• Title/Summary/Keyword: 치료전략

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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.

Rehabilitation Therapy Selection Process in Parents of Children with Cerebral Palsy: Grounded Theory (뇌성마비아동 보호자들의 재활치료 선택 과정: 근거이론 중심)

  • Kim, BuYoung;Yun, YoungJu;Lee, HyunJoo
    • 재활복지
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    • v.22 no.2
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    • pp.175-212
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    • 2018
  • The purpose of this study was to identify factors that affect the optimal selection of rehabilitation therapy and explore a processing model of rehabilitation decision-making for parents of children with cerebral palsy. A ground theory of Strauss and Corbin(1988)was used. Thus, collecting data was classified into open coding 140 concepts, 29 sub-categories and 8 categories. As a result of analysis, we identified that the main phenomenon was 'finding optimal therapy in trial and error' and parents experienced 6 stages including 'embarrassment', 'confusion', 'maximization', 'wandering', 'strategy', and 'balance'. Furthermore, 'rehabilitation-daily life balance' was a key category for continuation of treatment. This qualitative study discribed factors influencing determination of treatment and its continuation, and suggested a processing model of parents' decision- making for rehabilitation of their children.

Upper and lower second premolar extraction treatment case - Treatment strategy for Class III borderline cases (상하악 제2소구치 발거 치료 증례 - III급 부정교합 경계증례의 치료전략)

  • Kim, Tae-Kyung;Kim, Jong-Tae;Yang, Won-Sik
    • The korean journal of orthodontics
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    • v.32 no.3 s.92
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    • pp.185-194
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    • 2002
  • When treating borderline cases which have mild crowding, non-extraction treatment may be considered firstly. But crowding may be reappeared by relapse and it may have problems in esthetics and stability. Secondarily four first premolar extraction treatment may be considered. But this may cause dish-in face by overretracting anterior teeth. In this cases, extraction of four second premolar is preferred because this resolves crowding without aggravating profile and has good stability after treatment. So we review cases treated by four second premolar extraction which show good treatment results and stability. The patients had good profile, Class I molar relationship, mild crowding and skeletal discrepancy and their growth had almost completed.

APICAL PREPRATION SIZE IN INFECTED ROOT CANALS (감염근관에서의 apical preparation size)

  • Kum, Kee-Yeon
    • Restorative Dentistry and Endodontics
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    • v.35 no.1
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    • pp.1-4
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    • 2010
  • The final preparation (MAF) size in infected root canals is still controversial. Nonetheless, recent studies demonstrated that larger apical preparation sizes produces a greater reduction in remaining bacteria and dentinal debris as compared to smaller apical preparation sizes. Therefore, clinicians should be practiced with treatment strategies guided by evidence-based information, especially in infected/failed root canals.

Role of Endoscopic Ultrasound in the Assessment of Superficial Esophageal Cancer (조기 식도암에서 내시경초음파의 역할)

  • Cho, Yu Kyung
    • Korean Journal of Bronchoesophagology
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    • v.17 no.1
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    • pp.19-22
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    • 2011
  • Endoscopic ultrasound in the diagnosis of esophageal carcinoma is an indispensable procedure, not only to discuss the preoperative staging of the lesion, but also to evaluate the therapeutic effect of chemo-radiation therapy. The recent increase in the incidence of superficial esophageal cancer and promising developments in potentially curative endoscopic therapies have placed EUS to a central position in decision making. Recent data have called into question the staging accuracy of EUS to distinguish mucosal from submucosal lesions, particularly in patients with early disease. In those cases, diagnostic endoscopic resection may be useful for staging and curative in superficial lesions. Nonetheless, EUS has been regarded as the most accurate staging tool and should be performed to identify potential candidates for endoscopic resection.

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A Study of Bibliotherapy for the 'Low-reading achiever' on Reading Attitude in Fifth and Sixth Grade Students (초등고학년의 독서부진아에 대한 독서치료 사례연구)

  • Han, Bock-Hee
    • Journal of the Korean Society for Library and Information Science
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    • v.37 no.2
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    • pp.303-318
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    • 2003
  • The purpose of this study is to examine the effect of reading program for the 'low-reading achiever' on reading ability. In this regard, this study investigated the effectiveness of bibliotherapy in improving reading attitude, and self-concept in fifth and sixth grade student. In this study it is illustrated how to form questions and leads a discussion for a bibliotherapy session and suggested reading list and annotated bibliography.

Related to Supporting Art Therapy for Children and Youth in Korea Survey of State Projects (국내 아동·청소년 대상 미술치료 지원 관련 국가사업 실태 조사)

  • Ahn, Yi-jeong;Chung, Yeo-Ju;Kim, Seo-Young;Jang, Jeong-Ja
    • The Journal of the Korea Contents Association
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    • v.20 no.11
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    • pp.314-322
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    • 2020
  • The purpose of this study is to investigate the state projects related to psychological sentiment for child and youth in Korea, examine the current status of art treatment-related projects for child and youth, and seek ways to improve them, focusing on projects supported by the Ministry of Health and Welfare, the Ministry of Gender Equality and Family, and the Ministry of Culture, Sports and Tourism. The results examined through this study were firstly, mental health promotion projects conducted in the public sector in Korea are mainly carried out on consignment to affiliated organizations, and are promoted not only for diagnosis, mediation, and therapeutic intervention but also for care and prevention. Second, psychological and emotional support projects are being attempted with various approaches such as reading, playing, gardening, and art, and art therapy is actively used as a part of art programs. In addition, it is suggested that the government should provide efficient welfare and utilize it as a common goal through linkage and cooperation with other ministries for the continuous and stable implementation of state-led psychological support projects. In addition, it is hoped that this research will be used as a research material to explore specific strategies for effectiveness of national policy projects on the overall psychological sentiment of child and youth.

Korean Guidelines for the Treatment of Panic Disorder 2018 : Initial and Maintenance Treatment Strategies for the Pharmacological Treatment of Panic Disorder (2018 한국형 공황장애 치료지침서 : 초기 및 유지 약물치료 전략)

  • Kim, Min-Kyoung;Lee, Jae-Hon;Gim, Minsook;Kim, Won;Moon, Eunsoo;Seo, Ho-Jun;Koo, Bon-Hoon;Yang, Jong-Chul;Lee, Kang Soo;Lee, Sang-Hyuk;Kim, Chan-Hyung;Yu, Bum-Hee;Suh, Ho-Suk
    • Anxiety and mood
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    • v.14 no.2
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    • pp.53-62
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    • 2018
  • Objective : The Korean Association of Anxiety Disorders developed Korean guidelines for treatment of panic disorder (PD) 2018. In this paper, we discussed the consensus among psychiatrists, regarding initial and maintenance treatment strategies for pharmacological treatment of PD in Korea. Methods : Based on current treatment guidelines published by the American Psychiatric Association, the National Institute for Clinical Excellence, and the Canadian Psychiatric Association, we developed questionnaires pertinent to initial and maintenance treatment strategies for pharmacological treatment of PD. Seventy-two experts in PD answered questionnaires. We classified expert opinions into three categories, first, second, and third-line treatment strategies, by analyzing the 95% confidence interval. Results : Antidepressants, benzodiazepine anxiolytics, and cognitive-behavioral therapy (CBT) were recommended as treatments of choice (ToC), and first-line strategies for initial treatment of PD. Escitalopram, paroxetine, sertraline, and venlafaxine were preferred from among many anti-panic drugs. Mean starting dose of anti-panic drugs for initial treatment of PD was relatively lower, than that for other psychiatric illnesses such as major depressive disorder. In the case of maintenance treatment of PD, antidepressants and CBT were selected as ToC and first-line strategies. Patients were typically examined every four weeks during treatment, to review effectiveness and side effects of the drug. Pharmacotherapy was generally continued for one year or more. Conclusion : This study provides information about consensus among Korean experts regarding pharmacological treatment strategies for patients with panic disorder.

Sensory Integration and Occupational Therapy for Elementary Students Collaborative Group Program : Implementing School AMPS (초등학생집단 다전문가 협업프로그램에서의 School AMPS 분석을 통한 작업치료와 감각통합접근의 의미)

  • Ji, Seok-Yeon;Lee, Seong-A;Park, So-Yeon;Hong, Min-Kyung
    • The Journal of Korean Academy of Sensory Integration
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    • v.11 no.1
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    • pp.11-27
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    • 2013
  • Objective : This is a descriptive study using a program review collaborative group program by special educator and occupational therapist for supporting children's school tasks, and it is designed to explore how changed school performance skills and to analyze how applied intervention methods including sensory integrative approach. Methods : Participants were 6 male elementary students(5 = 1st grade, 1 = 2nd grade). Pilot program had reviewed and its results used as base for planning main program. Main program was implemented by collaborative process with teacher and occupational therapist for 1 year. School AMPS was used to assess school task participants, and informal motor and process skill observation was used to assess self-help activities. Description of records by professions about intervention strategies through assessments was described as qualitative way. Japanese sensory inventory was used by parents. Results : Through the collaborative process, assessing children, planning and modifying program, establishing intervention strategies were implemented. Self-help abilities in group program were increased much more independently. School task abilities were increased slightly but skills changed irregularly and unexpectedly and their reasons became considered more complex from sensory processing reasons to social and emotional reasons. Conclusion : Sensory integration had benefits for primary group program and more complex intervention strategies became to emerge demands for person- environment-task challenges. Collaborative practice with teacher and occupational therapist was supplement and synergic effect for children and group dynamics. More objective and comprehensive methods for measure collaboration and group effect would be needed in further study.

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