• 제목/요약/키워드: Treatment experience

검색결과 2,501건 처리시간 0.033초

수면장애에 대한 한방통합프로그램의 적용 연구 (A Study on Applying a Korean Medical Integrative Program for Sleep Disorder)

  • 이재은;조성훈
    • 동의신경정신과학회지
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    • 제24권1호
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    • pp.103-108
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    • 2013
  • Objectives : Korea's average life expectancy is getting longer and longer and the pace of change in society has increased every year as people experience stress more easily. Under this situation, chronic sleep disorder is increasing, but there is no specific program for the treatment of sleep disorder in Korean medicine. Therefore, we studied a Korean medical treatment program for sleep disorder to apply to outpatient clinic patients. Methods : For this study, we evaluated the Insomnia Severity Index (ISI), BDI, STAI, FSS on 29 insomnia patients who visited Kyunghee Korean medical hospital from July 2010 to May 2012. Herbal medicine, acupuncture, herbal acupuncture, moxibustion, sleep hygiene, and medical qigong were applied. We compared ISI scores before treatment and after 4 weeks of treatment. Results : ISI score was improved after Korean medical treatment for sleep disorder. Before the treatment ISI score was 18.1, which means clinical insomnia. After the Korean medical treatment, the score was 7.5, which means no clinically significant insomnia. Conclusions : The study showed a significant effect on the Korean medical treatment program for sleep disorder to apply to outpatient clinic patients. ISI score was improved and the patients were satisfied with the treatment, so it would be more helpful to apply in sleep clinics.

Albendazole을 이용한 뇌낭미충증(腦囊尾蟲症) 치험(治驗) 2예 (Two Cases of Cerebral Cysticercosis Treated with Albendazole)

  • 주경환;임한종
    • 농촌의학ㆍ지역보건
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    • 제16권2호
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    • pp.165-171
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    • 1991
  • Two patients with confirmed cerebral cysticercosis were treated with Albendazole(Zentel$^{(R)}$) at a daily dose of 1.200mg t.i.d. for 14 consecutive days and evaluated for tolerance and therapeutic effects. First case was 29 year old male, who had experience of 4 times of grand mal seizures during 1 year period before administration in Korea University Hospital. His chief complaints were seizure and moderate degree headache. He also had 4 subcutaneous nodules on the thorax, right and left upper arms. Among them one nodule was biopsied and confirmed microscopically as Cysticercus cellulosae hominis. Computed tomography of the brain showed four round low density lesions in right postero-frontal area, sylvian area, intra-occipital area and left parietal area. Second case was 48 year old male, who also had experience of seizures at 3 years, 5 months and 3 months before administration. In this case, no subcutaneous nodules and no headaches were noted. Brain CT showed four round low density lesions in right postero-parietal area and temporo-parietal area, and left temporo-parietal and parietal area. Serum antibody against cystic fluid antigen was detected by ELISA in both cases. The efficacy of the treatment of cerebral cysticercosis was assessed by the frequency of convulsions after treatment for 22 months follow-up. by the disappearance of the densities in cystic lesions at brain CT for 6 months follow-up, and disappearance of subcutaneous nodules, headache and so on. As the results, all low density lesions in both cases were disappeared in films of brain CT, and 4 nodules in first case were also disappeared. No more seizure and complain of headache occurred during the last 22 months after treatment in both cases. Post-treatment complete blood count and liver function test revealed no remarkable change compared to pre-treatment test. In the nations of Latin America, the physicians do not initially recommended the simultaneous administrations of steroids, reserving them only for patients whom the adverse reactions such as severe headache and/or seizures are occurred. According to them, in most patients these symptoms are controlled with aspirin and symptomatic drugs. But our experience using praziquantel is different, and most cerebral cysticercosis patients who takes PZQ had complaint of severe headache and sometimes seizure. So we simultaneously used dexamethasone as 6mg q.i.d. for 14 consecutive days and 6 days tapering thereafter in both cases for prevention of reactions produced by the host in response to the deaths of the parasites. As the conclusion, albendazole is effective in patients who presented cerebral cysticercosis and albendazole may help in the control of cysticercosis.

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일부 치위생과 재학생의 치면세마실습 자세와 근골격계 질환 인식도 (Oral prophylaxis practice and awareness of musculoskeletal diseases in dental hygiene students)

  • 문희정;신명숙
    • 대한치위생과학회지
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    • 제1권2호
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    • pp.41-52
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    • 2018
  • The purpose of this study was to examine the state of oral prophylaxis practice among dental hygiene students and their awareness of musculoskeletal diseases in an effort to provide some information on how to strengthen education on treatment posture to manage musculoskeletal diseases and how to raise awareness of musculoskeletal diseases. From November 2 to 13, 2016, a self-administered survey was conducted on 653 sophomores, juniors and seniors with an experience of oral prophylaxis practice. SPSS version 20.0 for Windows was employed to analyze the collected data. The findings of the study were as follows: 1. The largest group that accounted for 37.4% responded that the total number of students undergoing oral prophylaxis practice during a semester was four to six. The biggest group that represented 65.4% answered that the required practice time per student was one to fewer than three hours. 76.0% continued to be in the repeated same posture. 2. As for the posture of patients, supine position was most common for the maxillary sinus, which accounted for 82.2%. And semi-upright position was most common for the mandibular sinus, which represented 49.6%. 3. In regard to the burden of oral prophylaxis practice, 33.9% considered the required for the practice appropriate. 42.3% took the repeated long-lasting posture, and 53.5% were under physical pressure. 55.4% suffered from mental pressure and stress. 4. The most dominant musculoskeletal area that they experienced pain after oral prophylaxis practice was neck with 52.5%; waist with 48.2, shoulders/wrists/hands with 45.5, back with 10.3, buttocks with 4.1, elbows with 2.3, legs with 2.1, ankles/feet with 0.8 and knees with 0.6%. 5. Concerning the maintenance of repeated treatment postures and pain experience, the students who continued to be in the repeated same position underwent more pain than the others who didn't on the shoulders(2.92±1.05), in the waist(3.02±1.01), buttocks(1.75±0.92), elbows(1.55±0.79) and ankles/foot(2.52±1.25). The differences were statistically significant(p<.05, p<.01). 6. As to educational experience on treatment posture and musculoskeletal diseases, 88.8% received education on treatment posture; 87.9%, on what position should be taken in times of cooperation; 46.9%, on musculoskeletal diseases; 51.9%, on carpal tunnel syndrome; 42.3%, on varicose vein. The students who replied education on occupational diseases was necessary accounted for 89.6%. 7. The students who experienced treatment posture education were better aware of the causes of musculoskeletal diseases(3.23±3.00), ways for preventing the diseases(3.33±.834) and how to stretch the body(3.63±.858). The differences were statistically significant(p<.05, p<.001). 8. The students who experienced education on occupational diseases heard more about musculoskeletal diseases(3.27±.965), were better cognizant of the causes of the diseases(3.45±.847), were better aware of how to prevent them(3.55±.805) and found themselves to know how to stretch to prevent the diseases (3.73±.826). The differences were statistically significant(p<.001).

신기술기반 은행 정보시스템의 지속사용의도 결정요인에 관한 연구: 사용자경험기간 조절효과 중심으로 (A Study on the Determinants of Continuous Usage of New Technology-based Banking System: Focusing on Moderation Effect of User Experience Period)

  • 박미;이기량;김형욱
    • 품질경영학회지
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    • 제44권2호
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    • pp.409-424
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    • 2016
  • Purpose: Present study was designed to examine the casual relationships among service quality, self-efficacy, perceived usefulness, user satisfaction and Continuous Usage in new technology-based banking system. Also, we intended to testify the moderating effects of user experience period in causal model. We applied path analysis model in order to test the hypotheses and research model. Methods: Survey tool, that is, questionnaire has obtained validity through literature survey, exploratory survey and pretest and sample 279 was selected. For statistical treatment of pretest and main analysis, SPSS20.0 and AMOS 20.0 were employed and structural equation model was employed as analysis method. Results: Result of this study shows as follows. All factors have an effect on user satisfaction and Continuous Usage, and we found that user experience period played moderating effect in causal relationship. Therefore, new technology-based banking system is found that the determinants of continuous usage intention is different according to the user experience period. Conclusion: Present study shows that self-efficacy in via of user experience period, there is a need to emphasize that the main consideration factor new technology-based banking system. However, present study has some limitations to additionally research in the future.

자궁절제 여성의 부담감에 관한 연구 (The Burden in Women with Hysterectomy)

  • 성미혜
    • 여성건강간호학회지
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    • 제3권2호
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    • pp.180-191
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    • 1997
  • When women are removed with their matrix which is a emotionally significant organ of symbol in psychologically adapting themselves to mother and woman, that is threatened and injured with woman role decisively. The nursing for women with hysterectomy is limited to medical treatment and the nursing related to troubles in psychology, emotion they experience in general situation due to operations is hardly realized. New basis for nursing can be realized when we both have relation with lived human experience related th health and become to be a part of it. We need to catch their experience due to the loss of matrix to understand women with hysterectomy. The subjects of the study were nine patients who were admitted to a gynecological ward of a hospital in Seoul, suffering from vaginal bleeding, back pain, abdominal pain and so on and diagnosing as non-cancer. The data were collected from April to May 1997 by listening to the subjects' expression of their experience and by participant observation of the subjects' reactions. A tape-recorder was used under the permission of the subjects, to prevent the loss of spoken information. The result of the study was as follows : The data on burden content from the interview were categorized as psych-emotional, physical, personal interaction, financial burden and maternal role burden. The factors which have influence on the burden of the subjects are an offer of information, support system, age, occupation, economic situation, family history, character, season, the existence of ovary and religion. In conclusion, since we ascertained that the nursing in the process of recovery decide the quality of life, though women with hysterectomy undergo various burden experience and adapt to it in the end, it is necessary to give them enough information and educate husband, having on important effect on the burden experience, to be a good supporter. And technically skilled nurses of consultant are thought to be able to contrive better qualitative life of women with hysterectomy as an important bridge between the subjects and their required information, since the nurses have their well-formed position of relationship of confidence through continuous contact with patients and their family.

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숲체험 놀이에서 밧줄 놀이가 유아 자신감에 미치는 효과 (The Effect of Rope Play through Forest Experience on Children's Self-Confidence)

  • 강영식
    • 한국산학기술학회논문지
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    • 제22권4호
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    • pp.255-262
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    • 2021
  • 본 연구는 숲체험 놀이에서 밧줄 놀이가 유아 자신감에 미치는 효과를 분석하는 데 있다. 이를 위해 실험집단 15명(남아7명, 여아8명)과 비실험집단 15명(남아9명, 여아6명)을 대상으로 실험설계를 통한 실증분석하였다. 실험처치를 하고 실험집단 및 통제집단 간 효과를 검정하기 위해 공분산분석(ANCOVA)을 실시한 결과, 실험집단의 평균이 통제집단의 평균보다 통계적으로 의미있게 높은 것으로 나타났다(F=357.350, p<.001). 이같은 결과는 숲체험 밧줄 놀이를 통해 유아의 자신감에 미치는 효과가 통계적으로 의미 있는 효과를 나타낸 것으로 평가할 수 있다. 이는 또래 간 숲체험 밧줄 놀이가 유아의 자신감 향상에 보다 긍정적인 효과를 나타내주는 유익한 놀이로 유아들의 숲체험 놀이를 통해 또래 간 협력을 통한 상호작용 속에 감정과 충동조절로 소극적 성격의 유아의 자신감을 높여주는 긍정적인 놀이활동임을 확인시켜준 것으로 판단할 수 있다.

Ego-resilience, Disaster-Experience and Core competencies of Disaster response between Paramedic Students' and Nursing Students'

  • Jung, Ji-Yeon;Yun, Hyeong-Wan
    • 한국컴퓨터정보학회논문지
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    • 제24권9호
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    • pp.109-117
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    • 2019
  • This study was attempted to provide fundamental data in a disaster response education program by comparing the differences between students of the paramedic and nursing in ego-resilience, disaster-experience and core competencies of disaster response. The data is collected from March 2 to April 2, 2019, on a total of 358 students (196 paramedic students and 162 nursing students) based in Jeolla Province. The structured questionnaire were used as research tools and the collected data were analyzed by using the SPSS program as frequency, percentage, t-test, ANOVA and Pearson's correlation coefficient. The average score of total ego-resilience among the subjects was 86.97 out of 125 points. The number of paramedic students who experienced or witnessed the disaster situation in person was 11.2%, and the number of nursing students was 11.7%. The core competence of disaster response was 3.21% in paramedic students and 3.16% in nursing students. The ego-resilience of the paramedic and nursing students according to their general characteristics is statistically significant differences (t=2.797, p<.005) and the paramedic students has an average score of 3.52 points, which is higher than the nursing students (3.42 points). General characteristics and experience in disasters are statistically significant differences (t=2.797, p<.005), paramedic students had more disaster experiences (3.11 points) than nursing students (2.67 points). It indicated the static correlation relationship between ego-resilience, disaster experience and core competences of disaster response (p<.000). Through this study, the paramedic students were found to be more ego-resilience, more disaster experience and more critical capacity for disaster treatment than nursing students.

치과 교정 환자의 구강보건 지식 및 행태와 치료 만족도 관련성 (Relation between oral health knowledge and behavior and treatment satisfaction in orthodontic patients)

  • 고은정
    • 한국임상보건과학회지
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    • 제9권2호
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    • pp.1486-1492
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    • 2021
  • Purpose: By investigating oral health knowledge and oral health behavior of orthodontic patients, we intend to identify factors that affect their satisfaction with orthodontic treatment and use them as fundamental data for improving the satisfaction of orthodontic patients. Methods: Busan from February 1st to March 31st, 2021. Dental disease in Gyeongsangnam-do. A self-contained survey was conducted on patients undergoing orthodontic treatment in the clinic. A total of 185 copies were analyzed. Using the lBM SPSS Statistics 21 program, multiple regression analysis was conducted by setting oral health knowledge and oral health behavior as independent variables to determine factors affecting remedial treatment satisfaction. Results: The satisfaction level of orthodontic treatment was 1.53 points higher than 'understanding the cost of orthodontic treatment' and 'smooth relationship with related staff while receiving orthodontic treatment' was low at 1.23. The average calibration satisfaction was 1.34. Factors affecting remedial treatment satisfaction were shown in the order of oral health behavior (p<0.000), educational experience (p<0.010), gender (p<0.015) and oral health knowledge (p<0.020). Conclusions: Through the above results, it is necessary to develop programs to improve oral health knowledge through customized individual oral health education by enhancing individual oral health behaviors of individuals.

장애인 치과진료에 대한 치과위생사의 인식과 교육 필요성 (Dental hygienists' recognition and education necessity for dental treatment for the disabled)

  • 서영주;양송이;궁화수;오상환
    • 대한치과의료관리학회지
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    • 제11권1호
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    • pp.70-77
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    • 2023
  • This study surveyed and analyzed attitudes toward people with disabilities, awareness of considerations in dental treatment for individuals with disabilities, the need for education on dental treatment for people with disabilities, and the educational requirements for dental hygienists working in dental medical institutions. The study was conducted to highlight the importance of dental treatment education for people with disabilities and to provide foundational data for future dental treatment education programs targeting dental hygienists. A total of 221 dental hygienists working in dental care institutions nationwide participated in a self-administered online questionnaire from November 2 to 15, 2022. This study concludes that there is a significant correlation between the attitudes of dental hygienists toward the disabled, their recognition of considerations in dental treatment for the disabled, the need for education on dental treatment for the disabled, and their educational experience in providing dental treatment for the disabled. In order to improve these factors, it is important to implement and expand systematic dental care education for people with disabilities in the school curriculum, as well as in supplementary education and seminars.

Care of the Professional Voice

  • Yamaguchi, Hiroya
    • 대한음성언어의학회:학술대회논문집
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    • 대한음성언어의학회 1998년도 제10회 학술대회 심포지움
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    • pp.220-221
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    • 1998
  • My experience in the treatment of vocal disorders among professional singers within the past year revealed the importance of vocal hygience for the maintenance of a better quality of voice. Therefore, the importance of vocal hygiene is discussed. (omitted)

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