• Title/Summary/Keyword: Supportive therapy

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A Systematic Review of Herbal Medicine in the Treatment of Cirrhotic Ascites

  • Kim, Seungmo;Lee, Yuri;Cho, Nakyung;Choi, Hongsik;Kim, Kyungsoon
    • The Journal of Korean Medicine
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    • v.42 no.4
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    • pp.222-237
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    • 2021
  • Objectives: The purpose of this study was to investigate the trend in the research on cirrhotic ascites using t herbal medicine. Methods: This review was conducted using six electronic databases(NDSL, KMBASE, Koreantk, KISS, KISTI, KoreaMed) with no restriction in year. The search term was 'liver cirrhosis', 'ascites', or 'cirrhotic ascites', 'herbal medicine', 'traditional Chinese medicine', and 'randomized clinical trial', and there was no restriction in year. The searched studies were analyzed according to the type of research. Results: After scanning the titles and abstracts, 13 articles were ultimately included. Of the outcome measures of 13 studies, effective rate, liver function test, and ascites regression time were included in the meta-analysis, which showed that the effective rate of herbal medicine-supportive treatment combination therapy was 1.27 times higher than that of supportive treatment alone, and the difference was statistically significant. Conclusions: We analyzed the trends of cirrhotic ascites treatment in herbal medicine through this review. It is necessary to conduct further studies, such as well-designed clinical trials based on the results from experimental research.

A Case of Moderate Paraquat Intoxication with Pulse Therapy in the Subacute Stage of Pulmonary Fibrosis (파라쿼트로 발생한 폐 섬유화증에서 pulse therapy로 호전된 환자 1례)

  • Hong, Ki-Hun;Jung, Jin-Hee;Eo, Eun-Kyung
    • Journal of The Korean Society of Clinical Toxicology
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    • v.6 no.2
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    • pp.130-133
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    • 2008
  • In South Korea, attempted suicide by paraquat (PQ) intoxication is fairly common, and is lethal by pulmonary fibrosis and hypoxemia. However, the treatment of PQ poisoning is primarily supportive management. To increase the survival rate associated with PQ intoxication, many treatments have been developed. Here, we treated a case of PQ intoxication with steroid pulse therapy. A 23-year-old man was admitted to the hospital because of PQ intoxication. He drank two mouthfuls of Gramoxon (24% commercial paraquat). His vital signs were stable, but he had a throat infection, and navy blue urine in the sodium dithionite test. Standard treatment, including gastric lavage with activated charcoal was performed, and emergent hemoperfusion with a charcoal filter was initiated 11 h after PQ ingestion. Pharmacotherapy was initiated 18 h after PQ ingestion with the administration of 5 mg dexamethasone. On day 10, chest PA showed pulmonary fibrosis. Therefore, we initiated steroid pulse therapy, with 1g methylprednisolone in 100 mL of D5W administered over 1 h repeated daily for 3 days, and 1 g cyclophosphamide in 100 mL of D5W administered over 1 h daily for 2 days. On day 15, dexamethasone therapy was initiated. On day 30, pulmonary fibrosis was improved. Thus, if pulmonary fibrosis becomes exacerbated after dexamethasone therapy during the subacute stage, pulse therapy with methylprednisolone and cyclophosphamide could be helpful.

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Music Therapy Students' Experience as a Supervisee in Peer Supervision (음악치료 전공생의 동료 수퍼비전에서 수퍼바이지로서의 경험)

  • Lee, Yeon Mee;Suh, Eun Sil
    • Journal of Music and Human Behavior
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    • v.11 no.2
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    • pp.41-57
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    • 2014
  • The purpose of this study was to analyze music therapy students' experience of peer supervision as supervisee. A total of 17 participants in a university in Seoul, participated two times in structured dyadic peer supervision with a different student. In-depth, semi-structured interviews with the students were conducted and content analysis was used for analyzing the data. The results showed that peer supervision was recognized as an important technique as students experienced an accepting and supportive emotional climate that increased their motivation in terms of their professional growth. However, the students also experienced anxiety and dissatisfaction when they could not get a definitive answer from their peer or their peer could not solve their problem. The structure of peer supervision could help the participants by facilitating the process, providing directions, and promoting interaction between peer. This study is significant that it provides actual content in music therapy students' experiences as a supervisee, and enables students to apply peer supervision to their professional growth.

A Case of Interstitial Pneumonitis and Pancytopenia Following the Combination Therapy of Pegylated Interferon and Ribavirin (페그-인터페론과 리바비린 병합치료 중 발생한 간질성 폐렴 및 범혈구 감소증 1예)

  • Suh, Ji-Hyun;Hahn, Sung-Hwahn;Lee, Ji-Eun;Han, Jin-Hyung;Kim, Kyung-Mook;Kim, Doh-Hyung;Kim, Yon-Seop;Park, Jae-Suk;Jee, Young-Koo
    • Tuberculosis and Respiratory Diseases
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    • v.70 no.1
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    • pp.69-73
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    • 2011
  • The combination therapy of pegylated interferon and ribavirin is the mainstay of treatment for chronic hepatitis C patients. Anti-viral therapy is commonly associated with side effects such as headache, fever, myalgia, and arthralgia. However, anti-viral therapy can continue because these side effects are mostly mild and can be improved with supportive management. Anti-viral therapy should be stopped promptly if serious side effects, such as interstitial pneumonitis or hemolytic anemia occur, although those serious side effects are rare. There were a few case reports of interferon-related interstitial pneumonitis worldwide. In Korea, one atypical case report of interstitial pneumonitis has been reported, which followed the combination therapy of interferon-alpha and ribavirin in a patient with chronic hepatitis C. We present a case of interstitial pneumonitis and pancytopenia following the combination therapy of pegylated interferon and ribavirin in a patient with chronic hepatitis C.

A Comparative Study on the Effects of Three Types of Pillows on Head-neck Pressure Distribution and Cervical Spine Alignment

  • Kyeong-Ah Moon;Ji-Hyun Kim;Ye Jin Kim;Joo-Hee Park;Hye-Seon Jeon
    • Physical Therapy Korea
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    • v.31 no.1
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    • pp.8-17
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    • 2024
  • Background: Sleep accounts for approximately one-third of a person's lifetime. It is a relaxing activity that relieves mental and physical fatigue. Pillows of different sizes, shapes, and materials have been designed to improve sleep quality by achieving an optimal sleep posture. Objects: This study aimed to determine which pillow provides the most comfortable and supports the head and neck during sleep, which may enhance sleep quality. Methods: Twenty-eight healthy adults (19 males and 9 females) with an average age of 29 years participated in this cross-sectional study. This experiment was conducted while the participants laid down for 5 minutes in four different pillow conditions: (1) no pillow (NP), (2) neck support foam pillow (NSFP), (3) standard microfiber filled pillow (SFP), and (4) hybrid foam pillow (HFP). The head-neck peak pressure, cranio-vertebral angle in supine (CVAs), cranio-horizontal angle in supine (CHAs), chin-sternum distance (CSD), and muscle tone of sternocleidomastoid were analyzed using one-way repeated measures analysis of variance (ANOVA). The significance level was set at p < 0.05. Results: The head-neck peak pressure was the highest in the NSFP condition, followed by the NP, SFP, and HFP conditions. The CVAs, CHAs, and CSD of the SFP were lower than those of the other pillows. Muscle tone was the highest in the NP condition, followed by the of NSFP, HFP, and SFP conditions. The participants subjective comfort level in both the supine and side-lying postures was highest in the HFP condition, followed by the SFP and NSFP conditions. Conclusion: This study can be used to establish the importance of pillow selection for high-quality sleep. The results of this study, suggest that a hybrid pillow with a good supportive core and appropriate fluffiness can maintain comfort and correct cervical spine alignment during sleep.

A Case Study on Song-Based Supportive Music Psychotherapy to Improve Resilience of North Korean Defector Adolescents (노래기반 지지적 음악심리치료를 통한 북한이탈청소년의 적응유연성 향상에 관한 연구)

  • Lee, Jimin
    • Journal of Music and Human Behavior
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    • v.17 no.1
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    • pp.25-50
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    • 2020
  • This case study explored changes in resilience of North Korean defector adolescents who underwent supportive music psychotherapy that included song discussion and song writing. Participants were three adolescents who escaped from North Korea. Sixty-minute sessions were conducted twice a week over four weeks for a total of seven sessions. The sessions were constructed to enhance hardiness and goal-directedness and used the process of discussing song lyrics, writing original lyrics, and composing music to help the participants strengthen their inner resources and identify healthier and more adaptive strategies for living in South Korea. The resilience scale measured at pre- and post-intervention showed that all participants increased their total scores and subscores related to hardiness and goal-directedness. Also, observation and analysis of their behavior, verbal responses, and lyric writing during the sessions revealed that the participants engaged more in the song-based music therapy process as the sessions went on and also expressed more positive perceptions of their ability to manage challenges and stress. These results indicate that active engagement in decision-making related to creating lyrics and composing music helped the North Korean defector adolescents to perceive themselves as capable of coping with stressful situations and independently solving problems, which are important for enhancing resilience.

Effects of the Attachment Promotion Therapy Program for the Children with Autistic Spectrum Disorder (자폐장애 아동을 위한 애착증진치료 프로그램의 효과)

  • Im Sook-Bin;Ju Se-Jin;Hong Kang-E M.
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.17 no.2
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    • pp.91-97
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    • 2006
  • The effects of the Attachment Promotion Therapy (APT) program for the autistic children were reviewed by 8 papers. The program was consisted with play activity centered mother-child interaction, educational activity for parents, lecture, video-feedback, and support. APT program was effective to improve the attachment behaviors and attachment security. And the mother's behaviors to her child became more child-centered, positively responsive, expressive supportively. Ninety six point seven percent of the mothers were satisfied with the APT program. They described that it was helpful to understand their children's developmental limitation and strength, to learn how to play with their children, to make supportive social network among the mothers, to minimize familial conflicts, and to make them much more comfortable with their children. They thought the APT Program was to be a steppingstone of the further educational program. APT program is an effective early intervention to promote social development and decrease autistic problems.

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A Survey of Low Back Pain for the Rural Woman and Home Extension Worker Related Education (농촌 부녀자와 농촌 생활지도사의 요통 교육에 관한 조사)

  • Kim, Soon-Ja
    • Journal of Korean Physical Therapy Science
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    • v.2 no.2
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    • pp.509-515
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    • 1995
  • The purpose of this study was to assess the rural women's general status in relation with low back pain. This survey was done after teaching them the prevention and treatment of low back pain with Meckenzie Method. 84 rural resident women including rural life guidance. The results were as follows. 1. The average age of rural were $35{\sim}50$ years old and the guidance's age were $21{\sim}25$ years old. The educational level of rural women were highest in primary school(46.67 %) and the home extension worker were college education(83.67 %). 2. 75 % of rural woman complained low back pain while 17.33 % of the home extension worker had back pain. 3. The home extension worker feel the necessity of the education in low back pain(100 %) while 88.89 % of the rural woman agreed. 4. All the rural women and the home extension worker had the concept of back pain and its prevention(100 %). 5. After this education, the confidence in prevention and treatment were each 78.79 % with rural women and 91.84 % with home extension worker. 6. The necessity for the treatment of low back pain were : first, the correction of posture, second, the activity posture correction, third, the supportive roll of back curve. 7. There were no statistical significant outcome specifically.

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Effect of Group Psychotherapy for Promotion of Hope on Anxiety, Depression, and Quality of Life in Cancer Patients (희망증진 집단 상담치료가 암환자의 불안 우울 및 삶의 질에 미치는 효과)

  • Cho, Chong-Kwan;Son, Chang-Gue;Cho, Jung-Hyo;Yoo, Hwa-Seung;Seo, Kyoung-Suk
    • The Journal of Korean Medicine
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    • v.29 no.4
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    • pp.39-46
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    • 2008
  • Objectives: The aim of this study is to develop a program adapted to cancer patients with reality therapy and evaluate the efficacy for anxiety, depression and quality of life in cancer patients. Methods: We developed a group psychotherapy, the promotion of hope program (PHP) adapted reality therapy and evaluated if it is effective on improving anxiety, depression, and quality of life in cancer patients. Results: PHP decreased anxiety (9.54 vs. 5.62, p<0.01) and depression (8.84 vs. 5.84, p<0.01) of cancer patients, and improved quality of life (3.77 vs. 4.13, p<0.01). Qualitative analysis results also showed the same supportive results. Conclusions: PHP can be an effective program for cancer patients to explore inner world and improve their own self-confidence.

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A Study about Psychological Counseling Methods for Mental Curing Classified by Sasang Constitution (정신양생을 위한 사상체질(四象體質)별 심리상담방법에 대한 고찰)

  • Kang, Min-Su;Oh, Ji-Won;Yang, Sung-Pil;Koh, Byung-Hee
    • Journal of Sasang Constitutional Medicine
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    • v.30 no.1
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    • pp.43-49
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    • 2018
  • Objectives In modern psychiatry, psychological counseling is important to mental curing. Although there are so many methods for mental curing, but counseling is known as the most efficient methods for mental curing. So, we are going to study about psychological counseling methods according to sasang constitution. Methods We analysed the characters of each constitution, and tried to find out which kind of counseling is suitable for each constitution. Results and Conclusions Soeumin is passive and tend to be depressive. So the self-esteem of soeumin is lower than that of other constitution. So, they mainly need social support and supportive counseling. Soyangin is tend to be extrovert group and easy to have fear. It is mainly caused by cognitive distortion, so they mainly need cognitive therapy. Taeumin is very stable and don't like to move. Taeumin Jeongchung(怔忡) is similar to panic disorder. So they need cognitive therapy and exercise counseling to exercise regularly. Taeyangin is tend to be angry, so they need meditation therapy to quell anger.