• 한국엔터테인먼트산업학회논문지
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• 제15권4호
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• pp.229-242
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• 2021

본 연구의 목적은 비계설정을 활용한 이야기치료를 통해 내담자의 변화를 이끌어내는데 주목한 실증사례연구이다. 이를 통해 내담자가 살아온 이야기들 가운데 미래의 선호하는 가치와 희망을 찾고자 하는 데 목적을 두었다. 연구방법으로는 심층적 연구방법론(qualitative research)의 구조화되지 않은 질문(unstructured interview)과 느슨한 구조를 통해 진행하였다. 이러한 전제하에 상담자는 '탈중심적이지만 영향력 있는' 자세와 문제에 대해 진단이나 설명을 하지 않았다. 그리고 대화에 순서가 있지 않았으며, 내담자가 어떤 표현을 하기 전에 미리 그에 대한 반응을 결정하지 않았다. 본 연구는 실천적, 학문적 차원에서 다음과 같은 의의를 갖는다고 할 수 있다. 우선 비계를 통한 상담은 내담자의 호기심과 기질, 소망 등을 더욱 풍요롭게 하는 작용을 한다. 둘째, 비계설정은 이야기치료에서 상담자와 내담자간의 관계맺음을 위한 구체적인 모습을 제공해준다. 셋째, 치료적 대화에서 이루어진 비계설정은 '학습과업'을 제시해준다. 넷째, 비계설정을 통한 상담은 내담자의 고등정신기능을 발달시켜줄 수 있다는 적극적인 의미를 담고 있다. 마지막으로, 실증사례에 대한 분석을 통한 비고츠키 이론의 이야기치료에의 적용점을 제시하였다. 이러한 내용을 토대로 본 연구는 이야기치료에서 내담자를 단순히 연구대상으로 위치시키고자 하지 않았다. 이들 스스로 이야기치료의 주체가 되는데 필요한 요인과 그 과정에서 상담자의 역할을 규명했다는 점에서 연구의 의의를 갖는다. 아울러 그간 국내 연구에서 크게 주목하지 않은 개념을 활용했다는 점에서 이야기치료의 연구범위의 확장과 내실화에 기여했다는 점에서도 함의를 갖는다.

• 재활치료과학
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• 제12권2호
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• pp.43-53
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• 2023

목적 : 본 연구는 뇌졸중 환자를 위한 재활동기 평가도구를 알아보고, 그 평가도구의 특징을 분석하여 평가내용의 구성에 사용된 개념적 틀과 특징을 분석하고자 하였다. 연구방법 : 2000년부터 2022년 5월까지 국내외 주요 데이터베이스(PubMed, National Digital Science Library [NDSL], Medline, EMbase)에 등록된 문헌들을 검색하여, 선정과 제외 기준에 따라 문헌을 선정하였다. 선정된 문헌들에서 사용한 평가도구들을 분석하고, 이 평가도구의 특징을 분석하고자 하였다. 결과 : 검색기준에 따라 총 30편의 문헌이 선정되었으며, 각 문헌에서 사용된 재활동기 평가도구를 분류한 결과 총 5개의 재활동기 평가도구로 분류되었다. 국내에서 가장 많이 사용되는 것은 장애인 재활동기 측정도구였으며, 국외에서 가장 많이 사용되는 것은 intrinsic motivation inventory였다. 5개의 평가도구의 평가내용 구성에 사용된 이론적 틀을 알아본 결과, 3개의 평가도구가 자기결정 이론(self-determination theory)에 근거하여 평가내용을 구성하였으며, 2개는 전문가 합의를 통해 평가내용을 구성하였다. 평가 항목수와 8개부터 45개 항목까지 다양하였으며, 평가 척도도 4점부터 7점까지 다양하게 사용되었다. 결론 : 본 연구를 통해 국내외 재활동기 평가를 위해 주로 사용되는 평가도구를 파악할 수 있었으며, 재활동기 평가도구 개발에 근거가 되는 주요 이론적 틀이 무엇인지 파악할 수 있었다. 본 연구 결과는 추후 뇌졸중 환자를 위한 재활동기 평가도구 개발 연구에 기초 자료로 활용될 수 있을 것으로 보여진다.

• 기본간호학회지
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• 제6권2호
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• pp.320-330
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• 1999

Nursing, a behavior of caring, means a connection of patients and clients has done through the caring of clients. Nurses are always with patients. In fact, caring is very important and the core of nursing, the true meaning of caring was embedded in our custom and consciousness before the approach of academic research. As a result, the existence of caring has not seen and revealed. Therefore, there is a need to study and confirm that caring has been placed in nursing and, nurses are doing caring in practice. The purpose of this study is to present the basis of nursing theory and practice through careful analysis of presence being, an aspect of caring. The presence of nurse shows a personal and healing relationship between nurses and patients on the basis of the respect for the humanity, Also, the role of nurses is to help a patient to integrate one's physical, mental and spritual aspects. Thanks to role of nurse, the pratical nursing has the characteristic of art and becomes more aesthetic and artistic. As we have seen above, we define 'presence' as 'being there' and 'being with' a patient for the purpose of meeting the health care needs. The attributes for which presence would be most appropriate would include the following : (1) being with and being together (2) take attention (3) mutual openness (4) experience an empathy (5) have an intention (6) therapeutic interaction process A caring situation as a necessary condition must be presupposed and the factors in that situation are the nurse's intense attention to the patient and a humanistic philosophy of the institutions of the patient. In any nursing intervention skill, there is listening, touching, giving hope, reassurancing, comforting and so on ; as a result, some positive effects can be expected between nurse and patient.

• 인간행동과 음악연구
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• 제5권2호
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• pp.93-102
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• 2008

융의 발달이론에 따르면, 인생은 만 35에서 40세를 전후로 페르소나가 형성되어가는 전반기와 참자기를 찾아 나서게 되는 후반기의 두 단계로 나누어진다. 이러한 관점에서, 나는 발달적으로 개성화에 대한 고민을 하지 않을 수 없는 역치점에 서 있으며, 음악-중심 음악치료사라는 페르소나를 가지고 있는 한 인간으로서 나의 개성화 과정은 음악적 참자기와 음악 안에서의 자기실현을 찾아나서는 과정에서부터 시작되어야 한다고 생각하였다. 나는 이러한 과정을 음악적 개성화(musical individuation)라 명명하고자 하며, 음악적 성장과 변화가 곧 음악 외적 성장과 변화를 상징한다는 음악-중심 음악치료 철학의 기본전제를 바탕으로, 나는 내 자신의 음악적 개성화 과정이 곧 나의 음악 외적 개성화 과정을 대변하리라 믿는다. 이 글은 아직도 많은 여정이 남아있고, 어쩌면 참된 완성이 가능하지 않을 수도 있는 음악적 개성화 과정에 대한 나의 개인적 기록이며 진솔한 고백이다.

• 한국전문물리치료학회지
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• 제19권3호
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• pp.91-97
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• 2012

The primary aim of this study was to compare responsiveness of self-report by worker and therapist-scored functional capacity instrument. Self-report and therapist-scored interval-level person measures and item difficulties were compared at admission and discharge. Therapist and worker ratings were collected on 230 clients from 27 rehabilitation sites using the newly developed Occupational Rehabilitation Data Base (ORDB) functional capacity instrument. ORDB comprises several subscales measuring relevant variables of "a return-to-work model" in work-related rehabilitation clinics. The functional capacity scale deals with 10 DOT job factors. The rating scale categories were 1-severely impaired, 2-moderately impaired, 3-mildly impaired, and 4-not impaired. Only data from clients with low back pain (n=98) with complete data (both admission and discharge scores) were used for the present study. Therapists and workers completed the functional capacity instrument at admission and discharge. Rasch analysis [1-parameter item response theory model (IRT)] was applied to calibrate item difficulty and person ability measure of therapist and workers ratings. Effect sizes for therapist and self-report ratings were slightly different, .69 and .30, respectively. Therapist and worker ratings were more consistent at discharge (r=.54) than at admission (r=.32). Workers have a tendency to be more severe in their ratings (show higher item difficulties) than therapists at admission and discharge. Therapists and workers report similar magnitudes of improvement following treatment program. These findings challenge the belief that injured workers may unreliable source for monitoring therapeutic outcomes. Self-report measures have the advantage of conserving therapist time for treatment (versus evaluation). While the therapist and self-report ratings are comparable at discharge, there is less consistency at admission. Comparable therapist-worker ratings may be achieved by controlling for rating severity using IRT methodologies.

• 동의생리병리학회지
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• 제32권3호
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• pp.149-156
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• 2018

Traditional medicines (TM) in Korea, China, and Japan share most of the theories and therapeutic tools, but there are also differences due to their unique histories and cultures. Here, we aim to identify the differences in the utilization of TM theory between three countries by analyzing herb usage data in terms of the related traditional theories. Herb usage data of each country was collected from "Investigation of Korean medicine use and herbal medicine consumption survey" (Korea), "Analytical report on circulation of key Chinese medicinal materials" (China), and "Survey report on raw material crude drug usage" (Japan). Fifty five herbs with sixty features belonging to five theoretical categories (four properties, five tastes, targeting meridians, treatment strategies, and herbal parts) were selected and analyzed. Weight Sum Model (WSM) and Network-Based Group Features (NBGF) were used to compare the theoretical characteristics of TM between three countries. For the statistical evaluation, we developed and applied Herb Set Enrichment Analysis (HSEA) for WSM and NBGF results. HSEA for WSM results revealed the kidney meridian were targeted more in Korea than Japan, while the spleen meridian were targeted more in Japan than Korea. Herbs with sour taste were used more in Japan than China. HSEA for NBGF results found that NBGF including warm, neutral, sweet, and tonifying features were more dominant in Korea and than Japan, while NBGF including cold, bitter, heat-clearing features were more dominant in Japan than the others. These results suggest that TM in Korea, China, and Japan have unique aspects of practice patterns and theoretical utilization.

• The Korean Journal of Pain
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• 제14권1호
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• pp.110-113
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• 2001

In controlling chronic intractable pains, the current therapeutic methods used are exercise, over the counter medication, cognitive-behavioral therapy, opioid medication, neural blockade, operation, etc., spinal cord stimulation being the last resort. Spinal cord stimulation was initiated when Shearly and others clinically tested the Gate control theory of Melzack and Wall. This had triggered the advancement of theoretic research on the mechanism and hardware necessary and has resulted in an accumulation of clinical experiences. This is known to be effective for treating sympathetic pain, arachnoiditis, failed back pain syndrome, radiculopathy, peripheral vascular disease, phantom limb syndrome, post-herpetic neuralgia, peripheral neuropathy, and angina pectoris. This report describes our experience in experimental spinal cord stimulation in patients with simultaneous post-herpetic neuralgia and herniated intervertebral disc. There wasn't any improvement in the post-herpetic neuralgia but the symptoms of a herniated intervertebral disc was much ameliorated. This was quite an unexpected result. The patient's back pain returned when the stimulation stopped.

• Journal of Microbiology and Biotechnology
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• 제30권7호
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• pp.1051-1059
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• 2020

Overproduction and accumulation of melanin in the skin will darken the skin and cause skin disorders. So far, components that can inhibit tyrosinase, a melanin synthase of melanocytes, have been developed and used as ingredients of cosmetics or pharmaceutical products. However, most of existing substances can only inhibit the biosynthesis of melanin while melanin that is already synthesized and deposited is not directly decomposed. Thus, their effects in decreasing melanin concentration in the skin are weak. To overcome the limitation of existing therapeutic agents, we started to develop a substance that could directly biodegrade melanin. We screened traditional fermented food microorganisms for their abilities to direct biodegrade melanin. As a result, we found that a kimchi-derived Pediococcus acidilactici PMC48 had a direct melanin-degrading effect. This PMC48 strain is a new strain, different from P. acidilactici strains reported so far. It not only directly degrades melanin, but also has tyrosinase-inhibiting effect. It has a direct melanin-decomposition effect. It exceeds existing melanin synthesis-inhibiting technology. It is expected to be of high value as a raw material for melanin degradation drugs and cosmetics.

• 대한두개안면성형외과학회지
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• 제9권1호
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• pp.1-7
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• 2008

Osteomas are most often located in the femur, tibia, humerus, spine, and talus. They are rare in the skull. Osteomas in the head and neck regions are benign bone neoplasms usually found in the frontoethmoid area. The developmental theory postulates that osteomas develop at the sites of fusion of tissues different embryological origin such as occur at the junction of the embryonic cartilaginous frontal and ethmoid bones. Trauma and infection have also been implicated as causative factors, but many patients with osteoma deny any preceding history of these. Osteomas are usually produce symptoms primary to cosmetic problems and secondary to pressure on adjacent structures. The objects of this study are from a 5-year period of April of 2002 to April of 2007, consisting of 48 male patients and 52 female. There were 33 cases of frontal bone osteomas, 5 cases of madibular bone osteomas, 5 cases of occipital bone osteomas, 6 cases of symptomatic paranasal sinus osteomas, 48 cases of asymptomatic paranasal sinus osteomas, and 3 cases of mastoid osteomas. We reviewed medical records of patients to find out their presentations, diagnostic considerations, therapeutic options, and outcomes. Patients were followed up six months postoperatively on the average. The authors experienced 48 cases of osteoma in the head and neck lesion, which were removed via direct approach or endoscopic approach. The 100 cases who came to the hospital with or without symptoms after diagnosis healed completely without sequelae. During the follow-up periods, excellent functional and cosmetic results were observed with an inconspicuous scar. There was no specific complications related to this procedure. Results of surgery in most cases were satisfied. We discussed the surgical procedure and the characteristics of the osteomas, and we report several cases with the review of literatures.

• 동의생리병리학회지
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• 제30권1호
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• pp.1-6
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• 2016

In recent years, there were frequent exogenous contagious diseases in Eastasia like SARS(severe acute respiratory syndrome), Avian influenza, Swine influenza, MERS etc. But there are various interpretations about their pathological differentiations and lead to controversy to diagnosis and medicinal use. So there needs universal and consistent understanding methods. Several conclusions are obtained from the research on differentiation theories of various epidemic diseases. Essential elements of differential diagnostic system are pathogen, characters and matters of disease and loci, especially three yin and three yang has close affinity with constitutional features or body shape. Binding these 3 categories, an integrated differentiation 3 dimensional coordinates are made. Out of these, each elements of 3 pathogen-axial lines are related with names of exogenous disease, and those of 3 feature-axial lines are related with 8 principal patterns. And those of 3 locus-axial lines implicating therapeutic method are related with steps and location of exterior and interior, 3 yin 3 yang, Defense, Qi, Nutrient and Blood, five viscera and six bowels and tissues. Additionally, 3 lines of each axis consist of factors which have their own affinity each other, so classification of pathogen, feature, locus of disease has layered interconnectedness. This classification system is included in constitutional features of individual patient. Afterwards, these cognitive structure can be used as a general theory guiding method of therapy, prevention and aftercure healthcare.