• 제목/요약/키워드: Combined disorder

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기분장애의 치료에 있어서 약물의 Augmentation Strategies (Drug Augmentation Strategies in the Treatment of Mood Disdorder)

  • 정영인
    • 생물정신의학
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    • 제5권2호
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    • pp.155-161
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    • 1998
  • Mood disorder is a medical illness resulting from the disorder of CNS neurotransmission and its principal therapeutic tool is pharmacotherapy. Psychotherapeutic drugs for mood disorder have some clinical limitations which are due to no or partial response, decreased compliance for drug by the side effects, and delayed therapeutic effects. So, general hope of all clinicians that mood diorder will respond to a single psychotherapeutic agent may be the exception rather than the rule. Recently, combined drug treatments have become increasingly popular to overcome the clinical limitations of individual agent in mood disorder. Combined treatments are usually used for augmenting or initiating rapidly the effect of drug, and for treating different target symptoms or drug side effects. When combined treatments being tried, knowledge of the action mechanism, pharmacokinetics, and pharmacodynamics is crucial to cope with the possible adverse reactions of drugs.

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우울, 불안증상을 동반한 인후두역류증 환자 한방치험 1례 (A Case Report on Laryngopharyngeal Reflux Combined with Depressive and Anxiety Disorder)

  • 안상민;문희영;이소진;신수지;추원정;최요섭
    • 대한한방내과학회지
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    • 제38권5호
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    • pp.650-657
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    • 2017
  • Objective: This study was performed to report the effect of traditional Korean medicine as a treatment for laryngopharyngeal reflux (LPR) combined with depressive and anxiety disorder. Methods: We treated this patient with traditional Korean medicine and measured symptom severity using the reflux symptom index (RSI), Beck depression inventory (BDI), and Beck anxiety inventory (BAI). Results: After 3 weeks of treatment, most symptoms had decreased. The RSI score dropped from 21 to 8, BDI from 27 to 14, and BAI from 29 to 15. Conclusions: Traditional Korean medicine may be effective as a treatment for LPR combined with depressive and anxiety disorder, and a correlation may exist between LPR and psychological factors. However, more rigorous studies are required to identify exactly what treatment is most efficient for relieving LPR combined with depressive and anxiety disorder and whether LPR and psychological factors are clearly correlated.

입체조를 병행한 혀 근력운동이 노인의 연하장애와 연하력 및 설압에 미치는 효과 (Effects of tongue strength training program combined with oral exercises on swallowing disorder, swallowing ability, and tongue pressure in the elderly)

  • 김남숙;이정화
    • 한국치위생학회지
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    • 제23권2호
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    • pp.105-113
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    • 2023
  • Objectives: The purpose of this study is to verify the usefulness and practicality of the program in the daily life of the elderly by performing a three-dimensional tongue muscle exercise for the elderly to identify the dysphagia, swallowing ability, and tongue pressure. Methods: The subjects of the study were 29 elderly people aged 65 or older living in Busan, divided into a oral exercises group and tongue strength training program combined with oral exercises group, and operated 16 times for 8 weeks twice a week, and the pre and post-program evaluation was conducted in the 1st and 8th weeks. For variable selection, 7 general characteristics, 5 oral health-related characteristics, 5 Likert scale for swallowing disorder, repetitive swallowing ability test for swallowing power measurement, and tongue pressure measurement was used. Data analysis was conducted using SPSS window program 25.0 version (IBM), general characteristics and homogeneity tests, oral health-related characteristics and homogeneity tests were chi-square test, swallowing disorder, swallowing ability, and change in tongue pressure were paired t-test, Wilcoxon signed rank test, t-test, Mann-Whitney U test for swallowing disorder and changes in swallowing ability and tongue pressure, and Spearman's correlation for the relationship between swallowing disorder and swallowing ability and tongue pressure. Results: As a result of tongue strength training program combined with oral exercise, both relieve swallowing disorder and improve low eating and tongue pressure than oral exercise, and the difference in improvement effects of both relieve swallowing disorder, swallowing ability, and tongue pressure is higher. Conclusions: Based on the results of this study, it is believed that simple and practical oral muscle function reinforcement products and practical use are needed, and institutional devices to seek oral health promotion programs for the elderly are needed.

Relationship between Subtypes of Attention Deficit/Hyperactivity Disorder Traits and Subscales of Symptom Checklist-90-R among College Students

  • Lee, Seongjik
    • 한국컴퓨터정보학회논문지
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    • 제20권11호
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    • pp.127-133
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    • 2015
  • In this paper, we propose that college counselors be more knowledgable of adult ADHD symptoms and develop better understandings of subtypes of the disorder. The findings in this study show that college students with different subtypes of ADHD symptoms experience different types of psychological maladjustment as well as different levels of psychological distress. Specifically, combined-type trait group show the highest levels of each of subscale of SCL-90-R among the other groups (i.e., normal, predominant inattentive subtype, hyperactive-impulsive type). Furthermore, combined typed trait group show significantly higher levels of animosity and paranoid ideation than the others. Therefore, college counselors need to provide effective interventions addressing intense emotion and cognitive distortion among college students with ADHD combined symptoms.

비강내 침술을 병행한 후각장애 치험 2례 (A Case Study of an Olfactory Disorder in Two Patients Combined by Intranasal Acupuncture Treatment)

  • 전보람;민상연;김은진
    • 대한한방소아과학회지
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    • 제31권2호
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    • pp.25-33
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    • 2017
  • Objectives The purpose of this study is to report the case of an olfactory disorder in two patients combined by intranasal acupuncture treatment. Methods The authors mainly performed infrared irradiation while acupuncturing nasal and bilateral Yeonghyang-hyeol (迎香穴, LI20) in two patients with olfactory disorder. In addition, nasal lasers were irradiated for 5 minutes, these help to communicate meridians and control chi-shue (氣-血). Depending on the sub-symptoms of each patient, we were acupuncturing Indang-hyeol (印堂穴) or herbal medicine treatment which is Hyunggaeyungyo-tang (荊芥蓮翹湯), Bangpungtongsungsan (防風通聖散), Gamiygin-tang (加味二陳湯) was also performed. Results The patient's nasal symptoms were alleviated by intranasal acupuncture treatment. Conclusions There are no clinical studies in regards to acupuncture treatment in olfactory disorder so far. However, this study demonstrated positive health outcomes on olfactory disorder from intranasal acupuncture treatment.

불안 장애 환자에서 바이오피드백 훈련과 약물치료의 병합 효과 분석 - 임상 특성을 중심으로 - (An Analysis of Therapeutic Effect of Combined Biofeedback Training with Pharmacotherapy for Patients with Anxiety Disorder-Focused on Clinical Characteristics)

  • 이준석;오동열;엄수형;소윤섭;전진용
    • 대한불안의학회지
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    • 제2권2호
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    • pp.136-141
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    • 2006
  • Objectives : This study aimed to investigate the therapeutic effect of combined biofeedback training with pharmacotherapy for patients with anxiety disorder. Methods : 12 patients with panic disorder and generalized anxiety disorder were enrolled this study. They were tested for State Trait Anxiety Inventory-State (STAI-S), State Trait Anxiety Inventory-Trait (STAI-T), Beck's Depression Inventory (BDI) and Symptom CheckList-90-Revision Somatization (SCL-90-R-SOM) before and after the biofeedback training program. Results : The score of STAI-T (p=0.023) and BDI (p=0.0018) were the significantly decreased after the biofeedback training program. In Female group, the score of STAI-T (p=0.028), STAI-S (p=0.028) and BDI (p=0.009) were significantly decreased after the biofeedback training program. In the group which age is lower than 40 years old, the score of BDI (p=0.046) were significantly decreased after the biofeedback training program. In Panic disorder group, the score of STAI-S (p=0.046) were significantly decreased after the biofeedback training program. Conclusion : The result of this study is useful for the treating the anxiety disorder patients using the biofeedback training program.

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Neuroimaging-Based Deep Learning in Autism Spectrum Disorder and Attention-Deficit/Hyperactivity Disorder

  • Song, Jae-Won;Yoon, Na-Rae;Jang, Soo-Min;Lee, Ga-Young;Kim, Bung-Nyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제31권3호
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    • pp.97-104
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    • 2020
  • Deep learning (DL) is a kind of machine learning technique that uses artificial intelligence to identify the characteristics of given data and efficiently analyze large amounts of information to perform tasks such as classification and prediction. In the field of neuroimaging of neurodevelopmental disorders, various biomarkers for diagnosis, classification, prognosis prediction, and treatment response prediction have been examined; however, they have not been efficiently combined to produce meaningful results. DL can be applied to overcome these limitations and produce clinically helpful results. Here, we review studies that combine neurodevelopmental disorder neuroimaging and DL techniques to explore the strengths, limitations, and future directions of this research area.

상부경추 교정기법을 사용하여 치료한 턱관절 장애 치험 2례 (Two Clinical Case Studies on Temporomandibular Disorder with Upper Cervical Manipulation)

  • 장동호;배우열;이인선;조성우
    • 척추신경추나의학회지
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    • 제6권2호
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    • pp.45-52
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    • 2011
  • Objective : We had good effects on two patients who had problem with temporomandibular joint by using upper cervical manipulation combined with acupuncture therapy. Methods : Two temporomandibular disorder cases were managed by using upper cervical manipulation, combined with acupuncture therapy. We used Toggle-recoil technique for the purpose of upper cervical manipulation. Results :Even though symptoms of two patients were not same, each cases showed clinical changes by using upper cervical manipulation. Two cases had effects on decreasing pain of temporomandibular joint, and at the first case, the range of motion of temporomandibular joint was increased. Conclusion : We could treat temporomandibular disorder patients by using upper cervical manipulation combined with acupuncture therapy.

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비약물 치료인 FCST 음양균형장치를 위주로 한 만성 운동 틱장애 치료 증례 (A Chronic Motor Tic Disorder Treatment Case Mainly Managed by Yinyang Balancing Appliance of FCST, a TMJ Non-Pharmacologic Therapy for the Balance of Meridian and Neurological System)

  • 채기헌
    • 턱관절균형의학회지
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    • 제4권1호
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    • pp.12-16
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    • 2014
  • Therapeutic effect of Yinyang Balancing Appliance of functional cerebrospinal therapy (FCST) for meridian and neurologic yinyang balance was observed in chronic motor tic disorder. One chronic motor tic Disorder case was managed with the Yinyang Balancing appliance on tempromandibular joint (TMJ), combined with acupuncture. Clinical outcome measurement was based on subjective measures and clinical observations. The patient showed positive changes after the treatment and this effect maintained over the follow-up period. Although it is not clear the effect is sustaining or temporary in its nature, a positive effect was observed and further clinical and biological research on FCST is expected.

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만성 경부통을 가진 시내버스 운전기사에게 복합 운동프로그램의 효과 : 사례연구 (The Effects of Combined Exercise Program to Intra-City Bus Driver With Chronic Neck Pain : Case Report)

  • 안승원;정영준
    • 대한정형도수물리치료학회지
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    • 제21권1호
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    • pp.49-56
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    • 2015
  • Background: Although many of those who drive for a living are exposed to repetitive and awkward posture and whole body vibration which cause them cumulative trauma disorder, therapeutic studies related to the problems from the transport unit are still somewhat inadequate. The purpose of this case report is to identify the effect of combined exercise program on patients suffering chronic neck pain caused by long hour of intra-city bus driving. Method: A total of 4 subjects are selected as patients, all of whom have more than 10 years of experience in intra-city bus transportation services. These people have suffered from neck pain for years. We ran the combined exercise program 3 times a week for 4 weeks and respectively evaluated the results after the 2nd and 4th week. We implemented conventional physiotherapy for 40 minutes, another 40 minutes of combined exercise program, and then educated the patients to enable themselves to do active stretching program as a home program. The combined exercise program contained 3 different stages. 1st stage: active stretching program, 2nd stage combined stabilization exercise and strengthening exercise, 3rd stage: proprioceptive exercise Result: After 4 weeks of intervention, there was enhance in the range of motion. $12^{\circ}$ increase in flexion, $10^{\circ}$ in extension, $6^{\circ}$ in lateral flexion respectively, and $10^{\circ}$ in rotation on average. VAS(visual analgue scale) decreased by 33% on average, NDI(neck diability index) by 28% and fatigability by 23%. Conclusion: There were improved results in the range of motion, NDI, VAS, and in fatigability after applying combined exercise program to intra-city bus drivers exposed to whole body vibration and cumulative trauma disorder.

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