• 제목/요약/키워드: 부부치료

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From TMJ to 3D Digital Smile Design with Virtual Patient Dataset for diagnosis and treatment planning (가상환자 데이터세트를 기반으로 악관절과 심미를 고려한 진단 및 치료계획 수립)

  • Lee, Soo Young;Kang, Dong Huy;Lee, Doyun;Kim, Heechul
    • Journal of the Korean Academy of Esthetic Dentistry
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    • 제30권2호
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    • pp.71-90
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    • 2021
  • The virtual patient dataset is a collection of diagnostic data from various sources acquired from a single patient into a coordinate system of three-dimensional visualization. Virtual patient dataset makes it possible to establish a treatment plan, simulate various treatment procedures, and create a treatment planning delivery device. Clinicians can design and simulate a patient's smile on the virtual patient dataset and select the optimal result from the diagnostic process. The selected treatment plan can be delivered identically to the patient using manufacturing techniques such as 3D printing, milling, and injection molding. The delivery of this treatment plan can be linked to the final prosthesis through mockup confirmation through provisional restoration fabrication and delivery in the patient's mouth. In this way, if the diagnostic data superimposition and processing accuracy during the manufacturing process are guaranteed, 3D digital smile design simulated in 3D visualization can be accurately delivered to the real patient. As a clinical application method of the virtual patient dataset, we suggest a decision-making method that can exclude occlusal adjustment treatment from the treatment plan through the digital occlusal pressure analysis. A comparative analysis of whole-body scans before and after temporomandibular joint treatment was suggested for adolescent idiopathic scoliosis patients with temporomandibular joint disease. Occlusal plane and smile aesthetic analysis based on the virtual patient dataset was presented when treating patients with complete dentures.

A Study on the Social Environment of Elderly (노인의 사회적 환경에 대한 연구)

  • Kim, Hee-Jung
    • The Journal of Korean society of community based occupational therapy
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    • 제5권1호
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    • pp.35-43
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    • 2015
  • Objective : The purpose of the study is to find the factors affecting a social phenomena of the elderly and suggest a basic data for efficiency of a senior policy and type of the life in Korea. Methods : We refereed to sources from the Korean Statistical Information, the National Pension Service, and the Ministry of Health and Welfare. We also surveyed and analysed the depression and death anxiety among the elderly in 2014. Results : First, most of them were low educated people and family composing a couple. An annual income were average. Second, medical costs were increasing constantly in proportion to the increase of aging population. Third, they had high depression index resulting from negative thinking of the future and themselves. Fourth, the death anxiety level of them were more than moderate and that was about the death of themselves and the process of the death. Conclusion : It is needed to help physical, mental, and social health and improve the quality of the life in the elderly through social program established a variety of special fields like occupational therapy and family support program belonging to the government.

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A Case Study of Family Therapy for Marriage Migrant Woman who Experienced Family Violence - Focusing on Chinese Woman Who Participated in Counseling alone - (가정폭력 피해 결혼이주여성의 가족치료 사례연구: 단독으로 상담에 참여한 중국출신 여성을 중심으로)

  • Moon, Jung Hwa
    • Korean Journal of Family Social Work
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    • 제55호
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    • pp.91-128
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    • 2017
  • The purpose of this study is to develop an effective intervention strategy for marriage migrant woman in family therapy. For this purpose, we collected counseling cases of professional counselors who successfully completed counseling and attempted the qualitative analysis of treatment intervention strategies and effects. The results of the study were obtained by dividing the meaning units in the immigrant woman's statements made during the counseling process composed of a total of 6 sessions. The counselors were analyzed to have tried the following intervention strategies. They attempted the following six strategies: Helping emotional differentiation by searching for unresolved emotional problems, dealing with undifferentiation due to family projection process and love triangle, dealing with multi-generational transfer process of the original family relationship patterns and coping mechanism, shedding lihgt on ineffectiveness of inconsistent communication due to emotional oppression applying a communication model of MRI, switching client's awareness through reorganization, suggesting a way of communication that leads to real self. Such counselors' attempts resulted in positive changes and treatment effects were found to include first, cognitive insights and motivation for change, second, improved communication skills and third, anxiety reduction and self-differentiation. Due to their husbands' refusal to participate in counseling, marriage migrant women often get involved in counseling alone, so they tend to worry that the effectiveness of family therapy may be low but it was found that the proper intervention of the counselor could improve the ability of the wife to resolve conflicts, which would be a great help in solving problems such as family violence and this study is meaningful in that it provided the appropriate therapeutic intervention strategies needed.

A Case Study on the Family Therapy to Remarried Wife with Alcoholic Problem (알코올 중독문제를 가진 재혼한 부인에 대한 가족치료사례 연구)

  • Park, Tai-Young;Kim, Tae-Han;Kim, Hye-Sun
    • Korean Journal of Social Welfare
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    • 제61권1호
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    • pp.293-322
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    • 2009
  • This study investigated the problems of remarried wife with alcoholic problem. Specifically, this study regarded the wife's alcoholic problem as the problems of dysfunctional interaction among family members rather than an individual problem. The study had three purposes as follows. First, what were the interactions sustaining the conflict of remarried family? Second, what were the characteristics of remarried family relating to family conflict? Third, what were the interventions of family therapy to resolve the conflicts of remarried family? The total family counseling was 9 sessions, which included individual, couple, and family counseling. The study used constant comparative analysis by using open coding method to find the factors relating interactions sustaining the conflict of remarried family, the characteristics of remarried family relating to family conflict, and the interventions of family therapy to resolve the conflicts of remarried family. Also, the study used Miles and Huberman's matrix and graphical network display to show the interaction of family members. The study found intriguing factors, counteracting factors, relationship level, and relational elements to wife's alcoholic problems among family members. The study revealed husband's rigid family rules, husband's execution of patriarchal authority, husband's pursuit of family identity, and husband's emphasis of union among family members as the characteristics of remarried family. On the other hand, the study found the reinforcement of spousal subsystem, the pursuit of change in communication pattern between husband and wife, the amelioration of rigid family rules, and the acceptance of differences among family members as the intervention of family therapy to resolve the conflicts of remarried family.

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"격렴진선결(隔簾診線訣)"에 기재(記載)된 의역학적(醫易學的) 운용(運用)에 관(關)한 연구(硏究)

  • Park, Hyeon-Guk;Kim, Gi-Uk
    • Journal of Korean Medical classics
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    • 제13권2호
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    • pp.70-84
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    • 2000
  • 한국유일체의서규(韓國有一體醫書叫) 신수비전격염진선결(神授秘傳隔簾診線訣). 대개시자종고대전하래적(大槪是自從古代傳下來的). 차서지내용시파환자여대부격개우실내여실외(此暑之內容是把患者與大夫隔開于室內與室外). 야부진행문진화문진(也不進行聞診和問診). 지완상계적선중래적감각래판단병증(只腕上係的線中來的感覺來判斷病症). 우안차병증제시치료법적비결(又按此病症提示治療法的秘訣). 아문상상가문도(我們常常可聞到) '고대적대부부근왕후('古代的大夫不僅王后). 이차장상적처첩(而且將相的妻妾), 也只고사선래진호맥(也只고絲線來診好脈), 가현재즘마야조불도나종유명적대부'아상차화기원우선결(可現在즘마也조不到那種有名的大夫'我想此話起源于線訣). 단종실제내간(但從實際來看). 불득부회의(不得不懷疑) ‘즘마능용일사선내정확판단환자적맥상('즘마能用一絲線來正確判斷患者的脈象), 우기시이차판단내소정하래적진단여치법우능신도심마정도니(尤其是以此判斷來所定下來的診斷與治法又能信到甚마程道尼).' 결과득지료(結果得知了) 격염진선결(隔簾診線訣) 상소서술적이론시기우'주역'적이론지사(上所敍述的理論是基于'周易'的理論之事), 요결형식내서술적(要訣形式來敍述的). 소이일반인흔난이해(所以一般人흔難理解). 인차아요대차이개소(因此我要對此而介紹). 수선통과선결적제요체예(首先通過線訣的提要體例), 작괘법급원문일례(作卦法及原文一例), 재의역학적립장상(在醫易學的立場上), 위료육효(爲了六爻), 생리(生理), 병리(病理), 진단(診斷), 예후(豫候), 방제화침구방면적응용(方劑和針灸方面的應用). 환유고찰료괘상적납갑(還有考察了卦象的納甲), 납지(納支), 세응(世應), 비신(飛神), 복신(伏神), 종류적작용여이용괘상적유관의역서적작용(種類的作用與利用卦象的有關醫易書的作用).

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Low Back Pain Incidence by the Sexual Style of the Middle-age Coupled (대전지역 중년부부의 성생활이 요통발생에 미치는 영향)

  • Shim, Choong-Seob
    • Journal of Korean Physical Therapy Science
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    • 제6권1호
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    • pp.931-942
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    • 1999
  • The aim of this research is to grasp the relation between lumbago incidence rate and research hypothesis in the effects of sex life of the middle-aged couples in Taejon area upon lumbago. And so, this writer had questionaired the 400 middle-aged couples in five gus, Taejon megalopolis -Jung-gu, Seo-gu, Dong-gu, Yuseong-gu, and Taedeok-gu - from April 21, 1998 to May 10, 1998. Of them, total 209 question papers were drawn back; male 102, female 107. Analysis of the data is as follows. 1. 145(69.37%) subjects of total 209 had experience in lumbago after their sexual lives. 2. In the number of sex life a week, one or two times of lumbago incidence rate were the most rate as 41.55% and each other had a statistically significant relation (P 0.01). 3. In age and lumbago incidence rate, their thirties was 37.75% and each other had a significant relation (P 0.05). 4. In weight and lumbago incidence rate, the level of $50kg{\sim}60kg$ was highest and each other didn't have a significant relation (P 0.05). 5. In the mean time of sexual life, the period of $11{\sim}20$ minutes was 29.47% and each other had a significant relation (P 0.01). 6. In week time zone of sexual life and lumbago incidence rate, midnight was the highest rate, 36.23% and each other didn't have a significant relation (P 0.05). 7. In the lumbago incidence rate according to bedroom structure of sexual life, a bed was 38.17% and each other had a significant relation (P 0.05). 8. In the lumbago incidence rate according to sexual posture, a normal position showed the highest rate, 46.12% and each other didn't have a significant relation (P 0.05). Putting the abovesaid results together, lumbago has relation to the number of sex life a week, age, the mean time of sexual life, and bedroom structure of sexual life. Therefore, it is thought that it is necessary that middle-aged couples periodically study the educational programs to make an education for lumbago prevention, etc. the key points.

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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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    • 제31권5호
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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.

A Case Report on The Relieving Effect of Herbal Medicine on Clinical Symptoms in Patients with Hyperthyroidism Taking Methimazole (메티마졸 투여 중인 갑상선기능항진증 환자에서 한약의 임상증상 완화효과에 대한 증례보고)

  • Henja Yun
    • Herbal Formula Science
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    • 제31권3호
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    • pp.203-213
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    • 2023
  • Objectives : The purpose of this study is to report the symptomatic relief effect of a herbal prescription combined with methimazole for hyperthyroidism caused by Graves' disease. Methods : After diagnosis of hyperthyroidism, methimazole was initially administered alone. As the clinical symptoms continued, a herbal medicine combining Gamiondam-tang and Cheongsimyeonja-eum was administered together with methimazole. Blood concentrations of hormones were measured, and the degree of clinical symptoms was measured using the NRS scale. The effect of herbal medicine on heat intolerance was analyzed by Wilcoxon rank sum test, and the relationship between thyroid hormone and heat intolerance was analyzed by Pearson's correlation coefficient. Results : Heat intolerance symptoms were significantly reduced when the herbal prescription was administered in parallel than when methimazole was administered alone (w=296, p=0.001). The decrease in heat intolerance was not related to thyroid hormone levels (p=0.27, 0.37). Conclusions : It was found that the herbal medicine combining Gamiondam-tang and Cheongsimyeonja-eum was effective in treating hyperthyroidism symptoms including heat intolerance.

Coping Behavior According to the Personality Type of Mothers of Children with Disabilities (장애아동 어머니의 성격유형에 따른 대처행동에 관한 연구)

  • Cho, Mi-Lim
    • Journal of Korea Entertainment Industry Association
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    • 제15권8호
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    • pp.403-409
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    • 2021
  • The aim of this study is to investigate the coping behavior according to the personality type of mothers of children with disabilities. The study included 102 mothers of children with disabilities and the study was conducted from june to september in 2020 based on the questionnaire about the personality type and coping behavior. Personality types were evaluated using Enneagram, and coping behavior was evaluated using the Korean Coping Behavior Scale for Parents of Children and Adolescents with Disabilities As a result of the study, the belly type was the most common personality type of mothers with disabilities. As for coping behavior, active problem-solving for children with disabilities showed the highest score. As a result of analyzing the coping behavior according to the personality type of mothers of children with disabilities, there were significant differences in the coping behavior, strengthening marital cooperation, and pursuing social-emotional support. As a result of post-verification, there were significant differences between heart type and belly type in coping behavior, strengthening marital cooperation, and pursuing social-emotional support, and heart type scored higher than belly type. When conducting interventions for families of disabled children, it will be possible to provide more effective services by predicting coping behaviors according to the personality type of mothers of disabled children and presenting individualized programs.

A comparative study of ADL and IADL of residential home and home for the aged dwelling elderly (노인의 거주 형태에 따른 일상생활동작(ADL) 및 도구적 일상 생활 동작(IADL)의 수행능력 비교)

  • Park, Chan-Eui;Chang, Chung-Hoon;Lee, Jae-Hyoung
    • The Journal of Korean Physical Therapy
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    • 제18권4호
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    • pp.61-70
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    • 2006
  • Purpose: The purpose of this study was to investigate the activities of daily living (ADL) and instrumental activities of daily living (IADL) of residential home dwelling elderly and home for the aged dwelling elderly. In attempt to address medical professional caring the elderly, this comparative study examines the factors associated with dependence in the ADL and IADL in two samples of elderly people living in two different environments. Methods: The instrument of ADL and IADL widely used Katz ADL and IADL. Katz ADL and IADL was not a perfect fit for Korean. In concern with cultural factors Won developed K(Korean)-ADL and K-IADL scale reflecting Korean's own language expression and cultural factors in year of 2002. The assessment tool of this study was K-ADL and K-IADL. Differences of ADL and IADL were tested for statistical significance using group t-test and x2 test for comparisons between the residential home dwelling elderly and the home for the aged dwelling elderly. Results: Comparison of assessment for K-ADL and K-IADL in two different dwelling types was significant. Performance of ADL and IADL depend upon their living environment such as social status, number of children, income, present illness as well as age group. This study also showed significant differences of performance in some activities of ADL and IADL between the elderly who live in their own home and live in home for the aged. Comparison of performance of ADL and IADL in different dwelling types revealed that only one item of ADL was significant but only one item of IADL was not significant. It means that IADL is more difficult activities in the home for the aged dwelling elderly than the residential home dwelling elderly. The coupled elderly has more independent in some ADL and IADL activities compared with the single elderly. Conclusion: Using K-ADL and K-IADL is more convenient for Korean elderly. Medical professional consider some factors like dwelling style, social status, existing diseases and disabilities in order to care the elderly and train him/her activities of daily living as well as instrumental activities of daily living. Medical professional, especially physical and occupational therapist emphasize the training items which are bathing of ADL and grooming, housework, preparing meals, laundry, traveling, public transportation, shopping, using telephone and taking medicine of IADL based on the result of this study.

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