• Title/Summary/Keyword: 자가 치료

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Management of Temporomandibular disorder (측두하악장애의 치료)

  • Jung, Da-Woon;Chung, A-Young;Kim, Seong-Taek
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.4
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    • pp.441-452
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    • 2012
  • Most of signs and symptoms of temporomandibular disorder(TMD) is temporary and self-limiting as other musculoskeletal diseases. Conservative, reversible treatment; self care, behavior modification, physical therapy, pharmacotherapy, splint therapy should be considered as initial treatment for temporomandibular disorder rather than non conservative, irreversible treatment.

마음챙김 기반 MBSR 프로그램이 상담자의 심리적 안녕감에 미치는 효과: 상담자의 자기돌봄과 자기효능감을 중심으로

  • 정주산;변상해
    • 한국벤처창업학회:학술대회논문집
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    • 2023.11a
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    • pp.135-138
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    • 2023
  • 2000년대 들어 상담에 대한 관심과 상담 수요가 크게 늘어가고 있는 상황에서 상대적으로 직무 특성상 상담자들 또한 심리적인 어려움들을 느끼면서 상담자 스스로 자신의 정신 건강 및 유지를 위한 자기돌봄의 중요성이 증가하고 있는 것이 사실이다. 상담자는 많은 시간을 내담자와의 직접적인 대면을 통해서 내담자의 다양한 문제에 대한 해결과 도움을 제공해 줌에 있어 지속적인 치료 과정을 함께한다. 상담자는 내담자와의 상황 대면을 통한 치료 과정을 함께하면서 치료의 긍정적인 면을 접하기도 하지만, 한편으로는 지속적인 스트레스로 인해 심리적 소진과 다양한 정서적 피로도를 경험하게 된다. 이에 다양한 심리적·정서적 소진과 피로도에 대해 적절하고 유연하게 대처하기 위해서는 상담자 스스로 자신을 보호할 수 있는 자기돌봄이 필요하며, 상담자 자신이 어떠한 상황에서도 긍정적인 마음을 유지 할 수 있는 자기효능감을 향상시키는 것이 중요하다. 본 연구는 마음 챙김에 기반한 MBSR 프로그램이 다양한 상담 현장에서 심리적 소진을 겪고 있는 상담자들의 심리적 안녕감, 특히 상담자의 자기돌봄 및 자기효능감에 어떠한 영향을 미치는지 확인하고자 하였다. 이를 위해 실제 현장에서 활동하고 있는 상담경력 1년에서 5년 미만의 상담자 40명을 대상으로 주 1회기, 회기 당 2시간의 총 12주간의 MBSR 프로그램을 통한 상담자의 자기돌봄 및 효능감의 변화가 상담자의 심리적 안녕감에 긍정적 요인으로 적용될 수 있다는 것을 확인하여 실제 상담 현장에서의 상담자들이 겪고 있는 심리적 소진의 완화를 통한 안정적인 상담 현장이 조성될 수 있도록 기여하고자 한다.

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Calculation of Neutron Energy Distribution from the Components of Proton Therapy Accelerator Using MCNPX (MCNPX를 이용한 양성자 치료기의 구성품에서 발생하는 중성자 에너지 분포계산)

  • Bae, Sang-Il;Shin, Sang-Hwa
    • Journal of the Korean Society of Radiology
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    • v.13 no.7
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    • pp.917-924
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    • 2019
  • The passive scattering system nozzle of the proton therapy accelerator was simulated to evaluate the neutrons generated by each component in each nozzle by energy. The Monte Carlo N-Particle code was used to implement spread out Bragg peak with proton energy 220 MeV, reach 20 cm, and 6 cm length used in the treatment environment. Among the proton accelerator components, neutrons were the highest in scatterers, and the neutron flux decreased as it moved away from the central flux of the proton. This study can be used as a basic data for the evaluation of the radiation necessary for the maintenance and dismantling of proton accelerators.

자가치료용 마이크로캡슐의 박막 특성 증진 연구

  • 소진호;윤성호
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2004.05a
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    • pp.96-96
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    • 2004
  • 고성능 섬유강화 복합재는 비강성과 비강도가 높고 내부식성과 피로특성이 우수하지만 외부에서 가해지는 하중에 의해 수지, 강화섬유와 수지와의 경계면, 적층 경계면 등에 육안으로 식별하기 어려운 손상이 유발될 가능성이 있으며 이로 인해 구조재로서의 역할을 하지 못하는 경우가 발생한다. 최근에는 외부하중으로 인해 복합재 구조재에 손상이 발생한 경우 자가치료제가 저장된 마이크로캡슐을 이용하여 손상을 보수하려는 시도가 행해지고 있다.(중략)

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Pharmacogenomics in Cancer Research

  • Rha Sun-Young
    • Proceedings of the Korean Society for Bioinformatics Conference
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    • 2006.02a
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    • pp.91-96
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    • 2006
  • 현대의학의 발전으로 많은 질병들의 치료율이 개선되고 있으나, 암은 여전히 낮은 치료율과 약제 내성 및 부작용으로 많은 환자들이 의학적 고통 뿐 아니라 정신적, 경제적 문제점들을 호소하고있다. 이와같은 문제점은 동일한 병리학적 특성을 가지는 종양이라도 사람마다 그 생물학적 특성이 다르며, 동일한 환자안에서도 종양의 시기에 따라 다양한 특성의 세포들이 공존하며 다양한 문제를 발생하는 tumor heterogeneity에서 기인하게된다. 다행히 최근의 분자생물학의 발전과 인간유전체연구들의 활성화로 이와같은 다양한 암의 특성과 환자들의 특성을 이해하는 연구 방법들의 개발로 환자의 특성에 맞는 항암제를 효율적으로 투여하는 맞춤치료를 향한 노력을 지속하고 있다. 이와같은 맞춤치료의 일환으로 약제의 환자에서의 반응과 부작용을 예측하고자 최신의 high-throughput 기법을 도입한 것이 Pharmacogenomics이다. 즉, 지금까지의 항암치료는 암의 종류에 따라 임상연구 결과에 근거한 항암제를 선택하고 있다. 그러나 앞서 설명한 것처럼 암의 특성과 환자 반응의 다양화로 실제 항암효과는 기대에 미치지 못하여 많은 수의 환자들이 치료에 내성을 보일 뿐 아니라 치명적인 부작용으로 새로운 문제에 대면하게 되었다. 따라서 각 항암제011 최대의 효과를 보이며 최소의 부작용을 나타내는 최선의 치료책을 선정하는 것이 중요한 과제이다. 이를 위해서 암환자의 치료 단계에서 정확한 진단 및 병기 설정, 생물학적 특성 이해 뿐 아니라, 치료 반응을 예측할 수 있는 생물학적 표지자를 찾고자 하는 노력의 결과로 현재 임상에 사용되는 몇 가지 종양표지자를 포함하여 다양한 유전자 칩들이 연구단계에 있다. 특히 다양한 생물학적 현상이 많은 유전자들의 변화에 의한다는 근거하여 약제의 효과와 부작용을 예측할 수 있는 표지자 발굴도 DNA chip 등의 high-throughput technology를 사용하여 그 특이도와 민감도가 향상된 표지자 발굴이 시도되고 있다. 아직은 시작단계이고 많은 검증이 필요하나 여러 가지 가능성의 증거들로 멀지않은 시기에 맞춤치료가 가능하리라 기대하며, 암 연구에 있어서 pharmacogenomics의 현황을 소개하고자 한다.

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Comparisons of Awareness of Health Care Services and Characteristics in Persons with Speech-Language Disorder Related to Speech Therapy Use for Life Care : From National Survey of the Disabled Person of 2017 (라이프 케어를 위한 언어장애인의 언어치료 이용여부에 따른 특성 및 보건의료서비스 인식 비교 : 2017년 장애인 실태조사를 이용하여)

  • Kang, So-La;Moon, Jong-Hoon
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.3
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    • pp.249-258
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    • 2019
  • The health care services are the most basic social institutions that are provided to citizen including disabled persons for improvement of health. However, the study of the difference of health care services according to the speech therapy use in the people with speech-language disorders was insufficient. The aim of this investigation was to compare the awareness of health care services and characteristics of people with speech-language disorders according to speech therapy use. The researchers selected 229 people with language disorder using raw data of National Survey of the Disabled Person (2017). We compared the characteristics and health care services of people with speech-language disorders by distinguishing between speech therapy non-users and speech therapy users. Among the 229 people with language disorder, speech therapy users were 37 persons (16.2%). In comparison with non-users, users were younger, more preschoolers, more family incomes, and intellectual disabilities and autistic disorder were the most common types of disability enrollment. Users had a lower proportion of unmet medical needs than non-users. For the reasons of unmet medical need, there were 6.8% and 6.3% of the "economic reasons" and "communication difficulties" Both users and non-users responded that "disability management services" need to be strengthened by the government. In conclusion, we suggest that access to health care services needs to be increased to lower the barriers of speech therapy use.

A Qualitative Study on Counselors' Authenticity and Therapeutic Changes based on Experience by Clients Majoring in Counseling (상담 전공 내담자가 경험한 상담자 진정성과 치료적 변화에 관한 질적 연구)

  • Shim, Eun Jung;Lee, Hee-Kyung
    • The Journal of the Korea Contents Association
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    • v.22 no.7
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    • pp.332-344
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    • 2022
  • The purpose of this study was to identify the components of how clients perceive the counselors' authenticity in actual counseling, and to examine the therapeutic changes and processes related to the counselors' authenticity. In-depth interviews were conducted with 12 clients majoring in counseling at graduate school, and as a result of analyzing using the Grounded theory approach, 57 concepts, 40 sub-categories, and 14 categories were derived. The major results of this study are as follows: first, the components of counselor authenticity perceived by clients were identified as 'honesty', 'sincere attitude', and 'heartfelt caring'. Second, counselors' authenticity was found to bring about deeper and generalized therapeutic changes when a deep level of acceptance and empathy for the client was accompanied. Finally, therapeutic changes in counselors' authenticity were found to be 'increasing self-understanding and acceptance', 'generalization of authenticity modeling', and 'increasing initiative in coping with problems'. This study contributed to the increase of the practical knowledge of the counselors' authenticity by identifying the therapeutic value of authenticity and factors, and provided the implications to education and training for novice counselors.

Autotransplantation of Ectopically Impacted Teeth : Two Case Reports (이소매복된 치아의 자가치아이식 증례)

  • Lim, Yuran;Kim, Jaehwan;Choi, Namki;Kim, Seonmi
    • Journal of the korean academy of Pediatric Dentistry
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    • v.44 no.1
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    • pp.108-115
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    • 2017
  • Numerous therapeutic approaches are available for impacted teeth, including orthodontic retraction, implantation, and autogenous tooth transplantation. Autotransplantation is a promising method, especially for juvenile patients, as it enables preservation of the function of the periodontal tissues, as well as continued alveolar bone growth. This report describes autotransplantation in two cases in which the tooth was fully-ectopically impacted. With case 1, an ectopically impacted premolar was extracted and transplanted in an upright position, and regenerative endodontic treatment was performed using a platelet-rich fibrin clot and mineral trioxide aggregate (MTA). With case 2, a calcifying odontogenic cyst with an impacted left mandibular second molar was treated by enucleation. The tooth was transplanted into the proper position 3 months after enucleation, and endodontic treatment was performed using MTA. In both cases, autotransplantation appeared to provide a simple and rapid treatment option for patients with ectopically impacted teeth. These cases demonstrate that autotransplantation of ectopically impacted teeth is a viable treatment option rather than implant placement or prosthesis, especially in juvenile patients.

The Effects of a Child-Centered Play Therapy Internship Program for Novice Play Therapists on the Professional Competence of Play Therapists (초보놀이치료자를 위한 아동중심놀이치료 인턴쉽 프로그램이 놀이치료자의 전문적 역량 강화에 미치는 효과)

  • Yang, Sun Young;Han, You Jin
    • Journal of Families and Better Life
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    • v.35 no.1
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    • pp.83-105
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    • 2017
  • The purpose of this study is to strengthen the professional competence of novice play therapists through training, and to develop a CCPT internship program that encourages them to participate by experiencing play therapy education and cases. The five novice play therapists who participated in this study were currently getting their master's degrees in child psychotherapy. The novice play therapists's CCPT Internship program conducts 20 hours of education and practices, 24 hours of group supervision, 16 sessions of play therapy. The results of the research were as follows. First, the novice play therapist's CCPT internship program gave the play therapists positive effects on the development level. Second, the novice play therapist's CCPT internship program had a positive effect on the therapists' performance ability on play therapy. Third, the change of psychological and emotional reactions of play therapists through self-examination was different depending on the stage in the play therapy.

A Study on the Effect and Related Factors of Self-Perceived Oral Health Awareness and Dental Care on Work Loss of Workers in the Capital Region (수도권 지역 산업체 근로자들의 주관적 구강건강인식과 치과치료가 근로 손실에 미치는 영향 및 관련 요인)

  • Yoon, Mi-sook
    • Journal of dental hygiene science
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    • v.18 no.6
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    • pp.389-397
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    • 2018
  • The purpose of this study was to examine the self-rated oral health status of industrial workers and influential factors for their work loss caused by dental care in an effort to prepare some information on policy setting about the promotion of the oral health of industrial workers and on the prevention of their oral diseases. The married industrial workers experienced work loss due to dental care more commonly than did the unmarried workers ($x^2=5.10$, p<0.05). In addition, the workers who found themselves to be in worse health experienced significantly more work loss ($x^2=29.69$, p<0.001). The workers who received treatment for oral diseases experienced significantly more work loss than those who did not receive treatment ($x^2=14.60$, p<0.001). In addition, the workers who had oral symptoms requiring treatment experienced more work loss than the others who not ($x^2=11.08$, p<0.01). The experience of not receiving treatment for a perceived oral disease was more dominant among the workers who found themselves to have an oral disease but did not receive treatment than among those who received treatment (p<0.001). Regarding factors affecting the work loss of the industrial workers caused by dental care, the workers whose monthly mean income was larger and who found themselves to be in worse health had significantly more experience of absenting themselves from the office or of leaving work early (p<0.001).