• Title/Summary/Keyword: Psychiatric rehabilitation

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A Clinical Study of the Undifferentiated Somatoform Disorder Improved with Hyangbujapalmul-tang (미분화된 신체형장애를 향부자팔물탕(香附子八物湯)으로 치료한 소음인(少陰人) 환자(患者) 치험례)

  • Kim, Na-Young;Choi, In-Ho;Lim, Chang-Sun;Shin, Mi-Ran
    • Journal of Sasang Constitutional Medicine
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    • v.20 no.3
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    • pp.199-207
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    • 2008
  • 1. Objectives Sasang Constitutional Medicine is Mind-Body medicine and it is based on difference of Nature & Emotion(性情) & real purpose(恒心). The purpose of this study is to evaluate the effect of Hyangbujapalmul-tang for somatoform disorders and is to drive the importance of psychiatric approach home. 2. Method The subject is about 49-year-old Soeumin patient presumed by Undifferentiated somatoform disorder based on his nature & emotion, physical characteristics, symptoms, and we have prescribed Soeumin Hyangsayangyui-tang, Ceongunggyegi-tang, Hyangbujapalmul-tang. Soeumin Hyangsayangyui-tang was prescribed based on oridinary symptoms(素症), Soeumin Ceongunggyegi-tang was prescribed based on real symptoms(病症), Soeumin Hyangsayangyui-tang was prescribed based on Nature & Emotion(性情) & real purpose(恒心). 3. Result and conclusions In result, Hyangbujapalmul-tang based on Nature & Emotion(性情) & real purpose(恒心) showed best positive response. It is necessary to approach to somatoform disorders not only in clinical view but also in psychiatric view based on Nature & Emotion(性情) & real purpose(恒心)

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The Safety Guidelines for use of Ma-huang in Obesity Treatment (비만처방에서의 안전한 마황사용 지침)

  • Song, Mi-Young;Kim, Ho-Jun;Lee, Myeong-Jong
    • Journal of Korean Medicine for Obesity Research
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    • v.6 no.2
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    • pp.17-27
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    • 2006
  • Objectives : Ma-huang (Ephedra sinica) is frequently prescribed for obesity management in oriental medicine. The main component is ephedrine alkaloids which can have serious adverse side effects such as heart attack, stroke, sudden death. There are no scientific guidelines for Ma-huang usage in the safe treatment of obesity in oriental medicine. We reviewed published studies on its safety to make evidence based guidelines. Methods : We searched electronic databases up to May 2006. We limited evidence to controlled trials for efficacy or safety, case reports for safety, and studies for Ma-huang contents analysis. Results and Conclusions : In clinical trials for weight loss, Ma-huang and ephedrine promote modest short-term weight loss but have no serious adverse effects, have only a few adverse effects associated with increased risk of psychiatric, autonomic, gastrointestinal symptoms and heart palpitations. In case reports, there have been serious adverse effects including stroke, heart attack, and death using typical doses of ephedrine or no associated illness. There are factors related to serious adverse effects, such as overuse, lack of standardization, individual sensitivity, and interactions with other drugs. Studies relating to these factors should be analyzed for safe use of Ma-huang and ephedrine. After analyzing related studies, we suggest guidelines for Ma-huang usage. We propose that the dosage should be within 4.5-7.5g per day for up to 6 months for generally healthy individual. It's use is contraindicated in individuals with heart disease, thyroid disease, diabetes mellitus, hypertension, psychiatric disorders, glaucoma, urination disorders, enlarged prostate, persons using MAOIs, methyldopa and sympathomimetic agents.

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Clinical Neuropsychological Evaluation (임상 신경심리학적 평가)

  • Oh, Byoung Hoon
    • Korean Journal of Biological Psychiatry
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    • v.2 no.1
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    • pp.28-37
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    • 1995
  • Clinical neuropsychology which belongs to the necuroscience field is concerned with relationship between human behaviors and the brain structure. Clinical neuropsychology has grown to be a specialized separate field within psychology over the last twenty years. Clinical neuropsychology offers an objective methodology to consider the mind-body interaction and evaluate the behavioral consequences and functional deficits associated with brain lesions. Clinical neuropsychological assessment is composed of cognitive, perceptual, motor and emotional function through various neuropsychological examinations such as Halsted-Reitan and Luria-Nebraska batteries, and computerized neuropsychological test such as PCIS Vienna Test System and Stim. The goals of neuropsychological evaluation are to identify of neuropsychological dysfuncitions, to develop execute and monitor treatment plans, and to make rehabilitation programs. Recently, the neuropsychiatric patients are increasing in number and 15-20% of acute psychiatric patients suffer from organic mental problems. Moreover, clinical neuropsychology has an increasingly important role in both neurobehavioral foundation and clinical application. So, psychiatrists must play a major role in the development of clinical neuropsychology in psychiatry.

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Application of Taesikbub and Lung-doyinbub in 「Dong-Ui-Bo-Gam」 as a Korean Traditional Pulmonary Rehabilitation Exercise (「동의보감」에서 제시된 태식법 및 폐장도인법의 한방호흡재활운동으로의 활용)

  • Lyu, Yee Ran;Park, Jae Jun;Park, So jung;Lee, Eun Jung;Jung, In Chul;Park, Yang Chun
    • The Journal of Korean Medicine
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    • v.39 no.3
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    • pp.41-50
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    • 2018
  • Objectives: The study is aimed to utilize Taesikbub and Lung-doyinbub described in "Dong-Ui-Bo-Gam" as a Korean Traditional Pulmonary Rehabilitation Exercise. Methods: We preliminary researched pulmonary rehabilitation exercise using domestic and international databases and old literatures of Korean Medicine. Then made a draft of Korean Traditional Pulmonary Rehabilitation Exercise based on "Dong-Ui-Bo-Gam". After organizing expert group for verifying the draft of the exercise, we developed the final Korean Traditional Pulmonary Rehabilitation Exercise. Results: The Korean Traditional Pulmonary Rehabilitation Exercise is composed of 5 actions including breathing method, flexibility exercise, percussion and hitting teeth. This exercise is recommended twice a day for at least 5 days per week under the supervision of specialist. It is expected to improve physical activity, dyspnea, health-related quality of life (HRQoL) as well as psychiatric symptoms by breathing deep and slow and exercising the thorax and upper limb muscles. Conclusion: Taesikbub, Lung-doyinbub in "Dong-Ui-Bo-Gam" may be suggested as a better pulmonary rehabilitation exercise for patients of chronic lung disease.

A Literary Review of Day- Hospital for Psychiatric Patients (낮병원에 관한 문헌적 고찰 - 정신질환 환자를 위한 -)

  • 유숙자
    • Journal of Korean Academy of Nursing
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    • v.7 no.1
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    • pp.55-62
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    • 1977
  • Varieties of literatures were reviewed in regard to the fundamental concept of day hospital, historical trends, the recipient of its care, facilities and personnel, therapeutic programmes and the follow-up care plans. Through the research the advantages of day hospital were highlighted in order to provide the reference for those who consider planning such health care institution. Since the introduction of the concept of day hospital and its implementation in 1930, many psychiatric patients world over are treated and cared. Patients with specific health problems ; alcoholism, acute or serious psychiatric disease, tendencies of humidor suicidal attempts, and with serious physical problems were excluded from the general recipient. Day hospital were annexed to the psychiatric hospitals in most in instances ; facilities, personnel, except nursing personnel, were shared. All therapeutic care were planned in daley, weekly programmes, and were focussed on socialization. The follow-up care were provided for those participating post- therapy club activities which were planned and introduced ahead. Many advantages of day-hospital care in contrast to the traditional hospitalization care were found: 1. The abrupt discontinuity of his family and other social role is prevented. 2. Therapeutic progress is faster. 3. Lessened economic burden to the family. 4. Behavioral regression is lessened and the lessened fear of hospitalization. 5. Less injury to the patients, self- respect, through lessened anxiety of hospitalization. 6. Incidents of secondary crisis believed to be existing in long term cases are decreased. 7. Therapeutic care implemented in freer atmosphere, better Patient-personnel relationships are created. 8. Varieties of group activities are Induced which enable faster recovery. 9. Patients could engage himself with social activities including getting job on part-time basis. 10. Rehabilitation of patient could be implemented.

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Effects of vocational roles on the perceived prejudice of people with psychiatric disabilities (직업적 역할은 정신장애인이 지각한 편견을 감소시키는가?)

  • Kim, Moon-Geun
    • Korean Journal of Social Welfare Studies
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    • v.40 no.3
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    • pp.299-326
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    • 2009
  • The purpose of this study was to find out some factors affecting the social prejudice perceived by people with psychiatric disability(PPD) and to present some useful explanations for those effects based on theories from symbolic interactionism. The hypotheses were as follow. First, the higher the symptoms, the higher will be the perceived social prejudice of PPD. Second, if PPD have vocational roles, the perceived prejudice will be lower. Third, if PPD want more services or supports for vocational rehabilitation, the perceived prejudice will be higher. Fourth, the higher the perceived prejudice of family members, the higher will be the perceived prejudice of PPD. The results show that the major hypotheses were supported. Based on the results some theoretical and clinical implications are discussed. First, this study made a little contribution to the study of perceived social prejudice of PPD providing some useful theoretical basis and empirical evidences. Secondly, due to the limitation of the data and cross-sectional research the results of this study need to be duplicated under more rigorous experimental or quasi-experimental study. Concerning the clinical intervention, it should be stressed to provide valued social roles to help PPD protect themselves from social prejudices. Secondly, rehabilitation professionals need to help PPD cope with increasing perceived prejudice while pursuing valued social roles such as employee. Third, rehabilitation professionals should assess the perceived prejudice of family members and to help them resist social prejudices through education, self-help groups, and other advocating strategies. Lastly, professionals should be carful not to blame family members for the adverse effects of their perceived prejudice on PPD.

The opportunities of virtual reality in the rehabilitation of children with attention deficit hyperactivity disorder: a literature review

  • Bashiri, Azadeh;Ghazisaeedi, Marjan;Shahmoradi, Leila
    • Clinical and Experimental Pediatrics
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    • v.60 no.11
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    • pp.337-343
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    • 2017
  • Attention deficit hyperactivity disorder (ADHD) is one of the most common psychiatric disorders in childhood. This disorder, in addition to its main symptoms, creates significant difficulties in education, social performance, and personal relationships. Given the importance of rehabilitation for these patients to combat the above issues, the use of virtual reality (VR) technology is helpful. The aim of this study was to highlight the opportunities for VR in the rehabilitation of children with ADHD. This narrative review was conducted by searching for articles in scientific databases and e-Journals, using keywords including VR, children, and ADHD. Various studies have shown that VR capabilities in the rehabilitation of children with ADHD include providing flexibility in accordance with the patients' requirements; removing distractions and creating an effective and safe environment away from real-life dangers; saving time and money; increasing patients' incentives based on their interests; providing suitable tools to perform different behavioral tests and increase ecological validity; facilitating better understanding of individuals' cognitive deficits and improving them; helping therapists with accurate diagnosis, assessment, and rehabilitation; and improving working memory, executive function, and cognitive processes such as attention in these children. Rehabilitation of children with ADHD is based on behavior and physical patterns and is thus suitable for VR interventions. This technology, by simulating and providing a virtual environment for diagnosis, training, monitoring, assessment and treatment, is effective in providing optimal rehabilitation of children with ADHD.

Clinical Applications of Neuropsychological Tests in Psychiatry - Focused on Neurosis - (정신과 영역에서의 신경심리학 - 신 경 증 -)

  • Kim, Chan-Hyung;Lee, Sung-Hoon
    • Sleep Medicine and Psychophysiology
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    • v.2 no.2
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    • pp.129-132
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    • 1995
  • The goal of neuropsychological tests is to identify the neuropsychological dysfunction in psychiatric disorders such as organic mental disorders and schizophrenia, to develop the exe-cutive and monitor treatment plan and to make a cognitive rehabilitation program. Also, it will provide a more useful information that neurpsychological tests will be applied to neurotic out-patients in combination with conventional psychological test. However, many researches should be performed to further clarify the usefulness of neuropsychological test in neurosis.

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Perspective for Clinical Application and Research of Transcranial Direct Current Stimulation in Physical Therapy

  • Kim, Chung-Sun;Nam, Seok-Hyun
    • The Journal of Korean Physical Therapy
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    • v.22 no.6
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    • pp.91-98
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    • 2010
  • Neurostimulation approaches have been developed and explored to modulate neuroplastic changes of cortical function in human brain. As one of the most primary noninvasive tools, transcranial direct current stimulation (tDCS) was extensively studied in the field of neuroscience. The alternation of cortical neurons depending on the polarity of the tDCS has been used for improving cognitive processing including working memory, learning, and language in normal individuals, as well as in patients with neurological or psychiatric diseases. In addition, tDCS has great advantages: it is a non-invasive, painless, safe, and cost-effective approach to enhance brain function in normal subjects and patients with neurological disorders. Numerous previous studies have confirmed the efficacy of tDCS. However, tDCS has not been considered for clinical applications and research in the field of physical therapy. Therefore, this review will focus on the general principles of tDCS and its related application parameters, and provide consideration of motor behavioral research and clinical applications in physical therapy.

A Study on the Tensional Relationship between Form and Function in a Building Constituted by Random Arrangement of Elements - Focused on the analysis of Sou Fujimoto's Children's Center for Psychiatric Rehabilitation - (요소의 무작위적 배치로 구성된 건축에 내재하는 형태와 기능 사이의 긴장 관계에 관한 연구 - 후지모토 소우의 정서장애 아동을 위한 단기 치료 시설의 분석을 중심으로 -)

  • Kee, Se-Ho
    • Journal of the Architectural Institute of Korea Planning & Design
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    • v.35 no.8
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    • pp.35-46
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    • 2019
  • This study started from the interest about a theme repeated in a similar way among a group of architects in Japan. They argue that a building composed of random elements can lead to discoverable functions rather than fixed functions. Their work supports this to a certain extent, but at the same time raises the following two research questions. Can 'formal randomness' and 'functional discoverability' be completely identical? Does such a form sufficiently fulfill other functions of the building? In order to answer these two research questions, this study analyzes the relationship between form and function in the 'Children's Center for Psychiatric Rehabilitation' of Sou Fujimoto. The analysis proceeded in three steps. In the first step, I found that alcoves were the most important factor in functional discoverability by comparing scenarios with different conditions. At the same time, however, I could see that these alcoves were weakened in the process of functional adjustment. In the second step, I analyzed the final design and found Sou Fujimoto's response to the preceding problem. He thought that in-between alcoves created from formal randomness, were not enough and thus introduced a new method, cutting alcoves. This means that formal randomness alone does not fully guarantee both the functional discoverability and the fulfillment of the basic functions. In the third step, I searched for the significance of this problem through a brief comparison with other similar projects.