• Title/Summary/Keyword: therapeutic

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Comparison of Two Methods for Heparin Sensitivity; Activated Partial Thromboplastin Time Assay using in vitro Heparin-spiked Sample and Anti-Xa Assay using in vivo Heparin-treated Sample

  • Koo, Bon-Kyung;Kwon, Eui-Hoon;Ryu, Kwang-Hyun;Yun, Jae-Won;Kim, Hee-Jin
    • Korean Journal of Clinical Laboratory Science
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    • v.43 no.4
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    • pp.133-137
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    • 2011
  • The monitoring of heparin therapy is using almost aPTT assay. This study is compare to estimating aPTT therapeutic range using in vitro heparin-spiked sample and aPTT therapeutic range using in vivo heparin-treated sample. Normal pooled plasma was collected from 20 healthy representative individuals. 11 concentration of heparinized plasmas from 0 U/mL to 1.0 U/mL at intervals of 0.1 U/mL made by addition of heparin to normal pooled plasma were measured aPTT. The aPTT therapeutic range was performed through correlation analysis between heparin level 0.2 to 0.4 U/mL and aPTT. 30 plasmas from patients on heparin therapy were measured aPTT and anti-Xa activity. The aPTT therapeutic range was performed through correlation analysis between anti-Xa activity 0.3 to 0.7 U/mL and aPTT. The aPTT therapeutic range corresponded by heparin level-vs-aPTT value regression analysis was 60.7 to 102.4 seconds. The aPTT therapeutic range corresponded by anti-Xa activity-vs-aPTT value regression analysis was 85.3 to 147.5 seconds. The validation of heparin sensitivity using in-vitro heparin sample was not considered. The establishing aPTT therapeutic range is recommended anti-Xa activity using in-vivo sample.

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The Correlation Between Psychosocial factors and Therapeutic Flow in Stroke Patients (뇌졸중 환자의 심리사회적 요인과 치료적 몰입간의 상관성 연구)

  • Kim, Ji-Hoon;Kim, Hwan;Park, Joon-Woo
    • Journal of Digital Convergence
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    • v.15 no.5
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    • pp.253-262
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    • 2017
  • The purpose of this study was to analyze the correlation between psychosocial factors and therapeutic flow in stroke patients and identify the factors influencing therapeutic flow. Total 168 stroke patients from 15 hospitals were measure for depression, stress, self-efficacy, rehabilitation motivation and therapeutic flow. Factors that affect the therapeutic flow correlation as s result of negatively correlated with depression(r=-.349, p<.001), stress(r=-.290, p<.001), self-efficacy(r=.528, p<.001), rehabilitation motivation(r=.186, p<.05) was found in the positively correlated. Finally the effect on therapeutic flow in stroke patients variables affecting self-efficacy(${\beta}=.443$, p<.001) and depression(${\beta}=-.155$, p<.05) were the order of analysis. These result demonstrate that the therapeutic flow of storke patients was a significant correlation on psychosocial factors, future study will continue to be needed.

A sturdy on experiential part of Saam acupuncture - focus on comparing with therapeutic part of Saam acupuncture - (사암침법(舍巖鍼法) 경험편(經驗篇)에 대한 소고(小考) - 치료편(治療篇)과 비교(比較)를 중심으로 -)

  • Roh, Seung-Hee;Cha, Woong-Seok;Kim, Nam-Il
    • The Journal of Korean Medical History
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    • v.25 no.1
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    • pp.71-79
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    • 2012
  • Present Saam acupuncture can be divided into two types of Therapeutic part that is composed of physiology, pathology, classification of the symptoms, treatment and Experiential part that is composed of clinical case. Therapeutic part is authored by Saam and experiential part is authored by Ji-san. Experiential part is based on therapeutic part, but it has been changed. So, Measuring "chapter10. Saam acupuncture(apply to therapeutic part)" against "chapter11. Clinical case of Ji-san(apply to experiential part)", Author get to know that experiential part of Saam acupuncture has been changed. "chapter10. Saam acupuncture(apply to therapeutic part)" and "chapter11. Clinical case of Ji-san(apply to experiential part)" belong to "TaeHanUiHakJeonJip Acupuncture part" that is similar to manuscript of Saam acupuncture. The following is changed situation of Saam acupuncture. First, While the theory of Jeong form is already established in therapeutic part, the theory of Seung form is established in experiential part. So, In experiential part, they are equal in their relations. Second, In experiential part, the term that is named 'prescription of ${\bigcirc}{\bigcirc}$' has been used since experiential part. Third, Some of spots on the body suitable for acupuncture mentioned in therapeutic part are omitted in experiential part. And to conclude, experiential part play a large role in the establishment and change of early Saam acupuncture.

Effects of Therapeutic Climbing Training on the Balance and Gait Ability in Chronic Stroke Patients

  • Lee, Soin;Ko, Mingyun;Park, Seju
    • Journal of International Academy of Physical Therapy Research
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    • v.11 no.3
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    • pp.2126-2134
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    • 2020
  • Background: Therapeutic climbing training, which originated in Germany, is a wall-hanging rock climbing-based therapy to increase the body's coordination through movement of the upper and lower limbs against gravity. However, there are no studies examining the effectiveness of therapeutic climbing training to treat balance and gait ability in patients with chronic stroke. Objectives: To investigate therapeutic climbing training program on balance and gait in patients with chronic stroke. Design: Pretest-posttest control group design. Methods: Fourteen patients with chronic hemiplegic stroke participated. Participants were randomized into the therapeutic climbing training group (TCTG, n=7) and the standard rehabilitation program group (SRPG, n=7) group. All subjects participated in the same standard rehabilitation program consisting of 60 minutes 5 times a week for 6 weeks. TCTG participated additionally in the therapeutic climbing program consisting of 30 minutes sessions 3 times a week for the same 6 weeks. Berg balance scale (BBS), Gaitview Measure, Timed up and go test (TUG) were measured. Results: In the TCTG, revealed a statistical difference in BBS between the groups; in the difference of plantar pressure ratio in the static standing position revealed a statistical difference between the groups after training; the balance ability in the one-leg standing tests increased significantly; the time in TUG decreased significantly after training in both groups; The changes in the difference of dynamic plantar pressure ratio were reduced significantly in the TCTG. Conclusion: Therapeutic climbing training contribute to improve balance and walking function in patients with chronic stroke.

Health Behavior and Perception of Therapeutic Restrictions in Chronically Ill Children and Their Parents (만성질환 아동과 부모의 치료적 제한에 대한 인식과 건강행위)

  • Park, Eun-Sook;Im, Yeo-Jin;Im, Hye-Sang;Oh, Won-Oak
    • Child Health Nursing Research
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    • v.12 no.3
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    • pp.405-416
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    • 2006
  • Purpose: The purpose of this study was to explore health behavior and perception of therapeutic restrictions in chronically ill children and their parents in Korea. Method: Nine children with chronic disease and of six of their parents were interviewed using semi-structured a questionnaire. The data were analyzed using explorative content analysis. Results: Health behaviors related to therapeutic restrictions was classified into four domains, and the perceptions of therapeutic restrictions into two domains. The domains regarding compliance in health behavior with therapeutic restrictions included control-centered restrictions (maintaining food limitations, avoiding harmful environments, restriction on physical activity, restriction on social activity, restriction on learning activity), and everyday pursuit of balance(preference for healthy diet, maintaining a regular life style, maintaining a standard body weight, pursuing psychological well-being, family participation). Domains regarding perception of therapeutic restrictions included obstacles to growth and development (bridled life, opportunity deprivation, prevented from playing proper role), origin of conflict (tenacity, conflict, stressor, cover-up), task for normal life (doing proper duty), and everyday affairs (becoming ordinary, familiarity). Conclusion: This study will help to enhance understanding the behavior and perception of therapeutic restrictions by chronically ill children and their families and to establish educational programs and counseling for these children and their families.

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A Study on the Characteristics of Application for Therapeutic Light and Color in Dementia Care Facilities - Focused on Qualitative and Quantitative Application Characteristics (치매요양시설에서의 치료를 위한 빛·색채의 시설적 적용 특성에 관한 고찰 - 정성적 및 정량적 적용 특성을 중심으로)

  • Jee, Soo In
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.24 no.4
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    • pp.69-87
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    • 2018
  • Purpose: This study has been started with the awareness that light and color are the main visual sensors of the multi-sensory stimulation environment to achieve the therapeutic environment for demented elderly. The purpose of this study therefore is for clarifying the application characteristics of therapeutic light and color for dementia care facilities. Methods: Internal and external literature reviews have been conducted for the investigation into a)disorders and visual system in demented elderly, b)therapeutic effects of light and color, c)heliotherapy, light therapy and color therapy to deduce the therapeutic characteristics of light and color for demented elderly, and finally into d)the application characteristics of it for dementia care facilities. Results: The application characteristics of the therapeutic light and color for dementia care facilities are classified into both qualitative and quantitative characteristics. Qualitative application characteristics of light represented using of daylight, using of lighting approximate to daylight, expansion of iluminance level, equality in iluminance Level, reduction of shadow, and as well as exclusion of blare. Quantitative application characteristics of it represented iluminance level, color temperature and color rendering index prescribed in international lighting standards. Qualitative application characteristics of color represented non-monochromatic color, color contrast, long wavelength of yellow-red colors, exclusion of short wavelength of blue colors and patterns, and as well as different colors for idenfication. Quantitative application characteristics of it represented kontrast(K) prescribed in DIN32975:2009 and light reflectance value(LRV) prescribed in BS8300:2009. Implications: To form dementia care facilities as therapeutic environment both qualitative and quantitative application characteristics of therapeutic light and color in dementia care facilities are needed.

Effects of Therapeutic Exercise on Hip Joint Range of Motion, Manual Muscle Test, Functional Movement Screen and Radiological Evaluation in a Youth Football Player with Football-specific Anterior Pelvic Tilt: A Case Report (치료적 운동이 축구 특이적 골반 앞 기울임을 가진 유소년 축구선수 엉덩관절의 관절가동범위, 도수근력, 기능적 움직임 및 방사선학적 평가에 미치는 영향: 증례보고)

  • Yu, Dong-Hun;Seo, Sang-Won;Lee, Ho-Seong
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.4
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    • pp.85-94
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    • 2018
  • PURPOSE: This study was conducted to determine the effects of therapeutic exercise on range of motion (ROM), the manual muscle test (MMT), functional movement screen (FMS) and radiological evaluation in a youth football player with football-specific anterior pelvic tilt (APT). METHODS: The subject of this case report was a 12-year-old youth football player, who presented with football-specific APT. Therapeutic exercise consisted of hamstring stretch, prone hip extension, abdominal crunch, bridging with isometric hip abduction, plank exercise with posterior tilt and posterior pelvic tilting exercise using a swiss-ball for 40 min/day, twice a week for 8-weeks. ROM, MMT, FMS (deep squat, hurdle step, inline lunge, shoulder mobility, active straight-leg raise, rotary stability and trunk stability push-up) and radiographs (lumbar lordotic and sacral horizontal angle) were analyzed before and after week 8 of therapeutic exercise. RESULTS: The ROM, MMT, and FMS increased and the lumbar lordotic angle and sacral horizontal angle improved after 8-weeks of therapeutic exercise. CONCLUSION: The results of this case report suggest that therapeutic exercise improves ROM, MMT and radiography associated parameters in youth football players with football-specific APT. These findings have clinical implications for therapeutic exercise in youth football players with football-specific APT.

A Study on Therapeutic Recreation Program Development for Reinforcement of Family Function for Family Supporting Senior with Dementia (치매노인 부양 가족기능 강화를 위한 치료레크리에이션 프로그램 개발 연구)

  • Lee, Moon-Sook;Kim, Jung-Dong;Han, Gun-Soo
    • Journal of Digital Convergence
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    • v.17 no.9
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    • pp.495-506
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    • 2019
  • The purpose of this study was to provide the customized-service program for the family of dementia patients as an family-function reinforcement program. This study was designed to develop the therapeutic recreation program for the family supporting senior with dementia. The therapeutic program consisted of assessment, planning, implementation, evaluation. This study found the followings. First, this study shows the possibility of implication of the therapeutic recreation for the family supporting senior with dementia. Second, the therapeutic recreation program has a strong theoretical background. Third, the therapeutic recreation program has the clear goal, performing activity, intervention strategy. The therapeutic recreation program for the family supporting senior with dementia that this study provides would be valuable basic data for future studies.

Effects of Self-efficacy and Transplant-related Knowledge on Compliance with a Therapeutic Regimen for Recipients of Liver Transplant (간이식 수혜자의 자기효능감과 이식 관련 지식이 치료지시이행에 미치는 영향)

  • Moon, So Jung;Kim, Hyun-Ju
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.26 no.3
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    • pp.166-175
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    • 2019
  • Purpose: This study was done to investigate the degree of self-efficacy, transplant-related knowledge, and other factors affecting compliance with a therapeutic regimen for liver transplant recipients. Methods: Participants were 140 patients who had received a liver transplant at a tertiary hospital in Y City, Gyeongnam Province and made regular hospital visits as outpatients. A self-report questionnaire was used to collect the data and collection was done from December 4, 2017 to January 26, 2018. Data were analyzed using frequencies, percentages, means, and standard deviations, and t-test, ANOVA, Pearson's correlation coefficients. Multiple linear regression was performed using SPSS/WIN 21.0 program. Results: Participants scored $113.29{\pm}20.95$ (out of 150) on self-efficacy, $16.38{\pm}3.62$ (out of 18) on transplant-related knowledge, and $148.30{\pm}31.06$ (out of 200) on compliance with the therapeutic regimen. Analyzed of correlations among participant's self-efficacy, transplant-related knowledge, and compliance with the therapeutic regimen showed a significant positive correlation between self-efficacy and compliance with the therapeutic regimen (r=.64, p=.001), but no significant correlations were found between self-efficacy and transplant-related knowledge (r=-.01, p=.912) or between transplant-related knowledge and compliance with the therapeutic regimen (r=.06, p=.458). Multiple regression analysis showed that factors affecting compliance with the therapeutic regimen were state of re-transplantation (${\beta}=.17$, p=.016) and self-efficacy (${\beta}=.53$, p=.001). Conclusion: There is a need to apply a differentiated nursing intervention program considering the differences in patients' self-efficacy, transplant-related knowledge, and compliance with the therapeutic regimen.

System for Supporting the Decision about the Possibility of Concluding the Civil Law Agreements for Medical, Therapeutic and Dental Services

  • Hnatchuk, Yelyzaveta;Hovorushchenko, Tetiana;Shteinbrekher, Daria;Kysil, Tetiana
    • International Journal of Computer Science & Network Security
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    • v.22 no.10
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    • pp.155-164
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    • 2022
  • The review of known decisions showed that currently there are no systems and technologies for supporting the decision about the possibility of concluding the civil law agreements for medical, therapeutic and dental services. The paper models the decision-making support process on the possibility of concluding the civil law agreements for medical, therapeutic and dental services, which is the theoretical basis for the development of rules, methods and system for supporting the decision about the possibility of concluding the civil law agreements for medical, therapeutic and dental services. The paper also developed the system for supporting the decision about the possibility of concluding the civil law agreements for medical, therapeutic and dental services, which automatically and free determines the possibility or impossibility of concluding the corresponding civil law agreement for the provision of a corresponding medical service. In the case of formation of a conclusion about the possibility of concluding the agreement, further conclusion and signing of the corresponding agreement takes place. In the case of forming a conclusion about the impossibility of concluding the agreement, a request is made for finalizing the relevant agreement for the provision of the relevant medical service, indicating the reasons for the impossibility of concluding the agreement - missing essential conditions in the agreement. After finalization, the agreement can be analyzed again by the developed system for supporting the decision.