• Title/Summary/Keyword: Therapeutic environment

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Physical Living Environment for the Elderly with Dementia-Type Problems -Focused on the Welfare Facilities for the Elderly- (치매성 노인을 위한 물리적 환경에 관한 연구(I) -노인복지시설을 중심으로-)

  • 권오정
    • Journal of the Korean housing association
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    • v.11 no.2
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    • pp.25-36
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    • 2000
  • The purpose of this study were; 1) to describe the present situations of dementia-related characteristics in the welfare for the elderly; 2) to explain the perception of the staffs on the effect of the features in physical living environment and to identify the variables influencing this perception; and 3) to examine the present provisions of the features in physical living environment and their effects on making a therapeutic environment. Questionnaires by 122 staffs in the welfare facilities for the elderly were used as a final sample of the analysis. Data were collected using a self-administered survey. The results of the study provided the information on the major symptoms or behaviors of demented elderly with respect to frequencies of occurances and caring and the way of manipulating the physical environment to slow down the progression of the disease and making the demented elderly live independently as much as possible to achieve their quality of life.

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Assessment of Hydration on the Stratum Corneum and the Influencing Factors in Neonates (신생아의 피부표현 별 수분율 측정과 관련요인 분석)

  • Ahn, Young-Mee;Shin, Eun-Jin
    • Journal of Korean Academy of Nursing
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    • v.37 no.5
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    • pp.781-789
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    • 2007
  • Purpose: The study was conducted to investigate the skin hydration level in various body sites and identify the influencing factors in neonates. Methods: An exploratory comparison study was designed to measure the stratum corneum hydration, using a National DM-R2 on the forehead, abdomen, buttocks, and the back of the hands and feet of 198 neonates including 92 premature infants. Results: The results showed 32.7%-36.5% of stratum corneum hydration for all sites. Premature infants revealed a higher hydration level on the peripheral sites (dorsal hand and feet) than those of the full-term infants, possibly resulting from therapeutic regimens including an incubator or radiant warmer. Infants in an incubator showed a higher hydration level than those in radiant warmers, suggesting more attention to fluid management for infants in the open environment. In addition, all stratum corneum hydration measurements except one, from the forehead, showed a positive correlation with postnatal age in full-term infants while showing no relation to any measurements in premature infants. Conclusion: The study demonstrated the very low skin hydration levels in hospitalized neonates, particularly in premature neonates with more susceptible skin hydration instability despite therapeutic interventions for fluid balance. More vigilant fluid management is imperative in neonates, particularly those in the open environment.

Nurses' Attitude toward Hospitalized Patients after Attempted Suicide; Integrative Review (입원 중인 자살시도 환자에 대한 간호사의 태도; 통합적 문헌고찰)

  • Ha, Yi Kyung;Lee, Yunji
    • Journal of Korean Critical Care Nursing
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    • v.14 no.3
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    • pp.37-49
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    • 2021
  • Purpose : This study aims to identify nurses' attitudes toward patients hospitalized after attempting suicide and inform directions for research and interventions to establish a therapeutic environment. Methods : For integrative review, the five stages suggested by Whittemore and Knafl were followed. Articles and theses published before February 2021 were searched using eight databases and a manual search. The search terms were suicide, self-harm, emergency department (ED), intensive care unit (ICU), nurses, and attitudes. Results : Five studies met the inclusion criteria; three of them were descriptive studies, one was a qualitative study, and one a mixed-method study. In most studies (80%), the participants were ED nurses. ED/ICU nurses showed positive or neutral attitudes toward patients. All studies suggested that suicide-related education programs are needed to increase nurses' positive attitudes such patients. Conclusion : More research is required on ICU nurses' attitudes toward patients who have attempted suicide, and efforts to identify various aspects of such attitudes are necessary. In addition, suicide education programs and support from trained psychiatric personnel should be provided to establish a therapeutic environment.

The Extract of Couroupita guianensis Aubl. Ameliorates Benign Prostatic Hyperplasia In Vitro and In Vivo

  • Kim, Yun Na;Kim, Na-Hyun;Souliya, Onevilay;Uddin, Salah;Lee, Sang Woo;Kim, Soo-Yong;Choi, Sangho;Heo, Jeong-Doo;Jeong, Eun Ju
    • Natural Product Sciences
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    • v.27 no.4
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    • pp.274-279
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    • 2021
  • The therapeutic effects of the leaves of Couroupita guianensis, a large tropical tree in the family of Lecythidaceae improving testosterone-induced Benign Prostatic Hyperplasia (BPH) were tested in vitro and in vivo. In BPH rats induced by castration and testosterone treatment, the prostate index was improved in groups administered with the extracts of C. guianensis extracted with 50%-, 100%-ethanol or boiling water, which was comparable with positive control, finasteride. The extract C. guianensis leaves showed significant inhibition on the expressions of type 2 5-alpha reductase (5αR) in RWPE-1 human prostatic epithelial cells, and effectively attenuated the expressions of androgen receptor, type 2 5αR and proliferating cell nuclear antigen in LNCap human prostatic adenocarcinoma cells. The leaves of C. guianensis that exerted evident suppression on BPH-related biomarkers in vitro and improvement of prostate index in vivo has a potential therapeutic use for the treatment of BPH.

Cytocidal Effect of Hyperthermia on Tumor Cells in vivo (In vivo 腫瘍細胞에 미치는 溫熱處理의 細胞致死效果)

  • Kang, Man-Sik;Rhee, Jeong-Gile;Seymour H. Levitt;Chang W. Song
    • The Korean Journal of Zoology
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    • v.24 no.2
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    • pp.59-64
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    • 1981
  • The cytocidal effect of hyperthermia on subcutaneous SCK tumor cells growing in vivo was significantly greater than that on the SCK tumor cells cultured in vitro. When the tumors were left in situ after heating, the cell survival progressively decreased, and the functional intratumor vascular volume also decreased. The radiation survival curves of tumor cells heated either 30 min before or after X-irradiation in vivo were steeper than the radiation survival curves of unheated control tumors. It is concluded that the cytocidal effect of hyperthermia on tumor cells in vivo is greater than that in vitro due possibly to the intratumor environment.

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Therapeutic potential of BMSC-conditioned medium in an in vitro model of renal fibrosis using the RPTEC/TERT1 cell line

  • Yunji Kim;Dayeon Kang;Ga-eun Choi;Sang Dae Kim;Sun-ja Yang;Hyosang Kim;Dalsan You;Choung Soo Kim;Nayoung Suh
    • BMB Reports
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    • v.57 no.2
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    • pp.116-121
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    • 2024
  • We investigated the therapeutic potential of bone marrow-derived mesenchymal stem cell-conditioned medium (BMSC-CM) on immortalized renal proximal tubule epithelial cells (RPTEC/TERT1) in a fibrotic environment. To replicate the increased stiffness characteristic of kidneys in chronic kidney disease, we utilized polyacrylamide gel platforms. A stiff matrix was shown to increase α-smooth muscle actin (α-SMA) levels, indicating fibrogenic activation in RPTEC/TERT1 cells. Interestingly, treatment with BMSC-CM resulted in significant reductions in the levels of fibrotic markers (α-SMA and vimentin) and increases in the levels of the epithelial marker E-cadherin and aquaporin 7, particularly under stiff conditions. Furthermore, BMSC-CM modified microRNA (miRNA) expression and reduced oxidative stress levels in these cells. Our findings suggest that BMSC-CM can modulate cellular morphology, miRNA expression, and oxidative stress in RPTEC/TERT1 cells, highlighting its therapeutic potential in fibrotic kidney disease.

A Study on the Healing Architecture of Health Promotion Villages (건강마을의 건축적 치유요소 연구)

  • Lee, Min-Ah
    • Journal of Families and Better Life
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    • v.29 no.5
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    • pp.1-17
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    • 2011
  • This study aimed to analyze health promotion villages from the perspective of therapeutic architecture, and to provide basic information for planning relevant health facilities. On the basis of a review of previous literature, the characteristics of therapeutic architecture were classified into eight categories: safety, comfort, sociality, autonomy, openness, diversity, privacy, and natural environment. Field study and observation were performed in four health promotion villages that conduct programs for lifestyle improvement, physical fitness, and treatment; these villages were also considered to have a healthy residential environment. The researcher and three assistants visited the facilities and checked utilization of space through interviews with the staff and guided tours. Basic information about the subject facilities, such as the purpose of establishment, was gathered from websites before visits. Two of the villages examined in this study had a traditional Korean wooden structure, while the other two were reinforced concrete and masonry block structures. All the facilities emphasized the use of environmentally friendly material and harmony with nature. Each site was divided into the following areas: office, residence, health/treatment, public/rest, and outdoor. The safety standards of the healing architecture were not completely satisfactory at all facilities. In particular, it was found that they lacked adequate universal design equipment. However, the healing characteristics of autonomy and diversity were strong. With regard to autonomy, the facilities allowed visitors to select indoor-outdoor moving lines and the use of front- and backyards constructed on slopes. In addition, they were equipped with many entries, staircases, void, terraces, and crossroads. The architecture was aesthetically designed using feng shui symbolism, and visitors found the scenes depicted in various spaces in the villages to be stimulating. Besides, the facilities were constructed using natural materials, had a natural indoor environment, and provided a sense of spaciousness and flexibility.

Schizophrenia and Healing Environment (조현병과 치유환경)

  • Lee, Hae Kyung;Lee, Myung Soo;Noh, Jai Sung
    • Korean Journal of Biological Psychiatry
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    • v.22 no.3
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    • pp.95-100
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    • 2015
  • Treatment of schizophrenia is one of the most challenging areas in the field of psychiatry. There has been much improvement in psycho-pharmacotherapy, and at present, psycho-pharmacotherapy along with milieu therapy and social rehabilitation is the standard first-line treatment for schizophrenia. Healing environment, a concept which has arisen from the architectural field, has similarities in meaning to milieu therapy in psychiatry. In other words, healing environment may be an encountering point between psychiatry and architecture. In this encountering, each field can understand each other and expand its concept to aid the treatment of schizophrenia and to plan the build-up of the entire environment considering its social and psychological effects. In this paper, we aim to establish the basic concept of healing environment to alleviate the psychopathologies in schizophrenic patients. We worked under the premise that physical setting affects human behavior and mind, and that physical setting should play a role as a medium with therapeutic potential for patients with medical problems. The aims of this paper are as follows. First, theoretical discussion of the concept and the constructs of healing environment : second, understanding of the schizophrenic symptoms that may be affected by supporting environment : and third, discussion of supporting environment that may alleviate the symptoms of schizophrenia.

Contents Analysis on the Characteristics of Living Environmental Design in Facilities for the Elderly with Dementia, USA (미국 치매노인시설의 거주환경디자인 특성의 내용분석)

  • Byun Hea-Ryung;Yoon Young-Sun
    • Journal of the Korean housing association
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    • v.16 no.5
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    • pp.39-48
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    • 2005
  • The purpose of this study was to analyze environment-behavior concepts included in environmental design characteristics of facilities for elderly with dementia. Major method was contents analysis of actual environmental designs. For comparison between the environment-behavior concepts and actual cases, an analytical framework was developed. Eleven cases of facilities designed for people with dementia were analyzed. Those were published ones in periodicals in USA. The analytical data used included floor plans, texts, and visual materials including photographs. Under the framework for analysis, a total of 296 criteria were used to analyze the actual cases of environmental design. This study was expected to offer a knowledge base for better environmental design for elderly with dementia and to help establish guidelines for designing such facilities which can meet the cultural characteristics and traditional conditions of Korea.

The Impact of Gut Microbiota in Human Health and Diseases: Implication for Therapeutic Potential

  • Ha, Eun-Mi
    • Biomolecules & Therapeutics
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    • v.19 no.2
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    • pp.155-173
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    • 2011
  • Humans have and hold 100 trillion intestinal bacteria that are essential for health. For millions of years human-microorganisms interaction has co-evolved, and maintained close symbiotic relationship. Gut bacteria contributes to human health and metabolism, and humans provides the optimum nutrition-rich environment for bacteria. What is the mechanism of the host distinguishing the intestinal bacteria as its cohabiting partner and what kind of benefits does the gut microbiota provide the human are the fundamental questions to be asked and solved in order to make human life a higher quality. This review explains the physiological relationship and mutualism between the host and gut microorganism, and highlights the potential therapeutic approach for treating diseases, maintaining and improving health based on these correlations.