• Title/Summary/Keyword: Involuntary

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Intervention of Nonsuicidal Self-Injury in School Counseling (비자살성 자해(NSSI)에 대한 학교상담에서의 개입)

  • Ryu, Shinhye;Bae, Seung Min;Jun, Jin Yong;Im, Woo-Young
    • Korean Journal of Psychosomatic Medicine
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    • v.30 no.1
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    • pp.1-6
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    • 2022
  • Recently, nonsuicidal self-injury (NSSI) has been increasing considerably in school counseling. According to the Youth Counseling and Welfare Development Institute, the number of counseling support for NSSI adolescent in 2018 was more than three times higher than the previous year, and the average time when NSSI behavior first appeared was 12.43 years old. As such, adolesnect NSSI continues to increase in recent years, and the age is also gradually decreasing. Nevertheless, research on the motives and characteristics of NSSI among domestic adolescents is still insufficient. This may be attributed to the difficulty of conducting research because self-injury behavior is secretly performed. However, it is also true that this reality has another limitation in the school field, which urgently requires counseling intervention and prevention of students' mental health problems. In addition, counseling for self-injury in the school scene is the biggest cause of exhaustion for counselors because they are under very great stress to cope with repeated self-harm in the dual role of counselors and teachers in school situations. Therefore, this study examines the causes and characteristics of involuntary self-injury through previous research analysis, and examines various difficulties experienced as a school counselor, as well as the effective intervention method of non suicidal self-injury in school counseling.

A Case Report of Benign fasciculation syndrome treated with Gami Ssanghwa-Tang and Yang Eui Gongjin-Dan. (가미쌍화탕과 양의공진단 투여로 호전된 양하지 속 상연축 환자 1례)

  • Kim, Soo-Kyung;Lu, Hsu-Yuan;Lee, Hyun-Joong;Lee, Dong-Hyuk;Doo, Kyeong-Hee;Cho, Seung-Yeon;Park, Seong-Uk;Ko, Chang-Nam;Park, Jung-Mi
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.15 no.1
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    • pp.66-71
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    • 2014
  • ■ Objectives This clinical study is to report the effect of Korean medicine on patient with chronic benign fasciculation syndrome on a both legs. ■ Methods A patient who suffered from involuntary fasciculation of Quadricepts femoris and Gastrocnemius was treated with herbal medicine Gami SSanghwa-Tang and Yang Eui Gongjin-dan, acupuncture and moxibustion. Degree of fasciculation and general condition was measured. ■ Results After taking Gami Ssanghwa-Tang and Yang Eui Gongjin-Dan, degree of fasciculation have reduced and patient's general condition improved. ■ Conclusion This clinical case study showed the effect of Korean medicine on symptom of fasciculation.

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The aesthetics of index and the affect of gestures revealed in Aftersun (<애프터썬>에 드러난 인덱스의 미학과 몸짓의 정동)

  • Eunsun Kwon
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.4
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    • pp.431-436
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    • 2023
  • The film Aftersun(2022) is Scottish director Charlotte Wells' feature debut and is one of the films that received the most attention in the international art film scene that year. The overall structure of the film is a look back at a certain summer vacation that Sophie, now an adult, went to Turkey with Calum, a 30-year-old 'young dad', whom she lived apart after divorcing her mother when she was 11 years old. In fact, it can be said to be a reconstruction of memory, and Aftersun not only describes the contents remembered, but also reveals the process of reconstructing memories, making the film a process of post-action memory work. In this process, Aftersun proves Lev Manovich's words that cinema is an indexic art. Going back and forth between home video and cinematic diegesis, After Sun unleashes a new imaginary temporality through a two-hour conversation, traces of indexical signs engraved on home video and present times. The film urges involuntary memories in the chaotic time to the present, and makes meaning through traces and signs of intense gestures in the dialogue between media and media, past and present. The We think about the meaning through the time when the story is stopped and the implications of the gestures.

Fabrication of fixed prosthesis by employing functionally generated path technique and dual scan technique in a tardive dyskinesia patient: a case report (지연성 운동이상증 환자에서 functionally generated path 술식과 이중스캔법을 이용한 고정성 보철물 제작: 증례 보고)

  • Shilpa;Du-Hyeong Lee
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.3
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    • pp.227-233
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    • 2023
  • Tardive dyskinesia is an involuntary neurological movement disorder caused by long-term use of dopamine receptor-blocking drugs leading to dental implications like uncontrolled gnashing and grinding of teeth which in turn imperil the oral rehabilitation procedures as the excessive load increases the risk of prosthesis fracture. A 40-year male with a medical history of tardive dyskinesia visited the hospital to receive oral rehabilitation for missing maxillary anterior teeth. After the oral examination, tooth preparation was done on teeth 13, 15, and 23. After that silicon impression was made and the gypsum cast was digitalized using a desktop scanner and an interim prosthesis was fabricated by milling a resin block. During the try-in, the occlusal one-third of the interim prosthesis was trimmed, and an auto-polymerizing acrylic resin was applied on the occlusal surfaces and inserted in the patient's mouth. Then, the functionally generated path (FGP) of occluding surfaces of opposing arches was traced on the resin surface. When the resin was hardened, the modified interim prosthesis was removed and digitized using an intraoral scanner. The scan image was used in designing the occlusal morphology of definitive prosthesis by modifying the design of the interim prosthesis using the dual scan method. Lastly, a monolithic zirconia prosthesis was fabricated by milling a zirconia block. The definitive prosthesis was delivered reflecting the patient's occlusal scheme. This case report shows that the FGP technique with the dual scan method can help in fabricating fixed prosthesis with harmonious occlusion in a tardive dyskinesia patient.

Predictors of Nursing Home Placement for the Elderly with Dementia: Adult Child Caregivers VS. Spousal Caregivers (치매노인의 요양시설 입소에 미치는 영향: 배우자 부양자 대 성인자녀 부양자)

  • Baek, Ju-Hee
    • 한국노년학
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    • v.25 no.2
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    • pp.127-141
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    • 2005
  • Prior studies about nursing home placement identified factors contributing to the risk of institutionalization by pooling adult child caregivers and spousal caregivers together, regardless of differential challenges for the two types of caregivers. In a sample of 456 caregivers followed for a 2 year period, an event history analysis showed that relationship made difference in time to placement and that differential factors led to institutionalization for spousal caregivers and daughter caregivers. Spousal caregivers are more likely to place dementia patients into nursing homes sooner than adult child caregivers. The age of care recipients and role captivity (refers to being unwilling, involuntary incumbent of a caregiver role) are predictors of placement for both groups of caregivers. Dementia patients who were older had a greater risk of institutionalization. Greater feelings of role captivity also shortened the time to placement. Income and education are significant predictors only for caregiving daughters. Daughters who had a high education level are more likely to delay nursing home placement whereas those who had a higher income are more likely to institutionalize their demented parents sooner. Use of day care and behavioral problems are significant predictors only for spousal caregivers. Specifically, use of day care and behavioral problems precipitates nursing home placement. The findings of this study suggest that interventions for helping family members to provide care to the demented elderly at home must consider different circumstances faced by caregiving spouses and caregiving daughters.

Comparison of acoustic features due to the Lombard effect in typically developing children and adults (롬바르드 효과가 아동과 성인의 말소리 산출에 미치는 영향: 음향학적 특성과 모음공간면적을 중심으로)

  • Yelim Jang;Jaehee Hwang;Nuri Lee;Nakyung Lee;Seeun Eum;Youngmee Lee
    • Phonetics and Speech Sciences
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    • v.16 no.2
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    • pp.19-27
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    • 2024
  • The Lombard effect is an involuntary response to speakers' experiences in the presence of noise during voice communication. This study aimed to investigate the Lombard effect by comparing the acoustic features of children and adults under different listening conditions. Twelve male children (5-9 years old) and 12 young adult men (24-35 years old) were recruited to produce speech under three different listening conditions (quiet, noise-55 dB, noise-70 dB). Acoustic analyses were then carried out to characterize their acoustic features, such as F0, intensity, duration, and vowel space area, under the three listening conditions. A Lombard effect was observed in the intensity and duration for children and adults who participated in this study under adverse listening conditions. However, we did not observe a Lombard effect in the F0 and vowel space areas of either group. These findings suggest that children can adjust their speech production in challenging listening conditions as much as adults.

Full mouth rehabilitation with implant fixed prostheses using POP bow system and 3D printing gothic arch tracer in a patient with unilateral facial nerve palsy (편측성 안면 신경마비 환자에서 3D printing gothic arch tracer와 POP bow system을 이용한 전악 임플란트 고정성 보철 수복)

  • Seong-Yun Jeong;Chang-Mo Jeong;Mi-Jung Yoon;Jung-Bo Huh;So-Hyoun Lee
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.3
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    • pp.201-214
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    • 2024
  • In patients with unstable mandibular movements who are accompanied by involuntary facial muscle movements and asymmetrical changes in the facial features, many difficulties exist in determining the vertical dimension of occlusion, recording centric relation, and transferring information about the occlusal plane. In this case, for a patient with unilateral facial nerve palsy who was edentulous for a long period of time, a CAD-CAM provisional prosthesis was fabricated using a 3D printing customized gothic arch tracer and a prefabricated occlusal plane recorder, the POP bow system, to achieve a stable interarch relationship. Afterwards, a full mouth implant fixed prosthesis was fabricated by delivering an appropriate vertical dimension of occlusion, a reproducible centric relation, and a correct three-dimensional occlusal plane, and continuous maintenance was performed to restore functional and aesthetic oral health to the patient.

Development of Timing Regulation Rhythm-Based Music Intervention Protocol for Children With ADHD (ADHD 아동 대상 타이밍 조절 리듬 기반 음악중재 프로토콜 개발)

  • Cho, Mi-Ran;Park, Hye-Young
    • Journal of Music and Human Behavior
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    • v.21 no.2
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    • pp.1-30
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    • 2024
  • The purpose of this study is to develop a rhythm-based music intervention protocol to enhance timing regulation in children with ADHD and investigate its feasibility. For this purpose, a three-phase study was conducted involving ADHD children and typically developing children. In the first phase, group-specific baseline measurements were taken for auditory attention (KAT), motor timing, and perceptual timing. In the second phase, a rhythm-based music intervention protocol incorporating key factors was developed. In the third phase, the developed protocol was applied to ADHD children to investigate the variables affecting timing regulation and to verify its effectiveness. Results from the first phase revealed significant differences in the timing values of children with ADHD, particularly in tasks requiring discrimination of sound duration and precision in rhythm patterns. Additionally, exploratory factor analysis of KAT results and motor/perceptual timing identified three clusters: attentional responsiveness, attentional synchronization, and attentional sophistication. In the second phase, a protocol consisting of tasks involving synchronization, attentional shifting, and rhythm production at various difficulty levels was developed and validated for expert validity. In the third phase, individual application of the protocol to children with predominantly inattentive and hyperactive-impulsive ADHD subtypes demonstrated changes in timing regulation tasks. This study provided basic data for using rhythm as an effective facilitation tool that leads from voluntary to involuntary attention in children with ADHD.

Comparison of using CBCT with CT Simulator for Radiation dose of Treatment Planning (CBCT와 Simulation CT를 이용한 치료계획의 선량비교)

  • Kim, Dae-Young;Choi, Ji-Won;Cho, Jung-Keun
    • The Journal of the Korea Contents Association
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    • v.9 no.12
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    • pp.742-749
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    • 2009
  • The use of cone-beam computed tomography(CBCT) has been proposed for guiding the delivery of radiation therapy. A kilovoltage imaging system capable of radiography, fluoroscopy, and cone-beam computed tomography(CT) has been integrated with a medical linear accelerator. A standard clinical linear accelerator, operating in arc therapy mode, and an amorphous-silicon (a-Si) with an on-board electronic portal imager can be used to treat palliative patient and verify the patient's position prior to treatment. On-board CBCT images are used to generate patient geometric models to assist patient setup. The image data can also, potentially, be used for dose reconstruction in combination with the fluence maps from treatment plan. In this study, the accuracy of Hounsfield Units of CBCT images as well as the accuracy of dose calculations based on CBCT images of a phantom and compared the results with those of using CT simulator images. Phantom and patient studies were carried out to evaluate the achievable accuracy in using CBCT and CT stimulator for dose calculation. Relative electron density as a function of HU was obtained for both planning CT stimulator and CBCT using a Catphan-600 (The Phantom Laboratory, USA) calibration phantom. A clinical treatment planning system was employed for CT stimulator and CBCT based dose calculations and subsequent comparisons. The dosimetric consequence as the result of HU variation in CBCT was evaluated by comparing MU/cCy. The differences were about 2.7% (3-4MU/100cGy) in phantom and 2.5% (1-3MU/100cGy) in patients. The difference in HU values in Catphan was small. However, the magnitude of scatter and artifacts in CBCT images are affected by limitation of detector's FOV and patient's involuntary motions. CBCT images included scatters and artifacts due to In addition to guide the patient setup process, CBCT data acquired prior to the treatment be used to recalculate or verify the treatment plan based on the patient anatomy of the treatment area. And the CBCT has potential to become a very useful tool for on-line ART.)

Lumbar Angiomatous Meningioma in a Dog (개에서 발생한 요추 혈관종성수막종 증례)

  • Sohn, Jung-Min;Kim, Bo-Eun;Jung, Sun-Young;Ji, Seo-Yeoun;Yoon, Dae-Young;Kweon, Oh-Kyeong;Kim, Dae-Yong;Choi, Min-Cheol;Yoon, Junghee
    • Journal of Veterinary Clinics
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    • v.31 no.2
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    • pp.152-155
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    • 2014
  • An 11-year-old castrated Schnauzer presented with paraplegia for the last two weeks, initially developed pelvic limb ataxia 6 months ago and left pelvic limb paresis 3 months ago. On neurological examination, paraplegia and postural reaction deficits were noted in the pelvic limbs with no deep pain sensation, and the dog showed exaggerated spinal reflexes and involuntary urination. Magnetic resonance (MR) images of thoracolumbar spinal cord were obtained with a 0.3 Tesla magnet. A mass with a broad base to the dorsal and left dural margins was identified at the level of L2, causing marked spinal cord compression. The mass showed isointensity to the spinal cord on T1-weighted (T1W) precontrast images, hyperintensity on T2-weighted images, marked homogeneous contrast enhancement with well-defined margins and the "dural tail" sign on T1W postcontrast images. An intradural-extramedullay tumor was considered, most likely, meningioma was highly suggestive. Left-sided hemilaminectomy and dorsal laminectomy were performed. An intradural mass partially adherent to dura mater was compressing the spinal cord, and the mass was completely removed with the attached dura mater. A histopathologic diagnosis of angiomatous subtype meningioma was made.