences and Roles in a Synchronous Videoconferencing Music Therapy Intervention for Their Children With Developmental Disabilities (발달장애 아동·청소년 대상 실시간 비대면 음악치료에서의 보호자 역할에 대한 인식 조사)

  • Ryu, Jinsun
    • Journal of Music and Human Behavior
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    • v.20 no.1
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    • pp.99-115
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    • 2023
  • Given the ongoing discussion regarding remote music therapy following the COVID-19 pandemic and the pivotal role of parental involvement in it, this study investigated parents' perceptions on their roles in a synchronous videoconferencing music therapy for their children with developmental disabilities. A total of 32 participants participated in an online survey comprising 68 questions. Descriptive statistics summarized the collected responses, and Pearson's correlation was conducted to examine the relationship between perceived parental roles, psychological burden, and willingness to participate in future remote music therapy. The findings showed that parents of children with developmental disabilities acknowledged the benefits of tele-music therapy and possessed substantial information about its implementation. Furthermore, they reported their roles of providing physical, participatory, and mediating support. As parents exhibited greater satisfaction with their role in supporting their children's participation or managing their off-task behaviors, they perceived reduced psychological burden. These findings hold significant implications for expansion of tele-music therapy strategies to address the unique needs of children with developmental disabilities and support their parents as immediate mediators for their children.