• Title/Summary/Keyword: 만성화

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The Importance of Treatment for the Patients with Chronic Pain (만성통증 환자 치료의 중요성)

  • Song, Ji-Young
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.2
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    • pp.252-255
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    • 1999
  • Numbers of patients who have chronic pain seem to be increasing even in the psychiatric practice. One report in Korea showed more than 40% of psychiatric patients who visited out-patient clinic were suffered from chronic pain and one third of those patients were needed treatment for the on-going pain. For evaluating and treating those patients the charateristics of illness behavior should be understood. Abnormal Illness behavior was found as one of the most influential factors which led symptoms complicated and chronified. This symposium was planned to illustrate how to manage the patients whose pain are associated with arthropathy and connective tissue diseases, neuropathic pain and headache more effectively and efficiently. So, It is hoped to get fruitful knowledges for the management of chronic pain in the scope of consultation-liaison psychiatry.

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'HWABYUNG' in the view of Oriental Medinine (한의학에서 본 홧병의 해석)

  • Kim Jong-Woo;Whang Wei-Wan
    • Journal of Oriental Neuropsychiatry
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    • v.5 no.1
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    • pp.9-15
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    • 1994
  • Hwabyung is a culture-related disease generally know among people in Korea, and various studies have been done by the Psychiatrists and by the Oriental Medical Doctors. While the Psychiatrists explain the Hwabyung as a disease having a unique patholoical process, the Oriental Medical Doctors explain it as a symptoms having the character of fire. When interpreted in Oriental Medical point of view, this can be concluded as 1)the cause of the disease is the depression of liver-energy(肝氣鬱結) induced by emotional suppression, 2)the reason why the disease occurs mostly to female is that they usually fail overcoming stresses and have physical and visceral weaknesses, 3)the symptoms are associated with the dynamics of fire, because the disease originates from the rising character of fire and from the inadequit supression of extreme heart-fire(心火) by the kidney-wter(腎水), 4)the reason why the disease goes through chronic process is because of the complexed emotions, converted fire caused by prolonged emotional disorder and inapropreate supression of fire with grow older. This results suggest thst the cooperative study of the clinical examination of the Psychiatrsis and the study on the fire by the Oriental Medical Doctors is necessary to establish the process of the disease, the pathological procedure, the prognosis and the method of treatment.

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Single Mothers' Experiences of Public Support Service: The Case Study of Single Mothers Who are Lack of Work Ability (근로능력이 부족한 여성한부모의 공공부조서비스 이용 경험)

  • Sung, Jung-Huyn;Kim, Ji-Hye
    • The Journal of the Korea Contents Association
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    • v.13 no.12
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    • pp.261-275
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    • 2013
  • This study aims to explore the utilizing experience of public support service of the single mothers, who have been assessed as inability in aspect of labor. For this purpose of this study, we had in-depth interview five interviewees who had adolescent children or non-adult children. The participants were from 20s to 50s. From the outcomes of this study, we figured out that they had attempted to escape from the poor realities of life and to help the family budget through their work. However, they could not have plans to fulfill their aims, because of the unhealthy body conditions, the high working costs, the burdens for parenting or child-rearing, and the low levels of working ability. It has been shown that their parenting stresses and depressions from their hard realities have been reinforced, and those psycho-emotional pressures have been projected to connect with the inappropriate disciplines and parenting or child-rearing. And it has been reinforced through utilizing public support service. Consequently, they have become chronic through the repeated disappointment and unhealthy psycho-emotional condition. In this study, we discussed and proposed the labor policies and practical suggestions which have had a close relationship with the efficient judgement systems for work inability.

Co-occurrence of Domestic Violence and Drinking Problem - What is Experiences of Female Victims? - (가정폭력과 음주문제의 동시발생 - 피해여성의 경험은 무엇인가? -)

  • Kim, Ju-Hyun;Jang, Soo-Mi
    • Korean Journal of Social Welfare
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    • v.63 no.2
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    • pp.291-317
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    • 2011
  • This study was designed to explore the experiences of female victims who had abused by alcohol-abusing spouse. The results were deducted from in-depth interview with 10 female victims by utilizing Giorgi's phenomenological method. The results of research showed that experiences of women could be classified in three stages. From the lack of understanding stage, "ignorance of drunken violence" had appeared. "Confinement of vicious circle of drunken violence" and "dealing with drunken violence in the community" had been found from the coping stage. Finally, from the resting stage "re-defining of the relationship" had been drawn. Based on these results, the practical and political implications were suggested.

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DRUG THERAPY FOR DEVELOPMENTAL DISORDER PATIENTS WITH SELF-MUTILATION (자해 증상을 가진 발달장애아의 약물치료)

  • Kim, Bong-Seog
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.14 no.1
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    • pp.53-63
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    • 2003
  • The autistic disorder is identified as an independent clinical entity, since the first description of Leo Kanner. The etiologies of the autistic disorder are almost unclear and the autistic disorder has several abnormalities in aspect of morphology and function of brain. Self-mutilation is observed in the low functioning autistic patients, and early treatment for self mutilation are needed in order not to be chronic. This article reviewed the drugs for the several symptoms of the autistic disorder, especially for self-mutilation. The serotonin reuptake inhibitors does not have clear primary anti-aggressive effects. The dopamine blockers have considerable effects in order to decrease aggression and self injury, and the risperidone is most recommended because of side effects of conventional drugs. The naltrextone does not have consistent study results yet. The clonidine has aggression-decreasing effect. Also lithium is effective on the treatment for aggressive and self-injurious behaviors. And the anticonvulsants including carbamazepine are effective on aggressive explosive behaviors. In the future the pharmacotherapy for self-mutilation will be advanced through stalbe diagnosis and measurement of treatment response.

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The Structure and Spatial Patterns of Unemployment in Germany (독일 실업문제의 구조적 특성과 공간적 전개양상)

  • Ahn, Young-Jin;Lee, Won-Ho
    • Journal of the Korean association of regional geographers
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    • v.7 no.2
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    • pp.1-16
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    • 2001
  • This paper is to examine the trends and structures of unemployment as well as its spatial patterns in Germany. Germany once achieved a well-developed employment system and full employment. Since 1970, however, unemployment has been one of the major issues in Germany. During the last three decades the unemployment rate has risen to unprecedented levels and stayed high. After the German unification, especially, labor market is characterized by the mass unemployment and the structural selective process of unemployment to be imposed on German workers. And regarding to the spatial patterns of massive unemployment, this study shows critical disparities between South and North Germany being overlapped with new disparities between East and West Germany. We can explain the regional differentiation of unemployment on the base of typical mismatch of labour market allocation. It is also shown that massive unemployment is related not only to policy shifts in labor market but also to structural transformation after the unification.

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Socio economic Approach to the Chronic State of Famine and Exploitation of Famine Relief Food in the Later Half of Chosun Period (조선후기(朝鮮後期) 기근(飢饉) 만성화(慢性化)와 구황식품(救荒食品) 개발(開發)의 사회(社會).경제적(經濟的) 고찰(考察))

  • Kim, Hee-Sun;Kim, Sook-Hee
    • Journal of the Korean Society of Food Culture
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    • v.2 no.1
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    • pp.81-92
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    • 1987
  • This treatise deals with chronic state of famine and exploitation of famine relief food in the later half of Chosun Period and especially in relation with socio-economic changes. There with the impact of socio-economic factors on the chronic state of famine and exploitation of famine relief food is studied mainly with a literary approach. The influential factors which lead to the chronic state of famine were not only climatic restrictions such as flood and drought but socio-economic factors such as foreign invasion (Japanease invasion and Ching's invasion), frequent breaking out of revolt and technological development of agriculture (rice transplantation). And disorder of land system and cultivation of cash crops by the richer peasantry, lowering the economic status of the poorer peasantry who were a major constituents of the population, aggravated the famine state. Because the poorer peasantry were under the shortage of food, they had to seek something edible in the fields and mountains. In this process various kinds of famine relief foods were exploited by the poorer peasantry. The majority of famine relief foods were wild vegetables. Consequently the Chronic state of famine was a cause to introduce various edible wild vegetables into Korean food, which influenced modern vegetarian food habits and firmed the Korean's favorite taste to be hot and salty. These wild vegetables couldn't have a marvelous effect on the relief of starved people. Potatoes and sweet potatoes, which were newly introduced foreign crops, were encouraged to be cultivated for famine relief. But these tubers, unable to be staple food, didn't contribute to an increase in population.

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Effect of Shoulder stabilization exercise and McKenzie Exercise on Forward Head Posture (거북목을 가진 사람에게 메켄지 폄운동과 어깨안정화운동이 앞쪽머리자세에 미치는 영향)

  • Lee, Jun-cheol
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.4
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    • pp.227-235
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    • 2019
  • The purpose of this study was to investigate the effects of cervical vertebral height and shoulder stabilization on anterior head posture in people with turtle neck. The subjects of this study consisted of normal and healthy people with 30 turtle necks. Subjects were randomly assigned to shoulder stabilization exercise and cervical vertebrae exercise (30 men, 15 men and 15 women, height: $168.67{\pm}6.51$, $22.33{\pm}8.27$, $65.03{\pm}11.98$, and $28.66{\pm}1.91$), In the experimental group, shoulder stabilization exercise and cervical spine exercise were performed for 4 weeks. Deep neck flexor, leavator scapular, upper trapezius, rhomboid, and lower trapezius showed significant differences in shoulder stabilization and cervical vertebrae before and after the experiment. As a result, the CVA value decreased significantly and the muscle activity value increased significantly when exercise and Mckenzie program were applied. These results show that exercise and Mckenzie programs have a positive effect on turtle neck improvement.

Semantic network analysis of schizophrenia through newspaper articles. (신문기사를 통해 본 조현병의 의미연결망 분석)

  • Song, Hye-Jin;Kim, Suk-Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.6
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    • pp.375-384
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    • 2021
  • This study explored the change in keywords and topics in newspaper articles related to schizophrenia after the Gangnam murder case. The study examined newspaper articles related to schizophrenia for five years before and after the Gangnam murder case. A semantic network analysis was conducted using the NetMiner 4.4.1 program. 610 articles between 2013 and 2018 were retrieved from 8 national newsletters. The most frequent core keyword was 'treatment' before the murder case, but 'incidents' after the case. Four topics were identified: 'becoming chronic if missing the time of treatment due to prejudice', 'being curable with early treatment', 'living an ordinary life with medication', 'being indicted as a murderer while impaired by a mental disorder' before the murder case. After the case, four topics were identified: 'committing murder for delusions, not misogyny', 'medication non-adherence leads to more impulsive behavior', 'claiming leniency for criminals due to the mental impairment', 'killing the police who were mobilized to stop stabbing rampage'. These findings suggest that newspaper articles should provide accurate information about schizophrenia to reduce prejudice and stigma toward patients with schizophrenia and other forms of mental illness.

The Relationship between Elderly Poverty and Depression Trajectories (노년기 빈곤궤적과 우울궤적의 관계 연구)

  • Kim, Myoung-il
    • 한국노년학
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    • v.37 no.3
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    • pp.617-635
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    • 2017
  • The aim of this study was to investigate both poverty and depression among older adults, focusing on the relationship of these two trajectories. For expanding the understanding about elderly poverty and depression, the study measured the longitudinal patterns of various transition in these two variables. The data for the study is 1st to 9th waves (2006-2014) of Korea Welfare Panel Study (KoWePS), and 4,431 older adults were used for the final analysis. For data analysis, Semi-parametric group-based modeling and Dual trajectory model were selected. The main results of this study were followings; First, The trajectory groups were identified: non-poverty, decrease poverty, increase poverty, remain high-poverty, chronic poverty groups and 4 trajectories of depression: stable, remain low-depression, risk of depression, chronic depression groups. Second, the study was tried to anticipate the longitudinal transition of poverty and depression status, and investigate the concurrent relationship in these two variables. It turned out that the stable poverty status led the stable depression, and vice versa. Based on these result, this study for elderly welfare were discussed to reduce risk for poverty and depression.