• Title/Summary/Keyword: Focused distraction

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Solution Method of Hypochondriasis through Focused Distraction (집중산만 전략을 활용한 건강염려증의 해소 방안 -인지치료적 접근-)

  • Joseph Jeon
    • Industry Promotion Research
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    • v.8 no.4
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    • pp.229-239
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    • 2023
  • This research as a literature study is to clarify solution method of hypochondriasis through focused distraction. Hypochondriasis is called by various terms such as somatization symptoms, health anxiety, illness phobia, illness anxiety disorder, hypochondriacal disorder, hypochondriacal neurosis, and hypochondria personality disorder. Hypochondria is basically a factor that causes worry, fear, anxiety, and even phobia, lowering the quality of life at home, work, and society. As the quality of life of individuals is decreasing, the field of counseling psychology and psychological counseling has the task of solving this problem and restoring psychological peace. Accordingly, this study is an attempt to explore the symptoms of hypochondria by using the distraction strategy among cognitive strategies as a way to resolve the condition. Focused distraction strategy can be said to be a kind of cognitive 'avoidance strategy'. Focused distraction strategy is a way to avoid being overly focused on one's health. In addition, it weakens health concerns by 'dispersing' or 'distracting' the 'attention' focused on health in another direction.

Coping and Quality of Life in Turkish Women Living with Ovarian Cancer

  • Tuncay, Tarik
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.9
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    • pp.4005-4012
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    • 2014
  • Background: This study investigated the utilization of both problem and emotion focused coping strategies and their association with aspects of quality of life among Turkish women with ovarian cancer undergoing chemotherapy. Materials and Methods: The convenience sample consisted of 228 patients in all disease stages. The data were collected using the brief COPE, QOL-Cancer patient tool, sociodemographic sheet, and medical variables were gathered from patients' medical charts. Results: Findings reveal that quality of life is moderately high for this group of cancer patients, despite some specific negative facets of the illness and treatment experience. Acceptance, emotional support and religion were the most frequently used problem-focused coping strategies and self-distraction, venting and behavioral disengagement were the most frequently used emotion-focused coping strategies reported by patients. Overall quality of life and, particularly, psychological and spiritual well-being scores of younger patients were lower. Patients reported using significantly more problem-focused coping than emotion-focused coping, and more problem-focused and less emotion-focused coping predicted greater quality of life. Problem-focused coping was related to patients' physical and spiritual well-being and emotion-focused coping was related inversely with psychological and social well-being. Conclusions: Coping strategies are influential in patient quality of life and their psychosocial adaptation to ovarian cancer. Psycho-oncology support programs are needed to help patients to frequent use of problem-focused coping and reduce emotion-focused coping strategies to improve overall quality of life.

Research Trends on Chuna Treatment in Korean Medicine - Focused on Type of Clinical Trails, Published Year, Academic Journals and Treatment Technique for Each Used Parts (추나 치료에 대한 국내 연구 동향 - 임상논문의 종류, 발표 년도, 학회지, 부위에 따른 술기 중심으로)

  • Hwang, Man-Suk;Cho, Hyun-Woo;Lee, Hyeon-Yeop;Heo, Kwang-Ho;Hwang, Eui-Hyoung;Shin, Mi-Suk;Shin, Byung-Cheul
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.8 no.1
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    • pp.49-61
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    • 2013
  • Objectives: The aim of this study was to analyse the domestic trends of Chuna treatments techniques in Korean literature. Methods: We searched the clinical trials on Chuna treatments through both electronic search(used keyword 'chuna') and hand search in 3 Korean web databases(OASIS, NDSL, RISS) and 4 related journals(The Journal of Korea CHUNA Manual Medicine for Spine & Nerves, Journal of Oriental Rehabilitation Medicine, The Journal of Korean Acupuncture & Moxibustion Society, Journal of Korean Medicine Society). All relevant clinical trials were selected and extracted to be analyzed according to their published year, journals, types of study, used techniques. Results: The number of the clinical studies tends to increase every year. The studies on Chuna treatments were mainly published in The Journal of Korea Chuna Manual Medicine for Spine & Nerves. In case of types of study, case reports and case series were predominant. The most frequently adopted techniques of Chuna in studies were flexion distraction technique for lumbar spine and JS supine position cervical spine distraction. Conclusions: Through the results of this study, we hope that the more qualitative education could be conducted by strengthening the techniques which often used. Also analysis of the reason of rarely used techniques should be conducted and the modification or developing techinques should be followed as a counter measures. As applying more rigorous methodology, more qualitative evidence based Chuna studies should be conducted in future clinical research.

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A Research on the Waiting and Resting Behaviors of Children in the Outpatient Clinic of a Children's Hospital - Focused on the Comparative Analysis between Children with and without Disabilities - (어린이병원 외래진료부 이용자의 대기 및 휴게행태 연구 - 장애 및 비장애 어린이의 비교 분석을 중심으로 -)

  • Cho, Min-Jung
    • Journal of the Architectural Institute of Korea Planning & Design
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    • v.33 no.12
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    • pp.41-52
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    • 2017
  • This study investigates the waiting and resting behaviors of children within a restorative healthcare facility design. In particular, the aim is to compare children with and without disabilities and reveal similarities and differences in terms of their behavioral characteristics and uses of design facilities, related to positive distraction, for restoration in the hospital. Three major common spaces for outpatients in S children's hospital in Seoul were examined including the main lobby and two waiting and resting spaces in the pediatric and rehabilitation medicine departments, respectively. A total of 155 children under the age of 12-67 with physical disabilities and 88 without-were observed while they waited and rested at the three spaces before or after doctors' examination. Basic demographic information and waiting and resting behavioral characteristics were compared between the two groups. The results indicated that the disabled children were more restricted in terms of space, facilities used, and social behaviors. However, regardless of disabilities, the children showed more positive distractions related to cognitive and social behaviors in areas where restorative design elements such as an aquarium, garden, or visual images were available. Based on the results, design implications were discussed to strengthen positive distraction behaviors in children with and without disabilities and to foster the restorative quality of the spaces for waiting and resting in the children's hospital.

The Hazardous Expressway Sections for Drowsy Driving Using Digital Tachograph in Truck (화물차 DTG 데이터를 활용한 고속도로 졸음운전 위험구간 분석)

  • CHO, Jongseok;LEE, Hyunsuk;LEE, Jaeyoung;KIM, Ducknyung
    • Journal of Korean Society of Transportation
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    • v.35 no.2
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    • pp.160-168
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    • 2017
  • In the past 10 years, the accidents caused by drowsy driving have occupied about 23% of all traffic accidents in Korea expressway network and this rate is the highest one among all accident causes. Unlike other types of accidents caused by speeding and distraction to the road, the accidents by drowsy driving should be managed differently because the drowsiness might not be controlled by human's will. To reduce the number of accidents caused by drowsy driving, researchers previously focused on the spot based analysis. However, what we actually need is a segment (link) and occurring time based analysis, rather than spot based analysis. Hence, this research performs initial effort by adapting link concept in terms of drowsy driving on highway. First of all, we analyze the accidents caused by drowsy in historical accident data along with their road environments. Then, links associate with driving time are analyzed using digital tachograph (DTG) data. To carry this out, negative binomial regression models, which are broadly used in the field, including highway safety manual, are used to define the relationship between the number of traffic accidents on expressway and drivers' behavior derived from DTG. From the results, empirical Bayes (EB) and potential for safety improvement (PSI) analysis are performed for potential risk segments of accident caused by drowsy driving on the future. As the result of traffic accidents caused by drowsy driving, the number of the traffic accidents increases with increase in annual average daily traffic (AADT), the proportion of trucks, the amount of DTG data, the average proportion of speeding over 20km/h, the average proportion of deceleration, and the average proportion of sudden lane-changing.

Vehicle HUD's cognitive emotional evaluation - Focused on color visibility of driving information (차량용 HUD의 인지적 감성 평가 -주행정보의 색채 시인성을 중심으로-)

  • Choi, Won-Jung;Lee, Won-Jung;Lee, Seol-Hee;Park, YungKyung
    • Science of Emotion and Sensibility
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    • v.16 no.2
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    • pp.195-206
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    • 2013
  • The main causes of traffic accidents while driving a car is of the driver's visual distraction. In this study, the color sensitivity of the information projected on the windshield were evaluated for HUD (Head Up Display) system which helps the driver's eyes on the road while driving. The driving Information were projected $9^{\circ}$ downward from front sight $0^{\circ}$ under lab's fluorescent lights, LED floorlights and the TV had having 25 [lux] illumination when driving at night environment and 100,000 [lux] of daylight environment. Munsell color hue of the basic five colors (R, Y, G, B, P) and the color of traffic lights YR, W were the color of the seven characters, each character were outlined by White, Gray except for W. Total of 19 experimental stimuli was shown in the environment of day and night driving for asking visibility information of color, fatigue, preferences, and evaluate the degree of interference. The results came out that the bright Y and G color is visibility significantly for daylight. Second, with the outline of the text, the color of the outline works as a background for luminance contrast effects and affects visibility. Third, without the outline, the glass in front of the vehicle acts as the background and the luminance contrast of characters achieve greater brightness and visibility. The luminance contrast between the stimuli and background should be considered for increasing color visibility for driving information which is an important factor for HUD commercialization.

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Current Treatment of Tibial Pilon Fractures (경골 천정(pilon) 골절의 최신 치료)

  • Lee, Jun-Young
    • Journal of Korean Foot and Ankle Society
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    • v.15 no.2
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    • pp.51-57
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    • 2011
  • Pilon fractures involving distal tibia remain one of the most difficult therapeutic challenges that confront the orthopedic surgeons because of associated soft tissue injury is common. To introduce and describe the diagnosis, current treatment, results and complications of the pilon fractures. In initial assessment, the correct evaluation of the fracture type through radiographic checkup and examination of the soft tissue envelope is needed to decide appropriate treatment planning of pilon fractures. Even though Ruedi and Allgower reported 74% good and excellent results with primary open reduction and internal fixation, recently the second staged treatment of pilon fractures is preferred to orthopedic traumatologist because of the soft tissue problem is common after primary open reduction and internal fixation. The components of the first stage are focused primarily on stabilization of the soft tissue envelope. If fibula is fractured, fibular open reduction and internal fixation is integral part of initial management for reducing the majority of tibial deformities. Ankle-spanning temporary external fixator is used to restore limb alignment and displaced intraarticular fragments through ligamentotaxis and distraction. And the second stage, definitive open reduction and internal fixation of the tibial component, is undertaken when the soft tissue injury has resolved and no infection sign is seen on pin site of external fixator. The goals of definitive internal fixation should include absolute stability and interfragmentary compression of reduced articular segments, stable fixation of the articular segment to the tibial diaphysis, and restoration of coronal, transverse, and sagittal plane alignments. The location, rigidity, and kinds of the implants are based on each individual fractures. The conventional plate fixation has more advantages in anatomical reduction of intraarticular fractures than locking compression plate. But it has more complications as infection, delayed union and nonunion. The locking compression plate fixation provides greater stability and lesser wound problem than conventional implants. But the locking compression plate remains poorly defined for intraarticular fractures of the distal tibia. Active, active assisted, passive range of motion of the ankle is recommended when postoperative rehabilitation is started. Splinting with the foot in neutral is continued until suture is removed at the 2~3 weeks and weight bearing is delayed for approximately 12 weeks. The recognition of the soft tissue injury has evolved as a critical component of the management of pilon fractures. At this point, the second staged treatment of pilon fractures is good treatment option because of it is designed to promote recovery of the soft tissue envelope in first stage operation and get a good result in definitive reduction and stabilization of the articular surface and axial alignment in second stage operation.