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태음인(太陰人) 조열증(燥熱證)으로 진단한 진행된 파킨슨병 환자 치험례 (A Case Study of a Taeeumin Patient with Advanced Parkinson's Disease Diagnosed as Dry-heat Symptomatic Pattern)

  • 이미숙;박유경;배나영
    • 사상체질의학회지
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    • 제25권4호
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    • pp.442-453
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    • 2013
  • Objectives This case study was about a Taeeumin patient with advanced Parkinson's disease diagnosed as Dry-heat symptomatic pattern. In this study, we reported significant improvement of motor and non-motor symptoms of this patient after Sasang constitutional medicine treatment. Methods The patient was diagnosed with Taeeumin Dry-heat symptomatic pattern and treated with Taeeumin's constitutional medications and acupuncture. The primary outcome measure for this study is Unified Parkinson Disease Rating Scale(UPDRS) to assess the overall function of patient. Secondary outcome assessments include Global Assessment Scale(GAS), change of patient's sleep, stool and urine. Results and Conclusions The patient treated with Taeeumin's constitutional medications and acupuncture had reduction in UPDRS (specifically Part II, Part III and Part IV) and GAS of motor symptoms. Furthermore, patient's sleep, stool and urine were reported to be normal after treatment. In conclusion, this study shows that Sasang constitutional medicine can be effective treatment for Taeeumin patient with Advanced Parkinson's disease diagnosed as Dry-heat symptomatic pattern.

일부 산업장 근로자의 간이정신진단 검사(SCL-90)결과에 관한 연구 (A Study on the Response to Psychiatric Self-Report Rating Scale (SCL-90) of Some Industrial Workers in Korea)

  • 최정애
    • Journal of Preventive Medicine and Public Health
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    • 제15권1호
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    • pp.219-228
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    • 1982
  • This study aimed at assessing the industrial workers' mental health status and identifing the relationship between mental health status and socio-demographic variables. We administered psychiatric self report rating scale (SCL-90)to 622 manual workers and 191 office workers in a textile .industry. The study began on 1 November, 1981 and lasted for 30 days The results were as follow: 1. Scores of symptom dimension were higher in female rather than male, younger than older, lower income group than higher one, lower educated group than higher one, manual workers than office workers and unmarried group than married one respectively. 2. The result of dimension scores of total samples showed that the score of Obsessive-compulsive scale was highest. The rest symptom dimension showed the order as follows: Interpersonal sensitivity, Depression, Hostility, Anxiety, Paranoid ideation, Somatization, Psychoticism and Phobic anxiety. 3. In order to identify the partial contribution of each socio-demographic variables on the mental health, multiple regression method was applied, and the result was as follows. 1) Sex was the most important one to explain the Somatization, Phobic-anxiety and Psychoticism scales among the 7 variables in the multiple regression equation. 2) Economic status was the most important variable to explein the Obsessive-compulsive, Depression and Hostility scales. 3) Marital status was the most important variable to explain the Interpersonal-sensitivity and Paranoid ideation scales.

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관심전환 중재가 영유아의 병원 공포와 주사통증에 미치는 효과 (Effect of Distraction on Hospitalized Children's Fear of Hospital and Needle-related Pain)

  • 조수미;안혜영
    • 한국간호교육학회지
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    • 제19권4호
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    • pp.684-692
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    • 2013
  • Purpose: This study attempted to discover the effects of distraction on the hospitalized children's fear of the hospital and needle-related pain. Methods: The experimental group was given visual stimulation using a character from the injection room entrance. In addition, the video recording of 'bambarabam' was provided for visual and auditory stimulation to distract the children. The research tools included the hospital-related fear scale, Faces Pain Rating Scale (Wong & Baker, 1988) and Procedure Behaviour Check List (Lebaron&Zeltzer, 1984). For statistical analysis, the SPSS 19.0 program was used on the collected data for $X^2$-test and Mann-Whitney U test. Results: The experimental group showed significantly less fear ofthe hospital compared to the control group (U=151.50, p=.024). The experimental group showed significantly lower pain on both Faces Pain Rating Scale (U=167.50, p=.043) and the Procedure Behaviour Check List (U=106.00, p=.001) compared to the control group. Conclusion: These results suggest that distraction was effective in reducing the child's fear of the hospital and injection pain.

공황장애 호흡기 아형과 비호흡기 아형의 임상 특성 비교 (Comparison of Clinical Characteristics Between Respiratory and Non-Respiratory Subtypes of Panic Disorder)

  • 하주원;임세원;오강섭
    • 생물정신의학
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    • 제16권1호
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    • pp.46-52
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    • 2009
  • Objectives : The goal of this study was to compare the clinical characteristics of panic disorder respiratory subtype(PD-R) and non-respiratory subtype(PD-NR). Methods : 84 patients with panic disorder were enrolled and divided into 2 groups, 29 PD-R and 55 PD-NR. Diagnosis of panic disorder was evaluated using Diagnostic and Statistical Manual of Mental Disorders $4^{th}$ edition and Mini International Neuropsychiatric Interview. They were also measured with Hamilton Rating Scale for Anxiety(HAM-A), Hamilton Rating Scale for Depression(HAM-D), and Panic Disorder Severity Scale (PDSS). Results : PD-R group showed significantly higher scores in PDSS than those of PD-NR group(p=.027). After controlling for the severity of panic disorder and gender, PD-R group showed higher HAM-D and somatic anxiety subscale of HAM-A than those of PD-NR group. Furthermore, results of logistic regression analysis suggested that the somatic anxiety was a possible risk factor of PD-R(OR=1.404,p=0.009). Conclusion : These results suggest that somatic anxiety and depressive symptom would be important clinical characteristics of PD-R.

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틱 장애 아동의 인지행동치료 증례: 5회기 습관뒤집기 훈련과 호흡훈련을 중심으로 (Cognitive Behavioral Therapy in Childhood Tic Disorder : A Case of Report)

  • 송정림;홍종우;도진아;김현우;임명호
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제22권1호
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    • pp.38-43
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    • 2011
  • Chronic tic disorder or Tourette syndrome is known to be a chronic neuro-behavioral disease for which cognitive behavioral therapy (CBT) strategies have recently been introduced. Here, we report the effectiveness of CBT in a case of childhood chronic tic disorder, which is very common in clinical settings. The DSM-IV clinical diagnosis was applied by a child psychiatrist. The Yale Global Tic Severity Scale, Kovac's children's depression inventory, Spielberger State-Trait Anxiety Inventory, Abbreviated Conners' Rating Scales, and the Dupaul ADHD Rating Scales were used. This case involved a pharmacological treatment-refractory patient over the previous year. Thus, psychiatric consultation was undertaken. Subsequently, we administered five sessions of CBT for four weeks, consisting of symptom evaluation and planning, habit reversal training, and ventilation training. Following four weeks of CBT administration, there were improvements in the scores of the Yale Global Tic Severity Scale and the Clinical Global Improvement scale. Our observations indicate that CBT may be effective in the treatment of childhood tic disorder.

보행장애를 주소로 하는 소뇌형 다계통 위축증 환자의 한방 치료 1례 (A Case Report of Multiple System Atrophy in a Cerebellar Ataxia Patient Suffering from Gait Disturbance Treated with Korean Medicine)

  • 우성진;백경민;장우석
    • 대한한방내과학회지
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    • 제37권5호
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    • pp.806-814
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    • 2016
  • Objective: To describe the effect of Korean medicine on gait disturbance in a patient with multiple system atrophy and cerebellar ataxia. Methods: We observed a 75-year-old female patient who had multiple system atrophy and cerebellar ataxia. The patient was treated with Korean medicine, including acupuncture, moxibustion, and herbal medicine (Yukmijihwang-tang-gamibang and Boyanghwano-tang-gamibang) for 38 days. We evaluated the patient with the Korean version of the Berg Balance Scale (K-BBS), the Unified Multiple System Atrophy Rating Scale (UMSARS), and the Numeric Rating Scale-11 (NRS-11). Results: After treatment, the patient’s symptoms were improved. The K-BBS score increased from 9 to 19, while the UMSARS score decreased from 16 to 12 in Part I, from 15 to 7 in part Ⅱ, and from 4 to 3 in part Ⅳ. The NRS-11 score of gait disturbance decreased from 10 to 5. Conclusions: Korean medicine may be an effective treatment for gait disturbance in multiple system atrophy with cerebellar ataxia.

아동 보육시설 실내환경 평가 도구 개발 (Methodological Development of Physical Environment Rating Scale for Interior Space of Child Care Facility)

  • 이수진
    • 한국실내디자인학회논문집
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    • 제33호
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    • pp.27-35
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    • 2002
  • The qualify of preschool education is related to the qualify of the physical environment, This research is aiming to develop and validate the set of scales for the measurement of physical quality of the interior spaces in child care facilities. The research has been in three major phases: (1)the development of indicative sub-scales for the description, measurement and evaluation of the physical designed quality of early childhood environments (2)two rounds of iterative phases of reliability and validity testing of the scales through expert panels and observational field-testing and (3)implications for future research to be done. 13 sub-scales were developed, which are based on Moore's 15 design principal for child care environments. And each sub-scale includes several evaluation items based upon developmental theory, existing empirical literature, and Korean, Australian and American child care standards. This set of scales will (1)aid research on the effects of environmental variables on quality of child care facilities for infants, toddlers, and preschoolers; (2)permit evaluation of such environments to identify areas of needed improvement; and (3)provide information for policy makers, parents, administrators, and designers/architects.

사무직 여성 근로자의 경부 통증 유무와 관련된 요인 연구 (The Study on the Factors Related to the Existence of Neck Pain in Female Office Workers)

  • 남기봉;정석희;김성수
    • 한방재활의학과학회지
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    • 제19권2호
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    • pp.213-225
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    • 2009
  • Objectives : The purpose of this study was to investigate the factors related on pain in female office workers. Methods : Neck pain group of 31 female subjects complained of neck and arm discomfort. Normal group of 20 female subjects had no complaints or minimal discomfort. Cervical curvature and muscle tone were assessed by whole spine x-ray, meridian-electromyography(MEMG), craniovertebral angle, and Moire. Neck pain was evaluated by Neck Disability Index(NDI) and Visual Analog Scale(VAS). The emotional and other physical factors that could effect neck pain were checked by questionnaires including Beck Depression Index(BDI), Stress Reaction Index(SRI), Holmes & Rahe Social Readjustment Rating Scale(SRRS), International Physical Activity Questionnaire(IPAQ), and Gastrointestinal Symptom Rating Scale(GSRS). Results : The contraction and fatigue of upper trapezius by MEMG was significantly higher in the neck pain group. And BDI, SRI, SRRS, and GSRS were significantly higher in the neck pain group (p<0.05). However, there was no significant difference in the Jackson's angle, Cobb's method, craniovertebral angle, and moire between two groups. Conclusions : The results suggest that neck pain is related to mental stress rather than physical stress and physical stress does not change cervical curvature significantly.

만성복통 및 변비를 호소하는 소양인 파킨슨병 환자의 치험1례 (A Case Report on Parkinson's Disease Soyangin Patient with Abdominal Pain and Constipation)

  • 곽진영;김윤하;박정환;홍서진;안택원
    • 사상체질의학회지
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    • 제28권3호
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    • pp.276-285
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    • 2016
  • Objectives The purpose of this case was to report significant improvement of abdominal pain, constipation and a slight improvement of tremor after treatment by Sasang Constitutional Medicine to the patient with Parkinson's disease.Methods The patient was diagnosed as Soyangin according to the result of Sasang constitutional diagnosis, and treated by Sasang constitutional medications and acupuncture. The progress was evaluated with the Global Assessment Scale (GAS).Results The abdominal pain was reduced from Numeric Rating Scale (NRS)9 to NRS1 and headache was reduced from NRS5 to NRS3. The tremor was reduced to GAS 10. Unified Parkinson Disease Rating Scale (UPDRS) was reduced from 40 to 27. The difference of heat distribution between left and right side was reduced and the abdomen was more warmer on Digital Infrared Thermal Imaging (DITI).Conclusions Sasang constitutional medicine can be a solution for the non motor symptoms caused by Parkinson's disease.

태양인 해역증으로 진단한 근위축성 측삭경화증 환자 치험 1례 (A Case Study of a Taeyangin Patient with Amyotrophic Lateral Sclerosis)

  • 김소형;이미숙;박유경;배나영
    • 사상체질의학회지
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    • 제28권3호
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    • pp.300-308
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    • 2016
  • Objectives This case study was about a Taeyangin patient with Amyotrophic Lateral Sclerosis identified as Hae-Yeok pattern. In this study, we report the significant improvement of extremity weakness of this patient after Sasang Constitutional medicine treatment.Methods The patient was identified as Taeyangin Hae-Yeok pattern and treated with Ogapijangchuk-tang and acupuncture. Korean-Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (K-ALSFRS-R) was used to assess the overall function of the patient. And the Global Assessment Scale (GAS) was used to assess the change of upper and lower extremities weakness after the treatment.Result and Conclusion The K-ALSFRS-R total score decreased from 30 points to 26 points and extremity weakness showed significant improvement in GAS after 12 days treatment. Furthermore, walking distance was much longer after treatment. In conclusion, this study shows that Sasang constitutional medicine can be effective treatment for Taeyangin patient with Amyotrophic Lateral Sclerosis.