• Title/Summary/Keyword: 의미치료

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Semantic network analysis of schizophrenia through newspaper articles. (신문기사를 통해 본 조현병의 의미연결망 분석)

  • Song, Hye-Jin;Kim, Suk-Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.6
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    • pp.375-384
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    • 2021
  • This study explored the change in keywords and topics in newspaper articles related to schizophrenia after the Gangnam murder case. The study examined newspaper articles related to schizophrenia for five years before and after the Gangnam murder case. A semantic network analysis was conducted using the NetMiner 4.4.1 program. 610 articles between 2013 and 2018 were retrieved from 8 national newsletters. The most frequent core keyword was 'treatment' before the murder case, but 'incidents' after the case. Four topics were identified: 'becoming chronic if missing the time of treatment due to prejudice', 'being curable with early treatment', 'living an ordinary life with medication', 'being indicted as a murderer while impaired by a mental disorder' before the murder case. After the case, four topics were identified: 'committing murder for delusions, not misogyny', 'medication non-adherence leads to more impulsive behavior', 'claiming leniency for criminals due to the mental impairment', 'killing the police who were mobilized to stop stabbing rampage'. These findings suggest that newspaper articles should provide accurate information about schizophrenia to reduce prejudice and stigma toward patients with schizophrenia and other forms of mental illness.

A Study on the Spatial Therapy Program through the Analysis of the Meaning and Value of Old Houses : Focus on Kwon Seong-baek Old House in Andong (고택의 의미와 가치 분석을 통한 공간치료 프로그램 연구 : 안동 권성백 고택을 중심으로)

  • Jo, Jeong-Eun;Jang, Chang-Su;Kwon, Ki-Chang
    • 지역과문화
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    • v.7 no.4
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    • pp.49-68
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    • 2020
  • The study of complementary medicine for the mental illness of modern people has been made up of academic fields. Psychotherapy, art therapy, literary therapy and dance therapy are among them, but these non-integrated studies are extremely limited to apply to reality. Collaboration with the medical community seeking supplementary measures after drug treatment is also a problem, and it is even more difficult to institutionalize them in a policy way. In response, the study suggested a shift to a space-oriented treatment paradigm by studying the value of space that most treatment programs value. Based on the theory of integrated literature therapy developed in Germany and introduced into Korea, the Tetra system was applied to one of Korea's cultural heritages. And I presented a sample of how to program the characteristics of the old house space. Kwon Seong-baek old house in Andong was considered a representative space and analyzed. As a similar case, we looked at the Healian Sun Village, the Knife Village in Germany, and the Temple Stay of Bongeunsa Temple to find out the actual conditions of space utilization. Accordingly, space treatment programs such as walking, writing poems, reading poems, and writing letters were presented by analyzing old houses with a Tetra system. This is significant as the first study to incorporate spatialization and placeability into the program.

Impact of Adjuvant Chemoradiation Therapy on the Postoperative 5-year Survival Rates for Stage-II Gastric Cancer (2기 위암환자의 수술 후 보조 항암요법 및 방사선 치료가 생존율에 미치는 영향)

  • Hong, Seong-Kweon;Choi, Min-Gew;Baik, Yong-Hae;Noh, Jae-Hyung;Sohn, Tae-Sung;Kim, Sung
    • Journal of Gastric Cancer
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    • v.5 no.4 s.20
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    • pp.281-287
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    • 2005
  • Purpose: This study was conducted to evaluate the effectiveness and the role of post-operative adjuvant chemoradiation therapy in a stage-II (UICC, 1997) primary gastric cancer. Materials and Methods: From September 1994 to December 2004, 954 stage-II gastric-cancer patients were seen, and all of them underwent a curative resection with extensive (D2) lymph-node dissection. The chemotherapy consisted of fluorouracil $(400mg/m^2)$ plus leucovorin $(20mg/m^2)$ for 5 days, followed by 4,500 cGy of radiotherapy for 5 weeks with fluorourcil and leucovorin on the first 4 days and the last 3 days of radiotherapy. Two five-day cycles of chemotherapy were given four weeks after the completion of radiotherapy. The Kaplan-Meier method was used to estimate the survival rates. To assess the importance of potential prognostic factors, we performed univariate and multivariate analyses using a log-rank test and Cox's proportional hazards regression model. A P value <0.05 was considered significant. Results: Univariate analysis revealed that age, tumor size, gross type, surgical method, and postoperative adjuvant therapy had statistical significance. Among these factors, age, surgical method, tumor size, surgical method, and postoperative adjuvant therapy were found to be independent prognostic factors by using a multivariate analysis. The postoperative adjuvant chemotherapy group and the chemoradiation therapy group had survival benefit compared to the surgery-only group. However the chemoradiation therapy group had no significant survival benefit compared to the chemotherapy group. Conclusion: The postoperative adjuvant therapy in stage-II gastric-cancer patients had significant benefit. Therefore, postoperative adjuvant chemoradiation therapy has an acceptable effect. A large-scale, randomized study is needed to evaluate the effectiveness and the role of postoperative radiation therapy.

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Growth promoting effect of short-term gonadotropin releasing hormone agonist with or without growth hormone in girls with early puberty (조기 사춘기 여아에서 단기간 성선자극호르몬 방출호르몬 효능약제와 성장호르몬 병합투여의 성장촉진 효과)

  • Lee, Eun-Ju;Han, Heon-Seok
    • Clinical and Experimental Pediatrics
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    • v.50 no.2
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    • pp.198-204
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    • 2007
  • Purpose : The hope that arresting pubertal developement might increase final adult height has led to an attempt to use GnRH agonist (GnRHa) in children with early puberty and poor growth prognosis. We investigated the growth-promoting effect of GnRH agonists with or without growth hormone (GH) in girls with early puberty and decreased predicted adult height (PAH). Methods : Thirty five girls with advanced bone age and early pubertal signs were randomized for treatment for about 1 year with monthly GnRHa in group 1 (n=18), or with a combination of GH and GnRHa in group 2 (n=17). The following growth parameters were compared between groups, and the difference ($\Delta$) before and after treatment : chronological age (CA), bone age (BA), $\Delta$(BA-CA), height (HT), target height (TH), predicted adult height (PAH), $\Delta$ (TH-PAH), serum insulin-like growth factor (IGF-1) and insulin-like growth factor binding protein (IGFBP-3). Results : Before treatment, BA, TH, PAH Standard deviation scores (SDS), $\Delta$(TH-PAH) were not different between the two groups, but CA was higher in group 2 and $\Delta$(BA-CA) were higher in group 1 (P<0.05). After $1.06{\pm}0.93$ year of treatment, $\Delta$ (BA-CA) decreased and there were significant changes in PAH and $\Delta$ (TH-PAH), especially in group 2 (P<0.05 in group 1, and P<0.001 in group 2). In both groups, IGF-1 and IGFBP-3 were not different before and after treatment, but after treatment, IGF-1 level in group 2 was marginally higher than IGF-1 in group 1 (P<0.1). Conclusion : Compromised predicted adult height in girls with early puberty and advanced bone age was significantly improved with GnRH with/without GH treatment in the short-term period. The addition of GH to GnRHa results in a significant increase in PAH compared to GnRHa alone because GnRHa suppressed growth hormone-IGF-1 axis. For comparison of final adult height, further longitudinal follow-up will be needed.

Effects of Meaning Enhancement Program on Meaning of Life for Korean College Students: A Systematic Review (의미증진 프로그램이 우리나라 대학생의 삶의 의미에 미치는 효과: 체계적 문헌고찰)

  • Do, Eunna;Cho, Sunhee
    • Journal of Industrial Convergence
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    • v.19 no.5
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    • pp.79-90
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    • 2021
  • This study aimed to review the literature on the effects of the meaning enhancement program for college students studied in Korea, and to analyze the content and formal characteristics and the meaning enhancement effects of the program for college students. The literature was collected for studies aimed at enhancing meaning of life in college students among research papers and dissertations published in Korea until May 2021. Six databases were used to conduct searches with 'logotherapy' in Korean and English OR "meaning therapy" OR "meaning of life" OR 'meaning'. Two independent researchers performed an assessment of bias risk and research quality using a standardized tool, with seven final selected papers. All seven meaning enhancement programs were effective in discovering the meaning of life among college students, and both single and merged interventions were found to be effective. In order to analyze the effect size of meaning enhancement programs for college students, randomized control experimental studies need to be conducted in the future.

THE BONE GRAFT DECLINED. IS THERE STILL A ROLE FOR IMPLANT SURGERY? (골 이식술이 환자에 의해 거부되는 경우 : 임프란트 술식이 여전히 치료방법으로서 의미를 가질 수 있는가에 관한 고찰)

  • Yang, Yun-Seok;Worthington, Philip
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.19 no.4
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    • pp.362-366
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    • 1997
  • 골의 퇴축 혹은 수술시의 절제로 인해 임플란트를 식립하기엔 불충분한 악골을 가진 환자에 있어서 골 이식술의 필요성은 오랫동안 논의 되어왔다. 골이식술은 악골의 전체 두께(full thickness)결손시 연결성(continuity)의 수복, 혹은 표면(surface)에서의 골상실시 보강(augmentation)목적으로 쓰일 수 있다. 따라서 술자들은 임플란트를 식립하기에 불충분한 악골을 가진 환자에 있어 골 이식술에 권유하게된다. 그러나, 골 이식술은 donor site 의 morbidity혹은 수술에 대한 두려운, 추가되는 비용에 대한 염려등으로 인해 환자에 의해 거부될 때가 종종 있다. 악골 결손으로 인해 골이식없이는 임플란트를 식립하기 어려운 경우에 있어서도 임플란트 술식이 여전히 해결책이 될 수 있을까? 다음의 두가지 증례를 통해 저자등은 골이식술 없이는 임플란트르 식립하기 어려운 경우에 있어서도 임플란트 술식이 여전히 치료방법으로서 의미가 있었음을 보고하는 바이다.

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The Meanings of Dream Contents in the Psychotherapeutic Perspective (꿈의 의미(意味) : 정신치료적적 관점에서)

  • Lee, Byung-Wook
    • Sleep Medicine and Psychophysiology
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    • v.8 no.2
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    • pp.90-97
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    • 2001
  • The reason for exploring dreams is to understand the of patient's conflicts and unconscious motivation. Even if the therapeutic value of dreams is considerably faded these days, I can not deny that dreams are still very useful. From the beginning of human history, dreams have been an appealing subject for many people. In the past, dreams chiefly had the value of prophetic meaning, and in our tradition attention was paid to dreams in terms of good and bad dichotomy. Freud's discovery of the Unconscious and technical development of its exploration is reinforced by dream interpretation. In contemporary terms, although dreams are not the royal road to the Unconscious, they surely present a short-cut. I suggest that dreams as a treasure island of the Unconscious have a useful therapeutic value, and that stressing the importance of dreams is by no means anachronistic. I believe that practical sessions without dreams are like a river without bridges.

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Factors Predicting the Development of Radiation Pneumonitis in the Patients Receiving Radiation Therapy for Lung Cancer (방사선 치료를 시행 받은 폐암 환자에서 방사선 폐렴의 발생에 관한 예측 인자)

  • An, Jin Yong;Lee, Yun Sun;Kwon, Sun Jung;Park, Hee Sun;Jung, Sung Soo;Kim, Jin whan;Kim, Ju Ock;Jo, Moon Jun;Kim, Sun Young
    • Tuberculosis and Respiratory Diseases
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    • v.56 no.1
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    • pp.40-50
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    • 2004
  • Background : Radiation pneumonitis(RP) is the major serious complication of thoracic irradiation treatment. In this study, we attempted to retrospectively evaluate the long-term prognosis of patients who experienced acute RP and to identify factor that might allow prediction of RP. Methods : Of the 114 lung cancer patients who underwent thoracic radiotherapy between December 2000 and December 2002, We performed analysis using a database of 90 patients who were capable of being evaluated. Results : Of the 44 patients(48.9%) who experienced clinical RP in this study, the RP was mild in 33(36.6%) and severe in 11(12.3%). All of severe RP were treated with corticosteroids. The median starting corticosteroids dose was 34 mg(30~40) and median treatment duration was 68 days(8~97). The median survival time of the 11 patients who experienced severe RP was significantly poorer than the mild RP group. (p=0.046) The higher total radiation dose(${\geq}60Gy$) was significantly associated with developing in RP.(p=0.001) The incidence of RP did not correlate with any of the ECOG performance, pulmonary function test, age, cell type, history of smoking, radiotherapy combined with chemotherapy, once-daily radiotherapy dose fraction. Also, serum albumin level, uric acid level at onset of RP did not influence the risk of severe RP in our study. Conclusion : Only the higher total radiation dose(${\geq}60Gy$) was a significant risk factor predictive of RP. Also severe RP was an adverse prognostic factor.

Insulin 비의존형 당뇨병 (NIDDM) 치료제 개발 전략

  • 천승훈
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1998.05a
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    • pp.11-17
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    • 1998
  • 당뇨병은 고대 에집트시대때부터 다뇨증상을 가진 질병으로 알러져 왔으며 희랍의 의사인 Aretaeus (of Cappadocia)가 이 질병을 희랍어로 siphon을 의미하는 diabetes라 명명하였다. 17세기에는 꿀을 뜻하는 mellitus가 diabetes에 더해져 지금까지 쓰이고 있으며 18세기에 들어서야 sweetness가 sugar에 기인한다는 걸 밝혀내었다. 당뇨병은 이와 같이 오래되고 흔한 질병이지만 그에 대한 치료제는 insulin, sulfonylurea제, biguanide제 그리고 최근에 개발되어 시판되었으나 간독성으로 인하여 영국에서는 판매가 금지된 thiazolidinedione제 뿐이기 때문에 많은 제약회사에서 새로운 치료제를 개발하기 위하여 치열한 경쟁을 하고 있다. 이는 전세계적으로 1억명 이상 그리고 미국에만 1,400만명 이상의 당뇨병 환자가 있다고 추정되며 이의 치료에 들어가는 경비가 $105억에 달하기 때문이기도 하다. 또한 주로 선진국에서 흔하던 이 질병이 요즈음엔 풍족해진 음식, 문명의 서구화(소위 말하는 "Coca-colonization")와 운동 부족 등의 이유로 개발국과 개발도상국에서도 발병율이 높아 가는 질병이기 때문에 획기적인 치료제의 개발이 절실히 필요한 때이기도 하다.한 때이기도 하다.

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식이요법 대신에 약으로 치료할 수 있는 BH4 반응형 페닐케톤뇨증

  • Kim, Yeong-Seon;Lee, Dong-Hwan
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.3 no.1
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    • pp.22-27
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    • 2003
  • 고페닐알라닌혈증의 경우 모든 환자들이 저페닐알라닌 식이를 엄격히 지키는 것은 아니기 때문에 기대만큼의 치료효과를 거두지 못하는 경우가 종종 있다. 모든 페닐알라닌 수산화 효소 결핍에 의한 페닐케톤뇨증 환자에서 테트라하이드로바이오프테린의 복용이 효과를 거두는 것은 아니나 식이조절과 비교해 볼 때 이는 식이 제한에 대한 어려움이 없고 복용이 간편하므로 치료효과가 있다면 일부 환자에서라 하더라도 페닐케톤뇨증 환자의 치료에 새로운 방향을 제시하는데 충분한 의미가 있다고 본다. 이러한 시점에서 저자들은 고전적 페닐케톤뇨증으로 진단되었던 6명의 환아에서 식이제한없이, 또는 식이제한을 완화한 상태에서 테트라하이드로바이오프테린을 복용함으로써 치료 효과를 거둔 6례에 대해서 문헌 고찰과 함께 보고하는 바이다.

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