• Title/Summary/Keyword: Progressive Intervention

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Effects of Sleep Promoting Program on Sleep and Immune Response in Elderly (수면증진 프로그램이 노인의 수면과 면역반응에 미치는 효과)

  • Hong, Se-Hoon;Kim, Sook-Young
    • Korean Journal of Adult Nursing
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    • v.21 no.2
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    • pp.167-178
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    • 2009
  • Purpose: This study was to examine the effects of sleep promoting program on sleep and the immune response in the elderly with insomnia. Methods: The study was designed as a quasi-experimental, nonequivalent control group pre-post test design. Thirty two elders who suffered from insomnia (16 experimental and 16 control subjects) were selected among the elders who had been enrolled in two churches. The subjects in the experimental group participated in a sleep promoting program which was composed of sleep hygiene education and progressive muscle relaxation for 4 weeks. Data were analyzed using the SPSS/WIN. Results: The experimental group showed higher sleep score than that of the control group (t=7.86, p=.00). The experimental group showed higher sleep satisfaction score than that of the control group (t=7.61, p=.00). The sleep promoting program was not effective in enhancing immune response. Conclusion: The sleep promoting program increased the sleep score, sleep-satisfaction score and B cell in immune response of elderly people suffering from insomnia. Therefore, sleep promoting program can be applied as an effective nursing intervention to promote sleep quality and sleep satisfaction.

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INVASIVE ASPERGILLOSIS OF THE MAXILLARY ANTRUM AND LUNG IN A PATIENT WITH DIABETES MELLITUS AND LIVER CIRRHOSIS (당뇨 및 간경변 환자의 상악동과 폐에서 발생한 침윤성 국균증의 치험례)

  • Kim, Ill-Kyu;Lee, Seong-Jun;Ha, Soo-Yong;Chu, Young-Chae;Shin, Yong-Woon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.4
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    • pp.456-461
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    • 1991
  • This is a case report of invasive aspergillosis of the right maxillary antrum and the left lung in a 43 year-old male patient with diabetes mellitus and liver cirrhosis. The results were as follows. 1. Invasive aspergilliosis should be considered in compromised patients who have nasal symptomatology, infraorbital swelling and pain. 2. Invasive aspergillosis is a rapidly progressive mycotic infection of the sinus which may extend to the orbit, nasal cavity and cheek. 3. Surgical intervention is particularly urgent in orbital aspergillosis in patient in whom the eyesight is still preserved. 4. Diagnosis depends upon pathological demonstration of tissue invasion by organism with the typical morphology of aspergillus species. 5. Long-term antifungal drugs should be administrated postoperatively in pathint with invasive aspergillosis.

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School Urine Screening Program in Korea (우리나라의 학교소변검사 프로그램)

  • Park, Yong Hoon
    • Childhood Kidney Diseases
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    • v.18 no.2
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    • pp.57-63
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    • 2014
  • A number of kidney diseases of childhood may present as isolated proteinuria or/and hematuria, without any overt signs or symptoms. Urinalysis is a simple and inexpensive test used to evaluate various renal disorders. A school urine screening (SUS) program for kidney disease was conducted in Korea in 1998. Several research reports, including case reports and systemic reviews of SUS data, claimed that early detection and confirmatory diagnosis by renal biopsy seems to be helpful for determining the prognosis and intervention of progressive chronic renal disease. However, there is no global consensus as to whether screening for chronic kidney disease (CKD) should be undertaken in children and adolescents. This paper reviews the SUS for CKD in Korea, including the history and structure of the program, its assessment, related research, and associated problems.

Mind-Body Approach in the Area of Preventive Medicine: Focusing on Relaxation and Meditation for Stress Management (예방의학 영역에서 심신의학적 접근의 적용 가능성: 스트레스 관리를 위한 이완과 명상 기법을 중심으로)

  • Kang, Yune-Sik
    • Journal of Preventive Medicine and Public Health
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    • v.43 no.5
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    • pp.445-450
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    • 2010
  • Objectives: Emotional support and a stress management program should be simultaneously provided to clients as effective preventive services for healthy behavioral change. This study was conducted to review various relaxation and meditation intervention methods and their applicability for a preventive service program. Methods and results: The author of this paper tried to find various relaxation and meditation programs through a literature review and program searching and to introduce them. The 'Relaxation Response' and 'Mindfulness Based Stress Reduction (MBSR)' are the most the widely used meditative programs in mainstream medical systems. Abdominal breathing, Progressive Musclular Relaxation (PMR), Relaxative Imagery, Autogenic Training (AT) and Biofeedback are other well-known techniques for relaxation and stress management. I have developed and implemented some programs using these methods. Relaxation and meditation classes for cancer patients and a meditation based stress coping workshop are examples of this program. Conclusions: Relaxation and meditation seem to be good and effective methods for primary, secondary and tertiary preventive service programs. Program development and standardization and further study are needed for more and wider use of the mindbody approach in the preventive service area of medicine.

Tone Deafness and Implications for Music Therapy Strategies for Treatment

  • Chong, Hyun Ju
    • Journal of Music and Human Behavior
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    • v.2 no.2
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    • pp.69-79
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    • 2005
  • This study was purported to examine the definition of tone deafness, various factors for the cause based on literature review of research findings, and to examine therapeutic application of music for treatment of tone deafness. With research, it was found that there can be three different kinds of tone deafness; amusia, agnosia, and asonia. Literature review showed that tone deafness has been frequently dealt in many research in order to verify the causal factors, such as gender, age, and environments. With time, the research trend on tone deafness has shifted towards neurological approach closely examining brain activity, presenting the statement that the brain's capacity to perceive modest pitch changes may be congenitally impaired. Also physiological factors contribute to tone deafness called diplacusis, which is a phenomenon wherein a given tone is heard as different pitches by the two ears, resulting in conflicting bilateral perception of pitch. Music can be used for treatment of various factors causing tone deafness. The most efficient intervention was singing program. Pitch-matching training can be effective training using operant conditioning procedure. Successive approximation or reinforcement of correct response alone was more efficient procedure in helping uncertain singers to sing on pitch. Also progressive breathing exercises helped the training the pitch-matching where one had to coordinate hearing and voice.

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A REVIEW ON CHERUBISM (가족성 섬유성 이형성증(Cherubism)에 대한 고찰)

  • Kim, Kyung-Deok;Kim, Shin;Jeong, Tae-Sung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.4
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    • pp.751-757
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    • 1997
  • Cherubism is an uncommon, benign fibrosseous lesion of the jaws that causes a progressive, painless, symmetrical expansion of the maxilla and mandible. It's autosomal dominance pattern of inheritance has been confirmed. A characteristic deformity is specific to this disease: hypertrophy of the mandible, swelling of cheeks and sometimes hypertrophy of maxilla with eyes tending to look up ; that looks like the Renaissance cherubs. It usually makes figures during childhood between 2-4 years of age and progresses until puberty, after which it spontaneously regresses 10 most cases. As a result of this case review, the management strategies for cherubismic children in standpoint of pediatic dentistry can be summarized as follows: 1. It can be detected early in childen through its characteristic clinical and radiographic features, which is confirmed by histopathological examination and familial history. 2. The supervision of arch space is required against its frequent sequelae, the early missing of primary teeth and eruption disorders of permanent teeth. 3. It is highly recommended to continue the periodic check-up with clinical and radiographic examination, leading to surgical intervention in cases of aggravation.

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Belt Loop and Circumcostal Gastropexy Techniques of Canine Gastric Dilatation-Volvulus: 4 Cases

  • Lee, Jae-Hoon;Lee, Young-Su;Yang, Wo-Jong;Chung, Dai-Jung;Kang, Eun-Hee;Chang, Hwa-Seok;Choi, Chi-Bong;Lee, Jeong-Ik;Kim, Hwi-Yool
    • Journal of Veterinary Clinics
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    • v.25 no.6
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    • pp.540-544
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    • 2008
  • Four dogs were presented with the history of progressive abdominal distension and regurgitation. Survey abdominal radiographs revealed gastric dilatation-volvulus (GDV) with a distended, gas-filled stomach and double bubbles. The mean time from onset of clinical signs to presentation to a clinic was 3.25 hours. In three dogs, orogastric tubes were inserted and their stomachs were decompressed. However, we failed to insert the tube in the remaining one dog. Among these four dogs, gastrotomy was performed in two dogs to remove the gastric contents and to decompress the stomach additionally during surgery. The dogs with GDV were treated with belt-loop gastropexy (n=3) or circumcostal gastropexy (n=1) to prevent recurrence. Necrosis of gastric or splenic tissues was not observed during surgical intervention. All four dogs recovered uneventfully, and no recurrence was found in long term follow-up during $1{\sim}3$ years.

Modulation of the Aging Process by Food Restriction (칼로리 제한에 노화과정의 조절)

  • 최진호
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.20 no.2
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    • pp.187-196
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    • 1991
  • Aging is the progressive accumulation of changes with time associated with responsible for the ever-increasing susceptibility to disease and death which accompanies advancing age. Lipid peroxides easily produced in the membrane system by the chain reaction of free radicals which occurred from various environmental factors. The amount of lipid peroxides produced in biological system increased with aging process, and lipid peroxidation damages involved in aging process and pathological disorders. Although lipid peroxides have such deleterious effects on the organisms, there are numerous substances and mechanisms which prevent the reaction of peroxide formation and protect the subject from its toxicity. This review provides an overview of how does lipid peroxidation of unsaturated lipids take place by free radical, and what is the intervention of lipid peroxides in pathogenesis of some human diseases, and also how does food restriction influences the aging process and various pathological disorders. The major focus of this paper is to review the evidence indicating that food restriction retards the aging process, and possible mechanisms of its actions. Therefore, it discussed the effects of age and food restriction on life-span, membrane yield, lipid peroxidation, fatty acid composition and peroxidizability, cholesterol and triglyceride levels, prostaglasndin and thromboxane synthesis, which may be concerned with blood flow, membrane fluidity, homeostasis and glomerular filtration rate in living body.

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Subjectivity toward Nursing Homes as Perceived by Undergraduate Nursing Students: Q Methodology Study (간호대학생이 인지한 노인요양시설에 대한 주관성: Q 방법론적 연구)

  • Ha, Eun Ho;Lee, Young Mi
    • Journal of Korean Public Health Nursing
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    • v.33 no.1
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    • pp.59-72
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    • 2019
  • Purpose: Nursing homes are a type of residential care that provide diverse services such as planned activities, convalescent care, skilled nursing and memory care. Nursing homes are good facilities for old people with dementia to improve their quality of life. On the other hand, the subjectivity toward nursing homes can vary to greater or lesser degrees. The purpose of this study was to identify the subjective attitudes and viewpoints toward nursing homes in undergraduate nursing students. Methods: The Q methodology, which is a research method to study the people's subjectivity, was used. The 40 Q-statements selected from each of 43 participants were classified into the shape of a normal distribution. The data collected were analyzed using the QUANL program. Results: Three types of subjectivity toward nursing homes emerged: 'Type I, in terms of usage of nursing homes-hesitative perspectives;', 'Type II, in terms of running of nursing homes-progressive perspectives;', and 'Type III, in terms of admission to nursing homes-constructive perspectives'. Conclusion: The findings of this study suggest that nursing intervention programs should be developed for the three types. The study results will lead to further research.

Claiming Global Responsibility for Distant Suffering in Media Discourse -Bosnia and Kosovo- (미국 엘리트 언론이 주장하는 전지구적 책임의 정치적 성격 -보스니아 내전과 코소보 분쟁-)

  • Park, Chong-Dae
    • Korean journal of communication and information
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    • v.44
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    • pp.144-179
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    • 2008
  • This paper explores the formation of global responsibility discourses in the elite US media used in promoting NATO's military interventions in the post-Cold War era. The case study of global responsibility discourses surrounding the Bosnian War (1992-1995) and the Kosovo Conflict (1998-1999) offers an account of the roles of the elite US media in foreign policy. The construction and articulation of global responsibility discourses in the elite US media were closely related to the US government's policy and were formed within the framework of US national interest and domestic responsibility. The cases of military intervention in the post-Cold War period imply that there were more fundamental structure and patterns by which the elite US media approached the 'humanitarian crises': 'benevolent domination' and the subsequent construction of a 'melodramatic national identity' in the war narratives. Presuming that the elite US media's discourse is a primary site for the public for experiencing and understanding distant suffering, this paper concludes that global responsibility discourses within the media may have dangerous ramifications for global democracy because the discourse of responsibility can potentially absorb the creative, progressive energies created by the public's awareness of responsibility on a global scale in order to reinforce the relations of domination.

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