• Title/Summary/Keyword: 강화요법

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Throwing injury of elbow

  • 최창혁
    • 대한정형외과스포츠의학회:학술대회논문집
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    • 2003.11a
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    • pp.158-166
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    • 2003
  • 반복적인 투구동작은 성장기의 주관절에 손상을 주기 쉬우며 투구 시 통증을 유발할 경우, 투구를 중지하고 관절의 능동적 휴식을 통해 유연성을 회복하고 점차 근력강화운동을 시행해야 한다. 유소년기 Little league elbow의 주된 병변인 상완골 내상과 골단염을 포함한 대부분의 손상은 보존적 요법으로 치료가 가능하며, 굴곡구축 등의 운동제한을 동반한 통증이나 관절 내 유리골편 등의 감입으로 인한 증상이 있을 경우 수술적 치료를 요하며, 성인의 경우 내측 측부인대의 만성 불안정성 둥에 대해서 인대 재건술 등의 수술적 치료가 고려된다. 투구 시 주관절의 손상은 대부분의 경우 과 사용으로 인한 것이며, 특히 성장기에 손상의 예방이 무엇보다 중요하다. 따라서 부모와 코치 그리고 경기 관계자 둥이 성장기 소년의 근력과 관절의 상태가 성인과 다름을 이해하고, 운동의 강도와 횟수를 적절히 조절하며 손상시 조기치료를 받을 수 있는 환경을 조성하는 것이 필요하다.

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Change of Prescribing Pattern after Clozapine Discontinuation: A Retrospective Chart Review (클로자핀 중단 이후 처방 패턴의 변화: 후향적 의무기록 분석)

  • Kang, Shi Hyun
    • Korean Journal of Schizophrenia Research
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    • v.24 no.1
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    • pp.36-43
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    • 2021
  • Objectives: Despite the high discontinuation rate of clozapine in refractory schizophrenia, there is limited evidence regarding the suggested treatment after clozapine discontinuation. Methods: The medical records of 37 patients who discontinued clozapine were retrospectively reviewed. The prescription patterns of antipsychotics, mood stabilizers, and antidepressants were compared at three points before and after clozapine treatment and at the most recent visit. Results: After clozapine discontinuation, 75.6% of the subjects were receiving antipsychotic polypharmacy, and 32.4% were taking more than 3 antipsychotics. The frequently used antipsychotics were olanzapine (21.5%), quetiapine (21.5%), and paliperidone (12.7%). The rates of augmentation with mood stabilizers and antidepressants were 43.2% and 29.7%, respectively. Furthermore, valproate was the most commonly used mood stabilizer (87.5%). Conclusion: Antipsychotic polypharmacy and augmentation are inevitable in schizophrenia patients for whom clozapine has been discontinued. Further research is required to improve the outcomes of polypharmacy and augmentation in schizophrenia patients.

Therapeutic Shoeing for Spontaneous Quarter Cracks Induced by Sheared Heel in Thoroughbred Race Horse (더러브렛 경주말에서 부등제종 기인 특발성 제측열제 처치술)

  • Yang, Young-Jin;Shin, Sang-Kyung;Yun, Sung-Wook;Kim, Seung-Joon;Cho, Gil-Jae
    • Journal of Veterinary Clinics
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    • v.31 no.5
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    • pp.461-465
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    • 2014
  • A 3-year-old colt Thoroughbred horse was referred with obvious lameness (3/5G) and mild heat and pain on left hoof of forelimb. He was diagnosed with quarter cracks that have a typical conformation of sheared heel, which are a different length and height between medial/lateral heels. Various materials and techniques were carried out to repair quarter cracks by using many different kinds of clips, bar shoes on fifth times for about 10 months. It worked on him without pain and heat on the cracked hoof, and then he could retrain for racing from the 36th weeks beginning of therapeutic shoeing. We suggested that especially fiberglass reinforced plastic (FRP) material and therapeutic shoeing were a great help to treat quarter cracks induced by sheared heel.

An Integrated Literature Review of Non-pharmacological Intervention in Older Adults with Mild Cognitive Impairment (국내외 경도인지장애 노인의 비약물적 중재에 대한 통합적 문헌고찰)

  • LEE, JUNGEUN
    • Journal of Digital Convergence
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    • v.19 no.3
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    • pp.471-482
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    • 2021
  • We aimed to provide evidences for developing non-pharmacological intervention in older adults with Mild Cognitive Impairment(MCI) by integrated literature review. The final 16 papers were selected as a result of an integrated literature analysis. All of them are focused on strengthening cognitive activities, while Korean studies have often merged emotional activities such as music therapy and laughter therapy rather than physical activities such as exercise therapy, international studies have combined physical activities rather than emotional activities. The effects of non-pharmacological intervention differed according to the outcome variables. The primary variables were cognitive function and depression, and secondary variables were found to have effects on physical function, activities of daily living (ADL), and self-efficacy. This study contributes to a multidisciplinary approach that can be applied in the clinical field through the development of various non-pharmaceutical intervention for the prevention of dementia in the older adults with MCI.

The effect of problem-based learning application on learners' problem-solving ability and cooperative self-efficacy in esthetic major subjects (피부미용 전공 교과에서의 문제중심학습(PBL) 적용이 학습자의 문제해결 능력과 협력적 자기효능감에 미치는 영향)

  • Jeong-Yeon Park
    • Journal of the Korean Applied Science and Technology
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    • v.40 no.1
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    • pp.160-167
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    • 2023
  • The purpose of this study was to find out the learning effect of applying problem-based learning in esthetic major education at universities and to provide basic data for developing teaching and learning methods that can strengthen competitiveness in esthetic education. Therefore, this study conducted an empirical educational effect analysis by applying PBL classes to 15 students taking oriental therapy, a esthetic major course opened at H University. As a result, the average value of learners' problem-solving ability and cooperative self-efficacy increased after participating in PBL classes, and the effectiveness of PBL teaching and learning methods was confirmed, suggesting effective teaching and learning methods to increase learners' problem-solving ability and cooperative self-efficacy in the field of esthetic.

Development of Cell Therapeutics against Ischemic Vascular Diseases Using Mesenchymal Stem Cells: From Bench to Bed (중간엽줄기세포(MSC)를 이용한 허혈성 혈관질환 치료를 위한 세포치료제 개발: 기초연구에서 임상연구)

  • Lee, Eun Ji;Park, Shin Hu;Seo, Jeong Ho;An, Hyo Gyung;Nam, Si Hyun;Kwon, Sang-Mo
    • Journal of Life Science
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    • v.32 no.7
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    • pp.567-577
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    • 2022
  • Recently, the prevalence of ischemic diseases, such as ischemic heart disease, cerebral ischemia, and peripheral arterial disease, has been continuously increasing due to the aging population. The current standardized treatment for ischemic diseases is reperfusion therapy through pharmacotherapy and surgical approaches. Although reperfusion therapy may restore the function of damaged arteries, it is not effective at restoring the function of the surrounding tissues that have been damaged due to ischemia. Therefore, it is necessary to develop a new treatment strategy that can safely and effectively treat ischemic damage and restore the function of surrounding tissues. To overcome these limitations, stem cell-based therapy to regenerate the damaged region has been studied as a promising strategy for ischemic vascular diseases. Mesenchymal stem cells (MSCs) can be isolated from diverse tissues and have been shown to be promising for the treatment of ischemic disease by regenerating damaged tissues through immunomodulation, the promotion of angiogenesis, and the secretion of various relevant factors. Moreover, new approaches to enhancing MSC function, such as cell priming or enhancing transplantation efficiency using a 3D culture method, have been studied to increase stem cell therapeutic efficacy. In this review, we provide various strategies by which MSCs are used to treat ischemic diseases, and we discuss the challenges of MSC transplantation, such as the differentiation, proliferation, and engraftment of MSCs at the ischemic site.

Analysis of Lung Function Influences by Stimulating Ear Reflex Point Using Voice Analysis (음성 분석을 통한 폐 이혈점 자극이 폐 기능에 미치는 영향 분석)

  • Kim, Bong-Hyun;Cho, Dong-Uk
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.37 no.6C
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    • pp.520-526
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    • 2012
  • Mostly lung diseases by smoking and air pollution is increasing social interest one of 6 kinds of modern diseases which is difficult functional recovery of damaged lung as dangerous diseases of life extension. Therefore, to reduce suffering from respiratory diseases is usually non-smoking, to do strengthen behavior of lung function. In this paper, we would like to propose method to do investigation by voice analysis technology to apply when lung associated ear acupuncture point stimulus to help strengthen actually lung function. From this, we would like to consider the voice change of before/after in smoking to analyze the impact on the human body to the lungs. Based on this experiment, we would like to investigate numerically quantity data actual improved lung function to analyze of voice character difference of before/after in lung associated ear acupuncture point stimulating.

Hypnotherapy for Warts : A Case Report (사마귀의 최면치료 1례)

  • Park, Hee-Gwan
    • Korean Journal of Psychosomatic Medicine
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    • v.6 no.2
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    • pp.188-192
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    • 1998
  • Brief hypnotherapy with daily self-hypnosis was used to a 20-year-old male patient who had severe warts on the fingers of both hands for 6 years. He had had several dermatological treatments, including attempts to remove the warts with topical chemotherapy, but the warts had always recurred. During the hypnotic session, it was suggested that the warts would begin to feel cool and disappear with imaginary laser. He responded well to ideosensory suggestions and was free of the warts within 5 sessions. Inquiry after 7 months revealed that no recurrence had taken place. Finally, it is stimulating to think that harmony between mind and body involving cell-mediated immunity can intervene in conditioning the course of the skin diseases.

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Nursing Performance and Requirements of Visiting Nurses at Public Health Centers according to Omaha system (오마하체계에 따른 보건소 방문간호사의 간호업무 수행도와 필요도)

  • Choi, In-Hee
    • Journal of the Health Care and Life Science
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    • v.8 no.2
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    • pp.143-154
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    • 2020
  • The aim of this study was to identify the performance and requirements of the visiting nursing care using Omaha system in public health center. The highest performance were 'personal hygiene', 'pain', 'medication regimen', 'nutrition', 'physical activity', 'sanitation', 'sleep and rest patterns', 'oral hygiene', 'mental health' in order. The lowest performance were 'sexuality', 'postpartum', 'income', 'family planning', 'pregnancy', 'spirituality', 'abuse', 'reproductive function', 'neglect' in order. Problems such as 'postpartum', 'pregnancy' and 'family planning' need to strengthen the role of visiting nurses according to the region. this result will be the basis for visitung nursing care.

Relationship between Depression, Self-efficacy and Treatment Adherence in Peritoneal Dialysis Patients (복막투석환자의 우울, 자기효능감, 치료순응도의 관련성 연구)

  • Ban, MinKyung
    • Journal of the Korea Convergence Society
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    • v.12 no.6
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    • pp.279-287
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    • 2021
  • Purpose: The purpose of this study was to identify the relationships beween depression, self-efficacy and, treatment adherence in peritoneal dialysis patients. Method: Participants were 139 in a hospital located B city Korea. The data were examined using descriptive statistics, t-test, ANOVA, and Pearson's correlation with SPSS 25.0. Results: Self-efficacy had positive correlation with medication(r=.28 p=.001), fluid restriction(r=.23, p=.008), dietary restriction(r=.38, p<.001) in adherence. Depression had a negative correlation with medication(r=-.17 p=.046), dietary restriction(r=-.17, p=.043) Conclusion: Nursing starategies to strengthen the treatment adherence of patients with peritoneal dialysis need to focus on enhacing self-efficacy and alleviating depression.