• Title/Summary/Keyword: 치료방법에 대한 이해

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육계에서의 저혈당증(HSMS)에 대한 올바른 이해와 예방대책

  • 이재길
    • KOREAN POULTRY JOURNAL
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    • v.33 no.5 s.379
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    • pp.96-99
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    • 2001
  • 육계를 사육하고 있는 농장에서 '저혈당증'은 이제 모르는 농가가 거의 없을 정도로 잘 알려진 용어가 되었다. 많은 농가가 이로 인한 피해를 경험하고 있거나 이와 유사한 증상이 있을 경우 가장 먼저 저혈당증을 의심할 정도로 인식이 확산되어 있다. 그러나 오히려 이러한 인식의 확대가 증상이 유사하다는 것만으로 저혈당증으로 판단하여 그보다 더 심각한 피해요인을 간과하는 경우도 많고, 그 치료 방법도 어떤 지역이나 농가에 따라 매우 다양하여 오히려 피해를 가중시키는 경우도 있다. 따라서 본고는 크게 두 가지로 구분하여 저혈당증에 대한 이해를 돕고자 한다. 첫째는 지난해에 저혈당증으로 진단되었던 가검물을 기초로 하여 저혈당증에 대하여 알아보고, 둘째는 2001년 올해 현재까지 저혈당증을 의심하여 의뢰되었던 가검물에 대하여 고찰해 봄으로써 저혈당증에 대한 올바른 접근을 유도하고자 한다. (저혈당증과 관련하여 저혈당-급성폐사증후군(HSMS : Hypoglycemia-Spiking Mortaility Synotrome : HSMS)이라는 명칭이 사용되고 있으나 본고에서는 '저혈당증'으로 하였다.)

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The Effectiveness of the Short-term Intensive Intervention Program: Case Report (감각통합기능장애 아동에게 적용한 단기집중치료프로그램의 효과)

  • Choi, Hyun-Ae;Kang, Eun-A
    • The Journal of Korean Academy of Sensory Integration
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    • v.6 no.1
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    • pp.25-33
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    • 2008
  • Objective : To identify the effectiveness of a short-term intensive intervention program on the improvement of adaptive response of a child with mixed sensory integration disorder. Method : Four and half years old boy who has been diagnosed of PDD received 40 min of one intervention session and 50 min of 3 intervention sessions. The intervention was a part of the 2008 Sensory Integration Treatment Course developed by the Korean Academy of Sensory Integration (KASI) and all sessions were implemented under supervision by experts. Result : Adaptive responses of the child were enhanced throughout the intervention process in terms of postural response and peer interaction. His oral defensiveness is improved. As the intervention progressed, he exhibited more active movements, louder voice, and coherence within peer group. Conclusion : This case report demonstrates effectiveness of a short-term intensive intervention program in terms of improving adaptive response. To enrich the effectiveness, tt is suggested to educate parents about neurological base of the child's behaviors so the they understand the importance of various sensory experience within play.

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A Medical-Contents Distributor for Information Sharing between Family Members on Internal BasedTele-Medicine System (인터넷기반 원격진료시스템에서의 가족간 정보공유를 위한 의료컨텐츠의 분산처리)

  • 박길철;김석수
    • Proceedings of the Korean Information Science Society Conference
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    • 2003.10b
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    • pp.232-234
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    • 2003
  • 본 논문은 인터넷 기반의 유료 원격진료시스템에서 가족간의 유전성에 관련된 내용을 추출하여 관리하는 알고리즘을 제시하여 가족간 정보공유를 통한 효율적인 진단을 위한 병력기록관리에 대한 논문으로서, 환자의 일시적인 상황만 보고서 진단을 행하고 기본적인 검사와 치료를 행함으로서 오진의 확률이 빈번하며. 치료시간과 진료비 청구가 막대하게 지출될 수 가 있었으며, 급기야는 환자의 위급한 상황에 이르러 생명까지 앗아가는 경우가 발생할 것이다. 즉, 이러한 문제점을 최대한 줄이기 위한 방법이 바로 가족 구성간의 진료자료를 공유하여, 가족간의 체질과 환경을 이해하고 가족 중 비슷한 병을 앓았을 경우는 그 치료효과를 빠르게 가져올 수 있으며, 본 논문에서는 이런 문제해결을 위한 병력기록관리 데이터베이스에서의 알고리즘과 가족간 진료자료 공유 시뮬레이션 테이블을 통해서 해결점을 제시하고 있다.

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The Reason to Select Complementary and Alternative Therapy for Terminally Ill Cancer Patients (말기암환자가 보완대체요법을 선택한 이유)

  • Kim, Kyeong-Uoon;Park, Jean-No;Lee, Soo-Han
    • Journal of Hospice and Palliative Care
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    • v.14 no.1
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    • pp.34-41
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    • 2011
  • Purpose: The purpose of this study was to analyze the reason to select complementary and alternative therapy for terminally ill cancer patients. Methods: The data were collected from 21 terminal cancer patients and families through the in-depth interview. Data analysis were performed by the Colaizzi's phenomenological method (1976). Results: The reason to select complementary and alternative therapy for terminal cancer patients and families was then categorized with 4 elements; Awareness of limitations in contemporary medical treatments, Belief in effectiveness of the CAM, Satisfaction with emotional needs of family members, and Disbelief due to negative attitudes of physicians. The result indicated the following 9 themes expectation for a complete cure, uncertainty in hospital treatments, complementary method for management of side effect of chemotherapy, alleviation of symptoms and life-sustaining, fear for side effects of cancer treatments, belief in earned information, referrals by other, responsibility of family, and dissatisfaction with negatine attitudes of physicians. Conclusion: Physicians should provide a sufficient explanation and try to effectively communicate with clients about hospice and palliative service and the CAM. We strongly realized that concerns about patients' best care and satisfactions with family's needs should be understood.

The Understanding of 'Transference Phenomenon' from The Perspective of Analytical Psychology (전이 현상에 대한 분석심리학적 이해)

  • Sang Ick Lee
    • Sim-seong Yeon-gu
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    • v.29 no.2
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    • pp.101-126
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    • 2014
  • 'Transference phenomenon' is considered as a essential feature in psychotherapy as well as psychoanalysis. But there is much difference in conceptual and methodological issues for 'transference phenomenon' among various psychoanalytical schools. In general, the depth psychological studies for 'transference phenomenon' are mainly from the psychoanalytical view of point but relatively sparse from the analytical psychological view of point which has more holistic and deeper understanding for human psyche. So this article was intended for a comprehensive review of 'transference phenomenon' from the perspective of analytical psychology and tried to make an understanding for its meaning. To begin with, the concept of 'transference phenomenon' was investigated from the view before Jung and after Jung, with Jung's view in the center. Then it was made clear that 'transference phenomenon' from the perspective of analytical psychology could be understood by several characteristic aspects. It was suggested that a careful study on the symbolic meaning of the woodcuts' pictures in Rosarium Philosophorum including a proper interpretation of its posterior part to which Jung didn't refer in "The Psychology of The Transference" be devoted to the genuine understanding of 'transference phenomenon' from the perspective of analytical psychology afterwards.

Considerations for Fluoroscopic Guided Intervention in Lumbar Spine (방사선 투시장치를 이용한 요추 중재술 시 고려점)

  • Kim, Dong-Hyun;Song, Kwang-Sup
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.3
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    • pp.210-221
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    • 2020
  • Spinal block procedures are useful methods that reduce the need for surgical treatment. In addition to their therapeutic aspects of pain relief, in many patients, they are also used for diagnostic purposes to distinguish from symptoms originating from extra-spinal areas. Therefore, these procedures are the most basic technique for orthopedic surgeons dealing with diseases from limbs and spine. On the other hand, despite the simplicity of the instruments and drugs used, the overall understanding of them and the lack of knowledge of the possible side effects and complications can cause serious harm to the patient at the beginning of the trial. Therefore, it is necessary to understand the types of drugs used in the spinal block procedures, pharmacokinetic properties, and the side effects of each drug. In addition, efforts should be made to identify their indications, as well as advantages and disadvantages of each procedure to avoid possible complications. The purpose of this review was to provide basic knowledge and skills necessary for lumbar spinal block procedures as well as provide the reader with the ability to perform themselves.

Basic Principles of MR

  • 김성은
    • Proceedings of the KSMRM Conference
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    • 1999.04a
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    • pp.1-9
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    • 1999
  • 핵자기 공명(NMR:nuclear magnetic resonance)은 19451건 Bloch, Procell등에 의해 처음으로 실험적으로 입증된 후에 생화학 및 약학 분야에서 분자단위의 물질의 성분, 구조, 대사물질의 역학적 운동 및 상태에 관한 정보를 아는데 유용한 기법으로 사용 되어 왔다. 의학분야에서는 Lauterber등에 의해 자기공명영상볍(Magnetic Resonance Imaging:MRI)으로 개발되어 질병의 진단 및 치료에 많은 공헌을 하게되었다. 해부학적영상 뿐 아니라 분석방법으로 병변 부위 및 인체 기관에서의 각종 대사물질의 정량적인 양과 변화를 알 수 있는 자기공명분광기법(magnetic resonance spectroscopy:MRS)도 활발한 임상적용이 이루어지고 있다. 자기공명영상법의 활발한 임상적 응용 및 새로운 technique이해를 위해서는 물리학적 개념(MR Physics)을 이해하는 것이 매우 중요하다.

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Enhancing Empathic Reasoning of Large Language Models Based on Psychotherapy Models for AI-assisted Social Support (인공지능 기반 사회적 지지를 위한 대형언어모형의 공감적 추론 향상: 심리치료 모형을 중심으로)

  • Yoon Kyung Lee;Inju Lee;Minjung Shin;Seoyeon Bae;Sowon Hahn
    • Korean Journal of Cognitive Science
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    • v.35 no.1
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    • pp.23-48
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    • 2024
  • Building human-aligned artificial intelligence (AI) for social support remains challenging despite the advancement of Large Language Models. We present a novel method, the Chain of Empathy (CoE) prompting, that utilizes insights from psychotherapy to induce LLMs to reason about human emotional states. This method is inspired by various psychotherapy approaches-Cognitive-Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Person-Centered Therapy (PCT), and Reality Therapy (RT)-each leading to different patterns of interpreting clients' mental states. LLMs without CoE reasoning generated predominantly exploratory responses. However, when LLMs used CoE reasoning, we found a more comprehensive range of empathic responses aligned with each psychotherapy model's different reasoning patterns. For empathic expression classification, the CBT-based CoE resulted in the most balanced classification of empathic expression labels and the text generation of empathic responses. However, regarding emotion reasoning, other approaches like DBT and PCT showed higher performance in emotion reaction classification. We further conducted qualitative analysis and alignment scoring of each prompt-generated output. The findings underscore the importance of understanding the emotional context and how it affects human-AI communication. Our research contributes to understanding how psychotherapy models can be incorporated into LLMs, facilitating the development of context-aware, safe, and empathically responsive AI.

Assessment of Physiological Responses for the Phobia in a Virtual Environment

  • Koh, Ik-Soo;Kim, Sun-I.
    • Journal of Biomedical Engineering Research
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    • v.23 no.1
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    • pp.73-79
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    • 2002
  • The goals of this study are twofold: To investigate non-phobics'and Phobics'Physiological response in virtual environments. and to analyze the trend of phobics' Physiology during virtual reality treatment. As a measure of Physiology. heart rate, skin resistance. and skin temperature were acquired. The data of two group subjects were analyzed: twenty-two non-Phobic subjects (M=32.94 years). thirty-six subjects with fear of flying (M=40.12 yearn) who met the DSM-lV criteria for a fear of flying. As a result. skin resistance showed significant differences between non-Photics and phobics. T(56) =2.978, P〈0.01 And the physiological responses of 33 subjects among the Phobics. who succeed to fly without medicine after virtual reality treatment, showed a gradual trend toward the non-Phobics Physiological responses as therapy sessions went on. In this study. Physiological monitoring. skin resistance appeared to be useful both in understanding the Physiological state of Phobic individuals and in evaluating the results of treatment in virtual reality Psychotherapy.

Plantigrade Foot (척행족)

  • An, Jong-Cheol
    • Journal of Yeungnam Medical Science
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    • v.8 no.1
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    • pp.1-11
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    • 1991
  • 족부의 교정을 위해서는 비정상적인 상태 및 원인 그 치료법에 대해서 충분히 이해해야 할 것으로 생각되며, 비 척행족에 대해서는 먼저 정확한 원인 인자의 파악과 수술전 평가, 수술의 선택, 수술의 범위등을 정해야 한다. 이렇게 함으로써 변형에 대한 충분한 교정이 가능하며, 수술후 예후가 좋은 척행족으로 될 것이다. 그리고 위에서 밝힌 치료의 원칙은 변하지 않겠지만, 관절 고정술을 대체하여 다른 남은 관절에 영향을 주지 않으면서 더 많은 유연성을 가질 수 있는 기능있는 족부를 만들 수 있는 새로운 수술방법이(관절 치환술등) 더 개발되어 져야할 것으로 생각된다.

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