• Title/Summary/Keyword: 적응증상

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Congenital Diaphragmatic Eventration in INFANCY (선천성 횡경막 이완증)

  • Lee, Sang-Kyu;Park, Dong-Weon;Chang, Soo-Il
    • Advances in pediatric surgery
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    • v.4 no.1
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    • pp.67-73
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    • 1998
  • Although diaphragmatic eventration in newborn infants is generally regarded as a rare condition, the need for accurate diagnosis and appropriate intervention according to the etiological factors is well known. Recently the authors experienced five consecutive cases of diaphragmatic eventration below the age of two months(one to 55 days) requiring surgery. All were in males, and were left sided. Respiratory symptoms were present in 4 patients, and one patient showed inability to gain weight. Diaphragms were elevated to the level of the third to fifth intercostal spaces. Diaphragmatic plication through the abdomen gave excellent results. There was no postoperative mortality.

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CLINICAL CHARACTERISTICS OF CHILD AND ADOLESCENT PSYCHIATRIC INPATIENTS WITH MOOD DISORDER (입원한 기분장애 소아청소년의 임상특성 - 주요 우울증과 양극성장애의 우울삽화 비교를 중심으로 -)

  • Cho, Su-Chul;Paik, Ki-Chung;Lee, Kyung-Kyu;Kim, Hyun-Woo;Hong, Kang-E;Lim, Myung-Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.11 no.2
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    • pp.209-220
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    • 2000
  • The purpose of this study is to find out the characteristics of depressive episode about major depression and bipolar disorder in child and adolescent. The subjects of this study were 34 major depression patients and 17 bipolar disorder patients hospitalized at child and adolescent psychiatry in OO university children's hospital from 1st March 1993 to 31st October 1999. The method of this study is to review socio-demographic characteristics, diagnostic classification, chief problems and symptoms at admission, frequency of symptoms, maternal pregnancy problem history, childhood developmental history, coexisting psychiatric disorders, family psychopathology and family history and therapeutic response through their chart. 1) The ratio of male was higher than that of female in major depressive disorder while they are similar in manic episode, bipolar disorder. 2) Average onset age of bipolar disorder was 14 years 1 month and it was 12 years 8 months in the case of major depression As a result, average onset age of major depression is lower than that of bipolar disorder. 3) The patients complained of vegetative symptoms than somatic symptoms in both bipolar disorder and depressive disorder. Also, the cases of major depression developed more suicide idea symptom while the case of bipolar disorder developed more aggressive symptoms. In the respect of psychotic symptoms, delusion was more frequently shown in major depression, but halucination was more often shown in bipolar disorder. 4) Anxiety disorder coexisted most frequently in two groups. And there coexisted symptoms such as somartoform disorder, mental retardation and personality disorder in both cases. 5) The influence of family loading was remarkable in both cases. Above all, the development of major depression had to do with child abuse history and inappropriate care of family. It is apparent that there are distinctive differences between major depression and bipolar disorder in child and adolescent through the study, just as in adult cases. Therefore the differences of clinical characteristics between two disorders is founded in coexisting disorders and clinical symptoms including onset age, somatic symptoms and vegetative symptoms.

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A Study on the Adaptation Process of North Korean Immigrant Youth Discontinuing Formal Education (학업중단 북한이탈 청소년의 적응과정에 관한 질적연구)

  • Yang, Young Eun;Bae, Imho
    • Korean Journal of Social Welfare Studies
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    • v.41 no.4
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    • pp.189-224
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    • 2010
  • Nowadays Korean society has a fast growing population of North Korean immigrant youth. Especially, North Korean immigrant youth, who are discontinuing formal education, experience difficulties in social exclusion and adaptation. Therefore, the purpose of this study was to understand the experiences of adaptation and social support of North Korean immigrant youth discontinuing formal education, and to seek affirmative supporting plans and solutions for their adaptation. The methodology utilized for this study was a case study research. On the basis of the results and categorization, 'a network between overall categories and of early adaptation' was derived. The major findings of this study are summarized as follows. First, the participants of this study experienced major difficulties during 'economical adaptation', and their economical adaptation was strongly interrelated with their 'educational adaptation'. The discontinuing of their education resulting from their fleeing period caused 'academic differential and age disparity.' Thus they could not enroll in the formal education system, and their insufficient educational background resulted in low wages and overwork due to manual labor jobs. Second, participants recognized 'interpersonal relations' as the most essential factor in adaptation, and 'social support' from the interpersonal relations played an important role in adaptation to and comfort in Korean society. 'Interactions with South Koreans' was recognized as a significant resource for gaining informational and appraisal support, but was not activated satisfactorily. On the other hand, interaction with North Korean immigrants was avoided by the reason that 'there's nothing to learn', however emotional support from North Korean immigrants of close relationship played an important role in participants' adaptation, especially in all aspects of psychological adaptation. Third, participants experienced a lot of difficulties and stresses in their 'physical health and psychological adaptation'. Their chronic diseases worsened by remaining untreated, and female perceived symptoms were observed more often than in male. Meanwhile, excessive 'stresses' from the unfamiliar environment of South Korea negatively affected their psychological adaptation. However, they were satisfied with sense of liberty and security from living in a democratic society.

The Effect of Social anxiety on Psychological Adaptation (사회적 불안이 개인의 심리적 적응에 미치는 영향)

  • Su Ae Park;Kwan-Jae Song
    • Korean Journal of Culture and Social Issue
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    • v.11 no.2
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    • pp.1-29
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    • 2005
  • This research examined the effect of social anxiety on psychological adaptation. Higher the social anxiety, higher in neurotism & worry but lower in Psychological Well-Being and Satisfaction with Life. Among the sub-factors of social anxiety, negative adaptation was significantly predicted by personal anxiety. However positive adaption were predicted by personal anxiety, fairness anxiety and future anxiety. Among the sub-dimensions of social anxiety, negative and positive adaptation were significantly predicted only by anticipatory anxiety. And there were significant positive correlations between social anxiety and aggressive/give-up response. Particularly, personal anxiety was the predictor of aggressive response, but safe anxiety and political anxiety were the predictors of give-up response. The dimension predicted the aggressive/give-up response was anticipatory anxiety dimension. Finally, respondents used problem solving stress coping strategy most. But the respondents whose social anxiety level especially safe anxiety and political anxiety were high used wishful thinking strategy. Moreover higher the reactive anxiety level, more frequently used the avoidance coping strategy.

Psychiatric symptoms of workers exposed to organic solvents (유기용제 취급자들에게 정신증상)

  • Lee, Seoung-Hoon;Yoon, Nung-Ki;Lee, Jong-Young;Suh, Suk-Kwon
    • Journal of Preventive Medicine and Public Health
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    • v.25 no.1 s.37
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    • pp.1-12
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    • 1992
  • To assess the pattern of psychiatric symptoms and to evaluate the relationship between exposure related variables(duration of work and urinary hippuric acid concenturation) and psychiatric symptoms in organic solvent exposed workers, case control study of forty-two solvent exposed workers and ninethy-six non-exposed workers was conducted. The general health questionnaire 28(GHQ28) was administered to evaluate psychiatric symptoms and urinary hippuric acid concenturations was measured to estimate the present status of solvent exposure in exposed group and to estimate normal level in non-exposed group. The mean concenturation of urinary hippuric acid was significantly higher in exposed group (2.953g/creatinine g) than non-exposed group(0.395g/creatinine g) (P<0.01). The total positive rates of symptoms were significantly higher in exposed group(28.2%) than non-exposed group(17.5%)(P<0.05). The positive rates of symptoms for four sub-scales of GHQ28 in exposed group were in the order of somatic symptoms, anxiety, social dysfunction, depression and in the order of social dysfunction, anxiety, depression, somatic symptoms in non -exposed group. The positive rates of symptoms for somatic symptoms and anxiety were significantly higher in exposed group than non-exposed group (P<0.05) and the proportion of workers with six or more positive symptoms(dysthymic states) in exposed group were significantly higher than non-exposed group (P<0.01). After the effect of age, sex, level of income, level of education, and duration of work were controlled, the total score of GHQ28 was still significantly different between exposed and non-exposed group(P<0.01). In multipile logistic regression analysis on the dysthymic state, the odds ratio of level of income was statictically significant in both group. The odds ratios of exposure related variables such as duration of work and hippuric acid concenturations were not statistically significant but there was a tendency that exposure related variables had an affect on dysthymic state in exposed group. In future, continuous evaluation of psychiatric symptoms on organic solvent exposed workers and studies to detect the factors that affect on psychiatric symptoms are required.

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Self-Reported Symptoms and Stereopsis in Viewing 2D and 3D Images (2D와 3D입체 영상 시청에서 나타난 자각 증상과 입체시)

  • Lee, Wook-Jin;Son, Jeong-Sik;Kwak, Ho-Won;Kim, In-Su;Yu, Dong-Sik
    • Journal of Korean Ophthalmic Optics Society
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    • v.16 no.1
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    • pp.83-90
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    • 2011
  • Purpose: This study aimed to compare and assess whether there was a relation between self-reported symptom and stereopsis in viewing an anaglyph 3D and a general 2D image. Methods: Seventy subjects (38 males, 32 females) were students ranging in age from 20 to 30 years. Subjects' symptoms were investigated by a questionnaire after viewing the 2D image and the anaglyph 3D image using red-green glasses for 30 minutes. Titmus circles and TNO stereopsis tests were performed before and after the images. A correlation between symptom and stereopsis was evaluated. Results: Both ocular and nonocular symptom in viewing 3D image were higher than those in 2D image. Titmus circles stereopsises using polarized filters were not changed before and after viewing images, but TNO stereopsises using color filters such as red-green glasses were increased after viewing 3D image. Ocular symptom and TNO stereopsis were increased after viewing 3D image, and there was a good correlation between them (r=0.605). Conclusions: Better stereopsises before viewing 3D are relatively lower ocular symptoms in viewing 3D image. But symptoms are increased in viewing anaglyph 3D image for a short-time and improvement of TNO steropsis is poorly associated with the relief of ocular symptoms. This tendency seems to be related with an adaptation to anaglyph 3D image with red-green glasses.

Effects of College Life Characteristics on Depression, Anxiety, and Somatic Symptoms among Freshmen (대학생활 특성이 대학 신입생의 우울, 불안 및 신체증상에 미치는 영향)

  • Park, Mijeong;Choi, Jihea;Lee, Eun Young;Park, Miyoung
    • The Journal of the Korea Contents Association
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    • v.14 no.1
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    • pp.346-355
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    • 2014
  • The study was undertaken to identify college freshmen' depression, anxiety, and somatic symptoms and clarify college life characteristics influencing it. The study was a descriptive study with 300 freshmen from H university. Data were collected from April 22 to 26, 2013 using a structured self-report questionnaire. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression. As a result, first, the mean scores of the subjects were 2.33 in depression, 1.94 in anxiety, and 1.63 in somatic symptoms. Their depression, anxiety and somatic symptoms were higher as their sex and perceived self-efficacy. Second, college life characteristics explained 46.1% of variance in depression and 26.3% of variance in anxiety. college life characteristics, depression and anxiety explained 35.8% of variance in somatic symptoms among freshmen. These results will be used for developing programs to increase mental and physical health and to adapt in college life for freshmen.

A Longitudinal Study about Relationship between Somatic Symptom and Depression of Adolescents (청소년의 신체화 증상과 우울의 관계에 관한 종단연구)

  • Park, So-Youn
    • Journal of Digital Convergence
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    • v.19 no.7
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    • pp.409-417
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    • 2021
  • The purpose of this study is to find out how individual, family, and school factors influence adolescents' depression, and to explore the long-term influence between somatic symptom and depression. To do this, data from two points of the 4th wave (year of 2013) and the 6th wave (year of 2015) of the first-year middle school panel survey (KCYPS) were used and structural equation model analysis was conducted on 1,668 adolescents. As for results, frist, in terms of individual factors, gender, physical health status, and self-resilience significantly affected depression in adolescents. Second, among school factors, learning activities and peer relationship significantly affected depression in adolescents. Third, somatic symptom and depression had effects and auto-regressive effects over time. Based on these results, the prevention and intervention measures for somatic symptom and depression of adolescents were discussed. Future study is needed include varaiables of parental mental health that affect depression in adolescents.

The relationships among smartphone use, mental health and physical health - Focusing on smartphone users' attitudes (스마트폰 사용과 정신건강 및 신체건강 간의 관계 -스마트폰 사용자의 태도를 중심으로)

  • Kang, Hye-Ja
    • Journal of Digital Convergence
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    • v.14 no.3
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    • pp.483-488
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    • 2016
  • This study was conducted to examine the relationships among smartphone use, mental health and physical health by focusing smartphone users' attitudes. For this purpose, 129 college students were asked to complete the questionnaires which contained measures of smartphone use, mental health and physical health. The results of data analysis showed that the positive correlations among smartphone use scores, physical and mental symptoms were significant. The importance of adaptive using smartphone for health was emphasized. Finally, limitations and suggestions of this study were discussed.

Occlusal Adjustment (교합조정)

  • Heo, Yeong-Gu
    • Journal of Dental Rehabilitation and Applied Science
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    • v.17 no.3
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    • pp.189-193
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    • 2001
  • 교합조정은 비가역적인 술식이므로 예방적인 목적으로 사용하는 것은 바람직하지 않으며 환자가 증상을 호소하거나 환자의 구강검사시 교합간섭으로 인한 증상이 확인된 경우라도 자연치에서의 교합조정술은 반드시 신중을 기해야 한다. 교합조정술을 시행하기 전에 먼저 하악의 위치가 안정되어야 한다는 것을 명심하고 이를 위해 치과의사는 하악의 중심위에 대한 이해와 중심위로의 하악유도 방법에 대한 숙지도 필요하다. 또한 심한 악관절 장애나 통증 및 불안정한 하악의 위치를 보이는 경우 구강내 교합상이나 교합 안정장치가 선행되어야 하는 경우가 있다. 교합조정술을 시행해야 하는 치과의사 자신이 교합조정술에 대한 지식을 충분히 습득하고 있어야 하며, 교합조정술의 적응증을 분명하게 확인한 뒤 조심스럽고 정확하게 시술을 시행해야 한다. 즉, 잘못된 교합조정으로 오히려 교합간섭을 야기할 수도 있음을 명심해야 한다. 그러나 교합조정에 대해 올바로 이해하고 일반적인 교합조정의 원칙을 지켜 정확히 시행한다면 교합조정은 결코 환자에게 해를 주지 않고, 자유로운 하악운동을 가능케 하며, 교합의 안정성을 유지해 줄 것이다.

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