• Title/Summary/Keyword: Literature Therapeutic

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Bronchoscopic Cryotherapy in Patients with Central Airway Obstruction (기관지 내시경적 냉동치료를 통한 중심성 기도폐쇄의 치료)

  • Lyu, Ji-Won;Song, Jin-Woo;Hong, Sang-Bum;Oh, Yeon-Mok;Shim, Tae-Sun;Lim, Chae-Man;Lee, Sang-Do;Koh, Youn-Suck;Kim, Woo-Sung;Kim, Dong-Soon;Choi, Chang-Min
    • Tuberculosis and Respiratory Diseases
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    • v.68 no.1
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    • pp.6-9
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    • 2010
  • Background: The efficacious use of interventional bronchoscope for patients with central airway obstruction due to malignant or benign lesions has been proven. Among many therapeutic bronchoscopic procedures, endobronchial cryotherapy is an established recanalization method for the obstruction of the respiratory tract. Recently, the use of this procedure has been increasing in Korea. However, limited data are available in the literature regarding its efficacy in Korea. Methods: Thirty patients, who had been treated with a flexible cryoprobe for cryotherapy were enrolled; clinical characteristics and treatment outcomes were analyzed. The patients had been treated with the technique using nitrous oxide as a cryogen under local anesthesia. Objective outcomes were 3 different degrees of therapeutic success by use of follow-up bronchoscopic findings as follows: successful, partially successful, and unsuccessful response. Subjective outcomes were evaluated as an improvement in symptoms. Results: The mean age of enrolled patients was $59{\pm}11$ years and there was a male (22/30) dominance. Twenty-three patients had malignant tumor and 7 patients had benign lesions with central airway obstruction. Successful recanalization was achieved in 11 (37%) patients, and partially successful response was achieved in 15 (50%) patients. Dyspnea was improved in 84.2% (16/19) of patients. At least one respiratory symptom was resolved in 91.3% (21/23) patients. Seven patients (23.3%) needed additional bronchoscopic electrocautery because of the bleeding as a complication of cryotherapy. Conclusion: Endobronchial cryotherapy is an effective and less expensive procedure for the management of central airway obstruction. However, the procedure should be performed under the preparing for an emergency situation, such as massive bleeding.

The Effects of Planned Discharge Nursing in Compliance, Knowledge, and Nursing Service Satisfaction for Patients having Video-Assisted Thoracoscopic Surgery (계획된 퇴원 간호 중재가 기흉 수술 환자의 약물복용 및 치료 지시 이행도, 질병에 대한 지식과 간호 만족도에 미치는 효과)

  • Lee, Won Jin;Bang, Yun Yi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.11
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    • pp.121-129
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    • 2019
  • This study aimed to develop a planned discharge nursing intervention guideline for patients with pneumothorax, and to examine its influence on drug compliance, knowledge about disease, compliance level with therapeutic regimen, and nursing satisfaction. Methods: The planned discharge nursing intervention guideline was developed based on comprehensive literature reviews and clinical experiences. Patients having video-assisted thoracoscopic surgery at a single general hospital were allocated to either intervention (n=30) or control group (n=29). Participants in the intervention group were administered planned discharge nursing intervention thrice, 30 minutes each, by a cardiovascular nurse. Standard care was provided to patients in the control group. Data were collected from March, 2010 to December, 2010. Results: Participants in the intervention group presented statistically significant improvement in drug compliance (t=-2.05, p=0.044), pill count (t=-2.61, p=0.011), knowledge about disease (t=-4.39, p=0.001), and nursing satisfaction (t=-4.13, p=0.001). No significant difference in compliance levels was observed with standard therapeutic regimen. Conclusion: Planned discharge nursing intervention can be successfully implemented for patients undergoing thoracoscopic surgery. Further research is required to evaluate long-term effects like complication or relapse.

Esthesioneuroblastoma(Olfactory Neuroblastoma) : Report of Six Cases and Review of the Literature (감각신경모세포종: 증례 보고와 문헌 고찰)

  • Shim Byoung-Yong;Park Jin-No;Han Ji-Youn;Hong Young-Sun;Kim Hoon-Kyo;Lee Kyung-Shick;Kim Min-Sik;Cho Seung-Ho;Chung Su-Mi;Lee Youn-Soo;Kang Jin-Hyoung
    • Korean Journal of Head & Neck Oncology
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    • v.16 no.2
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    • pp.228-234
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    • 2000
  • Objectives: Esthesioneuroblastoma is a rare malignant neoplasm that originates from the olfactory sensory cells. This tumor grows from the upper nasal cavity and ethmoid sinus and invades surrounding structures through the cribriform plate into intracranium or orbit in advanced stage. Even though there has been some controversies in determining standard treatment due to rarity of this tumor, the combination treatment of surgery and adjuvant radiation has been recommended for the locally advanced esthesioneuroblastomas. However, the recent clinical experiences of advanced cases showed that combination chemotherapy is highly effective to reduce tumor mass and improve clinical outcomes. Materials and Methods: The authors conducted a retrospective analysis of 6 esthesioneuroblastoma patients who were treated in our hospital from 1986. Results: The age of these patients was between 19 and 86 year-old. Among the 6 cases, 2 were diagnosed at stage B and 4 at stage C, according to Kadish classification. Anti-tumor treatments were performed in 5 patients. One patient refused active treatment and was lost to follow-up. Better survival outcome were observed in 3 patients who were treated with combination chemotherapy alone or combined modality treatment including chemotherapy. Conclusion: Based on our retrospective study, the combined treatment consisting of surgery, radiotherapy, and combination chemotherapy should be used to improve treatment results. And furthermore, innovative clinical approaches such as neoadjuvant chemotherapy, high-dose chemotherapy and autologous peripheral stem cell transplantation, which have been reported to have good therapeutic results, should be considered and applied actively.

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A Study of Literary Therapy on the Rated Sijo as a Conductor that Works the Motherboard of Mind (마음의 메인보드를 작동시키는 전도체로서의 정격 시조에 관한 문학치료 연구)

  • Park, In-kwa
    • The Journal of the Convergence on Culture Technology
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    • v.2 no.4
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    • pp.31-40
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    • 2016
  • The hardware of the human body is given the life force by the sentence which is the physiological software that the program for cell activation by the electrical signal enters. The aim of this study is to create a better therapeutic environment for the human body that groaned with errors in the physiological and cognitive systems that are transmitted to neurons and neurons. The sentence program of the rated sijo, which is the software of the human body which has the function as a conductor to connect the emotions of joy, anger, sadness, and enthusiasm to the human mental system, can be connected to the neuron system of the human body, we tried to identify the principle of operating the motherboard of mind in humanities. Once these principles are identified, we can figure out how to minimize side effects and lead the body to a therapeutic program. The research found that there is a strong energy source that can operate the motherboard of the heart very quickly in the rated Sijo. This is because it is confirmed that new coding and re-coding of a number of rated sijo, or a new syllable of one syllable followed by the original syllable of the original syllable, are formed quickly and therapeutically.This has led to the possibility of literary therapy for mankind to upgrade the human psychic system in abundance through the function of the interaction between the sentence as a conductor that is synaptically connected to the human body and the mainboard of the mind attached to the human body without side effects in the future.

The Impact of Direct-to-Consumer Advertising of Prescription Medications on Healthy Lifestyle (전문의약품 소비자광고가 생활습관 변화에 미치는 영향에 대한 연구)

  • Yang, Hae-Kyung
    • Journal of the Korean Home Economics Association
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    • v.50 no.4
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    • pp.103-113
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    • 2012
  • In the U.S. where Direct-to-Consumer Advertising (DTCA) of prescription medications is permitted, spending on DTCA has been accelerating. As a result, it has been an issue of intense public policy attention regarding whether DTCA is beneficial to the public by promoting a healthy lifestyle. Most of the literature concerning DTCA focuses on its impact on demand and empirical evidence regarding its impact on health-related behavior is scant. This study uses a database of DTCAs for high blood cholesterol, hypertension, diabetes, and overweight treatment medications that have appeared in nationally circulated U.S. consumer magazines during 2000 to 2004 and the Simmons National Consumer Survey in order to compute the level of individual advertising exposure and examines whether those who are exposed to DTCA are more likely to engage in regular exercise and diet control. The study finds evidence that for those with chronic conditions, greater exposure to DTCA leads to less exercise but more diet control. By therapeutic class level, exposure to DTCA leads to less exercise for those with hypertension and who are overweight, whereas those with high blood cholesterol are more likely to engage in regular exercise. Looking into differential responses by socioeconomic status, those with less education are more likely to engage in exercise after being exposed to DTCA. The results imply that the effects of DTCA vary by therapeutic class. In order to enhance the benefits of DTCA, it is important to closely monitor the messages in DTCA and require it to include messages that promote lifestyle change should it be a part of the treatment.

The Analysis of Public Awareness about Literary Therapy by Utilizing Big Data Analysis - The aspects of convergence literature and statistics (빅데이터 분석을 통한 문학치료의 대중적 인지도 분석 - 국문학과 통계학의 융합적 측면)

  • Choi, Kyoung-Ho;Park, Jeong-Hye
    • Journal of Digital Convergence
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    • v.13 no.4
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    • pp.395-404
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    • 2015
  • This study is exploring objective awareness of literary therapy by consideration of popular perception about literary therapy through analysis of big data. The purpose of this study is the deduction of meaning information through analysis in the viewpoint of big data at online social network service(SNS) about 'literary therapy'. Accordingly, the main way of research became content analysis of keyword linked to literary therapy by utilizing opinion mining method related to text mining. The study mainly grasped 'literary therapy' and analyzed 'bibliotherapy' comparatively. The period of study was from Oct. 10th to Nov. 10th, 2014(during 30 days), and SNS such as blog or twitter became the subject of search. Through the result of study analysis, the conclusion that the spread of literary therapeutic prospect, structural harmony of literary therapeutic field, and the solidity of perceptional axis about literary therapy are needed can be drawn. This study is worthwhile because it can investigate popular awareness about literary therapy and can suggest alternative for invigoration of literary therapy.

The Preventive and Therapeutic Effects of Probiotics in Allergic Diseases Via Immune Modulation (프로바이오틱스의 면역조절을 통한 알레르기 예방 및 치료효과)

  • Kim, Yeon-Hui;Choi, Chang-Yong;Chun, Taehoon
    • Journal of Food Hygiene and Safety
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    • v.31 no.3
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    • pp.141-152
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    • 2016
  • The demand to develop more safe and efficient methods for treating allergic patient is now continuously growing due to the increasing prevalence of allergic diseases. Probiotics are endogenous microbial flora that gives health benefits within hosts. Probiotics are now considered as one of solutions to treat allergic patients since recent evidence shows that some of probiotics have immunomodulatory function. Also, the treatment of probiotics to patients is relatively safer than other anti-inflammatory agents. In this review, we summarized on immunomodulatory function of some probiotics which show preventive or therapeutic effects on major allergic diseases such as atopic dermatitis, allergic rhinitis, asthma, or food allergy. Based on previous literature, the treatment of probiotics can alleviate the symptoms of allergic diseases via balancing $Th_1/Th_2$ response or increasing the number of regulatory T ($T_{reg}$) cells.

Development and Application d A Comprehensive Case Management Model for Helping North Korean Refugees' Psycho-Social Adjustment in South Korea (탈북자의 사회적응 지원을 위한 종합형 사례관리 모형의 제시와 그 실천)

  • Um, Myung-Yong
    • Korean Journal of Social Welfare
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    • v.37
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    • pp.271-306
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    • 1999
  • This study aimed to present a comprehensive case management model which might be helpful for social workers in community social welfare agencies who works with North Korean refugees for their psychosocial adjustment in South Korea. After being constructed, the model was put into practice upon North Korean refugees. This article described the whole process of model construction and its application. Detail steps taken in this research include: (a) The researcher had 20 unstructured individual interviews with 11 North Korean refugees in order to identify psychosocial problems that need social workers' intervention; (b) Based upon the problems identified through interviews and previous literature review, program components were identified and sorted out into two phases, one of which is therapeutic phase, the other is case management phase; (c) By interlocking the two phases, the researcher proposed a comprehensive case management model whereby North Korean refugees can get psychosocial services as well as linkage services in an interactive fashion; (d) The utility of the proposed model was examined by using a couple of North Korean refugees who initially showed complicated psycho-social-economic problems. The therapeutic phase employed a cognitive-behavioral approach. The case management phase consists of: assessment and diagnosis; service planning and resource identification; linking of clients to needed services; monitoring of service delivery; and evaluation. Although the program could not go through with because of the limited contacts with North Korean refugees for security reasons, the program was turned out to be very useful in helping North Korean refugees' settling-down in South Korea. Implications for the application of the proposed model was discussed along with limitations of this study.

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The study of Literature Review on the pathological mechanism and Therapeutic methods of sudden coma -Focused on Different opinion of successive dynastic medical group in HwangJeNaeKyung and SangHanRon- (궐증(厥證)의 병인병기(病因病機) 및 치방(治方)에 관한 문헌적(文獻的) 고찰(考察) -내경(內經)과 상한론(傷寒論)에 대(對)한 역대의가(歷代醫家)의 견해(見解) 차이(差異)를 중심(中心)으로-)

  • Ryu Hyung-Cheon;Kwack Jeong-Jin;Choi Chang-Won;Lee Gang-Nyoung;Lee Young-Soo;Kim Hee-Chul
    • Herbal Formula Science
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    • v.11 no.1
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    • pp.57-90
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    • 2003
  • The result of Bibliographic studies on the pathological mechanism of the sudden coma, we got the conclusion like this. 1. The sudden coma is an acute syndrome that refers to be a sudden fainting, an unconsciousness, an aphasia or a cold clammy limb, and immediately awakes or dies, and awakes in a short time, and if we awake, it doesn't leave over and above a sequela. 2. The clinical presentation of the sudden coma can be summarized as follows : The 1st is a disease raising the sudden death due to unconsciousness accompanied by wry mouth & sudden syncope with coma. The 2nd is simply the state of cold limbs. The 3rd is the meaning of the physique and symptomes of the six meridians. The last is the ancient method of expression in contrast of the beriberi. 3. The pathological mechanism of the sudden coma consists of the toxoid from outside, Qi and Xie, fatigue, damp phegm, the damage from seven emotions and the damage from five mental elements, especially the mental disorder due to the angry energy, causes the problems when the fleming-up of liver fire and the depressed of liver qi raise the physiological disorder. 4. Therapeutic methods of sudden coma are soothing the liver and remove stasis, soothing depression and circulating of the qi, calming the liver and suppressing yang. When that is early stage, at first, we must checking upward adverse flow of the qi after promoting the circulation of qi and awakening, and then, we must regulate excessive deficiency of yin yang by therapy that is based on differentiated in symptoms according to heat & cold, deficiency & excess, and use invigorating herb medicine for supporting vigour.

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LITERATURE REVIEW OF ANTIBIOTICS PRESCRIPTION IN GENERAL DENTAL AND ORAL-MAXILLOFACIAL SURGICAL PRACTICE (치과분야 항생제 처방에 대한 국내외 문헌 분석)

  • Jo, Sae-Hyung;Alrashdan, Mohammad;Choung, Han-Ul;Pang, Kang-Mi;Park, Jong-Chul;Kim, Soung-Min;Kim, Myung-Jin;Lee, Jong-Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.35 no.3
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    • pp.164-169
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    • 2009
  • Objectives : Administration methods of antibiotics implements a variety for indications and diseases. Therefore, it is impossible to produce a single guideline. Many antibiotics have been prescribed without specific index, by practicians for a long period of time. In general dental practice and oral and maxillofacial surgical practice, there is not a guidelines for antibiotics. Therefore, there is a dependency on pre-existent methods rather than following an exact guideline. Consequently, a controversy was issued that prescription of antibiotics tend to be misused or abused. And it is also direct relation to the tolerance of antibiotics as well. Moving forward, in this review we will be analyzing the exact usage and indication of antibiotics in dental treatment. Materials and Methods : 29 published articles of both domestic and international were researched through Pubmed and Kormed, and the review from these articles were performed accordingly. We examined the administration of antibiotics through the objective usage, that classified prophylactic and therapeutic. Results : For therapeutic usage, empirical prescription is mandatory for the first step. Next is to moderate the empirical prescription depending upon the result of its culture. Administration of antibiotics must be kept for 2days after the symptoms disappear. For a prophylactic use, we can generally pr escribe antibiotics to prevent local infection or systemic infection. Although the method of prescription and neccessity of antibiotics to prevent local in fection are controversial, exact guidelines of antibiotics to prevent systemic infection are established by AHA. Conclusion : Most crucial concept for prescript antibiotics is to determine if it is adequately suitable for all circumstances. In this decision making, a guideline for prescription of antibiotics in various dental surgical practice is necessary. This guideline can reduce the misusage and disusage of a ntibiotics in general dental practices and oral and maxillofacial surgical practices.