• Title/Summary/Keyword: 장애이해

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Understanding of Neural Mechanism of Mood Disorders : Focused on Neuroimaging Findings (기분장애 뇌신경기저에 대한 이해 : 뇌영상 연구를 중심으로)

  • Kim, Yoo-Ra;Lee, Kyoung-Uk
    • Korean Journal of Biological Psychiatry
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    • v.18 no.1
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    • pp.15-24
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    • 2011
  • Mood disorder is unlikely to be a disease of a single brain region or a neurotransmitter system. Rather, it is now generally viewed as a multidimensional disorder that affects many neural pathways. Growing neuroimaging evidence suggests the anterior cingulate-pallidostriatal-thalamic-amygdala circuit as a putative cortico-limbic mood regulating circuit that may be dysfunctional in mood disorders. Brain-imaging techniques have shown increased activation of mood-generating limbic areas and decreased activation of cortical areas in major depressive disorder(MDD). Furthermore, the combination of functional abnormalities in limbic subcortical neural regions implicated in emotion processing together with functional abnormalities of prefrontal cortical neural regions probably result in the emotional lability and impaired ability to regulate emotion in bipolar disorder. Here we review the biological correlates of MDD and bipolar disorder as evidenced by neuroimaging paradigms, and interpret these data from the perspective of endophenotype. Despite possible limitations, we believe that the integration of neuroimaging research findings will significantly advance our understanding of affective neuroscience and provide novel insights into mood disorders.

Patient-related Barriiers to Pain Management in General Population (일반인의 통증관리 장애정도)

  • Yoo, Yang-Sook;Choe, Sang-Ok;Cho, Young-Yi;Koh, Su-Jin;Hor, Soo-Jin;Jeon, Ji-In;Kwon, So-Hi
    • Journal of Hospice and Palliative Care
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    • v.10 no.4
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    • pp.184-189
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    • 2007
  • Purpose: This study was to explore barriers to effective pain management in general population. Methods: Total 163 Participants completed the Barrier Questionnaire-II (BQ-II), a 27-item on a six point scale, from May to June in 2007. BQ-II consisted of four subscales which were 1) physical effects (PE) addressing beliefs that side effects of analgesics are inevitable and concerns about tolerance, fatalism (Fa) addressing fatalistic beliefs about cancer pain and its management, Communication (Co) addressing the beliefs of 'good patient' and concerns of distracting physician from underlying disease, and harmful effects (HE) addressing fear of addiction and harmful effect to immune system of pain medicine. Results: The BQ-II total had an internal consistency of 0.877 in this study. HE was the biggest barrier (3.03) followed by PE (2.73), Fa (2.15), and Co (1.71). Items appeared as great concerns were 'there is a danger of becoming addicted to pain medication'(3.58), 'using pain medicine blocks your ability to know if you have any new pain' (3.18), 'pain medicine is very addictive' (3.09), 'when you use pain medicine your body becomes used to its effects and pretty soon it won't work any more' (3.09), and 'drowsiness from pain medicine is difficult to control' (3.09). Only 12 respondents (7.4%) reported that they took any type of pain education, however, those who took pain education represented significantly lower barriers to pain management than who did not (P=.029). Conclusion: This result suggests the strategies for public education to surmount cancer pain.

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Nutrition Teachers (Dietitians)' Perceptions of Barriers to Implementation of HACCP System in School Foodservices in the Gyeongnam Area (경남지역 학교급식 HACCP 시스템 적용 장애요인에 대한 영양(교)사의 인지도 분석)

  • Hwang, Hye-Ok;Kim, Hyun-Ah
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.41 no.10
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    • pp.1475-1485
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    • 2012
  • This study was conducted in order to understand nutrition teachers (dietitians)' perceptions of barriers to implementation of HACCP system in school foodservices in Gyeongnam, Korea. Questionnaires were distributed to 350 nutrition teachers (dietitians) from November to December of 2009, and 214 were collected and analyzed. The results of this study were as follows. First, nutrition teachers (dietitians) recognized the following as barriers in implementing the HACCP system: 'the status of facilities and utilities'> 'monitoring'> 'work satisfaction'> 'foodservice employees'> 'cooperation of HACCP team'> 'cooperation of persons concerned besides foodservice employees'> 'understanding the HACCP system'. Second, total working experience was found to be the factor most affecting 'cooperation of HACCP team (p<0.01)', 'cooperation of persons concerned besides foodservice employees (p<0.01)', 'foodservice employees (p<0.05)', and 'work satisfaction (p<0.05)'. Further, 'the status of facilities and utilities' was significantly affected by 'construction/reconstruction of kitchen (p<0.01)', 'division of kitchen area (p<0.01)', 'existence of preliminary preparation room (p<0.01)', and 'existence of dishwashing room (p<0.01)'. Third, dietitians perceived the following concerning hindrance factors of the HACCP system according to CCP stage: 'CCP 1'> 'CCP 3'> 'CCP 2, 'CCP 6'> 'CCP 4'> 'CCP 8'> 'CCP 7'> 'CCP 5'. In conclusion, this study showed that nutrition teachers (dietitians) in the Gyeongnam area recognized 'the status of facilities and utilities' from HACCP areas and 'CCP 1 (menu planning)' from CCP stages as the greatest barriers to implementing the HACCP system in school foodservices. To implement the HACCP system successfully in school foodservices, facilities and utilities should be properly equipped, and menu planning training for nutrition teachers (dietitian) should be conducted.

Molecular Genetics of Anxiety Disorder (불안장애의 분자유전학적 이해)

  • Kim, Jung-Jin
    • Anxiety and mood
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    • v.3 no.1
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    • pp.3-7
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    • 2007
  • Anxiety disorder is likely caused by an interaction of multiple loci in brain, rather than a single locus. Hyperactive neurotransmitter circuits between the cortex, thalamus, amygdala, and hypothalamus are responsible for production of anxiety symptoms. Familial studies performed on anxiety disorder suggested that anxiety disorder should be caused by genetic etiology. Numerous linkage and association studies showed different genetic loci of anxiety disorder. Candidate genes have been focused on important neurotransmitters, neuropeptide, or genes affecting neuronal growth, development, protection or apoptosis. Anxiety disorder has various symptoms and comorbid diseases in family or proband. Therefore, further studies focused on symptomatic dimension of anxiety disorder or responses to drugs are required.

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Providing Information Literacy Service in Liaison with School Curriculum (학교의 교육과정과 연계한 정보문해 서비스)

  • Byun, Woo-Bock
    • Journal of Korean Library and Information Science Society
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    • v.38 no.4
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    • pp.19-44
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    • 2007
  • In this research, we have identified problems and countermeasures when school library provides information literacy service in liaison with school curriculum. The problems were misunderstanding information literacy as ICT skills, lack of books and librarians, and etc. So we emphasize importance of library and information in information literacy. And for countermeasures, we provide online guide to library resources, 'BIG6 problem solving model' for information literacy teaching-learning, teaching-learning plans for information literacy, formats for teaching-learning process.

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「미네소타」치과대학의 악관절 및 악안면동통 크리닉에 대하여(III)

  • Jeong, Seong-Chang
    • The Journal of the Korean dental association
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    • v.24 no.3 s.202
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    • pp.218-229
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    • 1986
  • 약관절장애는 그 원인요소가 복잡다단하듯이 그 치료, 또한 간단하지 않다. 치료는 그병인요소를 조절하거나 제거하여 질병의 재발이나 발병을 방지하려는 것과 질병자체를 치료하는 것으로 대별할 수 있다. 즉 질병의 발생을 예방하고 치료후의 재발을 막기 위하여는 원인이 될 만한 요소를 환자에게 알려주고 다음은 환자가 그것을 피하도록 시키며, 또 환자자신이 계속적으로 피하고 있는지를 확인하는 과정을 거치는 환자교육(patient education)을 통하여 원인요소(contributing factors)를 조절하는 것이 치료에 앞서 우선되어야 하며, 이점은 아무리 강조해도 지나치지 않다고 본다. 일단 약관절장애라는 진단이 내려지고 환자의 상태와 원인요소에 대한 이해가 이루어진 후에, 앞에서 언급한 환자교육과 아울러 치료를 시작하게 된다. 「미네소타」치과대학 악관절 및 악안면동통 크리닉에서의 치료과정은 크게 신체요법(somatic therapy), 행동요법(behavioral therapy) 및 물리요법(physical therapy)으로 구분할 수 있는데, 환자에 따라서는 단시일내에 간단한 방법으로 치료가 가능할 수도 있고 단시일내에 간단한 방법으로 치료가 가능할 수도 있고 때로는 장기간에 걸쳐서 이상의 여러방법을 동원한 복잡한 치료를 수행해야 할 경우도 있다.

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Design and Implementation of Text Recognition Algorithm for Sign Language Interpretating System (수화통역시스템 설계 및 구현)

  • Oh, Young-Jun;Jang, Hoon
    • Proceedings of the Korean Information Science Society Conference
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    • 2002.10d
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    • pp.691-693
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    • 2002
  • 수화통역시스템은 청각장애인과 건청인의 사이에 수화를 통역하고 의사소통을 원활하게 하는 역할을 하는 멀티미디어시스템이다. 현재 다양한 수화통역시스템연구개발이 진행되고 있으나 기술상의 문제로 아직 널리 보급되지 못하고 있다. 본 논문에서는 청각장애인의 입장에서 이해할 수 있는 수화동작을 구현하는 문자인식 알고리즘을 제안한다. 이 알고리즘은 문장을 인식하고 단어별, 형태소별로 구분하여 지화그림 및 수화 데이터베이스에 있는 수화그림에 매칭시키고 수화단어들을 조합하여 수화동작을 움직이게 할 수 있는 그림을 생성한다. 알고리즘의 진행과정은 한글문장, 전처리, 형태소분리, 수화단어검색, 수화단어출력, 수화문장재배열과 동작표현으로 이루어진다.

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A Study on the Improving Communication in Libraries (도서관 조직의 의사소통 개선에 관한 연구)

  • 한두완
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.10 no.1
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    • pp.5-27
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    • 1999
  • The purpose of this study is to help researchers and librarians in theory and practice. Communication was defined, and functions of communications were explained variously. It was to understand clearly the process of communication that some models of communication were presented. Barriers of effective communication were investigated and how to improve communication was suggested in order to overcome barriers of communication.

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Neurobiological Basis of Anxiety Related Disorders (불안 관련 장애의 신경생물학적 이해)

  • Kim, Kyung-Min;Kim, Min-Kyoung;Lee, Sang-Hyuk
    • Korean Journal of Biological Psychiatry
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    • v.21 no.4
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    • pp.128-140
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    • 2014
  • Anxiety disorders are characterized by dysregulation of neuroendocrine, neurotransmitter and neuroanatomical functions. Substantial advances in research method offered new insights into the neurobiologic mechanisms in anxiety disorders. Advances in molecular biology have enabled illumination of hormone and neurotransmitters that have important roles in anxiety. The neuroanatomic circuits related to anxiety are also being elucidated by improvements in neuroimaging technology such as structural and functional magnetic resonance imaging. This article reviews the research data in relation to the neurobiology underlying fear and pathologic anxiety and discusses their implications for development of biological treatments for anxiety disorders.

The Process of Understanding the Psyche of an Elementary School-Aged Boy Who is Mentally Handicapped through Sandplay Therapy (모래놀이치료를 통한 지적장애 남아의 정신세계에 대한 이해)

  • Sim, Hee-og
    • Korean Journal of Child Studies
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    • v.36 no.5
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    • pp.37-58
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    • 2015
  • This study explored the sandplay therapy case of an elementary school-aged boy who was mentally handicapped for the purposes of understanding his psyche. The goal of the therapy was to help him to adjust more appropriately to situations he commonly encountered within the free and protected space made possible during sandplay therapy. Fifty-five therapy sessions were held. The client showed a lack of fundamental care, which was accompanied with regression in the initial phase of therapy (1~14, my situations & regression). In the intermediate phase of therapy (15~52, rebirth), he experienced rebirth and grew psychologically with the death of both a spider and a king snake. In the final phase of therapy (53~55, the acquisition of treasure), he finished his journey with the acquisition of treasure in a free and protected space. By exhibiting a similar psyche with non-handicapped boys, this study confirmed an archetypal pattern existing even in a boy who was mentally handicapped.