• Title/Summary/Keyword: 치료결정

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강박장애 치료의 최신지견 : Algorithm을 중심으로

  • Kim Chan-Hyeong
    • 대한불안의학회:학술대회논문집
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    • 2004.03a
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    • pp.56-63
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    • 2004
  • o 최근 강박장애의 치료가 발전한 것만은 사실이나 아직도 1차 치료에 반응이 없는 환자가 많다. o 치료반응의 평가는 매우 중요하며 현재 Y-BOCS를 이용하여 주로 치료반응을 평가하고 있으나 Y-BOSC 자체도 많은 문제점을 안고 있다. o 약물치료시 특히 치료반응의 여부를 결정짓는 의사결정은 매우 중요하다. o 국내에서도 강박장애 치료알고리듬이 개발되어 강박장애의 치료 및 평가에 있어 기초가 되어야 할 것으로 기대된다.

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Attitude of Elderly People on Life Support Care -Q Methodological Approach- (노인의 연명치료에 대한 태도 -Q 방법론적 접근-)

  • Kang, Da-Young;Shim, Hyung-Wha
    • The Journal of the Korea Contents Association
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    • v.15 no.12
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    • pp.355-369
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    • 2015
  • Purpose: This study aimed to identify on the attitudes toward the life support care among elderly people using Q methodology. Methods: Thirty-nine elderly people classified 34 selected Q statements into a shape of normal distribution using a 9 point scale. The obtained data were analyzed by using a PQ Method PC program. Results: Principal component analysis identified 4 types of the attitudes toward the life support care among elderly people. Type I is "Situational & Self-determination linear type", type II is "Destiny & Life support care denied type", type III is "Avoidant & Family decision emphasis type" and type IV is "Respect for life & life support care approved type". Most of elderly people have been attitude that wish to receive honor their own decisions toward the prolongation treatment. Conclusion: The findings indicate a need to policy guidelines and public information that express self-determination of elderly people.

Factors Influent on Treatment Decision for the Need of Dental Implant (치과임플란트 대상환자의 치료결정에 영향을 미치는 요인)

  • Kim, Su-Gwan;Son, Soon-Yong;Jeong, Seon-A;Jeong, Mi-Ae
    • The Journal of the Korea Contents Association
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    • v.11 no.11
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    • pp.264-273
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    • 2011
  • This study subject is to provide appropriately basic information about annually increased implant treatment by their lost teeth base on increasing old people and also analyze factors influencing implant treatment decisions for patient. For about 3 month from July on the 2010, This survey was carried out at 13 dental clinic as target of 217 patients on categorized into implant treatment-group and non-treatment-group in Seoul and Gyeonggi-do. Implant treatment-group showed highest portion at 50(30.3%), non- Implant treatment-group showed highest portion at 20's(35.7%), And The patients of implant treatment-group are good oral condition, and they showed a positive attitude. Result of analysis by multiple logistic analysis(regression), Factors of influencing implant treatment decision are age, gender, period of education, monthly income, condition of periodontal tissue, regular checkup, counseling attitude, trust in hospital. Therefore, proactive management about the necessity of regular dental check-up is needed the education and promotion. And medical team should have efforts to Improving technique of medical consultations and Improving the trust of the hospital's for implant treatment decision. Also, The patient's subjective determine rather than it is important to preparing to facilitate decision of specific clinical basis. And The government's financial support and policy alternatives are certainly required in order to be implant treatment without cost burden.

Attitudes of Medical Students' towards End-of-life Care Decision-making (일개 의과대학생의 말기 환자 치료 결정에 대한 태도)

  • Oh, Seung-Min;Cho, Wan-Je;Kim, Jong-Koo;Lee, Hye-Ree;Lee, Duk-Chul;Shim, Jae-Yong
    • Journal of Hospice and Palliative Care
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    • v.11 no.3
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    • pp.140-146
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    • 2008
  • Purpose: Sooner of later, end-of-life care decision-making will unfold and be settled during the professional lives of medical students. However, there is prevalent ambiguity and uncertainty between the palliative treatment and euthanasia. We conducted this survey to investigate attitudes of medical students towards end-of-life making decisions, and to find out which factors primarily influenced the attitudes. Methods: A study was conducted among medical students at one university, the Republic of Korea. A written questionnaire was sent to all the 1st, 2nd, and 3rd-year medical students. It presented 5 statements on end-of-life decision-making. Students were asked whether they agreed or disagreed with each statement. Results: The response rate was 74.4%, and 267 questionnaires were analyzed. Percentages of agreement with each statements on Voluntary active euthanasia (VAE), Physician assisted suicide (PAS), Withholding life-sustaining management, Withdrawing life-sustaining management, and Terminal sedation (TS) was 37.1%, 21.7%, 58.4%, 60.3%, and 41.6%, respectively. The grade of students, religious activity, and educational experience were determinant factors. Agreement on each statements was higher in the low religious activity group than in the high religious activity group. Agreement on TS was higher among 3rd year students during their clerkship than among 1st and 2nd year students. Age of students and the experience of dying-people care had no significant influence. Conclusion: In end-of-life decision-making, religious and educational factors influenced medical students' attitudes. Especially, the experience of education during clerkship had significant influence on the attitude. Proper teaching on end-of-life decisions should further be considered during medical students' clerkship.

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견관절 불안정성 진단 및 치료방침의 결정

  • Choe, Chang-Hyeok
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2007.11a
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    • pp.104-109
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    • 2007
  • 외상성 전방탈구의 경우 일차성 탈구이거나 일상생활에 큰 불편을 호소하지 않는 불안정성이 있을 경우 및 비외상성 다방향 불안정성의 경우 보존적 치료가 바람직하며, 10대 및 20대의 재탈구로 인한 불안정성이 유발될 경우 관절경적 혹은 개방성 Bankart 술식을 통하여 관절순의 해부학적 정복 및 술 후 잘 조절된 재활치료를 시행할 경우, 좋은 결과를 얻을 수 있다. 치료 방법의 선택 시 가장 중요한 요소는 환자의 원하는 결과를 만족 시켜줄 수 있는 치료 방법을 선택하는 것이며, 이는 불안정성의 원인, 정도, 탈구의 횟수, 환자의 활동도 및 재활 의지등을 종합적으로 감안하여 결정되어야 한다.

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관절관절와상완관절의 불안정증 -진단과 치료방침의 결정-

  • Park, Jin-Yeong
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2006.11a
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    • pp.94-100
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    • 2006
  • 재발성 견관절 탈구 환자에서 치료 방법을 결정하고 좋은 결과를 얻기 위해서는 적절한 환자의 선택이 가장 중요한 요건중의 하나로 생각된다. 또한 무엇보다 중요한 것은 환자가 어떤 결과를 원하는 지 여부이다. 예를 들어 프로 야구 투수의 경우 수술 후 안정적인 견관절을 가졌으나, 투수로서 다시 복귀하지 못한다면 이는 불만족스러운 결과로 보아야 한다. 그러므로 환자에 대한 평가는 무엇보다 환자 개개인에 대해 다르게 시행되어야 하며, 어떤 술식이 필요한지, 수술 후 어떻게 재활치료에 적응할 지 등에 대하여 술전에 충분히 상의한 후 결정하는 것이 필요할 것으로 보인다.

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CD4로 치료 시작 시기를 결정

  • 대한에이즈예방협회
    • RED RIBBON
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    • s.63
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    • pp.16-17
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    • 2005
  • HIV에 감염되면 꼭 알아야 할 것들이 많이 있다. 특히 CD4수치와 Viral load 등은 치료시작 결정에 중요한 지표이기 때문에 꼭 알아야 한다. CD4세포 수는 개인의 면역체계가 얼마나 건강한지 그리고 면역체계가 HIV에 얼마나 잘 버티는지를 알 수 있는 척도이다.

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