• 제목/요약/키워드: counselling case

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여성노인의 집단상담 경험을 통한 섹슈얼리티 인식변화에 관한 분석 (An Analysis of the Perception of Elderly Women about Sexuality through their Group Counseling Experience)

  • 백유미
    • 한국산학기술학회논문지
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    • 제14권8호
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    • pp.3696-3703
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    • 2013
  • 본 연구는 집단상담 프로그램을 통해 여성노인의 섹슈얼리티에 관한 인식의 변화를 알아보기 위한 질적 사례 연구이다. 이를 위해 D시에 거주하는 65세 이상의 유배우자 여성 노인 8명을 선정하였고, 집단상담 프로그램을 8회기 실시하여 자료를 수집하고 사례 연구 접근으로 분석하였다. 연구 결과, 섹슈얼리티에 관한 여성노인의 인식은 '현재 삶 만족', '화합을 위한 관계형성', '기쁨, 이완, 능동적 자기표현', '성적 관계'로 관찰되었다. 프로그램 참여 후 참여자들은 섹슈얼리티에 대한 긍정적인 인식이 생기고, 노인기 삶의 만족도를 높이기 위해서는 섹슈얼리티를 증진시켜야 한다는 생각을 하게 되었다. 이러한 연구결과는 긍정적인 성 인식, 적극적인 부부관계, 자존감 증진 등 노인의 삶의 질을 향상시킬 수 있는 섹슈얼리티 연구의 기초자료로 제공될 것이다.

Case studies on prophylactic ayurvedic therapy in migraine patients

  • Prakash, Vaidya Balendu;Chandurkar, Nitin;Sanghavi, Tejashri
    • 셀메드
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    • 제2권2호
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    • pp.17.1-17.5
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    • 2012
  • Ayurveda is a nearly 3000 years old traditional medical system of India. Most of the time, people turn to ayurvedic physicians in desperate conditions. Here clinical practices of Ayurveda were initially found effective in the management of migraine among few patients. Later, it was developed as an ayurvedic treatment protocol (ATP) which consists of four herbo-mineral formulations (HMF), three meals and three snacks in a day with eight hours sleep at night. ATP brought significant relief in reducing the frequency, intensity of pain and associated symptoms in the migraine patients. IHS diagnostic criteria was followed to establish the diagnosis of migraine and uniform ATP was prescribed to each patient who were primarily treated by the ayurvedic physicians at their respective clinics. Such observations were presented at appropriate international forums. In an effort to validate the above, the present study carries the details of nine migraine patients who were first diagnosed and treated for migraine by a leading headache expert at Mumbai in India and were then referred to receive ATP. A total number of nine subjects volunteered to this program. Out of those, seven subjects completed 120 days of ATP. Five subjects reported significant improvement in overall symptoms of migraine. All subjects were followed up periodically for four years. No Grade II side effects were observed in any treated case. HMF has also been proved to be safe in experimental studies. Further pharmacological and randomized controlled clinical studies are in progress at the respective departments of a premier medical institute in India.

생태체계적 관점에서 본 생애주기별 자살생각의 위험요인과 보호요인 (Risk and Protection Factor Related to Suicide Ideation in Each Life Course based on an Ecological-system Perspective)

  • 김윤정
    • 한국지역사회생활과학회지
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    • 제22권3호
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    • pp.429-444
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    • 2011
  • The objective of this study was to identify the risk factor and protection factor related to suicide ideation in each life course based on an ecological-system perspective. A questionnaire was carried out for 393 adolescents, 473 adults and 376 aged men living nationwide. The results are as follows. First, the suicide ideation was low with 1.78 points in the full mark of 5 points. Second, the difference in suicide ideation, depression, hopelessness, stress in the organic system variables, family solidarity in the micro system variables, intermediate system variables, residence, the existence/inexistence of counselling center and the influence of mass media in mezo system variables in each life course were significant. Third, the relative influence of organic system variables on the suicide ideation were largest in all life courses. Further, the depression and the influence of mass media in all life courses were a risk factor of suicide ideation and stress was also a risk factor of suicide ideation in the case of adolescents and the aged. When examining protection factors of suicide ideation, family solidarity, minute as it is, works as the protection factor of suicide ideation in the case of adolescents. For the adults, living in a metropolis was a protection factor from suicide ideation. For the aged, family solidarity, family history of suicide and adult children's attention to their friends and neighbors (intermediate system variable) were protection factors from suicide ideation. I suggested that policy, service, counseling and educational program proper to each life course were necessary to lower risk factors of suicide ideation and to improve protection factors.

Identification of unbalanced complex chromosomal rearrangements in IVF-derived embryos during NGS analysis of preimplantation genetic testing: A case report

  • Yu, Eun Jeong;Kim, Min Jee;Park, Eun A;Hong, Ye Seul;Park, Sun Ok;Park, Sang-Hee;Lee, Yu Bin;Yoon, Tae Ki;Kang, Inn Soo
    • Journal of Genetic Medicine
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    • 제19권1호
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    • pp.14-21
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    • 2022
  • Complex chromosome rearrangements (CCRs) are structural chromosomal rearrangements involving at least three chromosomes and more than two breakpoints. CCR carriers are generally phenotypically normal but related to higher risk of recurrent miscarriage and having abnormal offspring with congenital anomalies. However, most of CCR carriers are not aware of their condition until genetic analysis of either abortus or affected baby or parental karyotyping is performed. Herein, we present the case that CCR carrier patients can be identified by preimplantation genetic testing of preimplantation embryos. An infertile male patient with severe oligoasthenoteratozoospermia was diagnosed balanced reciprocal translocation, 46,XY,t(3;11) (p26;p14) at first. After attempting the first preimplantation genetic testing for structural rearrangement (PGT-SR) cycle, we found the recurrent segmental gain or loss on 21q21.3-q22.3 of five out of nine embryos. As a result of karyotype re-analysis, the patient's karyotype showed a balanced CCR involving chromosomes 3, 11, and 21 with three breakpoints 3p26, 11p14, and 21q21. The patient underwent two PGT-SR cycles, and a pregnancy was established after the transfer of an euploid embryo in the second cycle. Amniocentesis confirmed that the baby carried normal karyotype without mosaicism. At 37 weeks gestation, a healthy girl weighting 3,050 g was born.

분노하는 아동의 상담사례연구 (A Case Study on Child-Centered Play Therapy for Young Child's Anger)

  • 김태선
    • 산업진흥연구
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    • 제7권3호
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    • pp.65-70
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    • 2022
  • 본 연구는 분노감정이 주된 정서조절 이슈의 5세 여아에 대한 아동중심놀이치료 이론을 근거로 한 아동상담 사례이다. 아동 분노의 빈도 및 강도로 인하여 유치원 적응 및 어머니의 양육에 어려움이 있었다. 아동상담은 Full Battery 심리검사 실시 후, 2021년 3월 29일부터 2022년 6월 15일까지 14개월 동안 주 1회씩 아동상담 40분 부모상담 10분의 총 47사례회가 진행되었다. 아동은 주도적인 놀이를 통해 상담사례회기 동안 공격성, 통제성, 애정 및 힘의 욕구를 나타냈으며, 상담실에서 안정감을 느끼며 정서조절능력의 향상이 관찰되었다. 아동은 부모에게 자신의 감정과 요구에 대한 언어와 행동적 표현능력의 향상을 나타내었고, 초등학교 입학 후 원만한 학교적응 양상을 보였다. 어머니는 아동양육이 전보다 편안하다고 보고하였다. 본 연구는 아동의 초등학교 입학 한해 전 14개월 동안 정서조절에 대하여 개입 한 상담사례연구의 결과로, 1학년 학기초 동안 적응적 학교생활양식을 확인한 연구로서도 의의가 있다.

산만 및 충동성향의 아동상담 단일사례연구 (A Case Study on Child-Centered Play Therapy for Inattention and Impulsivity Young Child)

  • 김태선
    • 산업진흥연구
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    • 제7권3호
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    • pp.71-75
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    • 2022
  • 본 연구는 산만 및 충동성향 6세 여아에 대한 아동중심놀이치료 이론을 기반으로 한 아동상담 사례이다. 아동의 산만 및 충동성향으로 인하여 어머니는 양육에 어려움을 겪고 있었다. 아동상담은 Full Battery 심리검사를 실시한 후, 2020년 11월 19일부터 2022년 6월 16일까지 주 1회 회기별 아동상담 40분 부모상담 10분씩 총 63사례회기 진행하였다. 아동은 상담과정에서 아동의 주도적인 놀이를 통해 애정욕구 및 공격적이고 충동적인 모습을 나타냈으며, 상담을 통해 안정감을 느끼며 산만 및 충동성향이 감소하는 행동을 보였다. 또한 아동은 부모에게 자신의 감정을 언어로써 구체적으로 표현하고, 초등학교 입학 후 학교적응이 원만한 모습을 보였다. 어머니는 아동양육이 전보다 훨씬 수월해졌다고 보고했으며, 한달에 한번 추후 상담을 하기로 결정하며 상담을 종료하였다. 본 연구는 유아기 아동상담의 시작으로 1년 8개월가량 진행된 사례연구로서, 그 결과로 아동이 초등학교에 입학하여 1, 2학년 시기 동안의 적응적 생활양식을 확인한 연구라는 점에서도 의의가 있다.

공과대학 교수의 교육업적평가 지표 개발 연구 (A Study on the Development of Teaching Evaluation Indicators for Faculty in Engineering College)

  • 강소연;최금진;박선희;한지영;이혜미;조성희
    • 공학교육연구
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    • 제20권4호
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    • pp.38-50
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    • 2017
  • The purpose of this study is to analyze the current evaluation methods on faculty performance at Korean engineering colleges and develop teaching evaluation indicators for faculty performance. We investigated the faculty performance cases in engineering colleges inside and outside of the Korea, the engineering faculty's awareness of evaluation factors for their educational performance, and the appropriate ratios by indicating factors. Also we developed evaluation indicators for educational achievements to improve the current faculty performance system. 227 engineering faculty members answered our survey questionnaire. The result in the case study on faculty performance evaluation is as follows. First, most items of faculty performance evaluation are about quantitative indicators that can easily conduct objective evaluation. Second, evaluation items of faculty performance are mostly focused on instruction in a classroom. Third, the evaluation by students and administrative managers is more dominant than that by professors or their colleagues, document evaluation than on site evaluation, general evaluation than formative evaluation, and static evaluation than dynamic evaluation. Lastly, Some universities tend to substitute outstanding articles for underperforming instruction. The evaluation indicators that we have developed can be implemented by four types of subjects, such as students, professors, their colleagues, and deans. Also, based on the evaluation indicators, faculties can freely select their evaluation domains depending on the their tracks, such as a teaching track, a research track, or an industry-university cooperation track. The mandatory evaluation fields include teaching, student counselling, teaching portfolio evaluation by mentors or colleagues, class management evaluation by deans, and self-evaluation. The other areas are optional and professors can choose their evaluation factors.

산전 유전 검사로 진단된 3회 연속적인 모계 기원의 가족성 partial trisomy 4p와 4/22 전좌 이상(translocation) 예 (Case of Prenatally Diagnosed, 3 Successive Familial Partial Trisomy 4p nd 4/22 Translocation of Maternal Origin)

  • 양영호;김경수;김세광;김인규;민혜원;송찬호
    • Clinical and Experimental Reproductive Medicine
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    • 제21권1호
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    • pp.131-135
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    • 1994
  • A 27-year-old pregnant woman who had one son with mental and growh retardation and dysmorphic features, was referred for genetic counselling. Cytogenetic investigations revealed 4/22 translocation in the mother(46, XX, t(4;22)(p14;P11)), partial trisomy 4p in son(46, XY, -22, +der(22), t(4;22)(p14;p11)mat). The father had normal karyotype. Amniocentesis and chorionic villi sampling were performed in 3 successive pregnancies. The karyotypes of fetus in 3rd, 4th pregnancies by amniocentesis were 46, XX, t(4;22)(p14;p11) and 46, XX, t(4;22) (p14;p11), and the karyotype of fetus in 5th pregnancy by chorionic villi sampling was found to be 46, XX, -22, +der(22) t(4;22)(p14;p11)mat. We report 3 succesive prenatally diagnosed familial partial trisomy 4p and 4/22 translocation of maternal origin with review of literature.

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임부의 성생활에 관한 조사연구 (A study on Sexual Life During Pregnancy)

  • 김윤미;박영숙
    • 여성건강간호학회지
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    • 제3권1호
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    • pp.51-71
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    • 1997
  • A Pregnancy is the women's normal physiological and developmental process, in which many psychological changes including sexual problems always occur. But there have been few guidelines on sexual life during pregnancy. So this study was performed to evaluate the sexual life of pregnant women, and to analyze the factors affecting satisfaction of sexual life during pregnancy. Questionnaires were given to pregnant women who visited two general hospitals for antenatal care as well as to attendants at a prenatal Lamaze class. The results were as followings : 1) The average age of the 194 pregnant women was 28.5 years ; 98.4% of them had educated more than 12 years. ; the average monthly income was about 15,000,000 won ; primigravida women were 81.4% of the total cases. 2) As the pregnancy progressed, the frequency of the sexual intercourses was decreased in 48.5% because of the anxiety on the fetal damages. The was no significant differences between frequency of sexual intercourses and the degrees of physical discomfort and spouse intimacy. Man superior position was taken in 88.1% ; the incidence of orgasms before and during pregnancy were 71.1% and 41.1%, respectively ; the incidence of painful sexual intercourse in primigravida women was decreased by pregnancy in 4.6%, and in the case of multigravida women it was increased in 2.1%. 3) The average point of sexual knowledge was 11.5 in total points of 20 ; that of sexual attitude was 29.1 in total points of 40 ; that of sexual satisfaction was 28.5 in perfects points of 40. 4) The factors which significantly related to the satisfaction of sexual life were spouse intimacy, sexual attitude, change of sexual body position during pregnancy, and the orgasms before and during pregnancy. Considering above results, nursing care and nursing intervention including sexual education and counselling programs are needed during pregnancy as well as before pregnancy.

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비행청소년 인성치료를 위한 독서요법 (Bibliotherapy for human nature therapy of the juvenile delinquent)

  • 변우열
    • 한국도서관정보학회지
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    • 제26권
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    • pp.131-168
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    • 1997
  • The future of a country is influenced by the youth. Sound fostering of the youth is important for the country's future. Because of mechanization, industrialization and urbanization of our society, many social problems, such as confusion of the sense of value, dehumanization, money worshi n.0, ppings, juvenile delinquency are increasing. For the solution of problems of juvenile crime and dehumanization, bibliotherapy should be practiced in juvenile reformatories, schools and societies. The purpose of this study is to investigate the effectiveness and value of reading. And also the characteristics, brief history, principles and procedures of bibliotherapy are examined. In addition, the book catalog suitable for bibliotherapy is considered. The results of the study are as follows. (1) In order to solve the problem of dehumanization, and the confusion of the sense of value among young adults, we should enrich and cultivate the characters of young adults through the bibliotherapy. So, bibliotherapy for the treatment of human nature of juveniles should be practiced in the juvenile reformatories, schools and societies. (2) The values of reading in the past were inspiration, information and recreation. But, in recent times, the interest in therapeutic value of reading is increasing. (3) Bibliotherapy is a kind of psychotherapy using selected reading materials. A n.0, pplication scopes of bibliotherapy are very wides, including mental medicine, alcoholic poisoning, drug addiction, juvenile delinquency, counselling and education for school life, etc. (4) The principles of bibliotherapy consist of identification, catharsis, insight and it has self therapeutic principles through the reading. The procedures of bibliotherapy is similar to any other kind of psychotherapy: the participant's statement, diagnosis, treatment, continuous recognition of remedial value. (5) The well suited reading materials for bibliotherapy are literature and biography. Literature and biography are familiar to everyone, because they describe the mentalities, emotions and life styles of human beings. (6) The standard reading lists for bibliotherapy for the proper guidance of juvenile delinquency should be prepared for the solution of developmental tasks, such as, drinking, smoking, friendship, family, love, money, marriage, pregnancy, violence, etc. Finally, Bibliotherapy should be introduced to our school settings and corrections institutions for the proper guidance and prevention of the malpractice of the youths. In addition, we should be endeavor to develop the standard reading lists for bibliotherapy and case study.

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