• Title/Summary/Keyword: Internal relief

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Reminiscence Reflecting Cultural Background in Korean Older Adults with Dementia: A Concept Analysis (한국치매노인의 문화를 반영하는 회상: 개념분석)

  • Jung, Gi-Jung;Park, Jong-Min;Lee, Guk-Geun;Chong, Mi-Kyong;Sim, Hye-Been;Lee, Jia;Han, Heeyoung
    • Journal of East-West Nursing Research
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    • v.24 no.2
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    • pp.110-118
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    • 2018
  • Purpose: Reminiscence therapy is a widely used intervention for older adults and those with dementia. However, the attributes of the concept of reminiscence is not clearly proposed. The aim of this study was to clarify the concept of reminiscence in Korean older adults with dementia. Methods: The study applied the concept analysis method of Walker and Avant. The literature review included the previous studies of reminiscence from philosophy, literature, art, neuroscience, medicine, psychology, sociology, and nursing. Results: A total of 43 Korean or international papers were analyzed in this study. Attributes of reminiscence in Korean older adults with dementia were regeneration of memories, internal and external communications, expression of suppressed emotions, and recognition of ego identity. The suppressed emotions and ego identity may result from Korean cultural characteristics based on the suppressed environments of many wars and dictatorships in the past. The consequences of reminiscence in Korean older adults with dementia are cognitive enhancement, relief of depression, and improvements of social interactions, ego integrity, and quality of life. Conclusion: The results of this study suggest that the historical and cultural characteristics should be considered to develop effective nursing interventions including reminiscence for Korean older adults with dementia.

Proximal Approach of Ultrasound-guided Suprascapular Nerve Block: Comparison with Subacromial Steroid Injection

  • Bae, Kyu Hwan;Kim, Han Hoon;Lim, Tae Kang
    • Clinics in Shoulder and Elbow
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    • v.22 no.4
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    • pp.210-215
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    • 2019
  • Background: This study was undertaken to evaluate early clinical outcomes of ultrasound-guided suprascapular nerve block (SSNB) using a proximal approach, as compared with subacromial steroid injection (SA). Methods: This retrospective study included a consecutive series of 40 patients of SSNB and 20 patients receiving SA, from August 2017 to August 2018. The visual analogue scale (VAS), American Shoulder Elbow Surgeon's score (ASES), University of California, Los Angeles score (UCLA), the 36 health survey questionnaire mental component summary (SF36-MCS), physical component summary (PCS), and range of motion (forward elevation, external rotation, and internal rotation) were assessed for clinical evaluations. Results: Compared with the baseline, VAS, and ranges of motion in the SSNB group significantly improved at the 4-week follow-up (VAS scores improved from $6.7{\pm}1.6$ to $4.3{\pm}2.4$, p<0.001; all ranges of motion p<0.05), while other variables showed no statistically significant differences. All clinical variables were significantly improved in the SA group (p<0.05). However, all clinical scores at the 4-week follow-up showed no significant difference between groups. Conclusions: Ultrasound-guided SSNB using proximal approach provides significant pain relief at 4-weeks after treatment, with statistically significant difference when compared with SA, suggesting that SSNB using proximal approach is a potentially useful option in managing shoulder pain. However, in the current study, it was less effective in improving shoulder function and health-related quality of life, compared with SA.

Art Therapy Program Proposal for the Elderly with Mild Dementia and Their Spouses (경증치매노인과 배우자를 위한 예술치유 프로그램 제안)

  • Yoon, Ra-Mi;Park, Yun-Mi
    • The Journal of the Korea Contents Association
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    • v.22 no.7
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    • pp.370-383
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    • 2022
  • The purpose of this study is to propose an art healing program that can be used in the field to improve the quality of life and positive interaction between the elderly with mild dementia and their spouses. Therefore, after considering the preceding studies, the art healing program was constructed in five stages: survey-analysis-design-plan-implementation and evaluation based on theoretical discourse. In addition, by pilot application to the elderly with mild dementia and their spouses using the Y Dementia Relief Center, the art healing program provides internal positive resources, strengthens mutually beneficial resources between husband and wife, and improves life satisfaction and happiness by experiencing relationships with neighbors in the local community. was confirmed to be effective. This study is significant in that it proposes an art healing support plan that supports dementia patients and their families together before entering a super-aging society.

Short-term outcomes of two-stage reverse total shoulder arthroplasty with antibiotic-loaded cement spacer for shoulder infection

  • Kim, Du-Han;Bek, Chung-Shin;Cho, Chul-Hyun
    • Clinics in Shoulder and Elbow
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    • v.25 no.3
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    • pp.202-209
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    • 2022
  • Background: The purpose of our study was to investigate short-term outcomes of two-stage reverse total shoulder arthroplasty (RTSA) with an antibiotic-loaded cement spacer for shoulder infection. Methods: Eleven patients with shoulder infection were treated by two-stage RTSA following temporary antibiotic-loaded cement spacer. Of the 11 shoulders, nine had pyogenic arthritis combined with complex conditions such as recurrent infection, extensive osteomyelitis, osteoarthritis, or massive rotator cuff tear and two had periprosthetic joint infection (PJI). The mean follow-up period was 29.9 months (range, 12-48 months) after RTSA. Clinical and radiographic outcomes were evaluated using the visual analog scale (VAS) score for pain, American Shoulder and Elbow Surgeons (ASES) score, subjective shoulder value (SSV), and serial plain radiographs. Results: The mean time from antibiotic-loaded cement spacer to RTSA was 9.2 months (range, 1-35 months). All patients had no clinical and radiographic signs of recurrent infection at final follow-up. The mean final VAS score, ASES score, and SSV were significantly improved from 4.5, 38.6, and 29.1% before RTSA to 1.7, 75.1, and 75.9% at final follow-up, respectively. The mean forward flexion, abduction, external rotation, and internal rotation were improved from 50.0°, 50.9°, 17.7°, and sacrum level before RTSA to 127.3°, 110.0°, 51.8°, and L2 level at final follow-up, respectively. Conclusions: Two-stage RTSA with antibiotic-loaded cement spacer yields satisfactory short-term clinical and radiographic outcomes. In patients with pyogenic arthritis combined with complex conditions or PJI, two-stage RTSA with an antibiotic-loaded cement spacer would be a successful approach to eradicate infection and to improve function with pain relief.

A Comparative Study on the Method of Internal Alchemy in Southern and Northern Schools of Taoism - Centering on Zhang Bo-duan and Wang Chung-yang (내단도교 남·북종의 단법 비교 -장백단과 왕중양을 중심으로 -)

  • Kim, Kyeong-soo
    • The Journal of Korean Philosophical History
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    • no.42
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    • pp.197-232
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    • 2014
  • Taoism is very political orientation from the start have. Internal alchemy has several factions, but southern school and northern school of taoism is typical of this. southern school begun from Zhang Bo-duan in north Song dynasty. Northern school is under Jin dynasty rule by Wang Chung-yang been established. Southern school did not create the platform, but northern school is developed mainly by the denomination from the first. Taoism is basically seek eternal life. Internal alchemy was created a unique discipline to reach the such stage with only Internal alchemy. Southern school's training methods were an elaborate series of logical structure with a counterpart, but northern school's methods is somewhat lacking logically. Southern school claim a training methods from the physical to mental through how to achieve it's ultimate goals, northern school took from mental to spiritual retreat methods that the way to achieve objectives. But northern school's theory of ascetic Practice is difficult to see that the contents are pure. Also, the labours of penance during his training process is the other way with Southern school. These differences are they closely associated with Confucianism and Buddhism, to understand the point of view. Southern school put a primary objective in the personal Practice, while northern school is fundamental to the relief of the people. This can see that has how long life times in southern school and northern school's main members. Because the members of southern school enjoyed great longevity, but northern school's main members was not enjoyed longevity. As a result, the southern school's flow is cut off and northern school became the center form a major organization in the history of china taoism. The southern school assimilated to the northern school. In a pure sense, host and guest's changed.

Splenic Irradiation in Chronic Myeologenous Leukemia (만성골수성백혈병 15예의 비장조사)

  • Oh Yoon Kyeong;Kwon Hyung Chul;Yoon Sei Chul;Bahk Yong Whee;Kim Choon Choo;Kim Dong Jip
    • Radiation Oncology Journal
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    • v.3 no.2
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    • pp.137-144
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    • 1985
  • Radiation therapy was the treatment of choice for CML in the past, in the form of SI or radioactive phosphorus. Its use has been replaced to a large extent by various chemotherapeutic agents. Recently SI in CML has been used, both to relieve painful splenomegaly and to take advantage of an indirect effect of SI on unirradiated bone marrow. We have treated 15 CML cases who had a huge spleen during chemotherapy or even after chemotherapy by 6 MV linear accelerator during the past two years at the Division of Radiation Therapy, Kang Nam St. Mary's Hospital, Catholic College. Response to SI has been rated according to the scoring system of Roger W. Byhardt, et al. which evaluated the splenic and hematologic response as well as the response of disease-related systems. According to this scoring system, most patients demonstrated a significant relief of splenomegaly along with improvement of hemogram. And we observed the change of Karnofsky Performance Status after SI, and survival after a confirmative diagnosis and SI.

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A Study on the Method to Establish the Identity Depending on the Functional Transfer of Local Social Welfare Center (지역사회복지관의 기능전환에 따른 정체성 확립방안 연구)

  • Kim, Youn Jae;Kum, You Hyun
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.8 no.1
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    • pp.205-222
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    • 2013
  • As Social Welfare Service Act was revised in 2011 and its enforcement decree was revised in 2012, the function of local social welfare center was classified into 3 functions such as case control function, service supply function and local society systematization function. Therefore, from 2013, local social welfare center faces the assignment to establish its status as a core subjectivity of local social welfare while maintaining function, role, business, program, service and organization system required for local social welfare center. Currently, there are internal and external limit factors for local social welfare center to perform its original function. The external limit factors are competition with similar organization, diversification of welfare desire depending on social change, insufficient service network construction and lack of partnership between private sector and government. The internal limit factors are lack of local social organization's ability, program issue, insufficient resource, insufficient manpower, etc. In order for local social welfare center to overcome the limit factor and establish the core status for improving the life quality of resident, it should concentrate its ability on local society systematization, construct human & material support network related to local social welfare, minimize social education program and simple relief project gradually, suggest the reasonable direction for village to nurture resident organization, develop the program based on the research on local resident's desire and create the partnership between private sector and government.

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Shoulder Joint Range of Motion Change Research Frozen Shoulder Therapy KTO (Korea Traditional Osteopathy) (KTO(Korea Traditional Osteopathy)를 이용한 동결견 치료 시 견관절 가동범위 변화 연구)

  • Byun, Sangjoon;Kang, Cheolho;Choi, Guirack;Hong, Seong Gyun
    • Journal of the Korean Society of Radiology
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    • v.7 no.3
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    • pp.205-211
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    • 2013
  • This study is for patients who are diagnosed with Frozen Shoulder, Korean traditional osteopath (KTO) was applied. The reduction of pain in patients with significant pain relief who studied how to increase the range of motion of the shoulder joint in order to additionally confirm. Consists of a total of 14 subjects, divided into two groups of seven experimental groups and seven control groups was studied. KTO seven patients was performed a total of 10 times seven patients was not performed. Look at each item, if the range of motion of the shoulder joint, The group looked at the changes in the operation value when applying the KTO Flexion (7.33), Extension (10.00), Abduction (8.76), Adduction (9.05), external rotation (8.10), internal rotation (10.00) was changed. The group looked at the changes in the operation value when did not apply the KTO Flexion (7.33), Extension (10.00), Abduction (8.76), Adduction (9.05), external rotation (8.10), internal rotation (10.00) was changed. That you can bring an increase in range of motion of the shoulder Frozen Shoulder Korean traditional osteopathic treatment to patients.

Partial Pediculectomy for Spondylolisthesis with Radicular Pain Combined with Severe Osteoporosis (하지 방사통과 심한 골다공증을 동반하는 척추전전위증을 위한 척추경 부분절제술)

  • Park, Myoung Jin;Shin, Ho;Cho, Ha Young;Lee, Seung Myoung;Jeong, Seong Hun;Song, Jin Kyu;Jang, Suk Jung
    • Journal of Korean Neurosurgical Society
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    • v.29 no.1
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    • pp.51-57
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    • 2000
  • Objective : For relief of back pain related to spondylolisthesis, fusion with or without internal fixation may be necessary. Currently, bilateral wide posterior decompression and fusion with or without internal fixation are used for treatment of spondylolisthesis. In case of severe osteoporosis, discectomy may be done without fusion to decompress the nerve roots. However, the procedure may aggravate radicular symptom because slippage may increase and thus foramen may become narrower. In these settings, inferomedial partial pediculectomy has been done in our institution, The object of this study was to evaltuate such cases with regard to per- and postoperative clinical courses. Patients and Methods : Fifteen patients complaining radicular pain with mild or no back pain underwent inferomedial partial pediculectomy. It was done in lytic spondylolisthesis after extension of isthmic defect. In degenerative spondylolisthesis of L4-5 interspace, intertransverse pediculectomy was done via paraspinal approach not to injure the posterior segment with intact isthmus. But, in degenerative spondylolisthesis of L5-S1 interspace however, partial pediculectomy was done after making artificial isthmic defect via midline approach. Then, reconstructive laminoplasty of L5 was performed to avoid iatrogenic instability resulted from artificial isthmic defect. They were followed up for average 14.4 months(3-31 months). Results : Radiating pain was relieved in all cases(100%). Postoperative result was excellent in 7 cases(46.7%), good in 7(46.7%) and fair in 1(6.6%). Only 1 case(6.7%) showed increase in slippage during follow-up period. Conclusion : Inferomedial partial pediculectomy is considered as a useful procedure for severely osteoporotic patients with spondylolisthesis with regards to keeping stability and decompressing the nerve roots.

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Design and Evaluation of a Lung Assist Device for Patients with Acute Respiratory Syndrome using Hollow Fiber Membranes (중공사 막을 이용한 급성호흡곤란증후군 환자용 폐 보조 장치의 설계와 평가)

  • Lee, Sam-Cheol;Kwon, O-Sung;Kim, Ho-Cheol;Hwang, Young-Sil;Lee, Hyun-Cheol
    • Membrane Journal
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    • v.15 no.3
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    • pp.224-232
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    • 2005
  • The use of the lung assist device (LAD) would be well suited for acute respiratory failure (ARF) patients, combining the simplicity of mechanical ventilation with the ability of extracoporeal membrane oxygenators (ECMO) to provide temporary relief for the natural lungs. This study's specific attention was focused on the effect of membrane vibration in the LAD. Quantitative experimental measurements were performed to evaluate the performance of the device, and to identify membrane vibration dependence on blood hemolysis. We tried to decide upon excited frequency band of limit hemolysis when blood hemolysis came to through a membrane vibration action. The excited frequency of the module type 5, consisted of 675 hollow fiber membranes, showed the maximum gas transfer rate. We concluded that the maximum oxygen transfer rate seemed to be caused by the occurrence of maximum amplitude and the transfer of vibration to hollow fiber membranes. It was excited up to $25{\pm}5$ Hz at each blood flow rate of module type 5. We found that this frequency became the 2nd mode resonance riequency of the flexible in blood flow. Blood hemolysis was low at the excited frequency of $25{\pm}5$ Hz. Therefore, we decided that limit hemolysis frequency of this LAD was $25{\pm}5$ Hz.