• Title/Summary/Keyword: 장애음

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A clinical case report of somatoform disorder patient complained nausea and vomiting (오심(惡心), 구토(嘔吐)를 주소(主訴)로 하는 신체형(身體型) 장애(障碍) 환아(患兒)의 치험(治驗) 1예(例))

  • Han Yun-Jeong;Chang Gyu-Tae;Kim Jang-Hyun
    • The Journal of Pediatrics of Korean Medicine
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    • v.15 no.2
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    • pp.201-208
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    • 2001
  • The somatoform disorder are distinguished by physical symptoms suggesting a medical condition, yet the symptoms are not fully explained by the medical condition, by substance use, or by another mental disorder. This is that an unconscious intrapsychic conflict, wish, or need is converted to a somatic symptom and clinically express various symptoms such as headache, dizziness, nausea, vomiting dyspepsia, diarrhea and constipation, etc. We report a case of somatoform disorder patient, who was 9 years old female and complained of nausea, vomiting and dysdipsia. She had her case diagnosed as somatoform disorder in Yong-dong severance hospital and took anti-depressant (chlomipramine) with counseling for 2 months. After treatment, her emotional instability and depression were improved, yet the somatic symptoms remain same. We diagnosed her case as vomiting induced by deficiency of the stomach(胃虛嘔吐) and administered Bihe-yin(比和飮) to her. After administration of Bihe-yin(比和飮) for one month, her somatic symptoms of nausea, vomiting and dysdipsia were almost disappeared and she got acquired her confidence in school life.

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Vibration Analysis of the Temporomandibular Joint Sounds (측두하악 관절잡음의 진동 분석)

  • Jeong, Da-Un;Jeong, Jae-Hyeon;Gang, Dong-Wan
    • The Journal of the Korean dental association
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    • v.46 no.4
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    • pp.232-242
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    • 2008
  • 관절잡음의 발생은 측두하악 관절의 구조적, 기능적 이상의 징후로 여겨져왔다. 이러한 관절잡음을 평가하는데 electrovibratography가 비침습적이고 신뢰할만한 방법으로 제시되어 왔으며 이를 통해 관절잡음의 진동수와 진폭 및 전체 에너지 양상을 숫자화하고 도식화 하는 것이 가능하게 되었다. 기존의 연구에서 여러 가지 관절잡음의 양적, 질적 분석이 시도되어 왔다. 이번 연구의 목적은 관절 잡음이 도식화되어 나타나는 frequency spectrum pattern을 integral>300Hz/<300Hz ratio와 함께 분석하는 것이다. 본 실험에서는 Joint Vibration AnalysisTM를 사용하여 측두하악 관절 장애의 증상이 없는 10명의 대조군과 관절 잡음과 동통이 있으나 개구제한을 보이지 않는 정복성 관절원판 변위의 범주에 있는 20명의 실험군에서 관절진동을 분석하였으며 관절진동 기록 시에 Jaw tracker를 함께 사용하여 개폐구시 관절잡음 발생의 위치를 감별하고 치아접촉음을 배제하여 관절잡음을 분석하였다. 그 후 실험군을 frequency spectrum pattern에 따라 4가지 하위 그룹으로 나누어 분석하였다. 실험 결과 실험군과 대조군의 하위 그룹 1에서 유사한 frequency spectrum pattern과 ratio범위를 보였으며 실험군의 하위 그룹 2,3,4 에서는 더 불규칙한 에너지 양상을 보이는 frequency spectrum pattern과 더 큰 ratio가 관찰 되었다. 이번 연구를 통해 Joint Vibration AnalysisTM가 악관절 진동의 특성을 감별하는데 유용함을 알 수 있었고 Joint Vibration AnalysisTM를 이용한 지속적인 진동 분석이 환자 교육뿐 아니라 성공적인 턱관절 기능이상의 진단과 치료에 유용할 것으로 사료된다.

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A Study of Korean TTS Listening Speed for the Blind Using a Screen Reader (스크린리더를 사용하는 시각장애인의 한국어 합성음 청취속도 연구)

  • Lee, Heeyeon;Hong, Ki-Hyung
    • Phonetics and Speech Sciences
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    • v.5 no.3
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    • pp.63-69
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    • 2013
  • The purpose of this study was to evaluate the maximum and optimal listening speed of Korean TTS for the blind. Five blind participants took part in this study. The instruments used in this study were 17 sentence sets (2 sets for an excercise, 10 sets for a repeated test, and 5 sets for a random test), with short meaningful sentences (the same sentences for the repeated test, different sentences for the random test) with 15 differentiated speeds (Range=0.8-3.6, SD=0.2). Each participant's maximum and quickest listening speeds were calculated by objective recall accuracy (determined by the number of correctly recalled syllables/the total number of syllables in a sentence X 100) and subjective recall accuracy (recall accuracy judged by each participant's subjective evaluation). The results showed that the participants' recall accuracy had a tendency to increase as the TTS speed decreased. Participants' subjective recall accuracy was higher than objective recall accuracy in the repeated tests and vice versa in the random tests. The results also revealed that the participants' sentence familiarity had an influence on their Korean TTS listening speed.

The Phonatory Characteristics of Voice in Profoundly Hearing-Impaired Children: with Reference to F0, Intensity, and their Perturbations (심도 청각장애 아동의 발성특성: 강도, 음도 및 그 변동률을 중심으로)

  • Choi, Eun-Ah;Park, Han-Sang;Seong, Cheol-Jae
    • Phonetics and Speech Sciences
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    • v.2 no.1
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    • pp.135-145
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    • 2010
  • This study investigates the differences in mean F0, intensity, jitter, and shimmer across hearing aid, gender, and vowels. For this study, 18 hearing-impaired children, 18 cochlear implanted children, and 18 normal hearing children as a control group were asked to read seven Korean vowels (/$\alpha$, $\wedge$, o, u, w, i, $\varepsilon$/). Subjects' readings were recorded by NasalView and analyzed by Praat. Results showed that the means of F0 were significantly higher in the hearing impaired group than in the normal hearing group; in the female group than in the male group; and in high vowels than in low vowels. Second, intensity was significantly higher in the hearing impaired group than in the normal hearing group; in the female group than in the male group; and in low vowels than in high vowels. Third, jitter was significantly higher in the normal hearing group than in the hearing impaired group; in the female group than in the male group; and in back vowels than in front vowels. Finally, shimmer was significantly higher in the CI group than in the normal hearing group or the hearing aided group; in the male group than in the female group; and in low vowels than in high vowels.

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An Experimental Clinical Phonetic Study on Patients of Dysarthria, Tonsilhypertrophy, Nasal Obstruction, and Cleft Palate (마비성조음장애, 편도 비대, 비폐쇄 및 구개열 환자의 실험 임상 음성학적 연구)

  • Kim, H.G.;Ko, D.H.;Shin, H.K.;Hong, K.H.;Seo, J.H.
    • Speech Sciences
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    • v.2
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    • pp.67-88
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    • 1997
  • The aim of this study is to develop an assessment program of speech rehabilitation for children having some language and speech disorders. Patients of dysarthria, tonsillectomy, tonsilhypertrophy, and nasal obstruction were selected for this experimental clinical phonetic study. Formant variations ($F_1\;&\;F_2$) show pre- and post-operation differences in tonsillectomy and cleft palate patients. Nasal formants ($NF_1\;&\;NF_2$) show pre- and post-operation differences in nasal obstruction. The articulation reaction time (ART) as a parameter was used to assess Voice Onset Time(VOT). It was shown longer duration for hypokinetic dysarthria and shorter for atoxic dysarthria.. The diadochokinetic rate was measured by Visi-pitch. Lower diadochokinetic rate appeared to spastic and dysarthria in comparison with the control group. It was shown that the nasalance of tonsilhypertrophy, nasal obstruction, and cleft palate patients was seen to increase after operation. In addition, the assessment of nasality can be measured only by simple vowels such as /a/ and /i/.

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A case study of third-generation quinolone antibiotics-induced-dyspepsia treated with Beewha-eum and acupuncture (비화음 및 침치료로 호전된 3세대 퀴놀론계 항생제 유발 소화장애 치험례)

  • Seo, Hyun-Sik;Joung, Jin-Yong;Son, Chang-Gue;Lee, Nam-Hun;Cho, Jung-Hyo
    • Journal of Haehwa Medicine
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    • v.26 no.1
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    • pp.68-72
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    • 2017
  • Objectives: The purpose of this case study is to report the clinical effects of acupuncture and Korean medicine on antibiotics-induced functional dyspepsia. Methods: The patient, 79-year-old, who complained about nausea and vomiting after taking antibiotics was treated by acupuncture and Korean medicine. We measured the amount of meals eaten by patient and quantified the degree of nausea she felt. Results: After the treatment, the symptoms were decreased. Conclusion: Acupuncture and herb medicine may be effective therapy on antibiotic's side effects such as nausea and vomit.

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Location Tracking System using GPS Information (GPS 정보를 활용한 위치추적시스템)

  • Park, Myeong-Chul;Jeong, In-Gi;Yun, Dong-Eun;Sin, Jong-Hyeon
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2019.01a
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    • pp.231-232
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    • 2019
  • 최근 고령화 사회로 들어섬에 따라 치매 노인 환자가 해가 갈수록 급증하고 나아가 치매환자 뿐만 아니라 보호가 필요한 미취학 아동, 장애인 등 실종사고가 빈번하게 발생하고 있다. 자신이 길을 잃었다는 것을 인지하지 못하고 잇따라 2차 사고가 발생하는 경우가 많다. 이렇게 사고가 빈번하게 발생하게 되면 보호자의 입장에서는 같이 외출을 하거나 피보호자를 혼자 두고 외출을 하는 것이 많은 부담이 될 수밖에 없다고 판단하였다. 이러한 문제점을 해결하기 위해 현재 위치추적을 기반으로 한 다양한 제품들이 있지만 통신사간의 복잡한 가입절차, 실종 시 2차사고 예방을 위한 대안이 없는 것 등 그 제품들을 사용자가 사용하는데 있어서 많은 제약이 있었다. 따라서 본 논문에서는 아두이노를 활용하여 이러한 문제점을 개선하여 피보호자의 위치를 스마트폰의 어플리케이션으로 실시간 확인할 수 있도록 하고 보호자가 설정한 일정 반경의 기준점을 벗어나게 되었을 때 경보음 알림과 동시에 긴급기관 신고전화 기능을 추가하여 빠른 초동조치로 연이은 2차 사고를 예방할 수 있게 함으로써 보호자가 외출 시 심리적으로 안심할 수 있는 GPS위치 추적시스템에 대해 기술하였다.

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A Study on the Knowledge of Nurses, Performance and Preventive Practice of Pressure Ulcer among Nurses in Long-Term Care Hospital (노인요양병원 간호사의 욕창간호지식, 욕창예방 간호수행 및 간호수행 장애요인에 관한 연구)

  • Jo, Eun-Hee;Kim, Hyun-Suk;Lee, Su-Jin
    • The Journal of the Korea Contents Association
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    • v.15 no.8
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    • pp.356-365
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    • 2015
  • This study is the descriptive research intended for identifying the reciprocal relationship between the knowledge of nursing and performance of pressure ulcer prevention that registered nurses at the aged care hospital possess. A total of 317 nurses who had been working at the aged care hospital for 4 months from March 1 2014 to June 1 2014 were chosen as research group. The data were collected by means of self-reported questionnaire and data were analyzed with descriptive statistics. The knowledge of nursing on pressure ulcer depending on general characteristics of research group had the significant difference in each item of clinical experience, education program, education time and education frequency(p<.05), In the performance of pressure ulcer prevention only the education frequency among various general characteristics showed significant differences(p=.40). The knowledge of nursing related to pressure ulcer had the low negative correlation with the performance of nursing(rho=-.137, p<.05). Among the factors disturbing nursing performance of pressure ulcer prevention the shortage of nursing staff appeared to be 57.7%. From the result of this study it was revealed that both increasing the education frequency of preventive nursing and managerial consideration concerning the shortage of nursing staff were needed more rather than the knowledgement of preventive nursing to improve the nursing performance of pressure ulcer prevention.

Neuropsychiatric Symptoms in Patients with Mild Cognitive Impairment and Dementia of Alzheimer's Type (경도인지장애 및 알쯔하이머형 치매 환자에서의 신경정신증상)

  • HwangBo, Ram;Kim, Hyun;Lee, Kang Joon
    • Korean Journal of Psychosomatic Medicine
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    • v.20 no.2
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    • pp.105-111
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    • 2012
  • Objectives : We investigated the prevalence and composite score of the neuropsychiatric symptoms in patients with mild cognitive impairment(MCI), and dementia of Alzheimer's type(AD). The aim of this study is to analyze the correlation between the result of Korean Neuropsychiatric Inventory(K-NPI) and cognitive function. Methods : A total of 163 patients diagnosed with MCI or AD was divided into three groups(55 MCI patients, 56 dementia patients with mild stage, and 52 dementia patients with moderate, severe stage). We examined neuro-psychiatric symptoms by K-NPI and compared the prevalence and composite score of each subdomain in K-NPI among three groups. Results : The most common symptoms in the MCI group were depression/dysphoria, sleep/night-time behavior, anxiety, and irritability/lability. In mild AD group, the most frequent disturbance was agitation/aggression, depression/dysphoria, anxiety, apathy/indifference, and sleep/night-time behavior. In moderate to severe AD group, the most frequent disturbance was apathy/indifference, depression/dysphoria, agitation/aggression, and delusion. The frequencies of delusion, hallucination, agitation/aggression, apathy/indifference, aberrant motor behavior, appetite/eating change were statistically significant. The total NPI score showed a negative correlation with MMSE-KC and a positive correlation with GDS. Conclusions : Neuropsychiatric symptoms are common features of MCI and AD. These symptoms observed in MCI are similar to those of mild AD. Psychosis is most common in moderate to severe AD, leading to a faster rate of cognitive decline. Therefore, proper management according to the neuropsychiatric symptoms of MCI and three stages of dementia is needed.

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The related factors of adolescent smoker's cancer preventive behaviors (흡연 청소년의 암 예방행위 관련요인 (일개지역 금연학교 참여자를 대상으로))

  • Jo, Eun-Joo;Kim, Nan-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.8
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    • pp.5287-5295
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    • 2015
  • This study was conducted to identify the related factors of cancer preventive behaviors for adolescent smokers. Data were collected from September 1st 2012 to March 31st 2013 of 200 adolescent smokers who were participating in smoking cessation school at W hospital in B city. As a results, there were significant differences in cancer preventive behaviors by grade, religion, benefit, barrier, perceived health status, daily living, alcohol, exercise, nicotine dependency, first smoking age, smoking duration and non-smoking intention. Cancer preventive behaviors were weakly negative related to knowledge about cancer, And there is weakly positive correlation between cancer preventive behaviors and attitude about cancer. Meaningful variables which explain cancer preventive behaviors were daily living, barrier, grade, exercise, benefit, knowledge about cancer, smoking cessation intention in order. Total explanation power was 30.6% and daily living has most explanation power. In conclusion, It is necessary to encourage sound hobbies and exercise instead of smoking for adolescent smokers in their daily living. And health education programmes, based on the grade and smoking cessation intention of adolescent smokers, need to be developed to emphasize the benefit of cancer preventive behaviors, and to decrease barriers against those behaviors.