• Title/Summary/Keyword: Anxiety for Practice

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A Survey on Korean Medicine Treatment of Autonomic Dysfunction: Preliminary Research for Clinical Practice Guidelines (자율신경실조증 한의표준임상진료지침 개발을 위한 한의임상 실태조사)

  • Hui-Yeong Park;Geum-Ju Song;Hyun Woo Lee;Chan Park;Seok-In Yoon;Jung Hwan Park;Sun-Yong Chung;Jong Woo Kim
    • Journal of Oriental Neuropsychiatry
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    • v.34 no.4
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    • pp.335-347
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    • 2023
  • Objectives: The study aimed to understand the current treatment patterns in Korean medicine to develop clinical practice guidelines for autonomic dysfunction in Korean medicine. Methods: This study sent an online survey vai text message to 25,900 Korean medicine doctors whose contact information was registered with the Association of Korean Medicine. A total of 1,410 Korean medical doctors completed the online survey. Results: When autonomic treating dysfunction clinically, 77% of the cases included only a description without entering a diagnosis code. The most commonly used information to diagnose o autonomic dysfunction was history-taking and symptoms (79%), and the main symptoms of autonomic dysfunction were palpitations, dizziness, sleeping difficulties, anxiety/nervousness, and depression/lethargy. The most frequently mentioned cause of autonomic dysfunction was mental problems (54%). The most commonly used Korean medicine treatment method for autonomic dysfunction was herbal medicine (70%), and Soyo-san/Gamisoyo-san is the most frequently used herbal medicine preparation. Liver qi depression used to indicate the most often mentioned Korean medicine pattern identification used to indicate autonomic dysfunction (31%). When asked whether cardiac neurosis in Chinese medicine can be considered autonomic dysfunction, opinions for and against it are determined almost equally. Conclusions: Our results serve are a foundation for developing clinical practice guidelines for autonomic dysfunction in Korean medicine and are expected to catalyst promoting future clinical research on autonomic dysfunction.

The Effects of Supervisor Supports on Novice Counselor's Psychological Burnout : The Mediating Effects of the Countertransference Management Ability (수퍼바이저의 지지가 초심상담자의 심리적 소진에 미치는 영향 : 역전이 관리능력의 매개효과)

  • Hyun, Min-Hong;Hong, Hye-Young
    • The Journal of the Korea Contents Association
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    • v.18 no.2
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    • pp.301-319
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    • 2018
  • The purpose of this research was to verify the mediating effects of countertransference management ability and each of its subscales, i.e. self-insight, self-integration, empathy ability, anxiety-management, and conceptualizing skills, in the effect of supervisor supports on psychological burnout of novice counselors. For this purpose, 202 novice counselors who have experience of supervision less than 3 years in counseling experience were studied. The results of the analysis were as follows : First, The supervisor supports were positively related to countertransference management skill and all its five subscales. Additionally, supervisor supports, countertransference management skill, and its five subscales were proved to negatively related to psychological burnout. second, The verification of mediating effects of countertransference management skill in the relationship between supervisor support and psychological burnout demonstrated the complete mediation. third, The self-integration, empathy ability, anxiety-management completely mediated the relationship between supervisor supports and psychological burnout. and The self-insight, conceptualizing skills partially mediated the relationship between supervisor supports and psychological burnout. These results confirmed that countertransference management skill is a strong influential factor between supervisor supports and psychological burnout. Implications for clinical practice and directions for future research were also discussed.

A Survey of Korean Medical Doctors on the Items and Importance of Lifestyle Management for Infertile Couple (난임 부부의 섭생 지도 항목과 중요도에 대한 한의사 대상 설문조사)

  • Yu-Kyung Jeong;Dong-Il Kim;Young-Jin Yoon;Jang-Kyung Park
    • The Journal of Korean Obstetrics and Gynecology
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    • v.36 no.3
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    • pp.114-128
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    • 2023
  • Objectives: This study was conducted to reflect Korean Medicine doctors (KMD)' perception of lifestyle management in the process of developing a Korean Medicine (KM) Clinical Practice Guidelines (CPG) of female infertility. Methods: We sent four e-mails containing links to online questionnaires to 25,286 KMD belonging to the Association of Korean Medicine. The questionnaire consisted of sexual intercourse, weight, diet, exercise, drinking, smoking, caffeine intake, stress etc. KMD responded to self-administered questionnaires, and we analyzed 786 responds. Results: KMD put stress first among the infertile women's lifestyle management items, weight and sexual intercourse were next. Also KMD put stress first among the spouses' lifestyle management items, drinking and sexual intercourse were next. In relation to sexual intercourse, 'Recognizing the Fertile Window' was the most important. In relation to stress in the emotional domain, 'Depression' and 'Anxiety' were the most important, and in relation to stress in the relationship domain, 'Deteriorating of marital relationship' was the most important. Conclusions: We surveyed the status of KMD' awareness of infertility lifestyle management for patient education, and reflected it in the modification of the CPG for female infertility.

A Study on the Needs of Community Facilities in Apartment Complex for Leisure Activity of Adolescent (청소년의 여가실태를 고려한 공동주택 커뮤니티시설 요구에 관한 연구)

  • Hwang, Yeon-Sook;Chang, Ah-Ri;Lim, Eun-Young
    • Journal of the Korean housing association
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    • v.24 no.4
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    • pp.75-82
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    • 2013
  • Being able to enjoy leisure time for adolescents is a necessary activity, for it helps them relieve their anxiety and stress and develop their potential. It is necessary to incorporate such spaces in the housing plans in advance and support diverse community activities. The current living spaces do not hold proper spaces and facilities for community activities appropriate for adolescents. Community facilities should be planned so as to reflect the needs of these adolescents, based on a clear survey in advance. The current study has conducted a survey to find out about the level of satisfaction and requests from adolescents on the leisure facilities their current living spaces hold. Based on this prior research, this study looks for solutions that could solve the issue at hand. The current community facilities are not convenient to support a diversity of leisure activities to the adolescents. The community facilities should be able to supplement information on the various activities put in place for the youth and widely supply the programs in demand. Furthermore, the adolescents wanted to form their own community within the facilities to practice their leisurely activities. We can safely assume that the youth's desire for more community amenities will increase for their own development.

Experiences of discrimination and psychological distress of children from multicultural families : Examining the mediating effect of social support (다문화가정 자녀들의 차별경험과 심리적 적응 : 사회적 지지의 매개효과 검증을 중심으로)

  • Kim, Hye mee;Won, Seo jin;Choi, Sun hwa
    • Korean Journal of Social Welfare Studies
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    • v.42 no.1
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    • pp.117-149
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    • 2011
  • This study examined the relationship between discrimination experienced by children of multicultural families and their psychological distress. As new minorities growing up with bicultural identities in Korean society, children from multicultural families are often exposed to racial discrimination and such experience often acts as a stressor in their everyday life. In order to examine the effect of discrimination on their psychological distress as well as the role of social support, a survey was conducted in 25 elementary schools in Daejeon city and Chungnam and Chungbuk province. Results indicated that children's experiences of discrimination significantly affected their psychological distress level that the more they were exposed to discrimination, the higher levels of depression and anxiety they experienced. Among social support domains, only peer support was found to be significantly related to both the experience of discrimination and their depression and anxiety levels. Supporting the social support deterioration model, the findings showed that more experiences of discrimination led to reduced peer support which in turn, increased the likelihood of being depressed and anxious. Peer support was also significant in partially mediating the discrimination-psychological distress relationship. Implications for social work practice with children from multicultural families are provided.

A Study of Global Manufacturing Education and Training for Chinese Company Manager

  • Sun, Jing;Tamaki, Kin'ya;Yeh, Shihshui;Takiuti, Noboru
    • Industrial Engineering and Management Systems
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    • v.13 no.3
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    • pp.252-257
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    • 2014
  • Global economic recession, global market reduction, and the deteriorating economic recession are forcing the industry to reconsider the business plan and strategy related to supply chain regardless of the size of the companies. During the economic recession caused by financial anxiety, development of international collaborative producer is the key theme for a manufacturing industry to get over the situation. Especially, development of high-skilled people who are capable of handling global manufacturing management is the key factor in China which shifted from a world factory to a world market. In this background, we started the international project of global manufacturing education and training for Chinese company managers from 2009. In this paper, based on the research conducted by the universities and companies in China, a design of global manufacturing education and training is proposed. This presented design is based on the theory of Japanese production strategy and investigation of actual conditions for Chinese companies and the research methodology of business management practice with efficiency and productive for international level management organization. The effectiveness of the education design is evaluated by applying the international education and training project of Aoyama Gakuin Human Innovation Consulting Inc. and Vigor Management Technology Association.

Trends of Meridian-Based Psychotherapy - Review of Researches on Emotional Freedom Technique (EFT) (감정자유기법(EFT)의 연구를 중심으로 본 경락기반심리요법의 동향)

  • Kim, Sang Young;Yin, Chang Shik;Choi, In Won;Kim, Jong-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.24 no.spc1
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    • pp.89-100
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    • 2013
  • Objectives : The purpose of this study is to investigate the researches about regarding Emotional Freedom Technique (EFT) and to understand the trends of Meridian-based Psychotherapy. Methods : Every article relevant to EFT was obtained from 'Pubmed' and Korean journal databases. Keywords used for searching included 'EFT' and 'Emotional freedom technique'. Results : 1) 5 reviews, 11 randomized controlled trials, 3 controlled trials, 1 single group comparative study and 4 case studies were searched. 2) Anxiety disorders were most frequently studied with EFT. Other studies included insomnia, depression and pain symptoms. EFT interventions were attempted in many different protocols and assessed with various tools. 3) Review articles indicated that meridian-based psychotherapies, such as EFT, are based on the meridian theory of oriental medicine. They evaluate EFT positively for its effectiveness on psychiatric diseases. Conclusions : EFT is increasingly studied and used in clinical practice of various fields. Objective evaluation tools and standardized intervention protocols are needed for the development of a new guideline for EFT.

Yoga for children

  • Ganpat, Tikhe Sham;Ramarao, Nagendra Hongasandra
    • CELLMED
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    • v.1 no.1
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    • pp.4.1-4.4
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    • 2011
  • Excessive stress is harmful to academic performance in children and may lead to dropping out of school. To meet the demands of a modern life-style which is full of speed, stress and tension, an all-round child health program is crucial. The use of yoga for children has diverse applications in maintaining and developing their physical, mental, intellectual, emotional and spiritual levels. Yoga, through its physical postures (asana), breathing practices (pranayama), cleansing techniques (kriya), meditation therapies (dhyana) and relaxation training (yoga nidra) yields a positive effect in the management of stress in children. Yoga practice benefited children by improving their eye-hand coordination, attention span, levels of concentration, competitive performance and relaxation. Visually impaired children showed a significant decrease in their abnormal anxiety levels when they practiced yoga for three weeks, while a program of physical activity had no such effect. Socially disadvantaged children in a remand home showed significant improvements in sleep, appetite and general well being, as well as a decrease in physiological arousal after yoga. In one study, it is found that a 4-week program of asana and meditation lowers the aggressive behavior of children. Meditation helped to reduce problems related to maladaptive behavior, increase emotional and physical health and psychological well-being in children. Finally, the possible role of yoga in improving the mental state and general well-being of children with cancer is being explored.

A Case Study of Implementation of Concurrent Drug Utilization Review System at a General Hospital (동시적 의약품 사용평가(cDUR) 시스템 구축 및 적용 사례 연구 : 국내 한 대학병원을 중심으로)

  • Choi, Jong Soo;Kim, Dongsoo
    • Journal of Korean Institute of Industrial Engineers
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    • v.39 no.1
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    • pp.20-29
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    • 2013
  • Medical errors such as adverse drug event, improper transfusion, wrong-site surgery, mistaken patient identity and so on commonly occur at health care practice. Information technology, like Drug Utilization Review(DUR) system which reviews, analyzes, and interprets medication data when prescribing, can play a key role in reducing such medical errors and improving patient safety. Korean Government has guided all hospitals to implement concurrent DUR(cDUR) system, which is the first case worldwide in that all healthcare providers have to use cDUR system when prescribing. This paper introduced a case study that a tertiary hospital has integrated the cDUR system into its comprehensive Hospital Information System(HIS) and analyzed the whole prescription data during a week right after adoption of cDUR system. Considering technical strength and weakness, the cDUR system was integrated into the HIS, using Broker Servers for minimizing doctors' anxiety. As the quantitative analysis of the whole prescription data, DUR conflict events, which mainly included duplicate medications and contra-indicated drug interactions for outpatients, were 2.77%. Although only 0.7% is for the contra-indicated drug interactions, it will be greatly devoted to achieve the purpose of DUR such as improving patient safety.

Consumption of Visual Cues in Computer-Mediated Environments

  • CHOI, Hwanho
    • Journal of Distribution Science
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    • v.18 no.8
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    • pp.23-33
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    • 2020
  • Purpose: In the digital age, visual cues in computer-mediated environments are becoming a very popular means of communication. Therefore, it is a very critical market for marketers to utilize for marketing communication and platform providers and manufacturers of mobile devices which create and distribute the visual cues While the prevalent research on visual cue consumption focuses on the positive side, the dark side of consuming visual cues has not been investigated. Therefore, in this research, the dark side of using visual cues, such as difficulties and problems in their application, will be investigated. Research design, data, and methodology: Due to the nature of this study, a netnography approach was adopted. Twitter which the users regularly utilise visual cues in their communications was a prime source for data of this research. Results: This research suggests that visual cue users experience anxiety about the subordination of expression and suffer from the myth of an ideal practice of expression. Conclusions: As the previous research emphasised the complementary role of visual cues, has failed to recognise the problems associated with the extensive and growing dependence on visual cues. This awareness demonstrates that we need to take a careful approach to visual cue usage.