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The Biological Approach of Chronic Pain (만성동통에 대한 정신시체의학적 접근 -생물학적 접근-)

  • Oh, Byoung-Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.3 no.1
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    • pp.91-97
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    • 1995
  • Pain is a complex symptom consisting of a sensation underlying potenial disease and associated emotional state. Acute pain is a reflex biological response to injury, in contrast, chronic pain consists of pain of a mininum of 6 months duration and associates with physical, emotional past experience, economic resources of the patient, family and society. Moreover, chronic pain is characterized by physiological affective and behavioral responses that are quite different than those of acute pain. The different type of stimuli exciting pain receptor are mechanical, thermal and chemical stimli and chronic pain are concerned with three of all stimli. The major three components of pain central(Analgesia) system in the brain and spinal cord are 'periaqueductal gray area of the mesencephalon', 'the raphe magnus nucleus' and 'pain inhibitory complex located in the dorsal horns of the spinal cord'. But unfortunately, the central biochemical mechanisms of chronic pain are not clearly defined. To proper management of chronic pain, comprehensive urderstanding as a psychosomatic aspect and multidisciplinary therapeuti-team approach must be emphasized.

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Understanding Cancer Survivorship and Its New Perspectives (Cancer Survivorship에 대한 이해와 전망)

  • Kim, Soo-Hyun
    • Asian Oncology Nursing
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    • v.10 no.1
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    • pp.19-29
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    • 2010
  • Purpose: The purpose of this article was to review and discuss the current status, issues, and nursing perspectives of cancer survivorship. Methods: A comprehensive literature review was conducted. Results: The major areas of concern for the survivors included recurrence, secondary malignancies, and long-term treatment sequalae which affect their quality of life. The four essential components of survivorship are prevention, surveillance, intervention, and coordination. Cancer survivorship care plan should address survivor's long-term care, such as types of cancer, treatment modalities, potential side effects, and recommendations for follow-up. It also needs to include preventive practices, health maintenance and well-being, information on legal protections regarding employment and health insurance, as well as psychosocial services in the community. Survivorship care for cancer patients requires multidisciplinary efforts and team approach. Conclusion: Nurses are uniquely positioned to play a key role in ensuring quality services for cancer survivors and family members. Nurses should review the care plans for cancer survivorship with patients and families by instructing them when to seek medical treatment, promoting any recommended surveillance protocols, and encouraging healthy life styles for health promotion and quality of life.

Research in Shopping: Review of Academic Disciplines for a Shopping Theory (쇼핑연구 고찰: 학술영역 이해를 통한 쇼핑이론의 기초적 접근)

  • Park, Kyung-Ae
    • Journal of the Korean Society of Clothing and Textiles
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    • v.32 no.11
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    • pp.1802-1813
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    • 2008
  • As a very first step for theorizing shopping, this study attempted to diagnose the current of shopping research. Using the keyword of shopping from major academic databases in Korea, the study collected 560 research articles and analyzed patterns of: 1) research by year, journal, and academic area; 2) researchers by academic area; 3) keywords; and 4) research contents. Analyses showed that two thirds of articles in shopping were published after 2000. While the number of journals was the highest in business and engineering, the numbers of articles and researchers were the highest in business and apparel. The most frequently used included internet shopping mall, internet shopping, and shopping orientation. About 66% of shopping research was internet shopping related, and 80% was empirical study using individual consumers. Though shopping was studied as an individual consumer behavior, there were noticeable patterns in research contents by academic field. The study discussed such patterns and provided implications for multidisciplinary approaches for shopping theory and research.

A Design Procedure for Safety Simulation System Using Virtual Reality

  • Ki, Jae-Seug
    • Journal of the Korea Safety Management & Science
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    • v.1 no.1
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    • pp.69-77
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    • 1999
  • One of the objectives of any task design is to provide a safe and helpful workplace for the employees. The safety and health module may include means for confronting the design with safety and health regulations and standards as well as tools for obstacles and collisions detection (such as error models and simulators), Virtual Reality is a leading edge technology which has only very recently become available on platforms and at prices accessible to the majority of simulation engineers. The design of an automated manufacturing system is a complicated, multidisciplinary task that requires involvement of several specialists. In this paper, a design procedure that facilitates the safety and ergonomic considerations of an automated manufacturing system are described. The procedure consists of the following major steps. Data collection and analysis of the data, creation of a three-dimensional simulation model of the work environment, simulation for safety analysis and risk assessment, development of safety solutions, selection of the preferred solutions, implementation of the selected solutions, reporting, and training. When improving the safety of an existing system the three-dimensional simulation model helps the designer to perceive the work from operators point of view objectively and safely without the exposure to hazards of the actual system.

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A Study on the Japanese Home Care Service (일본의 가정방문사업에 관한 연구)

  • Lee Hea-Young;Park Rae-Joon;Kim Jin-Sang;Choi Jin-Ho
    • The Journal of Korean Physical Therapy
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    • v.12 no.1
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    • pp.113-118
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    • 2000
  • The purpose of this study was to review the Japanese home care service and analyse the necessity for the home care service and the team approaching. The subjects of this study were 23 Korean students who visited on the Japanese home n due to the curriculum of university. The data were collected from sep. 1 to nov. 30, 1999. The main results of this study were as follows : 1. There was consisted of some nurses, physical therapists, medical doctors, occupational therapists as a team of home care service. They visited patients as multidisciplinary team. 2. The qualities of service was good, and the attitude of patient was positive. 3. There was necessity for rehabilitation home care service in Korea. 4. There was necessity for team work through the rehabilitation home care service in Korea.

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Identity of Women's Health Nursing (여성건강간호학의 정체성)

  • Lee, Kyung-Hye
    • Women's Health Nursing
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    • v.4 no.1
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    • pp.36-46
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    • 1998
  • This paper describes why maternity nursing need to be extended and expanded to women's health nursing. Women's health nursing was developed and influenced by philosophical reasoning such as existentialism, feminism, and postmodernism. Also social changes accelerated to progress the maternity nursing to women's health nursing. Reproductive health is the core concept of women's health nursing as well as maternity nursing. The major content of women's health nursing includes maternity nursing area. Thus those researchers who study women's health nursing should take initiative role in multidisciplinary researches to solve health problem and improve the quality of women's life.

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Evolution and current status of microsurgical tongue reconstruction, part II

  • Choi, Jong-Woo;Alshomer, Feras;Kim, Young-Chul
    • Archives of Craniofacial Surgery
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    • v.23 no.5
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    • pp.193-204
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    • 2022
  • Tongue reconstruction remains a major aspect of head and neck reconstructive procedures. Surgeons planning tongue reconstruction should consider several factors to optimize the overall outcomes. Specifically, various technical aspects related to tongue reconstruction have been found to affect the outcomes. Multidisciplinary teams dedicated to oncologic, reconstructive, and rehabilitative approaches play an essential role in the reconstructive process. Moreover, operative planning addressing certain patient-related and defect-related factors is crucial for optimizing functional speech and swallowing, as well as quality of life outcomes. Furthermore, tongue reconstruction is a delicate process, in which overall functional outcomes result from proper flap selection and shaping, recipient vessel preparation and anastomosis, surgical approaches to flap insetting, and postoperative management. The second part of this review summarizes these factors in relation to tongue reconstruction.

Understanding Parkinson's Disorders: Classification and Evaluation Methods, Movement Disorders, and Treatment Methods

  • Jung-Ho Lee
    • International Journal of Advanced Culture Technology
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    • v.11 no.3
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    • pp.9-17
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    • 2023
  • Parkinson's disease is a complex neurodegenerative disease characterized by the progressive loss of dopamine-producing neurons in the substantia nigra, resulting in a variety of motor and non-motor symptoms. This study aimed to provide a comprehensive overview of Parkinson's disease, including classification of Parkinson's disease, impairment due to impairment, how disability is assessed, and how it is treated. Major symptoms of Parkinson's disease include tremors, stiffness, bradykinesia, and postural instability, and treatment methods include rehabilitation through drugs, surgical procedures, physical therapy, and occupational therapy. Early diagnosis, individualized treatment interventions, and comprehensive treatment involving a multidisciplinary medical team will be essential to manage Parkinson's disease and improve patients' quality of life. In conclusion, this study will provide comprehensive information on the complex nature of Parkinson's disease and serve as a useful guide for healthcare providers designing treatment plans for Parkinson's patients.

The Long-Term Outcome and Rehabilitative Approach of Intraventricular Hemorrhage at Preterm Birth

  • Juntaek Hong;Dong-wook Rha
    • Journal of Korean Neurosurgical Society
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    • v.66 no.3
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    • pp.289-297
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    • 2023
  • Technological advances in neonatology led to the improvement of the survival rate in preterm babies with very low birth weights. However, intraventricular hemorrhage (IVH) has been one of the major complications of prematurity. IVH is relevant to neurodevelopmental disorders, such as cerebral palsy, language and cognitive impairments, and neurosensory and psychiatric problems, especially when combined with brain parenchymal injuries. Additionally, severe IVH requiring shunt insertion is associated with a higher risk of adverse neurodevelopmental outcomes. Multidisciplinary and longitudinal rehabilitation should be provided for these children based on the patients' life cycles. During the infantile period, it is essential to detect high-risk infants based on neuromotor examinations and provide early intervention as soon as possible. As babies grow up, close monitoring of language and cognitive development is needed. Moreover, providing continuous rehabilitation with task-specific and intensive repetitive training could improve functional outcomes in children with mild-to-moderate disabilities. After school age, maintaining the level of physical activity and managing complications are also needed.

Clinical Practice Guideline of Gastric Cancer in Korea (위암 표준진료권고안)

  • Jae Gyu Kim
    • Journal of Digestive Cancer Research
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    • v.4 no.1
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    • pp.10-16
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    • 2016
  • There were no Korean evidence-based multidisciplinary guidelines for gastric cancer. Experts from related societies developed guidelines de novo to meet Korean circumstances and requirements, including 23 recommendation statements for diagnosis (n=9) and treatment (n=14) based on relevant key questions. The quality of the evidence was rated according to the GRADE evidence evaluation framework and the recommendation grades were classified as either strong or weak. The topics of the guidelines cover diagnostic modalities (endoscopy, endoscopic ultrasound, and radiologic diagnosis), treatment modalities (surgery, therapeutic endoscopy, chemotherapy, and radiotherapy), and pathologic evaluation. Major limitation of the present guideline is that there is no enough evidences in Korea. Therefore, clinical studies about gastric cancer for evidence generation should be conducted.

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