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RISS 인기검색어
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- 저자 : 곽희용(Hee Yong Kwak) (검색결과 3 건)
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곽희용(Hee Yong Kwak),김성근(Sung Geun Kim),박종경(Jong Kyoung Park),이성(Seong Lee) 한국간담췌외과학회 2010 한국간담췌외과학회지 Vol.14 No.2
Purpose: Laparoscopic cholecystectomy has been used widely for effective management of acute cholecystitis. However, it has limitations. In this study, we compared laparoscopic approaches and an open method. The meaning of the open method was assessed again. Methods: A retrospective review of 60 patients undergoing cholecystectomy for acute cholecystitis was done. Thirty patients were part of a laparoscopic cholecystectomy group; the other 30 patients were part of an open cholecystectomy group. Laparoscopic cholecystectomy was done using a 4-trochar method. We reviewed geographic characteristics, body mass index, white blood cell count, and clinical outcomes. Results: Age, gallbladder wall thickness and white blood cell counts were significantly different between the 2 groups; operation time was not. The length of the postoperative hospital stay in the laparoscopic group was significantly shorter than that in the open group. There was one case of bile leakage in the laparoscopic group which was treated by endoscopic nasal bile drainage. Conclusion: Open cholecystectomy is still a valid choice for acute cholecystitis in the modern era of laparoscopic surgery. In severe cases, conversion is not a failure and should be done immediately if necessary.
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한의학 치료 증진을 위한 사티어변형체계적치료 모델의 적용 - 국내 질적 연구 분석
김명희 ( Myung-hee Kim ),곽희용 ( Hui-yong Kwak ),김종우 ( Jong-woo Kim ) 대한한방신경정신과학회 2019 동의신경정신과학회지 Vol.30 No.4
Objectives: The purpose of this study was to analyze domestic qualitative research papers of the Satir Transformational Systemic Therapy and suggest the possibility of applying it to Korean medicine counseling. Methods: Domestic research papers were gathered by keywords ‘Satire Counseling’ or ‘Satir Transformational Systemic Therapy’ and ‘Qualitative Research’ in RISS (http://www.riss.kr/), KISS (http:// kiss.kstudy.com/), OASIS (http://oasis.kiom.re.kr/). The results were seven papers. Seven papers were selected based on grounded theory and case studies. Researchers analyzed the phenomena during the course of counseling to discuss the mechanism of the Satir Transformational Systemic Therapy and consider its applicability to Korean medicine psychotherapy. Results: The Satir Transformational Systemic Therapy has three points: ‘Self’, ‘Communication’, and ‘Family’. Positive changes such as ‘Self-recovery’, ‘Consistent communication’, and ‘Recovery of relationships’ are derived from these three points. And techniques such as iceberg exploration, family maps, three-members in a born family, and the family sculpture are also effective means. Conclusions: The Satir Transformational Systemic Therapy is valuable in the clinical fields of Korean medicine counseling, especially relative to problems stemming from relationships.
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교통사고 상해증후군 환자의 급성 스트레스 장애와 외상 후 스트레스 장애의 유병률과 한의변증유형 분석
이유진 ( Yu Jin Lee ),이성준 ( Sung Joon Lee ),정문주 ( Moon Joo Cheong ),임정화 ( Jung Hwa Lim ),조희근 ( Hee Geun Jo ),김보민 ( Bo Min Kim ),정선용 ( Sun-yong Chung ),곽희용 ( Hui-yong Kwak ),박보라 ( Bo Ra Park ),박태용 ( Tae-y 대한한방신경정신과학회 2021 동의신경정신과학회지 Vol.32 No.1
Objectives: To investigate the prevalence of acute stress disorder (ASD) and post-traumatic stress disorder (PTSD) in patients with traffic injuries. In addition, PTSD patients was classified using ‘pattern identification for jing ji and zheng chong'. Methods: Questionnaires such as the primary care PTSD screen for DSM-5(PC-PTSD-5), Korean version of PTSD checklist-5 (PCL-5-K), and the instrument of pattern identification for jing ji and zheng chong were conducted on 195 patients within 3 days to 1 year after traffic accidents. Patients were recruited from six medical institutions. Collected data were used to determine the prevalence of acute stress disorder and post-traumatic stress disorder. Results: On PC-PTSD-5, the prevalence was 39.1% for ASD and 50% for PTSD. On PCL-5-K, the prevalence was 20.4% for ASD and 29.3% for PTSD. Satisfying both PC-PTSD-5 and PCL-5-K, the prevalence was 18.2% for ASD and 25.8% for PTSD. As a result of pattern identification for jing ji and zheng chong, ‘weakness of heart and gall bladder type’ accounted for the highest proportions in both ASD and PTSD groups. Conclusions: In this study, the prevalence was 39.1% for ASD and 50% for PTSD by PC-PTSD-5. Satisfying both PC-PTSD-5 and PCL-5-K, the prevalence was 18.2% for ASD and 25.8% for PTSD. Further large-scale prospective studies are needed to analyze the prevalence of ASD and PTSD, the rate of progression from ASD to PTSD, and the type of pattern identification.
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