• 제목/요약/키워드: Modality

검색결과 1,931건 처리시간 0.023초

결장루 보유자의 성만족 구조모형 (Model Construction of Sexual Satisfaction in Patients with a Colostomy)

  • 박승미;김금순
    • 대한간호학회지
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    • 제39권4호
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    • pp.539-548
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    • 2009
  • Purpose: This study was designed to construct and test the structural equation model on sexual satisfaction in patients with a colostomy. Methods: The model construction was based upon Roy's adaptation model. Stoma-related discomfort (SRD), age, frequency of sexual intercourse, treatment modality, and gender affect sexual satisfaction and are mediated by physical, psychosocial, and interdependence modes. Each mode was conceptualized as sexual function, body image/ depression, and marital intimacy. The patients were 112 colostomates with colorectal cancer who were asked to complete a mail-back survey on their demographic data, SRD, body image, depression, marital intimacy, sexual function, and sexual satisfaction. Data were analyzed using SPSS WIN 15.0 and AMOS WIN 7.0. Results: Significant variables for sexual satisfaction in the final model were body image affected by SRD, depression affected by body image and SRD, marital intimacy affected by depression, and sexual function affected by marital intimacy. Conclusion: The results of this study suggest that specific guidelines for SRD are necessary to improve sexual satisfaction among colostomates. Nurses should be vigilant in monitoring depression and body image disturbance, and providing appropriate interventions to increase marital intimacy. Treatment modality, gender, and age should be considered in developing education programs pertaining to sexuality.

냉과 거상이 피부 온도에 미치는 영향 (The Effect of Cold and Elevation on Skin Temperature)

  • 김민규;구애련;김효;이정배
    • 한국전문물리치료학회지
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    • 제3권1호
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    • pp.48-56
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    • 1996
  • The research of cold therapy is preceding rarely nowadays. This study was researched to measure the skin temperature of the right foot malleolus when the leg change the situation precisely speaking it was cold, elevation, cold plus elevation. Twenty young healthy volunteers(M:10, F:10)with no history of cardiopulmonary disease, peripheral artery disease were tested. This study were analyzed by one-way-repeated ANOVA. In the first we examined the within changes of the skin temperature between before and after examination for each modality. The skin temperature at all of modalities had fallen. Therefore we could know the fact that elevation plus cold modality had fallen skin temperature significantly more than elevation or cold. And there were no significant difference between male and female. We conclude that elevation and cold therapy could be better effective on edema, contusion and sprain than cold or elevation therapy independently.

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Ewing's Sarcoma of the Stomach; Rare Case of Ewing's Sarcoma and Suggestion of New Treatment Strategy

  • Kim, Hyo-Sin;Kim, Sungsoo;Min, Young-Don;Kee, Keun-Hong;Hong, Ran
    • Journal of Gastric Cancer
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    • 제12권4호
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    • pp.258-261
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    • 2012
  • Ewing's sarcoma is a neoplasm of the undifferenciated small round cells, which generally affects the bone and deep soft tissues of children and adolescents. We present a case of gastric Ewing's sarcoma; a 35-year-old female who had no symptoms. While she was at a routine medical checkup, a protruding mass in her gastric antrum was incidentally found on esophagogastroduodenoscopy. Endoscopic ultrasonogram showed a submucosal mass on the same lesion and a laparosopic wedge resection was done. Pathologic gross findings showed a granular grape appearance tissue and histoloigc examination revealed a small round cell tumor with CD 99 immunoexpression positive. In general, a combined modality therapy for Ewing's sarcoma such as surgical resection with chemotherapy, is accepted as an effective method. However, this patient had no adjuvant chemotherapy after surgery and she has no recurrence for eleven months.

암 환자의 질병.치료관련 요인에 따른 불편감과 영적안녕에 관한 연구 (Symptom Distress and Spiritual Well-Being in Patients with Cancer according to Illness and Treatment)

  • 배수현;박정숙
    • 기본간호학회지
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    • 제14권4호
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    • pp.457-465
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    • 2007
  • Purpose: This study was done to analyze symptom distress and spiritual well-being in patients with cancer according cancer diagnosis, metastasis, treatment stage, number of hospitalizations and treatment modality. Method: The participants, 285 patients being treated in one of ten general hospitals either as in- or out-patients, completed the McCorkle and Young(1978) Symptom Distress Scale translated and adapted by Uhm(1986) and the Spiritual Well-Being Scale by Paloutzian and Ellison(1982) translated by Choi(1990). Data collection was done from June 19 to September 30, 2006. Results: For symptom distress, there were significant differences for cancer diagnosis(p=.018), metastasis(p=.000), treatment stage(p=.000), number of hospitalizations(p=.000), and treatment modality(p=.002). For spiritual well-being, the only significant difference was for cancer diagnosis(p=.002). Patients with ovarian/uterine cancer had the lowest spiritual well-being. Conclusion: For patients with cancer, symptom distress was significantly different for illness and treatment factors, in particular, stage of illness, while for spiritual well-being, patients with uterine ovarian cancer had the lowest spiritual level. These results indicate a need to develop nursing interventions to decrease symptom distress in patients according to treatment stage and to promote spiritual well-being, particularly in women with ovarian/uterine cancer.

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종양응급 상황에서의 방사선치료의 역할 (Role of Radiation Therapy in Oncologic Emergencies)

  • 이준호;백홍석;박상섭;박현숙;이석호
    • 한국임상보건과학회지
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    • 제2권2호
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    • pp.133-147
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    • 2014
  • Purpose. Radiation therapy for oncologic emergencies is an important modality in the management of cancer patients. The aim of the present study was to review the roles of RT in oncologic emergencies based on literature review. Methods. The oncologic emergencies requiring rapid treatment include superior vena cava syndrome, spinal cord compression, brain metastasis, and bone metastasis. We reviewed the literatures on the pathophysiology, diagnosis, and treatment of oncologic emergencies. Results. In this literature review, radiation therapy among treatment modalities for oncologic emergencies has been shown to be fast and very effective treatment modality for oncologic emergencies. Conclusions. Based on this review, we conclude that the literature provides support for the role of radiation therapy in the situation of oncologic emergencies. As the number of cancer patients increase, the prevalence of oncologic emergencies will increase. In the future, the development of RT techniques will provide the improvement of not only patient's quality of life but also the survival.

보툴리눔 독소를 이용한 성대육아종과 성대결절 치료 (Clinical Application of Botulinum Toxin to Contact Granuloma and Vocal Nodule)

  • 이승원
    • 대한후두음성언어의학회지
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    • 제30권2호
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    • pp.82-86
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    • 2019
  • In the field of otolaryngology-head and neck surgery, botulinum toxins are widely used for the treatment of spasmodic dysphonia and vocal tremors. Recently, the applications of botulinum toxin have gradually expanded with time, to include vocal fold granuloma, mutational falsetto, bilateral vocal cord paralysis, and chemical reduction for arytenoid dislocation as an adjunctive modality. According to a nation-wide multicenter study conducted by the Korean Society of Laryngology, Phoniatrics and Logopedics for treatment modality of contact granuloma, among the various treatment modalities, botulinum toxin injection showed the highest response rate and lowest recurrence rate in both primary and refractory cases. Therefore, botulinum toxin could be reserved as a second-line treatment for contact granuloma in which the first treatment was not effective, but also could be used as a first-line treatment depending on the patient's and institution's situation. For recalcitrant nodules, injection of botulinum toxin into the bilateral thyroarytenoid muscle will reduce glottal contact force and result in a forceful chemical voice rest. In special situations, botulinum toxin injection could be one of the alternative treatment options for recalcitrant vocal nodules.

참여형 멀티미디어 시스템 사용자 감성평가를 위한 다차원 심물리학적 척도 체계 (Development of Multiple-modality Psychophysical Scaling System for Evaluating Subjective User Perception of the Participatory Multimedia System)

  • 나종관;박민용
    • 대한인간공학회지
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    • 제23권3호
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    • pp.89-99
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    • 2004
  • A comprehensive psychophysical scaling system, multiple-modality magnitude estimation system (MMES) has been designed to measure subjective multidimensional human perception. Unlike paper-based magnitude estimation systems, the MMES has an additional auditory peripheral cue that varies with corresponding visual magnitude. As the simplest, purely psychological case, bimodal divided-attention conditions were simulated to establish the superiority of the MMES. Subjects were given brief presentations of pairs of simultaneous stimuli consisting of visual line-lengths and auditory white-noise levels. In the visual or auditory focused-attention conditions, only the line-lengths or the noise levels perceived should be reported respectively. On the other hand, in the divided-attention conditions, both the line-lengths and the noise levels should be reported. There were no significant differences among the different attention conditions. Human performance was better when the proportion of magnitude in stimulus pairs were identically presented. The additional auditory cues in the MMES improved the correlations between the magnitude of stimuli and MMES values in the divided-attention conditions.

퇴행성 슬관절염 환자의 하지 근력 강화운동이 균형능력에 미치는 영향 (Effect of Balance Ability of Knee Osteoarthritis with Lower Extremity Strengthening Exercise)

  • 장원석;배성수;정연우
    • 대한물리의학회지
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    • 제2권1호
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    • pp.31-39
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    • 2007
  • Purpose : The main purpose of this study was to investigate the influence of lower extremity strengthening on balance ability of knee osteoarthritis. Methods : The walking exercise group with modality treatment and strengthening exercise group with modality treatment. The walking exercise and strengthening for 40 minutes per day and three times a week during 6 weeks period. Short Form McGill Pain Questionnaire(SFMPQ) was used to measure patient's pain level. Patient Specific Functional Scale(PSFS) was used to measure patient's functional disability level. BPM was used to measure sway area. Global Perceived Effect Scale(GPES) was used to measure recovery or worse of patient's condition. Results : 1. SFMPQ was strengthening exercise group showed significantly decreased more than walking exercise group(p<.05). 2. PSFS was strengthening exercise group showed significantly increased more than walking exercise group(p<.05). 3. Sway area was strengthening exercise group showed significantly limited area more than walking exercise group(p<.05). 4. GPES was strengthening exercise group showed significantly increased more than walking exercise group(p<.05). Conclusion : This study will be used as exercise method of patient with osteoarhtritis.

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차량편성구성에 따른 고속화물열차의 추진 및 제동성능 분석 연구 (A Study on the Propulsion and Braking Performance of the High Speed Freight Train with Composing the Rolling Stocks Formation)

  • 한성호
    • 전기학회논문지P
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    • 제65권4호
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    • pp.298-302
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    • 2016
  • Currently, logistics are in small quantities and in diverse forms, and the amounts are continuously increasing. Railway logistics however are losing their market share every year mainly due to low operation speed and loading time, which means the trucks are covering the most of the freights. In order to solve these situations, this paper proposed the high speed freight train as working multi-modality with other modes to make effective transshipment. The high speed freight train has maximum operation speed of 300km/h and electric power to run centralized power supply. There are large dual door system, bogie system covering fluctuating load of 15[ton], automatic loading device, ULD(unit load device) bed and ULD locking system in this freight rolling stock. We calculated the performance of powering and braking capacity for this train and proposed how many vehicles are composed of train set. The results in this paper can help to make a decision to define the technical specification of High-speed freight train for the efficiency of rail freight service.