• Title/Summary/Keyword: 환자체형

Search Result 77, Processing Time 0.019 seconds

Body Image Distortion among Inpatients with Schizophrenia (입원한 조현병 환자의 신체이미지 왜곡)

  • Kim, Sung-Jin;Moon, Seok-Woo;Kim, Daeho
    • Korean Journal of Biological Psychiatry
    • /
    • v.19 no.4
    • /
    • pp.211-218
    • /
    • 2012
  • Objectives Body image distortion is found in eating disorder and obesity and there are some evidence that schizophrenia is associated with body image distortion. This study sought to find whether schizophrenic patients report more body image distortion than healthy individuals and whether it is related with symptomatology. Methods A total of 88 inpatients with schizophrenia and 88 healthy controls were recruited. Weight, height, and body image accuracy were assessed in all participants, and assessment of mood, psychotic symptom severity and self-esteem, and personal and social performance scale were conducted. Results The patients with schizophrenia had higher Body Mass Index (p < 0. 001) and underestimated their body size more than controls (26.14% vs. 5.13%, p < 0.001). Multiple regression analysis showed that lower depressive symptoms and higher scores of general psychopathology predicted underestimation of body size. Conclusion Weight gain and metabolic syndrome are common adverse events of pharmacological treatment of schizophrenia. Thus, underestimation of body size among patients with schizophrenia may interfere with effort to lose weight or seek weight reduction programs. Clinicians need to consider possible unterestimation of underestimation of body size in patients whose general symptomatology is severe.

The life style follow body style change of Adolesent Idiopathic Scoliosis (청년기 특발성 측만증 환자의 체형 변화에 따른 생활 습관 연구)

  • Kim, Seong-Su;Kim, Myung-Joon
    • Journal of Korean Physical Therapy Science
    • /
    • v.5 no.2
    • /
    • pp.583-593
    • /
    • 1998
  • The purpose of this study was to analyze the effects of body shape variation of the clinical characteristics of patients who suffered from Adolescent idiopathic scoliosis. The data were collected from the spine clinics who were all thirty healthy make and female, from April, 1995 to May, 1998. The results of study were as follows ; 1. Total patients statistics mean age is 19years and 21 female, 9 male. 2. We divided 30 patients into four types(I, II, III, IV) by Evaluation form. As the result, Lots of patients included type IV. 3. Body type(IV) : Deformity style of Rt. shoulder & Lt. Pelvis forward style. 4. Body type IV showed a specific character in their life style. When the right shoulder forwarded and left pelvis is ant. tilting. The patients moved always their Lt. lower extremity first in Rt. lower extremity support the weight of body. And moved always their Rt. upper extremity in Lt. upper extremity support the weight of body.

  • PDF

Eating Disorder (식이장애)

  • Lee, Jae-Sung
    • Journal of Korean Medicine for Obesity Research
    • /
    • v.2 no.1
    • /
    • pp.1-12
    • /
    • 2002
  • Eating disorders are psychiatric disorders characterized by abnormal eating patterns and cognitive distortions related to food, weight and shape, which is in turn result in adverse effects on nutrition status, medical complications, and impaired health status and function. The American Psychiatric Association's DSMIVTR offers two diagnoses to describe disordered eating anorexia nervosa and bulimia nervosa. A third category, eating disorder not otherwise specified(EONOS) include binge eating disorder. The prevalence of eating disorder has greatly increased among adolescence and young adults since 1990's when rapid import of western culture took place. It is likely that patients who ask for weight loss are at high risk of having eating disorder. Severe dietary restriction for weight loss may cause eating disorder. Therefore it is recomendable for doctors to have appropriate understanding and guidelines of eating disorder to help their patients.

  • PDF

Effects of Ankle Exercise Program Including Gluteus Exercise on Pain, Function, and Balance of Chronic Ankle Instability (만성 발목 불안정성 환자에 볼기근 운동을 동반한 발목 운동프로그램이 통증과 발목 불안정성 수준, 동적 균형 수준에 미치는 영향)

  • Il-Hong Seo;Byeong-Jun Hwang
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
    • /
    • v.30 no.2
    • /
    • pp.51-63
    • /
    • 2024
  • Background: This study examined the effect of ankle stabilizing exercise, including gluteus exercises and ankle exercises on the pain, function, and balance of patients with chronic ankle instability. Methods: After randomly classifying 15 people per group into the experimental group and control group. The experimental group performed stabilizing exercise including gluteus exercises, the control group performed stabilizing exercise including ankle exercises. Each group performed the exercise three times per week for four weeks. The SPSS 23.0 program was used for statistical analysis. Results: Significant differences in visual analogue scale (VAS), cumberland ankle instability tool (CAIT), star excursion balance test (SEBT) were observed in the experimental group and control group(p<.05). A comparison after intervention between each other groups revealed, a significant difference in the VAS (p<.05), but no significant difference in CAIT and, SEBT (p>.05). Conclusion: These results suggest that stabilizing exercise, including gluteus muscles and ankle exercises are encouraged because of the effects on pain, ankle instability decrease, and Dynamic balance increase in patients with chronic ankle pain

  • PDF

Analysis of the association between bronchial hyperresponsiveness and genetic polymorphism of β2-adrenoceptor in adolescents with long-term asthma remission (장기간 천식 관해 청소년에서 지속되는 기관지 과민성과 β2-아드레날린 수용체 유전자 다형과의 연관성 분석)

  • Kang, Hee;Koh, Young Yull
    • Clinical and Experimental Pediatrics
    • /
    • v.50 no.6
    • /
    • pp.556-564
    • /
    • 2007
  • Purpose : We hypothesized that the persisting bronchial hyperresponsiveness (BHR) of adolescents with asthma remission may be controlled mainly by genetic factors, and the BHR of symptomatic asthma by airway inflammation. ${\beta}_2$-adrenoceptor gene is considered to be a candidate gene in the development of BHR. Thus, ${\beta}_2$-adrenoceptor gene polymorphism may be associated with the BHR of adolescents with asthma remission, but not with the BHR of symptomatic asthma. To evaluate this hypothesis, ${\beta}_2$-adrenoceptor gene polymorphism at 2 sites (Arg16-Gly, Gln27-Glu) were examined. Methods : Two hundred two adolescents with BHR ($PC_{20}<18\;mg/mL$) and long term remission (neither asthma-related symptoms nor medication during the previous 2 years) of their asthma (remission group), 182 adolescents with symptomatic asthma (symptomatic group), and 200 healthy adolescents (control group) were studied. Asthma phenotypes were determined using methacholine bronchial provocation test and skin prick test. Genotypes of ${\beta}_2$-adrenoceptor polymorphism were evaluated by PCR-based methods. Results : Gly/Gly allele and Gly16-Gln27 haplotype were more prevalent in the remission group than in the control group (P=0.01, P=0.02), although there was no difference between the symptomatic group and the control group. In the remission group, there was significant difference in geometric mean of $PC_{20}$ among the 3 groups subdivided by the number of Gly16-Gln27 haplotype, showing that the Gly16-Gln27 haplotype was positively associated with BHR. However, no association was found between Gly16-Gln27 haplotype and BHR in the symptomatic group. Conclusion : This study demonstrates that ${\beta}_2$-adrenoceptor polymorphism at amino acid 16 and 27 was associated with BHR persisting in adolescents with asthma remission.

Analysis of Dose Reduction Rate with Dose Modulation Technic Depending on BMI (PET/CT검사에서 Dose Modulation Technic 적용시 BMI에 따른 선량 감소율 분석)

  • Kim, Jung Wook;Park, Se Yun;Jo, Young Jun;Park, Jong Yeop
    • The Korean Journal of Nuclear Medicine Technology
    • /
    • v.16 no.2
    • /
    • pp.25-28
    • /
    • 2012
  • Purpose : It is important to reduce radiation dose associated with computed tomography (CT) scanning to as low as reasonably achievable (ALARA). With Dose Modulation Technic, user select a desired image quality and the system adapts tube current to obtain the desired image quality with greater radiation dose efficiency. In this paper, we presents a comprehensive description of fundamentals, clinical applications and radiation dose benefits of Dose Modulation Technic depending on Body Mass Index(BMI). Materials and Methods : In this study, 149 patients were examined(The mean age : $58{\pm}12.4$ years old). Biograph True Point 40 (Siemens, USA) and Gemini TF 64 (Philips. Cleveland) were used for equipment. When we used Care Dose 4D (Siemens, USA) and D-dom (Philips, Cleveland), we measured dose reduction and Computed Tomography Dose Index (CTDI) depending on BMI. Then we analyze data using SPSS Ver.18. Results : When we used Care Dose 4D, p-value is considered statistically significant by groups with the result that we compared Care Dose 4D with D-dom. On the other hand, p-value isn't considered statistically significant by groups using D-dom. Conclusion : Dose modulation based on the projection angle didn't affect degree of obesity. And When using Care Dose 4D, dose reduction rate in the normal patients were higher than the obese. In this study, there are errors on somato type. So I think more research have to be done. Then application of Dose Modulation technic can help in maintaining acceptable image quality while reducing radiation dose by 20-60% in most instances.

  • PDF

Development of Supplemental Equipment to Reduce Movement During Fusion Image Acquisition (융합영상(Fusion image)에서 움직임을 줄이기 위한 보정기구의 개발)

  • Cho, Yong Gwi;Pyo, Sung Jae;Kim, Bong Su;Shin, Chae Ho;Cho, Jin Woo;Kim, Chang Ho
    • The Korean Journal of Nuclear Medicine Technology
    • /
    • v.17 no.2
    • /
    • pp.84-89
    • /
    • 2013
  • Purpose: Patients' movement during long image acquisition time for the fusion image of PET-CT (Positron Emission Tomography-Computed Tomography) results in unconformity, and greatly affects the quality of the image and diagnosis. The arm support fixtures provided by medical device companies are not manufactured considering the convenience and safety of the patients; the arm and head movements (horizontal and vertical) during PET/CT scan cause defects in the brain fundus images and often require retaking. Therefore, this study aims to develop patient-compensation device that would minimize the head and arm movements during PET/CT scan, providing comfort and safety, and to reduce retaking. Materials and Methods: From June to July 2012, 20 patients who had no movement-related problems and another 20 patients who had difficulties in raising arms due to shoulder pain were recruited among the ones who visited nuclear medicine department for PET Torso scan. By using Patient Holding System (PHS), different range of motion (ROM) in the arm ($25^{\circ}$, $27^{\circ}$, $29^{\circ}$, $31^{\circ}$, $33^{\circ}$, $35^{\circ}$) was applied to find the most comfortable angle and posture. The manufacturing company was investigated for the permeability of the support material, and the comfort level of applying bands (velcro type) to fix the patient's head and arms was evaluated. To find out the retake frequency due to movements, the amount of retake cases pre/post patient-compensation were analyzed using the PET Torso scan data collected between January to December 2012. Results: Among the patients without movement disorder, 18 answered that PHS and $29^{\circ}$ arm ROM were the most comfortable, and 2 answered $27^{\circ}$ and $31^{\circ}$, respectively. Among the patients with shoulder pain, 15 picked $31^{\circ}$ as the most comfortable angle, 2 picked $33^{\circ}$, and 3 picked $35^{\circ}$. For this study, the handle was manufactured to be adjustable for vertical movements. The material permeability of the patient-compensation device has been verified, and PHS and the compensation device were band-fixed (velcro type) to prevent device movements. A furrow was cut for head fixation to minimize the head and neck movements, fixing bands were attached for the head, wrist, forearm, and upper arm to limit movements. The retake frequency of PET Torso scan due to patient movements was 11.06% (191 cases/1,808 patients) before using the movement control device, and 2.65% (48 cases/1,732 patients) after using the device; 8.41% of the frequency was reduced. Conclusion: Recent change and innovation in the medical environment are making expensive medical image scans, and providing differentiated services for the customers is essential. To secure patient comfort and safety during PET/CT scans, ergonomic patient-compensation devices need to be provided. Therefore, this study manufactured a patientcompensation device with vertically adjustable ergonomic ROM according to the patient's body shape and condition during PET Torso scan. The defects in the basal ganglia images due to arm movements were reduced, and retaking was decreased.

  • PDF

The effects of MMH task conditions on muscle activity and fatigue of the trunk musculature (MMH 작업조건에 따른 몸통부위 근육군의 활동변화에 관한 연구)

  • 이욱기;김상호;정민근
    • Proceedings of the ESK Conference
    • /
    • 1993.10a
    • /
    • pp.223-235
    • /
    • 1993
  • 요통(Lowback Pain)을 유발하는 주요원인으로 알려져있는 MMH(Manual Materials Handling) 작업에 있어서 작업조건의 변화가 근육의 활동과 피로도에 미치는 영향을 평가하기 위해 4가지 서로 다른 작업조건하에서 몸통부위(Trunk)의 주요근육에 대한 EMG 파형분석을 실시 하였다. 본 연구에서의 분석대항작업은 실제 작업조건과 유사하레 설계된 120분간의 단속적인 인양(Lifting)/하역(Lowering) 작업으로서 작업중량은 작업자의 MVIS(Maximum Voluntary Isometric Strength)를 기준으로 설정되었으며, 매 10분 간격으로 EMG 측정이 이루어졌다. 작업물이 작업자의 정면에 위치한 대칭형(Symmetric) 작업의 경우 배면부(Dorsal) 근육인 천극근(Erector Spinae)과 활배근(Latissimus Dorsi)이 활동근(Active Muscle)인 것으로 나타났으며, 정중면(Medial Plane)을 중심으로 좌우측 근육이 동일한 근력을 발휘하였다. 작업물이 작업자의 한쪽 측면에 위치한 90도 비대칭형(Asymmetric) 작업의 경우 천극근과 활배근외에 작업물과 반대쪽 외사근(External Oblique)이 활동근으로 추가되었으며, 작업물과 반대쪽의 근육들이 더욱 큰 근력을 발휘하였다. 작업의 반복에 따른 근육의 피로도를 평가하기 위해 실시한 EMG 파형의 Spectral Analysis 결과, 비대칭형 작업시 작업물과 반대쪽의 천극근에서 작업시간의 경과에 따라 중위주파수(Median Power Frequency)가 저주 파수대로 천이(Lower Shift)하는 현상이 나타났으며, 일정한 작업량이라도 작업중량을 줄이고 작업 빈도를 높여서 작업할 경우에 이러한 현상이 더욱 두드러졌다. 작업시간의 경과에 따른 MVIS의 감소 현상은 작업빈도가 높고 비대칭형 작업일 때 가장 크게 나타났다. 총손실을 줄이고, 상대적 비용절감효과를 갖게할 수 있다고 하였다. 따라서 본 연구에서는 성인 여성기성복의 치수적합성을 높이기위하여 출산 후 중년에 접어 들면서 체형이 변화되는 것을 고려하여 연령을 분류하고(18세-34세, 30세-51세), 각 연령 집단에 따른 체형을 각각 3가지로 분류하였다. 이에 따라 의복 생산시의 총손실을 줄이기위한 상의, 하의생산시 필요한 부위별 최적규격치 간격을 제시하였다.적인 기능으로 보여지는 것에 좁혀서 작업능력의 연령증가 변화에 대하여다원적 평가를 하는 것이 실제적이라고 할 수 있다. 따라서 본 연구에서는 인간이 가지고 있는 다수의 기능중에서 수지교 치성과 연령증가와의 관계를 조사한다. 만약 연령증가 만으로 수지교치성을 평가 할 수 없는 경우에는 어떠한 요인이 수지기민성의 변화에 영향을 미치는가를 검토한다.t list)에서 자동적으로 사건들의 순서가 결정되도록 확장하였으며, 설비 제어방식에 있어서도 FIFO, LIFO, 우선 순위 방식등을 선택할 수 있도록 확장하였다. SIMPLE는 자료구조 및 프로그램이 공개되어 있으므로 프로그래머가 원하는 기능을 쉽게 추가할 수 있는 장점도 있다. 아울러 SMPLE에서 새로이 추가된 자료구조와 함수 및 설비제어 방식등을 활용하여 실제 중형급 시스템에 대한 시뮬레이션 구현과 시스템 분석의 예를 보인다._3$", chain segment, with the activation energy of carriers from the shallow trap with 0.4[eV], in he amorphous regions.의 증발산율은 우기의 기상자료를 이용하여 구한 결과 0.05 - 0.10 mm/hr 의 범위로서 이로 인한 강우손실량은 큰 의미가 없음을 알았다.재발이 나타난 3례의 환자를 제외한 9례 (75%)에서는 현재까지 재발소견을 보이지 않고 있다. 이러한 결과는 다른 보고자들과 유사한 결과를

  • PDF

Parotid Gland Tumors (이하선종양에 대한 임상적고찰)

  • 박혁동;심윤상;오경균;이용식
    • Proceedings of the KOR-BRONCHOESO Conference
    • /
    • 1993.05a
    • /
    • pp.97-97
    • /
    • 1993
  • Primary tumor arises infrequently in the parotid gland and generally, only about 20 to 40 percent of which prove to be malignant. They are characterized by histopathologic diversity, slow tumor growth, significant proportion of patients who have received previous treatment elsewhere. We have reviewed retrospectively 101 cases of parotid gland tumors which were treated for the recent eight years (1985-1992), Non-neoplastic tumor-like lesions were all excluded.

  • PDF

Identification of the Polymorphisms in IFITM2 and IFITM5 Genes and their Association with Ulcerative Colitis (IFITM2 및 IFITM5 유전자다형성의 발굴과 궤양성대장염의 감수성과의 연관성)

  • Kim, Hun-Soo;Mo, Ji-Su;Alam, Khondoker Jahengir;Park, Won-Cheol;Kim, Keun Young;Chae, Soo-Cheon
    • Journal of Life Science
    • /
    • v.25 no.1
    • /
    • pp.84-92
    • /
    • 2015
  • Interferon inducible transmembrane protein (IFITM) family genes have been implicated in various cellular processes such as the homotypic cell adhesion functions of IFNs and cellular anti-proliferative activities. The present study aimed to investigate whether the polymorphisms of the IFITM2 and IFITM5 genes are associated with susceptibility to UC. We identified a total of thirteen polymorphisms (eleven SNPs and two variations) in the IFITM2 gene and twelve polymorphisms (eleven SNPs and one variation) in the IFITM5 gene, by the direct sequencing method. Genotype analysis in the IFITM2 and IFITM5 SNPs was performed by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) and Taq-Man probe analysis, and the haplotype frequencies of IFITM2 and IFITM5 SNPs for multiple loci were estimated using the expectation maximization (EM) algorithm. The genotype and allele frequencies of IFITM2 SNPs, as well as IFITM5 SNPs, in UC patients were not significantly different from those of the healthy controls. We also analyzed the combined frequencies of rs77537847 of IFITM1, rs909097 of IFITM2, and rs56069858 of IFITM5 in the UC patients and the healthy controls. Although the distribution of the major combined genotype frequency did not differ significantly between the healthy controls and the UC patients, the GGT combined frequency in the healthy controls was significantly different from that in the UC patients (P=0.002). This result suggests that the combined genotype of the IFITMs polymorphisms may be associated with a susceptibility to UC and could be a useful genetic marker for UC.