This study aimed to look into the effect of sandplay therapy with parent-children on mother-child's attachment security and communication. This study first conducted a scale of attachment security targeting child and mother who is bringing children in the age of 5 to 6 years in two kindergartens located in Seodaemun-gu, Seoul, and composed experimental group and control group of four couples respectively by selecting randomly from eight mother-child couples that received low grades. Sandplay therapy with parent-children was conducted for 12weeks on a weekly basis for 50minutes each. To study the attachment security, we used the Klabsbrun-Bowlby(1976)' Separation Anxiety Test and Mother's attachment scale. In this study, it is Seperated in based on Lee Na Gueng(2001) by functional communication and dysfuctional communication in order to measure changes in communication for situation that may occur during Sand play theraphy and record of observation about changes in each session. Data logging makes watching videos that recorded parent-children sand play therapy every situations. When observes the functional communication or dysfunctional communication between mother and the child, checking the corresponding to each entries, the frequency is recorded and qualitatively analyzed by each sessions. To study mother and child have been enhanced stability of the attachment and the relationship had improved results. Also, in each session the observation of increased functional communication, and dysfunctional communication results appear to reduce in parent-children sand play therapy. As a result, a couple sand play therapy has positive impact to improved the relationship between the mother and the child.
Background: Scapular posterior tilt (SPT) is important in the prevention of abnormal scapular movement and pain during elevation of the arm. However, previous studies have overlooked increased upper trapezius (UT) muscle activity interrupting the normal force couple of scapular motion and compensation of levator scapulae (LS) muscle activated simultaneously with UT during SPT exercise. Objects: The purpose of this study was to compare the effects of modified SPT with depression exercise versus SPT exercise on serratus anterior (SA), lower trapezius (LT), UT, and LS muscle activities and the clavicular tilt angle, in subjects with rounded shoulder posture (RSP) and myofascial pain in the UT muscle region. Methods: Eighteen subjects with RSP were recruited and randomly allocated to 2 groups; 9 in the SPT group and 9 in the SPT with depression group. All subjects met the specific RSP criteria and had myofascial pain of UT region. Depending on the allocated group, subjects performed the assigned SPT exercise and EMG data were recorded during the each exercise. Clavicular tilt angle was defined as the angle between the line joining the medial and lateral end of the clavicle and a horizontal line. Results: The SA muscle activity was significantly greater in SPT with depression than with SPT exercise (p<.05). The UT, LS muscle activity and the clavicular tilt angle was significantly lower in SPT with depression than with SPT exercise (p<.05). Conclusion: These findings were insightful because the potential risk of pain from overactivation of the UT and LS was considered, in contrast with SPT exercise. SPT with depression exercise can be implemented as an effective method to facilitate scapular muscle activity for stability and to prevent myofascial pain in the neck and shoulder.
Kim, Da-eun;Shin, A-reum;Lee, Ji-hyun;Cynn, Heon-seock
Physical Therapy Korea
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v.24
no.1
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pp.61-70
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2017
Background: Scapular winging is a prominence of the entire scapular medial border, mainly caused by insufficient activity of the serratus anterior (SA) and imbalance of scapulothoracic muscles. Push-up plus (PUP) exercise has been commonly used to increase SA muscle activity. The facilitation of abdominal muscle may affect scapular muscle activity by myofascial connections. Thus, the sequential activation of the turnk muscles is suggested to facilitate the transition of proper force from upper limb and restore force couple of scapular muscles. The abdominal drawing-in maneuver (ADIM) has been effective in improving activation of the deep trunk muscles during movement. Objects: The aim of this study was to determine the effect of ADIM on the activity of the upper trapezius (UT), lower trapezius (LT), and SA during PUP exercises in subjects with scapular winging. Methods: Fourteen men with scapular winging (determined as a of distance between the scapular medial border and thoracic wall over 3 cm) volunteered for our study. The subjects performed the PUP exercise with and without ADIM. Surface electromyography was used to collect the electromyography data of the UT, LT, and SA. A scapulometer was used to measure the amount of scapular winging. Results: SA activity was significantly greater and scapular winging significantly lower during the PUP exercise with ADIM than during those without ADIM. Conclusion: PUP exercise with ADIM can be used as an beneficial method to improve SA activation and to reduce the amount of scapular winging in subjects with scapular winging.
The Journal of Korean society of community based occupational therapy
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v.5
no.1
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pp.35-43
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2015
Objective : The purpose of the study is to find the factors affecting a social phenomena of the elderly and suggest a basic data for efficiency of a senior policy and type of the life in Korea. Methods : We refereed to sources from the Korean Statistical Information, the National Pension Service, and the Ministry of Health and Welfare. We also surveyed and analysed the depression and death anxiety among the elderly in 2014. Results : First, most of them were low educated people and family composing a couple. An annual income were average. Second, medical costs were increasing constantly in proportion to the increase of aging population. Third, they had high depression index resulting from negative thinking of the future and themselves. Fourth, the death anxiety level of them were more than moderate and that was about the death of themselves and the process of the death. Conclusion : It is needed to help physical, mental, and social health and improve the quality of the life in the elderly through social program established a variety of special fields like occupational therapy and family support program belonging to the government.
The purpose of this study was to develop the new marital intimacy enrichment program. Some family counselors(or therapists) and 3 couples'interviewees helped to design this program. This program intended to increase couples to understand one's personality, feeling, and behavior each other. For the purpose of it, two psychological theories and two family therapy theories were provided for the base of this program. This program is consisted of 6 sessions that are Sharing, Real Understanding of Our Personalities 1, Understanding of Our Personalities H, Understanding of Our family of Origins and Habits, Understanding of Our Recent Life, and Understanding of Our Feelings, aiming for increasing couple's cognitive, affective, and sexual intimacy.
The biomedical applications of chitosan have been widely researched. FN mediates its biological effects through binding to the hetero-dimeric transmembrane glycoproteins, integrins, which physically couple the cytoskeleton to the ECM. FN binds to the integrin through a consensus site including the Arg-Gly-Asp (RGD) sequence within tenth type III module (Ruoslahti & Pierschbacher 1987). A short sequence Pro-His-Ser-Arg-Asn (PHSRN) has also been identified as a synergistic motif within ninth type III module for binding to ${\alpha}$5${\beta}$1 integrin (Aota et al. 1994). (omitted)
Since 1950s' we have come to take a deep interest in matrimonial communication as the theories of family therapy though communication came to extend. In the rapid changing modem society, especially, the dysfunctional aspect of the communication rather than functional one tends to grow high because married couples who suffer from isolation and solitary in social life want to satisfy their unfilled desire through matrimonial communication and apt to be hurt easily by their attitudes and behaviors. When these discrepancies in dysfunctional aspect take place repeatedly, the conflict between married couple which is bad in their psychological effects go from bad to worse and influence their somatic symptoms. This study was attempted to examine the relationship between dysfunctional communication patterns of married couple and complaint degree of housewives psychosomatic symptoms and to use as basic materials focusing on nursing system centered around family, which aims to reach the family centered culture of Korea. To gain the aims, some surveys were peformed at Seoul, Chinju and some areas of Kyeongki province, and the study materials were collected from 70 wives who were encountered by 12 pastrolists majoring in clinical pastrol of ‘Y’ Theological Graduate School and from neurotic patients of those who visited the internal Medicine depts of 1 university hospital and 4 hospitals ‘J’ city, among whom they used dysfunctional communication pattern in their married life. And data collection was peformed from Feb. 22, 1988 to April 22. In the survey, four types of dysfunctional communication presented by Song Sung-Ja were used as the survey tool. And the complaint degree on Psychosomatic symptoms was measured by the classification according to the complaint degree of housewives's psychosomatic symptoms through pretest after content validity, in which the housewives who dysfunctional communication wert surveyed. To learn matrimonial Communication patterns that have an effect on housewives psychosomatic symptoms in the surveyed.
As a result of the technological advance provided by intracytoplasmic sperm injection (ICSI) in 1992, the evaluation and treatment of the infertile male has changed significantly. Many men who were previously thought to be irreversibly infertile have the potential to initiate their own biologic pregnancy. However, not all men having impaired semen parameter are ideal candidates for ICSI for numerous reasons including a lack of addressing the underlying problem causing the male infertility, unknown genetic consequences, and cost-effectiveness issues. In this era of ICSI, the fundamental approach to the male with suspected subfertility is unchanged and is based on a history, physical examination, and focused laboratory testing. The urologist should approach the patient with an intent to identify remediable causes of subfertility given the specific clinical situation. For instance, should a gentleman have his varicocele repaired or vasectomy reversed, or should he proceed directly with ICSI? If no factors can be improved in a timely manner, then ICSI should be considered using the available sperm. Examples of recent advances include the diagnosis and treatment of ejaculatory duct obstruction, indications and techniques for performing testis biopsy, and technique for sperm harvesting. In addition, potential genetic causes of male subfertility should be diagnosed and discussed with the patient. Cystic fibrosis gene mutation, karyotype abnormallities, and Y-chromosome microdeletions all have recently been identified as causative for male infertility in otherwise phenotypically normal men. With recently evolved diagnostic and therapeutic techniques now available for the infertile couple, even the most severe male factor problems in patients previously considered irreversibly infertile are now potentially treatable. The physician should be aware of the availability and limitations of these new and exciting reproductive technologies because they will allow him to provide timely and more effective therapy for the infertile couple. An understanding of these advances by all physicians is important as we progress into the $21^{st}$ century
Journal of the Korea Society of Computer and Information
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v.26
no.12
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pp.221-226
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2021
This study was examined the effect and the continuity of music therapy for reduce on post-traumatic stress (PTS) in 119 emergency medical technicians (EMTs). The subjects of the study were 42 EMTs in the C area, and the study was conducted from November 25, 2019 to March 1, 2020. The experimental group conducted a total of ten music therapy programs twice a day for five days. The session-specific program was conducted by two music therapists, including the early, mid, late, and closed stages. Each step applied intervention techniques necessary for goals such as improvisation, rhythm making, Nanta, and couple physical activities. The control group was required to take a free break (TV viewing, cell phone games, sleep, exercise, etc.) at the same time as the experimental group's program. The study found that the control group had no difference in PTS before and after the application of music therapy, but the experimental group had a significant decrease in PTS immediately after the application of music therapy and a gradual increase in PTS after 4 and 12 weeks (p<.05). Repetitive music therapy is judged to be an effective way to mitigate the PTS leve for EMTs.
This study deals with a counseling case in which a mother requested counseling due to the problems of her daughter, who suffers from multiple tic disorder. The participants of this study included five family members (grandmother, father, mother and two female children) and a total of 23 sessions were held from September 2006 to December 2007. Additional counseling ($24^{th}$ counseling session) was conducted on April 1st, 2009. The data was based on recorded transcripts and notes from 24 family therapy sessions. The study used a constant comparative analysis, which uses matrix and network display as an analysis method suggested by Miles&Huberman(1994). The characteristics of the family of origin and the indifference of the husband had caused the wife stress. The couple had frequent conflicts due to dysfunctional communication methods, a clash of values, sexual dissatisfaction, and a lack of communication. This marital conflict became the primary factor of the daughter's multiple tic disorder. Intervention of the family therapist resulted in the setting of treatment goals based on MRI's communication theory and Bowen's family systems theory in order to solve the problem of the daughter's multiple tic disorder. Also, the therapist's intervention techniques included exploring experiences with the family of origin, shedding light on the multigenerational transmission process, exploring dysfunctional attempts at solutions, the therapist's self-disclosure, providing similar cases, dealing with resistance, and suggesting a new communication method. To solve the problem, the therapist helped the family separate the daughter spatially from her parents. Therefore, the therapist's intervention helped reduce the daughter's tics and improve relationships among the family.
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