• Title/Summary/Keyword: 의미치료

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Pretreatment prognostic Factors in Early Stage Caricinoma of the Uterine Cervix (초기 자궁 경부암에서 치료전 예후 인자)

  • Kim, Mi-Sook;Hua, Sung-Whan
    • Radiation Oncology Journal
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    • v.10 no.1
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    • pp.59-67
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    • 1992
  • From March 1979 through December 1986, 124 patients with early stage carcinoma of the uterine cervix received curative radiation therapy. According to FIGO classification, 35 patients were stage IB and 89 were stge II A. In stage IB, five year locoregional control, five year disease free survival, and five year overall survival was $79.0\%$, $76.4\%$ and $81.8\%$, respectively. In stage II A, five year locoregional control, five year disease free survival, and five year overall survival were $78.0\%$, $66.8\%$, and $72.1\%$, respectively. To identify prognostic factors, pretreatment parameters including age, ECOG performance status, number of pregnancies, history of diabetes mellitus and hypertension, histology, size and shape of primary tumor, CT findings and blood parameters were retrospectively analyzed in terms of locoregional control, disease free survival and overall survival using univariate analysis and multivariate analysis. In univariate analysis, tumor size on physicai examination and rectal invasion on CT significantly affected locoregional control, disease free survival and overall survival. Parametrial involvement on CT was a significant prognostic factor on locoregional control and disease free survival. Hemoglobin level affected disease free survival and overall survival. Histology and age were significant prognostic factors on locoregional control. In multivariate analysis excluding CT finding, tumor size on physical examination was a significant factor in terms of locoregioal control and overall survival. Hemoglobin level was significant in terms of disease free survival. In multivariate analysis including CT, histology was a prognostic factor on locoregional control and disease free survival. Hemoglobin level and rectal invasion on CT were significant factors on locoregional control.

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The Phenomenological Study on Parents Consultation Experiences of Pediatric Occupational Therapists (아동작업치료사의 부모상담 경험에 관한 현상학적 연구)

  • Park, Juyoung;Jung, Nam-hae
    • The Journal of Korean Academy of Sensory Integration
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    • v.19 no.2
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    • pp.46-59
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    • 2021
  • Purpose : This study phenomenologically explores and describes the experiences of pediatric occupational therapists during parents consultation. Method : In this study, Colaizzi's phenomenological research method was applied. Telephone interview was conducted with six people who had more than eight years of clinical experience in pediatric occupational therapy and were working at a private center. Each interview was recorded with the consent of the subject and analyzed after transcription. Results : In this study, 21 themes, 4 theme clusters, and 2 categories were derived. The categories were the importance of parents consultation and factors influencing parents consultation. The theme clusters were the meaning of parents counseling, the reciprocity of the parent, the child and the therapist, the efforts of the therapist, and the competencies required of the occupational therapist. Conclusion : The results of this study may be helpful for first-time pediatric occupational therapists who are having difficulties with parents consultation. This work can also be used as basic data for developing educational programs and materials for improving the parental consultation skills of pediatric occupational therapists in the future.

당뇨병은 치료될 수 있는가?

  • KOREA ASSOCIATION OF HEALTH PROMOTION
    • 건강소식
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    • v.22 no.6 s.235
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    • pp.7-7
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    • 1998
  • 당뇨병은 일반적으로 병이 치료된다는 의미의 치료는 이루어지지 않는다. 치료가 아주 잘 된 경우라도, 그 후에 적절한 관리가 이루어지지 않는다면 재발하고 만다. 따라서 이렇게 되지 않기 위해서는 의사와 함께 자기 스스로 당뇨병을 잘 조절해야만 한다. 이렇게 하기만 하면, 건강한 사람과 다름없는 일상생활을 할 수 있다. 이것이야말로 당뇨병 치료의 최대 목표인 것이다.

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The Combined Effects of Curcumin Administration and 630 nm LED Phototherapy against DNCB-induced Atopic Dermatitis-like Skin Lesions in BALB/c Mice (BALB/c 마우스에서 DNCB-유도 아토피 피부염 유사병변에 대한 Curcumin 투여와 630 nm LED 광치료의 병용 효과)

  • Jekal, Seung-Joo;Park, Mi-Suk;Kim, Dae-Jung
    • Korean Journal of Clinical Laboratory Science
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    • v.49 no.2
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    • pp.150-160
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    • 2017
  • Atopic dermatitis (AD) is a chronic inflammatory skin disease. It is characterized by eczematous lesions, skin dryness, and pruritus. The existing treatment drugs for AD have side effects, especially if the drugs are taken for extended periods. Therefore, new alternative therapies are necessary. The aim of this study was to investigate the combined effects of curcumin administration and LED irradiation on AD. AD-like lesions were induced in BALB/c mice by repeated application of 1-chloro-2,4-dinitrobenzene (DNCB) to the shaved skin of the ear and neck. Thirty male BALB/c mice were divided into five groups: vehicle, DNCB, curcumin, LED, and curcumin+LED groups. Curcumin (0.1 g/kg/day) was administrated repeatedly during a period of 14 days (experimental period) and 630 nm LED irradiation ($5J/cm^2/day$) was performed in the acryl box once a day for 10 days, after inducing AD-like lesions via DNCB application. The severity of AD-like lesions was evaluated during the experimental period, using a modified SCORAD index. Both ear and neck skin tissues were examined histologically for epidermal thickness, mast cell, eosinophil counting, and dermal collagen density. Epidermal cell proliferation and apoptosis were detected using immunohistochemistry and TUNEL, respectively. These were all reduced in SCORAD index, epidermal thickness, collagen density, number of mast cell and eosinophil in dermis, and number of proliferating cell and apoptotic cell in epidermis by curcumin administration and 630 nm LED irradiation. Moreover, all parameters were significantly lower in the curcumin+LED group compared with the curcumin group and LED group. These results suggest that the combined therapy of curcumin and LED is more effective than a single treatment. We recommend that this can be a feasible alternative therapy to manage AD.

Mothers' Experience of Treatment Services for Attention Deficit Hyperactivity Disorder (ADHD 아동을 둔 어머니들의 ADHD 치료 및 서비스 경험에 관한 연구)

  • Choi, Mal Ok
    • Korean Journal of Social Welfare
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    • v.68 no.2
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    • pp.161-184
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    • 2016
  • The purpose of this study was to explore the perceptions in treatments and experiences of attention-deficit hyperactivity disorders (ADHD) for mothers parenting a child with ADHD. Using Giorgi's 4 stages, this study investigated the meaning of ADHD treatments for mothers. Data were collected from December 2014 to February 2015 for 3 months with a sample of 13 mothers of children with ADHD via in-depth interviews. Collected data was analyzed using an interpretative phenomenological approach. Dominant issues identified were: I (mother) need to be changed for my child; Through mothers' experiences of lack of self-determination about a child with ADHD, they realized ignorance, chaos, and anxiety. While they experience multiple negative feeling, there is a positive change with unresolved issues. The findings highlight the correct awareness of ADHD and incorporated therapies for mothers and children with ADHD to improve treatment retention. Also, specialized services would be developed for mothers to promote their positive attitude to life, which is vital to cultivating the correct self-awareness.

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The Effect of 6 Weeks of Treatment with Inhaled Budesonide on Bronchial Hyperresponsiveness and Adrenal Function in Asthmatic Patients (흡입용 스테로이드인 Budesonide 6주 치료가 기관지 천식환자의 기관지 과민반응과 부신피질기능에 미치는 영향)

  • Kim, Kwan-Hyoung;Oh, Yong-Seok;Kim, Chi-Hong;Kwon, Soon-Seog;Kim, Young-Kyoon;Han, Ki-Don;Moon, Hwa-Sik;Song, Jeong-Sup;Park, Sung-Hak
    • Tuberculosis and Respiratory Diseases
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    • v.39 no.3
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    • pp.219-227
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    • 1992
  • Background: Acute and chronic airway inflammation are important in the pathogenesis of bronchial asthma. Corticosteroids have proved to be very effective in the management of asthma. Although the mechanism by which they produce this effect is still debated, suppression of the inflammatory response is thought to be the most likely. Although inhaled steroids are known to be safe and have less side effects than oral steroids, the extent which inhaled steroids have beneficial and the detrimental effects in the treatment of asthma has remained open to question. Budesonide is a recently developed corticosteroid for inhalation treatment with a strong local effect combined with rapid inactivation in the systemic circulation. We set out to look in more detail at the time course of change in bronchial reactivity, clinical symptoms and the effects on the adrenal function during 6 weeks of treatment with budesonide (800 ug per day). Methods: Clinical symptoms, pulmonary function test, histamine $PC_{20}$, serum ACTH and cortisol (8 AM and 4 PM) were measured in 23 allergic asthmatic patients before and after 6 weeks of treatment with budesonide. Results: 1) Pulmonary function test; PEFR, FEV1 and FVC after 6 weeks of treatment with budesonide were higher than those before treatment. 2) Clinical symptoms; Clinical symptoms were significantly improved after 3 weeks and 6 weeks of treatment with budesonide. 3) Histamine provocation; Histamine $PC_{20}$ after 6 weeks of treatment with budesonide was significantly higher than that before treatment. 4) Adrenal function; 6 weeks of budesonide therapy did not significantly affect the level of serum ACTH and cortisol. Conclusion: From these results, it is concluded that budesonide therapy improved the clinical symptoms, pulmonary function and bronchial hyperreactivity after 3 weeks of treatment and the improvement after 6 weeks of treatment was higher than that after 3 weeks of treatment. During 6 weeks of treatment with budesonide, the inhibitory effect on the adrenal function was not obvious.

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Bibliotherapy Programs for Promoting the Mental Health of Adolescents : Focused on the Bibliotherapy Program for Teacher Use (청소년의 정신건강 증진을 위한 독서치료 프로그램 - 교사용 독서치료 프로그램을 중심으로 -)

  • Kim, Soo-Kyoung
    • Journal of Korean Library and Information Science Society
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    • v.38 no.1
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    • pp.277-298
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    • 2007
  • Adolescence is a critical period of mental disorder. A teacher, as a significant other, is an important social supporter for adolescents. The purpose of this study is to develop bibliotherapy programs for teachers as a school-based prevention program which helps improve the mental health of adolescents. Two programs are designed for teachers. One is for a teacher as an ordinary person in his/her daily life and the other is for a teacher as a significant other of adolescents.

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Bruxism의 치료 -장치를 이용한 치료법을 중심으로-

  • Lee, Gi-Su
    • The Journal of the Korean dental association
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    • v.21 no.4 s.167
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    • pp.293-297
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    • 1983
  • Bruxism이란, 일반적으로 기능이외의 목적으로 상하악 치아를 악물거나 갈음질 하는 것이라고 정의된다. 동일한 상태를 서술하는 용어로 neuralgia traumatica, Karolyi effect, occlusal habit neurosis, parafunction 등이 있으며, 수면중의 이갈음질을 bruxism, 주간의 습관성 이갈음질을 bruxomania로 구분하기로 한다. 또한 centric bruxism과 eccentric bruxism으로 분류하기도 한다. eccentric bruxism은 통상적 의미의 수면중의 bruxism이며, 하악의 측방운동중의 이갈음질이고 뽀드득하는 갈음질 소리를 냄, 저작근육의 긴장도가 증가되어 있으면서 등장성수축을 나타내고, 비중심위의(eccentric) 교합간섭이 주요 유발인자인 반면에 centric bruxism은 중심교합위에서 상하악 치아를 간헐적으로 악무는 것(clenching)은 의미하고 - 지속적으로 악무고 있는 것은 clamping이라고 함.- 주로 주간에 행하며 갈음질소리를 들을 수 없고, 역시 저자근육의 긴장도가 증가되어 있으며 등률성수축을 나타내고, 중심교합위에 근접하여 존재하는 교두간섭이 유발인자이다. bruxism이나 clenching과 부정교합의 관계는 bruxism과 clenching은 부정교합을 야기할 수 있고, 부정교합도 역시 bruxism과 clenching을 유발시키는 작용을 할 수 있는 악순환적 관계이다. 현저한 부정교합을 가지고 있는 bruxism환자의 교정치료는 그 목적이 bruxism의 치료라기보다는 오히려 부정교합의 치료이며 부차적으로 bruxism의 치료를 기대하게 된다. 그러나 bruxism이 장기간 지속되어 치아 및 그 주위조직, 악관절과 신경근계에 심한 손상을 주었을때의 교정치료는 일반적으로 제한을 받을 뿐만아니라 bruxism의 처치에는 거의 무의미한 치료가 될 수 있다. 따라서 거자는 bruxism 환자의 교정치료라는 제목의 원고 청탁을 받았으나 편집위원의 양해아래 장치를 이용한 bruxism의 치료에 관하여 서술하려 한다.

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The Structure of Healing in the Functor and Semantic Arguments Appearing in the Poem "Bellflower Flower" by Cho Ji-Hoon (조지훈의 시 「도라지꽃」에 나타나는 함수자와 의미론적 논항의 치유의 구조)

  • Park, In-kwa
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.1
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    • pp.275-278
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    • 2018
  • This study examines how poem and poetic ego of Cho Ji-Hoon form synapses. It is to clarify the synaptic structure of the healing, the contact point between the literary mechanism and the mechanism of the ego. Therefore, it aims to encode the active therapy by substituting the structure into the literary therapy program. Cho Ji-Hoon's poem "Bellflower Flower" is a mesh of poem, and a mesh of semantic arguments is set up for the 'Bellflower Flower' of functor. At this time, the longing that attracts depression to the net of the semantic argument is caught. This exists as a function of healing. If we embody a literary therapy program that utilizes the synaptic structure of this healing, it will be able to experience the function of literary therapy improved than before.

Methods of medical treatment in 『Euibangyoochui』 (『의방유취(醫方類聚)』치법편의 구성과 특징 -식치(食治)·금기(禁忌)·침구(鍼灸)·도인편(導引篇)을 중심으로-)

  • Ahn, Sang woo;Choi, Whan soo
    • The Journal of Korean Medical History
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    • v.14 no.1
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    • pp.109-124
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    • 2001
  • "Euibangyoochui" is a great medical encyclopedia composed of 91 symptoms and signs of diseases which classified 150 kinds of reference books. It consisted mainly of fifty thousands of herbal prescriptions and therapeutics but it deals with other treatments like diet therapy, precautions, acupuncture and moxibustion, physical and breathing exercises as well. Unlike other medical references, this book made up these treatments as independent chapters. We tried to catch the meanings and characteristics of each chapters.

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