• Title/Summary/Keyword: 치료단계

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Use of Single-System Design to Evaluate the Effectiveness of Cognitive Behavioral Therapy of Depression (임상실천 평가를 위한 단일체계설계의 적용 -우울증 감소를 위한 인지행동치료에 대한 평가를 중심으로-)

  • Kim, Yong-Seok;Shon, Dong-Gyun
    • Korean Journal of Social Welfare
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    • v.60 no.2
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    • pp.175-209
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    • 2008
  • The purpose of this study, which has its focus on the utilization of single-system design for practice evaluation, is to evaluate the effectiveness of cognitive behavioral therapy of depression by using a AB design. 3 inpatients in a local hospital with a diagnosis of major depressive disorder agreed to participate in this study. The AB design includes a 2weeks of the baseline phase and 3 weeks of the intervention phase. More than one outcome measures were used in order to validate the results of the measurement. Data were analyzed statistically as well as visually. Tools such as trend line and trend index were used to improve the accuracy of the visual analysis and the 3 standard deviation approach was used for statistical significance test. The results showed that all clients improved. This study lists some advantages of using single-system design for evaluating clinical practice: monitoring, encouraging clients' active role in social work process, and easy data analysis.

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Virtual Reality Program Model for Trauma Intervention in Multi-cultural Adolescents (다문화청소년의 트라우마 중재를 위한 가상현실 프로그램 모형)

  • Kim, Kyung-Sook;Song, Eun Jee;Kim, Min-Kyeong;Ju, Sejin;Kim, Min-Jung
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.21 no.2
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    • pp.361-366
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    • 2017
  • As the technology of virtual reality has recently developed, virtual reality treatment programs for game addiction and alcoholism are being developed. The purpose of this study is to present a model of developmental process of virtual reality based cognitive behavior therapy program for trauma intervention in multicultural adolescents. The development of virtual reality program of cognitive behavior therapy consists of three stages. In the first step, In the first stage, the trauma characteristics including the main emotions and the expression problem due to the trauma experienced by the multicultural youth should be grasped. In the second stage, the contents of the development process and scope of the scenario for the cognitive behavior therapy for trauma should be presented. In the final stage 3, the study will examine the feasibility of implementing the scenario contents in the virtual reality program. Through this process, the intervention program development model that can lead the positive change of the multicultural youth was presented.

A Study on Counseling Process and Counseling Techniques Applying Analytical Psychology (분석심리학을 적용한 상담과정과 상담기법에 관한 연구)

  • Park, Won-Jin;Kim, Bo-Ki
    • Industry Promotion Research
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    • v.4 no.1
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    • pp.67-78
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    • 2019
  • This study is to study Jung's analytical psychology and to study counseling process and counseling techniques based on the counseling theory derived from it. Jung divides the counseling process into four stages based on analytical psychology. The first stage is confession, and the prototype of analysis therapy is confession. The first step in the treatment process is to share secrets and reveal suppressed emotions. The second stage is elucidation, a process that clarifies by shedding light on the contents induced by the transfer. The third stage is the level of education. Explanation makes my counselors intelligent, but leaves them still in an incompetent state. At this stage, treatment goes beyond insight to train as a responsible client. The fourth stage is transformation. In the transformation phase with inner counselors, not only the debaters, but also the therapist is in the "in-analysis." Jung's counseling technique uses six things: dream analysis, use of symbols, word link test, symptom analysis, case history and MBTI. In conclusion, analytical psychology counseling has enabled, first, a more in-depth approach and understanding of the human mind, especially the unconscious world. Second, analytical psychology counseling has enabled us to recognize that all humans are human communities with a common mental structure through the concept of unconsciousness and archetypes. Third, analytical psychology counseling has allowed you to look at the meaning and purpose of life from a new perspective. Therefore, Jung emphasized that he should not be seen as having a pathological problem with patients, but as an omnipotent human being who wants to realize its fullness on his own.

A Convergence Study of Surface Electromyography in Swallowing Stages for Swallowing Function Evaluation in Older Adults: Systematic Review (노인의 삼킴 단계별 삼킴 기능 평가를 위한 표면 근전도 검사의 융합적 연구 : 체계적 문헌고찰)

  • Park, Sun-Ha;Bae, Suyeong;Kim, Jung-eun;Park, Hae-Yean
    • Journal of the Korea Convergence Society
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    • v.13 no.5
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    • pp.9-19
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    • 2022
  • In this study, a systematic review was conducted to analyze the method of applying sEMG to evaluate the swallowing function of the elderly at each stage of swallowing, and to help objectively measure the swallowing stage of the older adults in clinical practice. From 2011 to 2021, 7 studies that met the selection criteria were selected using Pubmed, Scopus, and Web of Science (WoS). As a result of this study, the older adults and adults were divided into an experimental group and a control group and the swallowing phase was analyzed using sEMG only for the older adults. sEMG was used to evaluate swallowing in the oral and pharyngeal stages, and the sEMG attachment site was attached to the swallowing muscle involved in each stage. The collected sEMG data were filtered using a bandpass-filter and a notch-filter, and were analyzed using RMS, amplitude, and maximum spontaneous contraction. In this study, it was found that sEMG can be used as a tool to objectively and quantitatively evaluate the swallowing function in stages. Therefore, it is expected that this study will activate various studies that incorporate sEMG to evaluate the swallowing function in stages.

A study on the Counseling Process and Counseling Techniques Applying Freud's Psychoanalysis (프로이트 정신분석을 적용한 상담과정과 상담기법에 관한 연구)

  • Lee, Pyung-Hwa;Kim, Bo-Ki
    • Industry Promotion Research
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    • v.7 no.2
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    • pp.51-58
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    • 2022
  • This study is based on Freud's psychoanalysis and intends to deal with the actual psychoanalytic counseling applied to it. In particular, I would like to study the counseling process and counseling techniques. The research results are as follows. The counseling process goes through four stages: initiation, transfer development, training, and transfer resolution as follows after selecting a client and constructing a counseling situation. In the beginning phase, the client listens to important past histories. In the metastasis development stage, it is from the time when metastasis appears. The training phase is the phase in which the client's insight is translated into real life to bring about change. The transfer resolution stage is the period when transfer analysis and interpretation are completed. Counseling techniques include free association, empathy, resistance, transference and countertransference, and interpretation. Free association is a key technique in psychoanalytic therapy and plays an important role in maintaining the analytical framework. Empathy is the ability of the therapist to identify herself with the client and the ability of the therapist to convey the empathic experience to the client itself is a key mechanism for change. Resistance refers to any behavior in which the client does not cooperate with counseling. Transference and countertransference are the main techniques of psychoanalysis. This is because the psychoanalyst induces and resolves the transference of the client during the treatment process. Interpretation refers to the technique of responding verbally in order to understand the needs, meanings, and motives hidden behind the client's thoughts, feelings, and actions. In conclusion, the counseling process of psychoanalytic counseling refers to the purpose of effective counseling by selecting a client and constructing a counseling situation. In addition, the principles of psychoanalysis in counseling techniques are applied to treatment procedures that vary according to the nature of the case, and can be variably applied while treating the same client.

A study on curing the wounded heart applications development and effect analysis by utilizing narrative therapy techniques (이야기치료 기법을 활용한 마음상처 치유 어플리케이션 개발 및 효과분석)

  • Ha, Tai-Hyun;Baek, Hyeon-gi
    • Journal of Digital Contents Society
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    • v.16 no.2
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    • pp.207-218
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    • 2015
  • This study is to design and implement Smartphone application by applying the principles and processes of narrative therapy for the participants. The application is able for participants to fight out of the difficulty in question centered on the issue, and to be able to find a positive new stories to be evolving the story of their lives as well. Therefore, using the application will help them to live a healthier life out of the problems. As a way of currying the wounded heart of the youth, narrative therapy techniques were applied to Smartphone appliances accustomed to the youth. The youths' wounded minds will not only be easily cured but also can be a important factor in determining the direction of life. In this study, narrative flow was structured into four stages; relationships, externalization, creating new stories and strengthening the new story bsed on Doll & Doll' theory. Based on them, the Smartphone application for curing the wounded heart was designed and developed by utilizing narrative therapy techniques. The application was tested by 30 University students in Jeonbuk province in Korea and the results showed that they were satisfied with the application with relation to improving their heart health.

Development of User Friendly Tool for Monitoring TCP Packet on IPv6 (IPv6상의 TCP 패킷 모니터링을 위한 사용자 친화적 도구 개발)

  • 설순욱;이종국;김명철;마중수
    • Proceedings of the Korean Information Science Society Conference
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    • 1999.10c
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    • pp.466-468
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    • 1999
  • 현재 인터넷 프로토콜인 IPv4의 주소 부족 등의 문제를 해결하기 위해 차세대 인터넷 프로토콜 IPv6에 대한 연구가 활발히 진행되고 있다. 그러나 새로운 프로토콜 IPv6 상에서 기존의 다른 상위 프로토콜 및 응용이 어떠한 영향을 받게 될지는 의문이다. 한편, IPv6 상에서 새로운 프로토콜 및 응용을 개발할 때에 많은 시험이 요구된다. 이와 같은 이유로 인해 새로운 통신 프로토콜에 있어서 모니터링은 필수적이다. 그러나 지금까지의 많은 모니터링 라이브러리들은 텍스트에 기반하고 있으며, 그래픽 데이터를 제공하는 도구들도 대부분 통계정보의 제공에 초점을 두고 있다. 이를 두고 프로토콜이 그 표준에 따라 정확한 원리에 맞게 동작하는 지를 파악하는 데는 큰 도움이 되지 않고 있다. 이에 본 연구에서는 대상 프로토콜의 실제적인 동작 과정이나 원리를 알 수 있도록 그래픽 기반의 사용자 친화적 모니터링 도구를 제작한다. 이를 위해, 먼저 IPv6가 다른 프로토콜에 영향을 미칠 수 있는 사항들을 분석한다. 다음으로 본 교에 구축되어 있는 IPv6 호스트에 모니터링에 필요한 환경을 구축하고, Java Applet을 이용한 모니터 프로그램을 제작한다. 현재 개발하는 모니터 프로그램은 TCP의 슬라이딩 윈도우(Sliding Window) 기법에 관련된 사항을 모니터링 해주는 것으로 그 범위를 한정한다. 개발된 도구를 이용하여 IPv6 상에서 FTP가 TCP를 이용하여 파일을 전송하는 경우의 모니터링을 실시하고, 그 결과를 분석 제시한다. 이로써, 개발된사용자 친화적 모니터링 도구가 얼마나 쉽게 슬라이딩 윈도우 기법을 이해시켜 주고, 내포된 의미를 파악할 수 있게 해주는지를 알 수 있다.한 것으로 연구되었다. 정상조 직에 비해 산소가 부족하여 염기성대사(anaerobic metabolism)를 많이 함으로 그 부산물인 유산 (lactic acid)이 많이 생성됨으로 정상조직보다 pH가 낮아 암 조직이 정상조직에 비해 고온온열치료에 더 잘 듣는 원인이 된다. 3) 영양이 부족한 상태의 세포는 고온온열치료에 훨씬 예민하다. 4) 암조직은 혈관상태가 정상조직에 비해 좋지 않음으로 정상조직보다 쉽게 가온이 되며, 일단 가온된 온도는 잘 식지 않음으로 정상조직에 비해 훨씬 효율적이다. 5)고 온온열치료는 4$0^{\circ}C$~43.5 $^{\circ}C$정도에서만 이 작용이 일어남으로 정상인체에서 43$^{\circ}C$이상의 가온 은 쉽지 않음으로 이 효과는 암조직에서 주고 일어나게 된다. 6)고온온열치료는 방사선치료 후에 생기는 손상의 재생을 억제함으로 방사선의 치료효과를 높인다. 7)38.5$^{\circ}C$~41.5$^{\circ}C$의 낮 은 온도에서도 암조직의 산소 상태를 호전시켜 방사선 치료효과를 증대시키는 역할을 한다.alization)가 나타난다. 그러나 무의식에 대칭화만 있는 것은 아니며, 의식의 사고양식인 비대칭도 어느 정도 나타나며, 대칭화의 정도에 따라, 대상들이 잘 구분되어 있는 단계, 의식수준의 감정단계, 집단 내에서의 대칭화 단계, 집단간에서의 대칭화 단계, 구분이 없어지는 단계로 구분하였다.systems. We believe that this taxonomy is a significant contribution because it ad

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당뇨병환자의 신장이야기-당뇨병성 신증의 각 단계에서의 대처와 마음가짐

  • Song, Jun-Ho
    • The Monthly Diabetes
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    • s.214
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    • pp.10-14
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    • 2007
  • 당뇨병성 신증은 망막증, 신경 합병증과 함께 당뇨병의 대표적인 3대 합병증 중 하나로 신장이 손상되고 투석 치료를 받아야 한다는 것 때문에 당뇨병환자로서는 제일 두려운 합병증 중 하나이다. 그러나 두려워만 하기에 앞서 당뇨병성 신증의 본질을 잘 알고 각 단계별로 잘 대처하고 차분히 마음가짐을 다져가는 것도 매우 중요하다. 본 글에서는 당뇨병성 신증의 진행을 하나씩 짚어가면서 각 단계에서 대처해야 할 일들을 정리해보자.

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Semi-Markov 모형에 기초한 다중상태 생존자료의 준모수적 분석

  • 여성칠
    • Communications for Statistical Applications and Methods
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    • v.5 no.3
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    • pp.777-792
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    • 1998
  • 병원의 임상연구실험에서 종종 환자들의 치료에 따른 병세의 호전상태를 여러단계로 분류하여 상이한 치료방법에 대한 치료효과간의 차이론 알고자 하는 경우가 있다. 이와 같이 다중상태의 생존자료를 분석하기 위해서 본 논문에서는 semi-Markov 모형에 Cox 회귀모형을 적용하여 회귀계수와 기저생존함수를 추정하고 이를 바탕으로 반응확률함수를 추정하였다. 그리고 본 논문의 결과를 실제 임상실험에서 얻어진 자료에 적용하여 분석하였다.

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Quality Assurance of Volumetric Modulated Arc Therapy for Elekta Synergy (Elekta Synergy 선형가속기를 이용한 입체적세기조절회전방사선치료(VMAT) 정도관리)

  • Shim, Su-Jung;Shim, Jang-Bo;Lee, Sang-Hoon;Min, Chul-Kee;Cho, Kwang-Hwan;Shin, Dong-Oh;Choi, Jin-Ho;Park, Sung-Ill;Cho, Sam-Ju
    • Progress in Medical Physics
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    • v.23 no.1
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    • pp.33-41
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    • 2012
  • For applying the quality assurance (QA) of volumetric modulated arc therapy (VMAT) introduced in Eulji Hospital, we classify it into three different QA steps, treatment planning QA, pretreatment delivering QA, and treatment verifying QA. These steps are based on the existing intensity modulated radiation therapy (IMRT) QA that is currently used in our hospital. In each QA step, the evaluated items that are from QA program are configured and documented. In this study, QA program is not only applied to actual patient treatment, but also evaluated to establish a reference of clinical acceptance in pretreatment delivering QA. As a result, the confidence limits (CLs) in the measurements for the high-dose and low-dose regions are similar to the conventional IMRT level, and the clinical acceptance references in our hospital are determined to be 3 to 5% for the high-dose and the low-dose regions, respectively. Due to the characteristics of VMAT, evaluation of the intensity map was carried out using an ArcCheck device that was able to measure the intensity map in all directions, $360^{\circ}$. With a couple of dosimetric devices, the gamma index was evaluated and analyzed. The results were similar to the result of individual intensity maps in IMRT. Mapcheck, which is a 2-dimensional (2D) array device, was used to display the isodose distributions and gave very excellent local CL results. Thus, in our hospital, the acceptance references used in practical clinical application for the intensity maps of $360^{\circ}$ directions and the coronal isodose distributions were determined to be 93% and 95%, respectively. To reduce arbitrary uncertainties and system errors, we had to evaluate the local CLs by using a phantom and to cooperate with multiple organizations to participate in this evaluation. In addition, we had to evaluate the local CLs by dividing them into different sections about the patient treatment points in practical clinics.