• Title/Summary/Keyword: Integrative program

검색결과 499건 처리시간 0.025초

알코올 사용장애 환자를 대상으로 시행된 인지행동치료에 대한 연구의 통합적 문헌고찰 (An Integrative Review of Cognitive Behavioral Therapy for Patients with Alcohol Use Disorder)

  • 류소임;권태균;노은영;김유나
    • Perspectives in Nursing Science
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    • 제15권1호
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    • pp.29-40
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    • 2018
  • Purpose: The present study aimed to review the characteristics of cognitive behavioral therapy (CBT) programs for alcohol use disorders and to examine the outcomes of such programs. Methods: We searched for domestic and foreign studies that implemented a CBT program for alcohol use disorders, published from 2006 to 2017. Studies that met inclusion/exclusion criteria were selected and a quality assessment was performed using the Risk of Bias (RoB) and Risk of Bias Assessment Tool for Nonrandomized Studies (RoBANS) instruments. We utilized a five-stage analysis process, through which nine experimental studies were selected. Results: Of these nine studies, four were randomized controlled trials, four used a quasi-experimental design, and one used a qualitative design. The CBT involved the three domains of cognitive reconstruction, problem solving, and coping. Coping with drinking situations and communication constituted most of the sessions. The outcomes of such interventions showed that CBT had a positive effect on alcohol use and self-evaluation. Conclusion: CBT is an effective way to change alcohol use behaviors, motivation, interpersonal relationships, emotional control, and self-efficacy among patients with alcohol use disorders. This study provides evidence for the effectiveness of CBT-based programs for the treatment of alcohol use disorders.

Identification of Species and Sex of Korean Roe Deer (Capreolus pygargus tianschanicus) Using SRY and CYTB Genes

  • Han, Sang-Hyun;Cho, In-Cheol;Lee, Sung-Soo;Tandang, Leoncia;Lee, Hang;Oh, Hong-Shik;Kim, Byoung-Soo;Oh, Moon-You
    • Animal cells and systems
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    • 제11권2호
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    • pp.165-168
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    • 2007
  • The nucleotide sequences of a male-specific marker sex determining region Y (SRY) gene and a mitochondrial cytochrome B (CYTB) gene were characterized and analyzed to establish a molecular method for identification of species and sex of Korean roe deer (Capreolus pygargus tianschanicus). Similarity search result of SRY sequences showed very similar result to those reported in Moose (Alces alces) and Reindeer (Rangifer tarandus), both of which had 95.9% similarity in identity. CYTB genes were very similar to those reported in Siberian roe deer (C. pygargus pygargus) which had 98.6% similarity and not to European roe deer (C. capreolus), suggesting that the DNA samples tested were of Siberian roe deer lineage. Polymerase chain reaction (PCR)-based sex typing successfully discriminated between carcasses of male and female roe deer. Males had SRY band on agarose gels and females did not. The result of this molecular sex typing provided similar information with that obtained by genital organ observation. Therefore, this molecular method using male specific marker SRY and mitochondrial CYTB genes would be very useful for identification of the species and sex of the carcass remains of roe deer.

형식 교육과 비형식 학습 경험을 통합한 스마트 프로젝트학습 활동 개발 및 적용 (The Development and Implementation of Smart Project Learning that Integrates Formal Education with Informal Learning)

  • 조미헌;허희옥;강의성;류숙희;김용대;서정희
    • 정보교육학회논문지
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    • 제17권3호
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    • pp.291-304
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    • 2013
  • 본 연구는 미래의 교육 환경과 방법의 변화를 고려하여, 학교에서 이루어지는 형식 교육과 학교 밖에서 이루어지는 비형식 학습 경험의 통합과 각종 스마트 기기의 활용을 기반으로 한 프로젝트 활동을 개발하고, 전문가의 검토를 받아 수정한 후 이를 현장에 적용하여 적용 가능성을 타진하였다. 효과적인 학습을 위해 스마트 테크놀로지를 이용한 프로젝트 과정, 과정별 교수 학습 활동 및 관련 지원 자료들을 개발하고 이를 패키지로 구성하였다. 개발한 프로젝트학습 활동과 지원 자료는 서울시 소재 한 초등학교 5학년 학생 18명을 대상으로 시범적용을 하였다. 시범적용 결과는 관찰, 면담, 학습 과정 및 결과물 평가를 통하여 분석되었고, '프로젝트 활동 전반', '학습 자료와 도구' 그리고 '비형식 학습 경험'과 같은 측면에서 분석되었다. 분석 결과를 종합하여, 통합적 경험을 위한 프로젝트 활동을 도입할 때 고려할 사항들을 제안하였다.

통합적 고찰과 키워드 분석을 이용한 최근 10년(2008-2017) 동안의 국내 중환자간호 연구 동향 분석 (A Study of the Trends in Korean Nursing Research on Critical Care in the Last 10 Years (2008-2017) Using Integrated Review and Key Word Analysis)

  • 강지연;김수경;조영신;고현영;백지현;이수진
    • 중환자간호학회지
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    • 제11권2호
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    • pp.75-85
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    • 2018
  • Purpose : The purpose of this study was to examine the possible direction of critical care nursing research in the future by analyzing the trends of recent Korean studies. Method : Using a database search, we selected 263 articles on critical care nursing that were published in Korean journals between 2008 and 2017. Then, we conducted an integrative review of the contents of the selected articles and analyzed the English abstracts using the relevant packages and functions of the R program. Results : The number of studies concerning critical care nursing has increased over the 10-year period, and the specific topic of each study has diversified according to the time at which it was conducted. In terms of quality, the majority of the research was published in high-level academic journals. The key words regularly studied over the past decade were: knowledge, delirium, education, restraint, stress, and infection. Studies related to vancomycin-resistant enterococci infection, compliance, and standards have decreased, while studies related to death, communication, and safety have increased. Conclusion : Randomized controlled trials and protocol research for evidence-based critical care need to be conducted, as does research on family involvement. The key word analysis of unstructured text used in this study is a relatively new method; it is suggested that this method be applied to various critical care nursing research and develop it methodologically.

췌장암 한의 임상진료지침 개발 예비 연구 (Preliminary Study for Development of Korean Medicine Clinical Practice Guideline for Pancreatic Cancer)

  • 박수정;유화승;유준상
    • 대한암한의학회지
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    • 제22권1호
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    • pp.1-11
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    • 2017
  • Objectives: The purpose of this study is to investigate preliminarily for development of the Korean medicine clinical practice guideline (CPG) for pancreatic cancer through the analysis of existing CPGs. Methods: Through searching the medical database such as Pubmed, SCOPUS, CNKI, Google Scholar, etc. The global CPGs within recent three years were collected and analyzed. In particular, recommendations related to the Korean medicine or Chinese medicine were made primarily in the Guidelines of Diagnosis and Therapy in Oncology with Traditional Chinese Medicine. Results: The six CPGs were mentioned in this study. The academic societies and organizations developing the CPGs were located in China, Japan, Europe and America. The contents of the CPGs were the clinical questions and statements, surgical therapy, adjuvant therapy, radiation therapy, chemotherapy, palliative medicine, risk assessment, palliation and supportive care, follow-up and recurrence, Tumor-Node-Metastasis (TNM) staging. In the Guidelines of Diagnosis and Therapy in Oncology with Traditional Chinese Medicine, the etiology, mechanisms, herbal drugs, Chinese medicine assessment, complication, syndrome differentiation (SD), Chinese medicine treatment were described. Conclusions: In order to develop the proper Korean medicine CPG for pancreatic cancer and to adapt the correct integrative treatment program on the pancreatic cancer, institutional arrangements for cooperation with Korean medical communities and standardization of SD should be performed.

일본 의과대학에서의 전통의학 교육의 현황 조사연구 (Education for a Traditional Medicine in Medical Schools in Japan)

  • 명예슬;안수연;손창규
    • Korean Journal of Acupuncture
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    • 제33권1호
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    • pp.12-17
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    • 2016
  • 목적 : 본 연구는 일본 의과대학에서의 전통의학의 교육 현황에 대한 개괄적 정보를 생성하기 위함이다. 방법 : 연구자들은 그 동안의 발표된 논문을 비롯한 일본 의과대학에서 웹사이트에 공지된 내용 및 각 의과대학의 행정부서와의 전자메일을 통해서 취득한 정보를 통하여 전통의학 교육에 대한 분석을 하였다. 결과 : 2001년 일본 문부성이 의과대학생의 전통의학에 대한 교육의 당위성을 고지한 이후에, 대부분의 일본의 의과대학에서는 전통의학의 과목을 신설하기 시작하였다. 본 연구에서 자세한 정보를 확보한 의과대학의 전통의학 교육에 대한 분석 결과, 약 90%의 일본 의과대학에서 정규과목으로서 전통의학 관련 교육을 실시하고 있었다. 교육내용은 대부분이 전통의학 개론에 대한 것으로, 61.9%가 4학년 학생들에게 실시되고 있으며, 평균 강의시간은 $16.2{\pm}8.8$ 시간이었다. 결과 : 본 연구의 결과는 향후 한국한의학의 국제화를 비롯한 대외적 경쟁력 확보 전략의 수립에 중요한 기초자료로 활용되길 기대한다.

만 45세 이상 성인을 대상으로 한 안면형상진단의 담체(膽體)·방광체(膀胱體)와 체질량지수의 연관성 연구 (The Study of the Relation Between the Body Mass Index and the Dam-Bangkwang Body of Hyung-Sang Medicine in Patients over 45 Years of Age)

  • 장영우;윤영주;권정남
    • 대한한의학회지
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    • 제36권3호
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    • pp.65-72
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    • 2015
  • Objectives: Shape of face has relations with body shape and body weight in the Korean medicine. We investigated a correlation between a body mass index (BMI) and Dam-Bangkwang Body of Hyung-Sang medicine. Methods: The subjects were 244 adults aged from 45 to 64. A facial shape diagnostic equipment was used to classify Bangkwang Body or Dam Body. Statistical analyses were performed with the SPSS program to compare the correlation of BMI in each group. Results: We measured BMIs of the subjects who have Dam Body or Bangkwang Body which ranges were $22.53{\pm}2.83$ and $24.43{\pm}2.90$, respectively. The BMIs of Dam body subjects were significantly higher than those of Bangkwang Body subjects statistically (P<0.001). In order to verify our hypothesis, we also speculated BMIs of the obese with a BMI over 25. The BMIs of Bangkwang Body subjects were also higher than those of Dam Body subjects (P=0.001). With the width of the face of all subjects, we found that Bangkwang Body subjects whose the width of the face was relatively long had higher levels of BMI and obesity than Dam Body subjects whose height of the face was relatively long. Conclusions: The BMI of the Bangkwang Body is statistically higher than the Dam Body.

요크셔테리어에서 발생한 난소의 Granulosa cell tumor (Granulosa Cell Tumor of Ovary in a Yorkshire terrier Dog)

  • 성주헌;유종현;강병택;박철;정동인;박종임;박희명
    • 한국임상수의학회지
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    • 제24권1호
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    • pp.38-41
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    • 2007
  • 12년령의 중성화되지 않은 암컷 요크셔 테리어가 점진적인 복부 팽만을 주증상으로 내원하였다. 종괴는 방사선 검사, 초음파 검사를 통해 우측 상복부에 위치한 여러 분엽으로 나뉘어진 무에코성의 낭성 구조물로 확인되었다 이 환축은 난소자궁적출술을 받았고 절제된 검체는 조직학적으로 평가되어졌다. 종괴는 육안 및 조직학적 소견을 토대로 악성 과립층세포종양 (malignant granulosa cell tumor)로 확진 되었다. 개는 1년이 지난 지금까지 특이한 합병증 없이 성공적으로 관리되어져 오고 있다.

유즙내에서 메티실린 내성을 지닌 젖소 유방염 주요 원인균에 대한 항생제와 EDTA-Tris의 병합의 효과 (The Effect of Antibiotics in Combination with EDTA-Tris on the Methicillin-Resistant Major Pathogens of Bovine Mastitis in Milk)

  • 유종현;박희명
    • 한국임상수의학회지
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    • 제25권5호
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    • pp.346-354
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    • 2008
  • The combined effects of EDTA-Tris and eighteen antimicrobial agents have been evaluated in eight clinically isolated methicillin-resistant bacteria (Staphylococcus aureus, Escherichia coli, Streptococcus uberis and Streptococcus agalactiae) from bovine mastitis. The antimicrobial activity was evaluated by measuring the minimal bactericidal concentration (MBC) for the antibiotics alone or in combination with EDTA-Tris in Mueller-Hilton broth and milk. Combined use of EDTA-Tris and antibiotics potentiated or antagonized activity of antibiotics against mastitic pathogens. Milk increased the antibiotic potency of erythromycin and spiramycin on S. aureus. Culture in milk changed patterns of EDTA-Tris combinational effects compared with that in standard Mueller-Hilton broth. Combined with EDTA-Tris in milk, synergic effects were observed in colistin, dihydrostreptomycin, kanamycin, erythromycin, gentamycin, oxytetracycline, streptomycin to E. coli, Str. uberis, and Str. agalactiae. However, significant antagonistic effects of milk on antibiotic susceptibility in combination with EDTA-Tris were noted in neomycin, streptomycin, penicillin, roxithromycin, and amoxicillin. This study indicates that combination therapy of EDTA-Tris with antibiotics in bovine mastitis should be used with caution because of the possible antagonistic effects of antibiotic combination with EDTA-Tris on mastitic pathogens. In addition, antibiotic susceptibility test in combination with EDTA-Tris in milk culture condition can be benefit in search of effective treatment regimen for some antibiotic-resistant bacteria of mastitis.

원직장복귀 및 재취업 산재근로자의 재활서비스 욕구가 일상생활만족도에 미치는 영향 : 자기효능감의 매개효과 (Effects of the Need for Rehabilitation Services on the Daily Life Satisfaction of Returned-to-Work and Reemployed Injured Workers : Mediating Effects Self-Efficacy)

  • 김승완
    • 융합정보논문지
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    • 제10권7호
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    • pp.194-206
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    • 2020
  • 본 연구의 목적은 재활서비스 욕구 및 자기효능감을 통하여 원직장복귀 및 재취업 산재근로자의 일상생활만족도 증진 방안을 마련하는 것이다. 본 연구의 대상은 산재보험패널조사 1차 코호트 1~5차년도 조사에 참여한 원직장복귀자 2,642명, 재취업자 3,742명이다. 분석방법으로 매개회귀분석과 부트스트래핑을 실시하였다. 연구결과 재활서비스 욕구는 자기효능감과 일상생활만족도에 부(-)의 영향을 미쳤다. 자기효능감은 일상생활만족도에 정(+)의 영향을 미쳤으며, 재활서비스 욕구와 일상생활만족도 사이에서 매개역할을 하였다. 이러한 결과를 바탕으로 개별 맞춤형 욕구 분석을 통한 사회심리재활프로그램의 고도화와 통합적 재활프로세스의 구축 등이 필요함을 제언하였다.