• Title/Summary/Keyword: 일차적 경험

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Outcome of Gamma Knife Radiosurgery for Trigeminal Neuralgia (삼차신경통에 대한 감마나이프방사선 수술)

  • Jeon, Sang Ryong;Lee, Dong Joon;Kim, Jeong Hoon;Kim, Chang Jin;Kwon, Yang;Lee, Jung Kyo;Kwun, Byung Duk
    • Journal of Korean Neurosurgical Society
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    • v.29 no.9
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    • pp.1228-1232
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    • 2000
  • Objective : This study was undertaken to analysis gamma knife radiosurgery(GKR) effect for trigeminal neuralgia after long term follow-up. Methods : There were 11 trigeminal neuralgia patients. The authors irradiated 67-85 Gy maximally to the nerve root entry zone(NREZ) using single 4mm collimator, just 1-6mm lateral side from the junction of the trigeminal nerve and pons. For the first 3 cases, we targeted the junction between the nerve and the pons. In theses cases, the pons was irradiated 56 or 60 gray in the surface. In the later 8 cases, the isocenter is positioned more distal side so that the brain stem surface would receive less than the 20% isodose. Results : The average follow-up duration was 25 months(13-50 months). Pain relief was noticed within a week to 5 months. In 3 patients, pain was relieved completely and in other 3 patients, mark improvement was achieved(80-90%). Remaining 4 patients showed significant improvement(30-50%). There was recurrence in only one case and she complained with similar intensity of pain at the last follow-up. There was no significant complication related to GKR. Conclusion : GKR is considered effective for trigeminal neuralgia based on the long term follow-up evaluation, but more clinical experience is needed to evaluate the efficacy of GKR for trigeminal neuralgia as a primary treatment modality.

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A Case of Primary BALT Lymphoma Limited to the Trachea (기관에 국한되어 발생한 BALT 림프종 1예)

  • Oh, Hyun Jong;Kim, Hee Jeong;Hwang, Eun Mee;Kim, Do Young;Kim, Yang Hyun;Yoon, Hyoung Kyu;Moon, Hwa Sik;Park, Sung Hak;Song, Jeong Sup
    • Tuberculosis and Respiratory Diseases
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    • v.55 no.2
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    • pp.198-205
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    • 2003
  • Primary pulmonary lymphoma is rare, especially lymphomas arising in and limited to the tracheal wall without pulmonary parenchymal involvement are extremely rare. Bronchus-associated lymphoid tissue (BALT) lymphoma accounts for the majority of tracheal lymphomas. BALT lymphoma reveals distinct clinicopathologic features and remains localized for prolonged periods. The diagnosis is made histopathologically. Optimal management of these rare lesions has not been established. But, chemotherapy and radiation therapy all have been tried with favorable short-time results. The prognosis of BALT lymphoma is relatively good. We present here a case of BALT lymphoma of the tracheal wall which had responded to bronchoscopic ND-YAG laser therapy and local radiation therapy.

A Study on Media Therapy Experience for Individuation and Treatment of Social Trauma Focusing on Jung's Collective Unconsciousness and Individuation (사회적 트라우마의 개성화와 치유를 위한 미디어 테라피 가능성 연구 융(Jung)의 집단 무의식과 개성화 사유를 중심으로)

  • Yoo, Sook;Kang, Jin Suk
    • Korean journal of communication and information
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    • v.80
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    • pp.167-192
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    • 2016
  • This study examined the social trauma experienced by direct victims of accidents and each member of the society affected by grand-scale disasters based on the concepts of collective unconsciousness, archetype, and individuation from Jung's analytical psychology, and their experience of therapy through media. For this purpose, the survivors of the disaster of Sewol that occurred on April 16, 2014, family of the deceased, psychological professionals, and general volunteers were selected as the subjects for one-on-one in-depth interviews and focus group interviews. The findings can be summarized as follows: first, the subjects are suffering from different forms of social trauma such as seclusion and anxiety due to primary/secondary incidents, but there is possibility for them to overcome the social trauma as a social community. Second, the archetypes of life and death, mourning and remembrance are showing in the subjects' everyday lives. In particular, it was found that various archetypes are appearing symbolically through the craft activities in which the survivors are participating most actively. Third, the media therapy program for the victims of the Sewol has limitations in various aspects. However, the fact that the craft activities that are not bound by time and space are highly effective manifests that anyone can take advantage of trauma therapy through digital media that are easily found around them. Finally, this study is significant as it verified the possible individuation of social trauma and identified the limitations of media therapy to suggest its development directions.

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The Introduction of the Japanese Public Long-Term Care Insurance as a Neo-Liberal Social Reform (신자유주의 사회개혁으로서의 일본 공적개호보험: 시행 5년간의 사회적 결과를 중심으로)

  • Cho, Young-Hoon
    • Korean Journal of Social Welfare
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    • v.57 no.2
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    • pp.165-184
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    • 2005
  • Japan has remained a welfare laggard among advanced industrial democracies. Therefore, the introduction of the public long-term care insurance(koteki kaigo hoken in Japanese) in April of 2000 looks very unique in terms of the Japanese social security tradition, because it can be interpreted as the expansion of social security system and the weakening of the market power over the livelihood of the ordinary people. In the era of globalization, in which even the highly developed welfare states are forced to shrink their social security systems, Japan, a welfare laggard, looks like being headed to the opposite direction. This article aims to define the character of the public long-term care insurance, and thereby, to evaluate the recent social policy of the Japanese government. This study follows the social democratic model in the study of the welfare state development, which assumes that, under the condition of a weak social democratic party and a fragmented labor movement, the introduction of the long-term care insurance is not equal to the improvement of the Japanese social security system. The main argument of this article is that the long-term care insurance, notwithstanding its appearance as an expansion of public sphere, is part of market-oriented neo-liberal social reforms, which have remained the main feature of the Japanese social policies since the mid-1970's. For this, this study will do a longitudinal analysis on the social consequences of the long-term care insurance incurred to the Japanese social security system for the long-term care, focusing on the income redistribution, the marketization of long-term care sector and the changes in the financial burden of the government, social insurers and general citizens.

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One Case of Combination Therapy of Acupuncture, Herbal medication and Thought Field Therapy on Hysterical Aphonia lasting for 1 year (1년 이상 지속된 히스테리성 실성증(失聲症)의 사고장요법(Thought Field Therapy)과 한방요법 병행치료 1례)

  • Park, Jong-Hoon;Cho, Sung-Hoon;Chung, Sun-Yong;Hwang, Ui-Wan;Kim, Jong-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.14 no.2
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    • pp.183-189
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    • 2003
  • Hysterical aphonia is one of the frequent symptoms in conversion disorders. If it has a recent onset, a manifest induced factor, and a good premorbid adaptation, and another mental disorder is not accompanied, its prognosis is good. We report one case of hysterical aphonia that was bad prognosis. This patient was suffering traumatic event before and after onset, and major depressive disorder was accompanied. Having hysterical aphonia, the patient who had no progress after over an years medicine therapy and often felt strong suicidal urge, was successfully treated by TFT(Thought field therapy) and oriental medicine therapy. Several case studies on hypnotic cure of hysterical aphonia has been reported but they are uncommon internally and have good prognosis. In addition, there were no relevant studies concerning alternative therapy and oriental medication. Our case report is focused on treatment through these methods.

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Field Experiment on Iron and Aluminum Removal from Acid Mine Drainage Using an Apatite Drain System (인회석 배수시스템을 이용한 산성수의 철 및 알루미늄 제거에 대한 현장경험)

  • Choi, Jung-Chan;West, Terry R.
    • Economic and Environmental Geology
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    • v.29 no.3
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    • pp.315-323
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    • 1996
  • An apatite drain was constructed on September 30, 1994 at the Green Valley Abandoned Coal Mine site near Terre Haute in west central Indiana. The primary objective of this experiment is to evaluate the long-term ability of the apatite drain to mitigate acid mine drainage (AMD) under field conditions. The drain 9 m long, 3.3 m wide, and 0.75 m deep, contain 95 rum to No. 30 mesh-size apatite ore (francolite) and receive AMD seepage from reclaimed gob piles, and designed according to the laboratory testing. The apatite drain was covered with limestone riprap and filter fabric to protect the drainage system from stormwater and siltation. The drain consists of about 50 metric tons of apatite ore obtained from a phosphate mine in Florida. A gabion structure was constructed downstream of the apatite drain to create a settling pond to collect precipitates. Apatite effectively removed iron up to 4,200 mg/l, aluminum up to 830 mg/l and sulfate up to 13,430 mg/l. The pH was nearly constant for the influent and effluent, ranging between 3.1 and 4.3. Flow rate measured at the gabion structure ranged from 3 to 4.5 l/m. Precipitates of iron and aluminum phosphate (yellow and white suspendid solids) continued to accumulate in the settling pond.

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Housing Policy for the Elderly and the Meaning of "Aging in Place" in Japan (일본의 고령자 거주문제와 주거정책: Aging in Place를 중심으로)

  • Cho, Ara
    • Journal of the Korean Geographical Society
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    • v.48 no.5
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    • pp.709-727
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    • 2013
  • Recently, "aging in place" has become the principle philosophy of elderly housing policy in many countries. However, since there is ambiguity surrounding the universal definition of it, the meaning of AIP has been defined by political expediency. This study aims to discuss the meaning of AIP by examining the transition of elderly housing issues and policy in Japan. During the last two decades, the Japanese government has tried to launch a new elderly welfare system to shift the responsibility of elderly care from the family to the society and from the society to the region. And the focus of elderly housing policy has shifted from the promotion of three-generation dwellings to supporting the development of private residences. However, since the main goal has been limiting the welfare budgets rather than enhancing the quality of life, elderly housing issues have been reduced to a matter of choosing either elderly care facilities frequently located in suburbs or not. This paper suggest that we should pursue the true AIP idea in housing policy, and argues that to do so we need to consider AIP from diverse aspects such as temporal continuity, the range of space, the dynamics of place experience and the capability of communities.

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Combined Arthroscopic Gross Total Synovectomy and Radiotherapy for Diffuse Pigmented Villonodular Synovitis of the Knee: A Report of 2 Cases (무릎관절의 미만형 색소 융모 결절성 활액막염에서 관절경을 이용한 육안적 활액막 전 절제술 후 방사선치료: 증례보고)

  • Chang, Sei-Kyung;Kim, Jae-Hwa;Ha, Doo-Hoe;Kang, Hae-Youn;Chong, So-Young;Shin, Hyun-Soo
    • Radiation Oncology Journal
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    • v.24 no.3
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    • pp.201-206
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    • 2006
  • Pigmented villonodular synovitis (PVNS) is a rare proliferative disease involving synovial membranes. Natural history and etiology of PVNS are not well known. PVNS presents as localized or diffuse tumor like nodular lesion of the synovial lining of the joint and the synovial spaces adjacent to the joints. Though histologically benign, it is a very aggressive lesion, capable of bone destruction and widespread infiltration of surrounding tissues. Standard therapy is surgical resection, but due to the infiltrative growth, the recurrence rate is significantly high. After several relapses surgical treatment of diffuse PVNS becomes difficult and may require amputation of the involved limb. Radiotherapy can provide an effective treatment option for patients with large lesions or lesions which are not suitable for surgery, after incomplete resection to prevent relapses or to avoid amputation. We report 2 cases of diffuse PVNS in the knee joint treated with arthroscopic gross total synovectomy and radiotherapy.

A Critical Review On the Profiles of Korean Female Labor Force: 1960-2000 (한국 여성노동력의 성격변화와 노동정책: 1960-2000)

  • Kim, Mi-Sok
    • Korea journal of population studies
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    • v.29 no.1
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    • pp.133-156
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    • 2006
  • This paper tries to explore the overall profile of Korean female labor force over the period of 1960-2000. A particular emphasis is put on portraying major over-time characteristics of female labor force, following five different political regimes--that of Park, J.H.(1960 and 1970s), of Chon D.H. (early and late 1980s), of Roh T.W. (late 1980-early 1990s), of Kim,Y.S. (early 1990-1ate 1990s), and of Kim. D. J. (late 1990-early 2000s), respectively. Discussions have centered around: 1) utilization of young single girls from rural areas during the early industrialization process of 1960-1985; 2) the beginning of married women's entry into labor market and issues of the socalled &M-curve& thesis in Korean experiences since 1990s; 3) the emergence and enlargement of non-regular workers; and 4) the launching of labor related legal measures such as the Equal Employment Act of 1988 and its successive revisions, the Maternity Leave Acts, the On-the-Job Chi1dcare Centers, and the prohibition of sexual harassments on the job setting, and so on. All in all, although it is undeniable that the Korean female labor force has experienced much progress over the period of time in terms of &equality and protection& issues, overall industrial reality we are facing with has not been so prosperous in the sense that most women workers have become the victims of industrial polarization, as time goes by.

A Critical Evaluation on the Pension Privatization Reform in Chile (칠레 연금민영화 개혁에 대한 평가)

  • Cho, Young-Hoon
    • Korean Journal of Social Welfare
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    • v.50
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    • pp.87-108
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    • 2002
  • According to Neo-liberalism, the privatization of social security systems is pivotal for a country's economic growth and the wellbeing of its people, because such systems hinder the full operation of the market, eventually leading the national economy to collapse. The Chilean case of pension privatization is often cited as a good evidence for the Neo-liberal argument. Neo-liberalists say that Chile has experienced a rapid economic growth and retirees have enjoyed a much more pension payment since the national pension system was successfully privatized in 1981. The primary purpose of this article is to provide a critical review on the results of the Chilean pension privatization reform implemented in 1981. This study is intended to give an objective understanding of the reform because the existing evaluations, particularly those from the neo-liberalism, over-emphasize the bright sides of the reform. for this purpose, this article will pay a particular attention to the change in the level of pension payment after the reform. The conclusion of this study is that, contrary to the argument of Neo-liberalism, the pension reform has lowered the level of pension payment and, compared to the old public pension, has made the lives of ordinary retirees less secure. Reorganization of the social security system is more desirable than privatization as a remedy for the current problems of the welfare state.

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