• 제목/요약/키워드: therapeutic relationship

검색결과 427건 처리시간 0.029초

실손형 민간보험의 비급여 보장축소가 한방의료이용에 미친 영향 (The Effect of Private Health Insurance Coverage Reduction on the Korean Medicine Utilization)

  • 박민정;고성규
    • 대한예방한의학회지
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    • 제19권3호
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    • pp.57-66
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    • 2015
  • Objective : Private health insurance coverage in Korean medicine has been reduced since October 2009 for preventing unnecessary utilization. The aim of this study is to identify how private health insurance coverage reduction affects on the Korean medicine utilization. Method : We analyzed the Korea Health Panel data from 2008 to 2012. Panel negative binominal regression model was used to analyze the relationship between private health insurance coverage reduction and utilization of outpatient service. Panel tobit regression analysis was used to identify the relationship between private health insurance coverage reduction and health expenditure of outpatient service. Results : Private health insurance coverage reduction significantly dropped both utilization and health expenditure of outpatient service by 9%, 9.22% respectively. In addition, therapeutic utilization significantly decreased up to 10%. Conclusion : Private health insurance coverage reduction seems to have an effect to reduce both utilization and the health expenditure of Korean medicine outpatient service. This effect was more noticeable in the therapeutic utilization. Thus, more elaborate policy will be needed to prevent unnecessary utilization of Korean medicine.

한의학에서의 생명에 대한 이해 (A Comprehension of Life in Korean Medicine)

  • 손인철;김재효
    • Korean Journal of Acupuncture
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    • 제30권1호
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    • pp.9-15
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    • 2013
  • Objectives : Definition of Life has led an identity and advancement in the knowledge system of science including biomedicine. The world welcomes the new paradigm about the integrative medicine throughout Western Medicine and Traditional Medicine co-exists so far. Methods : Thus this study has comprised how Life was interpreted in Korean Medical history. To reach the purpose, various data and documents about Life subjected to the medical field was collected from medical textbooks and chapters presented in ancient Korean Medicine. Results : Most of important issue is Life as the key even though there are many opinions and conflicts in the view of Life between Western and Korean medical culture. As a result it is not different in the concept of Life each other except for speaking differently same as using the different languages. Integrative Medicine has accepted that it emphasizes the therapeutic relationship between practitioner and patient, is informed by evidence, and makes use of all appropriate therapies. Integrative Medicine declares to be a kind of medicine if vary medical system can focus on human being. Conclusions : Since Korean Medicine was early therapeutic medical categories developed based on Dao, Korean Medicine have to focus on mind and body interactive relationship and attribute to the public health care system in the future.

Therapeutic Regimens and Prognostic Factors of Brain Metastatic Cancers

  • Song, Wen-Guang;Wang, Yi-Feng;Wang, Rui-Lin;Qu, Yin-E;Zhang, Zhi;Li, Guo-Zhong;Xiao, Ying;Fang, Fang;Chen, Hong
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권2호
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    • pp.923-927
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    • 2013
  • Objective: This work aims to investigate the therapeutic regimen of brain metastatic cancers and the relationship between clinical features and prognosis. Methods: Clinical data of 184 patients with brain metastatic cancers were collected and analysed for the relationship between survival time and age, gender, primary diseases, quantity of brain metastatic foci, their position, extra cranial lesions, and therapeutic regimens. Results: The average age of onset was 59.1 years old. The median survival time (MST) was 15.0 months, and the patients with breast cancer as the primary disease had the longest survival time. Females had a longer survival time than males. Patients with meningeal metastasis had extremely short survival time. Those with less than 3 brain metastatic foci survived longer than patients with more than 3. The MST of patients receiving radiotherapy only and the patients receiving chemotherapy only were all 10.0 months while the MST of patients receiving combination therapy was 16.0 months. Multiple COX regression analysis demonstrated that gender, primary diseases, and quantity of brain metastatic foci were independent prognostic factors for brain metastatic cancers. Conclusions: Chemotherapy is as important as radiotherapy in the treatment of brain metastatic cancer. Combination therapy is the best treatment mode. Male gender, brain metastatic cancers originating in the gastrointestinal tract, more than 3 metastatic foci, and involvement of meninges indicate a worse prognosis.

황해도굿 군웅거리의 예술치료적 분석 (Art Therapeutic Analysis of Gunung-geori of Hwanghaedo-gut)

  • 이지홍
    • 공연문화연구
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    • 제39호
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    • pp.5-30
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    • 2019
  • 한국의 굿은 한국인의 원형적 심성을 매우 예술적으로 그리고 치료적으로 잘 풀어낸 한국 고유의 예술치료의 원형이다. 이에 연구자는 황해도굿 군웅거리와 예술치료적 이론과의 상관관계를 비교 분석하였다. 첫째 한국의 굿이 가족관계를 중심으로 행위 된다는 점에서 보웬의 가족치료 이론과 비교했으며, 한국의 굿이 가진 집단적 치료방식이 한 개인의 심리·정서적 문제를 가족관계체계, 그리고 더 나아가 사회 문화적 맥락 속에서 치료하고자 한 보웬의 이론과 맞닿아 있음을 발견할 수 있었다. 둘째, 연구자는 만신이 망자의 혼을 입고 군웅을 노는, 굿의 연행방식이 갖는 치료적 의미에 대해 분석하였다. 굿 현장을 연구하는 많은 연구자들이 조상거리가 주는 치료적 효과에 대해 직접 경험했으나 그 치료적 효과를 이론적으로 입증하는 연구는 부족하였다. 이에 연구자는 프로이트의 전이 개념과 연극치료의 역할입기, 에릭슨과 고프만의 극적 놀이 개념을 접목시켜 황해도굿 군웅거리를 분석하였다. 만신의 망자로의 극적 전이는 황해도 군웅거리의 치료성을 입증하는 핵심 개념이다. 연구자는 이번 연구를 통해 한국의 굿의 한국 예술치료의 원형으로서의 가치를 확인할 수 있었으며, 한국의 굿이 갖는 치료성에 대한 보다 심도 있고 폭넓은 연구가 절실함을 깨닫게 되었다.

Stroke 환자에 있어서 MAS(Motor Assessment Scale)를 이용한 운동 능력평가와 각각의 평가 항목과의 상관관계 (Relationship of motor ability evaluation by using MAS and each items of MAS in stroke patient)

  • 김광수
    • 대한물리치료과학회지
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    • 제4권4호
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    • pp.519-528
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    • 1997
  • The purpose of this research were to evaluate the overall capacity of activity in hemiplegic patients caused by stroke, to learn the relationship of the overall capacity of activity with 8 out of 9 subtest of the Motor Assessment Scale (MAS) excluding general tonus subtest, and to use in creation of more efficient rehabilitation program by using Motor Assessment Scale (MAS). Twenty-four stroke patients (14 men and 10 women) were the subjects in this study. Their average age was 59.5 and they received average of 17.88 month of therapy. Collected data analysis was completed by using Statistic Analysis System (SAS). The results were as follows: 1) There was no difference in capacity of activity between right hemiplegia and left hemiplegia. 2) There was no difference in capacity of activity compared therapeutic period and age. 3) In comparing the relationship of the each subtest with the overall capacity of activity, upper arm function showed the highest relation (pearson's r = 0.914), and balance sitting (pearson's r= 0.812) and supine to sitting overside of bed (pearson'sr = 0.746) also showed large relationship. 4) Hand movement (pearson's r = -0.45) and advanced hand activity (pearson's r = -0.401) revealed relationship of general tonus with each subtest. 5) Supine to sitting over side of bed (pearson's r = 0.74), balanced sitting(pearson's r = 0.523), and sitting to standing (pearson's r = 0.723) showed large relationship with walking.

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근위축측삭경화증에 대한 치료약물 임상시험 현황 (Update of Therapeutic Clinical Trials for Amyotrophic Lateral Sclerosis)

  • 김남희;이민오
    • Annals of Clinical Neurophysiology
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    • 제17권1호
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    • pp.1-16
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    • 2015
  • Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease that is characterized by progressive death of motor neurons in the cortex, brainstem, and spinal cord. Until now, many treatment strategies have been tested in ALS, but so far only Riluzole has shown efficacy of slightly slowing disease progression. The pathophysiological mechanisms underlying ALS are multifactorial, with a complex interaction between genetic factors and molecular pathways. Other motor neuron disease such as spinal muscular atrophy (SMA) and spinobulbar muscular atrophy (SBMA) are also progressive neurodegenerative disease with loss of motor neuron as ALS. This common thread of motor neuron loss has provided a target for the development of therapies for these motor neuron diseases. A better understanding of these pathogenic mechanisms and the potential pathological relationship between the various cellular processes have suggested novel therapeutic approaches, including stem cell and genetics-based strategies, providing hope for feasible treatment of ALS.

변증이론 선택을 위한 진단적 과정 (Steps Of Deciding ByunZheng(辨證))

  • 김태희
    • 대한한의진단학회지
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    • 제19권2호
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    • pp.109-113
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    • 2015
  • Byunzheng(辨證), 'Identification of Patterns' implies the process of identifying the original cause from symptoms and signs. Each symptom and sign has a meaning that manifests. But in Clinic, it is difficult to recognize the main cause through symptoms and signs by itself, because the patients complaint their symptoms differently. When considering Byunzheng, not only one symptom of one cause but relationship of manifested symptoms and causes are necessary. The object of Byunzheng is to diagnose Illness and disease through symptoms and signs and to coordinate Therapeutic Methods by Byunzheng. In Byunzheng, there are patterns according to the function of Internal Organs(臟腑), the Channels, the Eight Principles, the Five Elements and etc. Process to Diagnose Byunzheng is the most important. Until present, it is not clear to conclude the Byunzheng process or criteria. In certain case of Byunzheng is recognized by doctor's intuition, but most case is needed for conscious reasoning. Therefore, in this statement, process of conclude Byunzheng is reviewed rather than describing each character of Byunzheng.

BTS from "N.O" to "ON" and BEyond: Innovation in Effective Mental Health Messaging and Modelling

  • Blady, Sharon
    • Asia Marketing Journal
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    • 제22권4호
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    • pp.117-149
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    • 2021
  • Over seven years, BTS have organically embedded consistent mental health messaging and modelling of various mental health modalities, representing innovation within mental health discourse, within and outside the pop and K-pop culture and fandom. Their personal and artistic journeys have resulted in songs, imagery, and relationship dynamics within the group and within and between their fans ARMY, that organically model behaviours associated with mental health therapeutic modalities and normalize the discussion of mental health and well-being. This practice is vitally important in the effort to end stigma and encourage mental health well-being and recovery. BTS's authenticity establishes empathy with their audience ARMY and increases their ability to deliver these messages effectively. This includes fostering the creation of a peer support community within the group that extends to their fanbase ARMY, and from which fan-created mental health programs have emerged. BTS's innovation will be explored by examining content creation throughout their career, illustrating their consistent and organic messaging, culminating in overt and conscious mental health content in their latest album BE, which was released three weeks after the initial paper was presented, and provides proof of concept.

Lactobacillus rhamnosus CBT-LR5 Improves Lipid Metabolism by Enhancing Vitamin Absorption

  • Dong-Jin, Kim;Tai Yeub, Kim;Yeo-Sang, Yoon;Yongku, Ryu;Myung Jun, Chung
    • 한국미생물·생명공학회지
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    • 제50권4호
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    • pp.477-487
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    • 2022
  • Probiotics provide a symbiotic relationship and beneficial effects by balancing the human intestinal microbiota. The relationships between microbiota changes and various diseases may predict health abnormalities and diseases. Treatment with vitamins and probiotics is one therapeutic approach. To evaluate the effect of probiotics on vitamin absorption, we chose Lactobacillus rhamnosus CBT-LR5 treatment, which has resistance to vitamin C-inducible toxicity, with vitamins in high-fat diet (HFD)-induced obesity models. CBT-LR5 affected the absorption of micronutrients, such as ionic minerals and water-soluble vitamins. An increase in vitamin C absorption by CBT-LR5 enhanced the antioxidant response in HFD-induced obesity models. Increased vitamin B absorption by CBT-LR5 regulated lipid metabolism in HFD-induced obesity models. These favorable effects of CBT-LR5 on the absorption of vitamins should be investigated as candidate therapeutic target treatments for metabolic diseases.

라포에 대한 개념 분석 (Concept Analysis of Rapport)

  • 신연희;이은남;조영신;정선애
    • 근관절건강학회지
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    • 제24권3호
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    • pp.187-195
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    • 2017
  • Purpose: The purpose of the study was to identify the attributes of rapport, their antecedents and consequences. Methods: Walker and Avant's method for concept analysis was used to analyze the concept. Articles published from January 2007 to May 2017 were searched through PubMed, CINAHL, and RISS databases using "rapport" as a keyword. Results: The attributes of rapport were as follows: 1) understanding; 2) sharing information; 3) empathy; 4) harmonious relationship. The antecedents of rapport were as follows: 1) effective communication skills; 2) relation-oriented attitude. The consequences of rapport were forming trust, therapeutic relationship, improvement of quality of care, increased patients satisfaction and increased nurses satisfaction. Conclusion: Rapport can be defined as a harmonious relationship that understand each other and share ideas and information.