• 제목/요약/키워드: Digital Therapy

검색결과 639건 처리시간 0.022초

병원 형태에 따른 재직자 만족도 비교연구 (Comparison of Job Satisfaction among Employees according to Hospital Type)

  • 김철;김광환;이병권;황혜정
    • 디지털정책학회지
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    • 제1권2호
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    • pp.71-77
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    • 2022
  • 본 연구의 목적은 병원종사자들의 직무만족을 병원 형태별로 분석하여 성공적인 병원운영을 위한 기초자료를 제공하고자 한다. 자료분석은 일반적 특성은 빈도분석과 카이제곱분석을 하였으며 직무환경, 가치실현, 조직특성, 개인 역량 요인 중 통계학적으로 유의한 요인들 간 상관성을 보고자 Kendall's tau 상관분석을 하였다. 연구대상은 1차 의료기관, 2차 의료기관, 3차 의료기관에 근무하는 의료기사 총 241명을 대상으로 실시하였다. 연구결과 가치실현 요인 중 자긍심과 보람(p<0.05), 자율성과 창조성(p<0.05), 개인역량 요인 중 업무량(p<0.05)에 대해 의료기관별 통계적으로 유의한 차이가 나타났다. 직무만족 중 가치실현과 개인역량 요인이 영향을 주는 것으로 나타났다(p<0.001). 결론적으로 병원의 질적 양적인 성장을 위한 가장 기본적인 것은 내부 구성원의 직무만족이 갖추어져야 할 것이며, 이를 바탕으로 환자에 대한 긍정적인 의료서비스가 제공 되어져야 할 것이다.

심리 안정을 지원하는 현존의식 활성화 도구의 효용성 연구 - 자발적 포커스그룹 중심 (An Empirical Study on the Efficacy of Mindfulness Activation Tools for Psychological Stability Support: A Focus on Voluntary Groups)

  • 이중호
    • 문화기술의 융합
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    • 제10권4호
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    • pp.383-388
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    • 2024
  • 본 연구는 자체 개발한 심리안정 지원 모바일 앱인 '현존하세요'의 효용성을 실증하기 위해 자발적 포커스그룹 사용자 관찰을 수행한 것이다. '현존하세요' 앱은 개인이 언제 어디서든 스스로 마음챙김 상태를 활성화할 수 있도록 대화형 게임 형식으로 구성되어 있다. 이는 감각/감정/의식의 3단계 자각 유도 과정으로 구성되어 있으며 탈동일시를 발현하도록 돕는다. 이 현존의식의 활성화 행위가 행복감, 스트레스 감소 등의 정신적 안녕감 향상에 효과가 있음을실증하기 위해 49명의 대학생을 대상으로 자발적인 현존의식 모바일 앱 이용 현황을 추적하였다. 그 결과 60일 이상 지속적으로 앱을 이용하여 현존의식 자각을 수행한 12명의 사용자에게서 14.4%의 SWLS 행복지수 향상과 17.1%의 PSS-10 스트레스 저하가 유의미하게 발견되었다. 특히 앱을 이용하기 전 상대적으로 낮은 지수를 기록한 학생들에게서 높은 앱 사용 참여도가 관찰되었다. 현존의식의 활성화를 돕는 모바일 앱의 활용은 기존 마음챙김 및 명상에 기반한 다양한 치료 기법 패러다임과 맥락을 같이하며 심리안정 지원 디지털치료제 기술 발전에 기여할 수 있을 것으로 기대된다.

FCST 원리를 적용한 TBA-G의 골프 드라이버 헤드 속도와 배근력 영향에 대한 연구 (A Study on the Effect of Golf Driver Head Speed and Back Muscular Strength in TBA-G of FCST)

  • 선승호;박창운;정혜정;안성훈;손인철;이영준
    • 대한한의학회지
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    • 제34권1호
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    • pp.80-88
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    • 2013
  • Objectives: The purpose of this study was to examine the effect of Temporomandibular joint Balance Appliance for Golf (TBA-G) of Functional Cerebrospinal Therapy (FCST) on golf driver head speed and back muscle power. Methods: Twenty-one participants that had a golf career of 4 years or more were involved. We measured golf drive head speed and back muscular strength before and after applying TBA-G in the mouth. A paired t test or Wilcoxon singed rank test was performed to identify the difference of effect between before and after applying TBA-G, using IBM SPSS 19.0. We considered difference significant at P<0.05. Results: Driver head speed increased significantly by 2 mph (1.99%) after applying TBA-G [from $100.52{\pm}9.82$ mph ($mean{\pm}SD$) to $102.52{\pm}10.43$ mph, P<0.001]. Back muscular strength also increased by 7.28 kg (5.60%) [from $129.90{\pm}28.31$ kg to $137.18{\pm}28.81$ kg, P<0.001]. In stratification analysis, a more significant increase was found in the drive head speed and back muscular strength of groups of males with weight more than 69kg, with height more than 175cm, and with golf experience more than 7 years, compared to those of other groups. Conclusions: The results suggest that TBA-G could improve golf drive head speed and back muscular strength.

흉곽출구증후군 환자에 대한 한의학적 통합치료 증례보고 1례 (A Case Report of Thoracic Outlet Syndrome Improved by Integrated Korean Medical Treatment)

  • 이동근;이욱재;이주희;이상현;이정훈;정민성;김재홍
    • Journal of Acupuncture Research
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    • 제31권2호
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    • pp.173-182
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    • 2014
  • Objectives : There are few reports on treatment of thoracic outlet syndrome in the field of traditional Korean medicine. The aim of this study is to report a case of a 29-year-old male patient diagnosed with thoracic outlet syndrome, whose symptoms were relieved after 3-week integrated Korean medical treatment. Methods : A patient diagnosed with thoracic outlet syndrome was admitted into the Korean medicine hospital. The patient had left shoulder pain and left arm numbness. The pain was worse if it had become cold. The patient was treated using Sa-am acupuncture(Daejangseunggyeok), sweet bee venom acupuncture, herbal medicine and other treatment including physical therapy from September 7th to 27th of 2012. Improvement of the patient's symptoms was evaluated by verbal numerical rating scale(VNRS), skin surface temperature difference between the left and right symmetric part of digital infrared thermographic image(DITI). Results : After 3-weeks of treatment, VNRS decreased and skin surface temperature difference between the left and right symmetric part of DITI showed moderate improvement. Conclusions : The results suggest that integrated Korean medical treatment may affect to reduce the symptoms of thoracic outlet syndrome. Further study is needed to evaluate the importance of this report.

전신 원적외선 조사요법(온통요법(溫通療法))의 치료 효과에 대한 적외선 체열 분포와 심박변이도 검사 분석 (Analysis of DITI, HRV about the Effect of Far Infrared Radiation Applied to Whole Body('On-tong Therapy'))

  • 김민영;안지윤;최석영;황덕상;이진무;장준복;이경섭;이창훈
    • 대한한방부인과학회지
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    • 제26권4호
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    • pp.94-106
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    • 2013
  • Objectives: The purpose of this study is to find the effect of Far Infrared Radiation (FIR) about improvement of chief complaints and health state. Methods: For this study we evaluated thermographic images, heart rate variability (HRV), visual analogue scale (VAS) score of 34 patients with various diseases. Tests were done two times, before and after treatments and we compared the test results. We used the temperature difference between CV12 and CV4, both sides of PC8, LR3 for recognizing improvement of blood circulation. We analyzed the change of complexity, stability of autonomic nervous system (ANS) by HRV test. The patients were asked to fill out questionnaire about the severity of symptoms by VAS score. Analyses were undertaken using SPSS ver.12.0.1 and p-value of < 0.05 was considered significant. Results: Statistical analysis shows that Far Infrared Radiation (FIR) had significant efficiency in increasing surface temperature and reducing VAS pain scores. In heart rate variability (HRV) test, LF/HF ratio showed tends to improve. Conclusions: The application of an FIR to whole body appears to alleviate various complaints of patients.

Comparison of the Effectiveness of Ablative and Non-Ablative Fractional Laser Treatments for Early Stage Thyroidectomy Scars

  • Jang, Jin-Uk;Kim, Soo-Young;Yoon, Eul-Sik;Kim, Woo-Kyung;Park, Seung-Ha;Lee, Byung-Il;Kim, Deok-Woo
    • Archives of Plastic Surgery
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    • 제43권6호
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    • pp.575-581
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    • 2016
  • Background Open thyroidectomy is conventionally performed at the anterior side of neck, which is a body part with a comparatively great degree of open exposure; due to this, postoperative scarring may cause distress in patients. We aimed to compare the effects of ablative and nonablative fractional laser treatments on thyroidectomy scars. We examined medical records in a retrospective manner and analyzed scars based on their digital images by using the modified Manchester Scar Scale (mMSS). Methods Between February 2012 and May 2013, 55 patients with thyroidectomy scars were treated with ablative (34 patients) or nonablative (21 patients) fractional laser. Each patient underwent 4 laser treatment sessions in 3-4 week intervals, 1-2 months postoperatively. Scar improvement was assessed using patient images and the mMSS scale. Results The mean decrease in scar score was 3.91 and 3.47 in the ablative and nonablative groups, respectively; the reduction between 2 groups did not exhibit any significant difference (P=0.16). We used the scale once again to individually evaluate scar attributes. The nonablative group accounted for a considerably higher color score value (P=0.03); the ablative group accounted for a considerably higher contour score value (P<0.01). Patient satisfaction was high and no complications occurred. Conclusions Both types of fractional laser treatments can be used successfully for thyroidectomy scar treatment with minimal complications; however, results indicate that higher effectiveness may be obtained from the use of ablative and nonablative lasers for hypertrophic scars and early erythematous scars, respectively. Therefore, the appropriate laser for scar treatment should be selected according to its specific characteristics.

Therapeutic effects of dihydroartemisinin and transferrin against glioblastoma

  • Kim, Suk Hee;Kang, Seong Hee;Kang, Bo Sun
    • Nutrition Research and Practice
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    • 제10권4호
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    • pp.393-397
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    • 2016
  • BACKGROUND/OBJECFTIVES: Artemisinin, a natural product isolated from Gaeddongssuk (artemisia annua L.) and its main active derivative, dihydroartemisinin (DHA), have long been used as antimalarial drugs. Recent studies reported that artemisinin is efficacious for curing diseases, including cancers, and for improving the immune system. Many researchers have shown the therapeutic effects of artemisinin on tumors such as breast cancer, liver cancer and kidney cancer, but there is still insufficient data regarding glioblastoma (GBM). Glioblastoma accounts for 12-15% of brain cancer, and the median survival is less than a year, despite medical treatments such as surgery, radiation therapy, and chemotherapy. In this study, we investigated the anti-cancer effects of DHA and transferrin against glioblastoma (glioblastoma multiforme, GBM). MATERIALS/METHODS: This study was performed through in vitro experiments using C6 cells. The toxicity dependence of DHA and transferrin (TF) on time and concentration was analyzed by MTT assay and cell cycle assay. Observations of cellular morphology were recorded with an optical microscope and color digital camera. The anti-cancer mechanism of DHA and TF against GBM were studied by flow cytometry with Annexin V and caspase 3/7. RESULTS: MTT assay revealed that TF enhanced the cytotoxicity of DHA against C6 cells. An Annexin V immune-precipitation assay showed that the percentages of apoptosis of cells treated with TF, DHA alone, DHA in combination with TF, and the control group were $7.15{\pm}4.15%$, $34.3{\pm}5.15%$, $66.42{\pm}5.98%$, and $1.2{\pm}0.15%$, respectively. The results of the Annexin V assay were consistent with those of the MTT assay. DHA induced apoptosis in C6 cells through DNA damage, and TF enhanced the effects of DHA. CONCLUSION: The results of this study demonstrated that DHA, the derivative of the active ingredient in Gaeddongssuk, is effective against GBM, apparently via inhibition of cancer cell proliferation by a pharmacological effect. The role of transferrin as an allosteric activator in the GBM therapeutic efficacy of DHA was also confirmed.

동작관찰훈련이 만성 뇌졸중 환자의 균형능력에 미치는 영향 (The Effect of Action Observation Training on Balance in Patients with Chronic Stroke)

  • 최효승;남기원
    • 한국산학기술학회논문지
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    • 제15권6호
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    • pp.3759-3765
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    • 2014
  • 본 연구의 목적은 동작관찰훈련이 만성 뇌졸중 환자의 균형능력에 미치는 영향을 알아보고자 실시하였다. 연구기간은 2013년 7월 8일부터 8월 10일까지 수행하였다. 연구대상자들은 무작위로 풍경사진관찰군(n=20)과 동작관찰군(n=20)으로 나누었다. 두 군은 각각 5분 동안 풍경사진 및 균형과 관련된 동작을 동영상으로 관찰하였다. 영상관찰 후, 두 군 모두 10분동안 균형훈련을 받았다. 훈련 세션은 2회 반복하여 하루 30분, 주 3회, 6주 동안 실시하였다. 그 결과, 풍경사진관찰군에 비해 동작관찰군에서 정적 및 동적균형이 유의하게 증가함을 확인할 수 있었다(p<.05). 결론적으로, 동작관찰과 균형훈련의 결합은 만성 뇌졸중 환자의 균형회복에 도움을 줄 것으로 생각된다.

수족냉증 환자 치험 1례 (A Case Report of Cold Sensitivity of Hands and Feet Patient)

  • 조준영;김진우;박경선;이창훈;조정훈;장준복;이경섭;이진무
    • 대한한방부인과학회지
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    • 제24권3호
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    • pp.195-202
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    • 2011
  • Purpose: The purpose of this study is to report the effect of Traditional Korean Medicine(TKM) on cold sensitivity of hands and feet. And we wanted that cold sensitivity of hands and feet was measured objectively and diagnosed definitely using Digital Infrared Thermographic Imaging(DITI). Methods: The patient in this case was a 29-year-old female. The chief complaint was cold sensitivity of hands and feet. We treated her by TKM and evaluated the progress of symptoms by DITI. And then we compared DITI before treatment and after treatment. Results: After TKM treatment, the differences of temperature of hands and feet were decreased on DITI, respectively. Conclusion: TKM treatment is effective on cold sensitivity of hands and feet. And DITI would be valid to measure for treatment's effect of cold sensitivity of hands and feet.

체침과 동씨침을 시행한 요각통 환자 38례의 임상고찰(적외선체열촬영으로 치료효과 비교) (A Clinical Study on the Effects of the Dong-Si Acupuncture treatment for the patients with lumbago(by Analysing Digital Infrared Thermographic Imaging))

  • 진경선;임태형;김종욱;최성용;황우준;도금록;강성도
    • Journal of Acupuncture Research
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    • 제20권2호
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    • pp.204-214
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    • 2003
  • Objective : The purpose of this study is to evaluate clinical effect of oriental treatment for lumbago patients by comparing of Improvement index, Visual analog scale, DITI gap between common acupuncture with Dong-Si acupuncture treatment group and common acupuncture treatment group. Methods : The 38 patients who had a diagnosis of lumbago were observed from June 2002 to February 2003, were divided into two classes ; the A group was 19 cases practised Dong-Si acupuncture with common acupuncture, B group 19 cases only common acupuncture. Then the time of 2 weaks after, I compared Improvement index, Visual analog scale, DITI gap of two groups. Results : In Improvement Index, Group A is $0.4442{\pm}0.1165$ and Group B is $0.3061{\pm}0.1402$. So Group A is thought to be significant(P=0.002). In VAS(visual analogue scale), Group A is $7.4737{\pm}1.1239$ and Group B is $6.3684{\pm}1.0116$. So Group A is thought to be significant(P=0.003). In DITI, temperature differance of Group A is lower than Group B after treatment.

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