• Title/Summary/Keyword: 지혜치료

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Comparison of Muscle Activities in Upper Extremity Muscles During the Knee-flexed and Standard Push-ups With Different Hand Shape (무릎 팔굽혀펴기와 표준 팔굽혀펴기 시 손 모양에 따른 어깨 근육의 근활성도 비교)

  • Jeong, Sang-jin;Kim, Ji-hye;Kong, Hae-jin;Cho, Min-ji;Baek, Hyeon-ji;Kim, Su-jin
    • Physical Therapy Korea
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    • v.29 no.2
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    • pp.117-123
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    • 2022
  • Background: Push-up are effective exercises for shoulder stability. Previous studies have documented the effects of support plane and hand position and width on muscle activities during a push-up. Objects: This study aimed to investigate the changes in muscle activities in the upper extremity when performing the standard and the knee-flexed push-up with different hand shapes. Methods: A total of twenty-six healthy males participated in this study. Three different hand shapes (finger abduction, finger adduction, and fists) and two types of push-up posture (standard and knee-flexed push-up) were set as the independent variables. Electrograms were used to measure the muscle activity of the upper trapezius (UT), triceps brachii (TB), pectoralis major (PM), and serratus anterior (SA). Each participant performed the randomly assigned push-up to the sound of the metronome. The mixed-effect linear regression model was used to detect the changes in muscle activities after changing the hand shape and push-up posture. Statistical significance was set at α = 0.05. Results: The UT muscle activity was statistically significantly higher when performing push-up with fists than finger abduction (p = 0.035) or finger adduction (p = 0.044). During the standard push-up, the muscle activity in all muscles was that the push-up with fists showed the highest muscle activity compared to the finger abduction (p < 0.01) and finger adduction (p < 0.01). Regardless of the shape of the hand, UT had the lowest muscle activity compared to other muscles (p < 0.001). In contrast, the SA muscle had the highest muscle activity among four muscles during the standard push-up. Conclusion: Based on the results of this study, we suggest hand shape is related to the difficulty level of push-up either in the standard or the knee-flexed push-up, especially in the push-up with fists. In addition, knee push-up can be recommended as shoulder muscle-strengthening exercises for individuals with low shoulder muscle strength.

Diagnosis and resolution of pancreatic pseudocysts with percutaneous ultrasound-guided aspiration in two dogs (개 췌장 위낭종에서 초음파 유도 흡인 생검을 통한 진단 및 치료 2례)

  • Choi, Jihye;Kim, Hyunwook;Seo, Jeemin;Lee, Minjung;Kim, Junyoung;Yoon, Junghee
    • Korean Journal of Veterinary Research
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    • v.47 no.3
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    • pp.341-347
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    • 2007
  • Pancreatic pseudocyst is one of the most common pancreatic mass lesions developed following acute or chronic pancreatitis. Two dogs were presented with nonspecific clinical signs such as abdominal pain, vomiting and depression and diagnosed as pancreatic pseudocysts through percutaneous ultrasound-guided aspiration. Pancreatic pseudocyst may contain pancreatic juice, so leads the deteriorate state of patient through pertinent inflammation and autodigestion of pancreas. In this study, the clinical signs and pancreatic lesion were improved after aspiration. Percutaneous ultrasound-guided aspiration can provide the diagnostic information through cytology and lipase and amylase concentration, and be selected as the first choice for treatment.

Acupuncture Application for Pyometra in a Dog (개에서 개방형 자궁 축농증의 침치료 례)

  • 남치주;양정환;정성목;최지혜;이주명
    • Journal of Veterinary Clinics
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    • v.16 no.2
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    • pp.463-466
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    • 1999
  • A 2.9 kg, eight-year-old Yorkshire terrier bitch with anorexia and vomiting for 2 weeks was referred to the Seoul National University Veterinary Medicine Teaching Hospital. The bitch was diagnosed as open cervix pyometra by clinical sign, radiography, ultrasonography and complete blood count. The owner didn't want surgery. So, we chose the electroacupuncture and antibiotics treatment. Electroacupuncture treatment was performed for 15 days at Zi-Gong-Shu and Luan-Chao-Shu acupoints with electrical stimulus at the frequency of 5 Hz, 2~4 volts and for 20 minutes twice a day and ciprofloxacin (5 mg/kg, IM) was administered once a day. At 15 days after treatment diameter of the uterus was contracted to 6.9 mm and total WBC count was 8.5$\times$10$^3$/㎣, progesteron concentration was 0.24 ng/dl and clinical signs including vaginal discharge were disappeared. The first estrus was detected 5 months after the last treatment. With this results, the electroacupuncture for canine open cervix pyometra was considered to be the useful alternative treatment.

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Hypertrophic Osteodystrophy in a Dog (비대섬 골이형성증의 진단 영상)

  • 최지혜;조태현;김현욱;박성민;최민철;윤정희
    • Journal of Veterinary Clinics
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    • v.17 no.2
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    • pp.490-494
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    • 2000
  • 2달령의 수컷 로트와 일러가 4일간 설사와 통증.보행 실조 등의 증상을 보여 (주)해 마루 소동물 임상 의자 연구소에 의뢰되었다 흉부 방사선 검사에서 폐야 전반에 걸친 페포성 침윤과 흉벽의 심란 비후가 관찰되어 흉막폐렴으로 진단하였으며 복강 초음파 검사에서 상 복부에서 소량의 복수가 관찰되었고 전반적인 간 echogenicity가 증가되어 있었다. 치료 후 설사 증상은 사라지고 전신 상태가 다소 호전되어 내원 후 7일째에 흉부 방사선 검사를 재 실시하였다. 흉막과 폐의 병변은 변화가 없었으나 상완골과 요골의 골간단 부분에 이상 소견 이 발견되어 골격계 방사선 검사를 실시한 결과 상완골, 요골, 대퇴골 그리고 경골의 골간단에 경화성 변화와 무정형의 골막 반응이 관찰되었고 요골, 척골과 경골의 골간단 부분에 성 장판 외의 방사선 투과성 선이 관찰되었다. 이상의 특이적인 방사선 소견을 바탕으로 비록 본 질환의 정확한 원인은 밝힐 수 없었으나, 감염성 원인에 의한 비대성 골이형성증으로 진단하였다.

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Understanding of Posttraumatic Embitterment Disorder (PTED) (외상후 울분장애의 이해)

  • Ko, Han-Suk;Han, Chang-Su;Chae, Jeong-Ho
    • Anxiety and mood
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    • v.10 no.1
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    • pp.3-10
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    • 2014
  • Reactive disorder is a group of diagnosis with a definitely known etiology and whose etiological factor is essential to the diagnosis. In DSM system, such reactive disorders are listed as adjustment disorder, acute stress disorder, brief psychotic disorder with marked stressor and posttraumatic stress disorder (PTSD). However, a growing number of individuals is suffering from a prolonged feeling of embitterment after exceptional negative life events and this condition could be diagnosed neither PTSD nor adjustment disorder nor depressive disorder in the context of DSM-IV diagnostic system. This clinical condition can be described as 'posttraumatic embitterment disorder' (PTED). PTED is a reactive disorder triggered by exceptional, though normal negative life events such as conflict in the workplace, unemployment, death of a relative, divorce, severe illness, or experience of loss or separation. The common feature of such events is that they are experienced as unjust, as a personal insult, accompanied by psychological violation of basic beliefs and values. The central psychopathological response pattern in PTED is a prolonged feeling of embitterment. In particular, the core emotion of embitterment can lead to the rejection of treatment. Therefore, "wisdom therapy" as a new treatment approach specifically designed for PTED has been developed. It is assumed that many patients suffering from PTED are often misunderstood and misdiagnosed. This review would help to introduce PTED into the clinical field in psychiatry.

Music Intervention for Psychological and Emotional Support of Korean Women: Research Analysis Focusing on a Feminist Perspective (국내 여성 대상 심리정서 지원을 위한 음악중재 연구 분석: 여성주의 관점을 중심으로)

  • Lee, Seong-Kyung;Kim, Aimee Jeehae
    • Journal of Music and Human Behavior
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    • v.15 no.1
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    • pp.69-94
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    • 2018
  • This study was conducted to analyze music therapy studies supporting the psychological and emotional needs of Korean women according to a feminist perspective in music therapy. A total of 34 studies were analyzed by general characteristics, characteristics of the intervention, and characteristics of a feminist perspective. Results showed that the research focus was initially on subjects who suffered from mental illness and that more recently the focus has shifted to include more diverse subjects, such as career women, women who migrate for marriage, and women who study abroad, and to reflect contemporary social issues. In terms of a feminist perspective, the studies were analyzed according to the following themes as the characteristics of a feminist perspective: empowerment, social and political perspectives, cooperativity, egalitarianism, and diversity. Results showed that social and political viewpoints were reflected in the selection of subjects and that empowerment was reflected mostly in the contents of interventions. This study highlights the need to incorporate a feminist perspective in more diversified music therapy practices to bring social changes as well as individual changes for women.

A Review on the Cause of Fever During Clozapine Treatment (클로자핀 투약시 나타나는 발열의 원인)

  • Jihye, Song;Sungsuk, Je;Jaejong, Lee;Seungyun, Lee;Seung-Hoon, Lee;Eunyoung, Lee;Hyungseok, So;Hayun, Choi;Jinhee, Choi
    • Korean Journal of Psychosomatic Medicine
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    • v.30 no.2
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    • pp.66-72
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    • 2022
  • Clozapine is accepted as the "gold standard" antipsychotics for treatment-resistant schizophrenia. Clozapine rarely causes extrapyramidal syndrome and tardive dyskinesia, which are common with other antipsychotics, and only a transient elevation of hyperprolactinemia has been reported. Despite such clinical usefulness, there are limitations to the use of clozapine due to adverse drug reactions (ADR). Fever is a common in adverse drug reactions associated with clozapine. At initiation of clozapine most fatal ADR such as agranulocytosis and neuroleptic malignant syndrome associated with fever, in which case clozapine should be discontinued immediately. However, as benign causes of fever are much more frequent than life-threatening ADR, clozapine should not be discontinued unconditionally in the event of fever during clozapine initiation. In addition, fever may occur at any time during the maintenance of clozapine treatment. In particular, since the risk of pneumonia does not decrease over time, and clozapine has a higher risk of pneumonia than other antipsychotic drugs, it is recommended to adjust clozapine dosage through therapeutic drug monitoring.

The Development of the Program Using Virtual Reality Environment to Treat the Stress Disorder after Car Accident (가상현실을 이용한 교통사고 후유장애 치료 프로그램 개발)

  • 김형래;이상호;노주선;김현택;김지혜;고희동
    • Science of Emotion and Sensibility
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    • v.4 no.2
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    • pp.33-38
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    • 2001
  • This analysis has been projected as a preliminary analysis to develop the therapy program for people who is suffering from stress disorder after car accident such as sense of fear or anxiety using virtual reality. The analysis verified the effect of driving scenario which is core technology of stress disorder program and of anxiety reduction training such as relaxation training through clients. The relaxation training has been tested to 8 people; 7 normal and 1 sufferer from car accident presenting them 3 different types of driving scenarios. As a result, relaxation training was effective but, it was not statistically good enough although it showed incensement of uneasiness by each different driving scenario. In spite of normal clients, it is interesting that anxiety lever after relaxation training using VR is lowered, but this result need to verify to client suffering real car accident.

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Development of Movement Analysis Program and its Feasibility Test in Streotactic Body Radiation Threrapy (복부부위의 체부정위방사선치료시 호흡에 의한 움직임분석 프로그램 개발 및 유용성 평가)

  • Shin, Eun-Hyuk;Han, Young-Yih;Kim, Jin-Sung;Park, Hee-Chul;Shin, Jung-Suk;Ju, Sang-Gyu;Lee, Ji-Hea;Ahn, Jong-Ho;Lee, Jai-Ki;Choi, Doo-Ho
    • Progress in Medical Physics
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    • v.22 no.3
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    • pp.107-116
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    • 2011
  • Respiratory gated radiation therapy and stereotactic body radiation therapy require identical tumor motions during each treatment with the motion detected in treatment planning CT. Therefore, this study developed a tumor motion monitoring and analysis system during the treatments employing RPM data, gated setup OBI images and a data analysis software. A respiratory training and guiding program which improves the regularity of breathing was used to patients. The breathing signal was obtained by RPM and the recorded data in the 4D console was read after treatment. The setup OBI images obtained gated at 0% and 50% of breathing phases were used to detect the tumor motion range in crenio-caudal direction. By matching the RPM data recorded at the OBI imaging time, a factor which converts the RPM motion to the tumor motion was computed. RPM data was entered to the institute developed data analysis software and the maximum, minimum, average of the breathing motion as well as the standard deviation of motion amplitude and period was computed. The computed result is exported in an excel file. The conversion factor was applied to the analyzed data to estimate the tumor motion. The accuracy of the developed method was tested by using a moving phantom, and the efficacy was evaluated for 10 stereotactic body radiation therapy patients. For the sine wave motion of the phantom with 4 sec of period and 2 cm of peak-to-peak amplitude, the measurement was slightly larger (4.052 sec) and the amplitude was smaller (1.952 cm). For patient treatment, one patient was evaluated not to qualified to SBRT due to the usability of the breathing, and in one patient case, the treatment was changed to respiratory gated treatment due the larger motion range of the tumor than treatment planed motion. The developed method and data analysis program was useful to estimate the tumor motion during treatment.

Dental Consultations and Treatment Pattern of Pediatric Inpatient in Severance Hospital (세브란스 병원에 입원한 환자들의 소아치과 협진의뢰 내용 및 진료현황)

  • Song, Jihyeo;Lee, Koeun;Song, Je Seon;Kim, Seong-Oh;Lee, Jaeho;Choi, Hyung-jun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.2
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    • pp.200-208
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    • 2019
  • The purpose of this study was to analyze the dental consultation of pediatric inpatients to the department of pediatric dentistry in Yonsei University Severance Hospital, and to investigate the change in patterns. In 2017, 268 pediatric patients (384 cases) admitted to the Severance Hospital were referred to the department of pediatric dentistry. The mean age was 6.6 years, and most of the patients were referred from the Department of Pediatric Hematology Oncology and Rehabilitation Medicine. The chief complaints were as follows: oral examination (31%), dental caries (20%), oral pain (10%), tooth mobility (10%), pre-operative evaluation (9%) and others (20%). 41% of the patients received only oral examination without treatment. Dental caries were the most frequent dental diagnosis of the patients. 28% (111 cases) of patients received operative treatments, 22 cases were treated under general anesthesia. Oral health is closely related to systemic diseases, especially for hospitalized patients. Dental consultations should be encouraged for prevention and early appropriate treatments. For this purpose, it is necessary to establish a referral system and perform dental treatment under general anesthesia.