When most middle-aged women live in a time when they have to take responsibility for their lives, they feel lonely when they realize that their experience of not expressing their feelings properly has ended up being left alone due to their own existence and loss. As the first step in conscious awareness of unconsciousness of middle-aged women through analytical psychology, we performed "Mandara" and "Nanhwa Mandara," which meet me inside. The intermediate stage can be divided into transition and work phase. The working phase, develops one's own advantages and unique strengths that meet the inner world of promoting and acting values, correctly looks at reality, corrects emotion perception and balance, and is self-contained, seed mandala, associative mandala. They performed the strong points of mandala, the free mandala, and the Western mandala. The results of the study showed that mandala art therapy was found in middle-aged women. First, Mandarin art therapy experience affects the physical, psychological and human relations aspects of middle-aged women. Second, middle-aged women's experience of individualization through mandala art therapy shows psychological reversals and affects positive thinking and self-effectiveness. This study was suitable for qualitative research that approached the essence through practical understanding and direct exploration of research participants, and it is meaningful to suggest that it is necessary to develop an art therapy program through various mediums considering the lack of art therapy research in middle-aged women and problems experienced by the physician.
The purpose of this study was to examine the effects of group music therapy involving the creation of a musical play on the self-esteem, self-expression, and social skills of children. The participants were 14 first through third graders and 14 fourth through sixth graders from a children's center. Half of the children from each grade band (Grades 1-3 and 4-6) were assigned to the experimental group and the other half to the control group, for a total of 14 children in each group. The experimental group who participated in music therapy sessions focused on creating a musical play. The experimental group selected themes, made a script, composed song lyrics and music, and performed the completed musical play. The Self-Esteem Scale, Self-Expression Scale, and Social Skills Rating System (SSRS) were administered before and after the intervention. The experimental group exhibited significantly higher scores than the control group on all of the scales except subscales of the Self-Expression scale and the SSRS. The results of this study suggest that group music therapy can facilitate children's engagement in group work and that playing an important role in the group can positively impact their perceptions of themselves.
The purposes of this study were 1) to review the Medical Nutrition Therapy (MNT) Act of the United States, 2) to introduce the efforts of the American Dietetic Association (ADA) to expand the Medicare coverage for MNT and 3) to provide information about the reimbursement under Medicare Part B for the cost of MNT. The MNT Act defined MNT services as “the nutritional diagnostic, therapeutic, and counseling services provided by a Registered Dietitian or nutritional professional for the purpose of managing diabetes or renal diseases”. Also, the MNT Act defined “conditions for coverage of MNT”, “limitations on coverage of MNT”, and “qualifications of MNT service provider”. To expand the coverage of Medicare to include MNT, the ADA realized the need for development of a protocol for MNT, as well as studies to evaluate the effectiveness and cost-effectiveness of the MNT protocol developed. Therefore, the ADA supported the studies to develop a strong database of scientific investigations of nutritional services. Furthermore, the ADA needed credible data that could be used by Policy makers, so the ADA contracted with the Lewin Group to if out the study to gather the additional data needed to strengthen the ADA's position. In the report of the Lewin Group, which was entitled, “The Cost of Covering Medical Nutrition Therapy under Medicare : 1998 through 2004”, it was concluded, that if coverage for MNT in the Part B portion of Medicare had begun in 1998, by 2004, approximately $ 2.3 billion would have been saved through reduced hospital spending under Part A of Medicare ($ 1.2 billion) and reduced physician visits under Part B ($ 1.1 billion) Effective January 1 2002, the US Congress extended Medicare coverage to include MNT to beneficiaries with diabetes or renal diseases. The Centers for Medicare and Medicaid Services (CMS) established the duration and frequency for the MNT based on published reports or generally accepted protocols (for example, protocols suggested by the ADA). The number of hours covered by Medicare is 3 hours for the initial MNT and 2 hours for a follow-up MM. In 2002, a Medicare coverage policy was made to define the Physician's Current Procedural Terminology (CPT) codes 97802, 97803, and 97804 for MNT.
Journal of the Korea Academia-Industrial cooperation Society
/
v.17
no.8
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pp.369-378
/
2016
The purpose of this study was to determine the effects of mother's education about amblyopia occlusion therapy on parenting stress and efficacy and the visual acuity improvement of the amblyopia child. The study was designed as a nonequivalent control group pretest posttest quasi-experimental study. The mothers with amblyopia children who signed the consent form were assigned to one of two groups, the experimental group (29) and control group (31). The data were collected from March 5 to October 5, 2010, at G university hospital outpatient department located in G city. The subjects in the experimental group participated in the Mothers Education about Amblyopia Occlusion Therapy for 24 weeks, which included face to face consultations, telephone counseling, etc.. The degree of parenting stress and efficacy were measured by using questionnaires and the visual acuity was measured by visual examination. The data were analyzed using the ${\chi}^2-test$, Fisher's exact probability test, t-test and Repeated Measure ANOVA using SPSS PC+20.0 for Windows. The following results were found after the therapy. The experimental group had statistically significantly higher visual acuity (Rt, F=40.64, p<.001, Lt, F=10.28, p<.001), lower parenting stress scores (F=9.85, p=.003) and higher parenting efficacy scores (F=22.19, p<.001) than the control group. In conclusion, the Mothers about Amblyopia. Occlusion Therapy Education Program was effective in improving the visual acuity of the amblyopia children, and decreasing the parenting stress and enhancing the parenting efficacy of their parents.
Kim, Ah-Ram;Jeong, Seong-Woo;Jeong, Jiin;Kim, Jung-Ran
Therapeutic Science for Rehabilitation
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v.10
no.3
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pp.83-96
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2021
Objective : This study aimed to determine Korea-type family function factors that affect individual growth and social activities, and examine check the appropriate contents and domestic culture components based on the McMaster model, a family function evaluation tool, through the Delphi technique. Methods : The Delphi technique was applied to 12 expert panels in fields related to family function. The period lasted 9 weeks, from May to June 2020. The Delphi survey was conducted twice. In the first survey, the domestic culture and appropriate contents of the McMaster model were selected and localized, and expert' opinions about the components were collected using closed and open-ended questions. In the second survey, the fitness and importance of the components were investigated. Results : As a result of the first Delphi investigation, 18 items were deleted from the 53 items presented. After adding 11 items and excluding any overlapping items, a total of 40 items were selected. Subsequently, sentences that were difficult to understand were revised to familiar vocabulary. A second survey was constructed, with an example sentence. In the second Delphi investigation, 33 items were selected. The average content validity ratio for the final selected component was 0.76, and the stability was 0.28. Conclusion : Family function and the factors influencing domestic family function identified though this study can be used to conduct family function evaluations and interventions in clinical sites or relevant research studies.
Journal of the Korean Academy of Child and Adolescent Psychiatry
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v.25
no.1
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pp.6-13
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2014
Objectives : The aim of this study is to assess the career paths and practice patterns of child and adolescent psychiatrists in South Korea. Methods : A survey on demographic data, work environment, opinion on fellowship training program, and current practice patterns was conducted in 76/223 (34.0%) of all child and adolescent psychiatrists (N=223) were from 1980 to 2008. The survey data from the responders were analyzed. Results : More than half of those surveyed were women. The mean age of survey participants was 40.8 years; most were married, and lived in the Seoul National Capital Area. In general, the responders were very satisfied with their work. They worked in private practice, public sector, group practice, and as consultants. Up to 87% of the patients treated were children and adolescents. The most common treatment modalities were medication and parent psychoeducation. Social skills training and play therapy were applied mainly for children aged 4 to 12 years old. Cognitive behavioral therapy and counseling were preferred in adolescents. Conclusion : The current study used a database approach in order to define current practice patterns. These data may be helpful in consideration of future training programs, workforce issues in child and adolescent psychiatry in South Korea, and also in collaboration with other mental health providers.
Journal of the Korean Association of Oral and Maxillofacial Surgeons
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v.36
no.6
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pp.520-527
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2010
Introduction: This study examined the treatment patterns of temporomandibular disorders (TMD) including conservative and surgical procedures. Materials and Methods: Patients with TMD who visited Gangnam Severance Hospital from June 2007 to May 2008 were enrolled in this study. All patients were examined from the orthopantomogram, temporomandibular joint (TMJ) tomography, and a clinical examination. The patients who required a further evaluation were examined by magnetic resonance imaging and/or computed tomography. The treatment patterns were divided into counseling, medication, splint therapy, botulinum toxin injection (BTI) and surgical treatment. Results: Among the 2,464 patients, the average age was 31.8 years (ranging from 6 to 93); 764 (31.0%) were male and 1,700 (69.0%) were female. 2,355 (95.6%) patients were treated with conservative therapy; 1,460 (62.0%) patients were treated with medication, 931 (39.5%) patients were treated with splint, and 46 (2.0%) were treated with BTI. There were 109 (4.4%) patients treated surgically. Eight (0.3%) patients were treated with total temporomandibular joint replacement surgery. Conclusion: Almost all patients with TMD were treated using conservative methods. Those patients who received surgical treatment because of an ineffective response to conservative treatment had definite problems with the internal derangement and/or osteoarthritis or had severe clinical symptoms.
This study is to know the effect of drama therapy on the sociality of isolated children. To achieve this goal, the following hypothesis was built. Hypothesis I. Dramatherapy program will improve the sociality of isolated children. I -1. Dramatherapy program will improve in cooperation. I -2. Dramatherapy program will improve in independency. I -3. Dramatherapy program will improve in sociability. I -4. Dramatherapy program will improve in law-abiding. To test this hypothesis, the social and emotional isolation test was conducted in 190 children consisting of fifth-grader from N elementary school located in Busan to select 28 children whose founded to be isolated; among these children, eight who wanted to participate in the program were positioned at the experimental group and other eight who didn't want to do and who demonstrated the range of marks similar to the experimental group were positioned at the control group. The dramatherapy program was based on the theory by Robert Landy (2002), Jennings (2003) and Phil Jones (2005) to improve the sociality of isolated children and was implemented in a total of 15 sessions, two sessions a week after school. To test the effect of the program, A modified test paper by Suh, Poongyeon (1991) with the content of testing sociality into a test paper of human nature for elementary school students to be made by Jeong, Bummo (1971) was used which consists of four sub-factors: cooperation, independency, sociability, law-abiding. As a quantitative analysis, Mann-Whitney Test were analyzed for experimental and control groups. As a qualitative analysis, the interaction patterns among student were analyzed on he basis of video tapes. The tool of observe the interaction patterns among student was Interaction Process Analysis System which was made by Bales (1970). This study obtained the following result First, the drama therapy had meaningful effect on the sociality of the sociality of isolated children. But the quantitative change of the sociality test conclusion was showed meaningfully and positive social behavior was increased in periodical process analysis. Second, in the Interaction Process Analysis(IPA) affirmative interactions increased and negative interactions decreased.
Objective: This study investigated the therapeutic possibility of natural therapy in atopy-camp for children with atopic dermatitis. Methods: 30 children (19 boys and 11 girls, median age 11.5 years, ranging from 9 to 15) participated in natural environment-based activities in a camp-village located in Geumsan-gun for five days. Assessment of symptom change was conducted by self-reporting numeric scale (NRS) for pruritus and sleeping difficulty, investigator global assessment (IGA), eczema area and severity index (EASI score), serum histamine and IgE concentration before and after the camp period. Statistical significance was analyzed by paired t-test. Results: NRS for pruritus ($4.7{\pm}2.0$ into $4.3{\pm}2.1$), sleeping difficulty ($3.1{\pm}2.1$ into $2.9{\pm}2.0$), and serum histamine concentration ($4.27{\pm}7.39$ mol / L into $3.21{\pm}6.08$ mol / L) showed positive changes but didn't reach statistical significance (p > 0.05). IGA ($3.8{\pm}0.9$ into $4.13{\pm}1.0$), while EASI score ($10.8{\pm}9.7$ into $9.1{\pm}9.2$) and IgE ($408{\pm}320$ IU / mL into $385{\pm}3.8$ IU / mL) were significantly improved (p < 0.01). Conclusions: In spite of the limitation of the clinical trial protocol, this study may provide the possibility of natural environment-based therapy for children with atopic dermatitis.
The development of molecular biology has brought many changes in psychiatry. Molecular biology makes us possible to know the cause of mental disorders that provide the way to prevent the disorders, and to develop various accurate diagnostic and treatment methods for mental disorders. The author discusses the concept, cause, and treatment of mental disorders in the aspect of molecular biology. Importing the methods of molecular biology into psychiatry, we can anticipate to get a number of the goals of psychiatric genetics, including identification of specific susceptibility genes, clarification of the pathophysiological processes whereby these genes lead to symptoms, establishment of epigenetic factors that interact with these genes to produce disease, validation of nosological boundaries that more closely reflect the actions of these genes, and development of effective preventive and therapeutic interventions based on genetic counseling, gene therapy, and modification of permissive or protective environmental influences. In addition to their capacity to accelerate the discovery of new molecules participating in the nervous system's response to disease or to self-administered drugs, molecular biological strategies can also be used to determine how critical a particular gene product may be in mediating a cellular event with behavioral importance. Molecular biology probably enables us discover the environmental factors of mental disorders and allow rational drug design and gene therapies for mental disorders, by isolation of gene products that facilitate a basic understanding of the pathogenesis of these disorders. A specific genetic linkage may suggest a novel class of drugs that has not yet been tried. With respect to gene therapy, the hypothetical method would use a gene delivery system, most likely a modified virus, to insert a functional copy of a mutant gene into those brain cells that require the gene for normal function.
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