• 제목/요약/키워드: Progressive Intervention

검색결과 90건 처리시간 0.029초

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

  • 홍세훈;김숙영
    • 성인간호학회지
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    • 제21권2호
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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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당뇨 및 간경변 환자의 상악동과 폐에서 발생한 침윤성 국균증의 치험례 (INVASIVE ASPERGILLOSIS OF THE MAXILLARY ANTRUM AND LUNG IN A PATIENT WITH DIABETES MELLITUS AND LIVER CIRRHOSIS)

  • 김일규;이성준;하수용;주영채;신용운
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제13권4호
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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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우리나라의 학교소변검사 프로그램 (School Urine Screening Program in Korea)

  • 박용훈
    • Childhood Kidney Diseases
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    • 제18권2호
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    • pp.57-63
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    • 2014
  • 소아들의 여러 신장 질환 특히 만성신장병은 초기에는 뚜렷한 증세나 징후를 나타내지 않고 단독 단백뇨 또는 현미경적 혈뇨로만 나타나는 경우가 많다. 이런 신장 질환을 발견하기 위하여 소변검사는 여러 장단점에도 불구하고 간단하고 비용이 적게 드는 검사로서 선별검사에 이용하게 되었다. 우리나라에서는 신장 질환의 조기 발견을 위한 학교 집단소변검사가 1998년에 개정된 학교신체검사규칙에 근거하여 전체 초 중 고등학생을 대상으로 실시되었다. 그 이후에 많은 연구와 보고들이 학교 집단소변검사가 만성신질환의 조기 발견에 유용할 것이라고 하였지만 아직도 여기에 대한 이견이 있을 뿐만 아니라 비용 효과 등에 대하여서도 충분한 의견 일치를 얻지 못하였기에 코호트 연구 등의 장기적인 관찰적 역학 연구가 반드시 필요하다. 이를 위하여서는 신장학자들의 지속적인 연구뿐만 아니라 제도 개선 및 개발들이 반드시 동반되어야 할 것이다.

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

  • 강윤식
    • Journal of Preventive Medicine and Public Health
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    • 제43권5호
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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
    • 인간행동과 음악연구
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    • 제2권2호
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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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가족성 섬유성 이형성증(Cherubism)에 대한 고찰 (A REVIEW ON CHERUBISM)

  • 김경덕;김신;정태성
    • 대한소아치과학회지
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    • 제24권4호
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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
    • 한국임상수의학회지
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    • 제25권6호
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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.

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

  • 최진호
    • 한국식품영양과학회지
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    • 제20권2호
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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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간호대학생이 인지한 노인요양시설에 대한 주관성: Q 방법론적 연구 (Subjectivity toward Nursing Homes as Perceived by Undergraduate Nursing Students: Q Methodology Study)

  • 하은호;이영미
    • 한국보건간호학회지
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    • 제33권1호
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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.

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

  • 박종대
    • 한국언론정보학보
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    • 제44권
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    • pp.144-179
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    • 2008
  • 이 논문은 냉전의 종식 이후 부각된 전지구적 수준의 책임 주장에 주목하여, 나토의 대표적 군사개입 사례인 보스니아 내전($1992{\sim}1995$)과 코소보 분쟁($1998{\sim}1999$) 과정에서 미국 엘리트 언론이 주장한 '전지구적 책임'의 정치적 성격을 분석한다. 미국 엘리트 언론이 주장한 전지구적 책임을 분석한 결과, 이들의 주장은 일반적으로 정부 정책과 국익에 호응하는 것으로 나타났다. 군사개입을 정당화한 전지구적 책임 주장은 한편으로는 미국의 '멜로 드라마적 국가 정체성'에 접합되었다. 다른 한편으로는 '기술전'을 지지하고 자국 군의 희생에 반대하는 국익과 국내적 책임 중심의 정책 의견과 맞물려 있었다. 미국 엘리트 언론의 대내외적 영향력을 고려할 때, 이들의 전지구적 책임 담론이 나토의 군사행동을 인도주의적 개입으로 이해하는 지배적인 지식의 형성에 기여했다고 평가할 수 있다. 전지구적 책임의 주장과 인식은 인류의 성숙과 인류애의 성장을 담아내는 상징적 프로젝트라는 점에서 긍정적인 움직임을 나타낸다. 그러나 나토의 군사개입을 정당화한 전지구적 책임 담론은 주권 불간섭주의 원칙과 유엔의 권위를 해체한다는 점에서 문제적이다. 미국 엘리트 언론이 주장한 전지구적 책임은 신세계 질서에서 지배 관계의 유지와 강화를 위하여, 능동적이고 창조적인 자아 형성과 정체성을 통한 개인적 조직적 수준의 전지구적 책임에 대한 자각과 실천을 포섭할 수 있다는 점에서 전지구적 민주주의에 부정적 함의를 지닌다. 따라서 본 연구자는 전지구적 수준의 책임 인식이 지니는 잠재성의 실현과 세계 평화를 위하여 전지구적 책임 주장의 구성 방식과 기능에 대해 보다 성찰적인 접근이 필요하다고 주장한다.

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