• Title/Summary/Keyword: 장애영향평가

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Heart Rate Variability in Patients with Anxiety Disorder and Effects of Selective Serotonin Reuptake Inhibitor (불안장애 환자에서의 심박변이도와 세로토닌재흡수억제제투여 후의 치료효과)

  • Lee, Kang-Joon;Kim, Hyun;Lee, Seung-Hwan;Park, Young-Min;Chung, Young-Cho
    • Korean Journal of Psychosomatic Medicine
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    • v.14 no.2
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    • pp.94-101
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    • 2006
  • Objectives : A variety of symptoms are typically reported during anxiety period, several of which are clearly linked to the autonomic nervous system(ANS), such as palpitations, chest pain and shortness of breath. Using spectral analysis of heart rate, several studies have shown that patients with anxiety disorder are characterized by a reduced heart rate variability(HRV), indicative of abnormalities in ANS fuction. To further evaluate the effect of anxiety and medication on autonomic function, 30 patients and 30 matched control subjects were assessed. Methods : Using spectral analysis of heart rate, which consisted of standardised measurements of HRV, we compared ANS between 30 patients with DSM-IV diagnosed anxiety disorder and 30 healthy controls, and investigated the autonomic effects of SSRI treatment. Five-minute HRV recordings were obtained before and after SSRI treatment and were analysed. Results : Five-minute HRV recordings in anxiety disorder patients revealed that a significant reduction in HRV was shown compared to controls. There was no significant changes in HRV between before and after SSRI treatment. Conclusion: Anxiety disorder patients showed a significant reduction in HRV compared to controls. SSRIs do not affect HRV influenced by ANS function. Further study is needed to confirm these things. Patients with anxiety disorder may suffer from functional disturbances in the interaction between the sympathetic and parasympathetic autonomic tree.

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The Effects of Sensory Integration Intervention on Play in Children With Sensory Modulation Disorder (감각통합치료가 감각조절장애 아동의 놀이에 미치는 효과)

  • Kim, Jin-Mi;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.7 no.1
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    • pp.1-12
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    • 2009
  • Objective : This study is to verify effect of a sensory integration (SI) intervention on sensory processing of children with sensory modulation disorder (SMD), and to explore how the SI intervention affect play, socialization, occupational performance and occupational satisfaction of those children. Method : Five children with developmental disabilities living in metropolitan were diagnosed as SMD by the Sensory History Interview (SHI) and Short Sensory Profile (SSP). The SMD children undergone the 48 sessions of 50 min intervention twice in a week for six months and took the Revised Knox Preschool Play Scale(RKPPS), Social maturity test, Canadian Occupational Performance Measure(COPM), and Japanese Sensory Inventory Revised(JSI-2) before- and after the intervention. The result data analyzed by the Wilcoxon matched-pair signed rank test. Results : All data of post-intervention differed significantly; RKPPS(Z=-2.023, p=.043), Social maturity test(Z=-2.023, p=.043); occupational performance(Z=-2.023, p=.043); satisfaction(Z=-2.032, p=.042); and tactile system of JSI-2(Z=-2.032, p=.042). Conclusions : The results advocate that sensory integration intervention is effective in improving tactile processing, play, socialization, occupational performance, and occupational satisfaction of child with SMD. It is found that sensory integration intervention improves not only one's occupational performance but also underlying components of the performance. In order to generalize this conclusion, further studies need to be done with more number of subjects and consideration of environmental factors. Striving for more reliable and valid methods of data collection is also suggested.

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The Effects of the Sensory Integration Intervention Focused on Combined Both Individual Therapy and Group Therapy for Sensory Integration Ability and Occupational Performance Abilities in Children With Somatodyspraxia: Case Study (체성실행장애 아동을 위한 개별치료와 그룹치료를 병행한 감각통합치료가 감각통합능력 및 작업수행능력에 미치는 효과: 개별 실험 연구)

  • Cho, Hye-Jin;Bong, Young-Soon;Lee, Ji-Young
    • The Journal of Korean Academy of Sensory Integration
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    • v.11 no.2
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    • pp.13-26
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    • 2013
  • Objective : The purpose of the study was to investigate The effects of the sensory integration intervention focused on combined both individual therapy and group therapy for sensory integration ability and occupational performance abilities in children with somatodyspraxia. Methods : Once in a total of 12 weeks, baseline period of four sessions and twenty-four session intervention period, research process had combined individual therapy and group therapy for sensory integration therapy. The Design is ABA design of single-subject research design. For a comparison of each-side of the operation performance change in therapy for children, through the assessment Baseline at four sessions and reassessment at two sessions after intervention, the Occupational performance ability change was measured. During intervention period, Process changed the Sensory Integration ability was measured through the Goal Attainment Scale (GAS). Results : The Sensory Integration Ability combined Individual therapy and Group therapy have effect about improvement of the Sensory Integration ability and the Occupational performance ability for children with Somatodyspraxia. Conclusion : Henceforth, subject will undergo systematized experimental design, and when dependent variable such as Sensory Integration ability and the Occupational performance was measured, effect-measuring study needs through using reliable tools.

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Analysis of the Heat of Absorption Based on the Chemical Structures of Carbon Dioxide Absorbents (이산화탄소 흡수제의 화학구조별 반응열량 특성 연구)

  • Kwak, No Sang;Lee, Ji Hyun;Eom, Yong Seok;Kim, Jun Han;Lee, In Young;Jang, Kyung Ryoung;Shim, Jae-Goo
    • Korean Chemical Engineering Research
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    • v.50 no.1
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    • pp.135-140
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    • 2012
  • In this study, the heats of absorption of $CO_2$ with aqueous solutions of primary, secondary and tertiary amine aqueous solutions were measured in the commercial reaction calorimeter SIMULAR (HEL, UK). The heats of absorption of 30 wt% amine aqueous solutions of MEA (monoethanolamine, primary amine), EAE(2-(ethylamino)ethanol, secondary amine), and MDEA (methyldiethanolamine, tertiary amine) were measured as function of the $CO_2$ loading ratio at $40^{\circ}C$, in each case. In addition, the heats of absorption of sterically-hindered amine aqueous solutions of AMP(2-amino-2-methyl-1-propanol, primary amine), DEA(diethanolamine, secondary amine) and TEA(triethanolamine, tertiary amine) were measured to observe the steric hindrance effect. The heat of absorption is high in the following order regardless of the steric hindrance: primary amine > secondary amine > tertiary amine. The heats of absorption of amines having sterically-hindered substituents surrounding nitrogen atoms are relatively low compare to that of sterically-free amines, although the difference is very small.

Evaluation of Quality of Life according to Temporomandibular Disorder Symptoms in Dental Hospital Worker (치과병원 종사자에서 측두하악관절장애 증상에 따른 삶의 질 평가)

  • Kim, Dong-Kook;Lim, Hyun-Dae;Lee, You-Mee
    • Journal of Oral Medicine and Pain
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    • v.37 no.1
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    • pp.61-72
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    • 2012
  • Temporomandibular disorder(TMD) is relatively prevalent disease, and quality of life may be impaired in TMD patients. Like general population, dental hospital workers are also exposed to the risk of TMD. But, many of them tend to overlook or tolerate their symptoms for lack of time and interest. Therefore, problems may become more serious, causing interference of performing task and decrease of quality of life. The aim of this study were to obtain data for TMD prevalence in dental hospital workers and to evaluate quality of life according to TMD symptoms. Subjects were recruited from Wonkwang University Dental Hospital. After consent, subjects completed quality of life questionnaire and were evaluated for subjective and objective signs and symptoms of TMD. Subjects were classified into 4 groups : (1) normal group (2) joint disorder group, (3) local myalgia group, and (4) myofascial pain group. The result of the study indicated that TMD negatively influences the quality of life in dental hospital worker. TMD symptoms can deteriorate quality of life in dental hospital worker. Future effort to make protocol for proper management is needed.

Oxidation of Endocrine Disrupting Chemicals Using Sodium Persulfate (과황산나트륨을 이용한 내분비계장애물질 산화제거)

  • Lim, Chan Soo;Yun, Yeo Bog;Kim, Do Gun;Ko, Seok Oh
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.33 no.2
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    • pp.609-617
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    • 2013
  • The objective of this study was to evaluate the oxidation method to remove endocrine disrupting chemicals in reverse osmosis(RO) retentate for the reuse of wastewater effluent. Oxidation of organic pollutants was induced by the persulfate catalyzed by Fe(II). Affecting factors such as initial pH and ionic strength on the Fe(II) catalyzed persulfate oxidation were evaluated. $17{\alpha}$-ethynylestradiol (EE2) degradation efficiency decreased as pH and ionic strength increased. However, the efficiency increased as chloride ion concentration increased due to the influence of radical transfer.

Dietary risk assessment for suspected endocrine disrupting pesticides in agricultural products in Busan, Korea (부산지역 유통 농산물의 내분비계 장애추정농약 위해평가)

  • Kwon, Hyeon-Jeong;Ok, Yeon-Ju;Kim, Chan-Hee;Park, Mi-Jung;Hwang, Hye-Sun;Youn, Jong-Bae;Cha, Kyung-Suk;Jo, Hyun-Cheol
    • Korean Journal of Food Science and Technology
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    • v.50 no.1
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    • pp.28-36
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    • 2018
  • Studies on suspected endocrine disrupting pesticide (EDP) residues in agricultural products were carried out in 2016 in Busan, Korea. Twelve different EDPs, ranging in concentration between 0.003-2.049 mg/kg, were detected in 19.5% of 462 samples. About 0.2% of agricultural product samples exceeded the maximum residue limits (MRLs). Risk indices of all of the EDPs were less than 10% of the acceptable daily intake (ADI). The outcomes indicated that the risk groups at highest risk of exposure to diazinon (found in Korean cabbages) and carbendazim (found in apples) were females aged 40 to 49 and young males less than 10 years old, respectively. Based on the stochastic assessment at $95^{th}$ percentile (P95), risk index in these risk groups accounted for 8.38 and 2.98% of ADIs. The results showed that the occurrence of EDP residues in agricultural products could not be considered a public health problem.

Effects of 6 Week Thoracic Flexibility Exercise on Balance, Gait Parameters and Fall Risk in Patients with Chronic Stroke; A randomized controlled study (6 주간의 체간 유연성 운동이 만성 뇌졸중 환자의 균형과 보행, 낙상 위험도에 미치는 영향)

  • Park, Donghwan;Lee, Kang-Seong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.6
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    • pp.498-507
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    • 2020
  • The purpose of this study was to examine the effects of thoracic flexibility exercise on sitting balance, static standing balance, gait parameters, and the fall risk of patients with chronic stroke. The participants were randomized into the control (n=12) and thoracic flexibility exercise groups (n=12). Both groups received standard rehabilitation therapy for 30 minutes per session. The subjects in the experimental group performed additional thoracic flexibility exercises 3 times a week for 6 weeks. The trunk impairment scale, static standing balance, gait speed, cadence, and fall risk were assessed for all the participants before and after the intervention. The thoracic flexibility exercise group showed greater improvement than did the control group on the trunk impairment scale (t=-3.57, p=.002), static standing balance (t=5.37, p<.001), gait speed (t=-3.29, p=.003), cadence (t=-2.77, p=.011), and fall risk (t=6.33, p<.001). Furthermore, the thoracic flexibility exercise group significantly improved all the outcomes compared to the baseline values (P<.05). This study showed that the thoracic flexibility exercise improved the functional ability of patients with chronic stroke.

Effect of Developmental Disorders of Maxillary First Molars on Orofacial Morphology (악안면 형태에 대한 상악 제1대구치 발육장애의 영향)

  • Park, Soyoung;Jeong, Taesung;Kim, Jiyeon;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.2
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    • pp.209-218
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    • 2019
  • This study was aimed to evaluate orofacial morphologies on the cases of developmental disorders of maxillary first molars. Panoramic radiographs, lateral cephalographs, and clinical photos of 2983 children who attended the Pediatric Dental Clinic of Pusan National University Dental Hospital from 2006 to August 2017 were assessed retrospectively. 34 patients were selected whose maxillary first molars were missed or developmentally delayed unilaterally or bilaterally. Demirjian's method was used for estimating dental age, then which was compared to chronologic age of children. Parameters expressing skeletal and dentoalveolar disharmony were checked and compared with control. Additionally, occlusion relationship was evaluated. Maxillary dental age was significantly delayed compared to chronologic age. Several parameters which show skeletal open-bite tendency and skeletal class III malocclusion with maxillary retrusion were statistically significant. Anterior crossbite and edge-bite were expected in most of these cases, but compensation by occlusion and soft tissue was also verified which might mask skeletal class III tendency. Congenital missed or developmentally delayed maxillary first molars might be related with declined growth of maxilla. If developmental disorders of maxillary first molars were verified during clinical examination, careful monitoring of orofacial growth was necessary during puberty and timed orthopedic and orthodontic intervention were considered.

Quality of Life of Patients in Acute Stage of Stroke (급성기 뇌졸중 환자의 삶의 질)

  • Kim, Se-Joo;Kim, Young-Shin;Choi, Nak-Kyung;Lee, Yoon-Young;Lee, Byung-Chul;Lee, Man-Hong
    • Korean Journal of Psychosomatic Medicine
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    • v.10 no.1
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    • pp.27-36
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    • 2002
  • Objectives : Stroke is a chronic condition that may carry significant negative impact on the quality of life in patients. Research, treatment and rehabilitation on stoke, however, have focused on physical aspects, neglecting its psychiatric aspects and quality of life. So, aim of this study is to compare quality of life in stroke patients and healthy controls by using WHO Quality of Life(QOL) Scale that evaluates the domains of physical health, psychological health, social relationship and environment. Additionally, relationship between clinical factors in patients with stroke and their quality of life were explored. Methods : 98 patients in acute stage of stroke and 24 healthy controls were recruited in this study and WHO QOL Scales were completed. Total scores and scores of domains of WHO QOL Scale in two groups were compared. Correlation analysis and multiple regression analysis were performed to examine the relationship between quality of life and the clinical characteristics in patients with stroke. Results : Total scores and scores of all domains of WHO QOL scale in patients with stroke were decreased compared to those in healthy controls. Clinical characteristics including the depression, anxiety, social support system showed significant correlation with quality of life in general and most of subscales of QOL. And male patients have higher level of quality of life than female patients. But, physical disabilities rated with Barthel's index did not show significant correlation with quality of life. Multiple regression revealed that the severity of depression, anxiety, gender, and level of social support system were factors directly affecting the quality of life in the patients with stroke. Conclusion : Quality of life in patients with stroke was poorer than that of healthy controls. The severity of depression, anxiety, gender, and the level of social support system were related to the quality of life in the patients with stroke.

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