• Title/Summary/Keyword: therapeutic relationship

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Asthma and the Risk of Rheumatoid Arthritis: An Insight into the Heterogeneity and Phenotypes of Asthma

  • Rolfes, Mary Claire;Juhn, Young Jun;Wi, Chung-Il;Sheen, Youn Ho
    • Tuberculosis and Respiratory Diseases
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    • v.80 no.2
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    • pp.113-135
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    • 2017
  • Asthma is traditionally regarded as a chronic airway disease, and recent literature proves its heterogeneity, based on distinctive clusters or phenotypes of asthma. In defining such asthma clusters, the nature of comorbidity among patients with asthma is poorly understood, by assuming no causal relationship between asthma and other comorbid conditions, including both communicable and noncommunicable diseases. However, emerging evidence suggests that the status of asthma significantly affects the increased susceptibility of the patient to both communicable and noncommunicable diseases. Specifically, the impact of asthma on susceptibility to noncommunicable diseases such as chronic systemic inflammatory diseases (e.g., rheumatoid arthritis), may provide an important insight into asthma as a disease with systemic inflammatory features, a conceptual understanding between asthma and asthma-related comorbidity, and the potential implications on the therapeutic and preventive interventions for patients with asthma. This review discusses the currently under-recognized clinical and immunological phenotypes of asthma; specifically, a higher risk of developing a systemic inflammatory disease such as rheumatoid arthritis and their implications, on the conceptual understanding and management of asthma. Our discussion is divided into three parts: literature summary on the relationship between asthma and the risk of rheumatoid arthritis; potential mechanisms underlying the association; and implications on asthma management and research.

Mercury Contents in Normal Blood of Koreans (우리나라 정상인의 혈중 수은량)

  • Kim, Yong-Sun;Chung, Kyou-Chull
    • Journal of Preventive Medicine and Public Health
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    • v.15 no.1
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    • pp.75-82
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    • 1982
  • Normal range of mercury contents in blood and its relationship with urinary mercury excretion were studies with 68 healthy male adults living in Seoul city, who had no obvious evidence of .either occupational exposure to mercury or therapeutic use of mercurial agents. Mercury analysis was made by means of dithizone colorimetric method with coefficient of variation of 10.9% in .an average ranging from 5.1% to 18.0%. 1. Mercury contents in normal human blood were both normally and log-normally distributed, and better fitted to the latter. 2. Geometric mean and standard deviation of the mercury contents were $24.0(log^{-1}1.38){\pm}1.66{\mu}g/100ml(log^{-1}0.22{\mu}g/100ml)$ ranging from 7.2 to 79.7 ${\mu}g/100ml$ with 95% confidence interval. 3. Mercury contents in normal human blood differed from person to person (p<0.01), and the variability of the measurements was negligible (p>0.05). 4. Mercury in the blood was contained much higher in erythrocytes than in plasma (p<0.01), showing the geometric means of $21.0{\pm}1.25{\mu}g/100ml$ in red blood cells and $14.3{\pm}1.62{\mu}g/100ml$ in plasma, respectively. 5. Mercury contents in normal human blood had a relationship of power function with mercury excretion in urine corrected with a gram of creatinine excretion per liter of urine (p<0.10).

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Autophagy Is Pro-Senescence When Seen in Close-Up, but Anti-Senescence in Long-Shot

  • Kwon, Yoojin;Kim, Ji Wook;Jeoung, Jo Ae;Kim, Mi-Sung;Kang, Chanhee
    • Molecules and Cells
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    • v.40 no.9
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    • pp.607-612
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    • 2017
  • When mammalian cells and animals face a variety of internal or external stresses, they need to make homeostatic changes so as to cope with various stresses. To this end, mammalian cells are equipped with two critical stress responses, autophagy and cellular senescence. Autophagy and cellular senescence share a number of stimuli including telomere shortening, DNA damage, oncogenic stress and oxidative stress, suggesting their intimate relationship. Autophagy is originally thought to suppress cellular senescence by removing damaged macromolecules or organelles, yet recent studies also indicated that autophagy promotes cellular senescence by facilitating the synthesis of senescence-associated secretory proteins. These seemingly opposite roles of autophagy may reflect a complex picture of autophagic regulation on cellular senescence, including different types of autophagy or a unique spatiotemporal activation of autophagy. Thus, a better understanding of autophagy process will lead us to not only elucidate the conundrum how autophagy plays dual roles in the regulation of cellular senescence but also helps the development of new therapeutic strategies for many human diseases associated with cellular senescence. We address the pro-senescence and anti-senescence roles of autophagy while focusing on the potential mechanistic aspects of this complex relationship between autophagy and cellular senescence.

TREATMENT OF 4 CASES WITH TEST ANXIETY (시험불안증의 치료 : 증례보고)

  • Kim, Haeng-Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.2 no.1
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    • pp.56-62
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    • 1991
  • The author reported treatment experiences of 4 cases with test anxiety. The first one was a 15 year old boy with problem of mild attention deficit which caused test anxiety and academic underachievement around the 8th grade in middle school. The second and the third cases were brother and sister. The test anxiety was caused basically due to the problem of mother child relationship. their mother expected too much of her son and always urged him to study and never left him alone. The mothers practically gave up her whole life to devote to oversee her son's academic achievement and her daughter experienced affectional deprivation. The fourth case, a 16 year old boy, was a borderline personality disorder with extreme anger and hostility toward his parents who controled him too much. Different therapeutic approaches appropriate for different cases were described and the relationship between test anxiety and various psychopathology was discussed.

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Comprehensive Analysis of Non-Synonymous Natural Variants of G Protein-Coupled Receptors

  • Kim, Hee Ryung;Duc, Nguyen Minh;Chung, Ka Young
    • Biomolecules & Therapeutics
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    • v.26 no.2
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    • pp.101-108
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    • 2018
  • G protein-coupled receptors (GPCRs) are the largest superfamily of transmembrane receptors and have vital signaling functions in various organs. Because of their critical roles in physiology and pathology, GPCRs are the most commonly used therapeutic target. It has been suggested that GPCRs undergo massive genetic variations such as genetic polymorphisms and DNA insertions or deletions. Among these genetic variations, non-synonymous natural variations change the amino acid sequence and could thus alter GPCR functions such as expression, localization, signaling, and ligand binding, which may be involved in disease development and altered responses to GPCR-targeting drugs. Despite the clinical importance of GPCRs, studies on the genotype-phenotype relationship of GPCR natural variants have been limited to a few GPCRs such as b-adrenergic receptors and opioid receptors. Comprehensive understanding of non-synonymous natural variations within GPCRs would help to predict the unknown genotype-phenotype relationship and yet-to-be-discovered natural variants. Here, we analyzed the non-synonymous natural variants of all non-olfactory GPCRs available from a public database, UniProt. The results suggest that non-synonymous natural variations occur extensively within the GPCR superfamily especially in the N-terminus and transmembrane domains. Within the transmembrane domains, natural variations observed more frequently in the conserved residues, which leads to disruption of the receptor function. Our analysis also suggests that only few non-synonymous natural variations have been studied in efforts to link the variations with functional consequences.

The Correlation Between Relationship Ability and Activities of Daily Living(ADL) Performance Ability of Patients With Traumatic Brain Injury(TBI) (외상성 뇌손상 환자의 대인관계 능력과 일상생활활동 수행능력과의 상관관계)

  • Lee, Jong-Min
    • Therapeutic Science for Rehabilitation
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    • v.1 no.1
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    • pp.71-79
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    • 2012
  • Objective : To investigate the correlation between relationship ability and ADL performance ability of patients with TBI. Methods : This study was carried out from March 2012 to April 2012 with 20 patients with TBI. Relationship ability assessed using Relationship Change Scale(RCS), ADL performance ability assessed using Functional Independence Measure(FIM). Results : The RCS showed a high level of correlation with marital status and duration of illness. The RCS showed a high level of correlation with the FIM total score and the FIM cognition area. However the RCS did not show a correlation with the FIM motor area. Conclusions : Functional disability of social cognition is a factor that disturbs rehabilitation after TBI and it has a negative influence on the relationship in ADL. If accurate evaluation and treatment on relationship ability after TBI are carried out side by side from the initial stages of onset, we could expect more patients to improve their social cognition and ADL performance ability.

The Moderating Effects of Emotional Support, Facilitative Relationship in the Relation between Father and Mother's Emotional Abuse and Difficulties in Emotion Regulation (아동기 부·모의 정서적 학대 경험과 성인기 정서조절곤란의 관계에서 정서적 지지, 촉진적 관계의 조절 효과)

  • Park, Won-Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.255-264
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    • 2019
  • This study aimed to examine the moderating effects of emotional support and facilitative relationship in the relation of emotional abuse and difficulties in emotion regulation. This research suggests therapeutic methods for reducing the negative effects of emotional abuse. Data about emotional abuse, difficulties in emotion regulation, emotional support, and relationship inventory were collected by online survey from 336 adults in South Korea. To test moderation effects, multiple regression analyses entering emotional abuse, emotional support(facilitative relationship) and their interaction terms were hierarchically conducted. Emotional abuse increased difficulties in emotion regulation. Moderating effects of emotional support and facilitative relationship were found in the relation between father's emotional abuse and difficulties in emotion regulation. But Moderating effects of emotional support and facilitative relationship were not found in the relation between mother's emotional abuse and difficulties in emotion regulation. The different effects of father's emotional abuse and mother's, the effects of adult's positive relationship, and clinical implications of these findings were discussed.

Three Months Subacute Toxicity of Water Soluble Dimethyl Dimethoxy Biphenylate Derivative in Rats (수용성 DDB 유도체의 3개월 반복투여독성에 관한 연구)

  • 신민기;손장원;김민영;방명주;김정현;최진혁;김준성;배미옥;문전옥
    • Toxicological Research
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    • v.16 no.2
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    • pp.151-161
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    • 2000
  • The Three months subacute toxicity of water soluble dimethyl dimethoxy biphenylate derivative (DDB-S), newly formulated therapeutic agent for hepatitis, was invesgated in SD rats. The body weight and clinical signs were observed after intravenous injection of DDBs at doses of 57, 75 and 100 mg/kg/day for three months. Decrease in motor activity and tremor were observed above 75mg/kg treated groups. Statistically significant changes at serum biochemical analysis were found in some group, how-ever, those changes were within the normal range and had no relationship with dosage. There was no abnormal morphological and pathological findings in relation to DDB-S treatment. The no observable adverse effect level of DDB-S in rats was estimated to be 57 mg/kg/day in this study.

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Children in Residential Care (시설아동의 현황 및 쟁점에 관한 연구)

  • Kim, Kyung-Hee;Kang, Hyun-Ah;An, So-Young
    • Korean Journal of Child Studies
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    • v.30 no.6
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    • pp.405-416
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    • 2009
  • Almost 18,000 children were protected in 285 residential facilities all over the country in 2008 in Korea. The recent trends of the residential care include downsizing, and emphasizing independent living programs for aging out youths. Since the 1990s when the active research on the children in residential facilities has begun, the study focus has extended to the issues of developmental status and outcomes of the children, and recently, to the independency of the youths discharged from the facilities. The practical and policy issues are development of therapeutic programs for the children in care, increase of counseling staff, extension of programs for restoring children's relationship with their families, and planning of various policies to support the independence of discharged youths.

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Mother-Child Interactions in Preschool Children Who Stutter (학령전기 말더듬아동의 어머니-아동 상호작용 행동특성)

  • Kim, Jeong-Mee;Sim, Hyun-Sub;Lee, Eun-Ju
    • Speech Sciences
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    • v.12 no.3
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    • pp.35-48
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    • 2005
  • This study was to examine the relationship between maternal interactive behaviors and stuttering behaviors in preschool children who stutter. Participants were twenty-four children who stutter and their mothers. For the purpose of the current study, 5$\sim$10 minutes of 50 minutes videotaped scenes originally collected to develop fluency assessment instrument were re-videotaped. They included mother-child interactions during playing with toys and reading book situations. Mothers-children interactive behaviors were assessed with Maternal Behavior Rating Sroles(MBRS) and Child Behavior Rating Scales (CBRS). And children's stuttering were assessed with Paradise-Fluency Assessment(P-FA). The results were as follows: 1) the maternal interactive behavior did not significantly differ depending on situations, but scores of maternal responsive factor were higher in the play situation than in the reading situation. 2) Maternal responsiveness might influence on promoting the children's pivotal behavior with children who stutter. And 3) the level of maternal responsiveness was the predictor of children's stuttering behaviors. The therapeutic implication of the results were discussed.

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