• 제목/요약/키워드: 의학적 적응

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Non-causal Emotion based Brain Information Process model (비인과성 감정 기반 뇌 정보처리 모델)

  • 홍인택;연정흠;김용민;조현찬;전홍태
    • Proceedings of the Korean Institute of Intelligent Systems Conference
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    • 2003.05a
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    • pp.189-192
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    • 2003
  • 본 논문에서는 인간 두뇌 정보처리 시스템 모델링의 일환으로 강정적 요소 기반의 제어를 제시하였다. 일반적인 제어 시스템과는 달리 인간 두뇌 시스템의 경우 감정적인 요인이 제어에 상당한 영향을 미친다는 의학적 보고에 따라 일차적인 환경요소에 의한 감정요인을 적용하여 모델을 구현하였다. 주어진 모듈 로봇은 랜덤으로 주어지는 환경에 대해 정보수집 단계를 거쳐 주행에 필요한 일차적인 운동 패턴을 습득하고 이를 메모리에 저장하여 분석하며 적응하는 이차적인 운동 패턴을 시행하게 된다 감정요인을 기반으로 한 판단 알고리즘에 의해 모듈 로봇은 환경에 적응하면서 주행하는 패턴을 보여주게 된다.

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Wrist Arthroscopy (완관절 관절경)

  • Park, Min Jong
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.11 no.1
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    • pp.17-23
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    • 2012
  • Wrist arthroscopy has gained popularity and it is applied to a variety of disease for diagnosis and management. In this review article, recent literature review as well as traditional indications is described.

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Context-based user adaptive physiological signal analysis (컨텍스트에 기반한 사용자 적응적 생체 신호 해석 방법)

  • Choi, Ah-Young;Woo, Woon-Tack
    • 한국HCI학회:학술대회논문집
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    • 2007.02a
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    • pp.606-611
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    • 2007
  • 최근 u-healthcare 서비스 분야에서 단일 시점의 일반화된 치료가 아닌 장시간 개개인의 특성이 반영된 진료와 의료 서비스에 대한 관심이 증가하고 있다. 그러나 기존의 생체 신호 해석은 임상적인 실험을 통해 얻은 표준화된 임계치를 이용해 분석하는 일관된 판단 방법이 주를 이루었다. 본 논문에서는 미래형 홈 환경에서 사용자에 따라 다른 신호 해석을 지원하는 사용자 적응적 생체 신호 해석 방법을 제안한다. 생체 신호 해석은 사용자의 컨텍스트와 환경 컨텍스트를 통합하는 모듈과, 지식표현 기법을 적용한 개인화된 추론 모듈로 구성된다. 제안된 방법은 사용자 정황 정보를 고려하여 사용자 적응적인 생체 신호 해석을 지원하며, 환경 컨텍스트를 고려하여 환경의 변화에 영향을 최소화하는 생체 신호 해석을 지원한다. 또한 사상의학 이론을 생체신호 해석에 동적으로 적용할 수 있는 틀을 제공한다. 이는 추후 미래형 홈 환경에서 다양한 종류의 센서와 함께 개인화된 맞춤형 재택 건강관리 서비스에 활용할 수 있다.

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Psychosomatic Approach to Plastic Surgery (성형수술의 정신신체의학적 접근)

  • Hwang, Kun
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.1
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    • pp.3-9
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    • 1999
  • Abnormal external appearance may cause psychiatric trauma or problem in social adaption. The plastic surgeons should consider the patient's quality of life, and their roles are correcting psychiatric and emotional trauma as well as external appearance which help the patient adapting social life. Because the patients in plastic surgery have higher level of expectation for the result of their operation, it is necessary for the surgeons to explain precisely the procedure and possible complications precisely at preoperative meeting and to maintain the good doctor-patient relationship at postoperative follow-up period. In case if the patient dissatisfy the postoperative result, it is recommended to listen the second opinion from another plastic surgeon. If the patient still dissatisfy, then the patient should be consulted to psychiatrist.

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The Evolutionary Medicine of Birth Decision: Psycho-Socio-Ecological Explanations (출산 의사 결정의 진화의학: 정신-사회-생태적 설명)

  • Jihyun, Ryou;Jain, Gu;Hanson, Park
    • Korean Journal of Psychosomatic Medicine
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    • v.30 no.2
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    • pp.99-111
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    • 2022
  • Akey factor in evolution is reproduction, which is also a major concern in medicine. Evolutionists have proposed many theories and hypotheses to explain the low fertility rates of modern industrial societies, which are contrary to maximization of biological fitness. Given that childbirth is the most significant factor affecting reproductive fitness, it is likely that a variety of psychological modules related to childbirth behavior and intention evolved over time. Several evolutionary psychological modules have been proposed in relation to reproduction, including sexual desire, status-seeking, a need for nurturing, and the desire for children. Previously adaptive psychological modules may now be expressed maladaptively due to the discrepancy between the Environment of Evolutionary Adaptedness (EEA) and the environment of modern industrial society. Several evolutionary ecological factors influence childbirth intention in modern society, including individual personality factors, childhood life history experiences, and socioecological factors throughout reproductive life. By focusing on mental, social, and ecological factors, this review examines several hypothetical models relating to evolutionary psychological factors and childbirth decisions in modern industrial society, as well as a possible explanation for the low birth rate.

Psychosomatic Integrative Care for Psychosocial Distress of Patients With Breast Cancer (유방암 환자의 정신사회적 디스트레스에 대한 정신신체의학적 통합치료)

  • Yang, Chan-Mo;Jang, Seung-Ho;Lee, Hye-Jin;Lee, Sang-Yeol
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.77-85
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    • 2021
  • Breast cancer is the most prevalent oncological disease among women. Various psychosocial distress is common at the diagnosis, treatment, and posttreatment phase of breast cancer. For the treatment of breast cancer, not only medical treatment but also psychosomatic integrative care will be needed. Patients with breast cancer may lead to increased vulnerability to stress, adjustment disorder, anxiety disorder, and depressive disorder, and these psychiatric diseases and conditions are associated with recurrence or exacerbation of breast cancer. Psychosocial treatment of anxiety and depression could increase the quality of life of patients and decrease the recurrence and progression of breast cancer. In this article, we reviewed 5 clinical breast cancer survivorship guidelines focused on psychosomatic integrative care including psychosocial treatment and alternative treatment for psychosocial distress. Because 5 treatment guidelines were using various definitions of evidence, we confirmed evidence of various psychosocial treatments for patients with breast cancer based on the definition of evidence by the US Preventive Service Task Force (USPSTF) guideline. We also reviewed the effect size of psychosocial treatment for anxiety, depression, mood, and quality of life in patients with breast cancer. This article discusses the barrier to the delivery of psychosomatic integrative care and suggests integrative care planning for breast cancer. Multi-disciplinary teams, patient's needs assessment, information technology support, patient and caregiver engagement, planned periodic monitoring of psychosocial distress by a psychosomatic specialist or consultation-liaison psychiatrist are recommended as key features of a psychosomatic integrated care plan.

The impact of depression and anxiety on life satisfaction in psychiatric patients : Moderating effect of humor style (정신건강의학과 환자들의 우울 및 불안이 삶의 만족도에 미치는 영향 : 유머양식의 조절효과)

  • Kim, Keun-Hyang;Cho, Young Eun
    • Journal of the Korea Convergence Society
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    • v.7 no.6
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    • pp.125-132
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    • 2016
  • Conventionally, humor has been regarded as an indicator of mental health, but several researchers has proposed that the effects of humor in mental health may be different depending on humor styles. Therefore, further studies about humor style and the effect of humor are worthwhile. In the present study, we shall pay attention to buffering effect of humor on a decline in mental health. we attempted to identify weather the buffering effect of humor is different depending on humor styles in psychiatric patients. For this purpose correlation analysis on humor style, depression, anxiety and life satisfaction were carried out, and hierarchical regression analysis were applied to analyse moderating effect of humor style. Consequently, self-enhancing humor has a significant moderating effect on both depression and anxiety. Whereas, affiliative humor has a significant interactive effect with only depression. The conclusion which can be drawn from this study is that positive humor can work as a protective factor on a decline in mental health, and using self-enhancing humor is effective to increase life satisfaction. It might have a convergent meaning on adaptation that psychiatric patients could have a good adaptation(by using positive humor) in real world.

A Criticism Regarding the Medical Rationale of Nucleoplasty Studies for Internal Disc Disruption (수핵성형술(Nucleoplasty)을 이용한 디스크 내장증(Internal Disc Disruption)의 치료 연구들의 의학적 논거에 대한 비판)

  • Hong, Youngki
    • The Journal of the Korea Contents Association
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    • v.22 no.9
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    • pp.570-582
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    • 2022
  • Nucleoplasty is a type of percutaneous disc decompression that has been developed to treat herniated intervertebral discs. Currently, in some clinics, researchers have also applied this procedure to patients with internal disc disruption, apart from the originally intended usage on herniated intervertebral discs. The purpose of this study is to evaluate the feasibility of this extended use based on medical logic. To achieve this, the author analyzed case studies on performing nucleoplasty on patients with internal disc disruption. The main points of the analysis are, first, the validity of the treatment evidence presented by the researchers and, second, the relevance of the patient selection criteria. As a result, it is judged that the therapeutic rationale of existing papers applying nucleoplasty to the treatment of internal disc disruption is unclear or inconsistent with general medical logic, and in the process of patient screening, discs that may be deemed inappropriate for percutaneous decompression are included. Therefore, the author believes that existing studies applying nucleoplasty to the treatment of internal disc disruption have the nature of somewhat adventurous experiments that are unnecessary or can cause potential side effects. In order to uphold patients' rights and improve the completeness of the study in the research process on this topic, the author thinks that it is essential to establish clearer therapeutic evidence than the current level of understanding and to have an elaborate patient screening process based on it.

Feasibility and Efficacy of Adaptive Intensity Modulated Radiotherapy Planning according to Tumor Volume Change in Early Stage Non-small Cell Lung Cancer with Stereotactic Body Radiotherapy (폐암의 정위적체부방사선치료에서 육안적종양체적 변화에 따른 적응방사선치료의 효용성 및 가능성 연구)

  • Park, Jae Won;Kang, Min Kyu;Yea, Ji Woon
    • Progress in Medical Physics
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    • v.26 no.2
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    • pp.79-86
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    • 2015
  • The purpose of this study is to evaluate efficacy and feasibility of adaptive radiotherapy according to tumor volume change (TVC) in early stage non-small cell lung cancer (NSCLC) using stereotactic body radiotherapy (SBRT). Twenty-two lesions previously treated with SBRT were selected. SBRT was usually performed with a total dose of 48 Gy or 60 Gy in four fractions with an interval of three to four days between treatments. For evaluation of TVC, gross tumor volume (GTV) was contoured on each cone-beam computed tomography (CBCT) image used for image guidance. Intensity modulated radiotherapy (IMRT) planning was performed in the first CBCT (CBCT1) using a baseline plan. For ART planning (ART), re-optimization was performed at $2^{nd}$, $3^{rd}$, and $4^{th}$ CBCTs (CBCT2, CBCT3, and CBCT4) using the same angle and constraint used for the baseline plan. The ART plan was compared with the non-ART plan, which generated copying of the baseline plan to other CBCTs. Average GTV volume was 10.7 cc. Average TVC was -1.5%, 7.3%, and -25.1% in CBCT2, CBCT3, and CBCT4 and the TVC after CBCT3 was significant (p<0.05). However, the nine lesions were increased GTV in CBCT2. In the ART plan, $V_{20\;Gy}$, $D_{1500\;cc}$, and $D_{1000\;cc}$ of lung were significantly decreased (p<0.05), and $V_{30\;Gy}$ and $V_{32\;Gy}$ of the chest wall were also decreased (p<0.05). While D min of planning target volume (PTV) decreased by 8.3% in the non-ART plan of CBCT2 compared with the baseline plan in lesions with increased tumor size (p=0.021), PTV coverage was not compromised in the ART plan. Based on this result, use of the ART plan may improve target coverage and OAR saving. Thus ART using CBCT should be considered in early stage NSCLC with SBRT.