• Title/Summary/Keyword: 적응증

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A Convergence Study on the Adaptation Experience of in Self-help Group of Depressed Elderly with Suicidal Thought (자살 생각을 가진 우울증 노인의 자조집단 내의 적응 경험에 관한 융합적 연구)

  • Song, Chung-Sook;Kim, Jinju;Jung, Sun-Young
    • Journal of the Korea Convergence Society
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    • v.10 no.1
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    • pp.353-360
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    • 2019
  • Purpose: The depression of the elderly in recent years has been increasing every year due to the remarkable change of the psychological function, which has a great influence on the life. Depression which is a powerful predictor of suicide in elderly people, causes various psychological and social problems. In this study, we try to understand convergently about the adaptation experiences of the depressed elderly with suicidal ideation. Procedures and Methods: Seven elderly people with a GDS(Geriatric Depression Scale) score of ${\geq}17$ and a SSI(Scale for Suicidal Ideation) score of ${\geq}9$ in the self-help group were interviewed until theoretical saturation. Data were analyzed based on the Grounded theory method. Results and Contribution: Depressed elderly recognized the importance of being the center of their lives through interactions with peer groups and they started to embrace their lives. Further studies: Empirical studies on positive interactions with peer groups affecting the adjustment experience of depressed elderly should be expanded and continued.

Overview of Biliary Atresia (담도폐쇄증의 개요)

  • Tae Yeon Jeon
    • Journal of the Korean Society of Radiology
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    • v.83 no.5
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    • pp.979-990
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    • 2022
  • Biliary atresia is a progressive, idiopathic, obliterative disease of the extrahepatic biliary tree that presents with biliary obstruction in the neonatal period. It is the most common indication for liver transplantation in children. If untreated, progressive liver cirrhosis leads to death by two years of age. Nowadays, more than 90% of biliary atresia patients survive into adulthood with the development of Kasai portoenterostomy and liver transplantation technology. Early diagnosis is critical since the success rate of the Kasai portoenterostomy decreases with time. This study comprehensively reviews the recent advances in the etiology, classification, prevalence, clinical manifestations, treatment, and prognosis of biliary atresia.

당뇨병과 비만

  • 김성래
    • The Monthly Diabetes
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    • s.148
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    • pp.16-17
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    • 2002
  • 비만과 관련된 질환은 당뇨병, 고혈압, 고지혈증, 죽상경화증(동맥경화증), 심근경색증, 지방간, 담석증, 골 관절염, 통풍, 폐쇄성 수면 무호흡증, 대장암, 직장암, 전립선암, 유방암, 자궁내막암 등의 각종 암, 불안, 우울, 적응장애, 히스테리 등의 심리적 질환 등이 있다. 비만이 있을 때 우리 몸에서는 인슐린 자체에 대한 저항성이 생겨서 말초조직에서의 포도당 이용이 감소된다. 연구에 의하면 표준체중의 45$\%$ 이상을 초과한 비만환자는 당뇨병 발생의 위험도가 30배 증가된다고 알려져 있다. 비만이 있을 때 흔히 동반되는 질환들 중 특히 고혈압, 고지혈증, 죽상경화증 등의 질환은 당뇨가 있을 때 흔히 동반될 수 있는 질환들이고, 인슐린 저항성과 깊은 관계가 있는 질환들로 당뇨인들에게 비만은 매우 중요한 질환이라고 할 수 있겠다.

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The Therapeutic Implications of Alexithymia in Patients with Eating Disorders (식이장애 환자에서 나타나는 감정표현불능증의 치료적 함의)

  • Kim, Seung-Jun
    • Korean Journal of Psychosomatic Medicine
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    • v.24 no.1
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    • pp.54-60
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    • 2016
  • Alexithymia is characterized by difficulties identifying and describing feelings, impoverished fantasy life, and concrete and poorly introspective thinking. Alexithymic patients have been reported to show a stable deficit with regard to processing and regulating emotions. Eating disorders are characterized by a persistent disturbance of eating or eating-related behavior that significantly impairs physical health or psychosocial functioning. Like alexithymic patients, patients with eating disorders show the impaired capacity to process and regulate emotions. There is a robust body of literature showing patients with eating disorders are more alexithymic than healthy controls. Specifically, patients with eating disorders experience difficulties identifying and describing emotions. Childhood maltreatment can increase the risk for depression and alexithymia, which can in turn lead to disordered eating symptoms. Also, higher levels of alexithymia are correlated with a less favorable clinical outcome in patients with eating disorder. Therefore, treatments to help processing and regulating emotions of eating disorder patients with pronounced alexithymic traits may seem to lead to a higher possibility of recovery.

A Study of Reliability and Validity on the Korean Version of Social Adaptation Self Rating Scale(SASS) (한국어판 사회적응자기평가척도(SASS)의 신뢰도 및 타당도 연구)

  • Kim, Hyeong-Seob;Kim, Yong-Ku;Yoon, Choong-Han;Jeong, Han-Yong;Cheong, Young-Ki
    • Korean Journal of Psychosomatic Medicine
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    • v.8 no.2
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    • pp.212-227
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    • 2000
  • This study was designed to testify the reliability and validation on the Korean version of the Social Adaptation Self-rating Scale(SASS) which was developed from Bose et al. for the evaluation of social motivation and behavior of depressed patients in 1997. Interests for the social world, those of social functioning, of patients were involved in the addition of new measure of disturbance. And those were distinct from abnormalities of thought, mood and symptoms of patients with major depression. As the previous reports there were several evidences that treatments may be less likely to be effective if the system they act on is dysfunctional. Thus, a better social situation favoured better outcome. As a matter of fact, however, those reports were developed in the course of the evaluation of interpersonal therapy(IPT) and cognitive therapy. Accordingly the conversed question -whether pharmacological therapy with antidepressants can impact on social functioning in addition to addressing the core features of illness- has been addressed. To date, anyhow, it is accepted that enhancement of social functioning may be a therapeutic principle in its own right and illness rarely divorced from social context. In terms of those concepts the introduction of an assessment of social functioning into pharmacotherapeutic studies of depression has been welcomed and might be a potent instrument for evaluating the relative pharmacoeconomic benefits of different treatments. Despite of many scales which were applied for the evaluation of symptoms in the patients with depression, however, the scale for the evaluation of social functiong has not been introduced in Korea yet. Thus, this study was designed to introduce the concepts of social functioning in the patients with depression and to testify the reliability and validation on Korean version of SASS. This Korean version of SASS was submitted to a reliability and validation procedure based on the data from healthy general population survey in 291 individuals and 40 patients with major depression. Cronbach a was 0.790 in total subjects group and the correlation of test-retest was statistically significant(y=0.653, p<0.0l). Thus, the Korean version of SASS might be shown to be valid and reliable. The results of multivariate analyses allowed the identification of 3 principle factors(factor 1 = intersts in social activities, factor 2 = active interpersonal relationship, factor 3 = selfesteem) in normal group, however, it could be counted as only one factor in the depression group because nearly total items of SASS were involved in factor 1. In the view of these results, the Korean version of SASS may be useful additional tool for the evaluation of social functioning in depression.

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국제결혼이민자의 적응과 정신건강

  • Jeong, Gi-Seon;Han, Ji-Eun
    • Korea journal of population studies
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    • v.32 no.2
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    • pp.87-114
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    • 2009
  • 본 연구는 한국인과 결혼하여 국내에 살고 있는 남녀 국제결혼이민자들이 한국 사회에 적응하는 과정에서 겪게 되는 문화적응스트레스와 정신건강(심리적 안녕감)과의 관계를 분석하였다. 본 연구에서는 결혼이민자들의 문화적응 과정을 스트레스유발 생애사건으로 간주함에 따라 이 과정에서 겪게 되는 다양한 스트레스(원)들이 정신건강에 미치는 영향을 분석하는데 초점을 맞추었다. 경기도에 거주하는 여성결혼이민자 810명과 남성결혼이민자 203명을 대상으로 한 설문조사 자료 분석결과, 여성결혼이민자와 남성결혼이민자 모두가 결혼이주를 하면서 기대했던 생활수준 향상의 욕구가 충족될수록, 경제적 문제로 인한 스트레스를 덜 받을수록, 부부관계가 긍정적일수록, 또한 신체적으로 건강한 상태를 유지하는 사람들일수록 심리적 적응수준이 높은 것으로 나타났다. 반면, 여성결혼이민자는 특히 가족생활적응과 관련한 스트레스가 낮을수록 심리적 적응수준이 높은 것에 비해, 남성결혼이민자의 심리적 적응수준은 직장과 관련한 스트레스에 더 민감하게 반응하는 것으로 밝혀졌다.

Palliative Radiotherapy (증상완화목적의 방사선치료)

  • Lee, Chang-Geol
    • Journal of Hospice and Palliative Care
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    • v.12 no.1
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    • pp.1-4
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    • 2009
  • The aim of palliative radiotherapy (RT) is to control cancer-related local symptoms with minimal radiation reaction. About one third of all radiation treatments are given with palliative intent. Indications for RT in symptom palliation are as follows: Pain from bone metastasis, pressure symptom from brain and spinal cord, obstruction of bronchus, esophagus, superior vena cava and malignant cancer bleeding from bronchus, urinary tract, uterine cervix and rectum. In hospice palliative care, RT is very effective for symptom palliation and improvement of quality of life without influence on survival.

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All-Inside Meniscal Repair (All-Inside 반월연골판 봉합술)

  • Choi, Nam-Hong;Kim, Byeong-Yeon
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.12 no.1
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    • pp.8-15
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    • 2013
  • Although total meniscectomy had been performed as a treatment of meniscal tear, many published articles reported progression of the degeneration process in the articular cartilage and development of the osteoarthritis after meniscectomy. With the increased knowledge of the biomechanical properties of the meniscus, meniscal repair has been performed increasingly to maintain the important functions of the meniscus. Outside-in, inside-out, all-inside technique have been used as meniscal repair methods. In this review, indications, operative technique, and outcomes of the all-inside meniscal repair are discussed.

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